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Surgeries types
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RINOPLASTIA (Nose):
Description: Rhinoplasty is the corrective surgery of the
non-aesthetic nose. It is possible to undergo this surgery at
approximately fifteen years of age. It takes only about 40
minutes and is done under attended sedation. Recovery is
complete within 24 hours. Generally there is no bruising or
swelling around the eyes - if there is, it’s usually very
light. Patient can return to normal activities within 48
hours.
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Indications: |
Non-aesthetic nose (large or not).
Deviation of
the partition.
“Bird”
profile . |
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Age:
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Fully grown
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Classification: |
Rhinoplasty:
nose. Septoplasty: partition. Septorinoplasty: nose and
partition. Perfiloplasty: nose and chin. |
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Pre-op
preparation: |
7 days
before: avoid the intense cold (snow). Avoid the
suffocating heat (beach, sauna). |
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Intervention: |
Complete in
1 hour. |
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Anesthesia:
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Sedation
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Incisions:
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Inside the
nose. External exception, in the base of the wings.
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Hospitalization: |
Hours.
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Post-op:
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·
Special
nasal corks that allow the ventilation.
·
Protection
of synthetic material. There is no pain.
·
Some
swelling in eyelids and nasal tip.
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Corks:
between 2 and 7 days of the intervention.
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Protection:
7 days. External points (if they exist): 7 days.
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Care:
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·
1 month: no
sunbathing.
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2 months: no
contact sports.
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3 months: no
continuous use of sunglasses. |
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Results:
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·
Satisfactory
appearance from the 2nd or 3rd week
of the intervention.
·
Progress
improves throughout the first months.
·
Harmony of
definitive shape of face, both from the front as well as
the profile.
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No visible
external marks.
·
If there are
exterior stitches, the tracks are practically
imperceptible in few weeks. |
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MENTOPLASTIA (Chin):
Description: Correction of the chin or reserved chin. It is a
very rewarding surgery and of immediate optical results. Can
be done with local anesthesia. Boarding can be below the chin
or by intra-oral route, the recovery is immediate and it is
possible to return to normal activities within 24 hours.
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Indications: |
Reserved
chin. |
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Age:
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Fully grown |
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Classification: |
Pure
Mentoplasty: chin only. Perfiloplasty: nose and chin.
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Pre-op
preparation: |
15 days
before: avoid the intense cold (snow). Avoid the
suffocating heat (beach, sauna). |
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Intervention: |
30 minutes.
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Anesthesia:
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Pure
Mentoplasty: local only. Perfiloplasty: sedation.
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Incisions:
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Inside the
mouth, in the internal part of the inferior lip.
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Hospitalization: |
Not
necessary. |
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Post-op:
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·
Edema in
chin.
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Slight
annoyances.
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External
sticking plaster: days.
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Stiches:
intrabuccal re-absorbable (they do not retire nor they are
seen).
·
No hot foods
or beverages the 1st day. |
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Care:
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·
1 month: no
sunbathing.
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2 months: no
contact sports. |
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Results:
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·
Satisfactory
appearance from the 2nd or 3rd week
of the intervention.
·
Progress
improves throughout the first months.
·
Exceptionally good results, mainly when combined with
rhinoplasty. |
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PERFILOPLASTIA (Nose and chin):
Description: A combined surgery of the nose and chin. A very
rewarding surgery with impressive results, conducted under
attended sedation. Period of recovery is 48 hours and patient
can return to normal activity. |
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BLEFAROPLASTIA (Parpados):
Description: Corrective surgery of the eyelids or to
present/display tired fat bags or excess of skin, or faces.
Can be done with local anesthesia or under sedation. Very
important for facial rejuvenation, there is the presence of
bruising and swelling for two days. Stitches withdrawn within
4 days.
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Indications:
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Face aging –
folds and bags in the eyelids. |
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Age:
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As of 20
years old. |
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Classification: |
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Superior:
superior eyelids.
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Inferior:
inferior eyelids.
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Complete:
superior and inferior eyelids.
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Combined:
with other interventions. |
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Pre-op
preparation: |
7 days
before: avoid the intense cold (snow). Avoid the
suffocating heat (beach, sauna). Do not dye eyelashes.
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Intervention: |
1 hour
approximately. |
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Incisions:
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Superior
eyelid: in the natural folds.
·
Inferior
eyelid: underneath the eyelashes. |
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Anesthesia:
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Local or
sedation. |
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Hospitalization: |
Not
required. |
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Post-op:
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·
1 week (or
before): special makeup.
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1 month:
avoid swimming in ocean, Mascara.
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2 months:
avoid sunbathing. |
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Results:
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·
Fundamental
intervention in the reduction of facial aging by
correcting the folds (mainly in superior eyelids).
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It does not
change the expression of the face.
·
" Crows
feet" may need a complementary treatment about 2 months
(surgical peeling). |
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OTOPLASTIA (Orejas):
Description: It is the most rewarding surgery for children,
and is nothing more than the correction of prominent or
swollen ears, which cause many complexes. Can be done at six
years of age. Advisable to do it with sedation for children.
In adults it can be done with local anesthesia. The recovery
and the results are immediate.
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Indications:
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Prominent
ears. |
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Age:
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As of 7
years |
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Pre-op
preparation: |
7 days
before: avoid the intense cold (snow). Avoid the
suffocating heat (beach, sauna). 1 day before: wash hair
with neutral shampoo. |
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Intervention: |
1 hour
approximately. |
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Anesthesia:
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Sedation
(small children).
·
Local (older
children and adults). |
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Incisions:
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Behind the
ear. |
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Hospitalization: |
Not
required. |
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Post-op:
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·
Slight
annoyances.
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External
dressing: 7 days. Stitches: 10 - 15 days.
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Care: 1
month: careful washing of the head (backwards).
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No contact
sports.
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At night:
protective mesh. |
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Results:
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·
Ears in
correct position and form from the first day.
·
Satisfactory
appearance from the 2nd or 3rd week
of the intervention.
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Progress
improves throughout a few months. |
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FACE STRECHING AND REJUVENATION:
Description: I recommend it anytime after thirty-five years of
age. Serves to regain the skin’s smoothness and the joviality
of the expression that is lost with time. Done under attended
sedation. The average duration of this intervention is 15
years. The recovery is satisfactory within 4 days. If this
surgery is a complete facial rejuvenation, it is accompanied
by eyelids, nose, and chin surgery.
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Indications:
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Face aging
due to the sagging of the skin. |
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Age:
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As of the 35
years. |
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Pre-op:
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Superior:
minilifting.
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Inferior
(neck): low part of the face.
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Combined
total: combined with other interventions (eyelids, nose,
to malar, et cetera). |
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Intervention: |
1 - 4 hours.
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Incisions:
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Within the
scalp. |
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Anesthesia:
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Local for
partial lifting.
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General for
total lifting or combined surgery. |
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Hospitalization: |
Partial
Lifting: not required.
Total or
combined Lifting: 2 - 3 days. |
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Post-op:
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·
There is no
pain.
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Edema
(swelling) face variable.
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Bandage
during the time of hospitalization.
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Stitches:
1-2 weeks. |
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Care:
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·
1 week (or
before): head washing.
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2 weeks:
authorized makeup and moisturizing cream.
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1 month:
authorized dyeing hair, ocean bathing.
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2 months:
authorized sunbathing.
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3 months:
habitual facial cares. |
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Results:
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·
Effective
correction of facial aging due to sagging.
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It does not
change the expression of the face.
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It does not
correct small furrows. |
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BREAST AUGMENTATION:
Description: This surgery is perhaps most visible
during summer and beach season. It consists of the
introduction of mammary prosthesis, whether of silicone gel or
of saline solution, through the areola of the nipple (own
technique). The location is below the mammary gland, which
allows the patient to breastfeed, without causing any problems
to her child. These implants also have the advantage of
serving as protection against an overwhelming blow on the
chest by acting as a shock absorber. The prosthesis lasts a
lifetime. They can only be changed if, after some time, the
patient wants them bigger.
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REDUCTION MAMMAPLASTY:
Description: It is the reduction of the very big
mammary glands, which can cause problems to the patient’s
health such as back pain and the hunchback position that it
causes in adolescents. It can be done starting at 15 years of
age. The procedure is with assisted sedation and the recovery
time is for 4 days to resume normal activities.
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AUGMENTATION MAMMAPLASTY:
Description: This is a simple surgery that consists of
pulling back excess skin from the breasts after a period of
breastfeeding or significant weight loss. This is known as
fallen breasts. The surgery is conducted under assisted
sedation. Recuperation occurs in 2 days when patient can
return to normal activity.
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SUCTION LIPECTOMY & LIPOSCULPTURE:
Description: As their names indicate, these procedures involve the
suction of excess fat from located areas. Very common procedure in our
times and with very satisfactory results mainly during summer beach
season. As far as liposculpture, it is nothing more than the
relocation of fat with very thin stems. The average age to be able to
have this operation is 18 years of age. It is carried out under
assisted sedation but can also be done with continuous peridural
anesthesia. Lymphatic drainage is recommended the 5 days after the
surgery.
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AUGMENTATION OF CALVES:
Description: The placement of silicone implants in the calves to
increase the lower part of the legs. A very gratifying surgery and
with minimal risk. It can be done with peridural anesthesia or under
assisted sedation. The recovery is immediate and the implants last
rest of the lifetime.
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TUMORS, LUNARS, NON AESTHETIC SCARS:
Description: These kinds of minor surgeries can be carried out in
the clinic and under local anesthesia. They improve nuisances and
people’s looks. The recovery is immediate.
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CONGENITAL
DEFORMITIES OF LIP & PALATE, HANDS & FEET:
Description: We have a very long & efficient training
for the correction of congenital deformities of this kind.
Generally it is surgery done in a hospital or with the
economic assistance of a foundation, but if one of your loved
ones suffers from this problem we are willing to help you in
the best way we can.
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Daniel
Peñafiel S. , M.D.
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