Aesthetic procedures

Transcription

1 Aesthetic procedures Breast augmentation (breast augmentation) The breast volume required by each patient is one of the most critical and controversial issues. As a surgeon I must evaluate patient's expectations, anatomical characteristics and possible post-operative results, factors such as shape, size, skin quality and position of the nipples should be considered. Thus further enhancing the personal satisfaction and long-term aesthetic results. The implants may be round or anatomical shape. The position of the implants can be under the mammary gland (retroglandular) or under the pectoral muscle (retromuscular). During your consultation, we will evaluate what is the best for your particular position. Incisions available for placement of breast implants are the periareolar incision (around the nipple), inframammary incision (under the breast crease), the transaxillary incision (through the armpit) and transumbilical incision (through the navel). The periareolar and axillary incision are most frequently used in our service. Breast lift The breast lift, technically called mastopexy, can raise sagging breasts, fixing the existing breast tissue and eliminating excess skin. The length and location of scar tissue vary depending on each case. Treatment is always surgical and depends on the degree of the fall or decline of the breasts. Breast Reduction Breast reduction, technically known as breast reduction: reduces gland, fat and skin from the breasts that looks too bulky. Various techniques exist to reduce the breast. Each technique varies in its designs and the resulting scars, the choice will depend on each individual case. High Definition Liposuction Liposuction involves removing excess fat by suction with fine cannulas inserted through small incisions in the skin. This fat can be used to be placed in areas that need increased, thus shaping the figure and body contouring. Lights and shadows fenomenon are very important during procedure. Safety high definition Liposuction is one of the most important issues, all necessary care are taken into account. Lipoabdominoplasty Abdominoplasty, involves resection of a segment of abdominal skin and fat at the same time that the strained abdominal muscle wall. In many cases it can be combined with liposuction. This corrects sagging, stretch marks, excess abdominal

2 volume, diastasis (abdominal muscles relaxed by pregnancy and weight gain) and some scars, helping to restore the body shape, giving a flat belly. Gluteoplasty Buttock augmentation with silicone implants, providing projection and volume to the buttocks. The implants are placed within the gluteus maximus muscle, known as intramuscular plane. Dr. Pachon recommends this technique only when the woman is small and not enough for lipoinjection fat cells fat in the buttocks. Brachioplasty The surgery is called Brachioplasty arms, and is performed to remove excess skin and fat from the inside of the arms, leaving a scar in this area. When you only present fat excess liposuction is indicated. Reduction Legs Reducing legs can be made through defining the conical liposuction and natural look, but is very important in cases of postbariatric patients the possibility of hiding the lipectomy scars in aesthetic subunits to minimize scar morbidity and improve aesthetic shape Cruroplasty The technique involves removing excess skin in the region of the inguinal fold and the inner thigh bordering the perineum and genitals; in some cases it can be extended to infrafluteal ccrease preserving the aesthetic subunit gluteal fold to hide scars. Genital cosmetic surgery This is a modern cosmetic surgical procedure to beautify the female private parts, by applying techniques such as liposuction of mons plasty and labia minora reduction, among other complementary procedures. Rhinoplasty Rhinoplasty is one of the most interesting, sensitive and complex plastic surgery procedures. During the consultation we will evaluate their individual characteristics, determining what kind of procedures we can take to achieve a harmonious facial appareance. You can change various structures of the nose with aesthetic look. Surgery may be a closed rhinoplasty (no visible scars) or open (inconspicuous scar in the columella) depending on the case. It may be associated with septoplasty if necessary by deviated septum.

3 Eyelid surgery (Blepharoplasty) Eyelid surgery is called blepharoplasty, it is a cosmetic procedure that improves the appearance of the eyes. A blepharoplasty can involve the upper, lower or both eyelids.the main goal of this surgery is to achieve a natural and fresh look. In surgery of the upper eyelids, excess fat and skin are removed. The lower eyelid surgery, is more complex, you should plan the appropriate procedure to meet the needs of each patient. When the skin tone is good and the problem is only the fat excess, a skin incision is not required, in this case the fat is removed through an incision on the inner surface of the lower eyelid and does not require suturing. Ear Surgery (Otoplasty) Cosmetic Surgery of the ears is called otoplasty, it is a procedure to correct their deformities. These may include prominent, oversized ears, or changes in the development of its natural curves (helix and antihelix). Prominent ears are the most common and important cause of complex otoplasties. Usually operated between seven and nine years old, but it is not always convenient to wait that long, consequences and repercussions can be more unfavorable than the fact anticipate surgery (at 3 years of age there has been a 85% development ears). This assessment has to be made between the child, parents and the surgeon. Eyebrow tail lift (Endoscopic Forehead) The frontal endoscopic surgery is called upper third face lift, as well as forehead lift or brow. This procedure improves wrinkles in the area above the eyes and raises eyebrows. The incisions necessary for this surgery are minimal and are hidden in the scalp above his forehead (1cm). Endoscopic face lift and facial surgery The facelift known as Facelift, technically called rhytidectomy, where the muscles of the face are lifted and repositioned to eliminate laxity, removing excess skin, which helps to reduce wrinkles. The incisions necessary for this surgery depend on the case. In general the typical incision is made at the level of the line of hairline in the temporal area, extending down the front of the ear, around the earlobe and up behind the ear, ending at the hair on the back of the head. The facelift can leave scars, but these are located in hidden areas by hair or ears. Rising neck (Cervicoplasty) Cervical contour is operated with neck liposuction and platysma muscle plication when are necessary. During the consultation the individual characteristics of the neck or "chin", which may have excess skin and fat, and even muscle flaccidity. According to the assessment may be sufficient neck liposuction. In more severe

4 cases may require treatment of the neck muscles and even lifting lower third of the face. Chin surgery (Mentoplasty) Chin augmentation is a surgical procedure to improve the appearance of the chin by inserting a specially rigid or silicon implant device designed for this area or by fat cells by lipoinjection implant. In the case of the implant, the incision for insertion can be in the lower chin skin or oral mucosa. Usually we prefer to use the incision in the oral mucosa avoiding skin scarring. The post operative care required with oral hygiene after each meal for a period of one week, antibiotics, painkillers and mouthwashes. For lipoinjection, fat cells are removed from his body by liposuction and placed at various levels of the chin to achieve its effect. A percentage of fat may be reabsorbed, making it possible reoperation to achieve the desired effect. Pectoral dial and Increase The technique is to dynamically recreate the muscular structures in the thoracoabdominal area, in the case of the chest not only performs dynamic dial but in most cases the autologous fat obtained from liposuction is lipoinyecta a subopectoral plane. If the patient has previous gynecomastia may require partial or total excision of the mammary gland present. Flaps The flaps are woven preserving their vascular pedicle (so the circulation of origin) and met as a function reconstruction of multiple body structures; There are multiple classifications by circulatory pattern, by origin, by shape, depending on their composition, but ultimately serve the function to recreate the way most similar to the original fabric color, texture and hairiness. Through flaps we can rebuild: head and neck defects, reconstruction of the chest, abdomen, mammary gland, upper and lower extremities among others. Nasal Reconstruction The nose is a representative aesthetic craniofacial unit therefore partial or total loss leads us to consider its reconstruction. Through various techniques of local or free flaps, we can recreate the form and structure; nasal support framework or reconstructed from autologous costal cartilage tissue and accessory structures flap of ear cartilage (ear). Usually it requires 2 to 3 operating times to recreate each of the subunits comprising this complex but important facial anatomical structure. Breast Reconstruction Breast reconstruction after breast removal (mastectomy) cancer is one of the most rewarding surgical procedures in plastic surgery. Depending on the case, the reconstruction can be done at the same time surgical amputation, and in other cases it will be advisable to do after a few months after completing radiotherapy.

5 Different techniques exist to reconstruct a breast; techniques using own tissues to recreate a more natural breast and techniques using tissue expanders and breast implants to reduce the possibility of complications in some cases. Two or three operations are necessary, usually, to reconstruct a breast. First breast reconstruction affects second modification of the other breast to achieve good symmetry in cases of sagging breasts, third reconstruction of the nippleareola complex. Head and Neck Reconstruction The different subunits of the face covered by the frontal region, nose, cheeks, corners of lips, chin area among others are very important to the traits and characteristics of each individual; after trauma, tumor resection injury, congenital diseases such as moles (nevi) giants or vascular tumors (hemangiomas) said subunits are deformed or lost requiring advanced microsurgical reconstruction, for which there are multiple body tissues which serve as spare parts for reconstruction of the area or the lost structure.(bone, muscle, skin). Most popular flaps for facial reconstruction are the anterolateral thigh flap, flap parascapular, fibula flap for mandibular reconstruction among others. Facial reanimation The facial reanimation comprising recovering the gestures provided by the muscles of facial expression, in circumstances of congenital or acquired may be lost that function, requiring advanced surgical techniques for the recovery of facial expression; Such techniques may include functional muscle nerve transfers or transfers within 1 or 2 surgical time to obtain the desired functional outcome. Lymphedema Lymphedema is a rare pathology, committed to the lymph nodes who are the structures in charge of draining all waste substances from the body and warn of pathogens for destruction, in short you could say that are the drainage system of the whole body. Lymphedema could be congenital or acquired. Different treatment options should be used; from management in mild to moderate cases with linfovenous anastomosis (suturing vessels of microscopic size) or functional free lymph node transfers. I recommend the last one combined with correcion of lipedema and skin excess after node transfers. Recanalization of fallopian tubes The tubal ligation better known as Pomeroy is a procedure that has gained popularity in women during the last three decades allowing prevent conception through ligation of the fallopian tubes, preventing migration of the oocyte to their final destinationfertilization. After this ligation, today's advanced microsurgical techniques allow identification under microscopic view recanalization (joining and repair) thereof.

6 Post vasectomy recanalization A vasectomy is a procedure that has gained popularity in men during the last two decades allowing prevent conception through ligation of the vas deferens (vas deferens) which are responsible for transporting the seminal fluid along with spermatozoa included in the semen during ejaculation to fertilize the egg. After that ligation of these vessels, today's advanced microsurgical techniques allowed under microscopic view recanalization identification (joining and repair) thereof. Reconstruction legs The trauma of the upper or lower limbs is a common occurrence in our country; misuse of labor implements, non-use of elements of labor protection, traffic accidents among others lead to partial or total amputation of the various segments comprising the upper limb: arm, forearm, hand, digits or lower limb: thigh, leg, foot, digits. The loss may bring functional consequences and disability depending on the affected segment. Revascularization if lost partial or total loss if reimplantation has absolute and relative indications which must be considered at the time of the evaluation. Esophageal reconstruction The esophagus is one of the structures of the digestive system that plays a key role allowing the transport of the bolus into the stomach. The loss of any of the esophageal portions limits the physiological process of carrying food dire consequences for the patient. After the first 2 weeks of surgery the patient will nasogastric tubes are removed, tolerance begins oral rehabilitation and food starts to recover quality of life. Reconstruction Voice Different techniques have been described and used to recover the loss of voice from the use of local flaps, free flaps and even electronic devices to simulate the vibratory function of the vocal cords. The most popular voice flaps for reconstruction are ileocolon free flap, free flap of jejunum, free skin flaps tubulization with tracheal fistula among others. The voice is throaty is achieved but the patient with adequate support rehabilitation and physical therapy and speech therapy can make conversations between 10 to 20 seconds, reaching an optimal training 40 seconds in some cases.