PROCEDURES

This a resume of the procedures performed by Dr. Benito. If you wish more indepth information click on the link.

ABDOMINOPLASTY	Aging, weight loss or pregnancies can leave an excess of skin and fat in the abdomen. The musculature can also be distended. Depending on the degree of deformity there is a procedure aimed to correct the problem: liposuction, miniabdominoplasty or classic abdominoplasty. Differences between the are related to scars and postoperative recovery.
BUTTOCK AUGMENTATION	The procedure consists of placing silicone implants under the gluteus maximus muscle. Lipofilling can be also done as isolated procedure to give volume to this area or complementary to the implants.
BREAST AUGMENTATION	This is one of the most popular procedures. The volumen and shape of the breasts are enhanced by placing implants. The most used prosthesis in our practice are the textured silicone and the axillary approach is the most popular, because the gland is not touched and no scars are visible.The new subfascial placement of the implants gives a more natural result and thre recovery is faster.
EYELIDS	The objective of this operation is to get rid of the angry, tired look. Depending on the deformity the surgery eliminates the excess of skin or the excess of fat. Incisions for lower eyelid are usually inside the eyelid and not visible.
BOTOX	Bo-Tox is a very effective technique to treat wrinkles and furrows caused by the muscular activity, specially for forehead and crow´s feet. Moreover there is no need for surgery and can be done as outpatient.
PERIORBITAL REJUVENATION	The periorbital area is one of the workhorses in the modern aesthetic surgery. The first signs of aging appear here: · Eyelids: puffy eyelids, excess of fat. Blepharoplasty is the operation to improve their look. Crow´s feet: due to the orbicularis muscle, that surrounds the orbit and it is resposible for closing the eyes. The best solution is Botox with/without resurfacing (laser or peeling). Eyebrows: endoscopy allows for lifting the eyebrows leaving some small scars within the hair. Cheek: soft tissue of the cheek atropéis and falls whith aging. Lifting of this area through hidden incisions in the hair and mouth greatly improves this area and give a younger look. Lipofilling is another tool to enhance the area.
BODY CONTOURING IN MEN	Men are looking for aesthetic enhancements in areas like chest (liposuction, pectoral implants), abdomen (waist) and buttocks (augmentation).
GINECOMASTY	In adolescence it is normal to have a slight growth of the breast gland. If this does not dissapear surgery can be necessary to remove the excess of gland and/or fat .
FOREHEAD REJUVENATION	The aim of this procedure is to improve the position of the eyebrows, lifting them, and remove the wrinkles and furrows caused by the muscular activity. Most patients benefit from the use of endoscopy, which allows achieve these improvements through small incisions within the hair.
FACELIFT	Aging affects the face by sagging of the tissues and atrophy. Modern rejuvenation of the face is not just tightening, but repositioning. We try to lift the tissues and enhance the repositioning by giving volume with fat injections.
LIPECTOMIES	In some cases liposuction is not indicated, mainly because of flaccidity of the skin. In these cases lipectomies are needed, removing the excess of skin and fat. They are done in abdomen (abdominoplasty), inner thigh, to lift buttocks and inner aspect of the arms.
LIPOSUCTION	Liposuction allows to remove the excess of fat in very different areas. Modern liposcultpture aims to enhance the contour by removing in some places and adding in others. Special devices such as ultrasounds, high vibration cannulae are used to remove more volume.
PTOTIC BREASTS	After pregnancies and nurturing the breast gland atrophies and the gland slip on the muscle. Several techniques can be applied on depending on how much skin has to be removed, how far the gland has to be lifted and if volume is needed.
TUBEROUS BREASTS	This deformity is due to an underdevelopment of the gland, in such way that areola is enlarged, gland errantes within the areola and the breast base is constricted. Treatment tries to correct all three defomities, by reducing the areola diameter, reshaping the gland and giving volume with silicone implants.
CHIN	The chin can be improved by enhancing or reducing it. The commonest procedure is the augmentation by placing an implant. Sometimes the bone is cut and advanced to achieve more projection. Mentoplasty is very often associated to rhinoplasty (profile surgery).
EARS	Bat ears can be corrected by reshaping the cartilage and keeping the shape with non-resorbable stitches. The incision is hidden behind the ear.
CALVES	Calves can be enhanced by placing silicone implants on the gastrocnemius muscle. The incision is left in the posterior aspect of the knee, at the fold level.
BREAST RECONSTRUCTION	Several techniques (tissue expansion, autologous tissue) have been developed to reconstruct the breast and help women to overcome the psychological impact of mastectomies.
BREAST REDUCTION	Modern techniques try to avoid the inverted T scar. Vertical scar techniques are the commonest used nowadays. Liposuction only can be indicated in selected cases.
RHINOPLASTY	Nose job goal is to achieve a proportionated nose without jeopardizing the respiratory function. The technique has to be highly individualized to meet the patient´s expectatives and needs.

---

Dr. J. Benito Ruiz, 1998-2003