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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.

Will the ears stick out again?


The characteristics of the most efficient techniques of an otoplasty operation consist in producing a permanent modification of the outer ear, maintaining the shape desired by the patient. Reproduction of the separation is quite an undesirable complication.

Will it notice that I have had an operation on my ears?


Persons closest to the patient will notice a considerable change but somebody who has never seen the patient will not suspect that the ears have been modified by Cosmetic Surgery. Our objective is to achieve a natural look, in proportion to the face, making it credible that the result is not the outcome of an operation.

Technical datasheet for otoplasty


-Anesthetic: local+sedation
-Surgical time: 1 hour
-Hospital stay: outpatient
-Proximity stay: 1 day
-Postoperative pain: 2 (scale from 1 to 5)
-Postoperative bandages: 1 week , then garment for 3 weeks
-Sick leave: 2 days
-Complementary treatments: not required
-Cosmetic recovery: 1 month 80%, 3 months 90%, 6 months 95%, 12 months 100%
-Scars: behind the ears; 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.

Will there be any scar to the skin following the ears operation?


Otoplasty techniques are performed making perfectly discreet incisions into the natural fold behind the outer ear. It is not visible at a simple glance and generally produces scars of a very high cosmetic quality. Different techniques exist that our Specialists regularly handle to achieve the best results. They will give you precise information about your individual case.

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.

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


This is quite a normal procedure and is much requested by our patients. There is no reason not to perform a rhinoplasty or breast augmentation together in the same operation with an otoplasty, to give an example.

Will differences between each ear be corrected with an otoplasty operation?


A more or less remarkable difference in ears is normal in almost all persons and, not only does not need correcting but is unfeasible, to address the problem usually leads to inadequate results. If the difference is considerable the Specialists can improve the ears by reducing the size and taking portions with additional scars and normally in secondary procedures. If the assimetry is a complex one, some differences will always persist.

Inaccuracies and falsehoods about Ear Treatments


Otoplasty can be done without surgery - FALSE
In an otoplasty operation the cartilage is not touched - FALSE
An otoplasty consists in a small amount of skin being removed from behind the ear - FALSE
It is not necessary for an anesthetist to be present during the operation - FALSE
If the two ears are different they can be made to look exactly the same - FALSE

Is there any relation between the treatment of the outer ears and the inner ear?


No. Surgery on the outer ears only corrects the external structures of the ear. The Specialist is working at a superficial level and on the tissue outside the cavity where hearing is produced and which is not affected at all.

Can an otoplasty be performed on children?


Yes. It is one of the Cosmetic Surgery operations that we consider acceptable for children. For psychological reasons and for social and scholastic integration, the correction of outer ears that stick out can be performed with the same degree of success as for adults, and can be performed on minors if requested by their parents. The only difference is the need to administer a general anesthetic on children as it is not possible to operate on them using a local anesthetic.


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