Facelift in Sofia BG
As we become older the gravity, sun exposure and everyday stress leave their marks on our faces. Wrinkles appear between the nose and the mouse, the skin becomes lose and drop below the jaw line and extra fat and skin accumulates around the neck. Facelift cannot stop the aging process but it can "turn back time" by removing extra skin and fat and straitening the muscles.
The ideal candidates for the procedure are patients with skin of the face and neck that started to drop but still has its elasticity.
The operation last from 3-7 hours (it can be longer if additional procedures are done). Some surgeons prefer to work on each side at a time and some do both sides simultaneously. The placement of the cuts and the magnitude of the operation depend on face structure and the correction required. The cut usually starts on the forehead goes in front of the ear and behind the ear lobe, additional cut below the chin is made to repair the neck. The surgeon separates the skin from the fat, removes the extra fat, strengthens the muscles and returns the fat pockets where they use to be. Afterwards he stretches the skin, cuts the extra and closes with sutures. A drainage tube usually left from both sides to draine secretions and blood and the face is bandaged for the first 24 hours.
Every operation has its risks although not common those include, bleeding, infection, damage to facial nerves (usually temporal), face asymmetry and delayed healing. Patients who smoke have higher rates of delayed healing.
There may be pain or uncomfortable felling after the recovery that can be treated with painkillers. A sensation of ants crawling usually disappears after weeks or a month after the surgery. Bandages are removed after a day or two and your face may look swollen. Red or pale with bleeding spots, you must remember that those will disappear after few days or weeks.
You can get out of bed after 24 hours but you should avoid any efforts for at least a week to help the healing process. You should avoid alcohol, hot tubs and saunas for at least a month. Most of the patients feel disappointed at first, their face look and feel strange but after a few weeks the scars will heal and you'll be able to see the final results. Many patients return to work after 3 weeks. Sometimes you may need to use make up to blur the hemorrhage spots.
More Sofia info...
Sofia By train
Bulgarian State Railways
International trains provide a large number of routes to Sofia, arriving from such places as Kiev, Istanbul, Vienna, Athens, Thessaloniki and other common cities.
Allow up to three hours delay if travelling from Belgrade while the Serbian and Bulgarian customs officers ransack the trains due to cigarette smuggling. However, the cigarette smuggling is worth experiencing once.
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Sofia Stay Safe
Crime rate in Sofia is rather high; even considered higher than the other Bulgarian major cities. If you travel by car make sure that you park in a toll parking. This is the best solution against auto theft. Parking in the center of Sofia could be troubling. Despite it is hard to find a free parking place, Bulgarian police tends to behave harsh since the license plate is not Bulgarian. You might see a long row under the non-parking sign, despite that it is for your own good not to park such areas.
Pedestrians should be careful since there are a lot of so called angry drivers and mobsters around.
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Plastic Surgery News...
- This consensus statement updates the "Recommendations on the management of pulmonary hypertension in clinical practice" from 2001 and covers the following topics:
• Introduction
- Evolution of treatment
- Centres designated to manage pulmonary hypertension
- Commissioning of pulmonary hypertension in England, Scotland and Ireland
- Collection of audit data
• Nomenclature
- Clinical classification
- Functional class
• Pathophysiology and genetics of pulmonary arterial hypertension: links to treatments
• Objectives and priorities for investigation
- Definition of pulmonary hypertension
- When to suspect pulmonary hypertension
- Screening at risk populations for pulmonary hypertension
- Criteria for referral to pulmonary hypertension centres
- Investigation at pulmonary hypertension centres
• Objectives and priorities for treatment
- Anticoagulation
- Oxygen therapy
- Supportive medical therapy
- Disease-targeted therapies for PAH
- Patient-centred outcomes
- Atrial septostomy
- Transplantation
- New and future therapies
• Pulmonary hypertension in children
- Causes of pulmonary hypertension in childhood
- Investigation of the pulmonary hypertensive child
- Medical treatment of pulmonary hypertension in children
- Treatment outcome
- Current service provision and education
• Clinical research implications
- The UK Stem Cell Foundation, the Medical Research Council and Scottish Enterprise, in partnership with the Chief Scientist's Office, are funding a 1.4 million pound project to further the research at the University of Edinburgh with a view to setting up a clinical trial within two years.