Procedures

Our motto is "to achieve the best possible results with the least invasive procedures," by combining techniques with or without surgery, depending on the needs and goals of each patient. As far as possible, we prefer alternatives of local or regional anesthesia although we have the highest levels of safety for those cases that require general anesthesia.

Some of the common procedures are:

  • Rejuvenation of face and neck

    Medical techniques seek to prevent, mitigate and correct the consequences of aging. Fillers are useful in localized problems of wrinkles and creases: they can be synthetic or natural (i.e. fat transfer of one's own fat), or a dermis fat graft, taken from old scar tissue.

    In some cases a good option is intermediate or deep chemical peels, abrasion, or laser treatments when there are fine wrinkles, sun damage, and loss of skin elasticity.

    Finally, also in the field of non-invasive procedures, Botox can be used to reduce the movement of specific muscles that are responsible for wrinkles that appear with movement of the facial muscles.

    There is a wide range of surgical procedures such as 'lifting (rhytidectomy)' to choose from according to the anatomical conditions and the amount of skin damage the patient has. Procedures for the forehead such as a 'coronal' (traditional) brow lift or an 'Endoscopic' (minimal incision) brow lift, raise eyebrows and facilitate release of the expression muscles responsible for making frown lines between the eyebrows.

    In the middle and lower face and neck, different techniques of 'rhytidectomy', which are better known the 'bilaminar' and 'SMAS' (Superficial Musculo Aponeurotic System) can be used. In both cases excess skin is removed and the deposits of fat and flabby muscles are relocated and tightened.

    Very often we apply multidisciplinary treatments in combinations to achieve higher quality results, and these last longer.

  • Eyelid surgery

    Local techniques are used to help eliminate pockets of fat, sagging skin, and/or improve muscle tone. When the skin has good elasticity, we suggest the technique known as "transconjunctival" that has no external scar. This is very useful in men who have thicker skin and more elasticity. Almost always we are able to perform this type of surgery without hospitalization and with local anesthesia and sedation.

  • Ear surgery

    The most common defect is called protruding ears, and "ear pinning" surgery is recommended to correct it. The techniques are based on the remodeling of the cartilage of the ear with an approach from behind, avoiding visible scarring. Very often we use local anesthesia but according to the wishes of the patient, the option of sedation is sometimes used, especially in children.

  • Nose surgery

    Correction can be made for either cosmetic problems or functional problems, or both. For prominent areas we can reduce the dorsum (hump), refine the tip, and narrow the width of the nostrils. In the reverse condition, we use cartilage grafts or implants specially designed for this purpose. Almost all cases are ambulatory.

  • Augmentation of cheekbones, chin, and lips

    We can increase the volume of these areas through fat grafting or injection of synthetic materials, or implants. Generally, these alternatives are transient or partially absorbable. In the case of lip augmentation, implants are not used because it would alter the ability of the lips to move. However, semisolid implants that simulate natural bone tissue in the cheeks and chin can be used to achieve good and predictable results. These are done with an intraoral (inside the mouth) approach, so that the scars are not visible.

  • Breast augmentation

    We most often use cohesive silicone gel implants (saline filled implants are also available), which are placed in positions according to the anatomical characteristics of each patient. The placement can be under the gland, below the fascia, or under the pectoral muscle (the latter is the most common). The approaches also vary between the inframmary crease of the breast, the areola, or the armpit. For installation through the navel, only saline implants may be used because they are placed endoscopically. We also have various shapes and types of implants (anatomical or round), surface (smooth, textured and polyurethane) and projections (low, medium, high and conical, i.e. extra-high). The choice depends on the wishes of the individual woman and the type of results she wishes to have.

  • Breast lift

    The goal is to raise the position of the areola and give greater firmness to the breast. Depending on the degree of decline and laxity, we can choose whether to use the periareolar approach called the "lolly-pop" scar, the inverted "T" scar, or the lateral scar. Often, we combine the lift (mastopexy) with implants to provide stability and firmness.

  • Breast reduction

    The goal is to raise the position of the areola and give greater firmness to the breast. Depending on the degree of decline and laxity, we can choose whether to use the periareolar approach called the "lolly-pop" scar, the inverted "T" scar, or the lateral scar. Often, we combine the lift (mastopexy) with implants to provide stability and firmness.

  • Treatment of Gynecomastia (enlarged male breast)

    When the diagnosis is over development of the mammary gland in males, which is often accompanied by an accumulation of fat, this surgery is recommended. This is accomplished first by liposuction to remove any fat deposits, and if removal of breast tissue is still needed after that (a decision that can only be made in the O.R.), it is done with an incision around the outside of approximately half of the lower side of the areola.

  • Pectoral Implants (male)

    When the pectoral muscle is insufficiently developed or there is an asymmetry (less development on one side), we offer the possibility of placing implants with the approach through the axillary (armpit). The manufacture of these implants allows for a natural appearance to the eye and touch.

  • Liposuction and body contouring

    Includes a set of techniques aimed at the removal of fat deposits, and tightening of sagging skin by use of Vaser or other devices. The areas that can be treated include the neck, arms, trunk (abdomen, buttocks, hips, back), thighs and calves. Different types of liposuction techniques are often used, together with implants or fat transfer to achieve the desired results. The most common types of liposuction are the tumescent, the Vaser (a new generation ultrasound) and the Laser. The Vaser technology allows for greater skin retraction and less swelling and bruising, plus more even results and an increased volume of fat removal.

  • Tummy Tuck (Abdominoplasty)

    This procedure includes the removal of excess skin, fat deposits and tightening of the muscle in the abdominal wall. The extent of each operation varies according to the extent of the damage, so that in some cases, we focus more on removing loose skin and/or skin with stretch marks, or if loose skin is a minor problem we can use liposuction, or tightening of the muscles may be needed. Another procedure is the mini-lipectomy, which has a shorter incision and the navel is only separated from its anchorage to the muscle, which allows us to reattach it without leaving a visible scar, but not many patients qualify for mini-lipectomy.

  • Thigh Lift

    Patients can be eligible candidates for remodeling of the thighs, either due to acquired defects from being overweight, lack of exercise and aging, or a resulting pathological condition due to massive weight loss, either from bariatric surgery or diets. An analysis of the individual can determine whether it is adequate to use some of the techniques of liposuction to remove deep fat deposits, or whether we should also include the removal of skin on the inner thigh, with the incision in the natural crease of the groin, or when skin laxity is greater, extended down towards the knee in a "T" shape.

  • Arm Lift

    The arms are disfigured for the same reason that the thighs and other parts of the body begin to sag or become limp and/or fleshy. The alternatives also tend to be similar in a range from liposuction to skin resection, with the incision on the under side of the arm or in very minor corrections, in the armpit.

  • Buttocks Lift or Implants, Fat Transfer

    The most frequent demand for the correction of buttocks is for "lifting" and/or "increase." There are two main ways to do it safely, namely by fat grafting, i.e., fat transfer, or by the use of implants. Fat transfer is effective when the patient has a sufficient quantity of fat in donor sites on his own body, although we know that there is some degree of absorption once it is incorporated into the buttock. The implant is placed deep within the gluteus maximus muscle, and leaves no visible scar with just one small incision between the buttocks. In both procedures we achieve the effect of lifting, increased volume, or both, depending on the options chosen. We must not forget that the shape also depends on the treatment of surrounding areas, so that liposuction of the back and thighs is often necessary to create a pleasing contour of the body.

  • Calf augmentation

    There are implants specifically designed for calves that are placed behind the fascia, with the incision located behind the knee. Also, liposuction techniques are combined with this procedure to give a better shape to the lower leg.

We use our experience to help you achieve your goals.