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Frequently Asked Questions


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.

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.

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

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

Will any scar be noticeable on the skin following the nose operation?

The techniques of a rhinoplasty operation consist in perfectly discreet incisions into the interior nasal mucous membrane that are not visible at a simple glance. In certain situations a special area of access is necessary in which a small mark is made to the central pillar separating the nasal orifices. However, the scar is of a very high cosmetic quality. In case of ear grafts harvesting an incision is made in the retroauricular fold quite concealed. Different techniques exist that our specialists handle regularly to achieve the best results. They will give you precise information regarding your individual case.

Inaccuracies and falsehoods about Nose Treatments

Rhinoplasty can be done without surgery - FALSE
Rhinoplasty with bone work is be performed better with a local anesthetic - FALSE
All surgeons are equally skilled to perform successful rhinoplasties - FALSE
Operated noses are all the same - FALSE
Rhinoplasty consists in scraping the nose a little. - FALSE
A rhinoplasty operation performed on fracture cases can be done equally as an emergency or following a period of time - FALSE
After a rhinoplasty operation breathing is difficult - FALSE
It is better for an ear, nose and throat specialist to perform the functional and respiratory part of a rhinoplasty - FALSE

Can I have an operation if I have a broken nose?

One of the described techniques is the post-traumatic rhinoplasty and septoplasty, designed for patients whose noses have been considerably deformed in an accident or also with airway problems. Our team of Specialists is able to effectively resolve this situation.

Can the displacement of the nasal wall or a breathing problem be corrected?

Our Specialists, when performing a rhinoplasty, are able to apply additional corrective techniques to the nasal wall or septum (septoplasty), also performing them in combination (septorrhinoplasty), in order to improve a respiratory problem or the displacement of the nasal wall. These combined treatments would bring benefits to both situations with us.

Will there be any change in my shape after my septum is operated?

A septoplasty operation corrects the breathing function of the nose with none or scarce change on its shape, so the cosmetic look should be similar to what it was prior to the treatment. To improve nasal shape a rhinoplasty operation should be added to the functional septoplasty.

Technical datasheet for septoplasty

-Anesthetic: total
-Surgical time: 1 hour
-Hospital stay: day case
-Proximity stay: 1 day
-Postoperative pain: 2 (scale from 1 to 5)
-Postoperative bandages: nasal dressing 4 days
-Sick leave: 4 days
-Complementary treatments: not required
-Cosmetic recovery: 1 month 80%, 3 months 90%, 6 months 95%, 12 months 100%
-Scars: inside the nose, non-visible; between the nostrils when open approach, scarcely perceptible

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.

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