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Plastic Surgery

Professional Center

Types of surgeries

MENTOPLASTY

Mentoplasty is a surgical technique which consists of the correction of the chin, generally in order to give it greater presence and provide a better balance to the facial features. This type of surgery can strengthen the appearance of a retracted chin as well as it can help balance the facial and profile proportions.

TYPE OF PATIENTS

Chin implants can be beneficial for both, men, and women. However, in order for this procedure to be successful, it is essential that both jaw and tooth, as well as the immune system, work properly, so as to reduce the risk of infection after the surgical procedure.

PROCEDURE

Chin surgery can be performed at the same time of other facial surgical procedures such as liftings, blepharoplasties and cheek and jaw implants. Depending on the patients’ anatomy and aesthetic goals, our surgeons choose the implant’s shape and size, which is inserted through a small incision that is then closed with stitches. It is a simple technique that, depending on each patient, it may require local or general anaesthesia.

RECOVERY

Depending on whether the surgery was performed on its own or at the same time with other procedures, the recovery time may vary; but, in general, the patient can go back to his/her normal life within a week from the procedure.

RHINOPLASTY
 

The goal of this surgical procedure consists of solving nose aesthetic and functional problems. It is appropriate both for achieving face harmonization and for solving possible deviations of the nasal bridge, which can make it difficult to breathe through the nose (septoplasty).

Rhinoplasty can solve nose size, width, volume, nostrils’ position, and profile problems, allowing surgeons to change the nasal tip shape, to improve the nostrils appearance or to correct asymmetries. From a functional point of view, it can also correct some breathing problems, caused by nasal bridge deviations.

PROCEDURE

This surgical technique is usually performed under general anaesthesia and its duration may vary, depending on the procedure complexity, between one and three hours. In the case of non-surgical rhinoplasty or rhino filler, it lasts around 15 minutes and it is performed under local anaesthesia.

Nose surgery can be performed either by a closed procedure (incisions are hidden in the nose) or by an open one (making an incision through the columella). The surgeon then lifts the soft tissues covering the nose to gain access to the structure, so as to reduce it or make it bigger with grafted cartilage from other parts of the patient’s body like ears and septum. If the nasal bridge is deviated, the surgeon proceeds to its straightening and if there is any breathing problem, the surgeon reduces its effects. Once the underlying nose structure is carved, the skin and nasal tissue are recoated, and incisions are closed.

RECOVERY

In this type of procedure, patience is a key element since the final outcome is not immediate. It is also usual that, due to bandages and nasal swelling, the patient has problems when breathing through the nose. In any case, all those discomforts can be controlled with painkillers, anti-inflammatory and decongestant drugs. Patients should avoid any kind of trauma in the treated area during the first weeks after the surgery. The plaster or splint, as well as all other post-surgical dressings, are usually removed after a week from the procedure, which will slowly reduce the swelling.

OTOPLASTY
 

The goal of this surgical procedure consists of solving ear’s cartilage aesthetic defects, as well as possible asymmetries in order to achieve facial harmony.

Otoplasty is one of the most common cosmetic surgeries among children since most of the patients are aged between 4 and 14. However, there are also a great number of adults who decide to go through this procedure, which corrects prominent ears, misshapen earlobes and very small ears or those without their natural creases.

CANDIDATES

Children’s ears are not fully developed until about age 4, when we can start thinking about their correction. This procedure is usually performed in order to improve their appearance, as well as to improve the child’s self-esteem. The main advantages of operating at a young age are greater formation ease – the cartilage is more flexible – and immediate psychological benefits.

PROCEDURE

Our surgeons usually suggest general anaesthesia for the youngest patients and local anaesthesia, together with a light sedative, for teenagers and adults. The length of time for this surgery is approximately 2 hours. Regarding the different techniques, they may vary depending on the general anatomy of the ears, their cartilage’s size, and any excess of skin around the surrounding area or the degree of deformity in other areas. During the procedure of one of the most common techniques, the surgeon makes an incision at the back of the ear, in order to carve the exposed cartilage and naturally relocating it later. There is another technique which consists in moving the skin away and pinning the cartilage back without removing it. As regards the stitches, they can be absorbable or removable, and will be absorbed or removed within 7 days.

In the case of Microtia and Anotia, where the ears are much smaller than usual or completely undeveloped, the need of a full construction procedure, by means of grafts, arises.

RECOVERY

The bandage used after the procedure helps holding the new position of the ears while improving the healing process. In the case of young patients, they should rest at least 7 days after the procedure. Adults usually go back to work 3 days after the surgery.

EYELID SURGERY OR BLEPHAROPLASTY

As we grow old, excess of skin grows around the eye area and it loses elasticity. Fatty tissue can accumulate under the skin causing the eyes’ ageing and making them look exhausted, wrinkled, and swollen, effects that can also be caused by other genetic factors.

The goal of a blepharoplasty procedure is the gaze’s rejuvenation by the correction of the eyelids. This surgical procedure is performed in order to remove the excess of skin, fat and muscle in the upper and lower eyelids, improving the under-eyes’ skin flaccidity and, at the same time, allowing to treat drooping eyelids caused by poor or damaged muscle tone which can make the lids to hang in excess and obstruct the patient’s vision. Since it does not treat sagging eyebrows, blepharoplasty procedures are usually performed at the time of a lifting, which helps getting rid of crow’s feet and flaccidity.

CANDIDATES

Ideal candidates for this type of procedure are usually aged between 30 and 40; however, genetic factors can also suggest the performance of this surgery among younger patients. Nevertheless, it is usually contraindicated in patients with dry eye problems, high blood pressure, hyperthyroidism, cardiovascular illness, diabetes, glaucoma, or any serious illnesses. Patient’s anatomy, including bones and support structures, can also affect their candidacy.

PROCEDURE

The surgeon makes incisions along the upper eyelid crease line and, possibly, along the lower external edge of the eye’s skin. By removing the fatty tissue and not the skin, the surgeon can perform a transconjunctival blepharoplasty by making an incision inside the lower edge of the eye’s skin. These incisions usually reach the external corners of the eyes. Afterwards, the surgeon separates the adipose tissue and the muscle from the skin, removing the excess of skin, fat, or muscle.

Eyelid surgery is usually performed under local anaesthesia; it is only performed under general anaesthesia in some cases. It is a simple and fast procedure with a maximum duration of 3 hours, which is performed under an outpatient regime.

RECOVERY

In order to prevent infections and ease the pain, the surgeon usually prescribes antibiotics and some other drugs, although it is also important for the patient to follow the subsequent instructions: thoroughly cleaning the eyes using cold compresses and lubricant eye drops. Some other measures include avoiding make-up, television and contact lenses as well as using sunglasses and sun cream for several weeks.

Stitches are removed approximately a week after the surgery, and from that moment on, the patient can begin to live his/her normal life avoiding exhausting activities such as weightlifting, bending down and exercising. Bruises and swelling will slowly diminish.

LIFTING

 

The effects of ageing, together with sun exposure and stress are made evident in our face and neck, causing wrinkles, furrows, and creases, which make the facial expression to lose definition. Facial lifting is a surgical technique which allows to rejuvenate the face by correcting the changes caused by the passage of time as well as to gain skin firmness and tone, keeping the patient’s expression.

PROCEDURE

This technique consists of making a series of incisions along the hair line and around the ears, in order to reposition the muscular, skin and fat layers – liposuction – removing the excess of tissue. Once the procedure is finalized, the wounds are closed with stitches. It can be performed under general or partial sedation and its duration is between 2 and 4 hours.

RECOVERY

After the procedure, a bandage will be applied and then removed after 24 hours in order to replace it for an elastic one. The patient must avoid any type of physical activity until the swelling has disappeared, which normally happens within the first 5 weeks. During the months that follow the procedure, the skin can feel dry and rough, feeling that will gradually disappear.

LIPOSUCTION (WITH AND WITHOUT LASER)

This intervention is particularly suitable for patients with localized fat deposits that do not disappear with exercise, or diet . Liposuction , also called lipoplasty, can remove fat in certain areas of the body such as the abdomen, thighs, hips and buttocks;  but, it can also be performed on the knees , calves , upper arms , face, neck , and other areas of the body . When  draining? out excess fat, the area can be re sculpted, recovering its original shape. Liposuction can be performed alone or in combination with other interventions such as breast reduction, abdominoplasty, or Mommy makeover, designed to help mothers regain their figures after pregnancy.

Type of patients

Contrary to popular belief, liposuction is not a weight loss procedure. The ideal candidate is a healthy adult, which is close to their ideal weight, but is concerned about fat deposits located in different areas of the body that persist despite diet and exercise.

Procedure

Before surgery, the surgeon delineates the areas to be treated using a marker. Next, the anaesthetic is provided (local or general, depending on the case) and the surgeon proceeds with the operation, which involves making small incisions in the skin to insert the tube, or pipe, through which is broken and sucks the fat located under the skin.

Postoperative

The recovery time will depend on various factors, including the number of treatment areas and their size, the overall health of the patient, and whether the technique is carried out in combination with a laser or not .

LASER LIPOSUCTION

This type of technique differs from traditional liposuction in using a laser probe. Among its main advantages, it includes the closing of blood vessels, preventing excessive bleeding and bruising, and allowing to extract a greater amount of fat. It also regenerates collagen and stimulates the tissue. Since it obtains more tension and skin tightening, aesthetic appearance improves considerably.

Type of patients

It is important to point out that this type of liposuction is indicated for treating fat deposits in body areas that require further retraction of the skin, such as the neck (double chin), and the inside of the arms and thighs, among others.

Furthermore, with this technique incredibly good results in gynecomastia (excess fat and mammary gland in men) are obtained

Procedure

Laser liposuction is performed under general local anaesthesia, epidural, or, depending on the area being treated and the amount of fat to be removed. During surgery, the surgeon makes a small incision to insert the probe laser. This destroys the fat cells, turning them into a semi-liquid emulsion subsequently traditionally sucked .

Depending on each case, its duration will vary from 1 to 3 hours.

Postoperative

This technique speeds up the healing process, allowing the convalescence to shorten and letting the patient to return to normal daily activities as soon as possible.

ABDOMINOPLASTY OR ABDOMINAL LIPECTOMY

This technique consists of the preparation of the abdominal area in order to achieve a flat abdomen and it is specially suggested for patients who have undergone a sharp weight loss. Abdominoplasty, also known as abdominal lipectomy, is a surgical procedure aimed at men and women who want to achieve a flat and firm abdomen. It consists of removing fat and skin excess from the treated area and, in most cases, in strengthening the abdominal muscles using stitches. The abdomen reduction surgery can be performed at the same time of other body shaping techniques such as mastopexy, breast lifting and the Mommy Makeover.

TYPE OF PATIENTS

The best candidates are men and women who are close to their ideal body weight but have an excess of skin, fat or flaccidity in their abdominal area that will not disappear any other way.

There are quite different causes, such as: Pregnancy and labour, Sharp weight fluctuations, Skin’s lack of elasticity due to ageing inheritance, among others.

PROCEDURE

Abdominoplasty is usually performed under general anaesthesia, although in some cases intravenous sedation is used in combination with a local anaesthetic. After the suggested anaesthesia, the surgeon makes an incision from hip to hip, just above the pubic area (it can also be made around the belly button). Then, the surgeon separates the skin from the underlying tissues, stretching the abdominal muscles with stitches and removing the excess of skin and fat (liposuction). Once the procedure has finalized, the incision is closed.

RECOVERY

Once the procedure is finalized, the surgeon applies bandages on the incision. The use of an elastic strap is advised in order to help the patient’s skin to adhere to the underlying tissues. Stitches are removed between 7 or 10 days after the procedure, when the patient will be able to go back to his/her everyday activities, avoiding weightlifting and intense exercises for at least 4 or 6 weeks.

BUTTOCK PROSTHESIS

This surgical procedure consists in implanting prosthesis in the buttock muscles in order to give greater impact to the upper and inner sides of the buttocks, improving their appearance.

CANDIDATES

During an initial visit, our surgeons will make a complete medical record ensuring the patient’s suitability to undergo this type of procedure.

PROCEDURE

The surgeon makes and incision in the buttock’s middle line creating a pocket for the silicone implant and then inserting it between the muscle and the fat tissue. Muscles form cicatrized tissue, helping prosthesis to stay where it was inserted. This procedure is performed under general anaesthesia and, after making sure the area keeps a natural appearance and the symmetry between both buttocks, the incision is closed. This procedure lasts about 3 hours.

RECOVERY

Gluteoplasty is usually performed as part of a group of cosmetic surgeries aimed at improving the physic figure. Most people can go back to their own homes the following day from the procedure; nevertheless, if the surgery is performed at the time of other procedures, the hospital stay could last longer.

CALF PROSTHESIS

This procedure is used to give volume and definition to the calf muscular area, improving the legs’ aesthetic.

TYPE OF PATIENTS

Despite most people opting for calf prosthesis are men, women can also undergo this procedure. Although men seek both adding volume and muscular definition, women goals consist of gaining symmetry.

PROCEDURE

Once the prosthesis ideal size has been chosen, our surgeons proceed to their shaping in accordance to the patient’s legs. During the procedure, a small incision is made behind the knees and the implants are inserted in the pockets formed on top of the calf muscles. Depending on each case, it could be necessary to insert one or two prosthesis (calves have two muscles).

In order to improve the legs general appearance, this procedure can be performed at the time of a knee or an ankle liposuction.

The approximate duration of this procedure is two hours and it is performed under local or intravenous anaesthesia.

RECOVERY

Despite high benefits and patients’ satisfaction levels, the recovery for this type of procedure is slow and, in some cases, painful. For this reason, our surgeons prescribe suitable painkillers, as well as a series of exercises that will help patients to speed up the recovery process. In any case, patients will be able to go back to their routine after 8 weeks as from the procedure, except running, and they should avoid exercising for the 3 months after the surgery.

BREAST AUGMENTATION

This procedure allows to increase the size and change the shape of breasts using implants that allow to obtain natural results.

Breast augmentation is a type of cosmetic surgery that is performed in order to improve the appearance of women’s breasts. Beside the aesthetic reasons, this technique also allows the breasts’ correction after a mastectomy or trauma.

PROCEDURE: BREAST IMPLANT APPLICATION

At the time of the procedure, the surgeon makes a pocket in each breast in which he/she will place the implants. There are several techniques depending on mammary tissue and breast muscles:

Sub glandular – placed on top of the pectoral muscles: In this case, implants are placed behind the mammary tissue but on top of the pectoral muscles.

Partial submuscular – placed partially behind the muscles. When performing this type of procedure, the surgeon places the implants behind the mammary tissue and partially behind the pectoral muscles.

Complete Submuscular – placed completely behind the muscles. In this case, implants are placed completely behind the mammary tissues and breast muscles.

BREAST REDUCTION

This surgical technique allows to reduce the size of large breasts in order to change its shape and size, both for aesthetic requirements and for functional problems. Besides achieving a more youthful appearance, the patient obtains quality of life.

TYPE OF PATIENTS

Breast reduction or reduction mammoplasty is a procedure suitable for women with excessively large breasts. It  is also known as breast hypertrophy, which can cause both physical and psychological problems:

– Back and neck pain

– Swelling underneath the breast’s creases

– Limitations when making physical activities

– Emotional discomfort

– Self-esteem decrease

Reduction mammoplasty can relieve all these symptoms and help women achieve more comfortable, proportioned and visibly attractive breasts.

PROCEDURE

The surgery is usually performed under general anaesthesia. There are 3 main types of incisions:

Around the areolas (dark skin surrounding the nipples): The surgeon makes incisions around the areolas and removes the excess of skin, fat, and tissue before closing them. It represents an alternative for women with very elastic skin, which allows an easy adaptation to the shape of the new breasts.

Keyhole-shaped incision: The incisions are made around the areolas and they spread out to reach the breasts’ creases, creating a keyhole-shape. The surgeon removes the excess of skin, tissue and fat and then stitches the incisions.

Anchor incisions: As its name implies, this type of incision have the shape of an anchor, they are made around the areolas and go vertically down to the breasts’ crease, and they carry on to both sides along the breast crease afterwards.

In some cases, nipples have to be removed and then replaced to their new position.

BREAST LIFT SURGERY OR MASTOPEXY

This breast rejuvenation technique consists in raising sagging breasts re-establishing its proper position and gaining turgidity and firmness. Sharp weight variations, breastfeeding or the passage of time can cause sagging breasts. Depending on the patient’s anatomy and aesthetic goals, this surgical technique is usually performed at the time of an augmentation mammoplasty.

PROCEDURE

Mastopexy can be performed under local or general anaesthesia and its duration can vary between 2 and 3 and a half hours.

Even though the required lifting degree usually determines the number and length of the incisions, this surgical technique normally requires three incisions in the shape of an anchor. During this technique, the first incision is made around the areola, creating a new position for the nipple. The second incision goes vertically down from the nipple to the lower part of the breast and the third one runs along the breast lower area, just above the crease located under the breast.

Regardless of the incision technique used, it always allows the removal of skin excess. The nipple is usually relocated so it stays levelled with the lower crease between the breast and the thorax. Together with the areola, it stays connected to the underlying mammary tissue, the associated nerve, and the blood supply, reducing the possibilities of sensitivity lost.

RECOVERY

In order to fight the postoperative swelling and pain, the use of both bandages and surgical bras for several days is quite usual. Afterwards, surgeons suggest the use of a sport or support bra until swelling disappears. Stitches are removed by phases 2 or 3 weeks after the procedure. As a precaution, patients must avoid weightlifting, as well as any kind of extra effort.

Patients will normally go back to their normal life after a week and will be able to make other activities within one month. Regarding the nipples’ sensitivity, it can be temporally reduced but will gradually go back to its normal condition. Some women worry about the effect of this procedure on breastfeeding but, given that after the surgery the glandular tissue connecting the nipple and the areola stays intact, their ability to breastfeed is not affected.

INTIMATE SURGERY

FEMALE GENITAL SURGERY

There are surgeries to correct possible congenital or acquired deformities in female genital techniques. Thanks to them, complex affecting sexual life of women are addressed. The most common interventions are vaginoplasty, remodelling mons and labia reduction or labiaplasty .

VAGINOPLASTY OR PELVIC FLOOR REHABILITATION

This surgical procedure allows the recovery of lost vagina muscle tone mainly caused by the process of giving birth. This technique consists in narrowing the vaginal channel, improving sexual satisfaction. During this procedure, extra vaginal mucus and tissue are removed and perineal muscles are strengthened, allowing the vagina to gain its natural tone and narrowness back.

PROCEDURE AND RECOVERY: This procedure is performed under local anaesthesia and sedation and does not require hospitalization. It usually lasts 45 minutes. As preventive measures, patients will not be able to have sex for a month and will have to avoid intense exercises for at least the 3 weeks after the surgery. Painkillers and anti-inflammatory drugs will help reducing the pain on the first days after the procedure. In cases where it is necessary, surgeon can also prescribe antibiotics in order to reduce the risk of infection. For pelvic floor rehabilitation, it is important that patients follow a series of specific prescribed exercises.

MONS VENUS REMODELLING

This procedure consists of removing fat excess from the pubic area, getting rid of hypertrophies. Weight changes and the passage of time can cause fat to accumulate around the tissue covering the pubic frontal area, giving it a prominent appearance. The technique used to remove localized fat excess is liposuction. Surgeons make small incisions and try to hide the scars of those incisions under the pubic hair so that they are minimum and hardly noticeable.

PROCEDURE AND RECOVERY: This procedure is performed under local anaesthesia and sedation and does not require hospitalization. It usually lasts 45 minutes. As preventive measures, patients will not be able to have sex for 1 month and they will have to avoid intense exercises for at least the 3 weeks after the surgery. Painkillers and anti-inflammatory drugs will help reducing the pain on the first days after the procedure. In cases where it is necessary, surgeon can also prescribe antibiotics in order to reduce the risk of infection.

LABIA MINORA REDUCTION OR LABIAPLASTY

This procedure consists of removing fat excess from the pubic area, getting rid of hypertrophies. Weight changes and the passage of time can cause fat to accumulate around the tissue covering the pubic frontal area, giving it a prominent appearance. The technique used to remove localized fat excess is liposuction. Surgeons make small incisions and try to hide the scars of those incisions under the pubic hair so that they are minimum and hardly noticeable.

PROCEDURE AND RECOVERY: This procedure is performed under local anaesthesia and sedation and does not require hospitalization. It usually lasts 45 minutes. As preventive measures, patients will not be able to have sex for 1 month and will have to avoid intense exercises for at least the 3 weeks after the surgery. Painkillers and anti-inflammatory drugs will help reducing the pain on the first days after the procedure. In cases where it is necessary, surgeon can also prescribe antibiotics in order to reduce the risk of infection.

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