I just have good words to say about Dr. San Miguel Moragas. He is an excelent professional, high qualified, perfectionist and kind person at the same time. So, I recommend hightly to him for a facelift procedure or any maxilofacial surgery.
So in two days I will be getting Buccal fat removal with Dr San Miguel in Barcelona. I went for the consultation a few weeks ago, and the clinic looked very nice and professional, all the staff were really nice as well. So the reason I'm getting buccal fat removal is because I've always had a round face, and have never been able to lose weight from this area, regardless of my weight. I've always been between 130- 134 pounds, so have never been humungous, but can never shift the weight from my face. I know the most common argument against this is that one day when I'm older, I'll lose it, and that the extra fat will give me a more youthful look. But this is definitely a hereditary trait, and neither of my parents have lost the fat in their faces, regardless of their weight or age. I'm also considering neck lipo with Dr San Miguel as well, and if all goes well with the buccal fat removal, then I might consider that as well, as I know that this will really enhance the surgery. Updated on 6 Apr 2018: Well, its been 5 hours since I had the surgery. As you can see, one side is a lot more swollen than the other side. I think this is because it took the surgeon a lot more time and energy to get the stubborn pieces of fat out from that side, whereas on the other side it was a lot easier. So here is my experience of the day. I arrived there at 11.30am, half an hour before the surgery. Then I had to sign a form letting me know about the surgery, and the risks. The surgery started a little later than expected due to payment problems with my card, and sending money overseas etc.. So I was told to change my clothes into a blue gown and then led into the theatre room. There I had antiseptic liquid brushed on my lower face, then the doctor came in. He immediately went straight to business, and started injecting my gums with the local anaesthesia. I was given a little tablet to calm my nerves as well. So then we waited for the anaesthesia to kick in and he made a small incision in my left cheek with a scalpel. I didn't feel a thing, and then he used a small pair of scissors to widen the incision. He then started kneading the fat from my cheek with his hand out of the small hole in my mouth. This was the most painful part, as with my right cheek it wouldn't come out easily, so he was really giving my cheek a good workout. He then started with the next cheek, compared both sides to make sure they were even, then started sewing me up with stiches. First leaving the clinic I was fine, but half an hour later the pain started to come in, and luckily I had just gone to the pharmacy to pick up the ibuprofen and antibiotics he prescribed, so knocked a few back and was ready to go. I've also been using arnica cream, a bandage (even though my doctor said it wasn't necessary, and an ice pack. I know that these next few days will be the worst swelling, I just hope they swell in equal amounts, rather than looking like I'm hiding a golf ball in my right cheek, which is my current situation. Updated on 7 Apr 2018: So this morning I woke up with my face a lot more swollen than the day of the surgery, which was to be anticipated, and I expect it to get worst the next few days. I've been out all day sightseeing in Barcelona, and have used my scarf as a sort of bandage, covering my lower face. My right side is still very swollen and looks like I have a ball in my cheek. One thing thats worried me though, is that a piece of white plastic-like material has come out of the wound and is long enough to reach my front teeth. Unfortunately as its Saturday I can't get to the clinic until it opens again on Monday. So I'll just have to be really careful and disinfect my mouth frequently, as I've been doing. Updated on 8 Apr 2018: So I've heard that days 2 and 3 are the worst, but I feel like it looks better than yesterday. I've been using my arnica cream and ice a lot, which has been helping. Haven't had a lot of chances to wear my bandage as I've been out and about a lot, and when I wear it to bed, I always wake up without it, as it keeps sliding off. My doctor rang me yesterday, after sending him an e-mail about some of the tissue coming out of the wound, and he asked me to come in tomorrow at 12pm to fix it. He said it's completely normal, and nothing to worry about, which was a relief. Updated on 9 Apr 2018: So this morning I went to the doctor, and he said the reason my right side looked like a ball was because it had trapped air inside. So he loosened the stitches a little to allow him to push some of the air through. This part did really hurt as the area is still really sore. He also pushed the tissue back inside the wound which wasn't the most comfortable I've ever felt. He's asked me to come back tomorrow to be pre cautious and to try and get more of the air out. I think it does look less extreme today though- but it's still day 3, so it can only get better from here. It's really nice that he's been very attentive though. Updated on 13 Apr 2018: Today marks the one week mark. My doctor took the stitches out 5 days after the procedure, as the wound had stopped leaking. Today the wound seeped again, which was a shock as I had thought it was closed already. But, it wasn't that bad, as the swelling on my right side (your left) went down a lot after the seeping stopped, so it must have been a build up from the last few days. I have a party tomorrow, so I hope it doesn't swell back up again. Updated on 8 May 2018: So I have reached the one month mark. Throughout my life I was never able to see my cheekbones, and about 2 weeks after my procedure I started seeing a little change, and now I can definitely see a change. It's not a dramatic change that other people will notice, but in general it looks better. Both of my holes have healed up nicely. I was worried I would have an infection after constantly touching the wound with my tongue, but thankfully I didn't get anything. However, the inflammation has rubbed against my braces which has caused a few cuts but nothing fatal. I will post a before and after picture, and will continue updating everyone. Updated on 8 May 2018: Updated on 8 May 2018: Updated on 1 Jun 2018: 2 months later and everything has healed. My braces still catch on my cheeks but thats a braces problem. A few people have noticed, and said that I've lost weight so I guess it was more noticeable than I thought it would be. I think this is the final result even though they say to wait until 3 months, but I'm happy as it is. If anyone is in Europe then I definitely recommend Dr Joan San Miguel and everyone from his clinic in Pedrables, Barcelona.
Dear Sir, I can notice that you have a caudal septum deviation, apart from the nostril assimetry. I would suggest the surgeon to focus on this issue. With kindest regards.
Dear Mrs, After upper eyelid blepharoplasty, ptosis can occur if fat was removed and there is swelling at the levator aponeurosis, which can make your eyelid droop. Nevertheless, it usually disappears after several weeks. If, after 3-4 months, the ptosis is still there, then I would consider surgical correction of the ptosis. I think it won´t be the case.
After a rhinoplasty, the nose can look big in places where ressection of bone or cartilage has been performed. This can be explained by the swelling, but also there is presence of scar tissue, which can have a volume that can distort and make parts of the nose look bigger. It will take time to look like the final result, often one year after the operation. Sometimes the scar tissue can be injected with triamcinolone at low doses to decrease the rate of scar formation.
The best surgeon performing rhinoplasties are mainly ENT surgeons (ear-nose-throat), maxillofacial surgeons or plastic surgeons. It will depend on the amount of rhinoplasties that they perform. It will also depend on the rate of complications that they have and on the degree of satisfacion of their patients. I would say that a specialist that is focused mainly on the face is more likely to perform more rhinoplasties than a specialist that its focus is the whole body, hence, they will have more experience in that type of surgeries.
Only three types of surgeons are properly trained to perform a rhinoplasty: - Ear-Nose-Throat surgeon (otorhinolaringologyst)- Craneo-Maxillofacial surgeon - Plastic surgeon.
