Nasal Septoplasty

Nasal Septoplasty
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The septoplasty is a common surgical procedure in which a specialist surgeon corrects the deviations in the nasal septum. Septoplasty is usually done to improve the quality of life of the patients by enhancing their breathing.

This medical method is used when the cartilage that divides the nose is out of its regular position. In some people, this wrong location of the tissue can produce complex breathing conditions.

The main goal of septoplasty is the correction of the nasal septum. This bone is the divider of the nose, and because of its susceptible nature, its position can change during lifetime or it can be naturally deflected.

Most of the people that are affected by this condition have a nostril larger than the other. An important difference between them both can influence respiration and it can even produce nosebleed and facial numbness. That’s why the procedure is intended to improve the airflow throughout the nose so that people can have better breathing.

THE CANDIDATES FOR A SEPTOPLASTY

The best candidates for this kind of procedure are those that require to cure or to decrease the symptoms related to the predicament. To be considered as good candidates, patients should visit the medical office for a complete revision of the issue.

THE PRICE OF A SEPTOPLASTY

Prices might vary according to the place and the medical offices in which the patients are going to have their surgeries. In some clinics, the surgery might cost around $2000-$3000 USD.

PREPARATION OF THE PATIENT BEFORE SEPTOPLASTY

It is likely that your physician asks you to avoid anticoagulant medicines some weeks before the surgery. That is because that kind of medicaments can generate hemorrhages during a surgery.

In the preparation phase, it is also important to tell your doctor which allergies you have. That is a resolution to prevent complicated reactions to anesthesia and other substances used within the process.

In the consultancy space with the doctor, he or she might ask you to stop eating since the night before the surgery. That is because general anesthesia can produce vomits.

Other prior procedures such as other medical exams might be necessary in some cases.

DURING THE SURGERY PROCESS

This method is usually ambulatory. Anesthesia could be either general or local. The whole process usually takes from 30 to 90 minutes depending on the complexity of the situation.

At the beginning of the surgery, the specialist does a little incision on one side of the nose to reach the nostril. Afterward, the doctor lifts the mucous membrane that protects the nostril. Later it is moved to its correct position and, if there is rest of bone or cartilage remaining, they are removed. The last step during the surgery is the relocation of the mucous membrane.

Most patients need some stitches after the surgery to keep the nostril and the mucous tissue in their correct position. However, wrapping the nose with some cotton is usually enough.

RECOVERY PROCESS AFTER A SEPTOPLASTY

Right after surgery, patients might experience some swelling in the nasal area. The nose will be wrapped up in cotton and patients might feel pain during a few days, to which the physician will likely prescribe some medicines.

Other normal recommendations are to avoid aspirin, ibuprofen, and other anticoagulant medicines. That is done to prevent issues related to bleeding after the surgery.

Warding off of sports and hard physical activities is another thing to take into consideration. Keeping the body calm and relaxed will help the tissue recover faster.

Septoplasty complications are not common after the process, but some of the most typical ones could be:

  • Allergies to anesthesia
  • Trouble breathing
  • Bleeding and bleeding
  • Risk of infections
  • Nasal block
  • Hole or perforation of the nasal septum
  • Hypersensitivity
  • Bruises

SEPTOPLASTY: CONCLUSIONS

This method is the perfect one for those who have unconformities with the looking of their nose or who experience some health issues related to the deviation. If you want to have a Septoplasty in Peru, contact Dr. César Calderón, one of the best specialists in Peru.

Chin Lipo

Chin Lipo
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Otoplasty

Otoplasty
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OTOPLASTY (EAR SURGERY) – LIMA PERU

Otoplasty, also known as ear surgery, is a surgical procedure designed to reduce the apparent size of the ears. It is important to highlight the term “apparent”, since not all the procedures change the real size of the auricle.  This procedure enhance enormously the physical aspect of the patients, making a positive impact in their self-esteem.

This specific kind of surgery is more common among teenagers and kids. Even though, many adult people, that weren’t lucky enough to have it during their childhood, are also good candidates. It is a little invasive method so that it usually leads to no complications and a fast recovery process.

Though it may feel trivial, for many people having big ears can be an important factor for their self-esteem. Bullying throughout the school experience is very normal and, even during adulthood, emotional scars remain and they can affect patients mental health. That’s why quick and easy procedures like this are a fast and helpful option for many.

WHO IS A GOOD CANDIDATE TO AN OTOPLASTY SURGERY?

As it was said, otoplasty is very frequent in children from 4 to 7 years old. If it is a case of ear prominence that might be influencing  the self-esteem of the kid, it is strongly recommended to track child’s behavior. The kids should be observed during several days, watching their actitud at school or among their friends or social circles. Before taking your children to the operations rooms, you must ensure that the procedure is something he or she desires.

It is also good alternative for adults that have prominent, elongated or irregular ears and earlobes. In general, since it is an ambulatory method, adults of all ages are good candidates to pass throughout the process. Which invasivity is such little, that it is one of the few plastic surgeries that can be done in children and teenagers almost everywhere.

BEFORE THE PROCESS

Otoplasty is in fact a very simple intervention to correct ear position. Priorly, before starting the surgery, the surgeon will ask for information regarding patient’s health and concerns. It is important for the patient to use that first space to solve any doubt that might be, so that the rest of the process can flow calmly. On the one hand, patient must clarify anything about preoperative, the operation itself, and the postoperative phase, including possible inconvenients and complications. On the other hand, the doctor will ask important information of health and mental conditions.

It is also essential for the relation between the patient and the doctor, and the achievement of satisfactory results, to align expectations. So that, there is no confusion when the patient see the looking of their ears.  This surgery seeks to find an improvement in the physical appearance. However, as in any other kind of plastic surgery, perfection is impossible. Patients shouldn’t expect perfect symmetry, since for must of the people this feels antinatural.

DURING THE SURGERY

The intervention is always done in a hospital or a medical office that have the conditions required. Since it is an ambulatory procedure, it is usually undertaken outside the operations room and is frequently done in a less formal section of the medical center.

Local anesthesia is usually implemented with sedation in cases in which the patient is very young. However, sometimes the surgeon might prefer the usage of general anesthesia, especially among adult patients.

The procedure begins with a tiny incision behind the ears, aiming to  leave no visible scars. After it, the surgeon proceeds to remodel the auricle cartilage, reshaping it to acquired the form and the position need to achieve the expected results. It is usually pull back so the ears don’t look too prominent. In certain cases, entire sections of the cartilage are removed by the doctor to find a natural looking when the ears’ position is changed. Surgeons frequently leave inner stitches to keep them in place. To close the procedure, a section of skin is removed from the back base of the auricle.

Despite some patients might have only one unsightly ear, both are usually change in order to achieve a look of regularity.

In cases of microtia, when the patient has sort kind of undeveloped ears or they have been damaged due to some accident, the surgery might take much more time. Since the ears might required special techniques of reconstruction. In such situations, it is recommended to look for a surgeon that is specialized in reconstructive cases.

The whole intervention lasts around 2 to 3 hours

AFTER THE SURGERY

Some discomfort is common after the surgery, but it won’t be a painful experience. Tingling, inflammation, altered feeling, slight pain and plugging sensation of the external auditory canal, are the common issues.

The time estimated for recovery is just one week for normal activities and at least a month for extreme experience and sports

POST-OPERATIVE RECOMMENDATIONS – OTOPLASTY

  • A lot rest for around 24 to 48 hours after the surgery, and relative rest during 8 days.
  • Take the analgesics suggested by your surgeon.
  • Take the antibiotics that are advised for your specific case. Regarding this topic, it is also recommended to eat yogurt during the antibiotic treatment since that kind of medication can affect intestinal flora
  • Using the bandage that is suggested to avoid ears’ movements.

Keep in mind that you must always choose the best plastic surgeon to avoid any inconvenience, Doctor César Calderón is a renowned plastic surgeon in Peru.

Mentoplasty

Mentoplasty
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It consists of a surgical procedure that seeks through various means to achieve an increase in chin projection.

It usually lasts between 30 minutes and an hour and a half, and recovery is approximately one week. It is performed on an outpatient basis and with general anesthesia.

However, the surgery can be augmentation or with prosthesis. In both situations the process is different.

Bichectomy

Bichectomy
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BICHECTOMY LIMA PERU – CHEEK SURGERY

The bichectomy is the plastic surgery that carries out the process of extracting the balls of bichat from the cheeks, these are glands of fatty tissue that are found in the cheeks, possessed by all people in the middle sector of the cheeks on both sides of the face.

In some people the bichat balls are increased in size, so they generate a slightly more voluminous face appearance in the cheeks. The purpose of practicing the bichectomy as surgery is to fine tune the cheek and highlighting the cheekbones.

The surgery is of a minor nature, it involves simple cuts that are made on the inside of the cheeks and the procedure takes no more than 1 hour.

WHEN IS NECESARY TO HAVE A BICHECTOMY SURGERY?

Applying a bichectomy is not always necessary, it depends on the person in general and what you are looking for, since not in all cases you have a roundness of the cheeks so prominent.

  • When the face shows a roundness that does not improve when losing weight.
  • When you want to mark more cheekbones and have a stylized face.
  • When you looking to give the face a more jovial appearance.
  • When the fat bags of the cheeks give an appearance of being overweight without having it.

BICHECTOMY PROCESS

BICHECTOMY POST OPERATIVE

The process of the surgery is ambulatory, so you can withdraw from the clinic once the procedure is finished. You must have 24 hours of rest to return to your social and work activities, for 1 week you should avoid eating hard foods and not perform physical activities for 10 – 15 days.

WHEN CAN I SEE THE RESULTS OF THE BICHECTOMY?

Although surgery is a quick procedure, there is postoperative edema and hematoma, so that once the area is dramatized, it will be possible to appreciate the thinning of the face and cheeks.

WHERE CAN I HAVE A BICHECTOMY IN LIMA?

The plastic surgery such as bichectomy should be taken into account to the professional and choose the best plastic surgeon to avoid inconvenience. To perform a bichectomy in Lima you can contact Dr. César Calderón, he has already done countless procedures and has recognition in the subject.

Blepharoplasty

Blepharoplasty
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Blepharoplasty in Lima Peru – eyelid surgery

It seeks to rejuvenate the eyelids by remodeling the periocular tissues. It has aesthetic purposes, but in some cases it is done only for visual reasons. Its purpose is to lift the eyelids.

In the case of the lower blepharoplasty, the lower eyelid pockets are removed and in some cases the furrows of the ears are improved.

Generally blepharoplasty is taken from one to three hours depending on the degree of the surgery. In case of working the four eyelids, it will begin with the upper eyelids and then the lower ones.

In a typical procedure, the surgeon makes incisions that continue the natural lines of the eyelid. The folds of the upper eyelids and just below the lashes on the lower eyelid.

The incisions can extend to the popular “crow’s feet” or lines that form when you smile at the outer corners of your eyes.

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