by Dr. Marcelo G. Visentini
| Introduction | My Resumé | My Work | Surgeries | Treatments |Contact |

INTRODUCTION

In this special report you will be able to find a complete summary of the most frequent plastic surgery techniques. It has been made based on the information that the ASPRS (AMERICAN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS in the U.S.A..) prepared for the patients to know better the practices of the plastic surgery. These reports are usually available in offices of the plastic surgeons recognized by this North American official association and are to disposition of the patients.
We have given to these information an understandable format for our country, adding data that our professional experience demonstrates that they are important to consider; since, it is mainly important that all patients who are considering cosmetic surgery or reconstructive surgery, should know all the details, that consists on: the benefits of the expected results, the odds you will go through to reach those results and the risks of surgery. The plastic surgeon has two high-priority tasks: must give you thorough and clear information about the procedure you want. And use the skill and art to help achieve your goals. Patient must understand that plastic surgery can enhance your appearance and self confidence, but it won't necessarily change your looks to match your ideal or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

 

The FOUNDATION OF The PLASTIC SURGERY

The image is not merely what we show......

...it is also our personality refection; other form to express to us. We live in a relation world in which we express ourselves to communicate. Taking care of our own image is a way to improve our own world. Beauty attracts. If we see a pretty flower, or a small ladyBug, its calls our attention, we try to have it in our hand, and we preserve it without affecting it. If we see a spider, or worse, an inoffensive cockroach, we feel rejection and want to destroy it.

Beauty is a good itself. Medical science has managed to prolong life lasting and quality. It has achieved that our organism efficiently works long time and in perfect state, but our outside is deteriorated. Science has been able to separate our biological age from our chronological age, and this has generated a problem: an image problem. Good news are that today we can adapt our external appearance to the best quality of life and feel better with ourselves and for others. With effective solutions, simpler and more and more accessible, surprising and natural results are obtained, according with the patient style and shape.

Plastic surgery can slow the aging process and improve the visible signs of aging. ASPS member surgeons are trained in cosmetic procedures of the face and all areas of the body to help you look naturally younger. We can`t deny that beauty forms part of the world, it`s not essential but important to enjoy life.

 

" Beauty is a good itself.

We can`t deny that beauty forms part of the world, it`s not essential but important to enjoy life.."

 

"The plastic surgeon must have two priotities :
to inform his patients accurately about all relevant matters and to apply his ARTISTIC ABILITY to achive the best possible result. "
 

Let me introduce myself

I am Dr. Marcelo G. Visentini.

I´ve got my MD degree from the Medical School of Buenos Aires University. I am a Specialist in Plastic Surgery (National Ministry of Health and Social Action), as well as Specialist in General Surgery (degree given by the Ministry of Health and Social Action and by the Argentine Surgery Association). I´m a member of the Argentine Medical Association, Argentine Society of Surgery, and the Buenos Aires Plastic Surgery Society.

I can be reached at my office: SUIPACHA 1311 PISO 2° - CAPITAL
phones: (54-011) 4322-2923, 4328-2275
or by
e-mail: marcelo.visentini@gmail.com


How to consult this paper:

Here you´ll find the following subjects:

Tummy. Surgery and additional treatments.
Face Wrinkles. Botox. Surgery. Fillers. Peeling. Laser.
Hair Implant. Surgery.
Laser Hair removal.
LIPOSUCCION Cellulitis.
BREASTS. Augmentation.
BREASTS. Reduction.
NOSE. CHIN. CHEEKS. Surgery.
PROMINENT EARS. Surgery.
EYELIDS. Surgery.


Tummy Tuck

If You're Considering Abdominoplasty...
Abdominoplasty, known more commonly as a "tummy tuck," is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen. But bear in mind, it does produce a permanent scar, which, depending on the extent of the original problem and the surgery required to correct it, can extend from hip to hip.

 

"The best candidates for abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won't respond to diet or exercise"

The best candidates for abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won't respond to diet or exercise.

The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved.


Patients who intend to lose a lot of weight should postpone the surgery. Also, women who plan future pregnancies should wait, as vertical muscles in the abdomen that are tightened during surgery can separate again during pregnancy.

About The Surgery

In your initial consultation, your surgeon will evaluate your health, determine the extent of fat deposits in your abdominal region, and recommend the procedure that is right for you. If, for example, your fat deposits are limited to the area below the navel, you may require a less complex procedure called a partial abdominoplasty, also know as a mini-tummy tuck, which can often be performed on an outpatient basis. You may, on the other hand, benefit more from partial or complete abdominoplasty done in conjunction with liposuction to remove fat deposits from the hips, for a better body contour. Or maybe liposuction alone would create the best result. Your doctor may select general anesthesia, so you'll sleep through the operation. Other surgeons use local anesthesia, combined with a sedative to make you drowsy. You'll be awake but relaxed, and your abdominal region will be insensitive to pain.

Complete abdominoplasty usually takes two to five hours, depending on the extent of work required. Partial abdominoplasty may take an hour or two.
Most commonly, the surgeon will make a long incision from hipbone to hipbone,just above the pubic area.

A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stitched.

Next, the surgeon separates the skin from the abdominal wall all the way up to your ribs and lifts a large skin flap to reveal the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline. The skin flap is then stretched down and the extra skin is removed. A new hole is cut for your navel, which is then stitched in place. Finally, the incisions will be stitched, dressings will be applied, and a temporary tube may be inserted to drain excess fluid from the surgical site. In partial abdominoplasty, the skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess is removed, and the flap is stitched back into place.


For the first few days, your abdomen will probably be swollen and you're likely to feel some pain and discomfort which can be controlled by medication. Depending on the extent of the surgery, you may be released within a few hours or you may have to remain hospitalized for two to three days. Some people return to work after two weeks, while others take three or four weeks to rest and recuperate. Surface stitches will be removed in five to seven days, and deeper sutures, with ends that protrude through the skin, will come out in two weeks.

 

Your scars may actually appear to worsen during the first three to six months as they heal, but this is normal. Expect it to take nine months to a year before your scars flatten out and lighten in color. While they'll never disappear completely, abdominal scars will not show under most clothing, even under bathing suits.

 

Exercise will help you heal better. Even people who have never exercised before should begin an exercise program to reduce swelling, lower the chance of blood clots, and tone muscles. Vigorous exercise, however, should be avoided until you can do it comfortably.

 


"
Adbdominoplasty, whether partial or complete, produces excellent results for patients with weakened abdominal muscles or excess skin.

And in most cases, the results are long lasting, if you follow a balanced diet and exercise regularly."

Complications

Post-operative complications such as infection and blood clots are rare, but can occur. Infection can be treated with drainage and antibiotics, but will prolong your hospital stay. You can minimize the risk of blood clots by moving around as soon after the surgery as possible.Poor healing, which results in conspicuous scars, may necessitate a second operation. You can reduce your risk of complications by closely following your surgeon's instructions before and after the surgery, especially with regard to when and how you should resume physical activity.
Abdominoplasty, whether partial or complete, produces excellent results for patients with weakened abdominal muscles or excess skin. And in most cases, the results are long lasting, if you follow a balanced diet and exercise regularly.

FACE WRINKLES
Botox.
Surgery. Fillers. Peeling. Laser.

A number of treatments are available for individuals who want to eliminate or soften imperfections on their facial skin and achieve a clearer, fresher look

BOTOX IINJECTIONS

The cosmetic form of botulinum toxin, often referred to by its product name Botox®, is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crows feet near the eyes and thick bands in the neck.

The toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance. Studies have also suggested that Botox is effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes.

FACELIFT

As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth; the jawline grows slack and jowly; folds and fat deposits appear around the neck.

A facelift (technically known as rhytidectomy) can't stop this aging process. What it can be done is "set back the clock," improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping.

 
"What it can be done is "set back the clock".
 

THE BEST CANDIDATES FOR A FACELIFT:


The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well-defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well.

THE SURGERY

Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. If you smoke, it's especially important to stop at least a week or two before and after surgery; smoking inhibits blood flow to the skin, and can interfere with the healing of your incision areas.
A facelift may be performed in a surgeon's office-based facility, a surgery center, or a hospital. Most facelifts are performed under local anesthesia, combined with a sedative to make you drowsy.

 
 
 
Before and After
Mouse over

Incisions usually begin above the hairline at the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the earlobe to the lower scalp. If the neck needs work, a small incision may also be made under the chin.


In general, the surgeon separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. The surgeon then tightens the underlying muscle and membrane, pulls the skin back, and removes the excess. Stitches secure the layers of tissue and close the incisions; metal clips may be used on the scalp.


Following surgery, a small, thin tube may be temporarily placed under the skin behind your ear to drain any blood that might collect there. The surgeon may also wrap your head loosely in bandages to minimize bruising and swelling. you've had a drainage tube inserted, it will be removed one or two days after surgery. Bandages, when used, are usually removed after one to five days.

 

Don't be surprised at the pale, bruised, and puffy face you see. Just keep in mind that in a few weeks you'll be looking normal. Most of your stitches will be removed after about five days. Your scalp may take longer to heal, and the stitches or metal clips in your hairline could be left in a few days longer.


By the third week, you'll look and feel much better. Most patients are back at work about ten days to two weeks after surgery. If you need it, special camouflage makeup can mask most bruising that remains.

Final conclusion


Having a facelift doesn't stop the clock. Your face will continue to age with time, and you may want to repeat the procedure one or more times-perhaps five or ten years down the line. But in another sense, the effects of even one facelift are lasting; years later, you'll continue to look better than if you'd never had a facelift at all.

 

 

"A facelift may be performed in a surgeon's office-based facility, a surgery center, or a hospital."

 

 

 

 

 

 

 

"I don´t know what it is,
but you look OK!"

 

 

 

 

"Having a facelift doesn't stop the clock.
Your face will continue to age with time, and you may want to repeat the procedure one or more times-perhaps five or ten years down the line."

 

 

 

" Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a facelift."

 

 

 

 

 

" The most important fact to remember about injectable fillers is that the results are not permanent. "
 
  • Injectable fillers


Soft-tissue fillers, most commonly injectable collagen or fat, can help fill in laugh lines, smile lines, crow's feet and facial creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face.

They can also add fullness to the lips and cheeks.

Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a facelift.


Injected collagen and fat are primarily used to improve the appearance of the skin's texture. They can help fill out deep facial wrinkles, creases and furrows, "sunken" cheeks, skin depressions and some types of scars. They can also be used to add a fuller, more sensuous look to the lips.


Injectables are usually not sufficient for severe surface wrinkles on the face, such as multiple vertical "lipstick lines" that sometimes form around the mouth. Instead, your plastic surgeon may suggest a resurfacing technique, such as chemical peel, dermabrasion or laser treatments. Rather than filling in facial lines, resurfacing methods strip away the outer layers of the skin to produce a smoother appearance.


Deep folds in the face or brow caused by overactive muscles or by loose skin may be more effectively treated with cosmetic surgery, such as a facelift or browlift. Injectables are sometimes used in conjunction with facial surgery procedures; however, injectables alone cannot change facial contour the way surgery can.


The most important fact to remember about injectable fillers is that the results are not permanent. Injected material is eventually metabolized by the body. You should not expect the same long-lasting results that may be gained from cosmetic surgery.

The treatments

Fat
In the medical world, the fat-injection procedure is known as autologous fat transplantation or microlipoinjection. It involves extracting fat cells from the patient's abdomen, thighs, buttocks or elsewhere and reinjecting them beneath the facial skin. Fat is most often used to fill in "sunken" cheeks or laugh lines between the nose and mouth, to correct skin depressions or indentations, to minimize forehead wrinkles and to enhance the lips.

Collagen
Collagen is a naturally occurring protein that provides support to various parts of the human body: the skin, the joints, the bones and the ligaments. Injectable collagen is derived from purified bovine collagen. The purification process creates a product similar to human collagen.
Collagen is used primarily to fill wrinkles, lines and scars on the face and sometimes the neck, back and chest.

Hialuronic Acid
There are some other treatments that mix with non resorbable molecules (small acrylic balls) but can cause non convenient foreing body reactions.

Lip fillers - Goretex®
In addition to the materials used in the lip of lip with Goretex® or expanded Teflón deserves a mention aside. This material, that is perfectly tolerated, and is used in many parts of the organism (for example to replace aorta artery), it´s like a 1.8 mm thread that is injected along the lip´s boarder of the superior and inferior lip. helping to redefine the edge and fill in lipstick and laugh lines.
This material is innocuous, has the advantage of being definitive (not reabsorvable), and in addition can be retired easily in case of not pleasing. It is placed with local anesthesia in ambulatory form. Although it is of a superior cost, it has many advantages and it´s an alternative to have in mind .

 


Dermabrasion and dermaplaning help to "refinish" the skin's top layers through a method of controlled surgical scraping. The treatments soften the sharp edges of surface irregularities, giving the skin a smoother appearance.


Dermabrasion is most often used to improve the look of facial skin left scarred by accidents or previous surgery, or to smooth out fine facial wrinkles, such as those around the mouth. It's also sometimes used to remove the pre-cancerous growths called keratoses. Dermaplaning is commonly used to treat deep acne scars.
Both dermabrasion and dermaplaning can be performed on small areas of skin or on the entire face. They can be used alone, or in conjunction with other procedures such as facelift, scar removal or revision, or chemical peel.


If you're planning "surface repairs" on your face, you may also be considering chemical peel, an alternative method of surgically removing the top layer of skin. However, dermabrasion and dermaplaning use surgical instruments to remove the affected skin layers, while chemical peel uses a caustic solution.


Many plastic surgeons perform all three procedures, selecting one or a combination of procedures to suit the individual patient and the problem. Others prefer one technique for all surface repairs. In general, chemical peel is used more often to treat fine wrinkles, and dermabrasion and dermaplaning for deeper imperfections such as acne scars. A non-chemical approach may also be preferred for individuals with slightly darker skin, especially when treating limited areas of the face, since dermabrasion and dermaplaning are less likely to produce extreme changes and contrasts in skin color. Men and women of all ages, from young people to older adults, can benefit from dermabrasion and dermaplaning.


Dermabrasion and dermaplaning may be performed under local anesthesia. Dermabrasion and dermaplaning can be performed fairly quickly. The procedures usually take from a few minutes to an hour and a half, depending on how large an area of skin is involved.
In dermabrasion, the surgeon scrapes away the outermost layer of skin with a rough wire brush, or a burr containing diamond particles, attached to a motorized handle. The scraping continues until the surgeon reaches the safest level that will make the scar or wrinkle less visible.

In dermaplaning, the surgeon uses a hand-held instrument called a dermatome. Resembling an electric razor, the dermatome has an oscillating blade that moves back and forth to evenly "skim" off the surface layers of skin that surround the craters or other facial defects. This skimming continues until the lowest point of the acne scar becomes more even with the surrounding skin.
Your new skin will be a bit swollen, sensitive, and bright pink for several weeks. During this time, you can begin gradually resuming your normal activities.


You can expect to be back at work in about two weeks. Your surgeon will probably advise your to avoid any activity that could cause a bump to your face for at least two weeks. More active sports-especially ball sports-should be avoided for four to six weeks. If you swim, stick to indoor pools to avoid sun and wind, and keep your face out of chlorinated water for at least four weeks. It will be at least three to four weeks before you can drink alcohol without experiencing a flush of redness.
Above all, it's important to protect your skin from the sun until the pigment has completely returned to your skin- as long as six to twelve months.

 

 

 

 

 

 

"If you're planning "surface repairs" on your face, you may also be considering chemical peel, an alternative method of surgically removing the top layer of skin.."

 

 

 

 

" Men and women of all ages, from young people to older adults, can benefit from dermabrasion and dermaplaning."

 

 

 

"Your new skin will be a bit swollen, sensitive, and bright pink for several weeks. During this time, you can begin gradually resuming your normal activities."

 

 

 

 

Laser peel

In laser skin resurfacing a laser is used to remove areas of damaged or wrinkled skin, layer by layer. The procedure is most commonly used to minimize the appearance of fine lines, especially around the mouth and the eyes. However, it is also effective in treating facial scars or areas of uneven pigmentation. Laser resurfacing may be performed on the whole face or in specific regions. Often, the procedure is done in conjunction with another cosmetic operation, such as a facelift or eyelid surgery.

Laser resurfacing is still a very new procedure. However, it has been shown that in some cases, this surgical method produces less bleeding, bruising and post-operative discomfort than is typically seen with other resurfacing methods.


In many cases, facial wrinkles form in localized areas, such as near the eyes or around the mouth. The laser can be precisely controlled so that only these specific areas are targeted.

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Dr.Marcelo G. Visentini
marcelo.visentini@gmail.com