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Face

Rhinoplasty

Rhinoplasty is a facial procedure in which it is possible to obtain a harmony of the proportions of your face about your nose in addition to solving functional problems of the nasal cycle. It is a major surgery performed on the face, in the US alone more than 279,000 have been conducted annually since 2008 and a trend towards being more conservative of the same tissues of the nose getting a restoration of native structures and a subsequent functional aesthetic pleasing combination.

The main objectives are 1. Preservation of nasal functionality 2. Nasal size in balance with your face 3. A width of the right nasal base in proportion to your nostrils 4. Correct deformities in the back as humps or depressions 5. Get a nasal tip aesthetics closely to their scope, size and shape 6. Adequate nasal symmetry 7. Attention to structural problems such as previous fractures, septal deviation, etc.

Candidates Presurgical consultation Safety information  Procedure  Recovery  Before and After

Candidates

As a general rule can perform this procedure in healthy patients and having realistic expectations and goals for which the following considerations to ensure the best results are taken into account.

  1. Wishing to obtain a nose according to your facial proportions Solve functional problems of the air inlet .
  2. Correct asymmetries , deviations or acquired congenital deformities .
  3. broad nasal tip or fall .
  4. It has a prominent dorsal hump .
  5. The nose is not centered on your face.

Presurgical consultation

He will perform a comprehensive assessment, it is important to know all the details of your health, your habits and your expectations equally important result.

Medical history

1. Medical conditions, diseases , medications , previous surgeries especially facial surgeries , traumas of face, etc.

2. History of cancer in the family.

3. The consumption of snuff , alcohol, supplements , diet or treatment.

4. Presence of allergies or conditions in relation to your nasal function.

You will perform the following

1. Evaluation and complete clinical examination.

2. Examine the anatomical areas of interest , identify signs of structural alteration.

3. Request preoperative laboratory and imaging studies needed to ensure that your health condition is suitable for the procedure.

4. Take pre-surgical photographs.

Safety information 

Patients should expect to have pain, swelling and bruising the early days.

The main complications are:

• Bleeding

• Infection

• unfavorable Scarring

• necrosis or skin loss

• deformity and asymmetry

• In more severe cases deep vein thrombosis, shortness of breath, pulmonary embolism and death.

• complications or sequelae of the procedure, which are explained in more detail in your pre-surgical consultation.

Procedure 

Anesthesia

It is performed under general anesthesia which will be fully explained by the anesthesiologist .

Incision

There are two main techniques of rhinoplasty, closed type in which the incision is hidden inside the nostrils and open type in which the incision is made in the columella which is the post that separates your two nostrils. The most appropriate technique will be discussed as appropriate and need remodeling of the structures involved.

Nasal remodeling

According to the need to achieve the above objectives have either increased or decreased tissues are mainly the nose bone and cartilage.

Nasal functionality

Together with the aesthetic point functional details as the nasal valve , and deviations septum , turbinates and size are reviewed , etc. and then obtain the functional cosmetic binomial.

Recovery 

It is usually performed on an outpatient basis, that means that you will perform your surgery during the morning and will keep guard during the day for a few hours, yet it is recommended that you have your suitcase ready with clothing and personal items along with a companion to assist you on the way back to your house.

Only you will be given discharge until you are in a stable condition with a smooth recovery to your high you will be given the following:

1. Detailed instructions for your care at home.

2. Measures dressing changes and wound healing.

3. Recipe with oral medication for your needs.

4. Number of contact for any questions.

5. The date of the next appointment with your surgeon for evaluation.

Immediate postsurgical

You'll find yourself with a special nasal splint that will help stabilize the new shape of your nose, as appropriate internal nasal splint will be placed if more structures were manipulated. Your nose will be moderately swollen the first few weeks but recovery will progress and will not be until about 6 months may see the final results.

The 1st week after the first postoperative appointment is made, sutures will be removed if present and nasal splint, still continue with areas of bruising or bruise, at least moderate pain with painkillers controlled without problems. And generally it is in optimal conditions for office type work activities but not yet available to start the routine of the gym.

2nd week usually better general conditions, edema and inflammation have subsided substantially, and return to work is achieved if they are light activities, yet strenuous activities or heavy lifting are recommended.

3rd and 4th week with a satisfactory recovery for everyday and gym but gradually domestic activities. Bruising almost absent in full. Scars usually begin to lose, these permanent but in most cases these fade and improve over time. 6 months with almost complete resolution of edema and inflammation and the apparent final results, and can start normal activities including gym.

 

Before and After

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Blepharoplasty

The eyelid surgery is currently one of the most commonly performed by plastic surgeons in the United States alone in the year 2014, 206 thousand surgeries to be among the top 5 were reported and this is because it is one of the process that provides most facial rejuvenation. In addition to aesthetically improve the area around the eye also provides a choice of functional restoration and symmetry in case of problems of congenital type, post traumatic or age-related.

The principles of a blepharoplasty are:

1. Control of the periocular aesthetic.
2. Restore tone and eyelid position and its vertices.
3. Remove the tissue that really this either excess skin, muscle or fat.
4. Correction of functional problems such as eyelid drooping or previous injuries.
5. Achieve a rejuvenation of the upper third of your face including to cheekbone, eyebrows and
 
wrinkles and / or depressions around the eye.

 

Candidates          Presurgical consultation   Safety information    Procedure         Recovery       Before and After

Candidates         

As a general rule can perform this procedure in healthy patients and having realistic expectations and goals for which the following considerations to ensure the best results are taken into account.

1. wishing to obtain a rejuvenation of the upper third of the face.
2. Resolve functional problems opening and closing your eyelids.
3. Correct asymmetries, congenital or acquired deformities.

Presurgical consultation  

He will perform a comprehensive assessment, it is important to know all the details of your health, your habits and your expectations equally important result.

Medical history
1. Medical conditions, diseases, medications, previous surgeries especially facial surgeries, traumas of face, etc.
2. History of cancer in the family.
3. The consumption of snuff, alcohol, supplements, diet or treatment.
4. Presence of alterations regarding your eyelid function.

You will perform the following
1. Evaluation and complete clinical examination.
2. Examine the anatomical areas of interest, identify signs of structural alteration.
3. Request preoperative laboratory and imaging studies needed to ensure that your health condition is suitable for the procedure.
4. Take pre-surgical photographs.

Safety information   

Patients should expect to have pain, swelling and bruising the early days.

The main complications are

• Bleeding.
• Infection.
• unfavorable Scarring.
• necrosis or skin loss.
• deformity and asymmetry.
• In more severe cases deep vein thrombosis, shortness of breath, pulmonary embolism and death.

Procedure        

Anesthesia

There are two types of anesthesia that can be given, the first is local anesthesia
Sedation and anesthesia second is generally. The best option will be discussed with you to offer the best possible comfort with minimum risk.

Incision

The best option is to do in the natural creases of your eyelids to make it the most inconspicuous or less noticeable as possible.
In your upper eyelid is done on your natural doubles, then you can remove excess tissue either skin, muscle or fat and addressing whether there are functional problems such as the fall of it.
In the lower eyelid can address just below the line of your eyelashes or inside the eyelid through the conjunctiva. You can perform a removal or rearrangement of fat deposits but only if there is excess skin technique line of your lashes will take place.

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Wound closure

The wounds are closed with absorbable sutures generally not.

 

Recovery   

It is usually performed on an outpatient basis, that means that you will perform your surgery during the morning and will keep guard during the day for a few hours, still it is recommended that you have your suitcase ready with clothing and personal items along with a companion to assist you on the way back to your house.

Only you will be given discharge until you are in a stable condition with a smooth recovery to your high you will be given the following:

1. Detailed instructions for your care at home.
2. Measures dressing changes and wound healing.
3. Recipe with oral medication for your needs.
4. Number of contact for any questions.
5. The date of the next appointment with your surgeon for evaluation.

immediate postsurgical
You'll find yourself with adhesive tapes holding your sutures out of your eyes or eyelashes.
It is normal to have mild inflammation and the presence of bruising or bruising and some difficulty opening the lid which is normal for the first 48 hours.

The 1st week after the first postoperative appointment is made, sutures will be removed if present, still continue with areas of bruising or bruise, at least moderate pain with painkillers controlled without problems. And generally it is in optimal conditions to perform work activities office type but is not suitable to start gym routine.

2nd week usually better general conditions, edema and inflammation have subsided substantially, and return to work is achieved if they are light activities, yet strenuous activities or heavy lifting are recommended.

3rd and 4th week with a satisfactory recovery for everyday and gym but gradually domestic activities. Bruising almost absent in full. Scars usually begin to lose, these permanent but in most cases these fade and improve over time.

6 months with almost complete resolution of inflammation and edema and the most apparent final results, and performing their normal activities including gym.

   Before and After

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Rhytidoplasty

Commonly called a face lift  is the procedure of choice to achieve an improvement in the visible signs of aging of the face and neck, only in 2014 according to statistics from the American Society of Plastic Surgeons, were made just over 128,000 such interventions being number 5 of the most requested surgeries.

The facelift can not stop the aging process, but can improve the most visible signs by tightening deeper structures, rehabilitation of the skin of the face and neck, and removing selected areas of fat.

A facelift can be done alone, or in conjunction with other procedures such as a brow lift (front), liposuction, eyelid surgery or nose surgery. The facelift is individualized for each patient. The best candidate for a facelift is having a face and neck have begun to relax or fall, but whose skin has elasticity and whose bone

Candidates       Presurgical consultation  Safety information      Procedure      Recovery Before & After

Candidates     

As a general rule, this procedure can be performed in healthy patients and has real objectives and expectations, so that the following considerations are taken into account in order to guarantee the best results.

Want to get a total rejuvenation of your face To solve functional problems of mobility or sequelae of facial paralysis.

  1. Correct asymmetries, congenital or acquired deformities.
  2. Among the most common aesthetic problems that give rise to this procedure are the following Fall of the cheeks and mandibular line.
  3. Deep furrows at the sides of the nose and mouth.
  4. Loss of volume of cheeks or cheeks with very thin appearance.
  5. Loss of muscle tone and skin creating the appearance of dewlap.

Fat deposits in the neck area making it shorter.

 Presurgical consultation 

It will be a comprehensive evaluation, it is important to know all the details of your health, your habits and equally important your expectations of the result.

Medical history

  1. Medical conditions, diseases, medications, previous surgeries in particular facial surgeries, face traumas, etc.
  2. History of cancer in the family.
  3. The consumption of tobacco, alcohol, supplements, diets or any treatment.
  4. Presence of alterations regarding your facial function.


You will be given the following

Evaluation and complete clinical examination.


  1. Examine the anatomical areas of interest, identify signs of structural alteration.
  2. Request preoperative laboratory and imaging studies necessary to ensure that your health condition is adequate for the procedure.
  3. Take pre-surgical photos.

Safety information     

Patients should expect to have pain, swelling and bruising the first few days.

The main complications are:

  1.  Bleeding
  2. Infection
  3. Non-favorable healing
  4. Necrosis or loss of skin
  5. Deformity and asymmetry
  6. Complications related to anesthesia
  7. Facial nerve injury
  8. Accumulation of liquid
  9. Persistent pain
  10. Skin discoloration

In more severe cases deep venous thrombosis, respiratory distress, pulmonary thromboembolism and death.

Procedure     

Anestesia

Existen dos tipos de anestesia que puede ser administrada, la primera es anestesia local con sedación y la segunda es anestesia general. La mejor opción será discutida contigo para poder ofrecer la mayor comodidad posible con el mínimo riesgo.

Incisión

Dependiendo del los objetivos a alcanzar, se trazara la incisión según el área anatómica a abordar, la mejor opción es realizarlo en los pliegues naturales de las curvatura de tu oreja,  entre  tu cabello de la sien y si es necesario hasta la parte posterior de tu oreja, para lograr que sea los más inconspicua o menos notorio posible.

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De esta manera se logra abordar los tejidos y poder recolocar en una posición mas joven, desde la piel, músculo y grasa, en caso de abordaje de cuello la incisión se realiza debajo del mentón.

Cierre de heridas

Las heridas se cierran con suturas no absorbible generalmente.

Recovery

Por lo general se ingresa a hospitalización, por lo general se necesitan 24  horas de vigilancia y cuidados posquirúrgicos, así que  se te recomienda tener tu maleta lista con ropa y artículos personales junto con un acompañante para asistirte en el camino de regreso a tu casa.

Solo se te otorgará el alta hasta que te encuentres en una condición estable y con una recuperación favorable, a tu alta se te entregará lo siguiente:

  1. Instrucciones detalladas de tus cuidados en tu casa.
  2. Medidas de cambio de apósitos y curación de la herida.
  3. Receta con medicamentos orales para tus necesidades.
  4. Número de contacto para cualquier duda.
  5. La fecha de la siguiente cita para valoración con tu cirujano.

Posquirúrgico inmediato

Te encontrarás con unas cintas adhesivas sujetando tus suturas alrededor de tus orejas y con la presencia de tubos de silicón de drenaje a cada lado por detrás de las mismas..

Es normal presentar una inflamación moderada y la presencia de equimosis o moretones y cierta dificultad para la apertura de los  párpado lo cual es normal las primeras 48 horas.

1ra semana posterior se realiza la primera cita posquirúrgica, se retirarán la mayoria de las suturas, continuaras aún con zonas de equimosis o morete, dolor moderado a mínimo controlado con analgésicos sin problemas. Aún no se es apto para empezar actividades laborales por lo general y la rutina del gimnasio está contraindicada.

2da semana por lo general en mucho mejores condiciones generales, el edema e inflamación han cedido substancialmente, ya se logra la reincorporación laboral si son actividades ligeras tipo oficina aunque aún con la presencia de leve equimosis, aún no se recomiendan actividades extenuantes o levantamiento pesado.

3er y 4ta  semana con una recuperación satisfactoria para actividades domésticas cotidianas. Los moretes casi ausentes en su totalidad. Las cicatrices por lo general se empiezan a perder, estas son permanentes pero en la mayoría de los casos estas se desvanecen y mejoran al paso del tiempo.

6 meses con resolución completa de la inflamación y edema y con los resultados finales ya aparentes, ya realizando sus actividades normales incluyendo gimnasio.

Before & After

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OTOPLASTY

The otoplasty is a surgical technique that allows the modification of the pinnae that get altered to obtain a natural look. There is a variety of different techniques used to perform an otoplasty and for the after care.

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OTOPLASTY

Before and After

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