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FACIAL TREATMENTS

1. B. Toxin

WHAT IS IT FOR?

Reduces the wrinkles caused by contractions of the facial muscles, frown lines, allows raising the eyebrows and correcting facial asymmetries (facial paralysis sequelae)

HOW IT WORKS

B. toxin temporarily paralyzes the muscles responsible for the lines and wrinkles of facial expression, allowing the skin to recover from years of contractions and a furrowed forehead

PROCEDURE DURATION

15 minutes

OPTIONAL ASSOCIATED PROCEDURES

Depending on the region of the face, it can be supplemented with a filler (hyaluronic acid)

TYPE OF ANESTHESIA

None or topical anaesthetic cream

SCARS

None

HOSPITAL STAY

Does not require hospitalization

RECOVERY

Avoid exercise, intense heat or strong solar exposure for the first 24-48h

RISKS AND MOST FREQUENT PROBLEMS

Assymetry. If overdosage, lack of facial expression, asymmetry, drooping eyelid

PROCEDURE LONGEVITY

The effect appears only after 3 to 4 days, with a duration of 4 to 6 months. When the treatment is not repeated, the original muscle movement returns spontaneously

2. Dermal Fillers

WHAT IS IT FOR?

Restores or increases the volume of areas of the face, temporarily increases projection, and helps correct wrinkles.

HOW IT WORKS

The injection of fillers is a non-surgical procedure (unlike the filling with fat tissue, which is a surgical procedure), which uses filler substances to improve wrinkles, furrows and irregularities or even increasing volumes. It could also improve skin hydration, in the case of more superficial fillers. In our practice the preference falls on hyaluronic acid (non-permanent filler) for its better safety profile. Several brands are known, such as Restylane, Art Filler FillMed or Juvederm (registered trademarks) which vary in viscosity, water absorption capacity and characteristics of the molecule, with implication in the depth at which they can be injected, for the best results without visible "papules" and maximized durability.

The cosmetic indications to use hyaluronic acid include the emptying of the face with age, namely the disappearance of fat from the cheeks, deep furrows from the nose to the corners of the mouth, and in some furrows between the lower eyelids and cheeks. It is also one of the most common methods used for lip or chin augmentation. Furthermore, a filler can be used to smooth the irregularities present on the nose, improving its shape

PROCEDURE DURATION

15 minutes

ASSOCIATED PROCEDURES

B. Toxin

TYPE OF ANESTHESIA

Topical or regional anesthesia

SCARS

No scars

HOSPITAL STAY

Does not require hospitalization

RECOVERY

You can work on the same day, although some areas may be more swollen or red for 1 or 2 days

RISKS AND MOST FREQUENT PROBLEMS

During the first days there may be some swelling, bruising or redness. Rarely asymmetry, irregularities, hypo- or hypercorrection and infection

PROCEDURE LONGEVITY

It depends on the depth, location and type of product used, ranging between 6 and 18 months

3. Fat Grafting

WHAT IS IT FOR?

Improves the volume and contour of the face and body with fat taken from another area of the body. Can improve the quality and texture of the skin in some cases.

In the specific case of the cheekbones, restores volume and projection, also supporting the upper eyelids, improving their transition to the skin below (zone of "tear-through") and complementing the results of a facelift

HOW IT WORKS

Fat grafting, also known as fat transfer, fat injections or "lipofilling", is a surgical procedure (unlike hyaluronic acid, which is a nonsurgical procedure) that uses a patient´s own fat to fill irregularities and grooves or even increase volumes. Aesthetic indications for "lipofilling" include correcting emptiness of the face due to age, particularly the disappearance of fat from the cheeks, deep furrows from the nose to the corners of the mouth, and in some cases lines between the lower eyelids and the cheeks. It is also one of the most common methods used in lip augmentation. Furthermore, the "lipofilling" can be used to smooth the irregularities resulting from a poorly executed liposuction.

The volume enhancement of the breast or buttock (gluteal region – the famous “Brazilian Butt Lift”) using the patient's own fat is one of the most requested aesthetic procedures at the moment.

The fat required for a limited liposuction is obtained through one or more incisions of 3 to 5 mm. It is normally withdrawn from the abdomen or thigh.

It has the additional advantage of actually performing a liposuction of other body areas, taking advantage of the fat removed.

PROCEDURE DURATION

It depends of the treated area and whether it is associated with other procedures. It can vary from 30 minutes to 2 hours.

ASSOCIATED PROCEDURES

Buttock augmentation, liposuction, face lift, breast reconstruction, breast augmentation

TYPE OF ANESTHESIA

General anaesthesia, except for minor procedures that can be performed with local anaesthesia (with or without sedation)

SCARS

Small scars of 3-5mm in fat harvesting areas, usually hidden by underwear or within less visible areas

HOSPITAL STAY

Depends on the size of the procedure and other associated procedures, but it can be done on an outpatient basis or require 1 day of hospitalization

RECOVERY

The swelling usually decreases from the third day, and social activities can be resumed after a week, sometimes with the help of some make-up

RISKS AND MOST FREQUENT PROBLEMS

Asymmetry, irregularities, overcorrection and infection

PROCEDURE LONGEVITY

Part of the grafted fat (about 30-50%) is reabsorbed over 6 to 12 months, by which time the result often becomes final and definitive. Therefore, a slight hypercorrection is made taking into account the subsequent loss. The great advantage of fat as compared to fillers with hyaluronic acid is the available volume and durability. Large variations in weight can, however, change the volume of the fat, as it does with the remaining body fat

4. Dermal Peeling

WHAT IS IT FOR?

Improves the appearance and texture of skin, acne sequels and superficial wrinkles, freckles or spots

HOW IT WORKS

Chemical peeling improves skin that is wrinkled, stained, irregularly pigmented and damaged by the sun, using a chemical solution to peel away the superficial skin layers. This procedure works best on light skin, thin and superficial wrinkles. Depending on the depth of the desired treatment, various products may be used, from glycolic acid (alpha-hydroxyl acid - AHA), trichloroacetic acid, salicylic acid to phenol (deeper, and also with more risks)

One of the most popular agents is trichloroacetic acid (TCA), which has several formulations that allow it to reach different depths depending on the goals of the treatment. In addition, it has a good safety and recovery profile, since it allows more frequent treatments that do not prevent the accomplishment of social activities in the following days (it only looks like a sunburn), or single a treatment, although in this case the skin peels for about 1 week. Thus, the patient can adapt the treatment to the demands of her personal life

PROCEDURE DURATION

The process takes about 30 minutes to an hour for localized areas and up to two hours for the full face

ASSOCIATED PROCEDURES

N/A

TYPE OF ANESTHESIA

Generally, not necessary, topical anaesthetics may be used

SCARS

None

HOSPITAL STAY

It does not require hospitalization

RECOVERY

Depends on the depth of the peeling. TCA Peeling: new skin is formed in five to ten days. The redness will disappear after several weeks. During the recovery period, sunscreen is essential because the skin is very sensitive

RISKS AND MOST FREQUENT PROBLEMS

Small white bumps (temporary), rarely there can be cases of infection, reactivation of herpes simplex labialis, unsightly scars, skin rash, wounds, excessive temporary skin pigmentation. In the case of phenol peeling, rarely cardiac abnormalities (e.g.: arrhythmias) may occur.

Generally, fair-skinned people are the ideal patients for chemical peels. Dark-skinned people may also have good results, depending on the problem being treated. However, the risk of skin tone becoming uneven after the procedure increases

PROCEDURE LONGEVITY

The result of a peeling depends on its purpose and its depth, but usually remains for some years