Aesthetic

Head and Neck

[toggle_container keep_open=”false” initial_open=””] [toggle title=”Hair implants”]

The hair transplant FUE (Follicular Unit Extraction) is the most innovative and effective way to definitively treat baldness. Through this technique the follicular units are extracted one by one from the donor and placed also one by one in the bald area.

The hairs are donated from the patient itself so there is no risk of rejection. The donor zone is a zone healthy and free of the effects of hair loss and, therefore, the follicles remain transferred throughout life. Although the sessions are long the method is simple and is a minimally invasive procedure. The procedure is performed under local anaesthesia, held in ambulatory. The post-operative period is painless and the patient can resume their usual activities.

Furthermore, the donor is free from unsightly scars and sutures. The small scars that remain in this area are so minimal (whitish points that measure less than one millimetre) which heal rapidly becoming imperceptible with hair growth. The transplanted hair usually begins to grow between the third and fourth month after surgery and the final results can be observed between the eighth and twelfth month.

Through this technique, it is also possible to reconstruct eyebrows beard and other body areas that have deficient hair.

Intervention time: up to three sessions, 3 to 4 hours with an interval of two to three months.

Internment: it is not necessary.

Anaesthesia: local with sedation.

Risks: when the scalp is not in good condition it can compromise the handle of the implant.

Recovery: about one week. In cases of hair-free areas, it is seen perforations and after two months the hair is about half a centimeter.

Result: long lasting, but not permanent when hair falls by genetic or hormonal causes. This treatment delays the loss of hair and consequently baldness. You can make other new implants.

[/toggle][toggle title=”Eyelids (Blepharoplasty)”]

Surgical procedure that by removing the bags (puffiness in the eye) and excess skin (sagging upper eyelid) allows you to correct the tired and aged look and simultaneously naturally rejuvenate the look and face.

Beyond the scars being completely imperceptible at the end of six months, this surgical procedure allows you to “illuminate” a expressive look lost over the years.

Duration: 90 minutes.

Anaesthesia: local.

Internment: no.

Side effects: swelling and edema that normally begin to disappear after the third day. These can be disguised wearing sunglasses during this period.

Risks: It is important to avoid large visual efforts in the two weeks following surgery as well as direct sunlight.

[/toggle][toggle title=”Nose (Rhinoplasty)”]

When you look at the face globally, the nose has exceptional repercussions. For example, in case of a woman it is sufficient to raise a millimetre in the tip of the nose to rejuvenate the face as a whole. So, in any face the nose has a key role in defining the facial balance and even in defining the beauty of the face. A crooked nose large or unsightly typically takes one to try to correct the that “deformity” and thereby to achieve a more harmonious and beautiful face.

Rhinoplasty is a surgery that is intended to correct deformities of the nose and requires great skills on the part of the surgeon, not only because it concerns a functional body that is involved in respiration, in the sense of smell and in voice resonance, and also by the fact that you want to align your face in aesthetic terms.

To work more thorough, it is necessary for the surgeon to perform a comprehensive study of what goes on inside the nose and mouth of the person. Later, with the help of appropriate investigations (x-ray of the nose and, real scale) we conducted a cephalometric study – which will give the patient a sense of what will be his nose after this intervention. We will also make a photometric facial study in order to establish its framing on the face.

Rhinoplasty can be performed on an ambulatory basis, under spinal anaesthesia or under general anaesthesia if it is a more complex situation. Rhinoplasty models the nose, increasing or decreasing its size, always with the intent of suiting the patient face. It is a surgery that causes no pain and the result can significantly increase the confidence of the patient and their quality of life.

Duration: The procedure lasts about one to two hours, depending on the complexity of the nose.

Anaesthesia: General or locoregional, according to the morphology of the nose and the desire of the patient.

Internment: one day, if surgery is performed under general anaesthesia.

[/toggle][toggle title=”Ears (Otoplasty)”]

Otoplasty is to correct the so-called “flapping ears” or “floppy ears” which constitute a congenital anomaly able to affect irreversibly and permanently self-esteem of children and adults. This is a simple procedure with a quiet recovery – which consists in shaping the cartilage, to obtain relief morphology and sculpture. In this modelling the scar is located behind the ear and leaves no visible mark.

Since this is a situation that can affect the social life and the harmonious development of the child and because the diagnosis can be made early, the use of this surgery should be done as early as possible (from 4 to 6 years), at which time the tissues already have a certain strength and the body attained its anatomical formation.

Duration: about 80 minutes.

Anaesthesia: local – except in the case of a very small child and bubbly. In this case, there is a sedation.

Internment: no.

Side effects: for two weeks it’s naturally to fell some pressure and local discomfort and even a insensitivity that fades over time.

Risks: the inherent in any surgical intervention of the same type.

[/toggle][toggle title=”Chin (Mentioplasty)”]

Mentoplasty is a surgery that can correct chins (or ments) very prominent or recessed. Often this procedure is associated with rhinoplasty and chin liposuction. When performing a chin augmentation surgery, an implant is placed on the chin to give the desired relief.

For more moderate cases, you may apply fat (adipose tissue treated) from the patient and thus achieving up the desired harmony. In Mentoplasty reduction, the harmony happens through the reduction of excess bone that causes that deformity.

Duration: the intervention is relatively fast, it doesn’t last more than 30-45 minutes.

Anaesthesia: in most cases it’s done with local or general anaesthesia and may also be administered one sedation if necessary, and if associated with other surgeries.

Relocation: it is not necessary in most cases.

Side effects: there may be some swelling and local swelling associated with some discomfort in the area, which disappears after a few days.

Risks: the inherent in any intervention.

[/toggle][toggle title=”Double Chin (Jowl)”]

Double chin liposuction is a surgical procedure that aims to sculpt the fat accumulated in the neck in order to define the lines of the face and ending the traditional jowls. The procedure is accomplished with a cannula system of various models and functional types (ultrasonic, laser, vibration, etc.).

Duration: about 30 minutes.

Anaesthesia: local.

Internment: no.

Side effects: for two weeks it’s naturally to fell some pressure and discomfort site.

Risks: the inherent in any surgical intervention of the same type.

[/toggle][toggle title=”Rejuvenation”]

Facelift

The first signs of facial aging occur around the age of 30 by changing the thickness of the skin or of its elasticity, being the most obvious sign the increasing fold of the upper eyelids.

Over time, more specifically in the 40s, wrinkles front and naso-labial wrinkles appear and fall outside of the eyebrows and the eyelids. As facial aging being a gradual process, it is possible to go in each age attenuating time signals with specific localized treatment, such as filling with its own fat (lipoplasty structuring) and the application of specific products that are intended to correct and improve the wrinkles that arise. These treatments are also complementary – that is, they should be carried out as a preventive measure or may be indicated by the surgeon on the day of the cervico-facial lift.

At 50, there is the further development of wrinkles of the 40s, demonstrating either horizontally or vertically in particular in the central part of the face (lips, brow, etc.). It is also a noticeable change in morphology of the face of the accretions under both neck and face, giving the appearance of deformities and higher aging. By 60 years old this aspect becomes even more remarkable by the association of skin sagging.

The facelift effectively improves the quality of life of the person in social, affective and professional, especially by contributing to a significant increase in self-esteem. It is a treatment of personal self-worth and when properly practised is translated into a new joy of living.

Description: the lift or cervico-facial rhytidectomy is indicated with the intend to improve the appearance of the face and neck and to rejuvenate, minimizing the effects of the time. It is intended to simultaneously give the most natural look as possible, so that other people notice that the patient is more rejuvenated but without realizing that the person has undergone plastic surgery. In summary, the “lift” of the face aims the harmonious and natural rejuvenation of the face, being in that sense often associated with other surgical measures, such as the sculpture of the neck and face – the correction of the nasal tip, lips, the increase of the cheekbones protrusions or the correction of wrinkles in the eyelids, correction of the chin, etc..

Technique: a considerable number of techniques are available to the surgeon and will depend on what the patient wants, as well as the signs of aging. It is essential to have a good understanding between the surgeon and the patient.

Anaesthesia: so that the objectives are achieve it is essential that the plastic surgeon makes a physical, morphological, psychological and organic analysis, after which is required pre-operative tests, to determine if the same will be carried out under local anaesthesia, regional or general. But in most cases, you may have a local anesthetic and sedation or locoregional.

Internment: it is only necessary if the surgery is performed under general anaesthesiain which case there is one or two days of hospitalization.

Risks: are risks inherent in any surgical procedure, such as bruising, bleeding, seroma, etc.., But with prior consultation diagnostic may be avoided. However, is and natural occurring edema and ecchymosis, which disappear within two to three weeks and may then resume the patient social and professional life.

Side effects: scars, depending on the technique to be applied. If any they are hidden by the hair and the lining of the ear, they become imperceptible few weeks after surgery. The physician should pay close attention to the hair and skin tension.

Duration: it is important to note that this has long lasting and stable effects for many years, but for this to happen it’s essential the contribution of the patient – which should not have large variations in weight, mental depression and major exposure to direct sunlight. Furthermore, it is important to have the necessary care for the proper maintenance of their new reality through a healthy diet and adequate hydration of the skin, being sufficient some small surgical enhancements to maintain a good appearance.

Facial Bioplasty

Facial aging is a continuous and irreversible process that typically translates into the appearance of wrinkles and sagging skin patches,being possible through these signs easily identify the person’s age. Plastic surgery has been creating very effective solutions for solving aging by bettingsince a few years ago, the radical resolution from aging through the popular lifting.

Today, the concerns are focused more on prevention the aging process by using less invasive and revolutionary techniques. We speak particularly in the face and modelling the bioplastic “laser” and in the photorejuvenation in which, when combined globally rejuvenate the face without having to prolong the recovery, like others invasive surgeries.

In modelling of the face with biomaterials adipose tissue is removed from another anatomical region where it abounds (for example, the abdomen) and is given special treatment, which consists of centrifuging and add growth factors and is later applied to the face in all areas that need correction: the jaw cheekbones peri-oral wrinkles and even the lips so as to increase its relief.

This technique has several advantages including the fact that they are self used materials, which reduces the risk of rejection and allows you to obtain very natural results and cover the entire face in a single intervention. When the aging process is very sharp it may require the repetition of the procedure and reconcile it with other techniques.
Resorting to this kind of treatment as a precautionary measure allows you to slow the signs from aging because besides the correction obtained it has a potentiating effect of the rejuvenation of tissues.

Duration: about 60 minutes.

Anaesthesia: local.

Internment: no.

Side effects: there may be some local edema or swelling which disappear after a few days. As the applied material belongs to oneselfthere’s no rejection phenomena.

Risks: when the signs of aging are very sharp this technique can not by itself sufficient to resolve the clinical situation, the therapy to be applied should be from another type.

[/toggle] [hr top]

Breast

[toggle title=”Mamolifting”]

This is a very recent surgical technique that allows to survey the drooping breasts and rejuvenating them without making the known inverted T scar. The scar, if any, is in the peri-areolar region in which one introduces a mammary prosthesis that simultaneously raises the breast (for breast sagging) and gives volume (for the small breast, sagging).

The mamolifting can be run in a variety of clinical casesand for each the surgeon will choose the most appropriate technique to consider. Besides the possibility to choose the best technique the specialist can also choose the material (breast implants orother surgical instruments) in order to obtain the best possible result.

This procedure replaces in most cases, the known mastopexy when it is intended to correct mild ptosis, the recovery is easier and the costs associated with are further reduced since in most of the cases is possible to perform this technique on ambulatory basis.

Duration: between 60 to 90 minutesunlike the traditional surgerywhich can take about 3 hours.

Anaesthesia: locoregional with or without sedation but it can also be performed under general anaesthesia.

Internment: no. When surgery is performed on ambulatory basis, the patient should be about two hours in the recovery room as a precaution.

Side effects: post-operative may have some disturbances like some breast tenderness and temporary pressure change of breast tenderness.

[/toggle][toggle title=”Breast Augmentation”]

Implants

Mammoplasty is the aesthetic or recontructive intervention, which aims to give shape and volume to small breasts, disproportionate to the rest of the morphology of the patient or asymmetrical breasts. All these phenomena can lead to problems with self-esteem and the use of this type of intervention allows the patient to renew self-confidence, whether professionally or personally.

This kind of phenomena frequently is resolved through surgery, such as where there is no normal development of breast cancer, keeping age 17 a reduced dimension (mammary hypoplasia), or situations where there is a lack of mammary (breast agnesia). In this intervention, anatomical breast implants are placed, the implant consists of a gel of high coherence and textured surface, close to the consistency and texture of normal breast tissue.

As for technique, there are several available to the surgeon, it will be up to the specialist to choose the most appropriate depending on each particular case: the prosthesis can be inserted through the axilla via sub mammary, via periareolar, via trans-areolar, via abdominal, via umbilical and via through previous scar. The placement may also be behind the pectoral muscle or ahead of the muscle, behind the mammary gland or behind the pectoral fascia.

Currently, the most common technique is the introduction of the prosthesis through a small incision in the peri-areolar region, since the scar located at the transition from the mammary areola to the skinover time becomes almost imperceptible.

Duration: about 60 minutes.

Anaesthesia: Most cases is performed on ambulatory basis under anaesthesia loco-regional with sedation, there is no admission. The patient only needs to stay in the clinic for a few hours and then can go home at their own pace. The important during the recovery period is to avoid efforts and intense physical activity, since the practice of violent sports such as tennis, horse riding and other equivalent may move the prosthesis.

Relocation: only if given general anaesthesia, and in this case there is confinement of 24 hours.

Side effects: in the immediate postoperative period it may be swelling, localized edema, which disappears within two to three weeks. In this period, the patient should pay particular attention to the physical effort that is mainly avoiding the practice of violent sports, as well as charge weight. It also is totally inadvisable the sun exposure in the three weeks following the intervention.

Risks: it is very important to have a good communication with the surgeon in order to avoid misunderstandings regarding the size and shape chosen. The choice of the surgeon is as important as the certainty that the material to deploy is reliable and offers all kinds of guarantees, their integrity and safety.

[/toggle][toggle title=”Biomaterials”]

This surgical correction takes advantage of the fat tissue that is harvested from areas where fat abounds (such as the thighs or abdomen) and applies the mammary regions. The patient has a indication for this technique if you want a moderate increase or a survey discreet breast.

It is a minimally invasive surgerywhich has had a very large demand, especially when combined with liposculpture. However, it is very important to the surgeon to explain in depth and rigor which are the possible expectations to achieve with this surgical procedure.

Duration: about 60 minutes.

Anaesthesia: Local or loco-regional. It has the advantage of not having to interrupt the professional and social activity.

Internment: no.

Side effects: swelling or edema in the immediate postoperative period. There should be no sunlight in the two weeks following the procedure and can’t exist local compression (hard wired bra with support).

Risks: the increase achieved with this type of treatment sometimes is achieved only with the second and third structural lipoplasty procedures with growth factors.

[/toggle][toggle title=”Breast reduction”]

This surgery aims to remove excess volume of the breast region, excess weight and, in most cases, also the correction of drop mammary areola and nipple. In this procedure, in addition to the correction of the volume of the breasts, is also redefining the shape. The scar may be peri-areolar and vertical L-shaped or anchor, depending on their size.

The visibility of scars can nowadays be greatly reduced thanks to new preventive and corrective procedures introduced in the healing process. It is the case of non-ablative laser that Clínica Biscaia Fraga uses systematically in the postoperatively.

The benefits of this intervention are physical, organic, functional and aesthetic. In most cases, there is associated with the breast gigantism, a painful generalized frame that can be altered to give a new quality of life that was too limited for the patient before.

Duration: two to three hours.

Anaesthesia: general.

Internment: two days.

Side effects: the existence of scar, but the benefits of this surgery are clearly more beneficial and outweigh that this small annoyance.

[/toggle][toggle title=”Man (Gynecomastia)”]

The adaptation of the tissues lining to the new breast volume takes some time, so the results should only be evaluated at the end of two months.

The abnormal or pathological increase of the breast region in a man is a frequent occurrence. This problem can be caused by two situations: excessive accumulation of fat, common in patients with more adipose tissue, or for any hormonal imbalance occurring during adolescence.

In either situation, the resolution goes through plastic surgery which removes the excess tissues, modelling the male breast and giving him a normal appearance. It is an intervention that can be performed in adolescence, during which we register the abnormal breast growth in men, or in adulthood. Because this is a situation that can sometimes cause delicate psychological situations, this should be carried out after proper medical diagnosis as early as possible (ideally around 17 years).

The procedure consists of the removal (by aspiration or by surgery) of the volume undesired, throught a millimetre incision in the peri-areolar region. After this procedure the patient should wear an elastic restraint in the corresponding thoracic region and avoid the practice of violent physical exercise, as well as sun exposure.

Duration: about 60 minutes.

Anaesthesia: local with sedation or local – it may be general if more complex.

Internment: no.

Side effects: some physical conditioning within eight days later as well as local swelling.

[/toggle] [hr top]

Abdomen

This surgical intervention offers several purposes, such as the correction of the abdominal wall by volume loss after weight loss, the correction of the abdominal diastasis (removal of the muscle) caused by pregnancy or the correction of stretch marks in this region, but in this caseis usually associated with liposculpture.

In either situation there is often the need to reconstruct the abdominal wall in depth, although in less severe casesthe intervention is more superficial. It is a surgical technique that permanently removes excess skin in the abdomen and resets the morphology of this, getting the correct form of apron that can reach mid-thigh and sometimes up to the knees.

Duration: about two to three hours.

Anaesthesia: general, but can be performed under local anaesthesia and sedation for minor cases and superficial or epidural and spinal anaesthesia.

Internment: 48 hours.

Side effects: it should be taken in mind that this type of intervention and because of its complexity, the recovery takes about two to three weeks during which the patient will feel naturally conditioned in its movements, Avoid physical activity involving effort, especially abdominal, with will leave a scar in the suprapubic area., Sometimes, it becomes important under local anaesthesia, liposhape the waist and peri-umbilical adipose tissue that may persist;

Risks: you must always be previously considered although they have a higher incidence in situations of obesity, heart disease, diabetes uncompensated, etc., which may interfere with cicatrization, blood circulation and respiration.

[hr top]

Body Modelling (Liposculpture)

It is a intervention that aims to shaping the body by removing fat cells that settle permanently in various anatomical regions.

The solution involves the application of various techniques according to the specifics of each clinical case. It is essential to assess through a medical consultation, which is expected to make the physical, organic and psychological analysis of the patient.

Most lipoesculptures are performed on ambulatory basis, the patient leaves the clinic by his own feet and can make a normal life, except for physical exertion and cutaneous gym.

Various techniques of liposuction:

[toggle title=”Classic Lipoesculture”]

In this technique, the person presents himself to the clinic with the meals eaten, it receives an analgesic and muscle relaxation, and then a local anesthetic is performed. No needles are used but smaller cannulas once the anaesthesia is performed using a device which operates under air pressure. After the application of the local anesthetic, it’s made a millimetre incision through which the infiltration cannula of saline is introduced.

This technique avoids bleedingsince the serum with cold anesthetic acts as a vasoconstrictor, which allows the removal of fat without bleeding. After this procedure, there is placed a patch which is removed after 48 hours and then replaced by a containment strap to be used for about four weeks.

[/toggle][toggle title=”Tumescent Lipoesculture”]

In this technique, the vacuum fat is directly under the skin, so it is more superficial fat and in most cases is responsible for cellulite.

The basic principle of this procedure is the execution of a tiny hole through which a cannula is inserted 3mm thick. This technique allows a large hydration of the fat cells, facilitating the shaping body while at the same time promotes and stimulates contraction of the skin. This is the procedure that further boosted modelling body by removing localized fat since it ensures the predictability of the results.

[/toggle][toggle title=”Ultrasonic Lipoesculture”]

In this technique we resort to the use of a device that before sucking excess fat proceeds to liquefaction of adipose tissue through the disruption of cell membranes of adipocytes involving them. At the same time, allows the preservation of other structures which results in the smallest possible loss of blood. The ultrasound promote and stimulate the healing received by the biological stimulus.

[/toggle][toggle title=”Tridimensional Lipoesculture”]

Results from the combination of different techniques, allowing vacuum both the fat that is located in the superficial layers as well as the one that lies deeper. A plurality of surgical and non-surgical potentiates results very close to the optimal.[/toggle]

Areas of Treatment:

[toggle title=”Hips”]

It aims to model the body by reducing the volume and perimeter in order to acquire the harmony of the shapes. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). Normally ranges from one to three hours at which time the patient leaves by his own foot, since normally there is no need hospitalization.

Anaesthesia: in most cases, the intervention is performed under local anaesthesia but you can also use sedation and spinal anaesthesia, or in the latter case, a general anesthetic.

Internment: no unless it is given a general anesthetic and, if so there is a place for one or two days of hospitalization.

Risks: the risks inherent in any surgical intervention (bruising, bleeding seroma etc.) that with a diagnostic consultation should be avoided.

Side effects: include changes in the skin sensitivity that may remain within four months after surgery but who recover after a short time in most cases.
[/toggle] [toggle title=”Abdomen”]

Liposculpture

It aims to model the body by reducing the volume and perimeter, in a way to acquire the harmony of the shapes. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). Normally ranges from one to three hours at which time the patient leaves for his own foot, as a general rule, it is not necessary hospitalization.

Anaesthesia: in most cases, is performed under local anaesthesia but you can also use sedation and spinal anaesthesia or in the latter case, a general anesthetic.

Internment: no, unless it is given a general anesthetic and if so there is a place for one or two days of hospitalization.

Risks: risks inherent in any surgical intervention (bruising, bleeding, seroma, etc.) that with a diagnostic consultation, should be avoided.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.

Dermolipectomy

It aims to remove excess skin in this area, typically this procedure is associated with liposuction. Since this is a critical area in terms of sagging, the problem can only be solved with this intervention, which may leave scars more or less visible depending on the volume and excess skin to be removed.

Duration: 90 minutes.

Anaesthesia: General or local anaesthesia with sedation.

Relocation: if local anaesthesia no relocation, if general anaesthesia may be in the hospital for 24 to 48 hours.

Side effects: some physical constraintsas well as some local discomfort in the three weeks following the surgery.

[/toggle] [toggle title=”Dorso”]

It aims to model the body by reducing the volume and perimeter, in a way to acquire the harmony of the shapes. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). Normally ranges from one to three hours at which time the patient leaves for his own foot, as a general rule, it is not necessary hospitalization.

Anaesthesia: in most casesthe intervention is performed under local anaesthesia but you can also use sedation and spinal anaesthesia or in the latter case, a general anesthetic.

Internment: no unless it is given a general anesthetic and if so there is a place for one or two days of hospitalization.

Risks: risks inherent in any surgical intervention (bruising, bleeding seroma, etc.) that with a diagnostic consultation should be avoided.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.
[/toggle] [toggle title=”Pre-Axillary”]

It aims to model the body by reducing the volume and perimeter, in a way to acquire the harmony of the shapes. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). Normally ranges from one to three hours at which time the patient leaves for his own foot, as a general rule, it is not necessary hospitalization.

Anaesthesia: in most casesthe intervention is performed under local anaesthesia but you can also use sedation and spinal anaesthesia or in the latter case, a general anesthetic.

Internment: no unless it is given a general anesthetic and if so there is a place for one or two days of hospitalization.

Risks: risks inherent in any surgical intervention (bruising, bleeding seroma, etc.) that with a diagnostic consultation should be avoided.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.
[/toggle] [toggle title=”Arms”]

It aims to model the body by reducing the volume and perimeter, in a way to acquire the harmony of the shapes. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). Normally ranges from one to three hours at which time the patient leaves for his own foot, as a general rule, it is not necessary hospitalization.

Anaesthesia: in most casesthe intervention is performed under local anaesthesia but you can also use sedation and spinal anaesthesia or in the latter case, a general anesthetic.

Internment: no unless it is given a general anesthetic and if so there is a place for one or two days of hospitalization.

Risks: risks inherent in any surgical intervention (bruising, bleeding seroma, etc.) that with a diagnostic consultation should be avoided.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.
[/toggle] [toggle title=”Legs”]

Liposculpture

It aims to model the body by reducing the volume and perimeter, in a way to acquire the harmony of the shapes. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result. It is essential to assess through a medical consultation, which is expected to make the physical, organic and psychological analysis of the patient. Most lipoesculptures are performed on ambulatory basis, the patient leaves the clinic by his own feet and can make a normal life, except for physical exertion and cutaneous gym.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). Normally ranges from one to three hours at which time the patient leaves for his own foot, as a general rule, it is not necessary hospitalization.

Anaesthesia: in most casesthe intervention is performed under local anaesthesia but you can also use sedation and spinal anaesthesia or in the latter case, a general anesthetic.

Internment: no unless it is given a general anesthetic and if so there is a place for one or two days of hospitalization.

Risks: risks inherent in any surgical intervention (bruising, bleeding seroma, etc.) that with a diagnostic consultation should be avoided.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.

Implants

It is a aesthetic intervention oriented which aims to give relief, shape or volume at the knee or calf. In this procedure a implant is inserted with cohesive gel with the shape and volume appropriate to give the desired appearance. The main disadvantage of this intervention is the possibility of a scar.

To avoid scarring, there is another minimally invasive procedure. It is the application of a well-known product (Macrolane) which has proved very effective in several areas of the body when applied correctly and carefully. It is a safe product which has been a growing demand due to the fact it can be applied without involving surgery and does not leave visible scars. Namely, it is a technique that has the inconvenience of traditional surgical procedures.
However, this product also has drawbacks: the result is not permanent as opposed to the interference described above. After about 18 months it will be necessary to introduce new product again.

Duration: about 60 minutes.

Anaesthesia: Most cases is performed on ambulatory basis, under spinal anaesthesia with sedation there is no admission, the patient only needs to stay at the clinic a few hours. After this period, you can go home at their own pace. During recovery it is important to avoid excessive stresses and intense physical activity, since the practice of them may move the prosthesis.

Internment: only if administered general anaesthesia (for individual cases).

Risks: some fitness primarily in transportation as well as physical activity in general, take into account that the region where the intervention is made. The swelling and edema disappear at the end of three weeks approximately.

Side effects: It is very important to have a good communication with the surgeon in order to avoid misunderstandings regarding the size and shape desired. The choice of the specialist physician is so important like the material is to deploy reliable and offers all kind of assurance as to the integrity and security.

Biomaterials

Intervention that aims to modelling the body by removing fat cells that settle permanently in various anatomical regions. The solution involves the application of various techniques according to the specifics of each clinical case.
It is essential to assess through a medical consultation in which it’s made the physical, organic and psychological analysis of the patient. Most lipoescultures are performed on ambulatory basis, the patient leaves by himself and can make his normal life except for physical exertion and fitness.

Description: aims to modelling the body by reducing the perimeter and volume, in a way to acquire the harmony of forms. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). Usually ranges from one to three hours at which time the patient leaves by himself, since, as a rule, no admission is necessary.

Anaesthesia: usually this intervention is performed under local anaesthesia but you can also use sedation and spinal anaesthesia or, in the latter case, a general anesthetic.

Internment: no, unless it is given a general anesthetic and if so there is a place for one or two days of admission.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.

Risks: risks inherent in any surgical intervention (bruising, bleeding seroma etc..) that with a diagnostic consultation should be avoided.
[/toggle] [toggle title=”Thights”]

It aims to modelling the body by reducing the perimeter and volume, in a way to acquire the harmony of forms. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). On average ranges from one to three hours at which time the patient leaves by himself, since, as a rule, is not required admission.

Anaesthesia: in most cases is performed under local anaesthesia but you can also use sedation and spinal anaesthesia or, in the latter case, a general anesthetic.

Internment: no, unless it is given a general anesthetic and if so there is a place for one or two days of admission.

Risks: risks inherent in any surgical intervention (bruising, bleeding seroma etc..) that with a diagnostic consultation should be avoided.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.
[/toggle] [toggle title=”Gluteal”]

Liposculpture

It aims to modelling the body by reducing the perimeter and volume, in a way to acquire the harmony of forms. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). Normally ranges from one to three hours at which time the patient leaves for his own foot, as a general rule, it is not necessary admission.

Anaesthesia: in most cases is performed under local anaesthesia but you can also use sedation and spinal anaesthesia or, in the latter case, a general anesthetic.

Internment: no, unless it is given a general anesthetic and if so there is a place for one or two days of admission.

Risks: risks inherent in any surgical intervention (bruising, bleeding seroma etc.) that with a diagnostic consultation should be avoided.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.

Implants

The increase gluteal implant or Macrolane is an aesthetic intervention which seeks to emphasize the shape or volume in the gluteal region. In this intervention is introduced a prosthesis with cohesive gel with the shape and volume appropriate to give the desired appearance. The prosthesis is placed in order to obtain a natural result.

The application of Macrolane has ensured very effective results in various areas of the body when applied correctly and carefully. It is a safe product that has had a growing demand because it has the great advantage that it can be applied without having to perform surgery and doesn’t leave visible scars. The patient has to undergo the inconvenience of traditional surgical interventions.

The drawback of this product is that the result is not permanent, as opposed to the interference described above. After approximately 18 months it will be necessary to repeat the application.

Duration: about 60 minutes.

Anaesthesia: Most cases is performed on ambulatory basis, under spinal anaesthesia with sedation_ there is no admission. The patient only needs to stay at the clinic a few hours_ after which you can go home at their own pace. During the recovery period, it is important to avoid strenuous physical activity and efforts not to dislodge the prosthesis.

Internment: only if administered general anaesthesia (for individual cases).
Side effects: some fitness_ primarily in locomotion and sitting as well as physical activity in general. The swelling and edema disappear at the end of three weeks approximately.

Risks: it is very important to have a good communication with the surgeon in order to avoid misunderstandings regarding the size and shape desired. The physician’s choice is as important as the reliable material to implement and offers all kinds of guarantees as to its integrity and security.

Biomaterials

The increased volume of the glutes or the modelling shape can be accomplished by applying adipose tissue from the patient’s own body to another zone where it is more abundant, such as the abdomen or thighs. Often are associated with these two procedures liposuction and subsequent utilization of adipose tissue to model areas that lack volume (very often legs, breast, glutes, etc.).

The increase achieved with this technique varies according to the morphology pre-surgical of the patient as well as the quality and quantity of fat applied. Hence, this technique should be adequate depending on each case particularly because of the circumstances and the morphological expectations created.

Duration: about 60 minutes.

Anaesthesia: generallyit is a local anaesthesia. In cases where there is an association with liposuction sedation may be administered once, in which the patient’s return home a few hours after surgery.

Internment: no.

Side effects: edema or swelling immediately after the intervention, situations that are contoured if the patient follows the recommendations and medication during the post-surgical.

Risks: because it’s used autologous materials, you may need to undergo more than one intervention in order to achieve the desired result.
[/toggle] [toggle title=”Knees”]

It aims to modelling the body by reducing the perimeter and volume, in a way to acquire the harmony of forms. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). On average ranges from one to three hours, at which time the patient leaves by himself, since, as a rule, is not required admission.

Anaesthesia: mainly, is performed under local anaesthesia, but you can also use sedation and spinal anaesthesia in the latter case, a general anesthetic.

Internment: no, unless it is given a general anesthetic and if so, there is a place for one or two days of admission.

Risks: are risks inherent in any surgical intervention (bruising, bleeding, seroma, etc.) that with a diagnostic consultation, should be avoided.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.
[/toggle] [toggle title=”Ankles”]

It aims to modelling the body by reducing the perimeter and volume, in a way to acquire the harmony of forms. This technique allows the use of fat removed from areas where there is an excess to be introduced in areas where it set up a harmonious result.

Duration: varies with the extent and the way it is performed (with local anaesthesia or sedation). On average ranges from one to three hours, at which time the patient leaves by himself, since, as a rule, is not required admission.

Anaesthesia: mainly is performed under local anaesthesia, but you can also use sedation and spinal anaesthesia in the latter case, a general anesthetic.

Internment: no, unless it is given a general anesthetic and if so, there is a place for one or two days of admission.

Risks: risks inherent in any surgical intervention (bruising, bleeding, seroma, etc.) that with a diagnostic consultation, should be avoided.

Side effects: include changes in the skin sensitivity, which may remain within four months after surgery but who recover after a short time in most cases.
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Genitals

[toggle title=”Penis Enlargment”]

In this area, Clínica Biscaia Fraga developed revolutionary techniques, especially in penis enlargementwhich have been translated into consistent results and objectives regarding the technique and the measurement of the intended goals.

The years of experience of Dr. Z. Biscaia Fraga substantiated in a high demand for this service, which was intended to be revolutionary, responding and solving numerous cases, many of them of undoubted gravity.

The most often technique consists of a combination of methods, the most important application of adipose tissue with platelet factors in the cavernous tissue of the penis. Is obtained, by using this procedure, a dimensional increase (volume and length) of the penis dimensional without scarring or other visible marks. This intervention, in general, can be repeated and refined over three months, a situation that does not affect the personal or professional life of the patient.

The increase can also be achieved with the application of Macrolane, although the results are not permanent and only a few patients have a indication for the application of this substance, since the results are more moderate.

Duration: about 40 minutes.

Anaesthesia: local.

Internment: no.

Side effects: after the intervention the patient is expected to moderate physical activity, namely the practice of sport and stop sexual activity for a period of approximately ten days.

Risks: inherent in any surgical intervention. The increase achieved with this type of treatment sometimes is achieved only with the second and third structural lipoplasty procedures with growth factors varying from case to case.
[/toggle] [toggle title=”Correction of the female genitals”]

The vaginal reconstruction surgery for congenital absence of thisit is known since 200 years ago. The female genitalia have, over several generations, civilizations and cultural and traditional reasons been the target of multiple mutilations – both in large and small lips or the clitoris or – particularly in Africa.

The woman of the XXI century, in addition to have access to surgical reconstruction of the genitals (especially the vagina by congenital malformation traumatic destruction) have functional and aesthetic concerns. The woman of today knows and wants to enjoy life’s pleasures. In their favor, they have the accessible knowledge and that large distances are no longer barriers.

These surgeries, in most cases, are performed with local or regional anaesthesia without hospitalization (ambulatory) which makes them much financially accessible. For the surgeon, it is very rewarding to contribute to give someone a new joie de vivre.

There are several possible fixes in this area:

  • 1. Liposuction of the pubic area (Mount of Venus).
    The surgery most often performed in this context as it comes to removing a liter (1,000 cc) of fat, making this area more with more volume and shape, especially in the use of the bathing suit.
  • 2. Surgical reduction of the size of the labia minora (vulvoplastia)
    For congenital reasons, acquired or constitutional it may have disproportionate dimensions, resembling the “bat wings open” which, in addition to unaesthetic it’s difficult for a more intimate relationship. This situation can cause a strong inhibition in describing sexual life, sometimes the patients describe strange noises and much difficulty during intercourse.
  • 3. Liposuction of the inner thighs by decreased volume or removal of skin and fat (abdominoplasty)
    Very frequent correction, it aims to improve aesthetics and often functional reasons, it facilitates the progress, prevents inflammation and infection sites.
  • 4. Narrowing or tightening of the vagina (vaginoplasty)
    Correction requested more often in the last 15 years, especially by the young woman after the first or second delivery. According to clinical reports, it is clear that sex it’s profoundly altered by the laxity of their tissues.
  • 5. Hymen Reconstruction
    Surgery rarer, has its justification in the social, cultural and religious, being experienced in some cases with intense stress, almost being at risk their own young lifefor issues such as “family honor.”
  • 6. Surgical correction of large labia
    Exaggerated in volume and size (hypertrophy vulvar) often because of the constitutional and hormonal.
  •  7. Surgical correction of the clitoris
    In some situations, due to a excessive increase in their size (hypertrophy)and on other, due to its apparent concealment by engaging excess of the hood.
  • 8. Refurbishment of G Point
    Making it themore conspicuous with a underlying application of adipose tissue treated (from the own patient).
  • 9. Labia minor and deleted (vulvar atrophy)
    Surgical correctionwhich gives volume and shape to the small and large labia with tissues from the own patient (structural lipoplasty), i.e. adipose tissue carefully treated and properly applied.

This reconstruction of the vaginal canal, when carefully prepared is made to relaxed the muscles at the level of the basin (perineal floor muscles). With this intervention the modelling is carried out of the vaginal mucosa, giving a three-dimensional structure balanced and harmonious with noticeable impact sexual function.
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