OTHER PROCEDURES

Labiaplasty

 

Is now the fastest growing form of plastic surgery women ask for. It involves the surgical alteration or removal of the inner lips of the vagina.

Most women who undergo labiaplasty are aiming for the same, very specific vaginal look. They want a vagina that is clean, tucked in and tight. They are looking to have little to no lips, complete symmetry, and clear visibility of the clitoris.

The procedure is performed under local anesthesia and takes less than an hour recovery period is 14 days.

Liposuctions

 

Our state of the art liposuction technology has made us leader in liposuction in Slovakia.

Liposuction is a local anesthesia procedure meant for body contouring, involving fat removal from target areas. Thus the volume of fat tissue is decreased without changing the size of skin. In such body contouring procedure the reduction of body weight is not a priority, it is rather its redistribution and reshaping.

Patient Indication

In patient with with firm, elastic skin liposuction is the method of choice. Contrariwise patients with an excess of flappy skin (overhang) it is appropriate alongside liposuction to remove the skin tissue as well. To the most frequently treated body areas belong lifetime problem areas such as lower abdomen, inner and outer thigh, hips and the so-called double chin. The procedure remains in effect only if the patient afterwards adheres to the healthy nutrition. Otherwise the fat keeps coming back.

What is the procedure like?

In our clinic liposuction is a local anesthesia procedure using the tumescent technique a technique which involves injection of a suitable volume of prepared dilution solution into the fat tissue. The solution has a two-fold purpose. If applied correctly it guarantees up to 18 hours anesthesia in the treated area on the one hand, and facilitates the aspiration of subcutaneous fat tissue on the other. The injected solution is left approx. 30 minutes to develop its effect, whereupon the emulsion, formed from fat cells and the solution, is removed by suction. Emulsification of fat tissue facilitates its removal without causing major injury of subcutaneous blood vessels and nerves. Another advantage is the possibility to use thinner cannulae. Such microcannulae in turn cause less damage to subcutaneous tissue, less bleeding and swelling, thus shortening the recovery time.

An introduction of a microcannule causes generates a puncture so small, that in many cases it does not require a stitch afterwards.

What are the advantages of our state of the art method?

In our clinic the latest in liposuction equipment is used, affording maximum of comfort for the performing surgeon . The equipment thus exactly controls a registers the volume of injected solution, and issues warning in case of overload. The aspirated fat emulsion is measured with milliliter precision, supplementing the crude visual volume estimate from the collection flask.
Its vibration motion allows solution to better penetrate into the tissue, accentuating its effect and minimizing the amount of solution needed. The equipment also measured the amount of removed fat – a feature most handy when removing fat from two sides of the patient, allowing to achieve symmetry more easily.

Our liposuction equipment also checks the resistance to flow within cannule. Should this resistance increase, the equipment switches off to prevent damage to blood vessels, nerves and other structures. The obvious benefits are less painful post-operative phase, faster and shorter recovery time. This technological innovation is currently one of its kind in Slovakia and an absolute hit in the USA.

After the procedure

Within 1-2 hours following liposuction procedure the patient leaves the clinic . For several following weeks the patient is supposed to wear elastic underwear. 24 hours immediately following the surgery the tumescent solution may seep through the punctures. The next day the patient can shower and again put on elastic underwear. If the patients job does not involve great physical effort, e.g. office work, he/she can return to normal life after a week. More intense physical activities should be postpone another month. Subcutaneous haematoma usually disappear within 2-3 weeks. Swellings gradually resolve during 2-3 months.

What should the surgery be preceded with?

The day preceding liposuction do not apply fat skin cream; hormonal contraception should be stopped a month before surgery. It is convenient to depilate areas treated by liposuction.

The is no such thing as risk less surgery, no surgeon can guarantee perfect success of the surgery, even though it has been carried in accordance with the latest medical knowledge . The effect of drugs, anesthetics and of the surgery itself is specific for each human body. Performed on two patient in exactly the same manner and precision does not necessarily produce the same result. Consult possible risks, surgical and post-surgical complications during the introductory consultation. A conscientious surgeon would bring these up himself.

Lipofilling

 

Lipofilling (fat transfer) – is a rather simple procedure relying not on artificial fillers, but using your own body fat. It replaces the use of injectables (absorbable and non-absorbable).

Its main area of application is soft tissue correction and has the following advantages:

  • No allergic reactions
  • The applied body fat remains there for a long time, it is not, or only minimally absorbed.
  • Compared to artificial fillers aesthetic corrections by own body fat are more effective, pose no load on organism and show only minimal side effects.

 

Injection of fat serves well at places where a certain volume of tissue is missing. It is well suited to fill-in tissue lost by aging, congenital underdevelopment in certain area or deformity caused by accident or earlier surgery. Very often it is the method of choice in face reconstruction. Typical applications include filling of wrinkles, corrections after face or eye lid lifting, removal of periorbital dark circles, lip augmentation on the one hand, and e.g. correction of aging hand appearance. It also helps to rejuvenate skin or even correct scars. It is the effect of stem cells in fat tissue that makes the end effect both permanent and natural.

The procedure itself is relatively simple, almost painless and hardly a burden. It is a local anesthesia, ambulatory procedure, during which fat tissue is removed (usually from abdominal area), processed and then applied by several small injection to the target area. Small injections do not leave scars. Lipofilling can also be combined with tumescent liposuction, leading not only to removal of excess fat from problem areas and thus body shaping, but body own fat is used to correct the above-mentioned areas. The final effect becomes visible as soon as the swelling goes down. Since part of first applied fat can become absorbed, it sometimes becomes necessary after certain period of time to repeat the procedure. After about 3 months after surgery the status of treated areas can be considered final. A single application is what some patients will ever need. It can thus be stated that lipofilling and what it is preceded with helps you to kill two birds with one stone.

Contraindications:
  •  area of fat injection suffers from active skin disorder or inflammation
  • you want your lips augmented and have herpes
  • higher risk of infection and longer recovery e.g. in diabetics
  • patients with blood clotting disorders
  • patients with predisposition to formation of keloid scars

Mole removal

 

Birthmark or a common mole {nevus} is a small accumulation of pigmented cells – melanocytes. Depending on the amount of melanocytes and depth to which they reach into the skin can vary the coloration from dark to skin-colored ones. Most moles are are harmless and need not be surgically removed.

A better diagnostics owes much to the use of digital dermatoscope, an instrument capable of visualizing already early sages of skin lesions. We distinguish between benign and malign skin lesions. While benign lesions accompany most us for our entires lives, the malignant lesions are of a much more sinister nature. Basal-cell carcinoma (basaliomas) tend to grow slowly and quietly aggressive, while spinocellular carcinoma and especially malignant melanoma metastasize quickly and endanger the patient’s life. On the previously unscathed skin malignant melanoma form In 50% to 70% of cases , in the rest of cases a they use an already existing mole. In the colloquial language the term birthmark has been used for every color change of skin, skin follicles or blemishes.

Suspicious skin lesions are surgically removed under local anesthesia during an office visit. The procedure is painless and it doesn’t restrict the patient in every day life. The final histology findings confirm or exclude cancerous tumor and helps decide whether the mole has to be removed completely. Depending on location the stitches are removed on day 5 -14 after surgery, the wound however maturing time for scars can be up to 12 months . In order to minimize the formation of scars the incisions are made along the natural skin splitting lines, usually natural wrinkles an skin folds. In spite of every effort on the part of surgeon, at certain typical locations or in predisposed patients hypertrophic or keloid scar healing can occur. Hypertrophic healing form a scats thicker the the surrounding skin, keloid scars heal outside the original wound. Whilst keloid scars still cannot be treated adequately, solutions exist for patients with tendency to develop hypertrophic scars.

To sum it all up. Just as in cases of other tumors, prevention and early diagnostics of suspicious skin lesions and finally their surgical removal are of utmost importance. It is especially true in case of skin, which is anything but hidden to the eye.

 

Tummy Tuck (abdominoplasty)

 

Abdominoplasty is a surgical procedure to remove excess overhanging skin from the middle and lower abdomen, usually associated with restoring muscles of the abdominal wall. Typical patients for this type of procedure are women after several pregnancies.

The procedure is performed under general anesthesia, and antibiotic screen. The incision is made low abdomen, later to be covered by underwear. Post-operational drains are applied to the would, the abdomen is tightened by an elastic bandaging.

After the procedure

Depending on the volume of aspirated blood the drains are removed 3-5 after procedure. The bandages are replaced by elastic underwear or abdominal band and the patient can continue recovering at home. The sutures are removed after 12-14 days. Elastic underwear is worn at least another 4 weeks, standard physical activity is recommended after 10 days, full physical activity should be taken up after 2 months.

What should the surgery be preceded with?

The day before surgery consume only light meals and do not apply any fatty cream to your abdomen. All other recommendations for general anesthesia procedures apply too. Immediately before the procedure any hair should be pared off.

There is no such thing as risk less surgery, no surgeon can guarantee perfect success of the surgery, even though it has been carried in accordance with the latest medical knowledge . The effect of drugs, anesthetics and of the surgery itself is specific for each human body. Performed on two patient in exactly the same manner and precision does not necessarily produce the same result. Consult possible risks, surgical and post-surgical complications during the introductory consultation. A conscientious surgeon would bring these up himself.