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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.

How long do I have to stay in the hospital after the operation?


This depends on the medical assessment performed by our Medical Team on every individual patient and particular case, however you can obtain a quite approximate and realistic estimate reading the Technical Datasheet for your treatments.

Are your safety standards reliable at such low prices?


Many patients wonder if our prices allow ensuring the highest quality in our treatments, surprised by the price differences in the market of Cosmetic Surgery. To us safety, quality and reliability of our treatments are always the priority, ensuring the highest sanitary standards. Today this is possible without giving up offering competitive prices thanks to online business models on the Internet, Telemedicine and economies of scale only possible to market leaders.
-Our operations are performed only in first class private hospitals, fully equipped with modern Operating Rooms, Intensive Care Unit, Emergency 24 hours, diagnostics Laboratory and Radiology, multidisciplinary medical teams and any resources that may be necessary before an event.
-The implants and products used for our treatments are approved by National and European Health Administrations, include the manufacturer's warranty and are top quality.
-All our patients are always operated by the same Plastic Surgeon making the first consultation with the patient, who will inform you personally of all the details of your treatment.
-Particularized information about your treatment can only be offered when the Plastic Surgeon has known your wishes and studied your anatomy, which is done by means of Online Consultation and On Premise Consultation in person.
-Many cosmetic problems can be treated with various alternative methods and techniques, each option will have advantages and disadvantages that should be considered by you with the advice, supervision and approval of the Plastic Surgeon, who will be responsible for providing all the details required for your best and most suitable decision.
-The final budget can not be calculated until the most appropriate treatment for your needs has not been determined.
-All our patients undergo a rigorous health care and assistance quality control for treatments to be safely performed.
-A thorough check is performed preoperatively designed to suit each patient according to the criteria of the A.S.A. (American Society of Anesthesiology), which may consist of complete blood tests, coagulation, biochemistry, electrocardiogram, radiology, ultrasound, thyroid tests, liver tests , kidney tests, spirometry, etc.
-In the pre-anesthesia On Premise Consultation patients are checked personally by the Anesthetist who will perform the treatment personally, who will be able to discuss the details of anesthesia (mode, duration, safety, etc.).
-The Anesthetist will stay by the patient throughout the duration of the surgical procedure without leaving the operating room or other simultaneous activities. Likewise, the Anesthetist will handle the post-anesthetic recovery and any subsequent need.
-The Plastic Surgeon will attend any pre and postoperative incidence with our entire team, with the staff on duty and reachable for patients.
-Patients have a dual system of urgent medical attention postoperative, phone and online, as well as on premise to which they can turn to if necessary.
-Personalized postoperative dressings and nursery assistances, controls and checks are performed, based on the type of treatment, its development and the needs of each patient, until the case gets the final discharge.

Can I purchase additional hospital stay beyond the one included in the price for my treatment?


Yes. If you wish extend your hospital stay for your better comfort or to ease your recovery let us know and our Sales Department will provide full support.

What type of anesthetic is most suitable in breast enlargement?


Without hesitation we recommend using the safe techniques of a general or total anesthetic. In a breast augmentation operation the greater safety, absence of pain and best results are obtained by general anesthetic practised in an authorised hospital. Although they continue to be performed in other centres, breast enlargement operations under supposed local anesthetic are a high-risk procedure in the opinion of our team of specialist surgeons and anesthetists. There are several reasons for rejecting local anesthesia. Firstly, because the necessary dose of anesthetic that has to be administered into the breasts is so high it can become toxic, possibly causing serious complications. Also because the application of a local anesthetic is by deep injection into the breasts which is terribly painful; subsequently, on occasions, the anesthetist is obliged to improvise and to apply an uncontrolled general anesthetic which is very dangerous. Finally, we reject these practices under a false local anesthetic because it only allows limited internal work to the Specialist therefore leading to unsatisfactory results, which nowadays is no longer adequate or suitable in relation to modern knowledge. For your safety and in order to achieve the best results, we recommend a general anesthetic in breast augmentation operations, with a day case stay in the clinic.

What type of anesthetic is most suitable in nose surgery?


Without hesitation we would have to recommend and practise the safe techniques of a general or total anesthetic. In rhinoplasty and septoplasty operations the greater safety, absence of pain and best results are achieved administering a general anesthetic in an authorised hospital. Although still being practised in other centres, rhinoplasty and septoplasty treatments performed under a supposed local anesthetic are high-risk procedures in the opinion of all our specialist team of surgeons and anesthetists. There are several reasons for rejecting a local anesthetic. Firstly, because the dose of anesthetic to be introduced into the tissue is so high it could become toxic, possibly causing serious complications. Also because the application of a local anesthetic is by deep injections into the tissue and these are terribly painful; in these circumstances the anesthetist is often obliged to improvise by administering an uncontrolled and highly dangerous general anesthetic. Finally, we reject these practices under a false local anesthetic because they only allow for simple or obsolete techniques to be performed, that nowadays is no longer adequate or correct in the world of modern scientific knowledge. For your safety and in order to achieve the best results, our Specialists recommend a general anesthetic for a rhinoplasty or septoplasty operation with day case stay in the clinic. If we are referring solely to small areas of tip rhinoplasty or small retouches, it is possible to administer a local anesthetic with sedation in order to avoid pain and the stress of the operating theatre.

If a centre is cheaper is it as safe?


Yes. Safety measures are guaranteed in all our facilities. If the prices are cheaper in certain centres it is due to marketing concepts, commercial agreements and negotiations per volume of patients, but never because medical guarantees are compromised.

What type of anesthetic is most suitable in eyebrows, face and neck liftings?


Without hesitation we would have to recommend and practise the safe techniques of a general or total anesthetic. In facial rejuvenation operations the greater safety, absence of pain and best results are achieved administering a general anesthetic in an authorised hospital. Although still being practised in other centres, facial treatments performed under a supposed local anesthetic are high-risk procedures in the opinion of all our specialist team of surgeons and anesthetists. There are several reasons for rejecting a local anesthetic. Firstly, because the dose of anesthetic to be introduced into the tissue is so high it could become toxic, possibly causing serious complications. Also because the application of a local anesthetic is by deep injections into the tissue and these are terribly painful; in these circumstances the anesthetist is often obliged to improvise by administering an uncontrolled and highly dangerous general anesthetic. Finally, we reject these practices under a false local anesthetic because they only allow for simple or obsolete techniques to be performed, that nowadays is no longer adequate or correct in the world of modern scientific knowledge. For your safety and in order to achieve the best results, our Specialists recommend a general anesthetic for an eyebrows, face and neck lifting operations with day case or overnight stay in the clinic. Only certain complementary treatments can be performed using a local anesthetic and without an operating theatre.

Is the On Premise Consultation with the Specialists mandatory?


Yes. You must undergo On Premise Consultation with our Specialists (Surgeon and Anesthetist) before the operation is carried out.

Is the Online Consultation with the Specialist mandatory?


No. You can perform a free Online Consultation with the Specialist using the functionalities of our website. This step is not mandatory however is strongly recommended even if you live in Spain.

Which are the postoperative recommendations?


-Manage your accommodation less than 1 hour away to the hospital for surgery during the period of stay in close proximity thereto as instructed by your Plastic Surgeon (estimate in the Technical Datasheet for your treatment).
-Stay in constant company of an adult responsible for your care and arrange for private transportation means.
-Activate your mobile phone for roaming services during your stay in Spain.
-Provide yourself computer and telematic means for Online Consultation and send images to your Plastic Surgeon: PC, Windows Vista or Windows 7 with all updates installed, web browser Internet Explorer version 8, Internet access, digital camera, cables connection between the camera and the computer, software and camera drivers installed on your computer, access to your email account, phone, etc.
-Refrain from consuming medication, receiving treatment or take actions if they have not been prescribed by the physicians in charge of your surgery.
-Notify the physicians assigned to your surgery any doubt, incident or situation that disturbs you postoperatively, via an Online Consultation, with urgent priority as estimated, illustrating your status by images when necessary.
-Keep strict bed rest at home, without going outside or household or work activities, with the degree of physical immobility and during the convalescence period requested by your surgeon.
-During the period of house partially relative rest follow the patterns of your surgeon and not get incorporated into your regular work until receiving express permission.

Will I be adequately informed?


With us you can find the best information, because our philosophy is to help our clients. We know we shall only gain your confidence if you feel sure that the attention given has been entirely in your interests, which have also become ours.

Which are the preoperative recommendations?


-The preoperative period begins 2 weeks before surgery.
-In the preoperative period you should not consume aspirin (acetylsalicylic acid and derivatives), anti-inflammatory drugs, vasodilators and as a general rule any medication or active substances (drug therapy, naturopathic, homeopathic, supplements, herbal, etc.) not authorized by the physicians in charge of your surgery; if you have doubts send an inquiry online and ask.
-The patient should inform by means of an Online Consultation about any health problem, medical care or treatment received.
-First ask by means of an online consultation and then act as medically you have been advised, do not do it the other way round, do not indiscriminately consume medication prescribed by physicians other than those responsible for your surgery or treat yourself.
-Try not to think obsessively on your treatment during the preoperative period, do not spend time reading websites in an addictive fashion, turn from your surgical fears and mind busy with work, soft sport, leisure, friends and family.
-Perform a healthy, abundant and varied nutrition, do not diet.
-If you smoke you should not discontinue or reduce consumption of tobacco, because withdrawal symptoms of smoking are highly detrimental and because the effects on tissues last many years, quitting in the preoperative period would be an useless and harmful decision.
-Alcohol is not absolutely prohibited in the preoperative period, however you must not take a excessive consumption or incurring in alcoholism.
-If you use some type of psychotropic drug, paramedic drug or have some kind of addiction you should inform the physicians assigned to your surgery so that they can properly take care of your health.
-If you have forgotten to provide any details of your medical background (illnesses, operations, medications, drugs, etc.) you must promptly inform the physicians assigned to your surgery using an Online Consultation.
-You must keep a strict preoperative fasting period without eating solids, or liquids, or eat gum or candy or any other solid or liquid candy, as a rule from 00:00 on the day of your operation, and always for at least 8 hours before the scheduled surgery time.

How to choose a Plastic Surgeon and Anesthetist?


Once the legal requisites have been fulfilled to perform Plastic Surgery in Spain and the European Union, the interest of the patient is to be attended by good doctors. We select only the best Specialists to attend their patients, based on the excellent results of the doctor, his/her high level of performance and professional experience.

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.

What type of anesthetic is most suitable in eyelids surgery?


A blepharoplasty operation can be performed with full guarantees using a local anesthetic. As it is a small surface area the volume of anesthetic substance used is minimal, making it a matter of choice. This is a treatment in which the Specialist works within the field of vision of the patient where unforeseen movements can cause the patient unnecessary emotional stress. Therefore our Specialists administer an associated sedative to relax the patient giving them an agreeable sensation of comfort, as well as allowing the Specialist to proceed with the treatment with ease. For your safety and in order to achieve the best results our Specialists recommend a local anesthetic with an associated sedative in a blepharoplasty operation, staying in the clinic for a few hours and being discharged the same day.

What type of anesthetic is most suitable in liposuction?


Without hesitation we would have to recommend and practise the safe techniques of a general or total anesthetic. In liposuction operations the greater safety, absence of pain and best results are achieved administering a general anesthetic in an authorised hospital. Although still being practised in other centres, liposuction treatments performed under a supposed local anesthetic are high-risk procedures in the opinion of all our specialist team of surgeons and anesthetists. There are several reasons for rejecting a local anesthetic. Firstly, because the dose of anesthetic to be introduced into the tissue is so high it could become toxic, possibly causing serious complications. Also because the application of a local anesthetic is by deep injections into the tissue and these are terribly painful; in these circumstances the anesthetist is often obliged to improvise by administering an uncontrolled and highly dangerous general anesthetic. Finally, we reject these practices under a false local anesthetic because they only allow for simple or obsolete techniques to be performed, that nowadays is no longer adequate or correct in the world of modern scientific knowledge. For your safety and in order to achieve the best results, our Specialists recommend a general anesthetic for a liposuction operation with day case stay in the clinic. If we are referring solely to small areas of accumulation of fat, it is possible to administer a local anesthetic with sedation in order to avoid pain and the stress of the operating theatre.

Can I be your patient and client if I live far from your centres?


We shall be delighted to arrange whatever details are required. We can arrange for our services from a long distance consultation, both medical and commercial. Many of our patients come from afar and enjoy our organizational facilities. You'll enjoy a complete pre and postoperative attention, initially with stay close to our centres, and later at your residence area.

What type of anesthetic is most suitable in breast elevation or reduction?


Without hesitation we would have to recommend and practise the safe techniques of a general or total anesthetic. For breast uplift and reduction, greater safety, absence of pain and the best results are achieved administering a general anesthetic in an authorised hospital. Although still being practised in other centres, breast uplift or reduction treatments performed under a supposed local anesthetic are high-risk procedures in the opinion of all our team of specialist surgeons and anesthetists. There are several reasons for rejecting a local anesthetic. Firstly, because the dose of anesthetic to be introduced into the breasts is so high it could become toxic, possible causing serious complications. Also because the application of the local anesthetic is by deep injection into the breasts that are tremendously painful; in these circumstances the anesthetist is often obliged to improvise administering an uncontrolled and very dangerous general anesthetic. Finally, we reject these practices under a false local anesthetic because it only allows for insufficient and obsolete techniques to be performed, which nowadays is no longer adequate nor correct in modern science. For your safety and in order to achieve the best results, our Specialists recommend a general anesthetic for breast elevation and reduction surgeries, with at least a day case stay in the clinic.

Should I contract a travel insurance?


Yes. It is strongly recommended that you get a travel insurance during your trip to your facilities.

What type of anesthetic is most suitable in breast removal in males?


Without doubt we recommend the safe techniques of a general or total anesthetic. In breast removal in males surgery, the greatest safety, absence of pain and best results are achieved by general anesthetic performed in authorised hospitals. Although they continue to be performed in other centres, breast removal in males treatments performed under a supposed local anesthetic are high-risk procedures in the opinion of our specialist team of surgeons and anesthetists. There are several reasons for rejecting a local anesthetic. First, because the dose of anesthetic to be introduced into the breasts is so high that it could become toxic, possibly causing serious complications. Also, because the application of local anesthetic has to be by deep injection into the breasts which is very painful; for this reason the anesthetist often has to resort to improvising an uncontrolled and dangerous general anesthetic. Finally, we reject these practices under a false local anesthetic because it only enables the application of insufficient or incomplete techniques that nowadays is neither adequate nor correct according to the most modern sources. For your safety and with your best interests in mind our Specialists recommend a general anesthetic in gynecomastia surgery, with a day case stay in the clinic.

Should I purchase additional hospital stay if I travel alone to your facilities to get my treatment done?


We strongly recommend that you extend your hospital stay if you travel alone to receive your treatments in our facilities, however some patients come and return by themselves alone consuming the basic hospital stay included in the treatments package with no hesitation or issues.

What should I demand when I undergo a Cosmetic Surgery treatment?


All operations must be performed by a Specialist in Plastic, Cosmetic and Reconstructive surgery, with the presence of a Specialist in Anesthesia and Resuscitation, in a fully equipped operating theatre. Both the operating theatre and the hospitalization area must be fully authorised for surgical assistance, with the due support systems.

Can I have an operation on the day my period is due?


Yes, there is no interaction between menstruation and any of our treatments.

Will I be told the truth?


Clients consulting with us can rest assured that a medical criterion prevails, and that they will be treated as patients of a service dedicated to health improvement.

The medical aspects established by the Specialists form the criterion by which the commercial aspect is conditioned.

We value more the reliability of our product than the sales techniques as an absolute value. We know that our prestige is highly regarded by our clients and therefore, we do not hesitate to go against commercial criteria and defend the quality of our treatments.

We will always advise what is best for the patient, even if this means the patient not undergoing a treatment with us.

What can I do if I need postoperative attention or suffer a medical emergency?


We put at the disposal of the patient an urgent medical postoperative assistance system, which consists in a telephone number and a web-based application formulary, both accessible from our website, all of them communicating with the Medical Team. The patient is compromised to a proper use of the before mentioned system, and should use it for any query, consultation or need for medical assistance before the operation or during the postoperative period. We assume no responsibility in the case the patient attends any other source, person or organization for medical attention, different from the system hereby mentioned, or in the case the patient takes any decision under his/her own or third persons/parties criterion. The urgent medical postoperative assistance system may not be operative due to reasons beyond the our control, or also the communication might not be possible if the Medical Team is temporarily busy or unavailable, under which circumstances the patient is compromised to repeat the communication attempt as many times as required to obtain the suitable medical attention, resorting alternatively and equally either to the telephone number as well as the web formulary. The patient accepts and understands that telephony offers certain degree of immediacy for the attention but lacks visual data performance, and the web-based formulary provides a delayed way of communication in terms of the reception of the messages though offers the best information since allows sending image files, thus corresponds to the patient selecting the most suitable method to request medical attention, depending on the type of assistance that might be necessary. Only in the case of extreme need and impossibility of reaching the Medical Team, the patient must go to the Health Centre where the operation was performed.

Are there any risks with the anesthesia?


Without doubt the safest anesthetic technique in healthy people and in the majority of operations in Cosmetic Surgery is a general anesthetic. This technique provides the highest degree of control over the situation regarding the patient.

A false sentiment exists in many patients that local anesthetic is safer than general anesthetic. In general, this opinion is incorrect, for local anesthetic is high risk in surgery that affects large areas or determined parts of the anatomy.

Local anesthetic substances are not innocuous, and over and above certain doses, which may be necessary in extensive areas of treatment, can produce serious and irreversible complications. Furthermore, application on a large area can only be achieved by causing a lot of pain to the patient and a complete blocking out of sensibility can never be obtained. This requires additional anesthetic resources to be applied with scant control through not having been correctly planned.

In the same way, many patients may believe that if their treatment requires an overnight or long stay in the hospital it must be safer or they are receiving better attentionless aggressive. This is one of the most dangerous deceptions a person can fall victim to at other centres.

Only at a hospital can the care, medication and vigilance required in the immediate postoperative phase be provided in order to avoid complications or find the correct solution. All forms of anesthesia may be safe or dangerous, dependent on the appropriate application being given in the correct instance. But also it is a well known scientific fact that early discharge from hospital and the sooner the patients leaves the sanitary facilities the rate of infections and other complications is dramatically reduced.

We follow the principle of establishing maximum guarantees using the less invasive and less hazardous postoperative management, selecting the combination that offers most safety to our patients, only taking into consideration medical factors.

What type of anesthetic is most suitable in cheekbone and chin surgery?


A cheek or chin implant operation can be performed with full guarantees using a local anesthetic. As it is a small surface area the volume of anesthetic substance used is minimal, making it a matter of choice. This is a treatment in which the Specialist works within the field of vision of the patient where unforeseen movements can cause the patient unnecessary emotional stress. Therefore our Specialists administer an associated sedative to relax the patient giving them an agreeable sensation of comfort, as well as allowing the Specialist to proceed with the treatment with ease. For your safety and in order to achieve the best results our Specialists recommend a local anesthetic with an associated sedative in a cheek or chin operation, staying in the clinic for a few hours and being discharged the same day. Total anesthesia is required for the osseous genioplasty which is highly superior to chin implants.

Is it necessary to be hospitalised?


It depends on the operation and the anesthetic that has been administered. It can vary from between a few minutes for sedation techniques, few hours in medium surgeries under general anesthetic to stays of between 1 or more nights in Hospital for major surgeries, depending on the procedure. The hospital stay is always established regarding the maximum guarantees for the patient.

What type of anesthetic is most suitable in calf implants?


Without hesitation we would have to recommend and practise the safe techniques of a general or total anesthetic. In calf implants operations the greater safety, absence of pain and best results are achieved administering a general anesthetic in an authorised hospital. Although still being practised in other centres, calf implants treatments performed under a supposed local anesthetic are high-risk procedures in the opinion of all our specialist team of surgeons and anesthetists. There are several reasons for rejecting a local anesthetic. Firstly, because the dose of anesthetic to be introduced into the tissue is so high it could become toxic, possibly causing serious complications. Also because the application of a local anesthetic is by deep injections into the tissue and these are terribly painful; in these circumstances the anesthetist is often obliged to improvise by administering an uncontrolled and highly dangerous general anesthetic. Finally, we reject these practices under a false local anesthetic because they only allow for simple or obsolete techniques to be performed, that nowadays is no longer adequate or correct in the world of modern scientific knowledge. For your safety and in order to achieve the best results, our Specialists recommend a general anesthetic for a calf implants operation with day case stay in the clinic.

Can more than one treatment be performed at any one time?


It will all depend on the evaluation that our Medical Team give in each case. It is frequently possible to perform more than one technique simultaneously, resulting in a significant economic saving, also a saving in time and inconvenience for our patients.

What are your Frequently Asked Questions in Cosmetic Surgery?


The FAQs is an application that allows the user to perform search queries within the most common questions and answers stored regarding the queries submitted long the years by patients and customers seeking, as you do now, to solve their questions and issues with the help of our medical and commercial agents. You can search for Solutions in different ways:
-Browsing the different categories within the FAQs
-Using the search field and guided search engine, which provides matching accuracy to the content of the query performed
-In a combined method, starting with the selection of the category within the FAQs that you consider suitable, and performing a search query inside that category with the search engine of the application

Who is going to perform my operation?


All our treatments are performed by our professionals. They will always be Specialists in Plastic, Cosmetic and Reparative Surgery, with the presence of a Specialist in Anesthesia and Resuscitation in the operating theatre, and with a team of however many assistants needed in each requirement. The patient will be interviewed, prior to the operation, by the Specialists, Surgeon and Anesthetist responsible in each case.

What tests will be carried out before the anesthetic?


As a general rule all our patients are examined prior to the anesthetic and given a series of preoperative tests. These can include a blood test, biochemical test, coagulation test, electrocardiogram and chest x-ray among others. Our Specialists in Anesthesia then study the results and will evaluate the patient before the treatment with On Premise Consultation.

How do you avoid complications?


Our philosophy is to offer safety. To this end we practise pre-selection of cases and only propose treatments for those cases that can depend on the highest level of guarantee of success. We individually establish the means required for each procedure in order for it to be safe. If we feel this is not possible, we tell the patient, providing them with full information with the reasons why we do not recommend the operation.

What can I use the web formulary for?


The web formulary is the application at our website in which the whole relationship between our customers and both the Medical Team and the Sales Department is centralized, offering medical as well as commercial support to the patients and customers. Through the web formulary you can:

-Book your treatment and request reservation
-Organize the logistics for your treatment
-Register queries and consultations, both medical or commercial
-Upload images to allow the Medical Team evaluate your treatment or situation

Is there any relation between the duration of an operation and its safety?


Within a wide margin and in a healthy patient, it can be said that the duration of a Cosmetic Surgery operation is not a fundamental factor in establishing its safety. What is much more important is the health of the patient and their medical history. In any case the spectrum of modifications is so broad that only the criterion of the Specialists can define each case. We never perform operations that imply an added risk to our patients.

What kind of place is best for me to have a Cosmetic Surgery operation?


Maximum guarantees for any operation are to be found in the private Hospitals in which we perform our treatments. In a Hospital we have at our disposal all the medical Specialties and requisite health resources to cover any necessities that could arise.

Can I have an operation if I have a chronic health problem?


It will depend on the kind of illness, the control over this illness, the age of the patient and the kind of treatment requested. Our Medical Team will study each case in detail, and will always strive for the greatest guarantees of success. Frequent symptoms such as hypertension, asthma, thyroid problems or diabetes, among others, can be perfectly compatible with Cosmetic Surgery.

Who are your Specialists and which are their certifications and credentials?


DR. ALEJANDRO NOGUEIRA – Plastic Surgeon
-General Practitioner
-Specialist in Plastic, Cosmetic and Reconstructive Surgery
-National Registry of Titles: nº 2000073967
-Physician Registered at the Spanish Medical Association (Organización Médica Colegial - O.M.C.): nº 293308942
-Member of the Spanish Society of Plastic, Cosmetic and Reconstructive Surgery (Sociedad Española de Cirugía Plástica, Estética y Reparadora - S.E.C.P.R.E.): nº 574


DR. MAR SALMONES – Anesthetist
-General Practitioner
-Specialist in Anethesiology and Resuscitation
-National Registry of Titles: nº 1998210114
-Physician Registered at the Spanish Medical Association (Organización Médica Colegial - O.M.C.): nº 293904729
-Miembro of the Spanish Society of Anethesiology and Resuscitation (Sociedad Española de Anestesiología y Reanimación - S.E.D.A.R.): nº 3731

Is there an age limit to having an operation?


In general, there is no established age limit. The state of health is more important than the age and, depending on the treatment, age is the factor making the operation suitable. It would finally be the evaluation of numerous medical and technical factors that would determine the best kind of operation for each case.

How are your anesthesia protocols?


We are aware that our work consists in offering safety to patients requiring Cosmetic Surgery at a top level. We therefore totally reject deceitful, dishonest, unsafe and painful anesthetic practices.

It may seem paradoxical or contrary to habitual practice, but local anesthetic implies an enormous risk in certain operations, such as major facial surgery, breast and abdomen surgery or in large liposuctions, and, in spite of this risk, local anesthetic is used in many centres with little professionalism and excessive commercialism.

We have established a protocol that offers the highest levels of safety and comfort in each treatment, which we then adapt to every particular case if necessary, evaluating exclusively queries of a medical nature:
-General Anesthetic: Rejuvenation of face and neck, full nose rhinoplasty, osseous genioplasty, breast surgery, extensive liposuction, abdominoplasty or tummy tuck, in general for any kind of major and combined surgery.
-Local Anesthetic with associated Sedation: eyelids, ears, cheek and chin implants, tip of the nose, small liposuctions, small retouches, in general for any kind of minor and simple surgery.

Types of Anesthesia


Different anesthetic procedures are chosen with a view to applying the appropriate technique to each operation, always bearing in mind the safety and recuperation of the patient.

-General or total Anesthesia: This is the most traditional kind of anesthetic, in which the patient is completely ""put under"". It is considered to be the safest and most comfortable in the majority of Cosmetic Surgery treatments. The main advantages are that the patient has only a memory of having ""gone to sleep"" for a few minutes, irrespective of the time spent in the operating theatre, and also that the surgeon can work with absolute concentration without a time limit. This method requires at least a day case stay in the clinic.

-Epidural Anesthesia: This is the same technique that is usually applied in childbirth. It consists in applying a small amount of local anesthetic around the nerve ends of the lumbar region in the back. In this way all sensation is completely blocked out from the level of the tummy button downwards, through the lower abdomen and down the legs. A light sedative is given in conjunction with this method in order to prevent anxiety and stress in the patient. The advantage is that it can be used as a substitute for a general anesthetic in certain operations such as on abdomen or on legs, when that general anesthetic is disregarded. A day case stay in the clinic is recommended.

-Local Anesthesia: This consists in injecting anesthetic agents into the tissue area to be operated on, around the area or by blocking out peripheral nerves that provide sensibility. Depending on the treatment a light sedative is also given to the patient to prevent anxiety and stress. The main advantage is that a stay in the clinic is not necessary. It is appropriate for operations on small areas that do not require a high volume anesthetic agent.

-Sedation: This consists in administering tranquillising substances to patients who will remain awake throughout, albeit in an agreeable relaxed state which also produces amnesia so that the patient only retains a vague and agreeable memory of their stay in the operating theatre. Sedation is used as a complementary technique in conjunction with local or regional anesthesia, such as an epidural. If sedation is administered the patient need only stay in the clinic for a few minutes until feeling fully recovered.

What type of anesthetic is most suitable in otoplasty?


An otoplasty operation can be performed with full guarantee under local anesthetic. As the surface area is small the volume of anesthetic substance is minimal, thereby making it a matter of choice. Our anesthetists apply an associated sedative to relax the patient giving them an agreeable sensation of comfort, at the same time allowing for easy procedure of the treatment. For your safety and in order to achieve the best results our Specialists recommend a local anesthetic together with associated sedative for an otoplasty operation, staying for a few hours in the clinic, being discharged the same day.

Why can I be deceived at other centres regarding my Cosmetic Surgery operation?


Be very careful with false expectations, deceptions and miraculous recuperations. We are Specialists and we search for the best for our patients. In many centres operations are performed by doctors who state it is not necessary to be a Plastic, Cosmetic and Reconstructive Surgery Specialist to perform this treatment, or that it is not really surgery; they accept unsuitable cases or those running a high risk and they even perform the procedure in consulting rooms or pseudo operating theatres, without support system installations, or in day clinics so that patients do not stay in a real hospital long enough to recuperate safely. They may also suggest doing the operation with only a local anesthetic, even without anesthetist or sedative back up, without conducting preoperative tests, returning home a short while after the operation with a view to working the next day. Beware! Look for seriousness and safety, demand specialists, treatment in an operating theatre and the presence of an anesthetist, rely on our conservative and safe practices.

Is anesthesia safe?


Our team of specialists, both the Plastic Surgeons and the Anesthetists establish an individualised protocol for each patient which is also based on a previously established philosophy that guides the whole attendance process. Nowadays many myths continue to linger regarding anesthesia which, in these paragraphs, we wish to wipe out once and for all. It is a sad truth that many centres try to deceive patients with arguments that are neither professional nor scientific, placing the health of the patient at risk for purely monetary gain. We want to offer complete information about the role of anesthesia in Cosmetic Surgery, from a serious point of view, inasmuch that surgical intervention with us is at the same level as any other surgical speciality.

Inaccuracies and falsehoods in General Concepts


It is not necessary to be a Specialist in Plastic, Cosmetic and Reparative Surgery or in Anesthesia to perform these operations - FALSE
It is not necessary to have a foreign title as a Specialist officially recognised in Spain and the European Union in order to practise Plastic Surgery in Spain or in the European Union - FALSE
Many years experience of performing operations qualifies a person to continue practising even if they do not have a medical title - FALSE
Any plastic surgeon is qualified to perform all the operations, however difficult - FALSE
All plastic surgeons have the same professional level and the same honesty - FALSE
A doctor is never going to put my health or my life in danger, especially if he/she is a specialist - FALSE
A doctor never lies particularly if he/she is a specialist - FALSE
A doctor is never going to perform risky treatments solely to earn more money - FALSE
Cosmetic Surgery is performed differently to other specialties because it is different - FALSE
At any Cosmetic Surgery centre I shall be attended to outside working hours if necessary - FALSE
Our prices are higher therefore we are better - FALSE
If you are charged less it is because the service is worse or they have fewer facilities - FALSE

Inaccuracies and falsehoods in Medical Concepts


It is just as safe to have an operation not in an operating theatre or if the operating theatre is in a centre that is not a hospital - FALSE
It is always better to spend a night in the clinic - FALSE
An operation does not contain any risks - FALSE
Two treatments cannot be performed together - FALSE
Any number of treatments desired by the patient can be performed, without limit - FALSE
The treatment can always be what the patient wants, because it is Cosmetic Surgery - FALSE
If a Specialist refuses to perform the operation requested by the patient it is because he/she does not know how to do it - FALSE
No scars remain in Cosmetic Surgery - FALSE
Scars fade with time, by laser or with other treatments - FALSE
Shape and size of pairs of organs such as ears, eyelids, sides of face, breasts, legs, etc. can be levelled equally 100%. - FALSE

What must I know about anesthesia?


Probably the question about which there are most myths and popular mistaken beliefs. It is also the aspect that many other companies use most when manipulating the information offered to their patients for commercial purposes. We therefore recommend that you read all the content in the section exclusively dedicated to this topic.

Inaccuracies and falsehoods about the Anesthesia


A local anesthetic is always safer than any other - FALSE
A local anesthetic is never dangerous - FALSE
The application of a local anesthetic does not hurt - FALSE
The blocking out of pain obtained with a local anesthetic is always complete - FALSE
A local anesthetic is not toxic even if used over a wide superficial area - FALSE
Operations using local anesthetic always use just the local anesthetic, only administering a small amount of tranquilizing medication - FALSE
You save money with a local anesthetic - FALSE
A general anesthetic is more dangerous - FALSE
A general anesthetic has to be urinated or vomited out - FALSE
The risk taken with the anesthetic is directly related to the length of the operation - FALSE
The presence of an anesthetist is not needed during an operation - FALSE

What is the role of the anesthetist?


The Specialist in the field of Anesthesia has a basic role with us because this is the person who is going to take most care of the patient. Each case will be studied prior to the operation, all necessary tests will be requested, the Specialist will carry out his/her own study and will coordinate with the Surgeon regarding the procedure to be used.

The Anesthetist is the professional who provides the safety element in operations of any speciality, and at us he/she will be at the disposal of patients for any queries they may have. The work of the Anesthetist guarantees a painless procedure, reducing stress in a totally safe way and with maximum comfort.

Thanks to the Anesthetists our surgeons can apply their treatments with precision. In the postoperative phase the Anesthetist is the person who takes care of the recuperation of the patient, eliminating any discomfort that may be felt and attending to any incident at which his/her presence is required.

Fundamental basics of Anesthesia


The technicalities of anesthesia arise from the need to undertake surgical intervention without causing pain to the patient. Starting from this principle anesthetic procedures have developed which are ever safer, more conservative and with quicker recuperative qualities. Thanks to the evolution of the anesthetics many interventions that in the past were technically unviable, are now possible, and can be carried out with greater safety and better recuperative qualities. An anesthetic technique that is exclusive to Cosmetic Surgery does not exist, and the same methods are applied that are used in any surgical speciality (Gynaecology, General Surgery, Traumatology, etc.). It is therefore imperative that the same safety measures and vigilance should be applied. Any intent to establish differences in the field of Cosmetic Surgery implies an unacceptable risk. During anesthesia a total blocking out of pain and sensibility is the objective together with controlled and stable physiological conditions, working within total coordination with the surgical team in order to make the operation precise, efficient and successful, to the greatest possible comfort of the patient. We work with the same human and material resources, the same safety measures and using the same techniques as in the best health centres, both public and private, and at the same level as with any other speciality. We never sacrifice guarantees for commercial purposes, neither do we indulge in risk taking practices. With us you can be fully assured you will receive treatment at the highest level.

Are your anesthesia techniques safe?


Anesthetic techniques in healthy people for controlled and safe operations, such as those we practice in Cosmetic Surgery at our facilities, are totally guaranteed in quality and reliability.

It has been many years since the anesthetic was the riskiest part of a surgical operation. It has now become normalised and is practically without incident. The latest anesthetic medications, important technological developments and the high level of professionalism have brought the application of anesthesia to the current level of safety.

To obtain this high level it is necessary to work with hospital centres that are fully equipped with the requisite support units, for all of which we are your best guarantee. It must not be forgotten that, among other factors, it is prudence in selecting the appropriate anesthetic technique and the correct evaluation in each case by our team that makes us so sure of our standing.


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