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  • Rhinoplasty (nose)
    Rhinoplasty

    BEFORE

    AFTER

    or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

    Types of anesthesia

    Rhinoplasty can be performed under local or general anesthesia, depending on the extent of the procedure and on what you prefer and the surgeon recommend.

    The surgery

    Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of the sculpting will depend on your problem and your surgeon's preferred technique. Finally, the skin is redraped over the new framework.

    Post-operative

    When the surgery is concluded the surgery bandages, plastic material or plaster are placed to help to maintain the form of the cartilages and bone in the desired position. An intranasal tampon stays for 48 hours. You should sleep with the head slightly raised. You will take your based on analgesic and anti-inflammatory to help to diminish the edema. You cannot carry out physical effort neither to be exposed in the sun during 4 weeks. After 15 days, the nose is free with the wanted form, but it still exists an inflammation that is not perceived, which goes disappearing until the sixth month when you will see the definitive result.

  • Blepharoplasty (eyelids)
    Eyelid surgery

    BEFORE

    AFTER

    Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat - usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision.

    Types of anesthesia

    Eyelid surgery is usually performed under local anesthesia - which numbs the area around your eyes - along with oral or intravenous sedatives. In this case you'll asleep through the surgery.

    The surgery

    Blepharoplasty usually takes one to two hours, depending on the extent of the surgery. If you're having all four eyelids done, the surgeon will probably work on the upper lids first, then the lower ones. In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow's feet or laugh lines at the outer corners of your eyes. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.

    Post-operative

    After 48 hours the points are moved away, replacing them for Steri-Strips™. A temporary edema may occur but disappear with ice compresses and anti-inflammatory. Ophthalmic tampons are not placed, you leave the clinic seeing normally. You should be able to read or watch television after two or three days. However, you won't be able to wear contact lenses for about two weeks. Most people feel ready to go out in public (and back to work) in a week to 10 days. By then, depending on your rate of healing and the doctor's instructions, you'll probably be able to wear makeup to hide the bruising that remains. You may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses and a special sunblock made for eyelids when you go out. After some weeks do not remain scars of the incisions that the surgeon performed in the eyelids.

  • Facelift
    Facelift

    BEFORE

    AFTER

    As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth; the jawline grows slack and jowly; folds and fat deposits appear around the neck. A facelift (technically known as rhytidectomy) can't stop this aging process. What it can do is "set back the clock," improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping.

    Types of anesthesiav

    Most facelifts are performed under local anesthesia, combined with a sedative to make you sleep through the operation. In some cases the surgeon will use general anesthesia.

    The surgery

    A facelift usually takes several hours-or somewhat longer if you're having more than one procedure done. The surgeon puts again the facial structures (skin, grease, muscles) that by the years and other factors have lost its vitality, to its place of origin, through incisions. Incisions usually begin above the hairline at the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the earlobe to the lower scalp. If the neck needs work, a small incision may also be made under the chin.

    Post-operative

    You should be up and about in a day or two, but plan on taking it easy for the first week after surgery. Be especially gentle with your face and hair, since your skin will be both tender and numb, and may not respond normally at first. By the third week, you'll look and feel much better. Most patients are back at work about ten days to two weeks after surgery. If you need it, special camouflage makeup can mask most bruising that remains.

  • Forehead lift
    Forehead lift

    BEFORE

    AFTER

    A forehead lift or "browlift" is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired. In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines.

    Types of anesthesia

    Most facelifts are performed under local anesthesia, combined with a sedative to make you sleep through the operation. In some cases the surgeon will use general anesthesia.

    The surgery

    The surgeon will help you decide which surgical approach will best achieve your cosmetic goals: the classic or "open" method, or the endoscopic forehead lift. With the classic forehead lift for most patients, a coronal incision will be used. It follows a headphone-like pattern, starting at about ear level and running across the top of the forehead and down the other side of the head. The incision is usually made well behind the hairline so that the scar won't be visible. Working through the incision, the skin of the forehead is carefully lifted so that the underlying tissue can be removed and the muscles of the forehead can be altered or released. The eyebrows may also be elevated and excess skin at the incision point will be trimmed away to help create a smoother, more youthful appearance. With the endoscopic forehead lift, rather than making one long coronal incision, the surgeon will make three, four or five short scalp incisions, each less than an inch in length. An endoscope, which is a pencil-like camera device connected to a television monitor, is inserted through one of the incisions, allowing the surgeon to have a clear view of the muscles and tissues beneath the skin. Using another instrument inserted through a different incision, the forehead skin is lifted and the muscles and underlying tissues are removed or altered to produce a smoother appearance.

    Post-operative

    Although you should be up and about in a day or two, plan on taking it easy for at least the first week after surgery. You should be able to shower and shampoo your hair within two days, or as soon as the bandage is removed. Most patients are back to work or school in a week to 10 days. Endoscopic patients may feel ready to return even sooner.

  • Otoplasty (ears)
    Otoplasty

    BEFORE

    AFTER

    Otoplasty or Ear surgery, is usually done to set prominent ears back closer to the head or to reduce the size of large ears. For the most part, the operation is done on children between the ages of 7 and 14. Ears are almost fully grown by age seven, and the earlier the surgery, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also possible, and there are generally no additional risks associated with ear surgery on an older patient.

    Types of anesthesia

    If your child is young, the surgeon may recommend general anesthesia, so the child will sleep through the operation. For older children or adults, the surgeon may prefer to use local anesthesia, combined with a sedative, so you or your child will be asleep through the operation.

    The surgery

    Ear surgery usually takes about two to three hours, although complicated procedures may take longer. The technique will depend on the problem. With one of the more common techniques, the surgeon makes a small incision in the back of the ear to expose the ear cartilage. Then the surgeon will sculpt the cartilage and bend it back toward the head. Non-removable stitches may be used to help maintain the new shape. Occasionally, the surgeon will remove a larger piece of cartilage to provide a more natural-looking fold when the surgery is complete. Another technique involves a similar incision in the back of the ear. Skin is removed and stitches are used to fold the cartilage back on itself to reshape the ear without removing cartilage. In most cases, ear surgery will leave a faint scar in the back of the ear that will fade with time. Even when only one ear appears to protrude, surgery is usually performed on both ears for a better balance.

    Post-operative

    The patient goes out of high with a bandage on the ears, which retires at the 48 hours. Most stitches are removed between 10 and 14 days. Adults and children are usually up and around within a few hours of surgery, although you may prefer to stay overnight in the hospital with a child until all the effects of general anesthesia wear off. Any activity in which the ear might be bent should be avoided for a month or so. Most adults can go back to work about five days after surgery. Children can go back to school after seven days or so, if they're careful about playground activity.

  • Facial implants (cheekbones, chin, jaw)
    Facial implants

    BEFORE

    AFTER

    Facial implants are used to improve and enhance facial contours. Frequently, these implants will help provide a more harmonious balance to your face and features so that you feel better about the way you look. There are many implants available, manufactured from a variety of materials. They may help strengthen a jawline or bring the chin or cheekbones into balance with the rest of the face.

    Types of anesthesia

    Facial implant surgery may require only local anesthesia combined with a sedative.

    The surgery

    Cheek implant surgery usually takes about 30 to 45 minutes. When cheek implants are being placed in conjunction with another cosmetic procedure, such as a facelift, forehead lift or eyelid surgery, the implants may be inserted through the incisions made for those procedures. Otherwise, an incision will be made either inside your upper lip or your lower eyelid. A pocket is then formed and an implant is inserted. Insertion of a chin implant may take anywhere from 30 minutes to an hour. During the procedure, the surgeon selects the proper size and shape implant to enhance your appearance and inserts it into a pocket over the front of the jawbone. The small incision to create the pocket and insert the implant is placed inside the mouth (along the lower lip) or in the skin just under the chin area. Insertion of a jaw implant usually takes about one to two hours. Internal incisions are made on either side of the lower lip to provide access for creating a pocket into which the lower-jaw implant can be inserted.

    Recuperation and healing

    With any facial surgery, you may feel and look better in a short period of time. However, it may not be advisable to participate in certain activities, especially activity that may result in the face being jarred or bumped for several weeks.

  • Lip augmentation
    Lip augmentation

    BEFORE

    AFTER

    Lip augmentation creates fuller, plumper lips and reduces fine wrinkles around the mouth. Lips may be injected with collagen or with fat transferred from another site in the patient’s body. Repeat treatments is necessary to maintain results.

    Types of anesthesia

    The procedure can be performed under local anesthesia with light sedation, or local anesthesia and deep sedation.

    The surgery

    Most lip augmentations take a half hour to two hours. A natural or synthetic biocompatible material, or the patient’s own fat, is injected or implanted in the lips. One injection is usually sufficient to produce the desired result, which may be temporary, depending on the material used. Injections may need to be repeated periodically.

    Recuperation and healing

    Immediate return to normal activities (one-day return if sedated) for nonsurgical procedures; depending on the procedure and materials used, recovery period is 2 or 3 days.

  • Micro-hair transplant
    Micro-hair transplant

    BEFORE

    AFTER

    Micro-hair transplant: This technique is performed with the patient’s own hair in only one 3 to 4 hour session. Hair or follicular transplantation takes the hair that is not affected by Androgenetic Alopecia (the hereditary and hormonal cause of baldness) in order to transplant it to the most unpopulated areas. As the hair used is the patient’s own hair, there are no rejections. Hair grafts grow normally and require no special care afterwards.

    Types of anesthesia

    Hair replacement surgery, is usually performed using a local anesthesia along with sedation to make you relaxed and comfortable.

    The surgery

    The procedure takes 3 to 4 hours, depending on the case. Transplantation is a progressive process requiring hundreds of micro-grafts, each of which will generally contain from one to three hairs mini-grafted from a donor site on the side or back of the head. They are randomly implanted in the bald (or thinning) area so that they will grow in a natural pattern and produce an undetectable result.

    Recuperation and healing

    You can usually go back to work the following day. However, we suggest avoiding intense physical exercise for about 2 weeks.

  • Bioplasty (facial rejuvenation)
    Bioplasty

    Bioplasty, also know as the plastic surgery without cuts, may be applied to the face and the body. It's a non surgical option, that consists of filling some parts of the body or the face with an organic substance known as PPMA (polymethymethacrylate). Due to the fact that it does not make use of cuts, it doesn't need great anesthesia, it allows the patient to return to his routine immediately after the procedure, and mainly due to its good results, bioplasty brings to body and facial aesthetics the same trend that has been observed in all fields of the medicine: the minimally invasive treatments. Modifying the facial volumes, redefining the jaw line, correcting wrinkles and folds, recovering the volume of the hands, Bioplasty turns back the hands of time. The technique allows to correct aesthetic defects as the shape of the nose, the volume of the lips, the retracted chin, and the jaw line without surgery.

    Types of anesthesia

    In this porcedure local anesthesia is performed.

    The surgery

    It takes about 40 to 60 minutes for the face and 1 hour and a half for the rest of the body. Blunt-tipped microcannulas are used, which are specifically designed to minimize the risks of injury to tissues, vases and nerves. All the treatments are performed through micropuncture, under the skin and close to the structures of the body, without any cuts and without the need of sutures. Minuscule micropunctures, smaller than 0,5 mm are done, through where the blunt-tipped Microcannulas are introduced. They will transport the microespheres of PMMA to the desired place.

    Recuperation and healing

    The patient can go back home immediately after the procedure. Bruising and swelling may occur and they disappear within 3 to 15 days.

  • Fat grafting
    Fat grafting

    BEFORE

    AFTER

    Fat grafting is a procedure which removes surplus fat cells from one area of the body like the abdomen or thighs and then re-implants it where needed. The advantage of fat grafting is that the fat comes from your own body, so you cannot develop an allergic reaction unlike other external implant substances that are introduced into the body. Your body naturally accepts the injected fat. Fat grafting lasts longer in larger areas of non-movement. This procedure can also correct aging of the hands where the natural tissue is lost between the bones. Fat grafting is not recommended for breast augmentation as the grafted fat can later make it difficult to detect breast cancer. We’ve been using this technique 4 years ago to correct depressions and facial wrinkles with very favourable results, returning to the face its youth appearance and freshness.

    Types of anesthesia

    Fat grafting may require sedation plus local anesthesia if larger amounts of fat are to be collected. Small amounts of fat can be collected and transferred under local anesthesia.

    The surgery

    The procedure takes 30 minutes to an hour, depending upon extent of work to be done. The fat will be removed from the donor site (usually the buttocks or the abdomen) with a small hypodermic needle or special cannula with limited suction as so not to damage the membrane of the fat cell. The fat is then spun in a centrifuge to remove excess fluids and the damaged fat cells are picked out and only whole, undamaged fat cells would be used. The fat is then injected with the use of a separate smaller hypodermic.

    Recuperation and healing

    You may return to work usually immediately. Although you must realize you may be very swollen or bruised. The surgeon may not want you to wear cosmetics on the treatment site until the next day at least.

  • Breast augmentation
    Breast augmentation

    BEFORE

    AFTER

    Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman's breast for a number of reasons: to enhance the body contour of a woman who, for personal reasons, feels her breast size is too small; to correct a reduction in breast volume after pregnancy; to balance a difference in breast size; as a reconstructive technique following breast surgery. By inserting an implant behind each breast, the surgeon are able to increase a woman's bustline by one or more bra cup sizes.

    Types of anesthesia

    Breast augmentation can be performed with a local anesthesia and sedation, so you'll sleep through the entire operation.

    The surgery

    The surgery usually takes one to two hours to complete. The method of inserting and positioning your implant will depend on your anatomy and the surgeon's recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible. Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing.

    Post-operative

    A relative rest is recommended. You should not lift weight. You can use the computer and write. You will take analgesic, anti-inflammatory and antibiotics if it is necessary. The inflammation and the bruises go disappearing slowly. By the end of the month you can normalize your activities.

  • Breast reduction
    Breast reduction

    BEFORE

    AFTER

    Breast reduction, technically known as reduction mammaplasty, is designed for women with very large, pendulous breasts who may experience a variety of medical problems caused by the excessive weight, from back and neck pain and skin irritation to skeletal deformities and breathing problems. Bra straps may leave indentations in their shoulders. And unusually large breasts can make a woman breast feeding feel extremely self-conscious. The surgical procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better shaped breasts in proportion with the rest of her body.

    Types of anesthesia

    Breast augmentation can be performed with a general anesthesia or with local anesthesia and sedation, so you'll sleep through the entire operation.

    The surgery

    Breast reduction usually takes 2 to 4 hours to perform, although in certain cases may take more time Techniques for breast reduction vary, but the most common procedure involves an anchor shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. The surgeon removes excess glandular tissue, fat, and skin, and moves the nipple and areola into their new position. He or she then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Liposuction may be used to remove excess fat from the armpit area. In most cases, the nipples remain attached to their blood vessels and nerves. However, if the breasts are very large or pendulous, the nipples and areolas may have to be completely removed and grafted into a higher position. (This will result in a loss of sensation in the nipple and areolar tissue.) Stitches are usually located around the areola, in a vertical line extending downward, and along the lower crease of the breast. In some cases, techniques can he used that eliminate the vertical part of the scar. And occasionally, when only fat needs to be removed, liposuction alone can be used to reduce breast size, leaving minimal scars.

    Post-operative

    Stitches will be removed following a sequence between 7 and 14 days. Analgesic, anti-inflammatory and antibiotics will be prescribed to you. You should avoid physical effort with the arms during 3 weeks. Some bruising will remain but will improve with the time according to each patient’s scaring.

  • Breast lift
    Breast lift

    BEFORE

    AFTER

    Breastlift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts -at least, for a time. (No surgery can permanently delay the effects of gravity). Over the years, factors such as pregnancy, nursing, and the force of gravity take their toll on a woman's breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume-for example, after pregnancy-breast implants inserted in conjunction with mastopexy can increase both their firmness and their size.

    Types of anesthesia

    Breast lifts are performed under general anesthesia or with local anesthesia combined with a sedative which means you'll sleep through the operation.

    The surgery

    Mastopexy usually takes one and a half to three hours. The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast. Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the "doughnut (or concentric) mastopexy," in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed. If you're having an implant inserted along with your breast lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall.

    Post-operative

    Stitches will be removed between 7 and 14 days and later you’ll use Steri-Strip™ and a special bra to keep new breast’s shape. Some bruising will remain but will improve with the time according to each patient’s scaring. Healing is a gradual process. Although you may be up and about in a day or two, don't plan on returning to work for a week or more, depending on how you feel. And avoid lifting anything over your head for 3 to 4 weeks.

  • Gynecomastia
    Gynecomastia

    BEFORE

    AFTER

    Gynecomastia is the medical term for benign enlargement of the male breast tissue. This condition can be quite discomforting to men, yet many men have it, and many have liposuction to correct it. This surgery involves the removal of fat and/or glandular tissue from the breasts. In extreme cases, skin is removed as well. The effect is a flatter, firmer and more contoured chest. Because the fat is permanently removed from that area, the results are permanent.

    Types of anesthesia

    Correction of enlarged male breasts may be performed under general, or in some cases, under local anesthesia plus sedation. You'll be sleep the entire procedure.

    The surgery

    Gynecomastia usually takes about 1-2 hours. If excess glandular tissue is the primary cause of the breast enlargement, it will be excised, or cut out, with a scalpel. The excision may be performed alone or in conjunction with liposuction. In a typical procedure, an incision is made in an inconspicuous location--either on the edge of the areola or in the under arm area. Working through the incision, the surgeon cuts away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more conspicuous scars. If liposuction is used to remove excess fat, the cannula is usually inserted through the existing incisions. If your gynecomastia consists primarily of excessive fatty tissue, your surgeon will likely use liposuction to remove the excess fat. A small incision, less than a half-inch in length, is made around the edge of the areola--the dark skin that surrounds the nipple. Or, the incision may be placed in the underarm area. A slim hollow tube called a cannula which is attached to a vacuum pump, is then inserted into the incision. Using strong, deliberate strokes, the surgeon moves the cannula through the layers beneath the skin, breaking up the fat and suctioning it out. Patients may feel a vibration or some friction during the procedure, but generally no pain. In extreme cases where large amounts of fat or glandular tissue have been removed, skin may not adjust well to the new smaller breast contour. In these cases, excess skin may have to be removed to allow the removing skin to firmly re-adjust to the new breast contour. Sometimes, a small drain is inserted through a separate incision to draw off excess fluids. Once closed, the incisions are usually covered with a dressing. The chest may be wrapped to keep the skin firmly in place.

    Post-operative

    Stitches are removed in 10 days. You'll be encouraged to begin walking around on the day of surgery, and can return to work when you feel well enough, which could be as early as a day or two after surgery.

  • Abdominoplasty (tummy tuck)
    Abdominoplasty (tummy tuck)

    BEFORE

    AFTER

    Abdominoplasty, known more commonly as a "tummy tuck," is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen. The best candidates for abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won't respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved.

    Types of anesthesia

    This procedure is performed usually with general anesthesia or epidural block anesthesia with sedative, in both cases you'll sleep through the operation.

    The surgery

    Complete abdominoplasty usually takes two to five hours, depending on the extent of work required. Partial abdominoplasty may take an hour or two. Most commonly, the surgeon will make a long incision from hipbone to hipbone, ,just above the pubic area. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stitched. Next, the surgeon separates the skin from the abdominal wall all the way up to your ribs and lifts a large skin flap to reveal the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline. The skin flap is then stretched down and the extra skin is removed. A new hole is cut for your navel, which is then stitched in place. Finally, the incisions will be stitched, dressings will be applied, and a temporary tube may be inserted to drain excess fluid from the surgical site. In partial abdominoplasty, the skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess is removed, and the flap is stitched back into place.

    Recuperation and healing

    Stitches are removed between 7 and 14 days. Some bruising may appear but will disappear gradually. It may take you weeks or months to feel like your old self again. If you start out in top physical condition with strong abdominal muscles, recovery from abdominoplasty will be much faster. Some people return to work after two weeks, while others take three or four weeks to rest and recuperate.

  • Liposculpture
    Liposculpture

    BEFORE

    AFTER

    Liposculpture also know as liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods.

    Types of anesthesia

    If only a small amount of fat and a limited number of body sites are involved, liposculpture can be performed under local anesthesia, which numbs only the affected areas. However, if you prefer, the local is usually used along with intravenous sedation to keep you more relaxed during the procedure. Regional anesthesia can be a good choice for more extensive procedures. One type of regional anesthesia is the epidural block, the same type of anesthesia commonly used in childbirth. However, some patients prefer general anesthesia, particularly if a large volume of fat is being removed. If this is the case, a nurse anesthetist or anesthesiologist will be called in to make sure you are completely asleep during the procedure.

    The surgery

    The time required to perform liposuction may vary considerably, depending on the size of the area, the amount of fat being removed, the type of anesthesia and the technique used. There are several liposuction techniques that can be used to improve the ease of the procedure and to enhance outcome. Liposculpture is a procedure in which localized deposits of fat are removed to recontour one or more areas of the body. Through a tiny incision, a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled through the fat layer, breaking up the fat cells and suctioning them out. The suction action is provided by a vacuum pump or a large syringe, depending on the surgeon's preference. If many sites are being treated, your surgeon will then move on to the next area, working to keep the incisions as inconspicuous as possible. Fluid is lost along with the fat, and it's crucial that this fluid be replaced during the procedure. For this reason, patients need to be carefully monitored and receive intravenous fluids during and immediately after surgery.

    Post-operative

    You will use a special girdle during 4 weeks. Analgesic and anti-inflammatory will be prescribed to you. Some bruising may appear but will disappear gradually. You will begin to feel better after about a week or two and you should be back at work within a few days following your surgery.

  • Gluteoplasty (buttocks augmentation)
    Gluteoplasty

    BEFORE

    AFTER

    Technically known as augmentation gluteoplasty, buttocks augmentation is a surgical procedure to increase the size and shape of buttocks. Both female and male patients can opt for this surgery. You may choose to undergo buttocks enlargement for a number of reasons: To increase buttocks volume caused by poorly developed muscles; to achieve firmness and definition of buttocks region; to enhance hip curves, particularly when they are narrow; to considerably improve the whole context buttocks-hips; to obtain a mild buttocks lifting effect. This procedure also may be performed using patient own fat, which is extracted from another part of the body, but only in special cases where a lot of volume is not required. This depends on the surgeon’s approach and the patient’s desires.

    Types of anesthesia

    This surgery requires general anesthesia, so that the muscle is perfectly relaxed and the surgeon are able to put the prothesis easily in place.

    The surgery

    Buttocks augmentation surgery usually takes two to three hours. The surgeon will make a small incision at the crease of tailbone approaching submuscular planes, creating bilateral pockets where soft cohesive gel implants will be placed at. Anatomical designed buttock implants made of soft cohesive silicone gel are the only type of implants to allow a successful final outcome. They are safe, have natural adjusting capacity yet very strong and resistant, they feel natural allowing patients to have a normal life. Buttock implants must be placed deep under the muscle where they look, act and feel natural.

    Post-operative

    Stitches are removed between the 10 and 14 days. For a week you should sleep face down or sideways to avoid displacing or compressing the prosthesis. After 7 days to the procedure, you can sit down carefully. Immediate post surgery recovery takes 12 days allowing you to return home after this time in the understanding that a complete recovery period will take a whole month and sometimes even a bit longer.

  • Calf implant
    Calf implant

    BEFORE

    AFTER

    Calf implant surgery is performed to enlarge the calves, resulting in a more defined and muscular appearance. Most calf implant patients have lower legs that are out of proportion from their upper legs. Men may be seeking added bulk, while women may desire sexier contours in their lower legs.

    Types of anesthesia

    The anesthesia used for this procedure is usually local with sedation, but also general anesthesia or epidural block anesthesia are often opted for.

    The surgery

    It may take 1-2 hours to perform calf implant surgery. Time requirements for this surgery, though, can vary between each unique situation. Calf implants enhance the shape and size of the calf muscles by placing soft, solid silicone implants in pockets overlying the existing gastrocnemius muscles. These implants which may be one to each leg or two depending on the desired effect are placed through small incisions in the creases behind the knee. A person may desire to have only the inner head of the muscle enlarged, the outer head, or both. The result is that the existing musculature is made to appear larger and more defined.

    Post-operative

    Stitches are removed between the 10 and 14 days. It can take about 1-3 weeks of calf implant recovery to be back to fluid and unsupported walking. Work, if not too strenuous, can usually be resumed about 1 week after surgery, or a bit later in certain situations.

  • Endoscopic surgery
    Endoscopic surgery

    Endoscopy is a surgical technique that involves the use of an endoscope, a special viewing instrument that allows a surgeon to see images of the body's internal structures through very small incisions.

    Endoscopic surgery has been used for decades in a number of different procedures, including gallbladder removal, tubal ligation, and knee surgery. However, in the world of plastic surgery, endoscopic instruments have recently been introduced. Plastic surgeons believe the technique holds great promise, but further study is needed to establish its effectiveness, especially over the long-term. As important research continues, endoscopy is being used on a limited basis for both cosmetic and reconstructive procedures.

    Advantages of endoscopy

    All surgery carries risks and every incision leaves a scar. However, with endoscopic surgery, your scars are likely to be hidden, much smaller and some of the after effects of surgery may be minimized. In a typical endoscopic procedure, only a few small incisions, each less than one inch long, are needed to insert the endoscope probe and other instruments. For some procedures, such as breast augmentation, only two incisions may be necessary. For others, such as a forehead lift, three or more short incisions may be needed. The tiny "eye" of the endoscope's camera allows a surgeon to view the surgical site almost clearly as if the skin were opened from a long incision. Because the incisions are shorter with endoscopy, the risk of sensory loss from nerve damage is decreased. Also, bleeding, bruising and swelling may be significantly reduced. With the endoscopic approach, you may recover more quickly and return to work earlier than if you had undergone open surgery.

  • Injectable fillers
    Injectable fillers

    BEFORE

    AFTER

    As we age, our faces begin to show the effects of gravity, sun exposure and years of facial muscle movement, such as smiling, chewing and squinting. The underlying tissues that keep our skin looking youthful and plumped up begin to break down, often leaving laugh lines, smile lines, crow's feet or facial creases over the areas where this muscle movement occurs. Soft-tissue fillers, most commonly injectable collagen or fat, can help fill in these lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a facelift.

    Types of anesthesia

    Collagen: Because the anesthetic agent lidocaine is mixed in with collagen, additional anesthetic is usually not used. However, if you are especially sensitive to pain, the doctor may use a topical cream anesthetic or a freon spray to numb the injected area.

    Fat: Both the donor and recipient sites are numbed with local anesthesia. Sedation can be used as well.

  • Botox
    Botox

    BEFORE

    AFTER

    Botox is the brand name of a toxin produced by the bacterium Clostridium botulinum.

    Botox blocks signals from the nerves to the muscles. The injected muscle can no longer contract, which causes the wrinkles to relax and soften. It is most often used on forehead lines, crow's feet (lines around the eye) and frown lines. Wrinkles caused by sun damage and gravity will not respond to Botox. The procedure takes only a few minutes and no anesthesia is required. Botox is injected with a fine needle into specific muscles with only minor discomfort. It generally takes three to seven days to take full effect and it is best to avoid alcohol at least one week prior to treatment. Aspirin and anti-inflammatory medications should be stopped two weeks before treatment as well in order to reduce bruising.

    The effects from Botox will last four to six months. As muscle action gradually returns, the lines and wrinkles begin to re-appear and wrinkles need to be re-treated. The lines and wrinkles often appear less severe with time because the muscles are being trained to relax. Temporary bruising is the most common side effect. Headaches, which resolve in 24-48 hours, can occur, but this is rare. A small percentage of patients may develop eyelid drooping. This usually resolves in three weeks. This development is usually caused by migration of the Botox and for this reason, you shouldn't rub the treated area for 12 hours after injection or lay down for three to four hours. There have been no allergies associated with Botox to date. Patients who are pregnant, breastfeeding or have a neurological disease should not use Botox. Since Botox doesn't work for all wrinkles, a consultation with a doctor is recommended. Insurance coverage varies for Botox injections, depending largely on the medical necessity of your condition. Botox is not generally covered by insurance when used for cosmetic purposes. Check with your insurance carrier for coverage details.

  • Cryosurgery
    Cryosurgery

    In this procedure, liquid nitrogen is used to freeze and kill abnormal cells. When the area thaws, the dead tissue falls off. Cryosurgery usually does not hurt, but more than one session may be required to completely remove the growth.

    Cryosurgery is a highly effective treatment for a broad range of benign skin problems. Sun-damaged skin and related lesions are highly amenable to intervention with cryosurgical treatment. Cryosurgery is very effective against acne scars. Also is indicated for the treatment of keloid scars, moles, warts, petechia, small flat hemangiomas, etc.