At IPFace we aim to enhance the self-esteem of our patients, by offering an innovative range of rejuvenating treatments to make you feel comfortable and confident!
FACIAL PLASTIC TREATMENTS
The Facial Plastics Department offers treatments that will restore your self-confidence, such as blepharoplasty, facelift, otoplasty, rhinoplasty and bichectomy.
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Blepharoplasty is the name of the surgery performed to improve the appearance and/or function of the eyelids, enabling rejuvenation of the area around the eyes. Surgery can be directed at the upper eyelid (upper blepharoplasty), the lower eyelid (lower blepharoplasty) or both. The aging of the upper eyelid causes excess skin that alters the normal contour of the eyelid and which can interfere with the field of vision. In the case of the lower eyelid, the usual complaint is “puffiness”, which corresponds to fat pockets. Upper blepharoplasty consists of the careful removal of excess skin and, when indicated, the concomitant removal of muscle and/or fat. The incision is made in the natural groove of the upper eyelid making it invisible. In lower blepharoplasty, depending on the severity of the case, excess fat is removed or, using the latest techniques, the fat is repositioned towards the cheek. In this way a natural contour of the lower eyelid is obtained, without puffiness or furrows. In lower blepharoplasty, the incision can be made on the skin or on the inner side of the eyelid (lower transconjunctival blepharoplasty).
Facelift surgery, also called rhytidectomy, enables rejuvenation of the face and neck. This allows the repositioning (the so-called lift) of the face and neck structures that have fallen over time and give the appearance of an aged face. Some of the signs of facial aging that are corrected with this surgery are: the deep nasolabial folds, drooping cheeks, loss of definition of the jaw line and the double chin. Facelift surgery has undergone major changes in recent years. The so-called subcutaneous facelift, in which only the skin was surgically treated, gave the face the appearance of an operated face, pulled back and with an unnatural appearance. This technique has now been replaced by deep plane facelift techniques that produce more natural and long-lasting results. In these recent techniques, instead of repositioning the skin, it is the tissues in a deep plane in relation to the skin (muscles, ligaments and fat bags) that are repositioned (hence the term deep plane). Thus, the skin covering these repositioned tissues is not under tension, giving that pulled-up appearance of previous techniques. Facelift surgery can be associated with the neck treatment (neck lift) in which the relaxation of the neck muscles is corrected and the excess skin is removed, leading to the disappearance of a double chin and better definition of the jaw line. In this surgery, the incisions are placed in such a way that they are not visible even in hairstyles with the hair up (such as a ponytail).
Otoplasty is the surgical procedure used to correct the shape and position of the ears. There are several possible deformities, the most frequent being a protruding ear. A protruding ear is characterized by the distance from the ear in relation to the head, in which the anti-helix is not properly formed and the shell is excessive. Otoplasty aims to recreate the normal anatomy of the ear, correcting these features described above, and correctly repositioning the ear in relation to the head. Otoplasty is usually performed at 5-6 years of age, when the ear reaches its final shape, which also coincides with entry into primary school, but can be performed at any time after this age. The incisions are made behind the ear (so they will not be visible) and the surgery is performed under general anaesthesia in the child and under local or general anaesthesia in adulthood.
Rhinoplasty is surgery that enables modifying the shape of the nose. This is performed for aesthetic and/or functional purposes, making the nose more beautiful and harmonious with the face while enabling the person to breathe well through the nose. The term rhinoseptoplasty is used when the shape of the nose is modified associated with correction of the nasal septum deviation (septoplasty) causing nasal obstruction. From an aesthetic point of view, the usual modifications are: straightening the nose on the face, removing the nasal hump, tapering the nasal tip or reducing the size of the nose. There are other situations, such as correction of nasal trauma or congenital deformities like the nose of patients with cleft lip.
The aim is for the operated nose to have a natural look, suitable and harmonious on the face without the appearance of having been operated on. The objectives of the surgery are always discussed between the doctor and the patient, and a virtual simulation of the final result can be performed for better understanding.
Frequently Asked Questions
IS RHINOPLASTY A PAINFUL SURGERY?
No. Although in the postoperative period there may be oedema and periorbital ecchymosis (better known as “black eyes”), it is not associated with pain. This surgery is very well-tolerated.
WHAT IS THE RECOVERY TIME AFTER SURGERY?
After surgery, a splint is placed over the nose to protect it for the first few days. This splint is removed between the 6th and 8th day. It is usually after the splint removal that you return to your daily routines. However, postoperative oedema (“swelling”) takes some time to disappear. Most of the oedema disappears after 15 days, by which time you have an approximate idea of the result, although it is considered that the final result is only obtained after 3-6 months. You can start physical activity after 4-6 weeks.
WHAT IS THE AVERAGE DURATION OF THE SURGERY?
The average time for a rhinoplasty is 2 and a half hours. In more complex cases, such as revision cases (person who has undergone previous rhinoplasty), nasal trauma or congenital deformities, the surgery may take up to 3 and a half hours.
CAN OTHER NASAL OR FACIAL PROCEDURES BE ASSOCIATED?
Yes. It is customary to associate other nasal procedures such as endoscopic surgery to treat sinusitis or turbinate hypertrophy, and/or facial procedures such as otoplasty (correction of ear deformities), chin lift, among others.
This surgical procedure is indicated for those who want to improve the contour of their face by reducing the volume of the cheeks, giving rise to a thinner face. Bichectomy is performed under local anaesthesia. Part of the Bichat ball is extracted, in a volumetrically symmetrical way, through a small intraoral incision.
V-LINE - FEMALE JAW
One of the most important parts of gender aesthetics is the jaw, with the woman having a thinner jaw in relation to the face, highlighting one of the woman’s most important features, the eyes. The aesthetically speaking man has a more robust lateral and anteroposterior jaw. There is an aesthetic line of the chin's lateral conformity with the nose in women, and in men, the aesthetic shape of the chin in conformity with the mouth. Concerning the body and angle of the mandible in women, the angle is more open in a profile view and looking from the front it should be much less projected laterally than in men. In summary, female facial morphology should be triangular with vertex downwards and the male should be a squarer shape. V-Line surgery is indicated to make the face more feminine and delicate by reducing the volume and thickness of the jaw. Surgery was popularized in South Korea, as the Asian population has the broadest and most projected upper jaw bone. Currently, a first 3D tomographic study is carried out, followed by an impression of facial bones and finally, through ultrasonic surgery, the excess bone part is eliminated (basilar jaw osteotomy), achieving a modelling of the mandible contour at the angles level up to the chin. It may also be necessary to reduce the chin in height and projection (chin reduction). This surgical procedure is indicated for men and women seeking a reduction, both in height and in thickness, of the jaw. The goal is to make the face more delicate, tapered and harmonious. The choice of technique depends on several factors and must be made after facial analysis and virtual planning. Frequently, patients who undergo V-LINE surgery are simultaneously submitted to other procedures, such as: Bichectomy and/or Submental Liposuction.