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Drooping eyelids and bags under the eyes make us look tired and sad.
Eyelid surgery (blepharoplasty) is a surgical technique that consists of correcting excess skin and bags of fat in the top and bottom eyelids.
Surgery in the top eyelids consists of extracting excess skin to restore normal muscle tension.
In bottom eyelids, the bags of fat are removed, which can be quite large at times.
There is no age at which this type of procedure is most suitable, as the appearance of bags under the eyes can occur in both the young and the elderly, although they do tend to become more pronounced as the tissues in this area relax and there is more excess skin.
It is a short surgical process, with simple postoperative and long-lasting results.
This technique can be applied along with other aesthetic facial surgeries aimed at eliminating facial wrinkles and loose or drooping skin.
The overall condition of your eyes will be assessed during the initial consultation (degree of vision, tear production and possible problems with infection), as well as your general state of health.
It is important for you to tell us about your daily habits (if you smoke or drink alcohol), wear glasses or contact lenses, if you have allergies, if you take any medications or have had any eye problems.
A preoperative study is performed before any surgery is performed: Electrocardiogram, complete analysis and a chest x-ray, if you are a smoker.
Dr. Ana M. Torres will inform you about how to prepare for the procedure. This includes a homeopathic medicine protocol, which you will start taking one week before the surgery.
Dr. Ana M. Torres uses local anaesthetic in combination with a sedative.
Blepharoplasty is generally performed using local anaesthesia and sometimes sedation. General anaesthesia is never recommended.
The procedure usually takes between half an hour and one hour, depending on whether all four eyelids are treated or only the top or bottom eyelids.
This procedure can be performed in two ways:
External method: A tiny incision is made in the skin under the eyelashes, through which the bags of fat are extracted, and then closed using a fine suture that also tenses the skin.
Internal method (transconjunctival): It consists of making a small incision inside the eyelid, with no external lesion, through which fat is removed through the internal mucous membrane of the eyelid.
In this type of operation, the eyes are protected with special contact lenses (ocular protector) after applying anaesthetic drops.
This procedure is most common for people under 40 years of age who do not need skin to be removed. The great advantage of this technique is that it does not leave a scar.
Any possible postoperative irritation is resolved using homeopathic medicine that Dr. Ana Torres will prescribe for you, as well as a mild analgesic like paracetamol. No strong pain reliever will be required in the majority of cases.
We recommend applying cold camomile compresses for the first few days.
If eye irritation, signs of conjunctivitis or infection or reactions to the anesthesia appear, you should consult the doctor. For a period of two months, you should protect this area from the sun by wearing large sunglasses that provide side protection. Ten days after the operation, you can start wearing makeup.
We advise wearing a high-level sun block that can be used as a foundation for makeup.
You will be given guidelines about when you can watch television again (generally 24 hours after the procedure), read (generally after 48 hours), when you can start wearing your contact lenses again, if you need them, and when you can go back to work (normally five to seven days after the blepharoplasty).
You can restart your social life from then onwards without any trace at all of the procedure.
Rhinoplasty is a surgical procedure aimed at correcting nasal deformities by modifying the shape of the nose, which leads to improved facial balance and harmony.
Each rhinoplasty procedure is a unique case that must be carefully evaluated on an individual basis.
The final aesthetic appearance of the nose after surgery will be obtained after a period of no less than six months.
This change is so slow and progressive that it may not even be noticed. However, we must insist on the importance of this time in order to evaluate the end result.
Correction of nasal deformities
The nose is the central axis of the face and is a cause of deep dissatisfaction for many people.
As with any surgery, during the initial consultation, the condition of the nose will be analyzed, as well as the breathing and general state of health (illnesses, allergies, medication taken).
Preoperative tests will be conducted (ECG, complete analysis and chest x-ray). If you do have respiratory problems, otorhinolaryngology tests will be requested.
Rhinoplasty can be performed using general anaesthesia or local anaesthesia with sedation.
There are two methods for performing this surgery:
Closed rhinoplasty: This is the most common rhinoplasty technique: The operation is performed by making incisions inside the nostrils so that no external scarring is visible.
Working inside the nose, the surgeon can shape and model the nasal bones and cartilage to create a new structure.
This involves retracting and adapting the skin and membranes until the desired shape is obtained.
Open rhinoplasty: Is recommended in cases in which there is a greater degree of malformation at the tip.
By cutting the membranes at the tip and dorsum of the nose, the surgeon directly accesses the nasal structures.
This type of surgery leaves a small scar at the base of the columella.
Some patients need to increase the size of their noses (Asian origins, post-trauma, etc.) to make the tip more prominent, to lift a sunken dorsum or to correct malformations.
In these cases, Dr. Ana M. Torres uses grafts with tissues from the patient to shape and support the nose.
Patients are generally admitted on the day of the surgery and discharged on the morning after the procedure.
In the operating theatre, in some cases small plugs are inserted, which are to be removed when the patient is discharged.
A plaster cast or a plastic splint is usually placed over the nose, which is removed after seven days.
For this procedure and following the homeopathic medicine protocol, analgesics are not required except in the first hours.
If you suffer from excessive looseness or drooping in the face and neck, lifting is the only really valid treatment option.
Lifting significantly improves the appearance, rejuvenating the skin tone and facial contours, providing a youthful effect and restoring the vitality that time has taken away.
Lifting varies depending on the areas of the face to be improved, the emphasis being on the most affected areas, the placement and extension of the incisions and whether or not complementary techniques are used (eyelid surgery, cheek implants, etc.) in addition to the length of the operation.
The results obtained are natural and long lasting.
Like all procedures, a previous medical exam is essential for detecting any possible anomalies that could negatively affect the operation.
Dr. Ana M. Torres will evaluate your facial structure and the quality of your skin, as well as your general state of health.
If you smoke, you must stop smoking three to four weeks before the procedure and for three weeks afterwards, as tobacco decreases peripheral blood circulation and alters the scarring process.
El lifting puede realizarse con anestesia local y sedación.
En aquellos pacientes que requieren un tratamiento especial en la zona del cuello, puede aplicarse anestesia general.
The technique basically consists of repositioning the layers of muscles, skin and fat removing excess tissue by making an incision, which generally starts above the ears (inside the hairline), extends along the inside of the natural lines of the ear and continues around the ear lobe, behind the ear and scalp. This allows any scarring to be perfectly camouflaged.
In some cases, further liposuction must be done on the neck as well as repositioning its muscles, which will leave a scar approximately three cm. long directly below the chin.
The following day and before you are discharged, drains and dressings are removed and your hair is washed. An elastic bandage must be for eight days (at least 8 hours per day) to relieve tension on the wounds.
There may be bruising or swelling after surgery, which will progressively lessen.
You will have to remain in the hospital for at least one day after the procedure.
Thanks to the homeopathic medication protocol, postoperative swelling and pain are minor.
Some additional analgesics may be needed in the first hours.
We recommend minimizing all activity and, if possible, resting for one week until the stitches are removed. The inflammation will settle within two weeks and bruising will disappear.
Bichat bags are fat deposits, which are located inside the cheeks and can be removed, if desired.
For people who have a very prominent or thick cheek, removal of the Bichat bags refines the face, improving facial contours and making the jaw line and cheekbones stand out more in the face.
The surgery is very simple; it can be carried out under local anaesthetic or sedation.
Despite the possibility of slight swelling, recovery is very quick and patients can go on with their social lives the next day.
The surgery is very simple
Chin and cheekbone
A chin that does not protrude causes facial imbalance and often leads to a double chin and flabbiness in the neck.
Chin augmentation can be performed using a prosthesis, in which the placement does not leave any visible scarring.
It can also be performed via lipo-injection which is the implantation of fat extracted from the patient with liposuction and then treated in order to separate the adipocytes.
Making the cheekbones stand out more automatically gives us a younger and fresher appearance.
It can be performed using the same procedures as for the chin. Using an implant, the projection of the cheekbone is remodelled into the desired shape and profile.
We generally recommend fat grafts for filling both the cheeks and the chin, because an extremely natural result is obtained without any need to employ artificial materials.
Chin and cheekbone
The recovery time is very fast in both types of surgery.
As with any facial procedure, the condition of the skin is important for the success of the procedure.
With regard to the chin, it must be determined that there are no pre-existing mouth conditions, such as gingivitis or any type of tooth infection.
Surgery can be performed with local anaesthetic.
When it is performed in combination with other surgical procedures, it will depend on what type of anaesthesia the other procedures require.
En general se trata de procedimientos ambulatorios que no requieren ingreso.
The treated area must be carefully disinfected at all times, particularly if the implant is inserted via an intra-buccal method.
Swelling may persist for some time and may improve by having lymphatic drainage massage.
Ear pinning, a treatment procedure for what may colloquially be referred to as "sticking out ears," is not only for children, but also for adults.
Otoplasty consists of naturally remodelling the pinna using small instruments that allow us to scrape the cartilage so that it folds in, using sutures where required.
In this type of procedure, the scar will be behind the pinna, so that it will be imperceptible even when patients have short hair or wear their hair pulled back.
We do not recommend performing otoplasty on children under the age of six years.
The results of otoplasty to correct the defect of prominent ears are highly satisfactory.
As with all procedures, a prior medical exam is essential for detecting any possible anomalies that could negatively affect the operation.
General anaesthesia is used for the surgery in children.
Whereas adults are operated on using local anaesthesia and a sedative.
This type of surgery is performed as an outpatient procedure.
Patients must wear a dressing for 24 hours and then an elastic bandage for one week.
When the bandage is removed, the ears will be slightly swollen, which will subside over the following days.
The stitches are removed after seven to eight days. In the meantime, the patients can wash their hair and lead normal lives.
Lipo-structure is a technique which enables us to add mass to different parts of the body using the patient's own fat as a filling material by means of the Coleman technique.
The facial features of older people, such as sunken or cadaverous eyes, lack of mass and definition in the cheeks and angle of the jawbone, are caused by a reduction in mass due to decreasing fat, which creates flabby tissues.
Using the patient's own fat as a filling material to restore and increase mass or to remodel body shape, means we can avoid the use of synthetic or semi-synthetic materials, which can potentially lead to complications as regards extrusion and/or reactions to a foreign body, and subsequent rejection as it is a foreign material.
The results of injecting autologous fat are very succesful, both in aesthetic and reparative cases, in small and large amounts.
Thanks to the versatility of the technique and the long-term durability of the mass obtained, we believe that patient's own fatty tissue meets all the requirements to be the method of choice for treating losses of mass or remodelling and repairing different parts of the body.
When we age, the fat which is found under the skin in the subcutaneous tissue decreases gradually, especially in the face and hands.
The patient must undergo a pre-operation examination: ECG and full analysis.
Depending on the area being operated on, this type of procedure is performed using a local anaesthetic, epidural anaesthetic or, if the patient prefers, general anaesthetic.
Dr. Ana Torres usually uses Body-Jet Lipotransfer liposuction to extract the fat (from the abdomen, inner knee or muscles).
Because the fat is extracted using pressurised water, post-operation is much less painful and the fat extracted is better quality.
The extracted fat is washed and centrifuged and then injected into the area we wish to enhance by means of small incisions (1 or 2).
Depending on the duration of the procedure, it will be decided if it is necessary for the patient to be admitted to hospital or if it is possible to perform the operation in an outpatient facility.
There will be a mark on the area of the liposuction for 2-3 weeks.
There may be a haematoma or swelling for the first few days. Depending on the amount of fat extracted from the donor area, lymphatic drainage may be necessary.