\u0126afna drabi aktar kmieni milli mistenni, kultant di\u0121\u00e0 f’nofs l-erbg\u0127inijiet, il-pazjenti jinnotaw li l-bidliet fil-mera m’g\u0127adhomx biss dwar il-kwalit\u00e0 tal-\u0121ilda. Il-linja tax-xedaq titlef il-forma u tinbidel f’\u0127addejn imdendla (jowls), it-tikmix ma\u0121enb il-\u0127alq japprofondixxi, l-g\u0127onq jitlef l-angolu tieg\u0127u, it-tarf ta’ barra tal-\u0127u\u0121bejn jin\u017cel ‘l isfel, u l-g\u0127ajnejn jibdew jidhru g\u0127ajjenin irrispettivament mill-irqad.<\/p>\n
Il-ka\u017c hawn ta\u0127t juri kif pjan ta’ deep plane facelift ji\u0121i attwalment mibni, de\u010bi\u017cjoni b’de\u010bi\u017cjoni, mill-anatomija ta’ pazjent wie\u0127ed.<\/p>\n
Dan huwa ka\u017c rappre\u017centattiv, kompost minn pazjenti reali fil-prattika tag\u0127na f’Istanbul. Dettalji identifikattivi \u0121ew mibdula; ir-ra\u0121unament kirur\u0121iku, it-tekniki u l-protokoll ta’ rkupru huma e\u017cattament kif napplikawhom a\u0127na.<\/em><\/p>\n Mara ta’ 47 sena \u0121iet g\u0127andna wara bosta snin ta’ trattamenti mhux kirur\u0121i\u010bi. Il-pi\u017c tag\u0127ha kien stabbli u ma kinitx tpejjep, b’sa\u0127\u0127a \u0121enerali tajba.<\/p>\n It-t\u0127assib tag\u0127ha: \u0127addejn imdendla li \u010bajpru l-linja tax-xedaq tag\u0127ha, tikmix nasolabjali profond, g\u0127onq li tilef id-definizzjoni tieg\u0127u, u g\u0127ajnejn li kienu jidhru g\u0127ajjenin f’kull ritratt, b’kpiepel ta’ fuq tqal u boro\u017c vi\u017cibbli ta\u0127thom.<\/p>\n Waqt l-e\u017cami, instab li l-waqg\u0127a kienet strutturali. Is-saff ta’ appo\u0121\u0121 profond tal-wi\u010b\u010b, is-SMAS, u l-ligamenti li j\u017commuh kienu rrilassaw, u ppermettew li l-parti tan-nofs tal-wi\u010b\u010b u l-\u0127addejn ji\u017colqu ‘l isfel. Il-muskolu tal-platysma fl-g\u0127onq kien infired fin-nofs, u \u0127oloq strixxi vi\u017cibbli. It-terz ta’ barra tal-\u0127u\u0121bejn kien ni\u017cel, u \u017cied mad-dehra ta’ kappu\u010b\u010b (hooded) tal-kpiepel ta’ fuq. Il-kpiepel ta’ fuq wrew \u0121ilda \u017cejda \u0121enwina; il-kpiepel t’isfel wrew xa\u0127am \u0127iere\u0121 minn septum imdg\u0127ajjef, l-anatomija li tikkaw\u017ca l-boro\u017c ta\u0127t l-g\u0127ajnejn. It-telf ta’ volum fit-tempji u f’nofs il-wi\u010b\u010b ikkompleta l-istampa.<\/p>\n Din hija l-aktar talba komuni li nisimg\u0127u f’din l-et\u00e0, u l-aktar nuqqas ta’ ftehim komuni li nikkore\u0121u: \u201cNistg\u0127u nag\u0127mlu aktar filler, jew thread lift, biex ma jkunx hemm kirur\u0121ija?\u201d<\/p>\n G\u0127all-pazjent it-tajjeb, it-trattamenti mhux kirur\u0121i\u010bi huma e\u010b\u010bellenti. Huwa g\u0127alhekk li nu\u017cawhom fil-prattika tag\u0127na. I\u017cda g\u0127andhom il-limiti tag\u0127hom, u din il-pazjenta kienet ferm lil hinn minnhom.<\/p>\n Il-filler i\u017cid il-volum; ma jerfax tessut li jkun ni\u017cel. Jekk tipprova tikkore\u0121i l-waqg\u0127a bil-filler, eventwalment tipprodu\u010bi wi\u010b\u010b tqil u mimli \u017c\u017cejjed li jidher differenti i\u017cda mhux i\u017cg\u0127ar. Il-filler ta\u0127t l-g\u0127ajnejn jista’ ja\u0127bi \u0127ofor \u0127fief; ma jistax ine\u0127\u0127i x-xa\u0127am li jkun \u0127iere\u0121, u f’pazjent b\u0127al dan \u0127afna drabi jag\u0127mel i\u017c-\u017cona tidher aktar minfu\u0127a. It-thread lifts jistg\u0127u jirripo\u017cizzjonaw laxkezza \u0127afifa g\u0127al \u017cmien limitat; ma jistg\u0127ux i\u017commu l-\u0127addejn u g\u0127onq mer\u0127i f’posthom g\u0127al snin s\u0127a\u0127, u l-ebda thread fis-suq ma jista’ jag\u0127mel dan.<\/p>\n Distinzjoni o\u0127ra hija importanti hawnhekk, g\u0127aliex il-pazjenti spiss jisimg\u0127u dawn it-termini jintu\u017caw b’mod interkambjabbli. Is-SMAS huwa saff tal-wi\u010b\u010b; id-deep plane hija teknika. F’facelift standard tas-SMAS, il-kirurgu jissikka dak is-saff b’suturi filwaqt li jerfa’ l-\u0121ilda separatament. F’deep plane facelift, id-dissezzjoni tmur ta\u0127t is-SMAS, tirrilaxxa l-ligamenti li j\u017commuh, u tmexxi l-\u0121ilda u s-saff profond flimkien b\u0127ala unit\u00e0 wa\u0127da. Ir-ri\u017cultat huwa lift aktar naturali li jservi aktar fit-tul b’inqas tensjoni fuq il-\u0121ilda, li huwa e\u017cattament dak li g\u0127andu b\u017conn ka\u017c avvanzat b\u0127al dan.<\/p>\n Tekniki tal-\u0121ilda biss jew minimi kienu jillixxaw it-tikmix tag\u0127ha ftit u j\u0127alluha bl-istess \u0127addejn imdendla, l-istess g\u0127onq, l-istess g\u0127ajnejn g\u0127ajjenin, u flus minfuqa g\u0127al xejn. Il-pjan irid jindirizza s-saff profond, l-g\u0127onq, il-\u0127u\u0121bejn u l-kpiepel tal-g\u0127ajnejn flimkien bl-g\u0127odod xierqa.<\/p>\n Qabel il-passi, distinzjoni importanti. Id-deep plane facelift u n-neck lift huma l-pro\u010beduri ewlenin ta’ kwa\u017ci kull ti\u0121did tal-wi\u010b\u010b ta’ dan it-tip fil-prattika tag\u0127na, g\u0127aliex il-\u0127addejn imdendla u g\u0127onq mer\u0127i huma dak li jipprodu\u010bi l-aktar it-tixji\u0127 b’mod konsistenti. Il-passi l-o\u0127ra ntg\u0127a\u017clu g\u0127all-b\u017connijiet spe\u010bifi\u010bi ta’ din il-pazjenta; f’pazjent ie\u0127or jistg\u0127u ji\u0121u sostitwiti b’pro\u010beduri differenti, jew ma jkunux me\u0127tie\u0121a xejn.<\/p>\n Permezz ta’ in\u010bi\u017cjonijiet mo\u0127bija mal-linja tax-xag\u0127ar u madwar il-widna, id-dissezzjoni saret ta\u0127t is-SMAS. Il-ligamenti li j\u017commu t-tessut \u0121ew rilaxxati u l-parti tan-nofs tal-wi\u010b\u010b u l-\u0127addejn \u0121ew ripo\u017cizzjonati vertikalment, fejn kienu snin ilu. Min\u0127abba li l-lift isir fis-saff profond, il-\u0121ilda titqieg\u0127ed mill-\u0121did ming\u0127ajr tensjoni, u dan jipprote\u0121i kemm il-kwalit\u00e0 ta\u010b-\u010bikatri\u010bi kif ukoll l-espressjoni naturali.<\/p>\n Permezz ta’ in\u010bi\u017cjoni \u017cg\u0127ira mo\u0127bija ta\u0127t il-geddum, it-truf mifrudin tal-muskolu tal-platysma \u0121ew me\u0127juta lura flimkien fin-nofs u \u0121ew indirizzati l-istrutturi aktar profondi li kienu qed i\u010bajpru l-angolu tal-g\u0127onq. Dan huwa dak li jirrestawra linja nadifa bejn ix-xedaq u l-g\u0127onq; li ti\u0121bed il-\u0121ilda lejn il-\u0121enb wa\u0127edha ma jistax jag\u0127mel dan.<\/p>\n Permezz ta’ in\u010bi\u017cjoni qasira mo\u0127bija fix-xag\u0127ar ‘il fuq mit-tempju, it-terz ta’ barra tal-\u0127u\u0121bejn \u0121ie rilaxxat u ripo\u017cizzjonat ‘il fuq. Dan il-pass huwa \u017cg\u0127ir i\u017cda de\u010bi\u017civ madwar l-g\u0127ajnejn: jifta\u0127 il-kantuniera ta’ barra li tkun mg\u0127ottija, itaffi t-tikmix tal-kantuniera tal-g\u0127ajnejn (crow’s feet), u jfisser li hemm b\u017conn titne\u0127\u0127a inqas \u0121ilda mill-kpiepel ta’ fuq. Ming\u0127ajru, blefaroplastika ta’ fuq wa\u0127edha spiss tipprova ssolvi problema li parzjalment tappartjeni lill-\u0127u\u0121bejn.<\/p>\n Bil-\u0127u\u0121bejn issa fil-po\u017cizzjoni korretta tag\u0127hom, il-\u0121ilda \u017cejda vera tal-kpiepel ta’ fuq \u0121iet imkejla u mne\u0127\u0127ija permezz ta’ in\u010bi\u017cjoni mo\u0127bija fil-tinja naturali tal-kappell. L-g\u0127an kien dehra mistrie\u0127a u miftu\u0127a, mhux wa\u0127da sorpri\u017ca, g\u0127alhekk it-tne\u0127\u0127ija kienet konservattiva u simmetrika.<\/p>\n Ix-xa\u0127am li kien \u0127iere\u0121 mill-kpiepel t’isfel \u0121ie indirizzat permezz ta’ in\u010bi\u017cjoni mo\u0127bija e\u017catt ta\u0127t il-linja tax-xag\u0127ar tal-g\u0127ajnejn. Minflok ma sempli\u010bement jitne\u0127\u0127a x-xa\u0127am, li jista’ j\u0127alli dehra vojta u skeletri\u010bi, huwa \u0121ie ripo\u017cizzjonat fuq ix-xifer tal-g\u0127adma biex itaffi t-tran\u017cizzjoni bejn il-kappell u l-\u0127addejn, u tne\u0127\u0127iet strixxa konservattiva ta’ \u0121ilda \u017cejda.<\/p>\n It-tixji\u0127 mhuwiex biss waqg\u0127a; huwa wkoll telf ta’ volum. Ammont \u017cg\u0127ir ta’ xa\u0127am \u0121ie estratt, ippurifikat u mqieg\u0127ed fit-tempji u f’nofs il-wi\u010b\u010b biex jirrestawra l-milja ratba ta’ wi\u010b\u010b i\u017cg\u0127ar. F’pazjent ie\u0127or dan il-pass jista’ ma jkunx me\u0127tie\u0121 xejn; hawnhekk ikkompleta r-ri\u017cultat.<\/p>\n Anestesija wa\u0127da, waqfa wa\u0127da fl-isptar, perjodu ta’ rkupru wie\u0127ed, vja\u0121\u0121 wie\u0127ed lejn Istanbul. G\u0127al pazjenti internazzjonali din mhix biss konvenjenza; hija d-differenza bejn \u0121img\u0127a wa\u0127da ‘l bog\u0127od mid-dar u diversi vja\u0121\u0121i separati. Kirur\u0121ija tal-wi\u010b\u010b ikkombinata mhix adattata g\u0127al kul\u0127add: te\u0127tie\u0121 sa\u0127\u0127a \u0121enerali tajba, testijiet pre-operattivi normali u aspettattivi realisti\u010bi. I\u017cda g\u0127al pazjenti adattati hija sigura u effi\u010bjenti f’idejn esperti, u l-pro\u010beduri jappo\u0121\u0121jaw lil xulxin: it-temporal lift inaqqas kemm il-blefaroplastika trid tag\u0127mel, u l-facelift u n-neck lift huma ddisinjati b\u0127ala kontorn wie\u0127ed kontinwu. L-operazzjoni ta’ din il-pazjenta \u0127adet madwar sitt sig\u0127at.<\/p>\n Hija baqg\u0127et lejl wie\u0127ed l-isptar b’rasha mg\u0127ollija u b’kompressi kes\u0127in applikati madwar l-g\u0127ajnejn. Id-drena\u0121\u0121i \u017cg\u0127ar wara l-widnejn tne\u0127\u0127ew l-g\u0127ada filg\u0127odu qabel ma \u0127ar\u0121et mill-isptar. In-nef\u0127a u t-tben\u0121il, l-aktar madwar l-g\u0127ajnejn u l-linja tax-xedaq, la\u0127qu l-qu\u010b\u010bata madwar it-tielet jum u mbag\u0127ad bdew ibattu. Is-suturi madwar il-widnejn, fit-tempji u fil-tinji tal-kpiepel tne\u0127\u0127ew bejn il-\u0127ames u s-seba’ jum. L-a\u0127\u0127ar check-up tag\u0127ha kien fis-sitt jum, u taret lura lejn darha fis-seba’ jum b’pjan ta’ kura ta’ wara bil-miktub.<\/p>\n Fid-dar: irqad bir-ras mg\u0127ollija g\u0127al \u0121imag\u0127tejn, l-ebda rfig\u0127 tqil jew liwjiet g\u0127al tliet \u0121img\u0127at, xog\u0127ol fuq skrivanija minn madwar l-g\u0127axar jum b’make-up \u0127afif jekk mixtieq, contact lenses mit-tieni \u0121img\u0127a, gym mir-raba’ sas-sitt \u0121img\u0127a. Il-bi\u010b\u010ba l-kbira tal-pazjenti j\u0127ossuhom komdi f’ambjenti so\u010bjali mill-a\u0127\u0127ar tat-tieni \u0121img\u0127a.<\/p>\n Tista’ wkoll tippjana l-kronolo\u0121ija tieg\u0127ek stess bil-pjanifikatur tal-irkupru fil-qieg\u0127 ta’ din il-pa\u0121na.<\/p>\n Sat-tielet \u0121img\u0127a, kienet tidher b\u0127alha nnifisha wara vaganza twila: linja tax-xedaq definita, angolu tal-g\u0127onq nadif, \u0127u\u0121bejn miftu\u0127a, u g\u0127ajnejn mistrie\u0127a ming\u0127ajr boro\u017c. Ir-ri\u017cultat finali ta’ deep plane facelift ji\u0121i \u0121\u0121udikat bejn sitta u tnax-il xahar, hekk kif it-tessuti profondi jistabbilizzaw u \u010b-\u010bikatri\u010bi jimmaturaw f’linji fini mo\u0127bija mill-widna, mil-linja tax-xag\u0127ar u mil-linja tax-xag\u0127ar tal-g\u0127ajnejn. Dak li g\u0127amel l-e\u017citu ja\u0127dem ma kienet l-ebda pro\u010bedura wa\u0127da i\u017cda l-proporzjonijiet bejniethom, li huwa e\u017cattament g\u0127aliex it-ti\u0121did tal-wi\u010b\u010b m’g\u0127andu qatt jinbieg\u0127 b\u0127ala pakkett fiss. Tista’ taqra aktar dwar il-pro\u010bedura ta’ deep plane facelift<\/a> li noffru.<\/p>\n Is-sigurt\u00e0 tiddependi fuq l-g\u0127a\u017cla tal-pazjent, l-ippjanar u l-infrastruttura: testijiet pre-operattivi s\u0127a\u0127, kirur\u0121ija fi sptar mg\u0127ammar bis-s\u0127i\u0127, tim tal-anestesija b’esperjenza, u kriterji ta’ adegwatezza onesti. Il-prattika tag\u0127na topera b’awtorizzazzjoni tat-turi\u017cmu tas-sa\u0127\u0127a tal-Ministeru tas-Sa\u0127\u0127a Tork, u ka\u017cijiet ikkombinati huma offruti biss lil pazjenti li jissodisfaw il-kriterji.<\/p>\n Seba’ ijiem ikopru anke ka\u017cijiet tal-wi\u010b\u010b ikkombinati: wasla, kirur\u0121ija, lejl wie\u0127ed l-isptar, tne\u0127\u0127ija tad-drena\u0121\u0121 u tas-suturi, u check-up finali qabel ma ttir lura lejn darek.<\/p>\n Jiddependi fuq il-grad ta’ waqg\u0127a u l-anatomija tieg\u0127ek, mhux fuq l-et\u00e0 biss. Laxkezza \u0127afifa tista’ tirrispondi tajjeb g\u0127al teknika SMAS. \u0126addejn imdendla aktar avvanzati, waqg\u0127a f’nofs il-wi\u010b\u010b u laxkezza fl-g\u0127onq, li xi pazjenti ji\u017cviluppaw sa\u0127ansitra f’nofs l-erbg\u0127inijiet tag\u0127hom, huma moqdija a\u0127jar b’appro\u010b\u010b ta’ deep plane, g\u0127aliex dan jirripo\u017cizzjona s-saff profond innifsu minflok ma jissikka fuqu.<\/p>\n Mhux dejjem, i\u017cda t-tarf ta’ barra tal-\u0127u\u0121bejn g\u0127andu dejjem ji\u0121i evalwat l-ewwel. Jekk il-\u0127u\u0121bejn ni\u017clu, it-tne\u0127\u0127ija tal-\u0121ilda tal-kappell ta’ fuq wa\u0127edha tittratta s-sintomu u tista’ ti\u0121bed il-\u0127u\u0121bejn sa\u0127ansitra aktar ‘l isfel. Meta d-dehra ta’ kappu\u010b\u010b ti\u0121i parzjalment mill-\u0127u\u0121bejn, temporal lift u blefaroplastika konservattiva flimkien jag\u0127tu ri\u017cultat aktar naturali u li jservi aktar fit-tul minn blefaroplastika aggressiva wa\u0127edha.<\/p>\n Se tidher pre\u017centabbli fi \u017cmien \u0121imag\u0127tejn sa tliet \u0121img\u0127at, il-bi\u010b\u010ba l-kbira tan-nef\u0127a tistabbilizza sat-tielet xahar, u r-ri\u017cultat finali ji\u0121i evalwat f’sitta sa tnax-il xahar.<\/p>\n Jekk qed tikkunsidra facelift u trid tkun taf liema kombinazzjoni tixraq lil wi\u010b\u010bek, ibg\u0127atilna r-ritratti tieg\u0127ek g\u0127al evalwazzjoni jew ikkuntattjana direttament: +90 544 772 07 72 (\u010bempel<\/a> jew WhatsApp<\/a>).<\/p>\n Dan l-artiklu huwa g\u0127al informazzjoni \u0121enerali u jirrifletti l-appro\u010b\u010b kirur\u0121iku u l-protokoll ta’ kura ta’ wara tal-prattika ta’ Dr Mustafa Ayd\u0131nol f’Istanbul. Ma jissostitwixxix konsultazzjoni medika individwali.<\/p>\nIl-Pazjenta<\/h2>\n
G\u0127aliex il-Fillers u t-Threads ma kinux is-Soluzzjoni<\/h2>\n
Il-Pjan Kirur\u0121iku: Sessjoni Wa\u0127da, Sitt Pro\u010beduri<\/h2>\n
1. Deep plane facelift<\/h3>\n
2. Deep neck lift bi platysmaplasty<\/h3>\n
3. Temporal lift<\/h3>\n
4. Blefaroplastika ta’ fuq<\/h3>\n
5. Blefaroplastika t’isfel<\/h3>\n
6. Trasferiment ta’ xa\u0127am f’nofs il-wi\u010b\u010b u fit-tempji<\/h3>\n
G\u0127aliex Sessjoni Wa\u0127da Minflok Kirur\u0121iji Separati?<\/h2>\n
Irkupru: L-Ewwel \u0120img\u0127a f’Istanbul<\/h2>\n
Ir-Ri\u017cultat<\/h2>\n
Facelift fit-Turkija huwa sigur?<\/h2>\n
Kemm g\u0127andi b\u017conn \u0121ranet f’Istanbul?<\/h2>\n
Deep plane jew SMAS facelift? Liema wa\u0127da g\u0127andi b\u017conn?<\/h2>\n
G\u0127andi b\u017conn temporal lift mal-blefaroplastika tieg\u0127i?<\/h2>\n
Meta se nara r-ri\u017cultat finali?<\/h2>\n