Cirugia Plastica en Argentina: Nuevas Tendencias

- Los hombres requieren cada vez más este tipo de procedimientos y representan un 20 % de las consultas
- No existe un tiempo ni una edad ideal para la Cirugía Plástica

Rejuvenecimiento facial

Actualmente, se puede lograr la belleza facial mediante la combinación de varios métodos, quirúrgicos y no quirúrgicos, que permiten alcanzar un resultado global, duradero y fundamentalmente natural. Como regla general se debe saber que los tejidos que van perdiendo tono y elasticidad y que por acción de la gravedad, tienden a caer, se corrigen con un lifting facial,  el cual devolverá los rasgos joviales y la frescura a la cara. Y por otro lado, las arrugas que tienen distintos mecanismos de origen, se corregirán con métodos complementarios como son los peelings, láser, rellenos, botox, etc.

El láser es uno de los importantes avances tecnológicos de nuestros tiempos. En Cirugía Plástica también es utilizado para quitar manchas de la piel,  mejorar secuelas de acné, remover tatuajes y para  depilación definitiva. Es importante que sea realizado en un ambiente médico adecuado.

¿Es posible una nariz armónica?

La nariz es una de las partes más importantes de la cara y hace a la personalidad. Anatómicamente está formada por una estructura de huesos y cartílagos, que son los que darán la forma, cubierta por músculos y piel.

Al evaluar una nariz es necesario  saber que no existen dos narices iguales y que además de la idoneidad técnica de quién realiza la cirugía de nariz (rinoplastia), es de suma importancia un preciso diagnóstico sobre qué componentes de dicha estructura  están alterados y por lo tanto qué se debe modificar.

Teniendo en cuenta lo anterior, es posible obtener un resultado natural, armónico, con una correcta función, que lógicamente “no es una nariz que se ve operada”, resaltó el Dr. Martínez Rinaldi.

- Antes y despues de una cirugia de nariz

Implantes mamarios

Las mamas constituyen una parte importante en la estética de una mujer, las cuales deben ser armónicas y adecuadas a cada cuerpo.  El aumento de mamas (mamoplastia) es una de las cirugías más solicitadas en la actualidad y está indicada para aquellas pacientes que luego de su desarrollo han alcanzado un escaso volumen o que sufrieron una disminución luego de un embarazo, o bien, para reconstrucción seguido a una mastectomía por cáncer. También se puede realizar reducción mamaria o levantar las mamas sin necesidad de un implante.

¿Puedo quedar embarazada, puedo amamantar, producen cáncer? Estos son algunos de los interrogantes que tienen la mayoría de las pacientes. “Respecto de los implantes, está comprobado científicamente que no hay evidencia que los relacione como causantes de cáncer o enfermedades autoinmunes”, aclaró el Dr. Martínez Rinaldi y además explicó que “la vida posterior con las prótesis es totalmente normal, pudiendo tener embarazos, amamantar un bebé, hacer deportes, etc”.

- Antes y despues de una cirugia de implantes mamarios

Nuevas tecnologías para un contorno corporal armónico

Es conocido por todos la importancia que tiene en nuestros días el cuidado del  cuerpo. Es común la consulta, tanto de hombres como mujeres, en la cual se escucha “tengo este exceso de grasa localizada que no la puedo bajar con nada” o “estoy en mi peso pero no tengo la misma forma, estos rollitos…” La lipoescultura logró dar respuesta a la constante preocupación relacionada con la forma, volumen y aspecto del cuerpo.

Una de las novedades actuales es la incorporación de tecnología ultrasónica, llamada liposelección VASER, mediante la cual se trata en forma selectiva las adiposidades localizadas de una manera menos cruenta, con mejor confort postoperatorio y con una mejor retracción de la piel.

Es importante entender que “no es un método para bajar de peso” sino que el objetivo es modelar y así lograr un cuerpo más armónico. Las localizaciones más comunes son en caderas, cintura, abdomen, muslos y cara interna de rodillas.

- Antes y despues de una liposuccion

¿Existen métodos alternativos no quirúrgicos?

Al respecto, el Dr. Martínez Rinaldi resaltó que “hoy es común observar publicidades de aparatos y cremas mágicas, pero hay que tener mucho cuidado e informarse debidamente sobre la seriedad de las propuestas y de la idoneidad de las personas que las realizan”.

Existen numerosas técnicas serias para tratar excesos pequeños y localizados de tejido adiposo y para mejorar la calidad de la piel, que no suplen a la cirugía, sino que se complementan, por lo que es fundamental un trabajo en equipo con esteticistas y fisioterapeutas.

Contáctenos para más información o para solicitar un turno con el Doctor Roberto Martinez Rinaldi.

Breast Reduction May Lead to Cancer Detection in Patients

There may be some new added benefits to breast reduction surgery. Testing tissue and fat removed during the procedure may lead to increased cancer detection, reports a new study presented at the American Society of Plastic Surgeons (ASPS) Plastic Surgery 2009 conference, Oct. 23-27, in Seattle. Two-hundred-two cases were evaluated. Cancerous or pre-cancerous cells were found in 12.4 percent of patients. Age was significantly associated with negative pathologic findings. The rate of cancer was 6.2 percent in women 40 years or older and 7.9 percent in women 50 years or older. None of the lesions were identified on pre-operative mammograms. The authors suggest that increased testing in breast reduction patients can help to identify at-risk patients, especially in breast reduction patients over 40.

By the Numbers:

Nearly 90,000 women had breast reduction surgery in 2008, up 5 percent since 2000, reports the ASPS.

Source: American Society of Plastic Surgeons (ASPS)

Cosmetic eyelid surgery can boost quality of life for patients

New research released at world’s largest ENT meeting

San Diego, CA – Cosmetic surgery that repairs droopy eyelids, also known as blepharoplasty, has an overall positive impact on patients’ quality of life (QOL).

In a paper presented at the 2009 American Academy of Otolaryngology – Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting & OTO EXPO in San Diego, researchers administered a retrospective questionnaire survey of 26 adult patients undergoing bilateral upper and lower lid cosmetic blepharoplasty. The authors used the Glasgow Benefit Inventory (GBI), which is a validated QOL questionnaire that aims to assess the impact of an otolaryngologic intervention on a patient. Patients undergoing surgery for non-cosmetic indications, or those who had additional cosmetic procedures performed, were excluded.

Before and After Blepharoplasty Procedure

Blepharoplasty (BLEF-uh-ro-plas-te) is surgery to repair droopy eyelids by removing excess skin, muscle and fat. Eyelids stretch and lose elasticity as people age. As a result, excess fat may gather above and below the eyelids, causing sagging eyebrows, drooping upper lids and bags under your eyes. Besides making patients look older, severely sagging skin around the eyes can also impair vision.

Results of the questionnaire indicated that the procedure had a positive impact on QOL for almost all the outcome measures used in the GBI. The authors noted that most patients who undergo a blepharoplasty procedure do so to feel better about their appearance and improve their self esteem. They note that this study is the first to confirm that patients do receive the QOL benefits that they are hoping to achieve with the plastic surgery.

For more information about having a blepharoplasty abroad do not hesitate to contact us.

Nose job recipients may want to consider chin augmentation as well

San Diego, CA – In order to ensure an aesthetically-balanced face, surgeons performing rhinoplasty should also assess the patient’s need for chin augmentation, according to new research presented at the 2009 American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting & OTO EXPO, in San Diego, CA. In fact, the research suggests that the focus on what complications may arise has changed.

The chin and nose form an important part of a patient’s profile, and according to the authors, not addressing it could contribute to post operative disappointment with the rhinoplasty.

The study’s authors evaluated pictures of their institution’s 100 most recent patients to undergo rhinoplasty, using four popular assessment methods (Silver, Legan, Merriford, and Gonzales-Ulloa). Based on these evaluations, between 17 and 62 percent of men, and 39 and 81 percent of women could have benefitted from further assessment with a view to chin augmentation. Twenty-one percent of men scored positive on three or more methods, 58 percent for women.

The authors contend that while the “perfect face” is a misnomer, balanced features are nonetheless valued in all cultures, and reflect substantially a patient’s physical impression on others. In cases where surgical modifications are made, the authors believe the surgeon has a responsibility to inform their patients of the impact the procedure will have on their overall look prior to the surgery.

For more information about plastic surgery procedures do not hesitate to contact us.

Prophylactic Mastectomy: More women choosing to remove healthy breast after cancer diagnosis

A new study of New York State data finds that the number of women opting for surgery to remove the healthy breast after a cancer diagnosis in one breast is rising, despite a lack of evidence that the surgery can improve survival. The study also finds that despite extensive press coverage of women who choose to have both breasts removed because of a strong family history of cancer, the rate of this surgery is relatively low and has changed little in the last decade. The study appears in Cancer, a peer-reviewed journal of the American Cancer Society.

Prophylactic mastectomy, the removal of a noncancerous breast, is one method for reducing a woman’s risk of developing breast cancer; however, there is little information available on the prevalence of prophylactic mastectomies for preventing breast cancer among high-risk women or on the prevalence of the surgery to prevent tumors in the healthy breast among women whose cancer is limited to one breast.

Researchers led by Stephen B. Edge, M.D., FACS, of the Roswell Park Cancer Institute in Buffalo, NY, examined the frequency of prophylactic mastectomies in New York State between 1995 and 2005 using mandated statewide hospital discharge data combined with data from the state cancer registry. They identified 6,275 female New York residents who underwent prophylactic mastectomies. Eighty-one percent of the women had been diagnosed with cancer in one breast, while 19 percent had no personal history of breast cancer.

The researchers found that the number of prophylactic mastectomies increased during the time period, particularly among women with cancer in one breast. Over the 11-year study period, the prevalence of these contralateral mastectomies more than doubled. The prevalence of bilateral prophylactic mastectomies among women with no personal history of breast cancer increased only slightly.

“These data from New York are the only data on a large population of women that examine the use of bilateral prophylactic mastectomy,” said Dr. Edge. “These data demonstrate that prophylactic mastectomy is an uncommon procedure that is performed most commonly on women with a personal history of breast cancer. Although the total number of prophylactic mastectomies performed per year was small, it appears that the use of the surgery is increasing.” In addition, he noted that women with breast cancer should have careful counseling regarding benefits and risks before proceeding with prophylactic mastectomy of the other breast.

For more information about prophylactic mastectomy and/or breast reconstruction surgery do not hesitate to contact us.

Nuevos Conceptos en Cirugía Plástica

La belleza y la juventud, cualidades alabadas por poetas, filósofos y artistas desde el principio de la humanidad, no son sino una armonía de formas, energías y actitudes, desarrolladas sobre un cuerpo sano, resultado de una vida ordenada y en equilibrio espiritual. Pero muchas veces esta armonía se quiebra por diferentes circunstancias,  ya sea producto de un rasgo poco equilibrado, del inevitable paso del tiempo, de accidentes, de exceso de peso o secuela de enfermedades que comprometen lo que llamamos “formas”.

También es una realidad que la evolución de la sociedad y los cánones de belleza que  esta impone, acompañados de una mayor expectativa y calidad de vida, exigen el verse bien y en equilibrio psicofísico. Por eso, la Cirugía Estética busca restablecer la belleza perdida, aumentarla o crearla donde no existió, modificándola o adecuándola. Siempre teniendo en cuenta la salud integral de la persona, tanto en el plano físico como en su equilibrio psicológico, la personalidad tiene que corresponder con el resultado obtenido.

La decisión de una Cirugía Plástica no es tan simple como comprarse un cosmético y no es solo cosa de mujeres. Actualmente, los hombres requieren cada vez más este tipo de procedimientos y representan un 20 % de las consultas. Además, no existe un tiempo ni una edad ideal para la Cirugía Plástica. Igualmente, una serie de factores condicionan el estado estético, como son: la exposición solar, la herencia, la nutrición, el tabaco, el alcohol, el estrés, los embarazos, los cambios de peso, etc. La necesidad aparece cuando una persona no está conforme con alguna parte de su cuerpo y se plantea cambiarla o mejorarla. Esto es algo muy personal. Entonces el cirujano plástico, con criterio médico, evaluará al paciente, hará un correcto diagnóstico del problema y seleccionará el procedimiento adecuado para cada caso en particular, que  no siempre implica un procedimiento quirúrgico.

¿Existen  riesgos? Son cirugías programadas y esto permite un adecuado chequeo  clínico, cardiovascular y de  laboratorio. El paciente no se opera por una enfermedad, el organismo está sano y responde cien por ciento. Lo cual hace que estos procedimientos sean muy seguros, con riesgos mínimos. Obviamente deben ser realizadas en un correcto ambiente de quirófano y por profesionales idóneos.

Por otra parte, la Cirugía Plástica es una especialidad médica que como tal es dinámica y está en constante evolución acompañada de avances tecnológicos que  permiten tratar diferentes partes del cuerpo con técnicas innovadoras, menores cicatrices y un mayor confort postoperatorio.

No dude en contactarnos para tener una consulta con el Doctor Roberto Martínez Rinaldi.

Breast Reconstruction Procedures: Are Breast Cancer Patients Being Kept In The Dark?

Plastic Surgeons Show Support, Rally for a Woman’s Right to Choose

Arlington Heights, Ill. – Despite the increase of breast reconstruction procedures performed in 2008, nearly 70 percent of women who are eligible for the procedure are not informed of the reconstructive options available to them, according to a recently published report. Newly released statistics by the American Society of Plastic Surgeons (ASPS) shows there were more than 79,000 breast reconstruction procedures performed in 2008 – a 39 percent increase over 2007. But in spite of this, current research suggests that many breast cancer patients are missing out on a key conversation that should take place at the time of diagnosis.

“Women need to understand all of their options to make an informed decision,” said ASPS President John Canady, MD. “Those who are diagnosed should be immediately referred to a full team of physicians that can provide breast care, and plastic surgeons need to be included as part of that treatment team.”

Taking the position that every woman deserves the right to choose which, if any reconstruction option is best for her, the ASPS is launching an ongoing effort to bring public awareness to breast reconstruction issues, including education, access, and a team approach. Because early involvement by plastic surgeons and other physicians can allow development of an optimum treatment plan for each individual patient, collaboration amongst specialties is essential. As such, ASPS suggests that primary care, general surgery, radiology, pathology, oncology, gynecology, and plastic surgery be available from the onset of treatment to ensure the greatest possible outcome for the patient.

It is also important that patients actively participate in their treatment. Though a common misconception, eligible patients should not assume that anyone other than a board-certified plastic surgeon affiliated with an accredited facility is qualified to perform breast reconstruction. While technology has made breast cancer diagnosis, treatment, and reconstruction better than ever, it does not negate the need for medical expertise within each specific area of care.

Among the factors contributing to patient awareness and understanding, specific education regarding the options for breast reconstruction is often lacking. Therefore, in the coming months, ASPS will reach out to women through a variety of materials, ranging from information cards and online videos, to an ad campaign featured online and in the waiting-room publication produced by the American College of Obstetricians and Gynecologists.

“We know that there are many issues surrounding breast reconstruction and that addressing them all will take time, but this is a very important first step,” said Dr. Canady. “Our goal is to make sure that those women who are not getting breast reconstruction are doing so of their own accord and not because they are uneducated or uninformed about their options.”

For more information please do not hesitate to contact us.

Source: American Society of Plastic Surgeons

Survey Shows Majority of Respondents Openly Discuss Use of BOTOX® Cosmetic and Hyaluronic Acid Dermal Fillers

“In a similar survey issued four years ago, we dispelled the myth that Hollywood and corporate wives were the typical BOTOX® Cosmetic patient,” says ASERF President Laurie Casas, MD, a plastic surgeon practicing in suburban Chicago. “Now, demographic and perception data trends show us that aesthetic injectable treatments have continued to evolve into mainstream and accepted options for the everyday woman.”

Survey results found that the typical aesthetic injectable patient is a married, working mother between 41-55 years of age with a household income of under $100,000. The survey also found that women receiving aesthetic injectable treatments are health-conscious and philanthropy minded, with the majority incorporating exercise (95 percent) and healthy eating habits (78 percent) into their lives, and many volunteering with charitable organizations that matter to them (32 percent). In addition, nearly seven out of 10 respondents believe that BOTOX® Cosmetic (72 percent) and hyaluronic acid dermal fillers (65 percent) are important parts of their aesthetic routine.

“Interestingly, among BOTOX® Cosmetic patients, nearly seven out of 10 respondents also received treatment with hyaluronic acid fillers,” says Dr. Casas. “Most people have great success with BOTOX® Cosmetic and dermal fillers; however, we need to make patients aware that even though injectables are not ‘surgery,’ their administration is a medical procedure with risks that depend on the training and experience of the clinician, the clinical setting and the technique used.”

Additional findings of the survey found that 72 percent of respondents received BOTOX® Cosmetic injections to treat their glabellar lines – also referred to the “11” – the frown lines in between the brows, while 63 percent of those surveyed received hyaluronic acid dermal filler injections to treat their nasolabial folds – also known as the “parentheses” – the lines around the nose and mouth. A few of the most frequently cited reasons to receive treatment with BOTOX® Cosmetic was “to look more relaxed, less stressed” while patients reported choosing treatment with hyaluronic acid dermal fillers to “look more rejuvenated.”

Based on its annual survey of U.S. physicians performing cosmetic procedures, ASAPS recently reported that BOTOX® Cosmetic injections have remained the most frequently performed procedure since FDA approval of the product in 2002. Hyaluronic acid dermal fillers ranked as the third most popular procedure performed last year. ASERF conducted this follow-up survey to quantify the characteristics and opinions of the patients who receive the treatment to help its members and the public obtain a better understanding of these important modalities.

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