Il-\u0121img\u0127a li g\u0127addiet Barbara Corcoran, ta’ 77 sena, fet\u0127et sta\u0121un \u0121did tal-programm televi\u017civ tag\u0127ha billi ppubblikat ritratti ta’ qabel u wara l-facelifts tag\u0127ha, u qalet lis-segwa\u010bi tag\u0127ha li kienet idde\u010bidiet li tag\u0127mel wa\u0127da kull g\u0127axar snin. Fl-istess \u0121img\u0127a, attri\u010bi fakkret il-parir li kienet tatha nannitha, stilla ta’ Hollywood tas-snin \u0127amsin: dejjem ag\u0127mel facelift qabel ma jkollok b\u017connha. Ftit jiem qabel, attri\u010bi o\u0127ra ta’ 66 sena kienet qalet li kienet g\u0127adha dubju\u017ca dwar jekk g\u0127andhiex tag\u0127mel wa\u0127da jew le. Tliet nisa, tliet sentenzi, u flimkien fihom i\u017c-\u017cew\u0121 mistoqsijiet li l-aktar li nistaqsa minn pazjenti ta’ fuq il-\u0127amsin sena: meta, u kemm-il darba.<\/p>\n
I\u017c-\u017cew\u0121 mistoqsijiet g\u0127andhom twe\u0121ibiet a\u0127jar fil-letteratura milli jissu\u0121\u0121erixxu l-kwotazzjonijiet, u t-twe\u0121ibiet huma aktar interessanti minn \u201ckull g\u0127axar snin\u201d.<\/p>\n
L-idea \u017cbaljata hija li l-facelift hija abbonament: ag\u0127milha kmieni, \u0121eddidha skont skeda, u l-wi\u010b\u010b jibqa’ fejn hu. L-idea \u017cbaljata opposta hija li l-facelift hija avveniment wie\u0127ed, li jsir darba fil-mument it-tajjeb, u wara dan aktar kirur\u0121ija hija jew bla b\u017conn jew sinjal li l-ewwel wa\u0127da falliet. Id-data tiddeskrivi xi \u0127a\u0121a bejn it-tnejn. Facelift ma twaqqafx ix-xju\u0127ija; hija tmexxi l-wi\u010b\u010b lura tul il-kurva u l-kurva tkompli. Kemm imur lura u kemm ikun mg\u0127a\u0121\u0121el ir-ritorn jiddependi fuq x’\u0121ie lifted, kif, u f’min. It-tieni facelift mhijiex falliment, u skeda mhijiex pjan.<\/p>\n
L-g\u0127axar snin huma reali, u \u0121ejjin mid-data, mhux minn kalendarju.<\/strong> Kirurgu minn Beverly Hills irreveda tletin sena mir-revision facelifts tieg\u0127u stess, 93 pazjent li rritornaw wara deep plane lift: l-intervall medju bejn l-ewwel u t-tieni operazzjoni kien ta’ 10.9 snin. Serje minn Dallas ta’ 811-il facelift sabet 60 pro\u010bedura sekondarja b’medja ta’ 9.0 snin wara l-ewwel wa\u0127da, u l-g\u0127axar pazjenti li g\u0127amlu t-tielet wa\u0127da g\u0127amlu dan 7.5 snin wara t-tieni, ming\u0127ajr l-ebda differenza statistika fid-durabbilt\u00e0 bejn l-ewwel u t-tieni rawnd. G\u0127alhekk \u201ckull g\u0127axar snin\u201d huwa bejn wie\u0127ed u ie\u0127or dak li ji\u0121ri meta l-pazjenti jit\u0127allew jidde\u010biedu g\u0127alihom infushom meta jkunu jridu aktar. Hija deskrizzjoni, mhux preskrizzjoni.<\/p>\n \u201cQabel ma jkollok b\u017connha\u201d g\u0127andha ver\u017cjoni li tista’ titkejjel.<\/strong> Fis-serje ta’ Beverly Hills, il-pazjenti li g\u0127amlu l-ewwel facelift tag\u0127hom ta’ 53 sena jew i\u017cg\u0127ar irritornaw g\u0127at-tieni wara 12.4 snin b\u0127ala medja; dawk li kienu akbar minn 53 sena irritornaw wara 9.3 snin. Tessut i\u017cg\u0127ar i\u017comm il-lift g\u0127al aktar \u017cmien. L-awturi tar-revi\u017cjoni fit-tul ta’ Dallas jg\u0127idu l-istess \u0127a\u0121a mid-direzzjoni l-o\u0127ra: l-aktar ri\u017cultati durabbli tag\u0127hom kienu f’pazjenti i\u017cg\u0127ar b’u\u010bu\u0127 aktar mimlija, u l-og\u0127la rati ta’ rikaduta kienu f’pazjenti b’g\u0127onq aktar mimli. Hemm ra\u0121uni anatomika reali biex topera fuq wi\u010b\u010b li beda jin\u017cel aktar milli fuq wie\u0127ed li di\u0121\u00e0 ni\u017cel g\u0127al kollox, g\u0127aliex it-tessut li ji\u0121i lifted huwa t-tessut li jrid i\u017comm il-lift. Dak li l-parir tan-nanna ma jg\u0127idx huwa li \u201cqabel ma jkollok b\u017connha\u201d xorta jfisser li xi \u0127a\u0121a \u010b\u010baqalqet. Wi\u010b\u010b li m’g\u0127andu xejn x’ji\u0121i ripo\u017cizzjonat ma jie\u0127u xejn minn facelift \u0127lief \u010bikatri\u010bi.<\/p>\n L-ewwel operazzjoni tidde\u010biedi t-tieni wa\u0127da.<\/strong> Kirurgi li jiktbu dwar facelifts sekondarji jiddeskrivu l-istess wirt: \u0121ilda irqaq u bi\u010b-\u010bikatri\u010bi, saff fond li di\u0121\u00e0 \u0121ie suturat darba, u s-sinjali tal-ewwel operazzjoni, b\u0127al dendula tal-widna mi\u0121buda ‘l isfel f’ponta, linja tax-xag\u0127ar imbuttata lura, jew \u0121ibda laterali fuq il-\u0127addejn min\u0127abba \u0121ilda mi\u0121buda wisq. Il-grupp ta’ Dallas \u0121abar l-appro\u010b\u010b tieg\u0127u f’\u0127ames kelmiet: resect, release, refill, reshape u redrape: aqta’ \u010b-\u010bikatri\u010bi l-antika, itlaq is-saff fond fejn l-ewwel kirurgu wa\u0127\u0127lu fid-direzzjoni l-\u0127a\u017cina, \u017cid ix-xa\u0127am fejn intilef il-volum, u mbag\u0127ad biss er\u0121a’ ssospendi u po\u0121\u0121i l-\u0121ilda lura ming\u0127ajr tensjoni. Facelift primarja li ssir fuq is-saff fond bil-\u0121ilda tit\u0127alla laxka hija facelift primarja li tag\u0127mel it-tieni wa\u0127da aktar fa\u010bli, li hija ra\u0121uni wa\u0127da g\u0127aliex jien ma nag\u0127milx lifts tal-\u0121ilda biss, u g\u0127aliex deep plane lift<\/a> fuq dan is-sit huwa dokumentat wara tnax-il xahar minflok tnejn.<\/p>\n It-tieni facelift i\u0121\u0121orr l-istess riskji b\u0127all-ewwel wa\u0127da, mhux aktar.<\/strong> Dak huwa wie\u0127ed mis-sejbiet l-aktar utli fis-serje ta’ Dallas: il-kumplikazzjonijiet fis-60 pazjent sekondarju kienu seroma wa\u0127da, \u017cona \u017cg\u0127ira ta’ telf ta’ \u0121ilda u dg\u0127jufija temporanja ta’ ferg\u0127a tan-nervituri, 2 fil-mija, bi tliet revi\u017cjonijiet minuri, konformi mal-kirur\u0121ija primarja. Id-database ta’ 11,300 pazjent li \u010bitajt meta kont qed nikteb dwar il-wi\u010b\u010b menopaw\u017cali<\/a> lanqas ma sabet li l-et\u00e0 fiha nnifisha hija fattur ta’ riskju. It-tieni operazzjoni hija teknikament aktar diffi\u010bli g\u0127all-kirurgu; mhijiex aktar perikolu\u017ca g\u0127all-pazjent, sakemm il-kirurgu jkun g\u0127amilha qabel.<\/p>\n Dak li t-tieni facelift ma tistax tag\u0127mel huwa li t\u0127assar l-ewwel wa\u0127da.<\/strong> Jekk l-ewwel lift kien tal-\u0121ilda biss, is-saff fond qieg\u0127ed fejn kien dejjem u t-tieni operazzjoni ssir, fil-fatt, l-ewwel deep plane lift fuq \u0121ilda bi\u010b-\u010bikatri\u010bi. Jekk l-ewwel lift \u0121ibed fid-direzzjoni l-\u0127a\u017cina, it-tieni jista’ jer\u0127i u jidderie\u0121i mill-\u0121did, i\u017cda d-dendula tal-widna u l-linja tax-xag\u0127ar i\u017commu xi memorja ta’ dak li sar. Dan huwa l-uniku post fejn \u201cqabel ma jkollok b\u017connha\u201d ta\u0127dem bil-maqlub: operazzjoni bikrija bla b\u017conn li ssir \u0127a\u017cin tu\u017ca ftit mit-tessut li operazzjoni ne\u010bessarja aktar tard kien ikollha b\u017conn. Il-mistoqsija dwar i\u017c-\u017cmien u l-mistoqsija dwar il-kirurgu huma l-istess mistoqsija.<\/p>\n L-intervall huwa stabbilit mill-wi\u010b\u010b, mill-pazjent u mit-teknika.<\/strong> Bidliet fil-pi\u017c, ix-xemx, it-tipjip, il-\u0127xuna tal-\u0121ilda, kemm \u017cdied xa\u0127am fl-ewwel operazzjoni, u jekk l-g\u0127onq \u0121iex ittrattat sew, kollha jmexxu d-data. Pazjenta li \u017c\u017comm il-pi\u017c tag\u0127ha, tipprote\u0121i l-\u0121ilda tag\u0127ha u g\u0127amlet deep plane lift ta’ 52 sena tista’ ma ta\u0127sibx dwar it-tieni wa\u0127da qabel nofs is-sittinijiet tag\u0127ha; wa\u0127da li tilfet 20 kilogramma ta’ 60 sena wara lift ta’ 55 sena tista’ ti\u0121i lura qabel, u dak huwa t-telf tal-pi\u017c, mhux il-kirur\u0121ija. Jien ng\u0127id lill-pazjenti biex jistennew g\u0127axar snin, biex jifhmu li hija medja, u biex ji\u0121u lura meta l-wi\u010b\u010b jitlob, mhux meta jitlob il-kalendarju.<\/p>\n Jekk qed tikkunsidra l-ewwel facelift, ibg\u0127at ritratti u staqsi lill-kirurgu x’i\u010b\u010baqlaq: il-\u0127addejn, il-\u0127addejn imdendla (jowls), l-g\u0127onq. Jekk it-twe\u0121iba hija \u201cxejn kbir s’issa\u201d, qed jinbig\u0127lek abbonament. Jekk it-twe\u0121iba ssemmi struttura, l-operazzjoni g\u0127andha xog\u0127ol x’tag\u0127mel, u li tag\u0127milha fuq tessut li g\u0127ad g\u0127andu l-elasti\u010bit\u00e0 huwa vanta\u0121\u0121.<\/p>\n Jekk g\u0127amilt facelift snin ilu u qed ta\u0127seb dwar it-tieni wa\u0127da, ibg\u0127at ritratti issa u, jekk g\u0127andekhom, ir-ritratti ta’ qabel u e\u017catt wara l-ewwel wa\u0127da. G\u0127idli x’sar, jekk kienx tal-\u0121ilda biss jew tas-saff fond, u jekk xi \u0127a\u0121a dwar il-widnejn, il-linja tax-xag\u0127ar jew i\u010b-\u010bikatri\u010bi ddejqitekx minn dakinhar. Dawk id-dettalji jidde\u010biedu l-pjan aktar min-numru ta’ snin.<\/p>\n Tibbukkjax it-tieni operazzjoni skont skeda. G\u0127axar snin huwa dak li jag\u0127\u017clu l-bi\u010b\u010ba l-kbira tal-pazjenti meta l-wi\u010b\u010b jg\u0127idilhom; mhijiex data li g\u0127andek tni\u017c\u017cel fid-djarju fl-ewwel operazzjoni.<\/p>\n Stenna li t-tieni operazzjoni tinkludi x-xa\u0127am, mhux biss lifting. U\u010bu\u0127 li huma lesti g\u0127at-tieni lift normalment ikunu tilfu l-volum kif ukoll il-po\u017cizzjoni, u l-fat grafting<\/a> huwa parti mill-bi\u010b\u010ba l-kbira tal-pjanijiet sekondarji.<\/p>\n Id-data dwar l-intervall \u0121ejja mill-pratti\u010bi ta’ \u017cew\u0121 kirurgi stess, wie\u0127ed f’Beverly Hills u wie\u0127ed f’Dallas, u huma jg\u0127oddu l-pazjenti li rritornaw; il-pazjenti li marru band’o\u0127ra jew li qatt ma rritornaw huma invi\u017cibbli, g\u0127alhekk il-medja vera tista’ tkun itwal jew iqsar. Il-limitu ta’ 53 sena huwa sejba statistika f’93 persuna, mhux limitu li jien nippjana madwaru. M’hemm l-ebda prova randomised ta’ facelift bikrija kontra wa\u0127da tard u qatt mhu se jkun hemm. U d-de\u010bi\u017cjoni ta’ persuna pubblika li tag\u0127mel facelift kull g\u0127axar snin hija tag\u0127ha; tg\u0127idli x’g\u0127a\u017clet hi, mhux x’kellu b\u017conn wi\u010b\u010bha. Dak li \u017cidt dwar it-teknika u l-ordni ta’ operazzjoni sekondarja huwa kif na\u0127dem jien, u kirurgi tajbin o\u0127ra jag\u0127mluha f’sekwenza differenti.<\/p>\n Jekk qed tistaqsi jekk wi\u010b\u010bek huwiex lest g\u0127all-ewwel facelift, jew g\u0127at-tieni wa\u0127da, ibg\u0127at ritratti mhux editjati fid-dawl tal-\u0121urnata, minn quddiem u mi\u017c-\u017cew\u0121 na\u0127at, fuq +90 544 772 0772<\/a>. It-tim kirur\u0121iku jirrevedihom fl-istess jum.<\/p>\n Dr. Mustafa Ayd\u0131nol huwa kirurgu tal-plastik, rikostruttiv u estetiku f’Istanbul u membru tal-ISAPS.<\/em><\/p>\n Stilla tat-televi\u017cjoni tg\u0127id li tag\u0127mel facelift kull g\u0127axar snin; attri\u010bi qalulha biex tag\u0127mel wa\u0127da qabel ma jkollha b\u017connha. Id-data ppubblikata dwar it-tieni u t-tielet facelift tg\u0127id xi \u0127a\u0121a aktar utli: meta l-intervall verament ikun ta’ g\u0127axar snin, g\u0127aliex tessut i\u017cg\u0127ar i\u017comm aktar, u g\u0127aliex l-ewwel operazzjoni tidde\u010biedi t-tieni wa\u0127da.<\/p>\n","protected":false},"author":3,"featured_media":33096,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2677],"tags":[],"class_list":["post-39597","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-opinjoni-esperta"],"yoast_head":"\nIl-konklu\u017cjoni prattika g\u0127all-pazjenti<\/h2>\n
Limiti onesti<\/h2>\n
Sorsi<\/h2>\n
\n