Plastic Surgery

The Silvio Sterman Plastic Surgery Aesthetic Clinic is specialized in plastic and reconstructive surgery, congenital defects and other complimentary procedures.

Specialties:

  • Breast Lift or Volume Reduction
  • Breast Augmentation
  • Liposuction / Lipo-sculpting
  • Aesthetic Surgery for Men
  • Abdominoplasty – Tummy Tuck
  • Combined Surgeries
  • Plastic Surgery of the Obese
  • Surgery of the Intimate Area
  • Lips
  • Face Lift
  • Plastic Surgery of the Nose (Rhinoplasty)
  • Eye Lid Plastic Surgery-Blepharoplasty
  • Cleft Lip and Cleft Palate
  • Otoplasty – Prominent ears
  • Laser
  • Poliacrylamide and PMMA – BIOPLASTY
  • Fat Grafting
  • Botox
  • Hyaluronic Acid – Restylane
  • Chemical Peeling
  • Dermabrasion

 

ABOUT DR. SILVIO STERMAN – CRMSP 15770


  • Specialist Plastic Surgery Sociedade Brasileira de Cirurgia Plastica Conselho Federal de Medicina.
  • Board Member: Sociedade Brasileira de C.P since 1974.
  • University of Sao Paulo Medical Faculty. Department of Burn related Plastic Surgery.
  • Member: International Society of Aesthetic Plastic Surgery.
  • Federacio Ibero Latino Americana de Cirurgia Plastica y Reconstructivo American Society of Aesthetic Plastic Surgery.
  • Former Chief Medical Doctor: Center for the Study of Cleft Lip and Palate.
  • Former Chief Medical Doctor: Plastic Surgery Ambulatory, Hospital das Clinicas, Sao Paulo University Medical School.
  • International Correspondent Member, ASAPS- American Society of Aesthetic Plastic Surgery.
  • Clarifications for further references with regard to Plastic Surgery send an e-mail to Dr. Sterman and he will personally respond to your questions.

 

CONSULTATIONS


  • All appointments are made by calling: 55-11-3289-4822.
  • Office Hours: Monday-Friday 9:30-19:00.
  • Personal, clinical evaluations may be arranged by calling the above number, and you will be seen by a specialized member of the surgical team.
  • Cost, billing and payment plans may be discussed via phone or e-mail.
  • Please call or e-mail for further client references: We will gladly send you e-mail addresses and/or phone numbers of American/International former patients.

 

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.

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The incisions are made, excess skin and volume is removed and the areola repositioned. We do not use the classical inverted T procedure. The excess skin is brought under the front and the incision closed to provide a new, more firm contour.

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The patient may have large breasts and ptotic. The incisions are done around the skin to be removed and the new nipple position. We don´t use anymore the classical inverted “T” scar. The skin above the nipple is pulled down and sutured to rebuilt the breast shape.

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The sutures close the incisions providing the breast a new and more firm contour. In the end of the surgery, the breasts show the new size and shape, presenting only a VERTICAL SCAR below the areolas.

 

 

 

 

 

 

 

 

 

 

 

 

Breast Augmentation


Breast augmentation is the surgical procedure by which breasts are enlarged for various reasons:

  • For personals reasons
  • To correct a breast reduction after pregnancy
  • To equalize the breast size when there is a discrepancy between the two
  • With a silicone implant behind the mammary glands, the surgeon increases the breast by one or two sizes.

Usually the breast augmentation is made for greater harmony of the figure, or for reconstructive purposes.

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The incisions are made in such a way that the scars become invisible when possible at the base of the breast, around the areola or under arm. The possible incisions to insert the implants are: in the axilla, around the areola and in the inframammary sulcus. A pocket is made from the breast tissue to support the implant.

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The silicone implant may be inserted under the gland or under the muscle. After surgery, the breast will appear full, natural and of the desired shape and size. With time, the scars will lighten and become faint.

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

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The best candidates are those of normal weight who have localized areas such as the buttocks, thighs or hips to improve upon.

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We use the device PAL (Power Assisted Liposuction), or Vibroliposuction, a method that reduces the trauma, the blood loss permitting return to regular activities in few days.

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A body with a more harmonious contour helps you feel more confident and confortable.

 

 

 

 

 

 

 

 

 

 

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.

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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.

 

Combined Surgeries


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.

 

Lips


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.

 

Face Lift


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.

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The facelift will remove the profound creases of the cheeks, the double chin, and the excess skin around the neck.

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The incisions are usually made along the hairline, by the temples, around the ears and under the hairline at the base of the neck.

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After surgery the whole facial area will be covered for two days. Once the swelling subsides, firmness and a more youthful appearance will please you.

 

 

 

 

 

 

 

 

 

 

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.

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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.

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Before the surgery, the surgeon marks the incision areas following the natural contours and folds of the eyes.

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Localized fat, excess skin and flaccid muscles are removed during surgery. Fine sutures seal the incisions leaving invisible scars.

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After surgery the eyes become firm and smooth.

 

 

 

 

 

 

 

 

 

 

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.

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Cleft lip is a separation of the upper lip which can extend within the nose.

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To correct this fissure the doctor will incise each side with specific techniques. The lips are sutured together reconstructing a natural lip formation.

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The scar will gradually disappear with time.

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When the roof of the palate does not grow together it is called a cleft palate. The surgeon will incise both sides of the fissure, merging them together, thus repairing the gap.

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The tissues are sutured together, reconstructing the hard and soft palate.

 

 

 

 

 

 

 

 

 

 

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


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.

 

Fat Grafting


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


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


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.

  • Fenol and trichloracetic acid are used over the whole face or in specific areas of concern.
  • Specifically the peeling has been for fine wrinkles on the cheeks, forehead and around the eyes or mouth.
  • After the application the facial skin appears glossy, firm and youthful.

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Dermabrasion


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.

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