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medicine clinic
and Cosmetic Surgery
Our way of understanding cosmetic surgery begins with the patient's health and ends with the best aesthetic and clinical results, thinking in the long term.
With the guarantee of quality and medical rigor of Aesphy Excellence Clinic, one of the best clinics in our country, where the best team of plastic surgeons has been with more than 20 years working exclusively.
We always look for the most advanced treatments that ensure the best results and the least invasive techniques that result in a faster functional recovery and a more comfortable treatment for the patient.
Blepharoplasty can correct the sagging of the upper eyelids and the bags of the lower ones, characteristics that make us look older and more tired than we are and that, in some cases, can interfere with vision. This is where the eyelid surgery or blepharoplasty. Thanks to which the person manages to look much better, not so old or tired, recovering self-confidence, confidence, and, with it, vitality.
The ideal candidates to undergo a blepharoplasty are those who seek improvement, and not absolute perfection, in their appearance.
If you are in good general health, psychologically stable, and realistic in your expectations, you will be a good candidate. Patients are generally 35 years of age or older, but in some cases with a familial tendency to have bags, patients are younger.
Blepharoplasty will improve your appearance and self-confidence, but it will not make us look like someone else or be treated differently. Before deciding whether to have a blepharoplasty, think about what you want to achieve and discuss it with your plastic surgeon.
There are some medical conditions that can make blepharoplasty more risky, such as thyroid problems, lack of enough tears, high blood pressure, cardiovascular disease and diabetes.
Glaucoma and retinal detachment can also pose a risk; In certain cases, an ophthalmological examination prior to blepharoplasty may be necessary.
Improves the general appearance of the eyes. The blepharoplasty removes excess fat and muscle tissue from the eyelids. Eyelid surgery corrects puffiness of the upper eyelids. Eyelid rejuvenation corrects the most noticeable lines and wrinkles.
In the case of marionette lines, hyaluronic acid infiltration of the chin will not aim to completely fill the groove, its objective will be to smooth it. It is unnatural and rare for a person in their fifth or sixth decade of life not to draw the marionette lines. However, the result will be fully satisfactory for the patient who begins to express the signs caused by facial aging.
Your plastic surgeon will provide you with specific instructions on how to prepare for surgery, including guidelines on food and fluid intake, smoking, or taking or stopping medications and vitamins, and washing your face.
It is important to stop smoking at least one to two weeks before surgery. Careful compliance will ensure that the surgery is performed in better conditions. Also make sure that a family member or companion can take you home when you are
The scars may have a pinkish appearance for the first few months.
They will progressively disappear until they become a clear, almost invisible line.
The results of blepharoplasty, a younger and more awake appearance, are maintained for years; In many cases, the results are permanent.
Rhinoplasty is the surgery that modifies the shape of the nose, and is one of the most frequently performed surgical procedures in plastic surgery.
Rhinoplasty can decrease or increase the size of the nose, change the shape of the tip or back, narrow the nostrils, or change the angle between the nose and the upper lip. It also corrects congenital problems, trauma and some respiratory problems.
Rhinoplasty can be performed under local anesthesia plus sedation, or more often, under general anesthesia, depending on the complexity of the surgery and the preferences of your surgeon.
A rhinoplasty usually lasts between 1 and 2 hours, although in complex cases it can take longer. During surgery, the skin of the nose is separated from its support, made up of bone and cartilage, which is sculpted into the desired shape. Finally the skin is redistributed over this new support.
Rhinoplasty is always performed in the operating room, within a clinic or hospital. Normally, you stay in the clinic the night after surgery, being discharged the next day.
The benefits of Rhinoplasty are fundamentally aesthetic and functional. These two aspects of nose surgery are closely related to each other, so when considering an aesthetic change, it must be taken into account if it can cause respiratory problems in the future. Its benefits are:
– Improve your appearance
– Modify the size, width and shape of the nose
– Correct the profile, eliminating humps or depressions in the bridge
– Change the shape of the nasal tip
– Change the angles of the nose
– Modify the size and position of the nostrils
– Soften the typical nuances of the nose of each ethnic group
– Correct the typical deterioration of age
– Despite the possibilities offered by rhinoplasty at an aesthetic level, fundamentally, find the nose that best suits the other features, maintaining naturalness and harmony.
– Functional benefits: respiratory problems
– Solve certain respiratory difficulties, allowing to correct those deformities that obstruct the normal functioning of the respiratory system.
– Solve birth defects
– Reconstruction of the nose in case of injury or accident.
– Solve snoring problems
Ideal candidates for rhinoplasty are those seeking improvement, not absolute perfection, in their appearance. If you are in good general health, psychologically stable, and realistic in your expectations, you will be a good candidate. Rhinoplasty will improve your appearance and self-confidence, but it will not make us look like someone else or be treated differently.
Like any surgery, the operation to correct the shape of the nose has its own testimony. They are of a functional nature ( violation of nasal breathing) and aesthetic ( due to a person's dissatisfaction with what his nose looks like). In the first case, the operation is recommended, and in the second – the indications for surgical intervention are relatively relative. In any case, each person decides for himself whether he suits his nose and whether he needs rhinoplasty.
In the preoperative period of rhinoplasty we must:
Make sure that our surgeon is a plastic and aesthetic surgeon specialized in ultrasonic rhinoplasty and that he is suitably qualified.
Perform a complete preoperative, accompanied by direct monitoring by the anesthetist who is going to anesthetize us.
Discuss with our surgeon about what maneuvers are going to be performed and what is the final shape that is going to be sought as a goal.
Prepare the skin using a topical product, such as arnica montana and vitamin K to prevent the appearance of postoperative bruising.
As for any surgical intervention, a preoperative study consisting of an analysis, cardio-respiratory assessment and a photographic study must be carried out.
In the clinical examination it is important to carry out a psychological assessment of the patient, indicating their wishes and expectations, betting on moderate corrections.
The postoperative period of rhinoplasty is simple and painless and, during the first days, the patient must remain at rest, in a semi-sitting position, ingesting abundant liquids and the analgesics formulated by his surgeon. Continuous nasal irrigation with saline is essential to contribute to nasal cleansing, prevent post-surgical infections and improve nasal breathing.
During the first 24 hours, you will feel a swollen face, discomfort in the nose, which may bleed slightly, and a headache, which subsides with medication; in addition to swelling and bruising around the eyes that increase to a maximum after 2 or 3 days, disappearing in about 2 weeks.
At approximately 48 to 72 o'clock in the first postoperative control, the surgeon will remove the packing and 8 or 10 days after the intervention, the plaster is removed, and the swollen and elevated appearance of the nose should not worry, since it is normal. After 15 days, social and work life can be resumed. The nose will be slightly thickened, although the edema and bruising will have completely disappeared.
After a month an evolution control is carried out, as well as after 3 months where the result can be seen. But the definitive result will be observed several months, or even a year after the intervention.
La otoplasty It is facial surgery that aims to correct and reshape prominent ears, managing to improve their proportion and position. The intervention is responsible for both relocating the protruding ears that are too far from the skull, as well as reducing their size if they are excessively large, remodeling the hanging lobe or recreating the outer fold if necessary.
The intervention usually consists of a small incision behind the ear to reshape the cartilage and make it fold in the appropriate areas. In this way, a more natural ear is achieved and the scar is hidden at the back.
Through a otoplasty The ears can be reshaped to make them smaller, improve their symmetry, reduce their separation from the skull, eliminate the fall of the lobe or reconstruct the ear in the event of a congenital deformity or accident.
La otoplasty It is indicated for the correction of ears that present an atrio-cephalic angle greater than 30º-35º and/or project more than 20 mm between the mastoid and the edge of the helix.
Most plastic surgeons recommend that parents observe the child's behavior in relation to their prominent ears; surgery should not be insisted on until the child so wishes. Those children who are dissatisfied with their ears and want surgery, cooperate more during the intervention and are happier with the result.
Many patients, children or adults, may be unsure about the outcome of otoplasty. Please note that improvement is intended, not absolute perfection. Don't expect exact symmetry, which would even look unnatural. If you discuss with your plastic surgeon both the procedure and your expectations and options, the results will be very satisfactory. In the first consultation, the plastic surgeon will evaluate the problem and recommend the most effective technique for your case. He will also provide you with instructions to prepare for surgery.
The catalog of Social Security benefits does not include the performance of an otoplasty for aesthetic reasons, except in cases in which there is an important associated psychological disorder or when the deformity is very important, and as long as it is during school age.
The plastic surgeon, in the first visit, will assess the aesthetic dysfunction of the patient and will consider the technique that is most appropriate for him and to achieve the desired results.
What should the patient take into account in the first consultation?
Otoplasty does not affect hearing in any case
You must raise all the questions you consider necessary, such as everything you need to know in relation to the surgical procedure, the preoperative, the postoperative, the precautions that must be taken to avoid risks and complications, the duration of the intervention, the type of anesthesia, the recovery period, the economic cost of the intervention, the concepts that cover said budget, etc.
The bandage will be replaced by a fleece or elastic garment that must be worn day and night until the stitches are removed, approximately between 10 and 15 days after the surgery. Otoplasty. Subsequently, the use of the tape can be limited to the time that it remains in your home for at least 2 months.
It consists of remodeling the arch of the eyebrow through an incision on each side of the scalp, at the temples, hidden behind the hair. They are incisions between four and seven centimeters through which access is gained, below the forehead muscle, to the eyebrows, tightening the tissues in the area and raising them using sutures.
The fall of the tail of the eyebrow is a frequent reason for consultation in our center. Over the years, the action of the depressor muscles (orbicularis oculi, corrugator muscles and the procerus muscle mainly) exhausts the lifting capacity of the frontalis muscle and eyebrows fall.
When this descent or fall of the eyebrow is more evident at the level of its external portion or tail, a redundancy of skin is produced that ends up hiding the eyelashes and causing creases at the level of the outer edge of the eye, accentuating the “Crow's feet".
Many patients consult for a blepharoplasty, since they perceive or are more bothered by this skin excess at the level of the eyelashes and are not so aware of the redundancy of skin at the level of the Crow's foot. However, when we perform only one eyebrow tail lift, both characteristics are corrected in a more harmonic way.
In many cases, when the classic upper blepharoplasty technique is combined with the eyebrow lift, the results are maximum but when the cause is camouflaged (drooping of the eyebrow) by means of blepharoplasty alone (direct excision of the skin of the upper eyelid), the results are acceptable but less.
Said more specifically: many blepharoplasties are performed due to a fall in the tail of the eyebrows, so the results are not always the best possible.
In this context, blepharoplasty and eyebrow lift are two complementary techniques for complete orbital rejuvenation.
Of the three types of lifting that exist, the temporary one is the one that acts more specifically on the lateral areas of the forehead and therefore minimizes 'crow's feet'. In practice, a stretching of the lateral areas of the forehead is performed, raising the tail of the eyebrow and allowing the eyelash to shine again in all its splendor. To achieve this, the brand of the temporary facelift It is as discreet as in the frontal lifting, since the incision is made at the hairline, although this time in the area of the ears.
Ideal candidates for rhinoplasty are those seeking improvement, not absolute perfection, in their appearance. If you are in good general health, psychologically stable, and realistic in your expectations, you will be a good candidate. Rhinoplasty will improve your appearance and self-confidence, but it will not make us look like someone else or be treated differently.
Like any surgery, the operation to correct the shape of the nose has its own testimony. They are of a functional nature ( violation of nasal breathing) and aesthetic ( due to a person's dissatisfaction with what his nose looks like). In the first case, the operation is recommended, and in the second – the indications for surgical intervention are relatively relative. In any case, each person decides for himself whether he suits his nose and whether he needs rhinoplasty.
The cervico-facial lifting, or facelift, is always performed under general anesthesia. In addition, local anesthesia is used to minimize the risk of bleeding and reduce postoperative discomfort. The incision of the cervico-facial lift is made around the ear, and extends through the posterior area of the hair and the part of the temple covered with hair. There are some variations depending on the sex and the individual pattern of hair growth, but all share the goal of being unnoticeable after surgery. If it is necessary to reduce the double chin, a further incision is made under the chin.
The best candidate is the patient who has a face and neck that have begun to relax, but whose skin has good elasticity and whose bone and muscle structures are still well defined.
People who have a very round face and despite losing weight cannot change their facial contour are good candidates for a bichectomy.
In our clinic we perform extraction of bichat balls following the steps below:
It is a simple treatment that does not require prior special care, except to go to the clinic the day of the intervention with a clean mouth, to avoid possible infections.
Aftercare:
The neck tends to age faster than the face, and over time, the skin on the neck becomes saggy. The neck lift is a surgical process in which the skin is stretched so that it looks younger, wrinkle-free and firmer. The invasion is minimal, since the incision is left behind so that the scar is almost invisible, the muscle, skin and fat layers are repositioned, tightening the facial muscles and removing excess tissue.
The best candidate is the patient who has a face and neck that have begun to relax, but whose skin has good elasticity and whose bone and muscle structures are still well defined.
In the preoperative appointment we will answer your questions that may have been left unanswered in the initial consultation, such as surgical details, informed consent, and we will review the goals of treatment so that we have them fresh in the intervention.
Usually the patient you do not usually feel very uncomfortable after the facelift. In any case, some pain medication can be administered. The patient you may notice numbness in the skin: this is normal and goes away in a few weeks.
Bichat balls are defined as two balls of fat found on both cheeks. Each one has an approximate volume of 10 cc and weighs about 9 gr. They are located between the masseter and buccinator muscles. These balls can be removed through the BICHECTOMY.
What this intervention does is remove these balls of fat to leave the face more stretched. The operation usually lasts about an hour and is performed under local anesthesia and sedation or general anesthesia. The incision is made inside the oral cavity. The effects of the operation will not be seen until a few months after the surgery.
The best candidate is the patient who has a face and neck that have begun to relax, but whose skin has good elasticity and whose bone and muscle structures are still well defined.
In the preoperative appointment we will answer your questions that may have been left unanswered in the initial consultation, such as surgical details, informed consent, and we will review the goals of treatment so that we have them fresh in the intervention.
Recommendations:
Mentoplasty or chin surgery is a quick and simple surgical intervention with which it is possible to modify the shape or size of the chin. Its main objective is to ensure that the facial features are proportionate as a whole. The intervention depends on the type of repair required:
A chin backwards, in this case it is necessary to advance the chin.
A protruding chin is too far forward and should be moved back.
A chin that is too high, giving a too short face effect, the chin should be lowered.
A chin that is too low, giving here an effect of a face that is too long, where it will be necessary to lift the chin.
An asymmetric chin that will have to be refocused.
Give more strength to the face: it is achieved by defining or increasing the chin; Soften the features: for them, it will be necessary to reduce the chin; Correct facial asymmetries: in this case, both reduction and augmentation may be needed.
Before performing a mentoplasty, a good diagnosis of the patient must be made and determine whether or not he is a candidate for this surgery. Individuals susceptible to mentoplasty are related to aesthetic alterations of the chin due to deformities due to congenital or acquired defects, or simply due to aging.
The alteration in the shape of the chin is usually associated with three conditions that are indicated for mentoplasty:
a) Micrognathia or underdevelopment of the jaw, which may be congenital or secondary to developmental problems characterized by a small (hypoplastic) and retruded jaw, with the presence of a dental malocclusion.
b) Microgenesis. It is a very common alteration and is distinguished by insufficient growth of the anterior mandibular portion (mental symphysis), giving rise to retrusion without dental malocclusion. This condition can occur in an anteroposterior, vertical or mixed direction.
c) Retrognathia: or mandibular retrusion, which is characterized by having an apparently normal size and there is no dental malocclusion.1 10
In addition to the aforementioned alterations, there are other indications such as: aging, since over the years the anterior and vertical projection of the chin is lost, the soft tissues atrophy and the elasticity of the skin and subcutaneous tissue decreases, giving the appearance of an unpleasant "witch's chin" characterized by a very deep submental fold and sagging of the premental tissue.
It is important that a patient before undergoing plastic surgery is well nourished. Anemia or lack of certain vitamins in the body can affect healing and that means a problem in recovery.
A iron-rich diet with meat, fruits, and vegetables is ideal for this. However, you must remember that starting to eat healthy 2 days before your operation will not help you much. It is best to do it at least two months prior to the date of the intervention.
This recommendation works both for the preoperative period and for the postoperative period of chin surgery. This habit is harmful since nicotine worsens blood circulation.
It can also affect the amount of oxygen in the blood, as around 4000 toxins irritate the lungs. Taking these two factors into account, it is easy to deduce that it affects tissue healing. If you are an active smoker, it is best to quit for at least 30 days before the operation.
Many medications are derivatives of aspirin, including aspirin. These vary coagulation and considerably increase the risk of bruising after the operation.
Other medications, such as vasodilators, can increase bleeding, so you have to be very careful.
After surgery the patient will experience discomfort, bruising and inflammation in the chin and in the underlying mandibular region that will last a few days after the intervention, following precise instructions to reduce discomfort and facilitate the healing process:9
In addition to complying with the postoperative medication with antibiotics, analgesics, anti-inflammatories, mouthwashes, etc., it is recommended not to remove the adhesive fabrics during the first 7 days, as well as to consume a soft diet and take food supplement shakes to obtain the required nutrients. For a speedy recovery, apply ice packs or cold compresses to the area. The patient should perform temperature control to rule out the existence of an infection.
Generally, it is recommended to wait 2 to 3 weeks to start doing physical exercises and it is advisable to wait around 1 month before exposing yourself to the sun, as this prolongs the inflammation process, hindering good healing.
The size and shape of the breasts are of concern to most women, as being satisfied with their breasts enhances their self-esteem and confidence as well as their femininity. Breast augmentation with implants is the most appropriate treatment to solve:
It is a completely safe procedure and with a high degree of satisfaction in all our patients. We have highly specialized surgeons who guarantee the best results.
Through augmentation with implants, in addition to a greater volume in the woman's breasts, it is achieved:
The main benefit is to correct a chest excessively flat, correct an imbalance between the two breasts, achieve a better appearance after pregnancy or weight loss, reconstruct the breasts after a mastectomy after overcoming breast cancer or suffering an accident.
The ideal candidate to undergo breast surgery are healthy, emotionally stable people who understand the results that can be obtained after surgery.
Many women want an increase after a pregnancy or breastfeeding that has left their breasts empty and sagging. Although there is no risk that the increase will alter future pregnancies, you should know that the breasts can sag again after a new pregnancy.
You will be given instructions on how to prepare for surgery., including regulations on taking food and liquids, smoking, or taking or withdrawing medications, vitamins, and iron supplements.
In breast augmentation no blood transfusion is required during surgery. Also make sure that a relative or companion can take you home when you are discharged and that, if necessary, they can help you for a couple of days.
A small percentage of women may get an infection around the prosthesis, usually in the first few weeks after surgery. Some women notice the nipples more or less sensitive, and even without sensitivity. These changes are usually temporary, although in a few cases they will be permanent.
There is no evidence that breast prostheses affect fertility, pregnancy or lactation. It is extremely rare that the prostheses can break, causing the contents to come out of their capsule. When the prosthesis is filled with serum, the liquid is quickly reabsorbed without causing any damage, reducing the volume of the breast in a few hours.
If it is filled with silicone, two things can happen: if the capsule formed by the body does not break, you will not notice any change; if it has broken, especially when it has been subjected to a lot of pressure, the silicone comes out, reducing the volume of the breast.
With both types of prostheses, a new intervention will be necessary to replace it. There is no proven scientific evidence that prostheses cause breast cancer or connective tissue diseases.
The placement of a prosthesis does not prevent the performance of mammograms.
It is common to undergo mastopexy for various reasons, including weight loss or having become a mother. These factors can cause a deformation and sagging of the breasts, making them no longer what they once were.
The operation of breast lift It is very simple to practice and can be carried out in two different ways. That is, the breast lift incision can be made either just below the breast or around the areola. Generally, we usually do it around the areola, since it takes less time to heal and the scar heals more easily, becoming almost imperceptible.
In some cases, this technique is used in combination with the placement of a prosthesis, it is in those cases in which we do not have enough tissues to give a good filling to the breast, mainly in the upper pole. We call this technique Augmentation Mastopexy.
The surgical intervention lasts approximately 3 hours, and the results are immediate, although the total recovery time is about 20 days. With general anesthesia applied prior to the operation and hospitalization for a few days to check that everything is fine, you will see the results as soon as the operation is over and you will be able to enjoy them for many years. The effects of this surgery are lasting and surprising, but not permanent since the patient will continue to suffer a natural aging process. The patient must know that it is easy that after a few years another small intervention is necessary to remodel the glandular tissue that she possesses, which will have followed its natural aging process, producing a double bubble effect in the breast. It is not frequent, but it is possible.
Mastopexy or breast lift is breast lift plastic surgery that allows the woman's breasts to be repositioned in their natural position and regain their firmness. By lifting the breasts, their shape is enhanced, correcting the tendency of sagging or flaccid breasts and achieving an aesthetically very satisfactory volume.
The technique generally used in this operation is based on making an incision around the areola, although sometimes it may be necessary to extend the cut to the lower mammary fold. In addition, depending on the case, this type of intervention may require the placement of a silicone prosthesis to increase the volume of the breasts and thus achieve the desired repositioning with a more natural shape.
To find out if you are a candidate for a breast lift (mastopexy), you should see if you meet one or more of the following characteristics:
Before undergoing a mastopexy, the patient must follow some rules so that the intervention is as effective as possible:
The main measures to take after surgery are:
Also known as reduction mammoplasty, it is a surgical procedure to reduce the size of the breasts, by removing fat, breast tissue and skin, making them smaller, lighter and firmer. It can also reduce the size of the areola. This surgery achieves a more aesthetic and comfortable result for the patient. There are various surgical procedures that are used depending on the size of the breast to be reduced and the distance from the point that we call the middle of the clavicle and another point located on the nipple. Not all patients can undergo the same technique, but in any case we always try to preserve the sensitivity of the nipple-areola complex and the possibility of breastfeeding in the future.
In the most complex cases, the Free Graft technique is used for the nipple areola complex, which, although it will make the sensitivity of the areola and the nipple disappear, will largely avoid the possible complications of developing another inappropriate technique.
the surgery of breast reduction It is done under general anesthesia. This is medicine that keeps you asleep and free from pain. For a mammoplasty reduction, the surgeon removes some of the breast tissue and skin. The nipples can be moved up to relocate for cosmetic reasons.
La breast reduction It is usually performed on large breasts (macromastia), but it may also be indicated in case of: Cystic infections of the breast (polycystic mastitis) Back, neck, shoulder, bosom or head. Loss of sensation in the breast, arms or fingers.
During the days before surgery breast reduction It is convenient to use a germicidal soap, such as Lactacyd, to wash the whole body. It is also very important to inform the doctor before the operation about all the medication that is being taken.
After breast surgery it is normal to feel a little tired for a few days, but you will be able to lead an almost normal life after 24-48 hours. Most discomfort is well controlled with medication prescribed by the surgeon, although the breasts may be sore for a couple of weeks.
During the first 24 hours, you will feel a swollen face, discomfort in the nose, which may bleed slightly, and a headache, which subsides with medication; in addition to swelling and bruising around the eyes that increase to a maximum after 2 or 3 days, disappearing in about 2 weeks.
At approximately 48 to 72 o'clock in the first postoperative control, the surgeon will remove the packing and 8 or 10 days after the intervention, the plaster is removed, and the swollen and elevated appearance of the nose should not worry, since it is normal. After 15 days, social and work life can be resumed. The nose will be slightly thickened, although the edema and bruising will have completely disappeared.
After a month an evolution control is carried out, as well as after 3 months where the result can be seen. But the definitive result will be observed several months, or even a year after the intervention.
Capsular contracture is exaggerated capsule thickening that, in a normal situation, surrounds a breast prosthesis. This exaggerated inflammatory reaction causes a hardening, morphological change, even pain in the operated breast.
In addition, it is known that it is the most frequent complication in patients with breast prostheses, either in reconstructions after a mastectomy or in interventions for aesthetic purposes. Likewise, it is one of the first causes of reintervention after this type of surgery.
Currently the incidence of capsular contracture is estimated at around 10-15% without other risk factors.
La capsular contracture It is the exaggerated thickening of the capsule that, in a normal situation, surrounds a breast prosthesis. This exaggerated inflammatory reaction causes a hardening, morphological change, even pain in the operated breast.
The encapsulation treatment Depends on degree of contracture and age Of the same. If the capsular contracture is treated correctly in the first weeks of formation, there is a good chance of success. If it is in the initial phase, treatment usually consists of taking antibiotics or other medications indicated by the specialist.
However, if the contracture is very advanced, the procedure becomes more complicated. There is the possibility of breaking the capsule of fibrotic tissue by ultrasound treatment, provided that it is not a very serious or very old case.
In more extreme cases, the only solution to encapsulation is a new surgery and implant replacement. If this new intervention follows the agreed health parameters, there is no reason for the capsular contracture to occur again.
Surgery to resolve capsular contracture It is indicated for those women with implants placed in a previous operation.
The reconstructive plastic surgeon must previously consider the degree of capsular contracture and determine if it is of such a high level as to require intervention. Surgery will be performed only if more than six months have passed since the implant operation, since during the 6 postoperative months non-surgical treatments are effective and they are tried first.
La capsular contracture prosthesis or pathological capsule takes place when said fibrous capsule is irregular, too thick or firm and smaller than the prosthesis. Giving rise to a hard touch of the breast, even causing discomfort, poor position and deformation of the implant.
To change the appearance of a tubular breast, a surgical intervention is required, which depends, to a large extent, on the degree of tuberosity. This is corrected by a mammoplasty, or a mastopexy, the purpose is to shape and adjust the size of the chest. The approach can be submammary, while in severe cases an areolar approach and complete remodeling are required. In some cases, the use of a breast implant is necessary.
The tuberous breasts, also known as breasts Tubular, are the breasts that are tube-shaped instead of round and have a lot of separation between the two breasts. In addition, the areolas are usually large and there is a lack of development in the lower part. There are various degrees of malformation.
Tuberous breast surgery seeks to correct the glandular alteration, the areola and the volume. Since it is a congenital malformation that alters the natural conformation of the breast, its correction returns the harmonic form, which is what the patient usually demands.
As can be seen in the previous photographs of tuberous breasts, the result is very positive. The aesthetic benefits are evident, the result has a direct impact on the mood and self-esteem of the person who undergoes the intervention.
Initially, a case of tuberous breasts does not generate any type of disorder beyond that produced by aesthetic issues. However, in most cases a surgical intervention is carried out to correct the malformation because it is of great benefit to the patient.
Sometimes the malformation continues to develop, causing the chest to become more deformed. An early diagnosis allows the tissue to be recovered and the malformation to be corrected immediately, preventing the problem from developing to a greater extent.
La capsular contracture prosthesis or pathological capsule takes place when said fibrous capsule is irregular, too thick or firm and smaller than the prosthesis. Giving rise to a hard touch of the breast, even causing discomfort, poor position and deformation of the implant.
There are certain care to take into account after tuberous breast surgery:
Inverted nipple correction surgery achieves a more natural and attractive looking breast. It is performed under local anesthesia and on an outpatient basis. It is performed through an incision on the lower edge of the nipple. The nipple is pulled superiorly and sutured in a new position. The scar is practically invisible due to its short length and because it is located on the border between the areola and the skin. Similar techniques can increase or decrease the size of the nipple and areola.
The result of the surgery is very natural and the scars, minimal, are imperceptible.
Nipples often play an important role in a woman's self-esteem. Inverted nipples can cause complexes.
Inverted or umbilicated nipples are a relatively common pathology in women, more rare in men, and can affect one or both breasts. The inverted nipple is a congenital alteration that occurs when the ducts of the nipple, called galactophores and that allow the passage of milk to the nipple, are shorter than usual, a fact that causes the retraction of the nipples.
A small surgery, which can be performed under local anesthesia, is usually the most effective solution to solve this problem.
The inverted or umbilicated nipple is a pathology that, beyond its aesthetic impact, in the most serious stages, can make breastfeeding impossible.
It is important to differentiate the inverted nipple from the retracted nipple (acquired after surgery, infection or a breast tumor), since the treatment is different.
Depending on the severity, the inverted nipple is classified into three types:
The most common grade of patients is usually I or II in 90% of cases. In the case of grade III, breastfeeding even becomes impossible.
Apart from the functional problems that inverted nipples can cause, it is clear that this problem has a strong aesthetic impact on some women. This aesthetic dissatisfaction is what motivates going to surgery to correct it.
It is important to assess the degree of inversion of the nipple, since in grades I or II, surgery can be attempted to preserve the lactiferous ducts, so as not to prevent breastfeeding after surgery . The problem with these conservative techniques is the high risk of recurrence.
The result of the surgery is very natural and the scars, minimal, are imperceptible.
The patient can resume her socio-labor life immediately, only physical exercise should be avoided until approximately 10 days after the operation.
This type of treatment usually comes hand in hand with a breast lift operation, breast reduction, breast augmentation, or inverted nipple correction, however when only the areola reduction operation is performed, it is considered a minor surgical intervention. for which local anesthesia is applied. During the intervention, a thin layer of superficial skin is removed and sutured with a very fine thread to avoid scarring.
La Areola Reduction It is a procedure that consists of correcting the size of the pigmented skin that is around the nipple, in such a way that the breast has a more enhanced and embellished appearance.
In the case of performing only the Areola Reduction, it would be a minor intervention, under local anesthesia. The procedure lasts approximately one hour, is outpatient and is highly effective.
The intervention consists of removing a thin layer of superficial skin and suturing with a very fine thread to avoid scars. A very simple act that improves the aesthetics and appearance of the chest spectacularly.
On some occasions, one areola can be different from the other, causing significant asymmetry. In these cases, the Plastic Surgeon will match it to give symmetry and harmony to the pectoral area.
Some women, in addition to retouching the areola, also seek reduce the height and width of the nipple, preserving sensitivity. This touch-up is very often done with the reduction of the areola since one in ten women suffers from anomalies in the nipples.
After the operation of reduction of the areola, you will obtain a more aesthetic and rounded breast monicle, eliminating the tubular shape that it had before. For optimal results in case of tubular breasts, it is recommended to also increase the size of the breasts through a breast augmentation operation.
The ideal candidate to undergo breast surgery are healthy, emotionally stable people who understand the results that can be obtained after surgery.
Many women want an increase after a pregnancy or breastfeeding that has left their breasts empty and sagging. Although there is no risk that the increase will alter future pregnancies, you should know that the breasts can sag again after a new pregnancy.
The operation of reduction de areola is a type of surgery which decreases the area of pigmented skin surrounding the nipple. In this way one gets a areola smaller and proportional to the rest of the chest.
The areola reduction intervention itself does not require overly complex care Nor is it excessively painful.
Thus, The postoperative care of this intervention will depend on its magnitude, Well, if it is linked to other major changes such as a breast augmentation, it will be necessary to carry out care according to this type of operation.
In this case, it will be convenient to rest for a few days so that the prosthesis adapts to the musculature and, little by little, the chest acquires a more natural result. Above all, don't hesitate to Consult your plastic surgeon with any questions.
Suction-assisted lipectomy surgery is performed using a hollow metal surgical instrument called a "cannula" that is inserted through an incision or small incisions in the skin and passed back and forth in the area of the fatty deposit. The cannula is attached to a vacuum source, which provides the suction needed to remove fatty tissue.
In some situations, a special cannula that emits ultrasonic energy can be used to liquefy fatty deposits. This technique is known as “ultrasound assisted lipectomy”. Depending on your needs, your doctor may recommend suction-assisted lipectomy alone or in combination with ultrasound-assisted lipectomy.
There are various techniques that plastic surgeons use for liposuction and aftercare.
of the surgery. Liposuction can be performed under local or general anesthesia. The tumescent liposuction technique involves injecting fluid containing a diluted local anesthetic and epinephrine into areas of fatty deposits. This technique can reduce discomfort at the time of surgery, blood loss, and post-operative bruising.
Liposuction is one of the most popular plastic surgery procedures because it offers the possibility of removing fat and cellulite safely and effectively, and because it can be easily combined with other cosmetic surgery techniques. Some of the main benefits of liposuction are better health associated with fat loss, improved appearance, and reduction in the appearance of cellulite.
The best candidates for liposuction are people of relatively normal weight who have excess fat in particular areas of the body. Firm and elastic skin will result in a better final contour after liposuction. Skin that has lost tone due to stretch marks, weight loss, or natural aging will not re-mold to new contours and may require additional surgical techniques to remove and firm excess skin.
It is recommended that the plastic surgeon give you a series of pre-surgical instructions about the foods you should eat, as well as avoid alcoholic beverages and some drugs. It is important that you do not expose yourself to the sun before or after surgery, as this causes inflammation and accumulation of pigment in the scar.
– During the 24 and 48 hours after the intervention, it is advisable to rest at home.
– The return to work and social life will be done after three or four days.
– The postoperative period as a whole is easily tolerated, since the discomfort caused by the intervention is not important and subsides quickly.
– However, in the weeks after the intervention, the treated area suffers some inflammation, which is gradually reduced, to disappear in the third month.
– During the first 4 weeks, an elastic band or bandage is placed over the treated area in order to control swelling and to help the skin adapt to the new contour.
– Liposuction scars are minimal and strategically placed to be hidden.
We are specialists in this type of intervention and from our clinics in Marbella, Madrid, Seville and Huelva we offer the best advice and the best results.
Liposculpture is a surgical procedure to shape the body by removing excess adipose tissue from one area and reinjecting it into other areas of the body where it may be necessary, to achieve a more aesthetic figure in the patient.
Liposculpture is the operation of Plastic, Aesthetic and Reconstructive Surgery that is performed to eliminate localized fat deposits between the skin and the muscle. The objective of the operation is to permanently reshape the body contour, and it is performed by areas: abdomen, thighs, buttocks, arms, and jowls are the most common. For greater patient comfort and safety, liposculpture should be performed under general anesthesia.
Liposuction is a safe technique, as long as the patient is well selected, the operating room is well equipped and it is performed by a qualified plastic surgeon.
Losing fat has positive effects on your overall health and wellness by reducing your chances of heart disease, diabetes, cholesterol, and certain types of cancer. Although it does not eliminate large amounts of fat, it helps to eliminate a significant amount of localized fat, which does not disappear with diet and exercise.
Risks can be reduced by choosing a qualified plastic surgeon, who performs this technique in a licensed clinic, and carefully following their instructions.
Liposuction scars are minimal and strategically placed to be hidden, even when wearing a bikini. However, some aesthetic problems may arise, regardless of the plastic surgeon's experience, such as ripples on the treated skin, pigmentation changes that may be permanent if exposed to the sun. In some cases, asymmetries may occur that require a second intervention.
The ideal candidates to undergo liposculpture surgery are those people who have a relatively normal weight but who have accumulations of fat in localized areas. If you are in good general health, psychologically stable, and realistic in your expectations, you will be a good candidate. The most important thing to obtain an optimal final contour is to have a firm and elastic skin (the skin that "hangs" will not be redistributed over the new body contour and may require some additional surgical procedure to remove excess skin).
Liposculpture is not recommended if you have had recent surgery in the area to be treated, if you have poor circulation in that area, or if you have heart or respiratory problems. It is also important to know that liposuction does not improve cellulite.
Liposculpture will improve your appearance and self-confidence, but it will not make us look like someone else or be treated differently. Before deciding whether to undergo liposculpture, think about what you want to achieve and discuss it with your plastic surgeon.
If the patient is in good health, he may undergo liposculpture without the need for prior medical studies. If, on the other hand, you have a tendency to hemorrhage, a previous medical examination will be carried out with a check-up, heartbeat and blood pressure measurement, and even blood tests. The surgeon specialist may recommend the patient not to take any anticoagulant medication for at least 10 days before the intervention, and the pressure of the elastic girdle that the patient should wear after liposculpture will also be measured beforehand.
The postoperative period consists of resting for about three days, as well as a treatment of antibiotics and wearing a pressure vein or elastic band. This girdle should be worn for 2 to 4 weeks, but after 4 or 5 days the patient can return to their normal activities and after 10 days they can gradually return to exercise.
La tummy tuck also called abdominal lipectomy or tummy tuck is a surgery that involves the removal of excess fat and skin. In addition, in most cases, the repair of weakened or separated muscles is required, creating a smoother and firmer abdomen.
This intervention consists of removing excess skin and fatty tissue from the middle and lower abdomen and sometimes tightening the muscles of the abdominal wall.
Abdominoplasty is not a surgical treatment for excess weight; It is used to eliminate the skin flap (dermograso) in people who have lost a lot of weight. It can be combined with liposuction techniques as part of the surgery.
There are several different abdominoplasty techniques. Usually a suture of the rectus abdominis muscles is also performed, which reinforces them in the midline, and the navel is repositioned.
Sometimes it is necessary to incorporate a synthetic mesh to reinforce the abdominal wall if it is very weak or there are hernias or eventrations.
La tummy tuck It is performed under general anesthesia or spinal anesthesia. At the end you will have a scar around the repositioned navel and another horizontal one in the entire lower abdomen, which can also extend laterally. If the lateral skin excess is very important, or depending on the technique chosen, a vertical scar (in an inverted T) may be required up to the sternal area.
Abdominoplasty is a cosmetic surgery procedure in which abdominal defects are corrected, both in the skin, as in the fat and the musculature; in this way its appearance is improved.
The patients who usually undergo these procedures more frequently are women. after pregnancy, to correct post-pregnancy abdominal deformities.
La tummy tuckIn addition to removing excess skin, it also removes areas of fat and helps tighten muscles. The recovery of tummy tuck it can take a few weeks, and involves the typical risks and complications associated with any cosmetic surgery operation.
It is indicated when there is an excess of skin and fat at the abdominal level. There are several techniques depending on the main problem:
Before surgery we will ask you for a laboratory analysis, an ECG and a chest X-ray.
If you smoke it is important to stop smoking at least 20 days before.
Avoid taking aspirin or derivatives 20 days before surgery.
The Plastic Surgeon will explain in detail the risks associated with the surgical intervention.
We will give you a written consent explaining any potential risks or complications. It is important that you read and fully understand this brochure.
Much of the success of any surgery depends on postoperative care. Following the medical instructions is vital to achieve the results that the doctor and the patient have proposed.
Remember that recovery time varies depending on your own physical condition. Patients typically need 1 to 3 weeks before returning to normal activities.
This intervention consists of removing excess skin and fatty tissue from the lower abdomen and, sometimes, tightening the muscles of the abdominal wall. Abdominoplasty is not a surgical treatment for excess weight; It serves to remove the skin flap (dermograso) from the lower abdomen. It can be combined with liposuction techniques as part of the surgery.
There are several different mini tummy tuck techniques. Sometimes a suture of the rectus abdominis muscles is also performed, which reinforces them in the midline. Sometimes it is necessary to incorporate a synthetic mesh to reinforce the abdominal wall if it is very weak or there are hernias or eventrations.
The mini tummy tuck is a technical variation of the tummy tuck surgery. In the abdominoplasty, all the skin and fat between the navel and the pubis are resected, strengthening if necessary the muscles of the abdominal wall. In A mini tummy tuck removes only a small part of skin tissue in the upper pubic area. It also allows to correct the flaccidity of the muscles of the lower half of the abdomen.
This surgery is less complex, it is performed in less time and recovery is faster for the patient. But in no case can it be a substitute for a tummy tuck.
The indication of one procedure or another will depend on the amount of excess skin, skin elasticity and the patient's constitution.
In a mini tummy tuck, the length of the scar varies depending on the the amount of skin that needs to be removed, although it is usually shorter than in a tummy tuck. And unlike this one, it is not necessary to reposition the navel. It remains in its previous location or in a slightly lower position.
Other benefits associated with this technique are the correction of the caesarean section scar non-aesthetic or removal of stretch marks located in the lower abdomen.
The mini tummy tuck is an intervention that is well tolerated by patients and that provides results definitive, as long as it is accompanied by a balanced diet and regular exercise.
Usually the candidates for a mini tummy tuck are women who, after pregnancy, are unable to recover the previous shape or firmness of the abdomen, adopting a globular appearance.
It is also indicated in men suffering from a distension of the skin and the musculature of the abdomen, as a consequence of weight loss, as well as when there is skin sagging in this area due to aging.
will evaluate the physical complexion, the state of health, will examine the extension and level of fat in the region of the abdomen and what is the state of skin tone.
Taking into account what your expectations are and the reality of your physique, the doctor will determine the treatment that best suits this personal situation. to get the desired expectations:
If there is only an accumulation of fat in the area below the navel, performing a mini tummy tuck is the best solution. The procedure is less complex than the tummy tuck, the surgery requires less time and the stay in the clinic will be less.
In many cases it is recommended associate a liposuction of the hips to the mini tummy tuck in order to improve the entire body silhouette and achieve more harmonious results.. Also note that in some cases the patient's problem can be resolved with liposuction of abdomen without entering the field of mini tummy tuck.
For women after pregnancy, since the muscle mass of the belly dilates. For people with moderate obesity. For patients who have lost weight drastically and want to recover the elasticity of their skin on the belly. For psychologically stable people who want to achieve a flat stomach.
Arm dermolipectomy (also called brachial) is the surgical intervention aimed at removing excess skin and fat that appears on the inner side of the arms as a result of sagging that these tissues suffer over the years in certain people, or after a large weight loss.
Depending on the degree of flaccidity of the tissues and the amount of excess skin, the surgical technique will be
different. In cases with less excess skin, a good result can be achieved by performing a
liposuction on the inner side of the arm and stretching the skin of the arm towards the armpit, removing an ellipse of
skin in that area. In these cases the scar will be limited to the armpit. However, when the degree of
flaccidity is greater and a wide sagging of the tissues of the inner face of the arm appears, it will be
necessary an extirpation of skin and fat along its entire length, from the armpit to the elbow, leaving
a scar all over that area.
Dermolipectomy is a surgical procedure that removes excess skin and fatty tissue from the arms, thighs or other body areas that require it, usually after having suffered significant weight loss, after bariatric surgery or with a diet. It is used to tighten the skin of the arm or thigh, improving the contour, avoiding discomfort caused by excess fat and skin, and facilitating the usual movements of daily life. Patients who have suffered massive weight loss have great sagging and their skin has largely lost its elastic readjustment capacity, presenting stretch marks, etc. Lost skin elasticity cannot be restored.
Dermolipectomy is not a surgical treatment for excess weight. Obese individuals who intend to lose weight should postpone any type of body contouring surgery until they are able to maintain their weight loss. There are always large visible scars, sometimes difficult to hide with clothing. It is performed under general anesthesia.
The intervention usually lasts 2 to 3 hours and is usually performed under general anesthesia, although in
In certain situations, local anesthesia and sedation can also be used. The required income in
hospital after the intervention will depend on the type of anaesthesia, but in general it will be for a few hours: the intervention takes place in the morning, the patient being discharged in the late afternoon, so that she can sleep at home the same night of the intervention. At the end of the intervention, it is placed in
the arm a compressive garment that the patient must wear, depending on the surgical technique used, from 2 to 4 weeks.
During the 3-5 days following the intervention, the patient will have certain discomforts, generally similar to those of intense soreness, which will be controlled with usual analgesics. In general, a week and no patient needs painkillers. During that first week, some swelling may appear in the hands, partly due to the intervention and partly due to the elastic garment itself, swelling that will decrease by raising them to the height of the heart.
The ideal candidates to undergo liposculpture surgery are those people who have a relatively normal weight but who have accumulations of fat in localized areas. If you are in good general health, psychologically stable, and realistic in your expectations, you will be a good candidate. The most important thing to obtain an optimal final contour is to have a firm and elastic skin (the skin that "hangs" will not be redistributed over the new body contour and may require some additional surgical procedure to remove excess skin).
Liposculpture is not recommended if you have had recent surgery in the area to be treated, if you have poor circulation in that area, or if you have heart or respiratory problems. It is also important to know that liposuction does not improve cellulite.
Liposculpture will improve your appearance and self-confidence, but it will not make us look like someone else or be treated differently. Before deciding whether to undergo liposculpture, think about what you want to achieve and discuss it with your plastic surgeon.
The intervention usually lasts 2 to 3 hours and is usually performed under general anesthesia, although in
In certain situations, local anesthesia and sedation can also be used. The required income in
hospital after the intervention will depend on the type of anaesthesia, but in general it will be for a few hours: the intervention takes place in the morning, the patient being discharged in the late afternoon, so that she can sleep at home the same night of the intervention. At the end of the intervention, a compressive garment is placed on the arm that the patient must wear, depending on the surgical technique used,
2 to 4 weeks.
The result of the intervention is a slimmer arm with tighter and firmer skin. The patient must be aware of the technique that will be used to know the type of scar that will remain.
As in all body contouring techniques (liposuction, abdominoplasty or breast reduction) if you want to lose weight, you should wait until you do so before undergoing the intervention. And, as in other interventions where a wide detachment of tissues is necessary, people who smoke have a higher risk of presenting complications, due to the difficulty of blood reaching the tissues.
That is why they are recommended to stop smoking one month before the intervention.
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