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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 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 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.

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.

How long do the cheekbone and chin implants last?


No period of time has been established following which facial implants have to be changed. What is true is that they do not last indefinitely, although they do for many years. Young patients certainly will have to change them at least once or twice in their life. The replacement operation is a relatively simple technique.

Can the cheekbone and chin implants break?


The top quality facial implants used by our Specialists have been subjected to so many rigorous quality controls that premature breakage is non-existent in practice. The implants can withstand considerable trauma, changes of pressure in air travel and all kinds of manipulation without being damaged. Should the content come out there is no motive for alarm, as the composition is usually totally made of silicone the same as the outer covering of the implant that is already in contact with the tissue.

Do the cheekbone and chin implants have to be checked up?


Between 6 and 12 months after the operation the patient will receive their medical discharge. From that moment on it is not necessary to have routine check ups. The patient will be the first to notice the need for a long-term check up. You can rest assured that our Specialists will be at your disposal at any time.

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.

Which techniques are the best alternatives for a cheekbone and chin augmentation, implants or osseous surgery?


In the case of chin augmentation we have an excellent option which is the osseous genioplasty. It is the advancement of a portion of the bony chin, which is slided forward to achieve the wished profile and a real volume increase, without the need for implants. Its main advantages are that we are using patient's own tissues to obtain the effect, the result is absolutely natural and that it lasts forever. Chin implants do not provide the most natural result, they can be visible in facial expression, they are likely to migrate and commonly they have few years lifetime as main drawbacks that makes osseus genioplasty a remarkably superior technique. Cheekbone implants, however, are considered safer, simpler and less aggressive than complex cheekbone osseous advancement surgery, since these implants last for longer, they are stable and produce a natural result.

Technical datasheet for chin advancement


-Anesthetic: total
-Surgical time: 2 hours
-Hospital stay: day case
-Proximity stay: 1 day
-Postoperative pain: 2 (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 mouth; 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."

Technical datasheet for chin augmentation


-Anesthetic: local+sedation
-Surgical time: 1 hour
-Hospital stay: outpatient
-Proximity stay: 1 day
-Postoperative pain: 1 (scale from 1 to 5)
-Postoperative bandages: not required
-Sick leave: 1 day
-Complementary treatments: not required
-Cosmetic recovery: 1 month 80%, 3 months 90%, 6 months 95%, 12 months 100%
-Scars: inside the mouth; 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.

Will the facial differences be corrected with cheekbone or chin implants?


A slight lack of facial symmetry is normal in almost everybody and, not only does not need correction but is unfeasible, to attempt it tends to lead to inadequate results. If the difference is considerable the Specialists can improve the facial aspect using implants of different shapes, sizes or volume, as well as other combined techniques. If the assimetry is a complex one, some differences will always persist.

Can other procedures also be performed in the same chin and cheekbone implants operation?


This is quite a normal procedure and much requested by our patients. There is no reason not to perform an eyelid treatment together with a cheek or chin enlargement in the same operation, to give an example.

Technical datasheet for cheekbone augmentation


-Anesthetic: local+sedation
-Surgical time: 1 hour
-Hospital stay: outpatient
-Proximity stay: 1 day
-Postoperative pain: 1 (scale from 1 to 5)
-Postoperative bandages: not required
-Sick leave: 1 day
-Complementary treatments: not required
-Cosmetic recovery: 1 month 80%, 3 months 90%, 6 months 95%, 12 months 100%
-Scars: inside the mouth; 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.

What is the ideal size for cheekbone and chin implants?


The choice of size, shape and type of implant used by our Specialists is based on the personal preference of each patient, their anatomic characteristics and technical aspects of the operation. The most important thing is for the patient to be able to transmit their ideal to the doctor, indicating the size they would like and for the Specialist to then combine that choice with the best implant. In this matter you can count on the assessment of all our team, for they harbour a wealth of experience in facial Cosmetic Surgery.

What materials are best for cheekbone and chin augmentation?


Modern solid implants of an anatomical design are the ones that obtain the best results. They can be manufactured using biocompatible substances such as silicone or others, offering full guarantees of design, safety and stability. The technique which offers most advantages for chin augmentation in long-term results is osseous genioplasty, sliding forward a bony portion without need for implants.

What is best for chin augmentation: implant or osseous genioplasty?


There are two options to enlarge the chin, one is inserting an implant to add volume, and other is sliding forward a portion of the chin bone what is called Osseous genioplasty. Both have pros and cons, and the patients must discuss them with the surgeon, however Osseous genioplasty offers more advantages and safety in the long-term experience. These are the comparative features:

CHIN IMPLANT:
-Feasible under local anesthetic and sedation
-It is superficial surgery not touching the bone
-Potential infectious hazard
-Survival of the implant for few years, removal is mandatory some moment in the not far future
-May displace and produce cosmetic, sensitive and painful disorders
-Facial expression may lead do visibility of the implant

OSSEOUS GENIOPLASTY:
-Total anesthesia is required
-It is directly aimed to modify the shape of the chin bone, with no foreign material from implants
-Unlikely to suffer infection, although sensitive nerve injury is possible
-Results are forever, no future surgery required
-The shape is stable and permanent, with no cosmetic disorders
-Much naturalness
-Improves the double chin by stretching mouth-floor muscles to their proper position
-Improves shape of face between cheek and chin by stretching oral and facial muscles to their proper position

Inaccuracies and falsehoods about Chin and Cheekbone Enlargement


A chin enlargement with implants is better than to work on the bone - FALSE
With a chin enlargement wrinkles and excess skin are eliminated - 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
Chin and cheekbone implants are nowadays lifetime devices that need no replacement - FALSE

Where are the cheekbone and chin implants situated?


Facial implants should be inserted as deeply as possible, to lie just on the bone structure. In this way our Specialist achieve greater safety and a more natural result, preventing the implants from displacements or being visible.

Will any scar be noticeable following the cheekbone or chin operation?


Incisions into the mouth produce very high quality cosmetic scars that, in any case, are totally hidden.

Where is it best to introduce the cheekbone and chin implants?


The most normal channel used in the international practice of cheek enlargement is through inside the mouth, at the level of the upper furrow between the lip and the teeth. If this operation is combined with a treatment of the eyelids, the same approach for both techniques can be evaluated as an option. Chin is commonly operated through inside the mouth, at the lower teeth furrow.


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