The procedure is to remove the more superficial layers of the skin through a special device called dermoabrasor. By removing these surface layers, the skin regenerates and results in a new skin, youth and Lozano.

It is very important to follow the indications of Dr. while the regeneration process, to avoid spots on the skin. It is important to stop smoking and avoid the sun.

This procedure is ambulatory and is performed under local anesthesia with sedation. It is also important to make a prior assessment of the skin type of each patient to make adequate preparation

 
 
Before
  After

Made up of bone, muscle, fat and skin form is caused by genetics and in some cases by accident …. His change surgery is possible, simply an analysis of the aesthetic side of cephalometric radiographs to reach an accurate diagnosis and proceed with the planning.

If the chin is not overly planned or projected it can be corrected to normal parameters. If the chin is too long or too short it may lead to limits ideals enough to operate. If it is asymmetrical or if he is absent it may be too.

Once documented examination of the patient with blood, cardiac, and X-ray photography is the planning of surgery called SLIDING of Menton.

The surgery was performed in the operating room of the clinic under general anesthesia and local levels. We carried out by an incision inside the mouth toward the chin. Cut the bone of the chin to allow for the movement that is needed is hasten or retroponerlo, or reduce as height increased, it depends on what we want to achieve. Once the motion is set the bone with wire or metal plates and screws or absorbable. Closes mucosa with absorbable sutures.

The scar does not notice because no one will be located on the inside of the mouth and is small.

The patient is admitted for a night at the clinic the next day and return home.

This simple surgery is capable of causing major changes that will make the procedure is wonderful for the patient who needs it.

The sliding of the chin is not recommended in patients with osteoporosis or bone resorption important jaw

When activated the muscle of mastication a group provokes the opening of the mouth, another group close the mouth and the abbot of mouth from one side to another.

The muscles of mastication to produce the closure of the mouth, are located on each side of the face and joined the skull with the jaw and face with the jaw. In order for this muscle group to operate with easy sliding need a pad of fat is called Bag of adipose Bichat. They possess all human beings and the vast majority of the population are not well known, however there is a very small group of people whose Fat bag of Bichat is very clear giving the impression face with round cheeks without demarcation between the zygomatic and the jaw.

The facial aesthetic saves certain parameters and that search for harmony patients come with a desire to reduce the volume of their cheeks, and if this is likely to be modified with a Bichectomía, then surgery is the plan to follow.

For Bichectomía the patient must be healthy with results of standard blood tests, surgery was performed in the operating room under local anesthesia, and through a small incision on each side of the lining of the cheek fat is removed, to obtain the desired result. It was suturing the wounds with a thread-absorbed and the patient can return home to rest.

Care are soft diet for a week and oral hygiene.

A week after the surgery the patient may enjoy their new facial contours, much more delineated and sharp.

Duration of surgery fifteen minutes.

This surgery is recommended for those patients, whether women or men who have an abdomen with excess skin and abdominal distension, fabric hanging below the navel, which have not improved despite a diet or exercise.

The procedure involves a strengthening of the muscles of the anterior wall of the abdomen and liposuction of the waist and back. Through an incision above the pubic hair that extends to the hips.

The size of the incision depends primarily on the flaccidity of skin or excess fat that this patient.

The surgery takes about two to three hours, and can be performed under general anesthesia or an anesthetic blockade at the back.

The recovery process is fifteen days to correct its control, after between seven and nine days withdrew points, so we can start with the lymphatic drainage massage and ultrasound, thus accelerating the process of desinflamación.

Through abdominoplasty, is achieved by molding their body contour, reduce volume, improve abdomen, back, waist and hips.

In most cases the results of surgery are final, provided that go hand in hand with a balanced diet.

And most important is that after this surgery, the women can feel sexual penetration as if it were your first time.

This is a very simple and is very sensitive to unite with sutures, those fragments hymen to be found in most regions outside of the vagina, with the goal of getting to become a single unit, as they were before. To achieve this end they need to make a cut on the edges of each piece looking to heal when they are united with each other.

In cases where the patient does not present those fragments needed to perform this procedure, whether that somehow have been reduced or simply the patient was born without a hymen, your doctor may reduce the opening of the entrance using a small portion of the mucosa Vaginal to get a result that works just as the hymen.

This procedure is ambulatory, meaning that once the surgery can go home, takes about one to two hours and is performed under local anesthesia.

Increased by injection of fat .- This procedure is to inject that fat extracted from other areas of the body such as the abdomen, waist, the lower back. Through a very thin cannula, after his doctor to put the rendered fat to a process of purification, injects this (fat) little by little in the buttocks, bearing in mind that in the area where this is putting this new fat have blood vessels that ensure the well drained of fat transferred.

Increase with silicone implants .- The use of implants buttocks is ideal for people who want to increase and improve the contour of that area of the body.

  This procedure is performed through an incision is made in the depression that separates the two buttocks, approximately 5 to 7 cm. Once the incision, it forms a pocket in each buttock that is where you are going to place the implants. These pockets that your doctor performs depends on the need to present the patient at the place where they will be positioned implants, and these may include:

Submuscular, this means that the implants were placed behind the gluteus maximus muscle. This will depend on whether the need is to increase the patient’s upper buttocks.

Subfascial, here are implants placed between the muscle and fascia, and will depend on whether the patient needs to increase the bottom of the buttocks and has a good volume on top.

The implants used for this procedure are specially designed for this area of the body, and can be round or oval, it will be your doctor to decide which way is that you need.

This procedure is ambulatory, that is no longer required hospitalization, anesthesia may be local, epidural or general and the duration of the surgery is about two hours for a procedure or another.

The mastopexy is the surgical procedure that elevates and enhances the shape of the breast falls. And also through the placement of an implant can recover the lost volume and reduce the size of the areola when this is very big.
Your surgeon should assess the size and shape of their breasts, and to analyze their need to depend on the firmness of the skin and overall health.
This surgery is usually performed under general anesthesia. Although there are some cases of mastopexy can be performed under local anesthesia mássedación.

The surgery takes about 2 to 3 hours. And to make incisions to remove the skin that is flaccid, placing the nipple and areola in his new higher position. The stitches are made around the areola, in a vertical line down from the areola and along the path from under the breast. You can present the case when the breast is small and fall short incision is placed just around the areola. If necessary the doctor placed a prosthetic breast tissue or under the pectoral muscle in breasts with little volume.

It’s normal to have a burning sensation in the nipples during the first two weeks. The points are removed between 7 and 14 days.

It is important that you and your doctor talk about the scars that remain after a mastopexy, as these are important and permanent, although her plastic surgeon will do what it can to be noticed as little as possible. Over time, the scars will notándose less. The effects of the mastopexy, though durable, are not permanent, depending on factors such as new pregnancy, changes in weight and age.

If your expectations are in line with what his plastic surgeon offers you, you are very satisfied with the outcome.

Medical-care aesthetic (no scalpel).

With care we will improve the aesthetic appearance and increase the firmness of the skin. It is therefore recommended preventive treatment and delay its onset, but the skin aging is inexorable. The best way to retard aging is to follow standards of hygiene, always keeping the skin clean and protected from external agents, sun, wind and cold mostly.
Needs to be done, above all, a hygienic life, taking control to avoid shortages of food proteins, vitamins and minerals in the diet, which abounds with liquid. Avoidance of the sedentary lifestyle to prevent circulatory problems. While we must correct the excess weight, rapid weight loss schemes are not recommended because it results in the skin folds and wrinkles too.
The protective day creams or creams containing basic amino acids, glycerol, urea, lactic acid and other substances that complement the effect of hygroscopic natural moisture factor (FHN) will improve the capability of fixing water in the horny layer, reinforcing the emulsion epicutánea, deficit with age. These creams also carry vegetable oils such as almond, avocado, and so on. rich in essential fatty acids and vitamins in part alleviate the shortage of lipids in the skin, which increases with age. For sun protection will be used in cosmetics bearing the composition of sunscreens high level of protection.
Once formed wrinkles care will be to improve the hydration of the skin, making it disappears descamante their appearance, increase its flexibility, stimulate cellular activity and reduce flaccidity. The outcome of the treatments depend on the deterioration of the skin and constant care.
To stimulate blood circulation and act on the flaccid skin, the skin to recover part of its firmness, there will be invigorating massage to increase muscle tone and glandular secretion friendly, complemented with treatment of passive gymnastics and implementation of high frequency current and windy.
Cosmetics that will be used in addition to the components of FHN moisturisers and emollients such as vegetable oils mentioned above, containing extracts biological, hydrolyzed collagen and elastin, hyaluronic acid, enzymes, and so on. that stimulate cellular activity. Among the most commonly used are organic extracts of the placenta, the tissue alive, extracts embryonic and amniotic fluid. These cosmetics will be presented in the form of oils, lotions and creams aqueous ionisable. To facilitate the penetration of active ingredients will be used iontophoresis and enhance the action of the emollient effect of the heat with building and thermal mask.
The rough touch and opaque appearance of skin aging due to the accumulation of cells in the horny layer is mitigated through the proper exfoliation with cosmetics.
The masks used in the treatment of wrinkles will be occlusive, to increase hydration, and plastic, thus tightening its effect on drying hide wrinkles.
One can make peelings, fillings (temporary or definitive), Laser Resurfacing, botulinum toxin, and so on. The temporary solutions for wrinkles and grooves, including those filled injectable collagen, hyaluronic acid, fat, etc.. Some people are allergic to collagen from cattle, so it will always be necessary, conducted a “reaction test.” In the event that some reactions are taken, there are also other options. For example, hyaluronic acid, which could not ever produce any kind of allergic response, is injected to fill wrinkles and lines of drills. Another option is using a local anesthetic-and-a syringe, extract a small amount of fat from his abdomen or other area. Like collagen, this fat can be injected to fill in facial lines. However, both with collagen and with fats, it will be necessary to repeat this kind of treatment regularly, so that the results do not disappear.
 

Botulinum toxin.

It is obtained from Clostridium botulinum, a bacterium. Lately, people are leaning much by regular injections of botulinum toxin (Botox), which reduces wrinkles in the face and between eyebrows, temporarily paralyzing the muscles that cause them hyperactive. After this type of procedure, the wrinkles are too small, and very difficult to return in the short term, to be formed with the same depth, as this area of the body has a smaller movement.
 

The effects of botulinum toxin, can be observed generally over a period of 24 to 48 hours after injection. His results last on average between four to six months. Some surgeons have indicated that the effects seem to last longer with each treatment that is done, but this has not been proven scientifically so far.
Taking certain medications (for example, specific antibiotics) could increase the power of injections of the toxin. But it is important that it be provided with a clear and complete information to your plastic surgeon, for all medications being taken, because if you are pregnant or with special care, botulinum toxin might have some kind of contraindications.
In some cases, to treat this type of wrinkles, it could recommend another type of injectable materials. The most desirable, then, is to attend a plastic surgeon who can bring up to date on all treatments available today, and advised that the greatest benefits can give you.
 

Surgery: Care pre-and post-facelift.
 

If it is decided to take that step to look more young and fresh and return to the skin all its freshness, you should be aware that not everything begins and ends in the operating room. Cosmetic care must begin at least a month before so that the skin and muscles are in perfect condition. This is something relatively simple, based on massage and deep cleansing, considering that an oxygenated skin and responds well to better stretch and heal properly. After surgery, treatment is mainly based on lymphatic drainage of face and neck, made with great care, because it should be noted that this was assaulted skin and muscles need to adapt to its new location. Do not forget the sun protection factor throughout the day. We have to adapt makeup to the “new” face and learn to do so according to the facelift done.

The medical concept refers to an inflammation (ITIS) diffuse subacute or chronic connective tissue and the subcutaneous cellular tissue (cellular). It is an infection that can be secondary to an injury or fracture or fissure in the skin and infect the deeper layers, allowing the entry of bacteria or fungi.

Factors contributing to the appearance of cellulite

a) Endocrine .- At puberty, the period after childbirth, menopause and the days preceding to the rule, increases fluid retention in women with the possibility of occurrence of accumulation of fat. Obesity in childhood and puberty makes cellulite more resistant to any treatment.
b) Genetic .- The cellulite is hereditary
c) .- Eating Bad eating habits, constipation and the consumption of the small amount of water increases.
d) .- Mechanical Fatigue, a weak breathing, stay in rooms with foul air, smoking and sedentary life. The bad blood circulation and the formation of varicose veins, exacerbating the so-called “orange peel”.
e) Psychological .- This disease is seen more often in women apathetic and unstable, with stress and nervous tension as well as those who suffer from insomnia and are inactive.

Treatments

Are carried out medical treatment, surgical and physiatrists with good results. Here are a few of them:
 

a) .- Mesotherapy consists of the incorporation of substances intended to destroy the fabric cellulites and achieve their replacement by normal tissue.
b) .- By Lymphatic drainage massage removes toxins and fluids. Are made of soft and slow to improve circulation.
c) .- Electrolysis consists of electrostimulation in pairs, a few acupuncture needles long - 10 to 20 centimeters - implemented in parallel with each other.
d) .- Ultrasound Increases local temperature, producing vasodilation, improves blood circulation and lymphatic.
e) Creams .- Application of Specific creams, coupled with a balanced diet and a moderate exercise, helps improve the “orange peel”.
f) .- Lipoaspiración is made when the cellulite is more advanced and the affected areas are larger. It is not a method of thinning, or reduction of cellulite, it can be used for modeling the body, but never merely as a resource to lose weight. It reduces the fat in localized areas off allowing removing such as buttocks, the trocantéricas (riding pants), abdomen, waist, knees and a double chin (chaps). It is performed in the surgeon operating room with a certificate.

It is recommended

a) .- Diet must be taken two liters of water daily to remove toxins. Fresh fruit, green vegetables, whole grains and the bran (cereal) help cleanse the tissues. Should be avoided with fat milk, butter, sauces and caffeine.
b) .- Up Exercises stairs, walk half an hour daily, swimming and aerobics
c) .- Massage Improves lymphatic drainage and stimulates the micro movement. They should be soft and relaxing. They are best when using a cream properly. Should never be painful and intense.

The sun is not healthy or harmful in an absolute manner. Like anything in life is absolute. Everything depends on the type of skin (white / mate / brown / thick / thin), the intensity of the rays (time of year / place /: altitude and latitude / weather: wind, humidity, type of protection / frequency and duration of exposure to the sun.

When we speak of conduct for sunbathing, think of the noon of January at the beach: remember that children learn the same habits of their parents.

Before talking about levels and rates of sun protection, we will talk about what is solar radiation:

Solar radiation

The radiant energy is produced by the sun (Fig. 1) and artificial sources. Electromagnetic waves, ranging from very short-ray wavelengths called cosmic, via X-rays, the ultraviolet (UV), visible light, infrared up the airwaves. Those of our interest are the UVR between 280 nm to 400 nm.

The UVR is only 5% of the solar spectrum. But the strip is most important energy from the sun. They are divided into:

- Ultraviolet A (UVA) - Long-wavelength 315 / 400 nm.

Area tanning

- Ultraviolet B (UVB) - half wavelength 280 / 315 nm.

Area sunburn

- Ultraviolet C (UVC) - short-wavelength 100 / 280 nm

Zone changes (long term)
  

Fig. 1 .- The solar radiation have a high biological activity that produces significant changes in our skin from redness to cancer.
 

UVA pass through the glass and produce almost no redness, but they have great ability to pigment the skin. That’s why you tan when the sun gets in the car, or micro, even behind the windows.

They are the same UV lamps and sunbeds.

No erythema under the action of UVA, whatever the source that produces them, but penetrate deep. That’s why provoke a tan slower but more durable.

In the solar spectrum are blended with the rest of radiation, but prevail from the Amanco until the 10-11 hours, and at dusk from the 16 pm. In the future, and depending on the season.

Small amounts of infrared (RIR), which produce heat and erythema (redness), stimulate the circulation surface, which favors the production of melanin.

The UVB does not pass through the glass, is that it absorbs. Produce erythema and blistering. They make possible the synthesis of vitamin D in the skin, essential for life, That is why it is necessary to expose the baby to the sun a reasonable time, in plazas, parks or gardens of the fund.

It is not enough to give you the sun through the windows, glass, to absorb UVB radiation, does not permit the synthesis of vitamin D. The coup sun is a consequence of a long exposure to UVB (from 11 to 16 hours, in which predominates) and burn consistently.

An exhibition of one and a half hours, without good protection and when we are not yet bronzed, in the hours that abound UVB, produces blisters and fever, comparable with a second-degree burn or type AB (according to the classification of Benaïm) . Repeat exposure to the skin in these conditions, aggravated the injury blister, with the risk of scarring and cumulative damage that implies.

But this is what they do at many beaches, with the aim of quickly removed the white paper, colored office, which proclaims that work locked up. This is what must be avoided!

Fortunately, the presence of RIR alerts us, because heat and if we look at the signals they emit the skin, the damage was evident. These signals have to pay attention!.

The UVC, damaging the basal layer of the epidermis, where there are cells that then amount to the surface (more or less in 28 days). Produced photoaging, skin cancer, cataracts, immune problems. They are in small quantities in the solar spectrum, so it takes years of irradiation, to display its effect: this is the true meaning of “cumulative damage.”

They are detained by the atmosphere and the ozone layer. Therefore the reduction of ozone plunges us into the growing insecurity, to us, to animlaes, plants, the ecosystem.

Exposed skin from childhood, as we see in places, swimming pools and beaches-and youth, poorly or inadequately protected, damaged not only cumulative, but irreparable, already described.

But also:

- It is not capable of self his injuries.

- Decrease your sitema self to the sun.

- Premature aging, by a ratio of twenty or more years with respect to non-exposed (if you have any, compare).

But give it a soft tan is not harmful.

Quite the contrary.

UVA are beneficial, increase white blood cells (lymphocytes), which is why we feel strengthened in the spring, with more resistance.

Reasonable exposures to sunlight improves depressive states. In the skin, exposure to moderate, gradual and protected favors the decrease of seborrhea not irritable, has antiseptic effects that improve acne, psoriasis and other ailments (and we must consult a specialist for skin).

Are sufficient reasons to expose a little sun in the morning, either in town or on long walks on the beach or the mountains.