Procedures

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Facial

facial (procedures, procedimientos)

WHAT IS OTOPLASTY OR EAR SURGERY?

Ear Surgery, more technically known as Otoplasty, is a surgical procedure that is used to correct the size, dimension, and position of the ear pavilions. You can also correct the patient’s skin, as well as the cartilage architecture.

WHAT IS AN EAR SURGERY?

Through Otoplasty you can do things like:

Correct the position of the ears.
Increase size.
Decrease size.
Modify the structure of cartilage.

WHAT KIND OF ANESTHESIA IS REQUIRED IN THE SURGERY?

Ear Surgery is a very low-risk procedure. Even in some cases, local anesthesia is simply used, with or without sedation.

WHAT IS BLEPHAROPLASTY?

Blepharoplasty or eyelid surgery is a surgical procedure that removes excess skin through small cuts in the tissues around the eye (periorbital region), upper or lower eyelids depending on the case, and also reorganizes the fat pockets that are hernias or prominent.

This is an outpatient surgery that does not require hospitalization. It is done in most cases because with the passage of time the tail of the eyebrow begins to fall, which gives the patient (both men and women) an aspect of aging or fatigue.

WHO APPLIES FOR THIS SURGERY?

The majority of patients who perform Eyelid Surgery or Blepharoplasty are men and women over 35 years of age. However, in some cases, it is necessary to practice this procedure to younger people, when there are problems with the eyelids there are usually problems in the patient’s vision.

WHAT IS RHYTIDOPLASTY OR FACELIFT?

A procedure that helps to remove excess skin from the face and correcting facial angles that can be found altered by the effects of gravity, aging of both skin and bone.

WHAT IS RHYTIDOPLASTY FOR?

It’s made to soft the expression lines (wrinkles) by stressing the skin and muscles of the face and recreating the appropriate angles on the face again. Since there is bone resorption, it may require facial fillers, osteotomies or prosthesis placement in an area such as the chin.

WHAT KIND OF LABORATORY EXAMS SHOULD BE DONE?

To prevent any risk, your surgeon must instruct you to have tests such as:

  • Blood Table: to analyze bleeding tolerance (coagulation times).
  • Sugar levels: to analyze the chances of scarring or prevent infection problems.

WHAT KIND OF ANESTHESIA IS REQUIRED IN THE SURGERY?

It can be done with local anesthesia, under sedation or with general anesthesia.

WHO CAN HAVE THIS SURGERY?

Men and women over 40 with excess skin, loss of muscle tone and/or facial angles, healthy patients with real expectations.

WILL I LOOK NATURAL OR WILL I SEE “STRETCHED”?

This surgery has the effect of making the face look fresher, more rested and young, preserving naturalness. The healing process is gradual, you must wait several months to get the final results. A facelift is done in such a way that the elasticity of your skin is preserved. Generally, this technique is accompanied by other procedures such as endoscopic eyebrow lift, upper and lower eyelid correction, cheek lift, definition of the mandibular contour and treatment of the neck skin to achieve better results.

HOW LONG CAN THE SURGERY TAKE?

It lasts between 3 to 7 hours depending on the areas to be treated.

WHAT ARE POST-SURGICAL CARE?

Compressive bandaging. Sunblock for 3 months and according to medical criteria. Cold compresses in the surgical area. Medications indicated by your doctor. Sleep on your back with some pillows to reduce inflammation the first few weeks. Cardiovascular exercises can be performed from the month. You can return to work approximately 7-10 days.

WHERE INCISIONS ARE MADE FOR RHYTIDOPLASTY?

Rhythidoplasty incisions are made in front of and behind the ears and can extend to the scalp, depending on each case.

WHAT IS RHINOPLASTY (NOSE SURGERY)?

Rhinoplasty is the surgical procedure used to give a new shape and appearance to the patient’s nose. This is achieved by modifying the structures of the cartilage and bones. This surgery is ambulatory, can be performed on a weekend, and does not require medical disability.

WHAT A RHINOPLASTY IS USED FOR?

Rhinoplasty or Nose Surgery is one of the most commonly performed procedures in Plastic Surgery, as it has a large number of applications, such as:

AESTHETIC REASONS:

  • Reduce or increase the size of the nose.
  • Improve the aesthetics of the patient’s face.
  • Change the shape of the tip of the nose or the bridge.
  • Change the angle between the nose and upper lip.

STRICTLY FUNCTIONAL REASONS:

  • Correct birth defects.
    Improve breathing problems.
  • Optimize the opening of the nostrils.
  • Correct nose lesions.
  • Correct problems in the inner part of the nose (Septoplasty).

AT WHAT AGE CAN YOU PERFORM?

Before undergoing Rhinoplasty, the age of the patient should be considered, as the best time to perform the procedure occurs when the growth of the facial skeleton is finished, otherwise, problems could be generated in the future.

  • Women: after 15 or 16 years of age.
  • Men: after 18 years of age.

HOW LONG CAN YOU TAKE RHINOPLASTY?

Usually performing a Rhinoplasty or Nose Surgery takes between one and three hours.

WHAT IS BICHECTOMY (CHEEK SURGERY)?

Bichectomy is a surgical procedure whereby a structure of the face known as the Bichat fat bag located on the cheeks is removed, which in some cases makes a thin person look overweight or simply does not agree with the aspect of his/her facial contour

WHO CAN APPLY FOR A CHEEK SURGERY?

A good candidate for bichectomy or cheek surgery can be anyone in the following cases:

  • Ones who have excessive roundness on the face.
  • Ones who desire to differentiate the middle third from the lower third of the face, causing the cheekbones to be marked to a greater extent.
  • Ones who desire to give their face a more youthful appearance.

WHAT KIND OF ANESTHESIA IS REQUIRED?

Cheek surgery is performed with local anesthesia.

HOW IS THE CHEEK SURGERY PERFORMED?

To perform this surgery, incisions must be made inside the mouth of approximately 5 millimeters in length. Since the incisions are internal, the scars are hidden. Through these incisions, the fat bags are partially removed.

HOW LONG DOES THIS PROCEDURE LAST?

Usually, the duration of a cheek or bichectomy surgery lasts approximately one hour.

HOW IS THE RECOVERY OF THIS SURGERY

During the week after surgery, the patient should only consume fluids and also be very careful with their oral hygiene.

WHAT IS MENTOPLASTY?

It is a procedure that helps to increase chin size, and with that the face acquires the necessary balance to achieve a harmonious and youthful appearance.

A very small chin can be corrected by a single outpatient procedure or at the same time with other interventions such as the nose. This surgery is carried out by placing a small implant through an intraoral incision (inside the mouth), or in the neck under the chin where it is camouflaged.

There are several ways to perform a mentoplasty; The first, by placing an implant, this procedure increases the size and projection of the chin.

MENTOPLASTY WITH IMPLANT

To place the implant a small incision is made in the groove between the gum and the lower lip or it can be placed extra orally by making an incision in the skin under the chin.

MAXILOFACIAL MENTOPLASTY

Another way to perform chin surgery is by cutting the chin bone level and then moving it forward and fixing it with plates and screws to maintain stability.

POSTOPERATIVE CARE

  • The feeding should be soft during the first week.
  • Put on ice packs for 20 minutes every hour above the chin area for the first 3 days.
  • Avoid receiving the sun directly during the entire recovery process.
  • Take anti-inflammatories and analgesics indicated by Dr. Luis Fernando, if the pain is persistent and very strong, contact the Head nurse.
  • You should remain in moderate rest.
  • Do not make physical efforts of any kind.

CERVICOPLASTY

This is a surgical procedure, in which the sagging neck is corrected. When fat accumulates excessively in this region, liposuction or lipolysis of the neck can be performed to correct the dewlap. If the cause of the aged neck is cutaneous to muscular sagging, a cervicoplasty with incisions behind the ears can be performed, removing excess of skin. Additionally, a tie-up of the platysma muscle is performed, improving the cervical angle (the curvature formed between the neck and the face that is a characteristic of young people).

MEDICAL RECOMMENDATIONS FOR RECOVERY

Lymphatic drainage and placement of a night chin guard are recommended to help fix and accommodate the skin to its new position. This is a procedure that should be avoided in hypertensive or diabetic people because of risks in the poor prognosis of healing.

VERIFICATION AND MEDICAL SAFETY

It is recommended to rule out that aesthetic problems of the neck are related to alterations in the thyroid gland.

WHERE THE WOUNDS ARE MADE?

The exact location of the incisions will depend on your particular case and the technique used, the incisions can be made under the chin or behind the ears.

HOW LONG DOES THE PROCEDURE LAST?

A neck stretching procedure can take 40 minutes to 2 hours.

HOW IS THE RECOVERY?

There may be some purple skin and inflammation that usually disappear one to two weeks after the procedure. You can return to work after 5 to 8 days after surgery.

Procedimientos, procedures

Body

body (procedures, procedimientos)

WHAT IS BRACHIOPLASTY?

This procedure is known as an arm lift or brachial dermolipectomy which corrects the excess skin (sagging) accumulated in the lower arm.

This procedure is aimed at improving the contour and harmony of the arms mainly on the inner face of both arms, eliminating accumulated fat and excess skin; It is very important to keep in mind that the changes in weight and time the muscles of the arms lose firmness, accumulate fat and the skin loses elasticity, so brachioplasty is an alternative for people who fail to reduce fat and sagging arms with diets or exercise.

AM I A GOOD CANDIDATE FOR BRAQUIOPLASTIA?

Brachioplasty can be performed in a large number of patients. If you have excess skin or fat for any reason, this surgery is for you.

WHAT KIND OF ANESTHESIA IS USED FOR BRAQUIOPLASTIA OR ARM LIFTING SURGERY?

Most brachioplasties are performed under general anesthesia; In some cases it can be performed with local anesthesia plus sedation.

WILL THERE BE SCARS AFTER BRAQUIOPLASTIA?

Yes. It is necessary to remove excess skin and this requires the creation of a scar.

WHAT ARE POST-SURGICAL CARE?

  • Compression bandages.
  • Arm lift for a few days.
  • Medications indicated by your doctor.
  • It is important to maintain a close relationship with your surgeon after your procedure.

WHAT IS LIPOSCULPTURE?

Liposculpture is the technique that allows us to remove fat from various areas of the body, allows modeling and carving the body contour. In some cases, the extracted fat is used to fill buttocks or areas with depressions (lipotransference), obtaining very harmonious results in a short time.

IS IT SAFE THE PROCEDURE?

Yes. Liposculpture is a safe procedure and for this, the plastic surgeon must select the patient who will go to a liposculpture.

IN HOW LONG IS THE LIPOSCULPTURE?

The time it takes to do so will depend on the fat to be extracted, an average of three hours.

DOES THE LIPOSCULPTURE LEAVE SCARS?

It leaves no scar, as we enter through the navel, another incision in the pubis that is hidden. Cases that need to extract fat from the back and waist may have an imperceptible scar of about 2 millimeters on the back.

WHAT IS AND WHAT IS THE ABDOMINAL ETCHING?

It is a procedure derived from liposuction that allows a better definition of the abdominal area in its lateral and central areas, making it possible to visualize the muscles of the abdominal wall in a more athletic way. Aesthetic improvement is obtained, but not the effects of the muscles worked through exercise, so the patient must understand this difference and strengthen their muscles after surgery.

DO YOU GET THE SAME RESULT IN MEN AND WOMEN?

The procedure is the same but the way to do it is different since they have characteristics that are gender-specific, in men marks are created in a grid known in the middle as “chocolate bar” or “six-pack” and for women, the marking is delicate to preserve body smoothness by balancing the middle and lateral lines.

WHAT CARE SHOULD BE TAKEN AFTER THE SURGERY?

The rest of the first days is essential but not total to avoid body clots, the patient must stand and sit during the day and try to walk in his place of recovery. A sedentary lifestyle is not an option, although the person cannot run or walk euphorically must sit and stand even if he/she feels pain, the body must move.

WHAT CARE SHOULD BE TAKEN AFTER THE SURGERY?

The use of tights and shaper should be used daily and stop using when your doctor tells you to. Active exercise should be started or restarted even after one month and gradually so that the muscles of the abdomen can become accustomed and it is recommended for a greater result that the patient has a nutritional and balanced diet combined with their normal activities.

WHAT KIND OF ANESTHESIA AND HOW LONG DOES THE ABDOMINAL ETCHING PROCEDURE TAKE?

Abdominal etching is performed under general anesthesia it is accompanied by liposuction of the entire abdomen. Not only the lines to highlight. The time and cost of surgery depend on the size of liposuction to be performed. It can be 1 hour if you only have to do the abdomen, or 2-3 hours if it is also accompanied by liposuction of other parts of the body.

HOW IS THE PROCEDURE?

The entire procedure is done through very small incisions (half a centimeter) strategically located. Through these incisions, a liquid is introduced into the fat composed of sterile serum and adrenaline. This softens the fat a little more and reduces bleeding from surgery. After this infiltration of liquid, the liposuction of the abdomen is performed.

At the end of the liposuction of the abdomen, more intense liposuction of the abdominal lines to be marked is performed until the abdominal musculature is highlighted as desired.

HOW LONG DO I NEED TO RECOVER?

I recommend at least 5 to 7 days off from your work activities to recover from liposuction since it can be a painful and uncomfortable surgery.

WHAT IS LIPECTOMY OR TUMMY TUCK?

Lipectomy and liposuction are two different procedures and their treatment depends on complementary factors, combining them in a single surgical time reduces the recovery time cycle and if a prudent time is dedicated to the post-surgical stage the effects are quite satisfactory for both the doctor and the patient.

Combined plastic/aesthetic surgeries can be combined with other aesthetic procedures as long as the patient or the patient is in optimal condition.

Before talking about these two procedures it is important to clarify that both lipectomy and liposuction are not treatments to treat obesity, they correct body regions in which unwanted fat accumulates, help fight sagging and shape the body shape harmonic and aesthetic.

The tummy tuck emphasizes the area of ​​the abdomen and liposuction globally of the body or specific areas as appropriate. For patients suffering from some type of overweight/obesity, the type and type of overweight present must first be evaluated, and together with the concept of a nutrition professional, it is determined what treatment options can be offered and thus define whether said Patient is a candidate for liposuction/lipectomy or both procedures in a single surgical time. It is important to note that a thorough assessment should be performed with relevant clinical exams before considering any cosmetic or reconstructive procedure.

BENEFITS AND CHARACTERISTICS OF COMBINED SURGERIES: LIPOSUCTION + LIPECTOMY.

Among the most outstanding benefits of a lipo-tummy tuck we have a decrease of surgical time in the surgery room, the patient gets a single disability (a single recovery) and better effects on the contour of his body in less time.

WHAT KIND OF ANESTHESIA IS USED FOR LIPECTOMY?

This procedure is performed under general anesthesia.

TIME OF LIPECTOMY?

The surgery lasts about 4 hours.

HOW MUCH IS THE RECOVERY TIME OF LIPECTOMY?

In general, the recovery is approximately 15 to 20 days, of course, everything depends on the conditions of each patient, skin type and the type of treatment applied.

WHAT IS VAGINOPLASTY?

Vaginoplasty is a vaginal rejuvenation surgery that seeks to return the shape and muscle tone to the muscles that make up the vulva area, lost by age, childbirth or simply for aesthetic purposes.

Vaginoplasty is performed by a plastic surgeon. The expert shortens the muscles surrounding the vagina so that the walls of the vagina are strengthened and removes excess skin through sutures.

The stitches usually fall within fifteen days and sexual intercourse can be resumed a month if there are no complications.

WHAT IS THE PURPOSE OF THE INTIMATE FEMALE SURGERY?

The goal of this surgery is to shorten the vaginal muscles to increase their ability to contract. Although the purposes of undergoing this operation are varied, it usually seeks to improve the aesthetic appearance of the vagina and enhance enjoyment in sexual intercourse.

WHAT KIND OF VAGINOPLASTIES EXIST?

  • Previous: to correct bladder and uterus prolapse.
  • Posterior: to correct the prolapse of the rectum.
  • Anterior or posterior colpoperineoplasty: used in women to correct, reduce and tone the bladder or rectum. It is mostly done for aesthetics.

    HOW LONG DOES A VAGINOPLASTY LAST?

    It lasts approximately 45 to 60 minutes, and laser rejuvenation is added to an additional 45 minutes.

    IS THE INTERVENTION MADE WITH TOTAL OR LOCAL ANESTHESIA?

    The interventions are performed under general anesthesia, according to the case or local plus sedation, according to patient specifications and assessment by the anesthesiologist.

    HOW LONG WILL I HAVE TO BE INTERNED FOR A VAGINAL AESTHETIC SURGERY INTERVENTION?

    These types of interventions are ambulatory.

    HOW IS THE POSTOPERATIVE?

    The postoperative period of a vaginoplasty is very grateful. It requires a rest of 48 hours and suspend work from 3 to 4 days, the vaginoplasty heals in 3 weeks. That is when the results are appreciated.

    DOES THE POST-OPERATORY REQUIRE SOME SPECIAL TREATMENT?

    No, no special treatment must be followed after the operation.

    In some cases, painkillers are usually taken and go to postoperative reviews that depend on the type of intervention.

    CAN VAGINAL REJUVENATION WITH LASER BE COMBINED WITH VAGINOPLASTY?

    Yes. Laser vaginal rejuvenation can be combined with laser vaginoplasty, such as laser reduction labiaplasty or any other body or facial cosmetic surgery.

WHAT IS GLUTEOPLASTY?

Gluteoplasty is a procedure that improves the volume and projection of the gluteal area. There are different techniques to improve the shape and volume of the buttocks, such as implant placement, liposuction or lipo injection.

If a small increase is required, autogenous fat infiltration may be the best solution. If a larger increase is required, the surgeon may recommend prosthetic placement. Never should the infiltration of substances such as biopolymers, or hyaluronic acid, which can cause rejection of the organism to be accessed. Gluteoplasty is a procedure that improves the volume and projection of the gluteal area.

GLUTEOPLASTY CORRECT FEATURES AS:

  • Excess fat around the buttocks.
  • Excess fat in the lower part of the buttocks.
  • Projection.
  • Lack of volume.
  • Characteristics of aging.
Procedimientos, procedures

Breast

breast (procedures, procedimientos)

WHAT IS BREAST AUGMENTATION?

It is the placement of breast implants or prostheses to increase the volume of the breast. It is important to understand that it does not increase the contour of the chest measured in sizes such as 32, 34, 36, etc. but the cup measured in Colombia such as A, B, C, D, etc.

There are patients who, genetically, have small breasts and even alteration of the shape given by a high inframammary fold and very wide areola called tuberous breasts. In other patients, the volume decreases after breastfeeding or by massive weight loss. Finally, this surgery is useful in patients who require breast reconstruction, whether due to congenital defects such as Polland Syndrome, mastectomies or sex changes.

Breast implants are bags or containers made of silicone on its wall or wrap and with a silicone or saline (physiological serum) filler. In Colombia, silicone gel is used more frequently since it gives a texture closer to the natural one.

Breast implants have been used since the 1960s, so there is enough information today demonstrating the safety of silicone implants. It is so safe that it is used daily in food wraps, creams, cosmetics, blushers, shampoos, soaps, bottles, etc. It has also been studied that implants do not alter fertility or breastfeeding during pregnancy. On the other hand, it has not been proven that silicone produces breast cancer, but it is interesting to note that the diagnosis of cancer is earlier in women with breast prostheses because they are a group of careful population in the self-examination of their breasts and who come to annual controls which favors this early detection. It is, therefore, safe surgery and definitely better than infiltrations of substances not own to the body.

WHAT IS THE SURGERY?

There are several approaches to prosthesis placement. These can be placed by the periareolar approach, that is, by the lower edge of the areola; by an inframammary incision in which the incision is located in the lower fold of the breast and, finally, axillary in which the prosthesis is inserted through the fold of the armpit. The periumbilical approach is described but requires inflatable prostheses in saline solution.

As for the plane in which the pocket is made where the prosthesis will be located, it can be behind the breast; submuscular that is behind the pectoral muscle and behind the gland but below the muscle envelope called fascia.

HOW LONG DOES THE SURGERY LAST?

The surgery lasts about one to two hours and is usually done under general anesthesia. The pain is controllable with medication but usually, patients complain of sinus congestion that quickly subsides.

WHAT ASPECTS SHOULD I TAKE INTO ACCOUNT BEFORE SURGERY?

Definitely your health, your medical history it is important and it will help to determine your options available and allow your choice in terms of surgical approach, size and desired shape.
If the breasts are very sagging, the option of lifting them can be offered. You must discuss all the expectations you have with your surgeon, we can guide you about the best option, alternatives, limitations, risks and care you should have.

If you smoke, use drugs such as aspirin, anti-inflammatories, vitamin E, corticosteroids or have spontaneous or prolonged bleeding, you should notify your plastic surgeon, it is important to avoid complications in surgery. You should also comment if you have had urological problems such as urinary infections as these can affect the prostheses.

WHAT ASPECTS SHOULD I TAKE INTO ACCOUNT AFTER THE SURGERY?

The next day you will feel tired and experience pain, which is controlled by the medication prescribed by your plastic surgeon. A good part of the activities can be resumed by the 3rd day of surgery.

You should use a flannel bra, sporty, 24 hours a day for 1 month to give the best modeling to your breasts while healing internally; Besides, this will limit the pain. By 10-14 days, the incision points will be removed.

The use of the swimming pool should be avoided for the first 2 weeks as it favors infection. The sport and other activities of physical exercise can be performed again at 3, 4 weeks after surgery. You may have decreased tenderness or tingling in your breasts but this, in a couple of weeks, you have to return to normal.

The scar will be hard and reddish the first 6 weeks, but then with the indicated care, it will resume the same texture of the skin of the areola. As a routine protocol, it is recommended to perform annual control mammograms. The decision to increase your breasts is personal and if you have been realistic with your expectations and have taken the most appropriate behavior, you will find a high degree of satisfaction and success in your surgery.

Control mammograms must be performed in a radiological center with experience in reading the special projections taken for the breasts with augmentation prostheses. Occasionally the implants may rupture or leak, due to trauma, strong compression or wear of the implant by rubbing between the implant and the breast. If the implant has a saline solution inside it, it will be reabsorbed by the body without complications. If the implant is made of silicone gel, the gel can be contained by the implant capsule. Any rupture of the implant requires removal and replacement. It is for this reason that monitoring with your primary surgeon is essential.

WHAT IS BREAST REDUCTION?

It is a procedure to correct the fall or ptosis of the breast plus the reduction of the size of the mammary gland. It applies to women with large breasts (hypertrophy) or sagging (ptotic).

The amount of breast tissue changes proportional to weight, pregnancy, and hormonal changes. The ligaments and the duct system in the mammary gland are stretched so the breast descends. There are multiple causes for which breast hypertrophy occurs. There are hormonal factors at the time of the woman’s development or after breastfeeding, thus constituting large breasts; in some genetically they present an exaggerated growth of the breast presented gigantomastia. Another factor to consider is obesity that conditions an increase in fatty tissue in the mammary gland, increasing its volume. In all cases, the breast or mammary gland adopts a lower position in the chest wall thus losing youthful appearance. However, the characteristic of an adult and healthy woman leads to a slight fall in this breast which differentiates it from the developing breast of a teenager.

In some patients, the size of the breast may have repercussions on the back presenting pain. To reach this diagnosis, other frequent causes of back pain such as obesity, poor posture, muscle weakness of both abdominal and back muscles must be ruled out. In other words, if you have an adequate weight, adequate muscular strength in the abdominal and back muscles but the pains persist, this procedure can be performed as functional and is usually covered by healthcare. Otherwise, it will fall within the procedures considered aesthetic.

WHAT IS THE SURGERY?

Breast reduction seeks several objectives such as relocating the areola and nipple in a higher position, improving breast shape by reducing the size of the mammary gland. This decrease in size represents one of the biggest limitations since this reduction should not risk the nipple. Finally, mammoplasty reduction seeks to locate as well as possible the scars that are necessary to organize the skin that is left over when removing the gland. It will have an inverted T-shaped scar in which the horizontal portion is hidden at the level of the submammary groove and the vertical portion at the lower pole, or L-shaped or periareolar according to the chosen technique

It is very important to discuss your expectations with your plastic surgeon. Improving the appearance of your breast requires scars to be able to relocate the breast in a better position as well as being clear about the desired final size. Your surgeon will do everything in your hands so that these scars are the best possible but it depends on a high percentage of the type of scarring and the quality of the skin.

HOW LONG DOES THE SURGERY LAST?

The surgery lasts between 3 to 4 hours and is done under General anesthesia. It can be done outpatient or hospitalized according to each patient.

WHAT ASPECTS SHOULD I TAKE INTO ACCOUNT BEFORE SURGERY?

You should be very clear about the volume you want in your breasts and the presence of your scars. It should be clear that the reduction in size is limited by the risk of altering nipple irrigation. On the other hand, breast reduction decreases the size of the cup of your bra but not the contour. In other words, a D cup is expected to pass to a B.

Your Plastic Surgeon will evaluate your health status, your important medical history and assess your breasts. Discuss all the expectations you have regarding surgery with your plastic surgeon and he will guide you about the best option, alternatives, limitations, risks and care you should have. If you smoke, use drugs such as aspirin, anti-inflammatories, vitamin E, corticosteroids or have spontaneous or prolonged bleeding, tell your doctor, it is important to avoid complications in surgery.

The consumption of cigarettes or corticosteroids can decrease the vascularization of the skin, favoring that it suffers or even that the skin does not have good circulation and is necrose, that is, that it dies of the skin turning black. It is therefore important that it be suspended. the cigarette and corticosteroids 2 weeks before this, if the latter can not suspend or decrease their dose it is better to postpone surgery.

WHAT ASPECTS SHOULD I TAKE INTO ACCOUNT AFTER THE SURGERY?

The day after surgery you will feel tired and experience chest pain, which is easily controlled with medication prescribed by a plastic surgeon. The surgeon can stop drains that will be removed in the next 24 to 72 hours. The activities can be resumed by the 3rd – 5th day after the surgery. You must use a flannel brassiere, sporty to give the best modeling to your breast while healing internally, for less than a month, and this will limit your pain. The points will be removed after 14 or 20 days.

The use of the swimming pool should be avoided for the first 4 weeks as it may favor infection. The sport and other activities of physical exercise can be performed again at 3, 4 weeks after surgery. You may have decreased tenderness or tingling in the breasts, but in a couple of weeks, you have to return to normal.

The scar will be hard and reddish the first 6 weeks, but then with the indicated care, it will turn pale and soft depending on its healing. If this does not happen, it may be necessary to use silicone sheets and corticosteroid infiltrations so that it becomes soft, flat and pale, if necessary after 6 months when the tension passes it will be evaluated to see if it is worth checking the scar and get a better result.

WHAT IS MASTOPEXY?

It is a procedure to correct the fall or ptosis of the breast. The amount of breast tissue changes proportional to weight, pregnancy, and hormonal changes. The ligaments and the duct system in the mammary gland are stretched so the breast descends.

Ptosis or sinus fall results from the decrease in parenchymal volume and the type of skin and supporting structures that do not retract but rather yield to the force of gravity. Therefore the breast or mammary gland adopts a lower position in the chest wall thus losing its youthful appearance. However, the characteristic of an adult and healthy woman leads to a slight fall in this breast which differentiates it from the developing breast of a teenager.

WHAT IS THE SURGERY?

The mastopexy has several objectives such as relocating the areola and the nipple in a higher position, improving the breast shape, either by reorganizing the breast parenchyma OR, if this is not enough, by placing a prosthesis to restore the volume. Finally, mastopexy seeks to locate as well as possible the scars that are necessary to improve skin tension.

Multiple surgical techniques can be used whose choice will depend on the quality of the skin, the volume of the parenchyma of the breast and the size and position of the areola. If the skin is very flaccid, with stretch marks, it means that it has lost its elastic capacity, which will require larger scars. If the gland is very atrophic, that is, with a very small size after breastfeeding or weight loss. In these cases, it is difficult to give volume to the mammary gland without the use of a prosthesis. As for the areola, it can be equally flaccid, so the resulting scars can widen easily.

In general terms, in the breast lift, the scars will be located around the areola (periareolar) to be able to relocate its position. Depending on the sagging skin the scars on the lower pole will be vertical or inverted T-shaped to compensate for excess skin. In other words, the sagging skin will need more resection and therefore the scar will be longer. Yes, on the contrary, the skin is firm it is possible to perform the mastopexy with the periareolar scar only.

HOW LONG DOES THE SURGERY LAST?

The surgery lasts between 2 to 4 hours and is done under General anesthesia. It can be done outpatient or hospitalized according to each patient.

WHAT ASPECTS SHOULD I TAKE INTO ACCOUNT BEFORE SURGERY?

You should be very clear about the volume you want in your breasts and the presence of your scars. Your Plastic Surgeon will assess your health status, your important medical history and assess your breasts. Discuss all the expectations you have regarding surgery with your plastic surgeon and he will guide you about the best option, alternatives, limitations, risks and care you should have. If you smoke, use drugs such as aspirin, anti-inflammatories, vitamin E, corticosteroids or have spontaneous or prolonged bleeding, tell your doctor, it is important to avoid complications in surgery.

The consumption of cigarettes or corticosteroids can decrease the vascularization of the skin, favoring that it suffers or even that the skin does not have good circulation and is necrose, that is, that it dies of the skin turning black. It is therefore important that it be suspended. the cigarette and corticosteroids 2 weeks before this, if the latter can not suspend or decrease their dose it is better to postpone surgery.

WHAT ASPECTS SHOULD I TAKE INTO ACCOUNT AFTER THE SURGERY?

The day after surgery you will feel tired and experience chest pain, which is easily controlled with medication prescribed by a plastic surgeon. The surgeon can stop drains that will be removed in the next 24 to 72 hours. The activities can be resumed by the 3rd – 5th day after the surgery. You must use a flannel brassiere, sporty to give the best modeling to your breast while healing internally, for less than a month, and this will limit your pain. The points will be removed after 14 or 20 days.

The use of the swimming pool should be avoided for the first 4 weeks as it may favor infection. The sport and other activities of physical exercise can be performed again at 3, 4 weeks after surgery. You may have decreased tenderness or tingling in the breasts, but in a couple of weeks, you have to return to normal.

The scar will be hard and reddish the first 6 weeks, but then with the indicated care, it will turn pale and soft depending on its healing. If this does not happen, it may be necessary to use silicone sheets and corticosteroid infiltrates so that it becomes soft, flat and pale, if necessary later

Procedimientos, procedures

Non surgical

no invasivo (procedures, procedimientos)

INCREASE AND LIPS DEFINITION

With the passage of time the lips, especially the upper one, lose turgidity, volume and their contour fades giving them an aged appearance.

To rejuvenate the lips they must have well defined and discretely raised edges. The lower lip should always be bigger than the upper and the distance from the lip to the nose should be 12 mm.

The most used product in lip augmentation is hyaluronic acid.

It is used to define the edge, increase hydration and volume or to correct wrinkles of the upper lip.

Collagen is also used for this area, which stimulates tissue regeneration without increasing volume.

WHAT IS HYALURONIC ACID IN LIPS?

Hyaluronic acid is a natural substance that is used in cosmetic medicine to increase lips as well as the elimination of wrinkles and marked signs of expression.

Fleshy lips are possible without going through the operating room thanks to Hyaluronate, a substance that improves hydration, and strengthens tissues and fibers. Keep in mind that each lip is different, for that reason Dr. Luis Fernando Reyes, makes a personalized and free study of the patient’s lip structure, and thus advise on what is the best treatment to follow to have lips with a perfect and natural look.

HOW IS THE TREATMENT?

It is a safe and non-invasive technique, the acid hyaluronic is applied by injection directly to the superficial part of your lips. Our specialist doctor is responsible of this operation. The small gel lines inserted will be reabsorbed by the body. The substance works as a dermal filler in which it hydrates the lips in its superficial layer. The hyaluronate gel generates a kind of layer that gives a greater volume to the contour of the mouth.

When we perform a lip augmentation with hyaluronic acid we have to think that this method works as a dermal filler and is a system that nourishes, hydrates and facilitates the absorption of microelements actively. This gives each lip anti-aging benefits. It is a gentle and not aggressive treatment that doesn’t need anesthesia.

BENEFITS OF HYALURONIC ACID

It is a substance that the body reabsorbs naturally that helps to Collagen creation, improving the hydration of the lips, giving a brighter appearance.

It is a natural product that doesn’t cause immobilization or adverse reactions.

TYPES OF HYALURONIC ACID

Hyaluronic Acid has three types of lip treatment:

Lip filling: Hyaluronic acid infiltrates the lower, upper lip or both to achieve increased volume. One part of the lip can also be filled more than another to correct irregularities.

Fleshy lips are possible without going through the operating room thanks to Hyaluronate acid, a substance that improves hydration, and strengthens the fabrics and fibers.

Lip profiling: The outer lip line is worked to improve its definition and projection, it is not necessary to combine with the filling it can only be profiled.

Lip hydration: It is done to more hydrate the lip area, eliminate fine wrinkle on it and make it more turgid and attractive in a very natural way.

CARE AFTER TREATMENT

It is a virtually painless treatment since the needle is very thin and you will notice some small punctures. No anesthesia is necessary and the patient can return to his normal life once the session is over. The next day there are patients who get up with a little swelling or redness but it is normal and in a day will return to normal seeing a defined contour of the mouth and fleshy lips. The care is minimal once the gel has been applied, but the area should not be massaged or nibbled on the lip.

RESULT: The result of this treatment with hyaluronic acid are very good you can have a awesome lips with perfect volume and a natural look. A perfectly profiled mouth with fine lines that generate harmonic and beautiful expression lines. It is a method that uses a resorbable acid so the effects have a time limit, it is usually a treatment that lasts between 9 months and a year.

COLLAGEN BIOSTIMULATION

This is a substitute for hyaluronic acid, it is a non-permanent, sterile, non-pyrogenic implant, which does not contain latex or allergens, completely resorbable and biocompatible. The main component is the microspheres of Polycaprolactone (PCL). This component has been used worldwide for several decades in many applications of commercial bioresorbable products with CE mark and approved by the FDA, demonstrating an excellent safety profile.

It has been verified by electron microscopy that this product achieves the manufacture of type I and type III collagen.

APPLICATION TECHNIQUE

It is injected into the skin as an implant, with a fine needle, in order to correct facial lines, wrinkles and folds, projecting the effect of facial lifting.

In the case of seeking the homogeneous stimulation of a new framework of younger collagen, it is used diluted with a small amount of anesthesia (lidocaine). In this way we managed to reduce the concentration of product at each injection point, but we extended the treated area, seeking to form a thin collagen mesh, which covers the middle and lower third of the face, and increases the elasticity of the dermis, which It will improve sagging especially in the mandibular contour, as well as in the tension points that support, holding the cutaneous muscle of the neck that naturally makes tension down and root of that tension, loses the shape of the facial oval.

Depending on the state of the skin, at the beginning of the treatment and the evolution it is likely that more than one session is required. The more manifestations we have of aging, later to regenerate and recover the collagen elastic red.

With the application of a session, the results are visible by approximately 30%. And within the specified period of the first 2-4 months, the results of the manufacture of collagen types become very evident and visible, up to 70-80%, prolonging a long period of several months, achieving a progressive result and Lasting over time.

BENEFITS OF THE ELLANSÉ COLLAGEN BIOSTIMULATION

Extraordinary options of Adaptable Durability for a personalized and tailored treatment of each patient.

An immediate and prolonged effect of up to 3 years or more. Total bio-resorbability, predictable, controlled and adaptable, with an excellent level of safety.

Biocompatibility and safety guarantee thanks to its spherical shape and smooth texture microparticles.

A soft and silky textured formulation in a syringe ready to be used. Product components with a long history of safety in the field of non-crosslinked bio-resorbable soft medical polymers and aqueous gel.

Elimination of the sensitivity test to be a product that is not of animal, bacterial or human origin.

A unique elasticity and optimum viscosity ensure that the product is applied correctly in the desired area.

It has a lower cost, since less product is required to produce the same effect. It is recommended for the correction of superficial wrinkles (peri-oral and peri-orbicular), sagging and redensification of the neck, neckline and hands.

FACIAL LIFTING WITHOUT SURGERY

The resorbable threads / sutures of polylactic acid, it is a widely tested safety material that has been used for many years for different pharmaceutical and medical applications, such as sutures, orthopedic nails, screws and nails for bone fractures, etc.

The indication of the tensioning threads is the treatment of mild-moderate facial skin sagging. Its effect is due to a first immediate tensor effect due of the tensile effect of the threads, and to a second effect that appears in the months following the treatment due to the collagen that our body generates around the threads. The effect is progressively lost as our body degrades the thread, and the collagen formed around it disappears. Therefore, it would be necessary to repeat the treatment every 18-24 months.

It is a treatment that is performed with local anesthesia (anesthetic cream), and that doesn’t affect the daily life of patients.

Polylactic acid acts in the subcutaneous tissue by stimulating and activating fibroblasts to produce collagen.

This action, which continues for as long as the threads remain in the skin, increasing firmness and restore face shapes gradually and naturally.

The effect of the Threads lasts between 2 and a half years, depending on each person.

ONE TREATMENT, TWO ACTIONS

IMMEDIATE DISCRETE LIFTING ACTION (by action of the traction of the cones on the skin).

GRADUAL REGENERATIVE ACTION (by stimulation of collagen by the Polylactic Acid of the wires).

AREAS TO TREAT:

  • Raise eyebrows (1 pair of threads), the end of the eyebrow rises and the gaze widens.
  • Lift cheekbones (1 or 2 pairs of threads), the cheeks and cheekbones look fuller. The nasogenian groove is attenuated.
  • Raise cheeks (1 or 2 pairs of threads), the facial contour is redefined. The cheeks look fuller. The skin regains its firmness.
  • Remodel the mandibular flange (1 or 2 pairs of threads), the volume of the cheeks is redefined. The facial contour recovers a defined shape.
  • Tighten the neck skin (minimum 2 pairs of threads), the neck skin regains firmness and looks smoother.

FOR WHOM IT IS?

  • Men and Women between the ages of 30 and 65.
  • People who want to perform a gentle, discreet facelift, WITHOUT SURGERY.

People who want to obtain natural results and with minimal recovery time.

FOR WHOM IS NOT INDICATED?

  • For people over 70 years old.
  • People with severe sagging skin or excessively obese (indication of surgical lifting).
  • Excessively thin people (no fat layer).
  • Pregnant or breastfeeding.
  • People with untreated or decompensated diabetes and hypertension.
  • People with coagulation disorders or who are taking anticoagulants.
  • People with unreal expectations.

PROCEDURE DESCRIPTION:

It is a minimally invasive procedure without cuts or sutures, it is performed with local anesthesia, 1 session of 30 to 40 minutes, can be placed from 1 thread or several if the person wishes and adhesive tapes are left in the area for two days . The success of this procedure lies in an adequate selection of patients.

HYALURONIC ACID FILL

Hyaluronic acid is a compound that is found naturally in the body and is an important part of tissues such as skin and cartilage. Characteristically it is a viscous substance, its composition retains water. Qualities that make it very useful when it comes to applying it to tissues to increase the volume of a specific site.

Its main uses are the filling of wrinkles and depressed scars, increase volume of the lips, increase projection of the chin or cheekbones.

After application, hyaluronic acid is slowly absorbed by the body. Therefore, the effect of volume increase will be transitory with a variable duration depending on the quantity and size of the particles. Fillers with larger particles (such as those used to give volume to the chin and cheekbones) will have a longer duration in the tissues (approx. 2 years), while what have smaller particles (such as those used to fill fine wrinkles) have a shorter duration (approx. 1 year).

The application can be done in the office. For patient comfort, cream anesthesia or local anesthesia injected into the area can be used.

The fat extracted from other regions of the body can be used to obtain an increase in volume just like hyaluronic acid. In this case the filling is permanent and the final result depends on the amount of fat cells that survive in the place where they were deposited. Being an own tissue, with the infiltration of fat there are no risks of allergic reactions or rejection.

FACIAL REVITALIZATION JUVEDERM HYDRATE

Juvederm Hydrate is the DNA protection and repair treatment after exposure to the sun (UV). Its composition is hyaluronic acid and mannitol.

PROPERTIES OF NON-RETICULATED HYALURONIC ACID:

  • SKIN HYDRATION: Hyaluronic acid is the biological molecule with the highest water retention capacity. It is able to retain up to 1,000 times its weight in water.
  • ANTIOXIDANT: Protects against the harmful action that free radicals have on the skin.
  • MANNITOL: Mannitol is a natural sugar extracted from the sap of ash trees. It has a great anti-radical action. Mannitol protects the DNA from keratinocytes in the epidermis exposed to UV rays with a 60% reduction in sun-induced damage.

JUVEDERM HYDRATE is injected by a thin needle into the most superficial layer of the skin producing the following actions:

Increases skin hydration and elasticity. Protects and prevents the negative effects of the sun on skin aging

Juvederm Hydrate treatment is recommended in two spaced sessions of more than one month. In this way its effects continue for a year.

Juvederm Hydrate doesn’t fill and is ideal for face, neck, neckline and hands.

WHAT IS BOTOX OR BOTULINUM TOXIN?

Botulinum toxin is naturally produced by a bacteria (C. botulinum). This toxin has the ability to block the stimulus coming from the nerves to the muscles preventing their contraction.

The knowledge of its mechanism of action and the development of the technology necessary to produce the toxin artificially, led years later to consider its use in specific muscles. In this way, we began by treating the eye muscles to correct strabismus and blepharospasm. Then, the toxin began to be used for aesthetic purposes with certain muscles of facial expression that cause wrinkles.

Botulinum toxin is also used for the management of excessive sweating (hyperhidrosis) that occurs in delimited areas of the body, since it interrupts the abnormal stimulation towards the sweat glands by the nerve endings of the autonomous system.

In the aesthetic field, the indications have diversified and what began as a treatment for frown lines now has many more uses for the rest of the face and neck. It is important that the application is carried out by a specialist with the required knowledge and training, since when the muscles of the face are very close to each other, an inadequate application in dose or location can have adverse results.

BOTOX® EYEBROW APPLICATION

The position of the eyebrow tail drops over the years and gives a tired or sad appearance. A correct application of botulinum toxin in this region can achieve an elevation of the eyebrow tail with a marked aesthetic improvement. Botulinum toxin is also used for the management of excessive sweating.

BOTOX® APPLICATION IN CROW’S FEET

Wrinkles that form on the sides of the eyes caused by contraction of the orbicular muscle may disappear or be attenuated by the application of botulinum toxin.

BOTOX® APPLICATION IN FROWN

The frown lines may disappear or attenuate with the application of toxin in the corrugating muscles.

BOTOX® APPLICATION ON FRONT EXPRESSION LINES

If certain areas of the frontal muscle are selectively paralyzed, a rejuvenating effect is achieved by disappearing or attenuating the expression lines of this area that can be very noticeable.

BOTOX® APPLICATION IN NASAL POINT

Some patients have a decrease in the tip of the nose as a result of the action of a muscle that pulls it towards the lip. If this is the case, treatment with botulinum toxin gives a lifting effect of the tip that is more aesthetic.

BOTOX® APPLICATION IN LOWER EYE

Certain young patients seem to have small bags under the eyes. Sometimes this is nothing more than a portion of orbicularis muscle increased in thickness. The application of botulinum toxin in these cases can decrease this thickness giving a fresher look to the eyes.

BOTOX® APPLICATION FOR GINGIVAL SMILE CORRECTION AND TREATMENT OF NASOLABIAL FOLD

In very well selected patients, it may be possible to correct the gingival smile (when the upper gum is discovered when smiling) and attenuate the nasolabial fold that forms at an early age.

BOTOX® APPLICATION FOR NASAL EXPRESSION LINES

The application in the muscles of the region of the nasal dorsum prevents the formation of expression lines in that area that are generally asymmetric and not aesthetic.

BOTOX® APPLICATION ON FRONT EXPRESSION LINES

If certain areas of the frontal muscle are selectively paralyzed, a rejuvenating effect is achieved by disappearing or attenuating the expression lines of this area that can be very noticeable.

BOTOX® APPLICATION IN CHIN

In well-selected patients, the presence of folds and crevices in the chin caused by excessive contraction of the muscles in that region may disappear or attenuate.

BOTOX® APPLICATION IN MASSETER MUSCLE

The masseter muscle is located on the sides of the face. When it is persistently contracted, it increases its thickness and gives the face a square shape. The application of botulinum toxin in patients presenting with this condition may give a more aesthetic appearance to the face.

The application of botulinum toxin can be carried out in an office and should not take more than a few minutes. Ice or cream anesthesia can be used to decrease the sensitivity of the areas to be treated but the application is also very well tolerated if performed without any anesthesia.

After application it is important not to lie on the face for a minimum period of four hours so as not to cause the toxin applied to go to neighboring regions.

HOW DOES IT WORK?

This type of energy, called plasma, produces a superficial and perfectly controlled lesion, guaranteeing total safety in the surrounding areas.

The induced lesions are the size of the head of a pin, and the tissue around and below the point of impact doesn´t receives energy and is not damaged. The induced lesion causes an immediate retraction of the skin, which can be seen from the first moment.

In the following hours a scab is formed at each point that lasts approximately 5 to 7 days. When they are falling, a new, rosy, elastic and retracted skin appears, replacing the removed skin.

PERIORBITAL REJUVENATION APPLICATIONS.
“Dynamic non-ablative blepharoplasty”

With PLEXR we can rejuvenate the periocular area, which we call dynamic non-ablative blepharoplasty. The procedure is performed by means of the emission of small spots of approximately 500 microns, which should be spaced to allow the perfect plasticity of eyelid movement, and is achieved as soon as the session lasts. Each sublimates the superficial corneocytes without reaching the basal layer and most importantly, without causing any necrotic damage to the surrounding and underlying tissues. This treatment can be performed using topical anesthesia or through infiltration, as the practitioner deems appropriate.

PERIORAL REJUVENATION: “The Bar Code”

The rejuvenation of the perioral region must take into account the three processes that accompany aging:

  • Volume loss
  • The ptosis
  • Skin changes

processes that are closely related to each other. Currently, some of the traditional rejuvenation techniques often do not address the problems of perioral aging. These can only solve one of all the problems so the techniques must be combined with other procedures such as the use of lasers, facial fillers, etc.

PLEXR is useful for the treatment of long-term expression lines, small with borders, the well-known treatment of “bar codes” and in small post-traumatic linear scars.

Bear in mind that the described technique is not exclusive of others and that many of them can be used in combination to obtain an optimal result of rejuvenation of the perioral area.

PLEXR PLASMA (ELIMINATES WRINKLES, STRIPE SPOTS, CROW’S FEET, ETC ..)

This technique eliminates wrinkles, blemishes, acne scars, wrinkles of the nasogenian area, eyelids, crow’s feet and various pathologies that are a real problem. The technique is called plexr plasma laser (plasma excision) and allows sublimate, that is, to pass the matter from solid state to smoke without passing through the liquid state, the treated tissues without causing damage to the surrounding tissue. It arises from the need to treat lesions or areas where it is difficult to use the laser such as vascularized areas or upper eyelid. Suitable for treating ultrasensitive areas without causing scars or hyperpigmentation.

Requires a mild post operative. The procedure is followed by transient edema or inflammation and the appearance of small crusts of half a millimeter that fall off in later days. Plexr is undoubtedly the most innovative, safe and effective tool for non-surgical treatment of excess skin, wrinkles, blemishes and acne marks among other aesthetic problems. Without going through the operating room, we obtain excellent results with a more conservative technique and a much faster recovery.

HOW DOES IT WORK?

The Plexr must be used by a qualified doctor and trained for the correct use of the tool. Using a lightweight and versatile head, small “trigger points” (Piriformis Plexr Technique) are applied strategically whose range does not go beyond the epidermis.

NECK REJUVENATION

The treatment of these areas with PLEXR produces a lifting effect and at the same time achieves the natural process of collagen regeneration, so that it stimulates the new generation, in the lower layers of the skin, at the dermal level, but without working on this level, but this occurs as a secondary reaction to the treatment on the epidermis, without generating any type of injury or heat conduction in underlying areas to which we wish to treat.

With PLEXR we can tighten the loose skin of the neck and the jowls. Likewise, we usually associate and complement this type of treatment, with multiple variants. It is not necessary for the patient to go through complex post-operators or special care, beyond properly sanitizing the treated area with water, soap and during the first 2 days, using any antiseptic product, to prevent possible infections. The sessions usually last about 20 minutes and the results can be observed at the same time in which we are performing the treatment.

It is not necessary to use more than a topical anesthesia, applied about 15 or 20 minutes before. After the fall of the scabs, we should only protect the area from solar radiation and we can complement this technique, with sessions of lymphatic drainage treatments and daily care with firming creams.

PERIUMBILICAL REJUVENATION

Improvement of sagging around the navel in cases such as postpartum.

FEMALE GENITAL REJUVENATION

With PLEXR we can work the hypertrophy of the lower lips more easily and without any risk. It is a procedure that takes approximately 20 to 25 minutes and, it works according to the simple spot mode, with the “zigzag” technique, where what you are trying to draw is a triangle, which creates lines of force and so a 360º elevation effect is achieved. What is worked on is the reduction of the remaining mucosa, without any risk since it is well known, the mucous membranes heal well, and added that with PLEXR we will not have scars, the post-treatment healing process is not very prolonged It should be noted that, being an area characterized by its humidity, we must be more careful about keeping it hygienic and with antiseptic more than another area of ​​the body.

Very soon it is observed that the lips are deflated and as soon as the patient is comfortable, she can continue with her usual sexual life. PLEXR can also eliminate genital warts, molluscum, skin papilloma … and a long one, etc.

ANGIOMA RUBÍ

Fast and effective in ruby ​​points, getting definitive results in seconds.

BARCODE TREATMENT

Plexr reduces wrinkles, homogenizes the area and then with a revitalization and deep hydration treatment, as a mesotherapy with uncrosslinked hyaluronic acid we will avoid this excess volume in the area, the dreaded “duck mouth”.

TREATMENT OF SCARS / KELOIDS / STRIPS

The scars with a hypertrophy component give very good results with Plexr to eliminate excess volume and then it is associated with regenerating treatments, such as radio frequency, laser, PRP. In the case of keloids, corticosteroid injection may also help.

HOW LONG DO THE PLEXR RESULTS LAST?

The durations to wait are between 3 and 6 years. The spots disappear but can come back out.

PRE AND POST TREATMENT TIPS WITH PLEXR.

Strictly follow the advice of your Plexr specialist. Some of the guidelines to follow are the following:

Avoid sun exposure two weeks before and three months after treatment
The patient should use photoprotective cream with SPF of at least three months after the treatment if he expects sun exposure.
Wash treated areas twice a day with water and neutral soap until the scabs fall off completely.

ELIMINATION OF TATTOOS AND MICROPIGMENTATIONS

With PLEXR and in conjunction with complementary therapies, we can reduce and sometimes eliminate tattoos or micropigmentation.

Although in honor of the truth there are other tools to treat tattoos, with PLEXR we can also do it with a seemingly similar procedure, but with great differences. We can say that our technique is effective regardless of color (light), and location (hair).

TREATMENT IN MUCOSA, LEATHER HAIR, CARTÍLAGO, DARK PHOTOS

We can work anywhere in the body, even if they are vascularized or ultrasensitive areas.

COMPLEMENTARY APPLICATIONS TREATMENT CROW’S FEET:

We use Plexr to treat static wrinkles. A month we will apply botulinum toxin for dynamic wrinkles, so we get a better result. Very useful in those cases with expression wrinkles that are very marked at rest.

PETRAGO REJUVENATION

Ear area.

WHAT IS SCLEROTHERAPY?

Sclerotherapy is a non-surgical outpatient procedure designed to attenuate the appearance of vascular spiders and small and superficial varicose veins. The unsightly varicose veins that appear on the legs, face or virtually any part of the body can be eliminated through sclerotherapy. Sclerotherapy is minimally invasive: it only involves the use of a micro needle to inject a solution that causes unwanted veins to fade or disappear.

WHO ARE CANDIDATES FOR SCLEROTHERAPY

They are those people who have spider veins or varicose veins and who want to modify their appearance. The ideal candidates are not smokers, they are physically healthy and mentally stable. Pregnant women and people suffering from a blood-borne disease or condition that affects the vascular system should not be sclerotherapy. Laser varicose vein removal or varicose vein removal surgery may be more appropriate, depending on the severity of the condition and other factors that affect your health.

RECOVERY OF SCLEROTHERAPY

After treatment, compression bandages are usually applied to increase pressure and reduce inflammation of the veins. The bandages can usually be removed after one or two days, although it may be necessary to use a support average approximately two weeks. It is normal for bruises and inflammation to occur after the operation. Moderate exercise is recommended to increase blood circulation.

If sclerotherapy is performed on the leg, it is advisable to keep it elevated.

SCLEROTHERAPY RESULTS

Improve the appearance of unsightly veins. After each sclerotherapy session, the veins will clear up. However, because some bruising usually occurs, the results may not be seen for two weeks.

WHAT IS NEURAL THERAPY?

Neural Therapy is a diagnostic and therapeutic method, which seeks identify possible interferences or “short circuits” in the body and unlock them by using diluted local anesthetics, such as procaine or lidocaine.

Each cell in our body behaves like a small cell, with an inner pole that is negative and an outer one that is positive. Interior and exterior are separated by the cell membrane. In a healthy cell that receives a stimulus, a change in the gradient between the negative and positive poles is generated, which is called “depolarization.” Immediately the stimulated cell returns to its normal electrical charges, which is known as “repolarization.” This phenomenon (“depolarization-repolarization”) is normal and occurs in healthy cells, allowing them to communicate with each other. However, if the stimulation are too strong, frequent or tissue damage is generated, it is possible that the damaged cells cannot repolarize and, therefore, stop transmitting information and fail to communicate properly with the rest of the system.

WHAT IS THE PURPOSE OF NEURAL THERAPY?

The objective of this therapy is to eliminate interference and blockages by restoring normality in the conduction of the electrical impulse and in the function of the neurovegetative system that is interfered with by the presence of a diseased, injured or scarred tissue.

Clearing the accumulated interfering memory during life facilitates the flow of information and energy necessary for the organism to function in a dynamic and harmonious balance. That is, it facilitates and restores the capacity for self-organization.

Neural therapy seeks to eradicate this kind of “short circuit” called the interfering field. By eliminating interference, it is the body itself that, through its communication mechanisms, restores a new balance, a new self-organization.

In this new order it is possible that pathologies, conditions, symptoms or pains are also relieved or resolved.

WHICH DISEASES CAN BE TREATED

Neural therapy doesn’t treat diseases, it treats people.

Through injections at specific points, according to the life history of each person, the nervous system will seek a new order of greater balance, such as pain, infection, allergy, hormonal disorder … perhaps they will no longer need to be. In that sense, Neural therapy is useful for the patient, where bioregulate or bio models the process he is going through, but it is common for them to reach the consultation due to painful processes. Although, it is perfect to complement any allopathic medical treatment.

For those who want to try the list of pathologies it addresses, as long as there is no serious or surgical damage, and as an adjunctive treatment, from head to toe are:

  • Migraines, migraines, cervicalgia of all kinds.
  • Thyroid and throat area problems.
  • Ostioarticular pathologies, bursitis, arthritis, osteoarthritis, muscle contracture, muscle injuries, tendonitis, tendinosis, carpal tunnel syndrome that has not caused serious damage.
  • Acute sinusitis as chronic.
  • Lung problems and asthmatic states.
  • At the digestive level: gastritis, reflux, ulcers.
  • Abdominally, everything related to intestine.
  • Renal problems.
  • Myocardial infarction
  • Attention deficit syndrome.
  • Sleep disorder.
  • Pains in general from chronic and autoimmune pathologies.

WHAT IS SERUM THERAPY?

Treatment consist in the administration of specific serum, favoring the self-healing of our organism from a selection of vitamins, trace elements and natural biological drugs according to our specific needs: slimming, beautifying our skin, improving the health of our hair, etc.

HOW IS BIOLOGICAL SERUM THERAPY PERFORMED?

The serum therapy usually is realized by intravenous application, incorporating the customized serum directly to our blood flow.

IS IT TRUE THAT SERUM THERAPY HAS A POWERFUL DETOXIFYING EFFECT?

The detoxification of the body is the main application of this treatment, since the intravenous application of serum represents a therapeutic method that activates the body’s self-healing capacity (strengthening the immune system) and favors the elimination of toxins through the physiological pathways. of elimination

HOW LONG DO THE EFFECTS OF BIOLOGICAL SERUM THERAPY LAST?

Its therapeutic effects are rapid, allowing to restore the normal functions of the altered organs and thus accelerating the biological recovery of patients, recover vitality, stop organic deterioration and start living a fuller life. In healthy people, the therapy allows to prevent diseases and optimize physical and intellectual performance.

HOW MANY SERUM THERAPY SESSIONS ARE NEEDED?

The sessions required depend on the needs and expectations of the guests but a minimum of 2 sessions is recommended.

HOW ARE SERA PERSONALIZED?

The serum used in the treatment of serum therapy are customized according to the individual needs and health benefits that they wish to obtain. There is a first consultation with the patient to determine what their needs and objectives are, in order to make the serum that we consider appropriate.

For example, there are combinations of serum for:

Improve the health and beauty of our skin.
Improve hair health and beauty
Lose weight and fight against obesity.
Detoxify the body.
Anti-stress therapy
Protect the immune system.
Anti-aging Serum
Revitalize our energy.
Regulate insomnia.
Promote digestion.
Improve vital harmony.
Improve cardiovascular health.
Improve intellectual performance, memory and general brain health.
Strengthen our bones and joints.
Improve well-being and sexual health.
Reduce nicotine addiction.

Procedimientos, procedures

Male

male (procedures, procedimientos)

WHAT IS GYNECOMASTIA?

Gynecomastia is the condition of pathological or physiological origin in which excessive breast volume occurs in men. The size can vary from a barely palpable volume to a teenager’s breast and can be bilateral or unilateral. The appearance of unilateral gynecomastia prevails. The patient with gynecomastia refers to palpation pain, a sensitivity that can last for weeks or months. It is very frequent and 40-60% of the male population is affected.

HOW LONG DOES THE INTERVENTION TAKE?

The duration in the surgery room for gynecomastia correction is approximately 1-2 hours. If the surgery is accompanied by some other procedure this time may vary.

SURGICAL TREATMENT:

The surgical treatment responds to the particular conditions of each patient. Intraolar technique, or liposuction of the area, is used in young patients with minimal excess skin. In patients with significant excess skin and sagging skin excess skin should be removed.

The surgery for the correction of gynecomastia is performed under general or local anesthesia, with intravenous induction and inhalation maintenance. This means that the patient will remain asleep during the intervention, absolutely calm, will not perceive pain and will remain completely indifferent to the surgery.

POSSIBLE CAUSES OF GYNECOMASTIA

Hormonal disorders, use of certain medications, certain tumors of the testicle are related to the occurrence of gynecomastia, certain renal tumors can cause gynecomastia, individuals suffering from Klinefelter syndrome go to the doctor due to gynecomastia. Prostate cancer patients who have received estrogen can develop gynecomastia. Certain kidney tumors can cause gynecomastia. Not in all cases the enlarged appearance of the male breast means gynecomastia.

WHAT IS AND WHAT IS THE ABDOMINAL ETCHING?

It is a procedure derived from liposuction that allows a better definition of the abdominal area in its lateral and central areas, making it possible to visualize the muscles of the abdominal wall in a more athletic way. Aesthetic improvement is obtained, but not the effects of the muscles worked through exercise, so the patient must understand this difference and strengthen their muscles after surgery.

WHAT CARE SHOULD BE TAKEN AFTER THE SURGERY?

The rest of the first days is essential but not total to avoid body clots, the patient must stand and sit during the day and try to walk in his place of recovery. A sedentary lifestyle is not an option, although the person cannot run or walk euphorically must sit and stand even if he/she feels pain, the body must move.

WHAT CARE SHOULD BE TAKEN AFTER THE SURGERY?

The use of tights and shaper should be used daily and stop using when your doctor tells you to. Active exercise should be started or restarted even after one month and gradually so that the muscles of the abdomen can become accustomed and it is recommended for a greater result that the patient has a nutritional and balanced diet combined with their normal activities.

WHAT KIND OF ANESTHESIA AND HOW LONG DOES THE ABDOMINAL ETCHING PROCEDURE TAKE?

Abdominal etching is performed under general anesthesia it is accompanied by liposuction of the entire abdomen. Not only the lines to highlight. The time and cost of surgery depend on the size of liposuction to be performed. It can be 1 hour if you only have to do the abdomen, or 2-3 hours if it is also accompanied by liposuction of other parts of the body.

HOW IS THE PROCEDURE?

The entire procedure is done through very small incisions (half a centimeter) strategically located. Through these incisions, a liquid is introduced into the fat composed of sterile serum and adrenaline. This softens the fat a little more and reduces bleeding from surgery. After this infiltration of liquid, the liposuction of the abdomen is performed.

At the end of the liposuction of the abdomen, more intense liposuction of the abdominal lines to be marked is performed until the abdominal musculature is highlighted as desired.

HOW LONG DO I NEED TO RECOVER?

I recommend at least 5 to 7 days off from your work activities to recover from liposuction since it can be a painful and uncomfortable surgery.

WHAT IS RHYTIDOPLASTY OR FACELIFT?

A procedure that helps to remove excess skin from the face and correcting facial angles that can be found altered by the effects of gravity, aging of both skin and bone.

WHAT IS RHYTIDOPLASTY FOR?

It’s made to soft the expression lines (wrinkles) by stressing the skin and muscles of the face and recreating the appropriate angles on the face again. Since there is bone resorption, it may require facial fillers, osteotomies or prosthesis placement in an area such as the chin.

WHAT KIND OF LABORATORY EXAMS SHOULD BE DONE?

To prevent any risk, your surgeon must instruct you to have tests such as:

  • Blood Table: to analyze bleeding tolerance (coagulation times).
  • Sugar levels: to analyze the chances of scarring or prevent infection problems.

WHAT KIND OF ANESTHESIA IS REQUIRED IN THE SURGERY?

It can be done with local anesthesia, under sedation or with general anesthesia.

WHO CAN HAVE THIS SURGERY?

Men and women over 40 with excess skin, loss of muscle tone and/or facial angles, healthy patients with real expectations.

WILL I LOOK NATURAL OR WILL I SEE “STRETCHED”?

This surgery has the effect of making the face look fresher, more rested and young, preserving naturalness. The healing process is gradual, you must wait several months to get the final results. A facelift is done in such a way that the elasticity of your skin is preserved. Generally, this technique is accompanied by other procedures such as endoscopic eyebrow lift, upper and lower eyelid correction, cheek lift, definition of the mandibular contour and treatment of the neck skin to achieve better results.

HOW LONG CAN THE SURGERY TAKE?

It lasts between 3 to 7 hours depending on the areas to be treated.

WHAT ARE POST-SURGICAL CARE?

Compressive bandaging. Sunblock for 3 months and according to medical criteria. Cold compresses in the surgical area. Medications indicated by your doctor. Sleep on your back with some pillows to reduce inflammation the first few weeks. Cardiovascular exercises can be performed from the month. You can return to work approximately 7-10 days.

WHERE INCISIONS ARE MADE FOR RHYTIDOPLASTY?

Rhythidoplasty incisions are made in front of and behind the ears and can extend to the scalp, depending on each case.

WHAT IS RHINOPLASTY (NOSE SURGERY)?

Rhinoplasty is the surgical procedure used to give a new shape and appearance to the patient’s nose. This is achieved by modifying the structures of the cartilage and bones. This surgery is ambulatory, can be performed on a weekend, and does not require medical disability.

WHAT A RHINOPLASTY IS USED FOR?

Rhinoplasty or Nose Surgery is one of the most commonly performed procedures in Plastic Surgery, as it has a large number of applications, such as:

AESTHETIC REASONS:

  • Reduce or increase the size of the nose.
  • Improve the aesthetics of the patient’s face.
  • Change the shape of the tip of the nose or the bridge.
  • Change the angle between the nose and upper lip.

STRICTLY FUNCTIONAL REASONS:

  • Correct birth defects.
    Improve breathing problems.
  • Optimize the opening of the nostrils.
  • Correct nose lesions.
  • Correct problems in the inner part of the nose (Septoplasty).

AT WHAT AGE CAN YOU PERFORM?

Before undergoing Rhinoplasty, the age of the patient should be considered, as the best time to perform the procedure occurs when the growth of the facial skeleton is finished, otherwise, problems could be generated in the future.

  • Women: after 15 or 16 years of age.
  • Men: after 18 years of age.

HOW LONG CAN YOU TAKE RHINOPLASTY?

Usually performing a Rhinoplasty or Nose Surgery takes between one and three hours.

WHAT IS BICHECTOMY (CHEEK SURGERY)?

Bichectomy is a surgical procedure whereby a structure of the face known as the Bichat fat bag located on the cheeks is removed, which in some cases makes a thin person look overweight or simply does not agree with the aspect of his/her facial contour

WHO CAN APPLY FOR A CHEEK SURGERY?

A good candidate for bichectomy or cheek surgery can be anyone in the following cases:

  • Ones who have excessive roundness on the face.
  • Ones who desire to differentiate the middle third from the lower third of the face, causing the cheekbones to be marked to a greater extent.
  • Ones who desire to give their face a more youthful appearance.

WHAT KIND OF ANESTHESIA IS REQUIRED?

Cheek surgery is performed with local anesthesia.

HOW IS THE CHEEK SURGERY PERFORMED?

To perform this surgery, incisions must be made inside the mouth of approximately 5 millimeters in length. Since the incisions are internal, the scars are hidden. Through these incisions, the fat bags are partially removed.

HOW LONG DOES THIS PROCEDURE LAST?

Usually, the duration of a cheek or bichectomy surgery lasts approximately one hour.

HOW IS THE RECOVERY OF THIS SURGERY

During the week after surgery, the patient should only consume fluids and also be very careful with their oral hygiene.

MENTOPLASTY?

It is a procedure that helps to increase chin size, and with that the face acquires the necessary balance to achieve a harmonious and youthful appearance.

A very small chin can be corrected by a single outpatient procedure or at the same time with other interventions such as the nose. This surgery is carried out by placing a small implant through an intraoral incision (inside the mouth), or in the neck under the chin where it is camouflaged.

There are several ways to perform a mentoplasty; The first, by placing an implant, this procedure increases the size and projection of the chin.

MENTOPLASTY WITH IMPLANT

To place the implant a small incision is made in the groove between the gum and the lower lip or it can be placed extra orally by making an incision in the skin under the chin.

MAXILOFACIAL MENTOPLASTY

Another way to perform chin surgery is by cutting the chin bone level and then moving it forward and fixing it with plates and screws to maintain stability.

POSTOPERATIVE CARE

  • The feeding should be soft during the first week.
  • Put on ice packs for 20 minutes every hour above the chin area for the first 3 days.
  • Avoid receiving the sun directly during the entire recovery process.
  • Take anti-inflammatories and analgesics indicated by Dr. Luis Fernando, if the pain is persistent and very strong, contact the Head nurse.
  • You should remain in moderate rest.
  • Do not make physical efforts of any kind.
Procedimientos, procedures