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Rhinoplasty

What is rhinoplasty?

Rhinoplasty can enhance facial harmony by augmenting the proportions of your nose. It can also correct breathing obstructions caused by structural defects in the nose.

Rhinoplasty surgery can change:

Nasal size in relation to facial balance
Nasal asymmetry
Nasal profile with visible humps or depressions on the bridge
Nasal width at the bridge or in the size and position of the nostrils
Nostrils that are wide, large or upturned
Nasal tip that is enlarged drooping, upturned or hooked

Ideal candidates for rhinoplasty:

Healthy individuals who do not have medical conditions that may impair healing
Individuals whose facial growth is complete
Individuals with a realistic outlook in mind for a more improved appearance
Non-smokers

If you are bothered by the overall look of your nose, rhinoplasty may be right for you.

Rhinoplasty surgery steps

Rhinoplasty surgery includes the following steps:

Step 1 – Consultation

Our surgeon will meet with you to evaluate your eligibility for your requested surgery, to discuss your goals and to advise you on the expected outcome. You will be required to complete a health questionnaire which will be reviewed during your consultation. It is very important to understand all aspects of your rhinoplasty procedure, so be sure to ask questions. It is natural to feel some anxiety and preoperative stress and our team will make every effort to put your mind at ease.

Step 2 – Hospital admission & Surgery prep

On the morning of your surgery, you will be admitted to the hospital and our surgeons will go over your health questionnaire, take your vital signs and do a full blood panel to ensure you have no conditions barring you from surgery. The surgeon will come and mark the areas that will be treated and photographs will be taken.

Step 3 – Anesthesia

Once you have been cleared for surgery, medications are administered for your comfort during the surgical procedure. The choices include local anesthesia, intravenous sedation, and general anesthesia. Our surgeons will recommend the best choice for you.

Step 4 – The incision

Rhinoplasty is performed either using a closed procedure (incisions hidden inside nose), or an open procedure (external incision is made across the strip of tissue that separates the nostrils).

Step 5 – Reshaping the nose structure

The underlying structure of the nose can be reduced by removing cartilage and bone tissue. In some cases, the nose may require the addition of cartilage or bone grafts. Typically, cartilage is taken from the septum for this purpose.

* Any breathing obstructions due to a deviated septum, can be corrected by re-aligning the nasal structure in conjunction with the rhinoplasty procedure.

Step 6 – Closing the incision

Once the underlying structure of the nose is augmented to the desired shape, nasal tissue and skin is repositioned and incisions are closed. Incisions may be placed in the creases of the nostrils to alter their size.

Step 7 – Post Surgery

Immediately following your rhinoplasty procedure, our surgeons will fit you gauze packing inserted into the nostrils and splints and bandages externally, to support the structure of your nose through the initial healing period. You will then be taken to the recovery ward for about two hours prior to being moved back in your room. On staff doctors and nurses will monitor you overnight and once cleared by our surgeon, you will be released the following afternoon and accompanied back to your hotel.

Step 8 – You will see our surgeon the following day and up to 3 follow up visits post-surgery. The gauze packing and splints will support your nose as it begins to heal and will typically be removed after a few days.

Although rhinoplasty results are noticeable immediately, full results will be noticeable once the swelling, bruising and will continue to improve up to one year following surgery.

*All of our Rhinoplasty procedures are performed in an accredited, licensed ambulatory, surgical hospital facility.

Whats included & cost

$4200 USD

6 Nights stay in hotel (B&B) + 1 Night stay in hospital
Board Certified Plastic & Aesthetic Surgeon
Airport & Inbound Transfer
Pre-op Online Consultation
Physical Consultation
Blood Tests
General Anesthesia
Medications
Post op Controller, Post op Medical Kit
Pre-op & Pre-op PCR Test
Custom Patient Service (English, French, Spanish, Italian)
24/7 Online Assistance Online Post-op Follow up
All Inclusive
€3.250
6 Nights stay in hotel (B&B) + 1 Night stay in hospital
Board Certified Plastic & Aesthetic Surgeon
Airport & Inbound Transfer
Pre-op Online Consultation
Physical Consultation
Blood Tests
General Anesthesia
Medications
Post op Controller, Post op Medical Kit
Pre-op & Pre-op PCR Test
Custom Patient Service (English, French, Spanish, Italian)
24/7 Online Assistance Online Post-op Follow up

Rhinoplasty Revision – $5600 USD

6 Nights stay in hotel (B&B) + 1 Night stay in hospital
Board Certified Plastic & Aesthetic Surgeon
Airport & Inbound Transfer
Pre-op Online Consultation
Physical Consultation
Blood Tests
General anesthesia
Medications
Post op controls, Post op medical kit
Pre-op & Pre-op PCR Test
Customized Patient Service (English, French, Spanish, Italian)
24/7 Online Assistance
Online Post-op follow up

Flight not included.

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Breast Lift

A breast lift — also known as mastopexy — is a surgical procedure performed by a plastic surgeon to change the shape of your breasts.
During a breast lift, excess skin is removed and breast tissue is reshaped to raise the breasts.
You might choose to have a breast lift if your breasts sag or your nipples point downward.
A breast lift might also boost your self-image and self-confidence.A breast lift won’t significantly change the size of your breasts. However, a breast lift can be done in combination with breast augmentation or breast reduction.

Why it’s done

As you get older, your breasts change — losing elasticity and firmness. There are many causes for these kinds of breast changes, including:
- During pregnancy, the ligaments that support your breasts might stretch as your breasts get fuller and heavier. This stretching might contribute to sagging breasts after pregnancy — whether or not you breast-feed your baby.
- Weight fluctuations.Changes in your weight can cause your breast skin to stretch and lose elasticity.
- Over time, gravity causes ligaments in the breasts to stretch and sag.

A breast lift can reduce sagging and raise the position of the nipples and the darker area surrounding the nipples (areolae). The size of the areolae can also be reduced during the procedure to keep them in proportion to the newly shaped breasts.

You might consider a breast lift if:

Your breasts sag — they’ve lost shape and volume, or they’ve gotten flatter and longer
Your nipples — when your breasts are unsupported — fall below your breast creases
Your nipples and areolae point downward
Your areolae have stretched out of proportion to your breasts
One of your breasts falls lower than the other

A breast lift isn’t for everyone. If you’re considering pregnancy at any point in the future, you might delay getting a breast lift. During pregnancy your breasts could stretch and offset the results of the lift.

Breast-feeding is a consideration as well. Although breast-feeding is usually possible after a breast lift — since the nipples aren’t separated from the underlying breast tissue — some women might have difficulty producing enough milk.

While a breast lift can be done on breasts of any size, women with smaller sagging breasts will likely have longer lasting results. Larger breasts are heavier, which makes them more likely to sag again.

Whats included & cost

$5700 USD

6 Nights stay in hotel (B&B) + 1 Night stay in hospital
Board Certified Plastic & Aesthetic Surgeon
Airport & Inbound Transfer
Pre-op Online Consultation
Physical Consultation
Blood Tests
General anesthesia
Medications
Post op controls, Post op medical kit
Pre-op & Pre-op PCR Test
Customized Patient Service (English, French, Spanish, Italian)
24/7 Online Assistance
Online Post-op follow up

Flight not included.

Facelift

What is a facelift?

A facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck, such as:

Sagging in the middle of your face
Deep creases below the lower eyelids
Deep creases along the nose extending to the corner of the mouth
Fat that has fallen or has disappeared
Loss of skin tone in the lower face that creates jowls
Loose skin and excess fatty deposits under the chin and jaw can give even a person of normal weight the appearance of a double chin

The loss of youthful contours in the face can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress.

Rejuvenation procedures typically performed in conjunction with a facelift are brow lift, to correct a sagging or deeply furrowed brow, and eyelid surgery to rejuvenate aging eyes.

What a facelift won’t do

As a restorative surgery, a facelift does not change your fundamental appearance and cannot stop the aging process.

A facelift can only be performed surgically; non-surgical rejuvenation treatments cannot achieve the same results but may help delay the time at which a facelift becomes appropriate and complement the results of surgery

In general, good candidates for a facelift include:

Healthy individuals who do not have medical conditions that impair healing
Non-smokers
Individuals with a positive outlook and realistic expectation

Your facelift consultation

During your facelift consultation, be prepared to discuss:

Your surgical goals
Medical conditions, drug allergies, and medical treatments
Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use
Previous surgeries

Your surgeon will also:

Evaluate your general health status and any pre-existing health conditions or risk factors
Discuss your facelift options
Examine and measure your face
Take photographs
Recommend a course of treatment
Discuss likely outcomes of a facelift and any risks or potential complications
Discuss the type of anesthesia that will be used

Be sure to ask your plastic surgeon questions. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.

Facelift procedure steps

A facelift procedure includes the following steps:

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

A variety of other procedures can further enhance the outcome of a facelift. They include:

Facial implants or fat transfer
Soft tissue augmentation to recontour the facial structure
Resurfacing techniques to improve the tone and texture of facial skin
Wrinkle reduction by injection of fat or fillers

Step 2 – The incision

Depending on the degree of change you’d like to see, your facelift choices include a traditional facelift, limited incision facelift or a neck lift.

A traditional facelift incision often begins in the hairline at the temples, continues around the ear and ends in the lower scalp. Fat may be sculpted or redistributed from the face, jowls and neck, and underlying tissue is repositioned, commonly the deeper layers of the face and the muscles are also lifted. Skin is redraped over the uplifted contours and excess skin is trimmed away.

A second incision under the chin may be necessary to further improve an aging neck. Sutures or skin adhesives close the incisions.

Traditional Facelift

An alternative to a traditional facelift uses shorter incisions at the temples, continuing around the ear and possibly within the lower eyelids or under the upper lip.

Limited Incision

Sagging jowls, loose neck skin and fat accumulation under the chin may be corrected with a neck lift. The neck lift incision often begins in front of the ear lobe and wraps around behind the ear ending in the lower scalp.

Step 3 – Closing the incisions

Once healed, the incision lines from a facelift are well concealed within the hairline and in the natural contours of the face and ear.

Step 4 – See the results

The visible improvements of a facelift appear as swelling and bruising subside. Your final result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself.

Facelift recovery

During your facelift recovery, a bandage might be placed around your face to minimize swelling and bruising once your procedure is completed. Thin tubes may be present to drain any excess blood or fluid that may collect under the skin.

You will be given specific instructions that may include how to care for the surgical site and drains, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon.

Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.

Where will I be taken after my surgery is complete?
What medication will I be given or prescribed after surgery?
Will I have dressings/bandages after surgery?
When will they be removed?
Are stitches removed? When?
When can I wear make-up?
When can I resume normal activity and exercise?
When can I see my stylist for hair color and cut?

Whats included & cost

$7000

6 Nights stay in hotel (B&B) + 1 Night stay in hospital
Board Certified Plastic & Aesthetic Surgeon
Airport & Inbound Transfer
Pre-op Online Consultation
Physical Consultation
Blood Tests
General anesthesia
Medications
Post op controls, Post op medical kit
Pre-op & Pre-op PCR Test
Customized Patient Service (English, French, Spanish, Italian)
24/7 Online Assistance
Online Post-op follow up

Flight not included.

Brow Lift

A brow lift, also known as a forehead lift:

Reduces the wrinkle lines that develop horizontally across the forehead, as well as those that occur on the bridge of the nose, between the eyes
Improves frown lines, the vertical creases that develop between the eyebrows
Raises sagging brows that are hooding the upper eyelids
Places the eyebrows in an alert and youthful position

Other cosmetic procedures that may be performed with a brow lift include:

Upper and or lower eyelid surgery (blepharoplasty)
Face-lifting
Skin resurfacing techniques

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Chin Implants

Chin augmentation is surgery to reshape or enhance the size of the chin. It may be done either by inserting an implant or by moving or reshaping bones.
A chin implant is designed to bring a harmonious balance to facial features, usually by augmenting a weak chin. By placing a biocompatible implant in the lower jaw, patients can create a stronger chin, and even lengthen the entire face.

While many patients use dermal fillers to increase chin size, their results last for only a few months and require frequent touch-ups. In comparison, a chin implant offers permanent results that can be customized to achieve the desired look.
A chin implant is commonly used in conjunction with rhinoplasty. Because the appearance of the chin may be affected by what will be the new size and shape of the nose, a chin implant may be used to help achieve a more pleasing facial proportion.
It may also be combined with lip augmentation for maximum aesthetic results.

Whats included & cost

$3400

5 Nights stay in hotel (B&B) + 1 Night stay in hospital
Board Certified Plastic & Aesthetic Surgeon
Airport & Inbound Transfer
Pre-op Online Consultation
Physical Consultation
Blood Tests
General anesthesia
Medications
Post op controls, Post op medical kit
Pre-op & Pre-op PCR Test
Customized Patient Service (English, French, Spanish, Italian)
24/7 Online Assistance
Online Post-op follow up

Flight not included

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Cosmetic Surgery

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Ear Surgery

Ear surgery, also known as otoplasty, can improve the shape, position or proportion of the ear. A defect in the ear structure that is present at birth or that becomes apparent with development can be corrected by otoplasty.
This procedure can also treat misshapen ears caused by injury.
Otoplasty creates a more natural shape while bringing balance and proportion to the ears and face.
Correction of even minor deformities can have profound beneﬁts to appearance and self-esteem.
If protruding or disﬁgured ears bother you or your child, you may consider plastic surgery.

What can ear surgery treat?

Overly large ears – a condition called macrotia
Protruding ears occurring on one or both sides in varying degrees – not associated with hearing loss
Adult dissatisfaction with previous ear surgery

Who is a good candidate for ear surgery?

Children who are good candidates for ear surgery are:

Healthy, without a life-threatening illness or untreated chronic ear infections
Generally, 5 years old, or when a child’s ear cartilage is stable enough for correction
Cooperative and follow instructions well
Able to communicate their feelings and do not voice objections when surgery is discussed

Teenagers and adults who are good candidates for ear surgery are:

Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
Individuals with a positive outlook and specific goals in mind for ear surgery
Non-smokers

Ear surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to ﬁt any sort of ideal image.

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Non-Surgical Procedures

Botox

Unlike a face lift or other kind of invasive facial rejuvenation procedure, treatment takes minutes and requires zero downtime.
Using a very fine needle, Botox is injected into the facial muscles that are responsible for unsightly wrinkles and fine lines and relaxes the muscles.
The ingredients in Botox block the signal from the nerve to the muscle, and therefore reduce its ability to contract, and form unsightly wrinkles.
Treatment only takes minutes
Smooths wrinkles in the forehead, crow’s feet, and between the eyes
No downtime or recovery

How does Botox work?

Cosmetic Botox injections work by blocking the nerve signals to certain muscles.

The muscles then become more relaxed.

This reduces the appearance of lines and wrinkles on the skin.

Dermal Fillers

Dermal fillers help to diminish facial lines and restore volume and fullness in the face.

As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent.

The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity and lifestyle.

What dermal fillers can do

Plump thin lips
Enhance shallow contours
Soften facial creases and wrinkles
Improve the appearance of recessed scars
Reconstruct contour deformities in the face
Decrease or remove the shadow of the lower lids

Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery.

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Gastric Sleeve

Sleeve gastrectomy is a relatively new bariatric operation, and currently comprises 10-20 percent of bariatric operations performed in the US: This number is expected to rise in coming years. Sleeve gastrectomy is a safe and effective operation. Your surgeon will help you decide if this is the right operation for you.

Sleeve gastrectomy involves removal of the majority of the stomach, leaving a narrow “sleeve” of stomach that limits food intake much like a gastric pouch, but without the need to rearrange intestinal anatomy. Sleeve gastrectomy thus restricts the amount of food a person can eat and provides a feeling of fullness.

Weight loss after sleeve gastrectomy ranges from 50-60 percent of excess weight in most patients, similar to gastric bypass. More than 80 percent of patients will experience marked improvement in related diseases such as diabetes, sleep apnea, high blood pressure, fatty liver disease, osteoarthritis, and other diseases

The rest of the gastrointestinal tract anatomy is not altered, so the food ingested follows the normal course. This results in less chance of developing lack of vitamins and minerals and eliminates ‘dumping syndrome’.
The procedure significantly decreases hunger sensations by removing the part of the stomach that produces the main stimulating hormones.
It minimizes the chance of developing ulcers.
There are normally fewer office visits than with gastric banding, since there is no need for adjustment of the size of the band.

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Gastric Band

The adjustable gastric band is made of soft silicone and is equipped with a firmly attached inflatable balloon. This balloon is connected by a tube to an access port.

The band is positioned around the upper part of the stomach by keyhole (or laparoscopic) surgery so as to create a small pouch. This small pouch lies above the band and has a capacity of 15-20mL. The remaining stomach lies below the band. The band helps patients reduce weight by 2 mechanisms:

By reducing the amount of food that an individual wants to eat by inducing a feeling of fullness after only half a cup of food; and
By slowing down the emptying from the pouch above the band, thereby prolonging the feeling of fullness

The size of the pouch outlet is adjusted by adjusting the volume of fluid in the balloon through the access port. The access port is situated under the skin usually in the upper abdomen and is easily accessible by the treating doctor with a special needle.

Since the insertion of the adjustable gastric band does not involve any stapling, resection or shortening of any part of the stomach or intestines, the function of the digestive system remains intact. All ingested food will still be absorbed by the body the same way that it was before the operation. Weight loss is achieved by helping induce early feeling of satiety after eating considerably smaller amounts of food than before the surgery. It is most important to avoid foods of high caloric content, such as ice cream, custards and chocolates.

The Operation

Insertion of the adjustable gastric band is usually done via laparoscopic approach.

Five or six small incisions are made in the abdomen to introduce a camera and instruments and the adjustable gastric band is positioned at the upper end of the stomach.

Once the band is placed in position, the connecting tube and access port are inserted and secured to the upper abdominal wall.

All incisions are finally closed using absorbable sutures which do not need to be removed.

How much weight can you expect to lose?

The weight will be lost gradually and should commence immediately after surgery. The amount of weight loss will depend partly on the amount of fluid injected into the balloon to provide a feeling of satiety. More importantly, the amount of weight loss in the long term will depend on the patient, i.e. on how carefully the patient follows the recommendations regarding eating habits, diet and exercise. The recommended rate of weight loss we would like to see is 0.5 – 1.0 kg per week. On average it is expected that 50-60% excess weight will be lost long term.

This also means a long-term commitment to follow up by your bariatric clinic as data clearly shows the importance of follow up for successful weight loss.

We recommend that you follow the dietary instructions from our dietician and if necessary take a multivitamin supplement

Newer Posts

Older Posts

Rhinoplasty

What is rhinoplasty?

Rhinoplasty surgery steps

Whats included & cost

Breast Lift

Why it’s done

Facelift

What is a facelift?

What a facelift won’t do

Your facelift consultation

Facelift procedure steps

Traditional Facelift

Limited Incision

Facelift recovery

Brow Lift

Chin Implants

Cosmetic Surgery

Ear Surgery

What can ear surgery treat?

Who is a good candidate for ear surgery?

Non-Surgical Procedures

Botox

How does Botox work?

Dermal Fillers

What dermal fillers can do

Gastric Sleeve

Gastric Band

The Operation

How much weight can you expect to lose?