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Frequently Asked Questions


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Inaccuracies and falsehoods in Cosmetic Surgery

We are aware of the enormous discrepancies of criteria that abound between different specialists, centres or companies, when concentrating on Cosmetic Surgery and each one of its treatments. As a medical activity in the Private Health Sector, the conflict of interests between the commercial world and the ethical problem does not always lie on the side of safety, professionalism or in the interests of the patient. This situation creates an enormous lack of confidence in the patient wishing to have Cosmetic Surgery treatment. Our philosophy is very clear. The patients are always first, their interests and their needs, in conjunction with the efficiency and safety of our treatments. To this end the medical facet of our activity is supreme. However, in contrast to our practice, many other centres or professionals offer information that is inexact, slanted, market oriented or even completely false and self interested, practising dangerous procedures that are ineffective or obsolete. To prevent unscrupulous actions we list a series of statements that, in our opinion, are inadequate, deceptive, or mere lies, that are frequently used at other centres to manipulate the wishes of the patient to a commercial and unethical end. Some of these are even popular among the very clients of these centres of Cosmetic Surgery, and become the regular thoughts and petitions of these same clients. Naturally, we completely rejects all the statements that can be read under the title of Inaccuracies and Falsehoods for every group of our treatments.

Is my case customary in secondary surgery?

Although the possibilities are numerous, it is true that certain situations are repeated more frequently among those cases received by our Specialists requiring repair. Among the problems resolved with us are the following:

-Encapsulated breast implants: cases of breast augmentation considered lost or irreparable, because they have been operated on once or more occasions in the past and appear hardened, deformed or painful.
-Submuscular implants: cases of breast implants inserted under the muscle that because of its poor characteristic result or a complication, need repairing.
-"Upward and downward movement implants": Cases of breast enlargement in which the technique has not been correctly executed and the implants move up and down with the arm movement or the contraction of the pectoral muscle, named as elevator breasts.
-Dislocated or malpositioned implants: Which are eccentric from the theoretical ideal center of the breast mound landmarked by the nipple, leading to grotesque look of the breasts.
-Misjudgement in implant selection: The width of the implants do not match the theroretical ideal size of the breasts base therefore produce lateral prominence or alternatively cleavage shortage of the implants.
-Renewal of implants: Because they are aged, broken, deficient from the beginning or because the volume is inadequate.
-Mastopexy: Insufficient, poor cosmetic result, or have suffered a complication.
-Sagging breasts: Cases of sagging breasts for which the treatment has only been a breast enlargement, inadequately performed and without having received specific treatment for the sagging.
-Breast reduction: Poor quality cosmetic result, insufficient elevation, slight volume or having suffered complications.
-Neck Lifting: Patients having received obsolete rejuvenation treatments, such as simply stretching the skin. Facial rejuvenation would have to be redone and also the neck would have to be treated which, in many cases does not receive the necessary dedication.
-Eyelids: Cases in which bags have not been completely removed or a cosmetic or even functional distortion has appeared.
-Rhinoplasty: Inadequate nasal corrections that are not very natural or are insufficient, causing breathing problems, sometimes due to poor cosmetic judgement, reconstructions in multioperated noses.
-Otoplasty: Shortage of approximation to the head, deformities, cartilage injuries, skin shortage.
-Liposuction: Poor performances that require removal of skin, technically deficient performances with under or over correction.
-Abdominoplasty: Spare skin, skin necrosis, insufficient muscular work.

When is it better to have either abdomen liposuction or an abdominoplasty?

This is a decision always taken by our Specialists on the basis of anatomical factors, degree of deformity, quality of skin, volume of fatty tissue, muscular problems, general characteristics of the patient etc. Our patients always receive the best treatment proposal in relation to their individual case.

Can other procedures also be performed in the same liposuction operation?

This is a normal procedure and one much requested by our patients. There is no reason not to perform a breast augmentation or an abdominoplasty together with liposuction, to give an example.

Can I have a flat and firm abdomen again?

The abdominoplasty has been developed to strengthen abdominal muscle and to eliminate excess skin, particularly as a result of pregnancy.

What can I do if I am an obese patient and I want to have abdomen surgery?

If you wish, we can assess your situation at no obligation or cost. We shall always tell you the truth; evaluating the degree of obesity and we shall give you a diagnosis regarding your particular case. The risk is considerable if you are obese and are going to have an abdominoplasty or liposuction, you should consult us first. Our Specialists will recommend the best for your personal situation, irrespective of commercial opportunities, because above all we offer a medical service.

Inaccuracies and falsehoods about Abdomen Treatments

An abdominoplasty can be performed with an epidural anesthetic and it is safer like that - FALSE
Miniabdominoplasties are better in all cases - FALSE
An abdominoplasty can be avoided by having liposuction - FALSE
An abdominoplasty can be safely performed on obese patients to slim down the abdomen - FALSE
Men are no good cases for abdomen surgery - FALSE

Can the abdomen problems reoccur after an abdominoplasty?

Regions treated in an abdominoplasty do not reproduce the same problems unless the cause of the problem is repeated in the form of hypertrophy of the abdomen.

Can other procedures also be performed in the same abdominoplasty operation?

This is a normal practice and something many patients ask of us. There is no reason not to perform another technique in the same surgical operation, such as breast intervention or liposuction together with the abdominoplasty.

Will any visible scars remain following the abdominoplasty operation?

The technique involved in an abdominoplasty consists in discreet incisions in the upper pubic fold, at approximately underwear level. These incisions are extended laterally sufficiently into the hips to remove the excess skin. On occasions it is necessary to make a hidden incision into the tummy button. Different techniques exist that our Specialists practice regularly to achieve the best results. You will be given detailed information regarding your own particular case.

Can pregnancy stretch marks be removed with an abdominoplasty?

This is one of the advantages of the abdominoplasty. The majority of stretch marks appearing during a pregnancy cover the region of skin removed with this treatment.

What type of anesthetic is most suitable in abdominoplasty?

In the opinion of our team of surgeons and anesthetists specialist and, although still being practised in other centres, we consider abdominoplasty operations conducted under a local or epidural anesthetic to be high-risk procedures. There are several reasons for rejecting local and epidural anesthesia. Firstly, because an epidural anesthetic applied at a higher level than the tummy button implies considerable respiratory risks. The need to apply a local anesthetic in the upper abdomen area as a complement to the epidural anesthetic is a risky practice, both painful and unjustifiable. For these reasons the anesthetist is often obliged to improvise by administering an uncontrolled and highly dangerous general anesthetic. Finally, we reject this practice because the sensation block out is short term and not always total, causing pain to the patient and not allowing the surgeon to perform such a meticulous and precise treatment. For your safety and for the best results, our Specialists recommend a general anesthetic for an abdominoplasty, with at least an overnight stay in the clinic. An epidural anesthetic would only be advisable in a simple skin extraction or dermolipectomy to the lower abdomen, without the abdominoplasty.

Technical datasheet for abdominoplasty

-Anesthetic: total
-Surgical time: 2 or 3 hours
-Hospital stay: 1 night
-Proximity stay: 1 week
-Postoperative pain: 3 (scale from 1 to 5)
-Postoperative bandages: garment 4 weeks
-Sick leave: 3 or 4 weeks
-Complementary treatments: not required
-Cosmetic recovery: 1 month 80%, 3 months 90%, 6 months 95%, 12 months 100%
-Scars: suprapubic fold, belly button; visible

This information is indicative only and does not represent an obligation with customers. This technical datasheet is based in statistical means for large groups of patients, with the variability that implies. Medicine and Surgery are not exact Sciences so it is not possible to stablish the most suitable management for each individual case until the moment the Specialist can evaluate the patient. One medical and/or surgical process can't be predictable 100%, so our Medical Team could modify the management plan at any time, based on the requirements that could be considered as necessary.

Can I become pregnant again following an abdominoplasty?

There is no reason why a woman having undergone this operation should not go through another pregnancy. It is recommended that a period of 12 months elapse, depending on the technique performed, before becoming pregnant again. During that time the use of contraceptives is recommended.

Is abdomen surgery a method for losing weight?

No. An abdominoplasty improves the shape of the body achieving spectacular results. Being overweight or obese are problems and can even be an internal illness that require medical treatment and, in certain cases, digestive surgery to combat obesity.

Is abdominoplasty suitable for me if I have lost a lot of weight?

Even if you have not been through pregnancy, if the patient has been obese and then lost substantial weight, the characteristic result is an excess of skin in the abdominal region, for which the abdominoplasty is an excellent solution.

Is abdomen surgery suitable for thin people?

This is the ideal situation for an abdominoplasty, those people who are not obese but with skin or muscle problems that deform the abdominal region.

Is abdomen surgery the answer to abdominal problems following pregnancy?

Yes. The abdominoplasty was designed specifically to this end. The consequences of flaccid skin, stretch marks and muscle weakness that follow pregnancy can benefit greatly from this technique.

Can an abdominoplasty be performed on either men or women?

It must be remembered that this is an operation that removes the consequences of a pregnancy. It can also be performed to correct the consequences of obesity either in women or men. Therefore in men it is used after recovering from a problem of excess weight.

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