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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.

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

Am I a good case for liposuction?


There are many factors to be evaluated when contemplating liposuction: age, weight, anatomical region, skin quality, stretch marks, lipodystrophy, cellulitis, varicose veins, oedemas, flaccidity, excess skin etc. You may be the ideal patient for liposuction or, in spite of being eligible, you may have an added complication such as cellulitis, that has to be accepted. If the case does not offer a good guarantee of success, we would reject the possibility without hesitation, because we feel that this is the most honest and professional attitude to take with our patients who, are basically looking for an independent medical opinion, without deception.

Can the extracted fat reproduce itself if I gain weight after a liposuction?


The extracted tissue does not reproduce itself. In areas of lipodystrophy or chronic presence of fat a new accumulation is not to be expected, even if weight is gained following the treatment. If the patient gains weight following a liposuction operation the volume will appear in non treated areas, particularly those where calorific deposits usually accumulate.

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 remove cellulitis with liposuction?


No. Neither liposuction nor any other technique or surgical treatment removes cellulitis and whoever states the contrary, is literally deceiving the patient. Cellulitis is a chronic irregularity of the circulation within the fatty tissue, generally in the legs and on the buttocks, that creates an oedema or accumulation of liquid within it. Cellulitis can appear in chronic accumulations of fat or lipodystrophy. From the outside an increase in volume and thickening of the contour is visible together with the skin irregularities known as the orange peel effect. Treatment for cellulitis is never an operation. Other treatments exist such as lymph drainage or others that control the problem and improve it, although it is never completely removed, or for very long, so the treatments have to be repeated.

Will there be a scar on the skin after the liposuction operation?


Liposuction techniques consist in tiny incisions, of merely a few millimetres that, after a while become almost imperceptible. Our specialists design the intervention so that the areas where the liposuction implements are inserted are as discreet as possible. Generally, the scars produced are of a very high cosmetic quality. Different techniques exist that our Specialists deal with regularly to achieve the best results. They will give you precise information regarding your case.

How is the fatty tissue extracted in liposuction?


The liposuction cannula has an special design that is attached to a vacuum machine and is able to extract almost exclusively the adipose and accumulations of fat, without encroaching on other structures.

Technical datasheet for liposuction


-Anesthetic: local+sedation or total
-Surgical time: 1 or 2 hours
-Hospital stay: outpatient or day case
-Proximity stay: 2 days or 1 week
-Postoperative pain: 2 or 3 (scale from 1 to 5)
-Postoperative bandages: garment 2 or 3 weeks
-Sick leave: 1 or 2 weeks
-Complementary treatments: infrequently massages
-Cosmetic recovery: 1 month 60%, 3 months 80%, 6 months 90%, 12 months 100%
-Scars: one or two few milimetres wide per area; 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.

Inaccuracies and falsehoods about Liposuction


Liposuction is performed better with a local anesthetic - FALSE
Liposuction is not really an operation because it only extracts fats - FALSE
It is not necessary to perform a liposuction in either an operating theatre or a hospital - FALSE
Liposuction eliminates cellulitis and flaccidity from the skin - FALSE
Liposuction can be performed at any age - FALSE
Liposuction can be performed on any part of the body - FALSE
Liposuction can be performed on any patient requesting it - FALSE
Weight loss can be achieved with a liposuction - FALSE
Ultrasonic liposuction is better and safer - FALSE
There are new techniques available that are better than liposuction - FALSE
Liposuction corrects the consequences of pregnancy in the abdomen - FALSE

What areas of the body are most suited to liposuction?


In general, the areas of the body that give the best results from liposuction are the double chin, breasts in men, the flanks and hips, the lower abdomen, the side of the thigh, the area under the buttocks, the inner thigh and the inner knee. Each case would have to be individually assessed by our Specialists.

What difference is there between liposuction and liposculpture, lipoplasty, etc.?


None. All those terms and many others describe the same liposuction procedure. Liposculpture and others do not consist in anything newer or more special. They do not exist in scientific literature. In many centres liposculpture and others are spoken of as something more advanced or with superior results, but this is only a commercial strategy, because the treatment applied is simply and not less than liposuction. Liposuction is a way of modelling and really sculpting the fatty contour of the body, thereby encapsulating the concept of liposculpture and all other names.

What can be done if I want to have a liposuction and there is leftover skin?


It may be that the liposuction can be combined with other techniques or that the liposuction itself is not the correct treatment for that case. The best thing to have is a professional evaluation with our Specialists, who will give and independent and honest guarantee.

On what kinds of fat is liposuction most effective?


Without doubt chronic accumulations of fat that cannot be dispersed with diet or sporting activity. Scientifically known as lipodystrophy, the origin is constitutional or hereditary. It is a further aspect of the particularities of an individual, such as hair colour or shape of the nose. The shape of the body can also be conditioned by these areas of lipodystrophy.

Is liposuction suitable for thin people?


The best application of liposuction is in patients who are not obese but have a chronic accumulation of fat that deforms the contour of the body.

Does liposuction correct excess skin and flaccidity?


No. Liposuction is a technique designed on the fatty tissue and not for the skin. However one of the effects of liposuction is the contraction of the skin to eliminate the excess produced after having removed the inside volume of fat. If beforehand the patient shows a degree of flaccidity and excess skin, postoperatively will have the same degree and the postsurgical correction may not be total, depending on different factors in relation to the quality of the skin.

Is liposuction a method to lose weight?


No. Liposuction improves the shape of the body achieving spectacular results. Being overweight or obese are irregularities and even internal illnesses that need medical treatment and, in extreme cases of obesity, digestive surgery.

Is there loss of blood during the liposuction?


Our Specialists reduce blood loss to a minimum, using all the measures recommended in scientific literature to avoid that situation. The extracted volume is always within the confines of prudence and safety. At the end of the operation blood loss is minimal.

What is ultrasonic liposuction?


It is a technique that appeared in the 90's, different to the effective and safe traditional liposuction. The operation is essentially the same, performed with different instruments. The implement that sucks out the fat contains a probe at one end that emits ultrasonic waves. These ultrasonic waves destroy, burn and liquidise the fat and almost all other structures in their path. In theory, the advantage of this technique is a swifter and easier recuperation, and for the surgeon it is easier (imagine introducing a burning hot tool into a block of grease or fat). There have even been those who affirm that the results are better. It is not a defensible theory. We categorically reject the risk implied with the use of ultrasonic liposuction. Traditional liposuction has evolved over 40 years experience, and nowadays it is very safe and effective, with the same results as the ultrasonic operation. Ultrasonic liposuction is highly risky because the heat generated within the tissue is uncontrollable up to a point, and the possibility of serious burning is a real threat which all too frequently occurs. Postoperative burns are scientifically known as chronic inflammations, that are often irreversible, of the sensitive nerve ends in the areas operated on using ultrasound equipment. The pain is intense and unbearable and is very difficult to control with medication. Therefore, as the results are the same, the unacceptable consequences and the higher risks ensure that us and the majority of the professional community consider ultrasonic liposuction inadvisable.

On what factors does the result of a liposuction depend?


Naturally, on the work carried out by our excellent Specialists. But in liposuction there is one factor that is different from the remaining Cosmetic Surgery treatments. More than with any other technique the result depends on the quality of the inner tissue and the skin of the area to be treated. The key lies with the experience of the professional and his/her ability to establish a good preoperative assessment. We shall inform you with total honesty of the real expectations you can aspire to in your particular case.

Can I undergo a liposuction operation if I have cellulitis?


Yes. First of all you should be assessed by our Specialists, who will give you a professional examination and then make an honest and medical diagnosis. If you have sufficient accumulation of fat for liposuction, that also presents symptoms of cellulitis, you will be able to have the operation. You must understand, however, the shape of the body will effectively become greatly improved, but neither the cellulitis nor the skin irregularities will be removed.

Should liposuction be considered a surgical treatment?


Yes. Do not be deceived by those who tell you that it is not a real operation. It is of the same magnitude as any other operation. The mere fact that the patient does not notice significant external incisions does not make it less important. An abdominal laparoscopy, for example, also does not make significant incisions, but is still a surgical operation performed by Specialists in a Hospital. Liposuction is the same, the work is carried out on the inside, without there being much external evidence. Do not allow yourself to be deceived at other centres by this apparent advantage of the technique.

What can I do if I am obese and want to have a liposuction?


If you wish, at we assess your case at no cost or obligation. We shall always tell you the truth, we shall evaluate the degree of being overweight or obese and we shall diagnose your case. You run a high risk if you are obese and are about to undergo a liposuction operation. Consult us first. Our Specialists will recommend the best procedure for your situation, irrespective of commercial interests for; above all we offer medical services.

Is liposuction the answer to abdomen problems following pregnancy?


It may be that liposuction can partially improve these problems. The consequences of flaccidity, stretch marks and muscular weakness that develop following pregnancy can be best corrected by having an abdominoplasty, which is the treatment designed for these symptoms. If you wish, more information is available at the section on Tummy Tuck.


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