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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.

Is there a treatment that removes all signs of facial aging?

No. Each sign in the face showing the passing of the years has a different origin. Certain problems derive from an excess of skin, muscular hypertrophy or excessive expression, solar aging, the effects of gravity on the deepest facial tissue, sagging of the muscles, progressive shrinkage of the face, accumulation of fat and aging stains to the skin, among others. It is a known fact within the international scientific community that facial cosmetic surgery consists of several treatments and, only with a profound knowledge of the aging process and by mastering all these techniques, can our Specialists offer the maximum degree of successful results.

Is it safe to have a rhinoplasty, a cheekbone or chin augmentation, a facial rejuvenation, a blepharoplasty or a lifting done using injected substances?

Injecting synthetic substances into the depths of facial tissue in order to enlarge or give volume to parts of the face is, in the opinion of world Specialists consensus, a totally inadvisable procedure. Solid implants are immeasurably better than injections, and the latter are not going to achieve the same perfection. Another disadvantage is that over time the injected substances tend to fragment, produce inflammatory hotspots or deformities, this is a disease named iatrogenic allogenosis. If the patient wishes, solid implants can be easily removed at any time, which is not the case with injected substances.

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.

Can various facial rejuvenation techniques be combined in one operation?

This is quite normal and much requested by our patients. There is no reason not to perform an eyelid treatment together with an eyebrow lifting or a face and neck lifting, in the same operation, to give an example.

Will the result of my eyebrows, face or neck rejuvenation look natural?

Yes. The quality of the rejuvenation treatment received at us is of the highest, at a level with the best international centres. The key lies in our professionals being highly qualified in this field. The techniques used are guided towards a direct treatment of the problem causing the aging process, and not merely stretching or eliminating the skin.

Will there be any scar to the skin following the eyebrows, face and neck rejuvenation operations?

Facial rejuvenation techniques consist in making perfectly discreet incisions into the hair of the scalp, at the hair lines, into the natural folds around the ears or those areas not visible at a simple glance, that generally produce scars of a very high cosmetic quality. Different techniques exist that our Specialists work with all the time to achieve the best results. They will give you precise information about your individual case.

Do effective non-surgical complementary rejuvenation treatments exist?

Certain facial wrinkles are due to an excess of muscular contraction that can be treated with botulinum toxin injections, that is a highly effective and safe product. The wrinkles derived from solar aging such as the stains to the skin can be treated with superficial cutaneous techniques, such as laser or peeling. Those wrinkles that form around the lips, popularly known as crows feet can also be removed by deep laser or peeling procedure

Are filling products effective against aging?

No. It is obvious that filling products can only be applied where there is a lack of volume in a particular area. This procedure will not therefore eliminate wrinkles nor can it correct the effects of aging. In spite of this obvious reality many centres affirm that filling products help to give a younger look. Their use in these cases only leads to grotesque deformities that are, at times, irreparable. Do not be deceived and be advised by our Specialists.

What difference is there between the double chin and an aged neck?

Our patients frequently request a correction to the double chin when the symptoms presented are of an aging neck. The double chin shows an accumulation of fat just beneath the chin, usually hereditary and appearing in young patients. However, aging neck presents a combination of excess skin, muscular flaccidity and a general accumulation of fat in the neck. The recommended treatment for the double chin is liposuction and, for an aging neck, a modern muscular lifting is appropriate.

Why is there such a lack of authentic Specialists in facial rejuvenation surgery?

It is due to the complexities of the treatments, the need to know and master the combination of numerous techniques; it requires manual dexterity, meticulousness and sufficient training to master the area of the face and neck. There is also the fact that there is sufficient demand in the market for much simpler operations that are within the range of experience of many professionals. We have one of the few specially trained teams who are dedicated to the repair of consequences of aging of face and neck in Cosmetic Surgery.

Technical datasheet for cervicofacial lifting

-Anesthetic: total
-Surgical time: 4 hours
-Hospital stay: 1 night ICU+1 night standard room
-Proximity stay: 1 week
-Postoperative pain: 2 (scale from 1 to 5)
-Postoperative bandages: not required
-Sick leave: 2 weeks
-Complementary treatments: not required
-Cosmetic recovery: 1 month 80%, 3 months 90%, 6 months 95%, 12 months 100%
-Scars: folds and hair around the ear, under the chin; concealed

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.

Technical datasheet for eyebrow elevation

-Anesthetic: total
-Surgical time: 1 hour
-Hospital stay: day case
-Proximity stay: 1 day
-Postoperative pain: 1 (scale from 1 to 5)
-Postoperative bandages: not required
-Sick leave: 2 days
-Complementary treatments: not required
-Cosmetic recovery: 1 month 80%, 3 months 90%, 6 months 95%, 12 months 100%
-Scars: inside the hairy skin of the temple; non-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.

Do cheekbone and chin implants correct aging?

Many patients benefit from facial implants in the improvement to the shape of their face, especially if the facial structure has suffered from atrophy over the passing years. But this operation can never correct an excess of skin or wrinkles produced as a result of aging. For these symptoms the modern muscular lifting is irreplaceable. Allow our Specialists to evaluate your case professionally.

Will my facial expression change if I have my eyebrows, face or neck surgeries?

No. The rejuvenation treatments we offer allow you to continue being the same person, with your same expression, but younger and with the same features, as simple and as natural as that.

Inaccuracies and falsehoods about Lifting

Lifting without surgery exists - FALSE
Lifting is performed better with a local anesthetic - FALSE
There are alternatives to lifting - FALSE
Facelifted faces look all the same - FALSE
One sole technique can rejuvenate the whole forehead, eyebrows, face and neck - FALSE
Lipofilling or filling with fat is a good treatment for aging - FALSE
Facial filling materials correct aging and eliminate wrinkles - FALSE
"Crows feet" are eliminated with filling materials - FALSE
Fillings of silicone injected into the tissue are safe and legal - FALSE
Fillings of fat last a long time - FALSE
Enlargement in cheeks, face or chin can be safely performed with injected substances - FALSE
Filling materials safely resolve the lack of volume in certain parts of the body - FALSE
Endoscopic techniques in lifting are better than any others - FALSE
Lifting is only stretching the skin - FALSE
Modern lifting techniques leave the face looking stretched - FALSE
Muscular lifting consists in giving a little pull to the structures - FALSE
A well performed lifting is completed swiftly and in little time - FALSE
A modern muscular lifting can be performed by any surgeon - FALSE
Lifting eliminates the wrinkles caused by solar aging and those developed from expression - FALSE
There are minilifting techniques and they are better - FALSE
An aged neck is best treated with liposuction - FALSE
Double chin can exist in older people - FALSE
A face lifting or neck lifting have to be done separately - FALSE
Low eyebrows are corrected with a blepharoplasty operation - FALSE

Why are there different areas of treatment for the eyebrows, face and neck?

Although the patient perceives each external sign of aging as a separate issue, a profound and functional anatomical knowledge of the signs of aging leads to surgical procedures based on the application of scientific concepts. Several groups of treatment exist that are applied to different areas achieving various simultaneous effects. Problems appearing on the surface cannot be separated individually, because the situation on the inside causing the problem is more complex. Specialists speak of the upper 2/3 of the face, an area including the forehead, orbital region, eyebrows and cheeks, and of the lower 2/3 of the face, affecting the cheeks, jawline and neck.

Are stretching or simple lifting techniques obsolete?

Yes. Nowadays Cosmetic Surgery has reached a high degree of scientific knowledge and corresponding results. Simple skin stretching techniques produce completely artificial results with a "stretched" face, lasting only a relatively short time. Frequently they are associated with disagreeable consequences or very poor quality scars. We offer top-level techniques, treating the deepest facial tissue, superficial muscle and the accumulation of fat, besides eliminating the unwanted skin. One cannot pretend to mould the face only by removing and tautening the skin. The face and the neck have to be worked on directly and, once corrected, the remaining skin is addressed, but never the other way round.

Does lifting exist without surgery?

No. Statements like these are indefensible contradictions. Lifting is a surgical treatment that is irreplaceable when reconstructing the features of the face that have suffered the effects of aging. Although it is true it is not the only option, the same effects cannot be obtained with any other procedure. It must not be forgotten that the passing of the years is shown primarily in the sagging of the deep tissue and muscles in the face, and that the skin is often a minor factor.

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