Clinica de Cirurgia Plástica Dra.Adivânia Pinheiro

Procedure in patients who have areolas size is increased for breast enlargement or after pregnancy and lactation may be performed in conjunction with mastopexy or separately.

How is breast augmentation surgery (placement of silicone prosthesis)? 

What type of anesthesia may be used for placement of the prosthesis? 

How long is the surgery? 

Where are the incisions made??? 

What is the extent of the scars? 

Where are located the dentures? 

The surgery is done in a hospital setting, the patient is subjected to anesthesia, an incision is performed on the skin, made a store where they are placed silicone implants, implant placement after the store is closed with sutures and apply occlusive dressing. 

The placement can be performed with local anesthesia, sedation and location, blocks and general anesthesia, and the choice of type of anesthesia is consensus among the staff (Dr. Adivânia and anesthesiologist) and the patient. 

The surgery lasts about 2 hours. 

The most commonly used incisions for placement of silicone prosthesis can be made in inframammary fold  (most used), the periareolar region and axilla. Each type of incision will be discussed with the patient, the most appropriate incision being made ??for your case. 

The scars vary in size between 3 and 5 cm depending on the patient and the type of prosthesis to be fitted. The end result of the scar in most cases is quite favorable, except in patients prone to keloids and hypertrophic scars. 

After the incision is made ??a space where the implants are placed. The prostheses can get behind the mammary gland (retroglandular), most used, or behind the pectoralis major muscle (retromuscular), with the appropriate plan varies from patient to patient

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Lifting Gluteal can be done with the placement of silicone or through incisions, resection and remodeling of gluteal skin.

A rhytidectomy or facelift is surgery that aims to reposition facial structures, restore volume and remove the excess skin that appear with aging by smoothing the effects of time on the skin.

The goal of surgery is to give the patient the face of a natural, healthy and rested not with stigmata of surgery as a fully stretched skin appearance. 

The face may be divided into thirds. In the upper third of the region have the forehead, eyebrows and eyes. Found in the middle third cheeks or cheekbones and in the lower third, the region of the jaw and neck. When the patient has sagging in the three thirds of the full face lift is indicated. When only two-thirds or one third has sagging indication is a minilifting. The major difference between the two surgeries is the extent of scarring. 

The main goal of surgery is to improve facial sagging and not eliminate wrinkles, but the improvement ends up happening. Dynamic wrinkles (caused by mime) and deep grooves will require additional treatments such as fillers and peels. 

The scars are placed in areas where they can be camouflaged. Generally hide the scalp at the top of the head (temples). Pass from the front and behind the ear and may reenter the scalp (neck). The extent of these scars will depend on the areas that will be treated and the degree of sagging of this skin

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The intimate surgery, also called vaginoplasty or ninfoplasty, is indicated to correct deformities or changes in vaginal aesthetic. Among the reasons that lead more women to perform this procedure are: increasing the size of the labia majora and labia minora of the vagina, mons pubis large volume, which can cause discomfort in the use of bikinis or tight clothing, and other causes. In some cases, there are patients who complain of sagging, vaginal enlargement postpartum or darkening of the vaginal mucosa. Cosmetic changes in the female genitals are far more frequent than you think, and can be easily resolved with simple procedures and adequate postoperative care. The surgery can return to the woman's self-esteem and improved sex life

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The otoplasty or ear correction surgery is used most frequently in the correction of ear deformity called prominent ear, which is characterized by remoteness ear relative to the head and the deletion of a structure in the ear called anti-helix. This deformity can cause mental and emotional disorders, especially in childhood. The surgery treats this problem by bringing harmony to the face and improving self-esteem of the patient. 

From what age can the surgery be performed? 

Where is it located otoplasty scar? 

From the age of 6, since at this age the growth of the ear is already stable and significant changes will not happen and the child is already more exposed may suffer prejudice. 

The scar is located behind the ear and is almost imperceptible.

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The post-bariatric abdominoplasty is indicated for improvement of abdominal laxity in patients with significant weight loss through diet or surgery such as gastric bypass surgery performed in patients with morbid obesity. The surgery removes excess dermogorduroso the anterior abdomen reducing local sagging and improving body contours. 

How is the scar on the post-bariatric surgery tummy tuck? 

The shape of the resection and the placement of scars from this surgery depend on the evaluation of each individual case. In most cases there is need for resection of excess skin in the horizontal and vertical which will cause a scar called "anchor on" sense. Milder cases of sagging of the abdomen can be treated only through an approach in lower abdomen incision. The suffering experienced by patients with this problem is so great that the scars represent a small charge, against the benefit obtained by the surgeon.

Transcolumellar a small incision is made ??(as shown in the adjacent figure) for better exposure of the nasal structures during rhinoplasty. The scars tend to be very discrete. In special cases, when the nasal wings are very open, there are two small scars in the furrows between the wings and the face, which, over the weeks, become almost imperceptible.

Procedures called ancillary complement facial harmony. Used as an alternative or complement to procedures facial procedures. 

The most common procedures are filling the depressions with hyaluronic acid and wrinkle treatment with the toxin.