Ears / Otoplasty

Ears / Otoplasty

The PROMINENT EAR/OTOPLASTY

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Ears that stick out from the face is the most common deformity. It can be congenital or misshapen due to an injury. The inadequate angle that results from changes in the cartilaginous parts generates a marked prominence.

Surgical correction can be done mainly after the age of 6.

  

The replacement of the auricular pavilion with the sculpture of the cartilage curves gives a more pleasant position to the facial set, avoiding the stigma of artificial marks or folds.

 

PROCEDURE

Pediatrician evaluation is required in preoperative for children.

Outpatient surgery under local anesthesia, with or without sedation.

  

The external scar remains hidden in the posterior groove of the ear. The treatment consists of correcting anomalies of ear cartilage, removing the excess of the shell, which can be asymmetrical, and minimizing differences from one side to the other.  

 

 In the postoperative period, compression is performed with a bandage

for 24 to 48 hours, and then only an elastic band is used at home during the 30-day period. The return to partial activities usually takes place after the third day.

 

The subtle sculpting of the cartilage curvatures and the delicate reshaping with sutures behind the ears delivers good results, both in childhood and adulthood.

 

Earlobe Rejuvenation and Repair

Over the years, earlobes become longer with elongations or clefts by earrings and piercings. The visual aspect is associated to facial aging.

 

The surgical correction restore the youthful look by reducing the earlobe. It is a simple procedure with local anesthesia, or it can be associated to facial rejuvenation procedures.

 

Scars are positioned by the implantation contour or at its base adjacent to the shell. After 6 weeks, the hole for the earrings with the most appropriate positioning is redone.

 

The decrease in the size of the lobes and the replacement of the holes in the earrings gives a very significant impact, providing the face with a much younger look.

 

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Breast Augmentation

 

RECOMMENDATION

If you are dissatisfied with the size of your breasts, either due to the small volume or to the decrease in the glandular volume after breastfeeding or weight loss, the implant of silicone implant can improve the shape, and restore the volume and consistency of the breast.

 

The breasts may have different shapes, with a narrow base, absence of tissue at the bottom, areolas larger than desired and tendency to fall. The so-called tuberous breasts. In this case, in addition to the use of implants, a mastopexy is associated to periareolar and sometimes vertical incisions, to treat glandular changes and enhance its appearance.

 

CHOICE OF SHAPE AND SIZE OF THE IMPLANTS

 

We individualize the goals of each patient and adapt their expectations to reality. The ideal is to seek a harmonious result according to your body structure, the quality of your skin and the pre-existing amount of gland.

 

A firmer and cohesive silicone gel implant with less reactive shell are used today.

 

The anatomical or natural shape has different indications from round implants. The projection of implants also varies according to your breast profile. Asymmetries will be minimized with different sizes, if necessary. The shape of your chest is also important to define the most suitable implants for you.

   

SURGERY

Local anesthesia, with sedation.

It is an outpatient procedure that lasts for around 2 hours. The patient can be discharged on the same day of the procedure, after staying in the hospital recovering room for observation for an average of 6 hours.

 

Incisions can be done in the crease under the breast, through the armpit or around the areolar tissue.

Videoendoscopy to the armpit offers the advantage of an enlarged optical view, with greater control of bleeding and a better positioning of the implant. The silicone implant, when positioned behind the gland, currently takes the retrofascial plane, which offers yet another layer of protection. The retromuscular position is the most frequent indication, apart from being more convenient for imaging exams.

 

POST OPERATIVE CARE

Modeling bras are maintained for around 1 month. Rest and activities restrictions must be followed for 5 to 7 days. Driving is possible after 7 days. 

 

Avoid sun exposure and sports that demand more of the upper limbs during the first 60 days.

 

COMPLICATIONS

It is important to maintain annual breast examinations. Even with the technological evolution of the quality of the silicone implants and its wrap, complications may arise with the passage of time. Contractures of the capsule that surrounds the implants can modify its shape and consistency. We know today of the description of a rare lymphoma of the capsule, and an even rarer association to autoimmune diseases has been related.

 

The incidence of these complications is very low and the benefits of the silicone implants, for most cases, maintain the worldwide consensus on its indication.

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FOLLOW-UP AND RESULTS

The result is immediate, but the natural aspect and absorption of the swelling occurs after 60 days.

Replacement or removal of implants should be expected after 10 years. During this period, a magnetic resonance imaging is the most suitable exam to assess the condition of the gel and capsule.