Those patients who have their ears very far from the skull, with little definition of the curvatures of the ear; are candidates for a correction called an otoplasty.
Anesthesia
Local anesthesia is recommended in adolescents and adults and general anesthesia in children.
Process
Through an incision behind the ear, the size of the cartilage at the base of the ear shell is reduced and the curvature called antihelix is defined to adjust the pinna to the skull.
an amount of excess skin behind the ear is reduced and closed.
The procedure is managed on an outpatient basis with a bandage that compresses the ears or a bandage with dressings that protect the surgery.
Antibiotics and analgesics are formulated.
the procedure lasts 1.5 to two hours. Suture is removed after 8 or 10 days and then the balaca or bandage, which varies depending on the case.
Procedure or surgery:
Forehead stretching.
Brows lifting and reduction of wrinkles of the brow.
Methods:
– Endoscopic technique with the use of micro lenses and video cameras.
– Minimum incisions in hairy leather.
– A drainage is placed in each side.
Objective:
– To reduce the forehead wrinkles.
– Rising of the brows for a younger look.
– Reduction of the wrinkles of the brow in people with strong expression (bad temper).
– Reduction of the hen paw.
– Reduction of nasal wrinkles (nasal back)
Preoperative Preparation:
– Fast 8 hours before.
– To communicate possible medical allergies.
– To go the day of the intervention with comfortable and wide buttoning or zipper dressing. – To go without make up.
Type of Anesthesia:
– General in most of the cases.
– It can sometimes be carried out by means of local anesthesia and sedation.
Incisions:
– From three to five incisions are carried out in the hairy leather depending on each particular case (1 to 2 centimeters)
Effects and/or convalescence:
– Very visible swelling during one week that is solved in two or three weeks.
– Ecchyimosis (bruises) during fifteen days.
– Located changes of sensibility (they disappear in weeks)
– The drainages are removed in one or two days.
Complications:
– Post operative hemorrhages, not very frequent. It requires strict surveillance.
– Infection. Not very frequent.
– Seroma, not very frequent.
– Skin necrosis, very related with smoking patients or with circulatory problems.
– Bad scaring and alopecia (bald scar) it is the patient’s individual factor.
Instructions post operative:
– Relative resting during 3 days.
– Do not to carry out efforts the first two weeks.
– Use of facial bandage for 5 to 7 days and then a Lycra strip for two weeks (nocturnal use).
– To take the recommended medication.
– Do not to take the sun at least in two months.
– To attend the periodic controls.
– The patient can travel in 15 to 20 days, according to the evolution.
– Stitches removal in 8 to 15 days.
– Post operative ice during 48 hours.
– Post operative physiotherapy after the 5 day.
Hospitalization:
– Generally ambulatory.
Results:
– Forehead rejuvenation and rising of brows.
Final time:
– Two months.
