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Integrating rhinoplasty & revision rhinoplasty

“…I am bothered about the hump…”
…I just think my nose is too big for my face…”
… I don´t like the tip of my nose…”
…my nose is too wide…”

The truth is that being just in the middle of the face is the most noticeable feature that can change your look like nothing else.

Effectively, many people willing to have a nose correction have beautiful eyes and facial features that are disturbed by disproportionate nose. Others have a too prominent or retracted chin that is changing also your profile or you may have had an injury to your nose when you were a child or as a youngster that has changed the shape of your nose.

In any case it is mandatory a thorough study of your facial features from all angles, sides bottom, top, oblique and inside and also a functional examination to determine the kind of correction that you may need.

The idea is not to change totally your nose but to make those changes that will integrate your nose within the context of you facial features harmoniously avoiding this way the operated nose look.




ESPRESS LIFTING, years younger in just 1h.

This lifting allows a fast performing and recovery procedure without the classical down effects of the traditional facelift.

We perform the facelifting under local anesthesia and a light sedation that allows the patient confort and faster recovery. After your lifting you can go back home on the same day. If you prefer to stay in the hospital facility we can provide you with hospital stay too. The principle of the Express Facelifting consists in a short procedure that combines an strong facial tissue rejuvenation. You can expect some minimal bruising in your neck and practicaly no bruising on your face. You may return to work within 4 days. Techincal details and an explanatory video are provided during your consultation.

The face suffers the loss of fat and bony structure due to aging. The are a variety of products in the market that may be used to improve the facial appearance trying to replace this lack of volume. Some of those products desappear by themselves and others may be permanent. These products have some disadvantages such as the need to be reapplied or the difficult to deal with nodule formation (mainly with the permanent ones).



EYELIDS

Upper eyelid analysis

Excess skin in the upper eyelid is the indication for having this procedure done. Watch out ! sometimes the skin hungs down your upper eyelid because of an eyebrow that has dropped down. The treatment is totally different in this case and you will not need to have an scar on the upper eyelid.
The results of this short procedure, that is normally performed under local anaesthesia, give an open regard and refreshed sight.

This procedure can be performed in conjuction with other interventions.

An adequate analysis is needed before proceeding. The pictures we need are specific for this procedure. Contact us for further information.

Lower eyelid analysis

Usually, are two the kind of complaints that can be addressed by performing a lower blepharoplasty. Eyes bags, eyebags with skin excess…” I have the impression of looking tired…”is the most common phrase used by patients needing a correction of their lower eyelid.

The operation can be done without a visible scar in some cases and via an incision under the lower eyelid eyelashes.
Sometimes a drop of the check can produce this effect in which case a the best approach will be elevating the cheek. The pictures we need for an analysis are specific for this procedure. Contact us for further information.


EAR SURGERY

Otoplasty reduces the size of large ears or sets prominent ears back closer to the head as well as repairs possible anomalies in chape due to trauma or congenital origin. Ear surgery can be performed on adults or children from 4 years of age onwards. In adults and grown up children is performed by our surgeons under local anaesthesia through a small incision behind the ear usually holding the ear in the ideal place by using few suture stitches in strategic places of the ear. Non or very little skin is removed. The procedure usually lasts 1h for both ears.

It is important to asses the shape of your ears and quality of your cartilage to choose the right combination of procedures to follow.

The end result needs has to be a naturally shaped ears avoiding overcorrection which normally give kincked cartilages and Mr Spoke´s looking ears.


EYEBROW LIFT

The brow lift procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired. At the same time the surgeon will aim for giving back to your eye an young smooth contour that may sort out an apparent upper eyelid skin excess. An assessment of your facial features is compulsory in order to obtain the best possible result for you.

The female eyebrow is ideally slightly higher in the outer one third.Women need therefore an elevation of the tail of the eyebrow not of the inner side. By only uplifting this area an armonious aspect of the eye lines can be helped avoiding the “surprise look” of a total eyebrow lifting.

The methode we use is focused on a SELECTIVE ELEVATION OF THE TAIL OF THE EYEBROW. This is obtained through a subgaleal approach using the “helmet like behaviour” of this craneal structure. In this way the upper eyelid skin excess may be corrected without the need of further skin removal.

A forehead lift is often performed in conjunction with a facelift, as is eyelid surgery (Blepharoplasty) especially if skin overhang in the upper eyelids.

Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid surgery may still be good candidates for forehead lift. The surgeon will simply alter the incision location or perform a more conservative operation.


FACE LIFT (RHYTIDECTOMY)

The face? The neck? Or the face and the neck?

The effects of sun or stress make peoples faces age. A facelift (technically rhytidectomy) can set back the clock. It can’t stop the aging process but can improve the signs of aging. During a facelift excess fat can be removed, muscles can be tightened and the skin of the face and neck can be redraped. A facelift can be done in conjunction with a forehead lift, eyelid surgery or nose reshaping. A facelift makes you look younger and gives you a fresher appearance. This can inprove your self-confidence. But remember that it doens’t give you a totally different look.

It can be done in various ways. The neck can be corrected separately or together with the face. The incision used by our surgeon will be the shortest that can be used according to your needs. It may vary from an incision under your lower eyelid, an incision in front of your ear or after the ear.

The best candidate for a face lift is a woman or a man whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well. A face lift can make you look younger and fresher, and it may enhance your self- confidence in the process.


FACIAL THREAD LIFT

As an anti-aging alternative to cosmetic surgery, a thread lift is a minimally-invasive technique designed to give you a refreshed appearance through the use of fine surgical threads.


FACIAL IMPLANTS

Facial implants can enhance your appearance and bolster your self esteem. If you are looking for improvement, not perfection, in your appearance and are realistic in your expectations, you may find that a facial implant is the right choice for you.

Plastic surgeons will frequently use such implants to bring better balance to the features of a younger patient. For instance, a teenage girl may want her nose reshaped or her chin brought forward so that these traits are better proportioned. The more mature patient may choose to have an implant placed in conjunction with another cosmetic procedure. For example, during a facelift, a patient may wish to have implants placed over the cheekbones to help restore a more youthful appearance. Implants may also be selected to fill out a face that appears “sunken” or tired.


CHIN AUGMENTATION

Chin surgery, also known as mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone. Many times your surgeon may recommend chin surgery to a patient having nose surgery in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose. Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.