Aesthetic surgery

The abdominoplasty body aesthetic surgery, performed by the plastic surgery clinic of Dr. Pedro Teran and Dr. Francesca Zavalloni in Burgos, is the operation consisting in the removal of excess abdominal skin and fat and the correction of muscle flaccidity.

This situation of excess skin and relaxation of the abdominal wall usually occurs in patients who have had weight gain and subsequent loss or in women who have had several pregnancies. Abdominoplasty achieves a flatter, firmer abdomen and a narrower waist.

The procedure is performed under general anesthesia, practicing an incision above the pubic hair that extends to the hips. The skin of the abdomen is freed and, if necessary, the abdominal muscles are reinforced with sutures. The excess skin is pulled down and removed.

After the operation the patient will wear a special girdle, reinforced with a bandage, according to each individual case. The scars around the navel and on the lower abdomen will improve over time. However, in some cases it is necessary to perform a scar revision under local anesthesia.

Abdominoplasty, whether full or mini-abdominoplasty, provides excellent results in patients whose abdominal muscles are weakened and have excess skin and fat. In most cases the results are definitive, as long as it is accompanied by a balanced diet and regular exercise. If you are realistic in your expectations and are able to tolerate the presence of a definite, but concealable, abdominal scar and a long recovery period, abdominoplasty may be right for you.

The aesthetic breast surgery, performed by Dr. Pedro Terán and Dr. Francesca Zavalloni's plastic surgery clinic in Burgos, is one of the most common surgeries and requested by our clients, due to the satisfaction of our patients and the psychological well-being that represents the result of these interventions.

The breast surgery for breast augmentation performed by the plastic surgery clinic of Dr. Pedro Teran and Dr. Francesca Zavalloni in Burgos, consists in the implantation of a breast prosthesis inside the breast tissue.

Breast surgery to repair breast asymmetry performed by the plastic surgery clinic of Dr Pedro Terán and Dr Francesca Zavalloni in Burgos, consists of an intervention to remedy the inequality in the shape and size of the breast, due to many causes and manifested in different ways (degree of development, breast shape, breast size, percentage of fatty or glandular tissue...).

Breast surgery in tuberous breasts, performed by the plastic surgery clinic of Dr. Pedro Terán and Dr. Francesca Zavalloni in Burgos, is a surgical intervention to treat an anomaly, which if it is mild can be corrected with an implant, but in more serious cases a complete glandular remodeling is performed.

Breast surgery for breast augmentation performed by the plastic surgery clinic of Dr. Pedro Terán and Dr. Francesca Zavalloni in Burgos, consists of the implantation of a breast prosthesis inside the breast tissue.

Bichat balls are fatty accumulations located at the level of the cheeks. Their removal is performed through the mucosa of the mouth so as not to leave visible scars and it is achieved by improving the patient's profile, refining and enhancing the cheekbones.

Facial aesthetic eyelid surgery, or blepharoplasty performed by Dr. Pedro Terán and Dr. Francesca Zavalloni's plastic surgery clinic in Burgos, consists in repairing a destroyed or deformed eyelid due to a scar.

Eyelid surgery is a rejuvenating surgery that rearranges the excess skin and fat located around the eyes, which we call 'bags'.

The excess skin of the upper eyelid, in addition to giving an aged appearance, can cause eye fatigue and the need to raise the eyebrows increases wrinkles in the forehead.

In the lower eyelid, the bulging of this area produces wrinkles and flaccidity in the muscle, giving a tired appearance.

This problem not only occurs in older people but also in young people giving the impression of age and exhaustion.

Through blepharoplasty the surgeon removes excess fat and relocates the sagging skin. The incisions are made with great precision so that they are imperceptible; the incisions are made following the natural lines of the eyelids, in the creases of the upper eyelids and below the eyelashes in the lower eyelids. After making these incisions the surgeon separates the skin from the fatty tissue and muscle, removes the fat, removes the excess skin and closes with very fine sutures.

Eyelid surgery is performed in an outpatient procedure under local anesthesia.

After the operation, which usually lasts about an hour and a half, an ophthalmic ointment and dressings with very cold saline are applied to reduce discomfort and swelling. However, it is normal for swelling and bruising of the eyelids to persist during the first week. Most patients will be able to resume normal life in about 10-12 days.

Facial aesthetic lifting surgery performed by the plastic surgery clinic of Dr. Pedro Teran and Dr. Francesca Zavalloni in Burgos, is a surgical intervention to repair the skin of the face and neck wrinkled or sunken, removing excess fat, tightening the muscles, and filling the skin of the face and neck.

As we age, the effects of gravity, sun exposure, and the stresses of daily life take their toll on our faces. Deep furrows form between the nose and mouth; cheeks sag; fat and wrinkles appear around the neck. A cervico-facial lift cannot stop this process; however, what it can do is stop the clock, improving the most visible signs of aging, tightening the muscles of the face, removing excess fat and redistributing the skin of the face and neck. The facelift can be performed alone or associated with other procedures such as blepharoplasty or rhinoplasty. A forehead lift corrects drooping of the eyebrows and wrinkles of the forehead and eyebrows.

The ideal candidates for a facelift are those women or men whose face and neck are beginning to "sag" but whose skin still retains some elasticity. Most patients are in their 40s and 60s, but it can also be performed successfully in their 70s and 80s. A facelift can make you look younger and boost your self-confidence, but it will not give you a completely different look, nor can it restore your health or vitality.

A facelift is a procedure designed to tighten facial and neck skin in order to reduce folds or wrinkles. The bone structure of the face, the musculature and skin texture undergo an involutionary process over the years. In addition, there are hereditary factors, dietary habits, stressful situations, prolonged exposure to the sun, etc., which substantially modify the signs of facial aging.

Rhytidectomy usually treats the skin of the neck and cheeks, but sometimes the wrinkles of the forehead and the descent of the eyebrows are also corrected. Eyelid surgery is quite often performed in conjunction with rhytidectomy.

The operation can be performed under general anesthesia or local anesthesia and sedation, depending on each particular case (more or less extensive surgery, personal wishes of the patient, etc.).

The incisions of this operation are made in the scalp in the frontal and temporal regions, surrounding the ears and ending in the area near the nape of the neck. Through these incisions the surgeon performs a more or less wide detachment of the skin, in order to obtain a tightening of the same. Through the same approach, the surgeon can reduce fat accumulations or tighten muscles that have become flaccid, giving the face a firmer appearance.

After the operation, which usually lasts between 2 and 4 hours, depending on the extent of the same and if any treatment of the eyelids, liposuction, etc. is done, drains are placed to reduce the possibility of bruising and reduce swelling.

In the postoperative period a variable degree of swelling of the face and neck, ecchymosis or bruising and a feeling of tightness and tightness will be observed. These discomforts are temporary and subside spontaneously or with analgesics.

Most of the scars are hidden in the scalp above the temple and towards the nape of the neck. Only in an area around the ear and in the first weeks after surgery, the scars may be somewhat noticeable, which, on the other hand, can be easily hidden with the hairstyle.

Lipofilling facial aesthetic surgery, performed by the plastic surgery clinic of Dr. Pedro Terán and Dr. Francesca Zavalloni in Burgos, consists of extracting excess fat from some part of the body (abdomen, waist, thighs, etc.) and using it as a natural filler, through infiltration in the face, usually working on cheekbones, nasolabial folds and jaw.

Gynecomastia body aesthetic surgery performed by the plastic surgery clinic of Dr. Pedro Teran and Dr. Francesca Zavalloni in Burgos, is a pathological or physiological condition that is reflected in the excessive volume of the breasts in men.

Physiological gynecomastia: It occurs in men usually during early adolescence, and manifests itself in the presence of excessive mammary glandular tissue, in both breasts or one of them, hypersensitivity and gradual growth. Physiologic gynecomastia can also occur in the elderly and adults where breast enlargement occurs without a detected cause.

Pathological gynecomastia: This type of gynecomastia is characterized by breast glandular tissue larger than 4 cm in diameter.

Pseudogynecomastia: It differs from the previous ones by the increase of breast fat without glandular hypertrophy.

Gynecomastia is the procedure that consists in extracting fat from the thorax area. In some cases the mammary gland that is formed by the hormonal transformations in the puberty stage is resected.

In other cases, excess skin is removed, resulting in a flat, firm and contoured thorax.

When pendulous deformity (hanging breast) and excess skin is present, the removal and free nipple transplant, or subcutaneous mastectomy, may be performed.

It is an outpatient procedure and the type of anesthesia used is general anesthesia.

Hypertrophy or growth of the labia minora is a pathology that can occur at any age and whose cause is unknown. It can lead to local irritation, discomfort when walking, sitting, playing sports or during sexual intercourse, which can become painful due to the entrance of the labia into the vagina during intercourse. In addition, patients often report aesthetic discomfort.

Lipofilling, lipostructure, lipotransfer or the transplant of own fat performed by the plastic surgery clinic of Dr Pedro Terán and Dr Francesca Zavalloni in Burgos, are techniques that are usually used to fill deep grooves in different parts of the body.

Lipofilling (lipo means fat and filling means filling) is used in those places where there is little movement of the tissues since, due to movement, the fat can break down prematurely.

This is an outpatient treatment.

Lipofilling: The body's own fat has a soft structure, so it always takes the desired shape

In lipofilling (lipo-transfer) the body's own fat is used to fill wrinkles, folds and grooves anywhere on the body. Fat transfer is also used to perform contour corrections, such as correcting buttocks, sunken cheekbones, to smooth scars and irregularities, and to beautify the upper part of the hands.

Lipofilling can also be of great help in the fight against aging. Wrinkles and sagging skin are a natural consequence of aging. As we age, the amount of subcutaneous fatty tissue decreases, so the skin becomes thinner. A transplant of your own fat can be of great help to fight against this aging phenomenon.

Lipostructure: With lipostructure we provide more volume to certain areas of the body and face. Typically, fat is removed from the hips (cartilage) or abdomen. We can extract up to 1500 cc - 1.5 liters of pure fat to transplant it to the desired location.

Anesthesia: The lipostructure is performed under local anesthesia. The treatment lasts approximately one to two hours, depending on the area to be treated. Both the donor area and the area to be grafted are treated with an anesthetic (in liquid form) that also prevents bleeding.

Fat extraction: The fat is suctioned with a small tube specially designed for this purpose, connected to a vacuum cleaner. The doctor makes one or more small incisions in the skin of the donor area. This technique ensures that the least possible damage is done to the fat cells. This is an important factor in the final result. The most common donor areas are the abdomen and hips (or the inner part of the buttocks). Large volumes are extracted using liposculpture-liposuction. The extracted fat is used to fill other areas.

Rinsing and purification: The doctor rinses the extracted fat and then filters it. Next, the purified, sterile fat is introduced into small syringes.

Transplant: The doctor makes one or more small incisions in the skin of the area to be filled. The fat is then injected in very small quantities, distributed in several dozen fine channels created in the skin. In this way, the transplanted fat cells maintain maximum contact with surrounding tissues such as skin, muscles and cartilage. The surrounding tissues supply the necessary oxygen and nutrients to the transplanted cells, ensuring their optimal implantation.

Immediate result: The result is visible immediately. Generally, 25% of the extracted fat is transplanted, depending on the capacity of the recipient area. This means that the doctor removes and grafts approximately a quarter more than is required for the desired end result. This is necessary, since it has been shown that a quarter of the transplanted cells do not implant, resulting in a decrease in volume in the final result.

Post-treatment: The grafted area becomes swollen and usually bruises, which are treated with cold, for example, with an ice pack or frozen pack. The swelling and bruising will disappear in a few days.

Final result: The final result will be visible after 3 months. Once the transplanted cells are completely implanted, they will react like any other fat cell in your body. This means they will increase in size if you gain weight and will shrink if you lose weight again.

In general, this treatment presents few complications. The fat comes from the patient's body and, therefore, is 100% bio-compatible and it is not necessary to perform a hypersensitivity analysis.

Liposuction body surgery, performed by the plastic surgery clinic of Dr. Pedro Teran and Dr. Francesca Zavalloni in Burgos, consists in suctioning the subcutaneous fat by introducing a cannula connected to a vacuum pump under the skin.

Liposculpture is a surgical procedure used to extract adipose tissue from some areas of the body, especially the abdomen, thighs, buttocks, arms and neck.

The procedure is performed by means of suction through cannulas or thin tubes, leaving very small scars of 3mm long.

Although this procedure improves the abdominal contour by eliminating fat deposits, it does not improve skin flaccidity, cellulite and/or stretch marks. It is also not a weight loss procedure; if you do not maintain a balanced diet and regular physical activity, you are likely to regain the weight you had before the operation.

Liposuction is usually performed under local anesthesia and sedation, but in very extensive cases it will be performed under general anesthesia. The technique, which is always performed in an operating room, consists essentially in the aspiration of fat by introducing a cannula that is connected to a vacuum machine or a special syringe, depending on the case, and making numerous tunnels in the area previously marked.

If the skin elasticity was diminished, irregularities or small depressions may remain which may require additional correction by means of selective liposuction and/or fat injections.

Surgery that consists in the elevation and remodeling of the breasts, by removing excess skin and using the tissue to give volume and projection to the new breast. Also performing a reduction of the areolas to obtain a more youthful and harmonious result.

The aesthetic surgery of the chin, or mentoplasty (also called genioplasty), performed by the plastic surgery clinic of Dr. Pedro Teran and Dr. Francesca Zavalloni in Burgos, is a surgical procedure that seeks through various means to achieve an increase in the projection of the chin.

The purpose of mentoplasty is to increase or decrease the size of the chin, thus achieving harmony and balance with the other features.

The increase of a chin (mentoplasty) to be corrected a few centimeters, can be carried out by:

Implantation of a chin prosthesis, which can be made of different materials, such as solid silicone. To insert the implant, it is possible to use an incision located inside the mouth, in the groove between the gum and the lower lip (intraoral route), or a small incision in the skin below the chin, similar to that used in the lifting of the lower 1/3 or neck (external route).

Infiltration of the patient's ownfatty tissue using the lipostructure technique, with permanent results.

Advancement of a portion of the jaw bone, by means of horizontal bone sections (osteotomies), also using the intraoral route. In these cases the bone ridge is displaced and immobilized in an exact and precise manner, allowing the defect to be corrected and, if necessary, it is also possible to shorten a face that is too long.

To reduce an overly prominent chin, it will be necessary to perform a sanding or a section of the bone (osteotomy) through an incision located inside the mouth. Osteotomies allow the jaw to be advanced, shortened and narrowed.

It is important to identify possible asymmetries or differences in shape or size between one side of the face and the other.

Interventions can be performed under general anesthesia or local anesthesia plus sedation, and the length of stay in the health center can be only a few hours if performed on an outpatient basis, or one day if admitted to the clinic. In certain cases with very accentuated defects, in which the treatments described above with sections of the jaw bone are required, more days of hospitalization may be necessary.

This term is used when the excess skin and fat that we remove from the abdominal area is moderate.

We would remove the lower abdominal fat, excess skin and correct the distension of the abdominal muscles below the navel. The resulting scar is smaller and easier to disguise. The surgery is shorter and the patient's return to normal life is faster.

The aesthetic surgery of the ears, or otoplasty, performed by the plastic surgery clinic of Dr. Pedro Terán and Dr. Francesca Zavalloni in Burgos, is an intervention in which the deformities of the ear are solved; these can be very varied from the total absence of the ear to simply a very noticeable projection of the same, or other pathologies such as ear loops.

It consists of changing the shape and position of the ear, modeling the cartilage inside, usually making incisions in the back of the ear, to leave the scar in one place. Otoplasty can correct:

• Correcting the position of the ears.
• Increase the size of the ears.
• Decrease the size of the ears.
• Modify the structure of the cartilage.

The most frequently performed surgery on the ears is the one that corrects the "protruding ears". It is an intervention frequently requested by adolescents and even children, because of the psychological and social problems that this deformity entails.

Depending on the age of the patient to be treated, the procedure can be performed under general or local anesthesia. The incision is usually made behind the ear, leaving a practically invisible scar. From this incision the ear cartilage is reshaped, making it fold in the right places and removing an ellipse of skin, which is sutured.

A bandage is placed to shape the ears so that they heal in the correct position. Once removed (after a week) the stitches are removed and an elastic bandage is placed for two weeks to prevent the ears from folding forward during sleep.

The result of the operation is permanent. Retouching is rarely necessary and complications, whether skin or cartilage, are exceptional.

Breast surgery for breast reduction performed by the plastic surgery clinic of Dr. Pedro Terán and Dr. Francesca Zavalloni in Burgos, is a surgical technique whose main objective is the modification of the shape and size of the breast to suit the aesthetic and functional needs of the patient.

Facial aesthetic nose surgery, or rhinoplasty, performed by the plastic surgery clinic of Dr. Pedro Terán and Dr. Francesca Zavalloni in Burgos, consists of a surgical operation to restore the nose as a result of deviations, malformations, or for aesthetic reasons.

Rhinoplasty, also known as nose surgery, is a surgical procedure performed by a plastic surgeon to improve the appearance and symmetry of the nose. This procedure is most often performed to correct a nose whose features are disproportionate to the other features of the face for aesthetic reasons or for structural abnormalities that interfere with the ability to breathe as a result of a birth defect or physical trauma.

Rhinoplasty is the surgical procedure performed to correct deformities of the nose. It consists, fundamentally, in modifying the bony and cartilaginous nasal structures to achieve a new shape that improves facial harmony. When, in addition, the deviation of the nasal septum is corrected to improve the respiratory function, it is called rhinoseptoplasty.

The operation, which is usually performed under general anesthesia or, in selected cases, with local anesthesia and sedation, begins by approaching the nose through internal incisions, so that there is no visible external scar. The surgeon cuts and shapes the nasal bones and cartilage to achieve the desired shape. Sometimes incisions are also made at the base of the nostrils. To help shape or support the nasal pyramid is often used as grafts different tissues of the patient himself (cartilage, bone) or, more rarely, synthetic materials.

After the operation, which usually lasts about an hour, a nasal packing is placed which is usually removed the next day, except if a septoplasty has been performed, in which case it is left in place for two or three days. Likewise, a plaster splint is applied to the nose, which is kept for a week.

Some postoperative edema and the presence of ecchymosis (bruising) is common, which usually subsides after a week. Most patients will be able to return to normal life in about 8-10 days. No judgment can be made about the outcome of a rhinoplasty until several months, even a year, have passed. This is the time required for the tissues to stabilize and scars to perform their maturation process. The intention of rhinoplasty is that the "new" nose does not attract attention, and is fully integrated into the overall context of the face producing a harmonious and pleasing set, ie, that is not detected that has been operated.

Occasionally, either due to serious initial anatomical alterations, tissue healing disorders, postoperative trauma, etc., the result is not perfect (asymmetries, irregularities in the nasal contour, etc.), so it may be necessary a surgical touch-up, which in such a case will be performed after six months.