The Silvio Sterman Plastic Surgery Aesthetic Clinic is specialized in plastic and reconstructive surgery, congenital defects and other complimentary procedures.
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Bichectomy (withdrawal of Bichat Balls or Bichat Bags)
Bichat balls (or Bichat bags) are pockets of fat located in the cheeks. When increased, gives a protruding rounded configuration, and this part of the face. We can reduce this projection with a relatively simple surgery, removing these bags from inside the mouth. This surgery can be performed with local anesthesia.
The postoperative period is very quiet, permitting the patient’s normal activities.
Breast Lift or Volume Reduction
Breast lifting with or without volume reduction. Over the years, factors such as pregnancy, breast feeding, and gravity cause the breasts to change, losing their elasticity and shape. The lifting of the breasts is a surgical procedure where new shape is given and flaccidity is reduced. In cases where there is excess breast, the tissue and volume is reduced. During the breast surgery, the areola size may also be decreased and the size and firmness of the breasts greatly improved. Patients may have large and fallen breasts.
Breast augmentation is the surgical procedure by which breasts are enlarged for various reasons:
Usually the breast augmentation is made for greater harmony of the figure, or for reconstructive purposes.
Liposuction / Lipo-sculpting
Liposuction (sculpting) is the technique by which undesired fatty deposits are removed from certain areas of the body.
In the last years we have used the Tumescent Liposuction procedure which removes localized deposits, from areas such as the under arms, flanks and waist, folds on the back, abdominal areas on women as well as breasts and “spare tires” on men. A tumescence may be done in conjunction with any form of liposuction, be that traditional, ultrasonic, or vibro-lipo (PAL- Power Assisted Liposuction).
This method consists of the injection of a specially formulated liquid which helps soften and dissolve the treated area. This is the best invasive surgery and least traumatic to the body.
The advantages of this method include minimal loss of blood, greater removal of fat, speedier recovery and least bruising compared to traditional liposuction. A faster recovery and return to usual activities makes it most practical.
Women most frequently have this form of liposuction on the hips and abdomen whereas the men commonly have their under chin and waist done.
Aesthetic Surgery for Men
Our society values the firm and youthful appearance of men and women. Today, there are an increasing number of men who seek cosmetic surgery as they are just as concerned with their appearance as women. Though men and women seek plastic surgery for similar reasons, surgeries for each are not necessarily the same. This is particularly true when it relates to the different contours of the human body. Men tend to have fatty deposits usually around the waist (“spare tires”), the abdomen, and the breasts. Men often demand total anonymity leaving no visible signs of having had any procedures.
The surgeon makes a small incision into which he inserts a canula. A vacuum at the other end aspirates the fatty tissue. A compression belt is used to help reduce the swelling.
A nicely contoured body will help you feel more self confident and secure.
Some men have an enlargement of the breasts caused by an accumulation of fat or glandular masses or both.
The fatty tissue may be removed by liposuction with minimal scarring.
Liposuction became the most popular aesthetic procedure for men, specially around the chest, abdomen, waist, chin and neck.
Many men have ginecomastia- breast volume enlargement, caused by fat tissue and mammary gland tissue.
The fat tissue may be removed with liposuction. The mammary gland may be surgically removed. usually through a small incision in the areola. After the surgery, the chest area is more appealing in the masculine sense.
Abdominoplasty – Tummy Tuck
Plastic surgery of the abdomen is the medical procedure most vividly used for the removal of the fatty tissue, excessive skin and the readjustment of the muscular wall of the abdomen. This procedure greatly improves the stomach area, however leaving a permanent horizontal scar, at the base of the abdomen.
The incision above the pubic area is done in order to remove the excessive fat and skin of the abdomen area. The skin is separated from the abdominal wall above the thighs.
The surgeon will restructure and suture the muscular tissue aligning the waist and strengthening the abdominal wall. The excessive skin is removed and a new belly button is made and sutured.
After surgery, the patient will have a flat and solid abdomen. Though the scars are permanent, they are made in such a way that bikini bathing suits may be worn.
It is common for patients to request two or more plastic surgery procedures to be made at the same time. This is possible as long as the procedures are within the sound advice of the surgeon and that the health of the patient is not compromised.
The most common combination surgeries are of the abdomen and breast, the thighs and abdomen and the breasts and arms. Common combination facial surgeries performed are those of the eye lids and wrinkles, the eye lids and nose and facial wrinkles and nose.
Plastic Surgery of the Obese
Obese or morbidly obese patients should only be operated upon once they have reached their desired weight loss goal. Usually after such weight loss, excessive amounts of skin and flaccidity of skin occurs. That is when the plastic surgeon may proceed to remove such unwanted features in various combination surgeries, usually in two or three stages until the final desired results are reached. Normally the first combination surgery is the abdomen, the removal of excessive skin from the back and thighs. Later the breast and arms are done and finally the face. In some cases, other areas may need surgery if necessary or desired. The results are extremely gratifying though permanent scars will remain. Sometimes ten to fifteen pounds of excessive skin may be removed.
Surgery of the Intimate Area
Commonly many women have certain genital deformities that cause problems: be that of the enlargement of the genital area which causes embarrassment and some constraints. Though this is quite common, the surgery is simple, inexpensive and very gratifying. Under local anesthetic the patient is well enough to leave within a few hours and return to daily routine, being cautious, of course, of operated areas.
The aesthetics of the lips may be greatly enhanced by a simple surgical procedure. The return of the youthful appearance of the lips may be done by decreasing the area above the lip, lipo-sculpting the lips and aesthetically balancing the upper and lower lip.
The effects that come with age, exposure to sun, gravity and daily tensions leave their history on the face. Deep folds or crevices beside the nose and mouth and flaccidity in the neck area are common. The facelift can’t and will not prevent this aging process but it may “turn back the clock,” greatly improving the signs of aging by the removal of excess skin from the face and the neck. This procedure may be done alone or in conjunction with the plastic surgery procedure around the eyes and/or nose.
Plastic Surgery of the Nose (Rhinop lasty)
Rhinoplasty is the procedure to change the configuration of the nose, either by enlarging or minimizing the size of the nose, changing the tilt or size of the nostrils, or changing the angle between the nose and the upper lip. This is one of the most common plastic surgeries performed to correct birth defects, trauma from accidents or problems which occur due to a deviated septum.
Before surgery these patients present enlarged noses, slightly turned downward with an enlarged tip. If the nostrils are too large, small portions of skin may be removed, proportionately closing the nasal opening.
Incisions are made at the base within the nose, removing and sculpting the cartilage and bone.
A plastic covering taped to the nose is used to help the bone and cartilage maintain its new shape. After surgery the nose will be smaller or more aesthetically pleasing.
Eye Lid Plastic Surgery-Blepharoplasty
This is the procedure where the folds of the upper and the pockets of the under eye lids can not only interfere with your vision but can also make you appear older. Crows feet and other wrinkles can’t fully be removed but can be greatly improved.
With age, muscles over the eyes weaken and skin begins to sag. Fatty tissue gathers around the eyes causing pockets.
Cleft Lip and Cleft Palate
In the first weeks of gestation the right and left side of the palate and lips normally will come together. One in eight hundred babies, however, are born with a cleft palate, harelip or both. If your child is born with any of these conditions, surgery to repair the fissure will be recommended. Doctors have had great success in the treatment of these conditions, enabling the child to have a normal, healthy, happy life.
Otoplasty – Prominent ears
Otoplasty is usually suggested for the reduction of the size of the ears or to reposition the ears close to the head. This surgery can be done on children as young as four years old, as the ears have practically grown to their full size. This surgery is done while the patient is under general anesthesia and the patient can return home the same day. Adult surgery is usually done under local anesthesia with few risks to the patient. This surgery leaves no scars as most of the incision is behind the ear. A bandage is placed over the ear for a short period of time. Other forms of ear defects due to traumas, accidents, or tumors, may also be corrected by plastic surgery.
Laser surgery may be used for removal of small veins and blemishes. “Resurfacing” consists of removing the upper layer of the face. Small wrinkles and blemishes and small lesions are removed as well, causing the skin to become more jovial. This procedure is done under general anesthesia with a period of one to two weeks of post-op swelling. It is recommended that the patient stay out of the sun for at least six months: excellent results have been made with light skinned patients.
Poliacrylamide and PMMA – BIOPLASTY
These are injectable implants which do not disappear over a period of time. Used for filling in cheeks and thickening lips, this procedure is done with a very thin needle on an outpatient basis.
Although there are various products on the market to enhance the face, we can’t deny that the body has its own marvelous natural product—fat. It is collected via very thin needles inserted in the abdomen, thighs or knees. Then it is properly prepared and purified and returned to the desired areas via very fine needles.
With the most advanced surgical tools and preparation, the fatty tissue integrates itself perfectly where it was injected with excellent results. This process may be repeated for greater enhancement.
Lipo-sculpting serves to increase desired areas, increase the contour of the upper lip on young patients as well as older ones.
These applications may be made in conjunction with other surgeries, in insolated cases where other surgeries are needed or to improve the effect of former applications of other products which have lost their effect.
Botox is a powdery substance which is prepared in liquid form and injected in areas such as the forehead and around the eyes resulting in the smoothing of localized wrinkles. Botox and Dysport (another commercial name for the product), are injected with micro-needles. The chemical blocks the contractions of facial muscles lasting up to six months. There are no restrictions or anesthesia for this procedure.
Hyaluronic Acid – Restylane
Restylane, or Hyaluronic acid, has had excellent results when used for wrinkles of the lips, nasal labial folds or corners of the mouth. There are no allergic reactions and the effects can last for approximately one year.
Chemical peeling is the non-invasive procedure used to restore skin damaged by the sun, wrinkled, unevenly pigmented by the use of a solution which exfoliates the upper layers of the skin. The new cells rejuvenate resulting in a smoother more youthful appearance.
This procedure however, can not substitute a facelift nor rid the body of excess skin, though many have benefited in the combination of procedures.
Dermabrasion is the removal of superficial layers of skin by mechanical sanding and abrasion. The results are similar to chemical peeling, however, dermabrasion does require some form of anesthetic.