Facial and Reconstructive Plastic Surgery

Facial and Reconstructive Plastic Surgery is a subspecialty that combines head and neck surgery with plastic surgery. The facial plastic surgeon is a doctor who specializes in problems that affect the face, nose, and neck. This mainly includes the management of cosmetic, functional or restorative surgery.

Types of surgery

  • - Rhinoplasty:  nose surgery, both functional and aesthetic.
  • - Blepharoplasty:  surgery of the eyelids, through which excess fat and skin, bags or wrinkles are removed in the eye area.
  • - Facelift:  surgical intervention to remove excess skin and tighten the muscles of the neck and lower face, in order to achieve facial rejuvenation.
  • - Brow and Forehead Lift:  Surgery to minimize wrinkles on the forehead and raise the eyebrows, reduce the drooping of the eyelids and provide a more renewed appearance.
  • - Mentoplasty: An   intervention that seeks to increase a small chin or reduce a prominent chin.
  • - Otoplasty:  ear surgery to correct both congenital problems and the product of an accident.
  • - Facial reconstruction:  After an accident or illness, surgery can be performed to restore the function and appearance of the face. This may include scar revision, fracture and laceration repair, treatment of vascular birthmarks, surgery for craniofacial deformities, or reconstruction after cancer surgery, with both local and regional flaps and microsurgery.

Non-surgical cosmetic procedures

  • - Botox
  • - Facial filler  (hyaluronic acid injection)
  • - A facial rejuvenation surgery may have some of the following procedures, which are performed according to the characteristics and needs of each patient:

Types of facial rejuvenation surgeries

•  Frontoplasty: it is a procedure in which the excess skin on the forehead is corrected, improving its appearance. This surgery may include improving the appearance of the eyebrows, removing wrinkles on the forehead, or even reducing features such as frowning.
• Blepharoplasty or eyelid surgery: it is a procedure in which an improvement is made in the appearance of the eyelids, both upper and lower. With this surgery, excess fat and even the "pockets" that form on the eyelids are removed.
• Bichectomy: Known as cheek surgery, it is a procedure in which bichet bags, which are fat bags found on the cheek, are removed. This procedure reduces the appearance of the face.
• Chin Surgery: This procedure improves the appearance of the face, achieving facial harmony, and a much smoother profile.
• Ear surgery: this procedure allows you to remove excess skin, improve disproportionate ear sizes, and even their orientation.
• Nose surgery or rhinoplasty: the nose, as a preamble to the face, is one of the main aspects that define the appearance of a person. The nose sometimes has deviations or defects that can be corrected.
• Application of hyaluronic acid, botulinum toxin, hydroxyapatite :
• injectable aesthetic treatments allow us to recover volume and achieve visible results in a short time. These treatments are generally combined with surgeries or other procedures.
• Threads: the use of tension threads is a complement that can also be used in the process of facial rejuvenation. They allow generating traction in certain points of the face improving specific facial features.
• In conclusion, facial rejuvenation surgery is a procedure that may or may not include a large number of minor procedures depending on the needs of the patient; for this reason, it is personalized, and the results depend on many aspects.

3 Most Common Plastic Surgery

The nose is that the appendix located in the central part of the face gives this character and personality.

His front view, oblique, and profile, can appear with certain characteristics that are not pleasant or harmonious, or worse, that is a real problem for the person’s own body image.

The Cosmetic Surgery of the nose, called rhinoplasty, intends to return to this appendix harmony in relation to the rest of the face trying to correct the asymmetry (crooked nose), increased dorsum (hump), the length of the nose, the shape and tip position, etc. not forgetting that the nose performs an important first step in the inspiration of the air, by heating it and filtering it so that it reaches the lungs in the best conditions.

It is for all this, that when we consider a rhinoplasty, aesthetics and function must always be united and be studied within the globality of the face to which it belongs.

It is an intervention that we carry out under general anesthesia, in the Hospital and requires 1 day of admission, and at hospital discharge, the patient wears a splint on the nasal dorsum (plaster) and tamponade in the nostrils. The tamponade is removed between the 2nd and 4th day, and the splint a week.

The final result is measurable after months when the residual inflammation has subsided. The naturalness and satisfaction of the patient are evident from 7 days.

Eyelid surgery

With the passage of time, it always happens that the skin of the eyelids loses elasticity, and if this is also favored by family characteristics, excess skin is more evident.

In addition, the eyeball is wrapped in grease that allows the exquisite movements of the gaze. This fat, which surrounds the entire orbit, can herniate and cause ugly bags on both eyelids.

In this way, with age and in some people more than others, an excess of skin and a herniation of fat appear so that usually on the upper eyelid, there is more excess skin and less herniation of fat and in the upper eyelid. Lower eyelid occurs backward, more excess fat than skin.

These particularities valued together with the position of the external canthus, the excess of muscle, the position of the eyebrow, the laxity of the lower eyelid, the quality of the skin, etc. they lead to the global and individualized surgical approach in each case.

The intervention is performed under local anesthesia plus sedation, in a hospital setting and on an outpatient basis. The corneal protector ensures the integrity of the eyeball during the entire procedure. After this, the patient returns home without occluding the eyes, with small strips of adhesive tape on the eyelids.

From the 3rd to the 7th day, the sutures are removed, and since then, it is possible to apply makeup to disguise the remains of the bruise and carry out a life of the relationship.

Perhaps it is one of the most grateful facial interventions. The naturalness, the rested, and youthful appearance bring optimism to the patient.

Ear surgery

The shape of the ears is determined by a cartilaginous skeleton that provides consistency.

The detached ear is a deviation from normal that occurs from birth and can cause, already in the child, a significant impact on his relationship life.

The intervention is performed in a hospital setting under local anesthesia plus sedation on an outpatient basis, and the purpose is to restore the shape to the folds of the ear and bring it closer to the head.

By means of an incision behind the pinnae, the cartilage is remodeled and given the appropriate shape. The scar is hidden in the crease behind the ear.

The patient returns home after the intervention with a bulky bandage that is checked on the 3rd day and removed after a week.

The stitches fall off on their own, and the patient can lead a normal life a week, trying not to perform exercises that can cause trauma to the ears for 3-4 weeks.

An important point, also in Ear Surgery, is the reconstruction of the lobes torn by earrings or piercings.

This surgery is performed in the consultation itself under local anesthesia, after which the patient can be integrated into his usual activity.…