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FACIAL REJUVENATION

Facial Lifting

As its name implies, it involves raising the tissues of the face that have been descending by the effect of gravity and aging. Through an approach with minimal scars, concealed in the hair area pre and retro-auricular, it is accessed to the fatty and muscular tissues of the face, repositioning them, eliminating surplus skin.

Procedure

The objective is to obtain a natural result, repositioning the tissues of the face and eliminating the excess skin. In cases where volume loss is diagnosed, it should be replaced with natural tissues such as fat from the same patient, or by filling material. From hidden incisions in the hairy area, pre and retro-auricular, the fatty and muscular tissues descended by gravity and aging can be repositioned.

Duration of the procedure

Approximately 4 hours.

Required anesthesia

Local anesthesia and intravenous sedation or general anesthesia.

Hospitalization

Generally, only a few hours of recovery and monitoring are required.

Any discomfort

Swelling, numbness, tightness, itching, dry skin, mild pain.

Possible complications

The most feared, although infrequent, is permanent facial paralysis due to damage of one of the nerves that are responsible for the mobility of the face, in other cases may be temporary and recovered with the passage of weeks and support kinesiology. In addition, as in other surgeries, infection, bleeding, excessive scarring, and asymmetries may occur..

Recovery stage

It is important to put ice on daily basis and take the indicated medication. It is suggested a week or two to get back to work. To perform effort activity, it is suggested to wait at least three weeks. The bruises, if any, tend to disappear by the tenth day. It is mandatory to use sunscreen all over the face, especially in the scars so they do not pigment.

Results that can be achieved

They last about 5 to 10 years and give back the freshness and harmony to the face of previous years.

Blepharoplasty

Eyelid surgery consists of removing excess skin and fat from the upper and lower eyelids, giving back a rested appearance and prominence to your eyes.

Procedure

Eyelid surgery tries to eliminate the look of tired, that lifeless gaze, making your eyes return to be the protagonists again. It consists of removing excess skin from upper eyelid as well as unwanted fat. In the case of the lower eyelid it is possible to perform an external approach or an internal one without visible scars, and with both techniques the treatment of the bags and the furrow of the tears are performed.

Duration of the procedure

Approximately 2 hours.

Required anesthesia

Local anesthesia and intravenous sedation.

Hospitalization

Generally not required, although the patient should remain a few hours in recovery.

Any discomfort

Sensation of tension in the area of the eyelids, inflammation, bruising. Excessive tearing and increased sensitivity to light may be present during the first weeks. Stinging or itching as well as dryness are usually normal for a few days.

Possible complications

There may be an infection, bleeding, dry eyes, blurred or double vision, swelling of the corners of the eyelids. There may be small residual lumps, difficulty in closing the eyes completely (it is not usually permanent) as well as a lower position of the lower eyelid that may require a future corrective procedure. The most important complication, although infrequent, is the retrobulbar hematoma, which is blood accumulated behind the eye. If it is not detected in time, it may alter vision or lead to loss of it.

Recovery stage

The use of ice is required daily, as is the indicated medication. In general, in 2 or 3 days the patient can start reading and working activities can be resumed from 5 to 10 days. It is suggested not to wear contact lenses for at least two weeks and protect from the sun. Swelling and bruising disappear after several weeks.

Results that can be achieved

In general, they are very satisfactory, in some patients they will prevail for several years and in others, they will be permanent. A small correction may be necessary to respect symmetry and achieve excellence.

Macs Lift

MACS LIFT (which stands for Minimal Access Cranial Suspension) is an effective surgery whose purpose is to "lift" the lower two-thirds of the face in a simple way using purse-string suture with vertical vectors. In this procedure, only the excess skin is removed.

Procedure

The MACS Lift, or face lift by means of Cranial Suspension with Minimal Access, is a very effective procedure and of less recovery than the traditional facelift. The main objective of this procedure is to lift the lower two-thirds of the face by means of suture threads. With this technique the resulting scar is practically imperceptible, it is located inside the hair line and in the preauricular area.

Unlike a traditional rhytidectomy, the MACS Lift causes less damage to the skin and further decreases the possibility of interfering with the facial nerves.

A suspension is made with SMAS sutures (layer of fat and facial tissue under the skin of the cheeks) and the platysma muscle of the neck, lifting the tissues that were descended. In this sense the technique reverses the descent of the tissues that accompany facial aging, in a primarily vertical direction, avoiding distortions that lead to an unnatural appearance.

Duration of the procedure

2 hours.

Required anesthesia

Local anesthesia and intravenous sedation.

Hospitalization

Usually not required, although a few hours in recovery is recommended.

Any discomfort

Inflammation, feeling of tightness, alterations of the sensitivity in the face.

Possible complications

Bruising, asymmetries, skin infection.

Recovery stage

The use of ice daily and the indicated medication are required. Work activities may be resumed from a week to ten days after the procedure. The activities that require more effort can be done after 3 weeks.

Results that can be achieved

The ascent of facial tissues, removal of excess skin. The results are usually permanent.

Rhinoplasty

Nasal area surgery should always preserve the function of the area beyond the aesthetic improvements. It can be done with closed technique, usually in cases that are first operated, or with an open technique in complex or secondary cases.

Procedure

Nose surgery must always preserve the function of the area beyond the aesthetic improvements. Correction of the areas to be improved can be performed by a closed or internal approach, where the incisions are hidden in the nostrils, or by an open or external approach where a small-almost- imperceptible scar is performed at the base of the nose, which is reserved for complex cases or second operations.

With both approaches deviations, overlaps or nasal hump, elevate the nasal tip, reduce the size of the nose, increase the back in the cases that require, decrease the size of the holes can be corrected, among other corrections.

Duration of the procedure

Approximately 2 hours.

Required anesthesia

Local anesthesia and intravenous or general sedation may be used.

Hospitalization

It is usually an outpatient surgery, but it is preferable to remain a few hours in recovery.

Any discomfort

One of the major discomforts is the temporary nasal obstruction, bleeding, inflammation and ecchymosis of the eyelids.

Possible complications

There may be asymmetry, that the shape of the nose is not as expected or incomplete results that may require additional intervention. It is always preferable to retire less and to correct, than to be ambitious and to exceed, resulting in those old noses clearly operated and often dysfunctional by the collapse of the nasal pyramid or alteration of the valves.

Recovery stage

Ice daily, as well as the indicated medication. You can resume work in 1 week. After 3 weeks, other activities of greater physical effort. Excessive exposure to the sun will be avoided for at least 8 weeks. The use of sunscreens against UVA and UVB rays is recommended.

From the second week onwards, massages will be indicated at home to assist with remodeling and lowering the inflammation.

Results that can be achieved

The definitive results Will be reached from 6 to 12 months after surgery since the nose is the part of the body that takes more time to adopt its final appearance after a surgical procedure. This is related to the time it takes the body to reestablish responsible lymphatic drainage pathways in any inflammatory process. Once achieved, the results are permanent.

Mentoplasty

The mentoplasty is one of the most practiced techniques and of greater satisfaction within the facial plastic surgery since it returns to the face the necessary harmony between the three-thirds facial. The increase can be made with the patient's own tissues, or with prostheses developed for this purpose.

Procedure

Chin surgery is one of the most practiced and most satisfying techniques within facial plastic surgery. Most of the times, it is necessary to increase the size of the same, although on some occasions the reduction is necessary to achieve the harmony.

By increasing the size of the chin the face acquires the necessary balance to achieve a harmonious and youthful appearance, as well as giving greater strength to the masculine face. It improves the front view, but above all in profile, benefiting the neck area additionally.

Sometimes the patient feels that something on her face is not right and she consults for nasal or eyelid surgery, evidencing in the photographic registry the disbalance of the lower part of the face an intraoral incision can be made behind the lower lip or an external submental incision with a discrete scar, and a small silicone prosthesis developed for this purpose is placed.

In the rarest cases of reduction, a portion of the mandibular bone is removed from the middle zone, preserving the emergency zone of the submental nerves, and the inferior roughness and muscular insertions, joining both fragments with mini plates.

Duration of the procedure

Approximately 1 hour.

Required anesthesia

Local anesthesia is often used for intravenous sedation.

Hospitalization

It is an outpatient procedure, although the patient is left in recovery for a few hours.

Any discomfort

Tightness, swelling, and tingling or sensory disturbance may be present in the area.

Possible complications

Hematoma in the neck area, especially if it is associated with liposuction. The most important complication, although infrequent, is the infection, which forces the prosthesis to be removed, and to try to be replaced in a few months.

Recovery stage

You can return to your usual tasks within 48 hours. Sports activities are postponed for two weeks and for one month for sports of possible contact. Inflammation can persist for two weeks.

Results that can be achieved

The results are immediate and from the first moment you will notice an obvious change in your face. This will be accentuated as the inflammation decreases. Your profile and face structure will benefit greatly.

Skin lesions

The skin is the most extensive organ of the body, and the facial area is one of the greatest exposure to environmental factors, that is why there is a possibility of benign, premalignant and malignant lesions, which often require surgical treatment. Likewise, the face is exposed to accidents, injuries, burns, and other injuries, which benefit from the timely care by the plastic surgeon.

Procedure

Skin lesions are a very common condition. They appear for a great diversity of causes such as trauma, sun exposure, skin type, age, previous surgeries, etc.

Among the most frequent skin lesions are warts, moles, melanomas, epitheliomas, sarcomas, cysts, scars, etc. It is important to consult your plastic surgeon for aesthetic and oncological reasons, as well as reconstructive ones.

Duration of the procedure

It will depend on the size and type of injury.

Required anesthesia

Local anesthesia.

Hospitalization

In most cases, it is not required.

Any discomfort

The discomfort is not usually important and is controlled by common medications.

Possible complications

Complications are very rare and depend on the type of injury and its development.

Recovery stage

Recovery is usually quick.

Results that can be achieved

In addition to the aesthetic aspect, the early detection of certain conditions such as cancer is very important.

Make an appointment with us so we can give you more information
and resolve your doubts without compromise.

Contact Us

DR. MARTÍN A. FERNÁNDEZ | MP 116.132 - MN 154.169
Specialist in Plastic, Aesthetic and Restorative Surgery.

  • (0249) 444 5792 / (0249) 444 9060 / (0249) 444 5793

    (0249) 444 5794 / (0249) 443 1010

    (0221) 15 400 8039 / Desde el exterior +54 9 221 400 8039

  • drmartinfernandez@hopeaesthetic.com

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