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M.D., PhD. Tsitsino Shurgaya – plastic surgeon, expert in correcting age related facial changes and facial paralysis. One of few people in the world who is a Plastic Surgeon Specialist.

"It's easy to damage the facial nerve but very difficult to treat it after"

She graduated from Tbilisi State Medical Institute in 1981. Since 1985, was in residency followed by postgraduate and doctoral studies at the Central Institute of Advancement of Medics (currently Russian Medical Academy of Postgraduate Education – RMAPO).

In 1992 she defended her thesis on “Neyromioplastic operations in paralysis and paresis of mimic muscles”. In 1995 she defended her doctoral dissertation on the topic: “A surgical algorithm for treatment of patients with facial paralysis.

Currently she is working in the Department of Cosmetology, Maxillofacial and Plastic surgery RMAPO.

Dr. Shurgaya has more than 100 publications and scientific papers, 10 personal methodologies of operation on the face and is a co-author of two guides on plastic surgery.

To date, she completed more than 5 000 operations to remove age-related facial changes and has over 25 years experience.

The main scientific research focus of Dr. Shurgaya is all methods to rejuvenate the face, neck and eyelids, and treatment of facial paralysis. She also performs microsurgical operations for defects of the face and is able to restore facial nerve damage (facial nerve damage may occur after viral infections, strokes, accidents and previous unsuccessful plastic surgeries).

Dr. Shurgaya is a member of:

• European Association of Plastic Surgeons
• World Association of Plastic Surgeons
• Society of Plastic, Reconstructive and Aesthetic Surgeons (SPRAS)
• European Association for Cranio-Maxillo-Facial Surgery

Facelift (Rhytidectomy) – Dr. Shurgaya performs the face lift surgery with a modern technique that involves operating in three layers taking into consideration the facial configuration of the patient in three dimensions to preserve the individuality. The technique involves separating the skin followed by a full SMAS lift all over the face then the work is done on the deepest (third) layer. After that SMAS and or bicularis oculi (circular muscles around the eyes) are lifted and tightly secured. Also a frequently used technique is a subperiosteal midface lift (cheek lift) and suspension of soft tissue on the edge of the orbits to reduce nasolabial folds. The skin is pulled uniformly across upper, middle and bottom facial zones.

If required the technique is combined with many additional interventions:

· front or side platysmoplasty (suturing the subcutaneous neck muscles, if necessary fixation of soft tissue to the mandible bone for a clean neck-chin angle and the perfect cleavage)

· brow lift or forehead lift with the correction of the medial or lateral edges of the eyebrows

· Liposuction of the neck/chin area

The facelift is often done together with blepharoplasty, the surgery of the upper and lower eyelids.

The operation is not superficial and far more advanced than a skin or endoscopic type of surgery. The full rehabilitation period typically takes about 30 days however is completely individual (depends on age or overall medical condition, the medication of the patient etc.).

Ability to perform this type of advanced surgery requires fundamental knowledge of the facial nerve, plastic surgery and microsurgery. This allows for an original, deeper approach to facial tissues and therefore the outcome of a more effective and lasting results.

How long does the surgery take?

A facelift takes from 4 to 5 hours.

When do the stitches come out?

The stitches are removed 15 days after surgery.

When will the swelling go down?

Your swelling and bruising should reduce significantly within the first two weeks. Small amounts of swelling may remain for several months but won't be noticeable. This is very individual and some patients have no visible swelling after two weeks but don’t be alarmed if it takes longer.

Can you shower?

Typically 48 hours after surgery you can shower but washing your head should be done no earlier than 72 hours after.

What about physical activity?

You can resume physical activity after a month.

When can I resume other cosmetic procedures? (Botox, Mesotherapy, Peels, Massages etc.)

Most can be resumed after 1 month. Some mesotherapy is even recommended to help the healing process.

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