Dejame ayudarte con cualquier cicatriz inestetica que tenga tu cuerpo. Hay diversas tecnicas para corregirlas, al igual que para tratar el Queloides.

Debes recorder que las cicatrices no se borran, pero se corrigen y se ocultan.

El cáncer de cabeza y cuello se refiere a una variedad de cánceres que se desarrollan en la región de la cabeza y el cuello, como la boca, la garganta, los senos y la cavidad nasal, la glotis, las glándulas salivares y la piel de la cara y el cuello. El cáncer de cabeza y cuello es el sexto cáncer en términos de frecuencia en todo el mundo. Los signos de advertencia comunes del cáncer de cabeza y cuello son: una hinchazón o bulto en la garganta o el cuello, dolor en la boca o en la garganta que no remite, llagas rojas o blancas en la boca que no se curan, sangrado en la boca o la garganta, cambios en la voz, dolor de oídos, entumecimiento de la lengua, la boca o los labios.

Los factores de riesgo más importantes para padecer cáncer de cabeza y cuello incluyen:

•   fumar
•   mascar tabaco o nuez de betel mezclada con tabaco
•   beber habitualmente cantidades de alcohol por encima de las considerados seguras
• Otros factores de riesgo incluyen: la exposición a la luz UV, las infecciones de la cavidad oral, el sexo (el cáncer de cabeza y cuello tiende a ser más común en los varones), la edad (la incidencia aumenta con la edad, viéndose la mayoría de los casos en la banda de los 50 – 70 años), la exposición laboral (como exposición al polvo de madera, el níquel, el petróleo y las radiaciones).
• El cáncer de cabeza y cuello detectado precozmente puede tratarse con éxito mediante cirugía o radioterapia y se asocia con una tasa de supervivencia del 80%. Sin embargo, en la mayoría de las personas se diagnostica cuando la enfermedad ya está avanzada o se ha metastatizado (es decir, cuando la enfermedad se ha diseminado desde el sitio original del tumor). El pronóstico de la enfermedad en estadio avanzado es malo y menos del 30% de los pacientes sobreviven durante cinco años.
• Hacer frente a este tipo de cáncer puede ser extremadamente difícil. No sólo puede ocurrir que el diagnóstico sea potencialmente mortal, sino que muchos pacientes como resultado de la enfermedad y de su tratamiento, también pueden tener que soportar modificaciones en el aspecto facial y del cuello que pueden llevar a alteraciones del habla, la vista, el olfato, la masticación, la deglución o la percepción del sabor.
• El tratamiento del cáncer de cabeza y cuello es multidisciplinario e implica a distintos especialistas, como cirujanos plásticos, otorrinonaringólogos, cirujanos maxilofaciales, neurocirujanos, odontólogos, oncólogos, etc. En el tratamiento quirúrgico es frecuente que el cirujano plástico sea el encargado de la reconstrucción del defecto creado tras la extirpación del tumor.

• What is skin cancer removal?
• A cancer diagnosis is very difficult to accept. Understanding that treating your skin cancer may result in scars or disfigurement can also be troubling. Your plastic surgeon understands your concerns and will guide you through treatment and explain the resulting effect on your health and appearance.
• Skin cancer, much like any form of cancer, may require surgery to remove cancerous growths. Your plastic surgeon can surgically remove cancerous and other skin lesions using specialized techniques to preserve your health and your appearance.
• Although no surgery is without scars, your plastic surgeon will make every effort to treat your skin cancer without dramatically changing your appearance.
• Skin cancer removal recovery
• During your skin cancer removal surgery recovery, incision sites may be sore, red, or drain small amounts of fluid following surgery.
• It is important to follow all wound care instructions such as cleansing and applying topical medications exactly as directed
• You will be able to return to light activity as instructed by your surgeon
• Make certain to keep your incision sites clean and well protected from potential injury
• Try to limit movement that may stress your wound and your sutures
• Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.
• What medication will I be given or prescribed after surgery?
• Will I have dressings/bandages after surgery?
• When will they be removed?
• Are stitches removed? When?
• When can I resume normal activity and exercise?
• When do I return for follow-up care?
• How long will it take before healing is complete?
• Healing will continue for many weeks or months as incision lines continue to improve.
• It may take a year or more following a given procedure for incision lines to refine and fade to some degree. In some cases, secondary procedures may be required to complete or refine your reconstruction.
• Sun exposure to healing wounds may result in irregular pigmentation and scars that can become raised, red, or dark. Sun exposure may increase the risk of the development of skin cancer in another region of your body.
• Skin cancer removal results
• Your plastic surgeon can treat your skin cancer by surgically removing cancerous skin and closing the resulting wound. Some forms of skin cancer require additional treatment such as radiation therapy.
• Your physician will advise you about any follow-up treatment recommendations.
• Reconstruction closes the skin cancer defect, but no reconstruction is perfect. Visible scars will always remain at incision sites. You may also see textural, color or other visible differences of the skin in reconstructed areas.
• In some cases, treating your skin cancer can be disfiguring to your appearance.
• Although every effort is made to restore your appearance as closely and naturally as possible, the most important factor is that your skin cancer is effectively cured.
• Following your physician’s instructions is essential to the success of your surgery. It’s important that the surgical incisions are not subjected to excessive force, swelling, abrasion, or motion during the time of healing.
• Your doctor will give you specific instructions on how to care for yourself.

•  Skin cancer removal risks and safety information

o   You will have to decide if the risks and potential complications of skin cancer removal surgery are acceptable.

o   You will be asked to sign consent forms to ensure that you fully understand the procedure.

o   The risks include:

o   Allergies to tape, suture materials and glues, blood products, topical preparations, or injected agents

o   Anesthesia risks

o   Excessive bleeding

o   Change in skin sensation

o   Damage to deeper structures – such as nerves, blood vessels, muscles – can occur and may be temporary or permanent

o   Infection

o   Poor healing of incisions

o   Possibility of revision surgery

o   Recurrence of skin cancer

o   Systemic spread of skin cancer

o   These risks and others will be fully discussed prior to your consent. It’s important that you address all your questions directly with your plastic surgeon.

o   Skin graft risks

o   Skin grafts have an added risk that the graft may not “take” and therefore additional surgery may be necessary to close the wound.

o   Preserve your health

o   Once you have been diagnosed with skin cancer, you are at a higher risk to develop another skin cancer. Skin cancer may reoccur. So, it’s important to discuss the signs of skin cancer with your physician, regularly perform self-examinations for suspicious lesions, and schedule an annual skin cancer screening.

• Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.Although breast reconstruction can rebuild your breast, the results are highly variable:
• A reconstructed breast will not have the same sensation and feel as the breast it replaces.
• Visible incision lines will always be present on the breast, whether from reconstruction or mastectomy.
• Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.
• A note about symmetry: If only one breast is affected, it alone may be reconstructed. In addition, a breast lift, breast reduction or breast augmentation may be recommended for the opposite breast to improve symmetry of the size and position of both breasts.
• Breast reconstruction candidates
• Breast reconstruction is a highly individualized procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.
• Breast reconstruction is a good option for you if:
• You are able to cope well with your diagnosis and treatment
• You do not have additional medical conditions or other illnesses that may impair healing
• You have a positive outlook and realistic goals for restoring your breast and body image
• Breast reconstruction typically involves several procedures performed in multiple stages. It can:
• Begin at the same time as mastectomy, or
• Be delayed until you heal from mastectomy and recover from any additional cancer treatments
• It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.
• Breast reconstruction is a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition.
• The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.
• What to expect during your consultation
• The success and safety of your breast reconstruction procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle.
• Be prepared to discuss:
• Why you want the surgery, your expectations and desired outcome
• Medical conditions, drug allergies and medical treatments
• Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
• Previous surgeries
• The options available in breast reconstruction surgery
• The likely outcomes of breast reconstruction and any risks or potential complications
• The course of treatment recommended by your plastic surgeon, including procedures to achieve breast symmetry
• Your surgeon may also:
• Evaluate your general health status and any pre-existing health conditions or risk factors
• Examine your breasts, and take detailed measurements of their size and shape, skin quality, and placement of nipples and areolae
• Take photographs for your medical record
• Discuss your options and recommend a course of treatment
• Discuss likely outcomes of breast reconstruction and any risks or potential complications
• The decision to have breast reconstruction surgery is extremely personal. You’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
• Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedures you will undergo and any risks or potential complications.
• The possible risks of breast reconstruction include, but are not limited to, bleeding, infection, poor healing of incisions, and anesthesia risks. You should also know that:
• Flap surgery includes the risk of partial or complete loss of the flap and a loss of sensation at both the donor and reconstruction site.
• The use of implants carries the risk of breast firmness (capsular contracture) and implant rupture.
• Breast implants do not impair breast health. Careful review of scientific research conducted by independent groups such as the Institute of Medicine has found no proven link between breast implants and autoimmune or other systemic diseases. Visit orgfor current information.
• Breast reconstruction recovery
• Following your breast reconstructy surgery for flap techniques and/or the insertion of a breast implant, gauze or bandages will be applied to your incisions.
• An elastic bandage or support bra will minimize swelling and support the reconstructed breast. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid.
• A pain pump may also be used to reduce the need for narcotics.
• You will be given specific instructions that may include: How to care for your surgical site(s) following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon.
• Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.
• Where will I be taken after my surgery is complete?
• What medication will I be given or prescribed after surgery?
• Will I have dressings/bandages after surgery? When will they be removed?
• Will there be drains? For how long?
• When can I bathe or shower?
• When can I resume normal activity and exercise?
• When do I return for follow-up care?
• Healing will continue for several weeks as swelling decreases and breast shape and position improve. Continue to follow your plastic surgeon’s instructions and attend follow-up visits as scheduled.
• Be careful
• Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

• In some patients a lack of projection of the malar or cheek bones may also be observed . This may be congenital or due to lack of development of this structure during growth. In these cases it can be treated with the placement of rigid silicone implants, giving a normal contour to the face and leaving it more balanced with other parts of the face. In other less severe cases we can treat it with fat Autograft.
• In this surgery, one of the most important developments has been that with the latest advances in aesthetic surgery that allow action in wide areas by minimum length incisions, residual scars are limited both in scope and in their location allowing that, in most cases, the results are inapparent. One advance that allows this type of procedure without need of large incisions is the endoscopic forehead lift. The procedure consists of using a camera through small incisions in the scalp, allowing the patient to avoid major trauma, a faster recovery, better results, and decrease the size of the scar, guaranteeing it a natural appearance.
• It is important to emphasize that the lifting of the middle third of the face does not change the basic and fundamental features of the patient’s face and does not interrupt the process of aging. When the procedure is performed alone it can only improve the areas described above. If you have any doubts on this point, see your surgeon.
• Therefore, surgery is best indicated for:
• -Adult patients, both men and women who feel the effects of facial aging and seek to treat the area of the middle third of the face only or associated with another facial procedure.
• -Adult patients that are healthy, without a serious medical condition, or likely to impair healing.
• You will be asked to sign a consent form to ensure that there was a full understanding about the procedure to be conducted and that you are aware of the possible and potential complications. Possible complications of this surgery include: accumulation of blood under the skin (skin), swelling (edema), infection, poor healing, loss of hair at the site of the incision, the facial nerve injuries followed by facial asymmetry, areas with vascular suffering of the skin, areas with loss of sensitivity,thrombus formation and anesthetic complications.

Otoplasty (Ear treatment)

• Otoplasty is the medical term used for the surgical procedure that seeks to improve the shape and position of the ears. Ears can be large and disharmonic in both children and adults. The alterations in shape or size of the ears can create a feeling of great discomfort to the patient, that may even opt to hide ears under their hair.
• Otoplasty in adults is usually performed under local anesthesia with sedation, but in children the surgery is usually performed under general anesthesia.
• To approximate the ears to the head, the incision is placed behind the ear, along the crease that forms the ear with the head, so it goes unnoticed. There are different techniques to perform otoplasty, some of which are based on the weakening of ear cartilage, which can change its shape, and others are based on the application of a few stitches to align the structures. The goal of both techniques is to produce an anatomically proportionate and natural ear, restoring or maintaining the grooves (helix and antihelix) and normal angles.
• After the operation it is common to apply a dressing for 3 to 5 days, after which they will be removed, but the ears can still show the remains of swelling or bruising. During the postoperative period, bands are frequently used to keep the ears close to the head during sleep and at the same time to prevent the patient from mobilizing the area during sleep.
• On the other hand, ear lobes where the earring holes have been opened too much or are torn (by the continued use of earrings or avulsion injuries of the earrings) can be repaired by the total closure of the hole and recreation after a few weeks later. In ears that the lobe is too large in proportion to the rest of the ear (very common in elderly), it is possible to decrease the size of the lobe and can be carried out during the intervention of facial rejuvenation through facelift.
• Therefore, surgery is best indicated for:
• -Adults and children over 7 years of age, both men and women who want to improve the appearance and harmony of the ears.
• There are congenital difference between both ears (one shorter than the other one) this pathology is called Microtia, in witch the surgeon have to recreate the cartilage (from a rib graft, scalp graft or prosthesis) to make them look the same. This procedure have to be done in several steps.

 Cervical Procedures

• The neck liposuction is a surgery that is recommended for younger patients with elastic and smooth skin who want to reduce the fat under the chin (double chin). The double chin liposuction involves making a small incision in the neck, where a cannula is inserted to suck the excess fat.
  Since the tube placed is small, the incisions will disappear as soon the inflammation lowers in the area and the scars will be virtually undetectable.
• Therefore, surgery is best indicated for:
• -Adult patients, both men and women who want to improve the aesthetic appearance of double chins.
• -Patients with good skin elasticity.
• -Little or no muscle flaccidity of the neck region.
• -Individuals with clear objectives, and within the real possibilities of the procedure, including being aware of its limitations.
• You will be asked to sign a consent form to ensure that there was a full understanding about the procedure to be conducted and that you are aware of the possible and potential complications. Possible complications of this surgery include: accumulation of blood under the skin (skin), swelling (edema), infection, poor healing, loss of hair at the site of the incision, the facial nerve injuries followed by facial asymmetry, areas with vascular suffering of the skin, areas with loss of sensitivity,thrombus formation and anesthetic complications.
• The intervention can be performed under local anesthesia with sedation or general, and the time spent at the health center may be only a few hours if done outpatient, or one day if you enter the clinic.

• Chin surgery or Mentoplasty, is one of the most common plastic surgeries. This treatment can improve your appearance and your self-confidence as it improves one of the most important features of the face that is the termination of the mandible.
• The surgery is performed in a hospital. Usually this surgery can be performed on an outpatient in the case of a placement of prostheses. The procedures for amending the chin bone structure may require a brief stay in the clinic.
• The mentoplasty can be performed with local or general anesthesia, depending on the extent of the procedure and depending on what you and your surgeon prefer. With regard to wound healing, as the incision is made on the inside of the mouth there is no visible scar.
• The mentoplasty is a procedure that can be done in two ways. The first and simplest is the placement of a prosthesis of a rigid plastic such as silicon (very similar to the feeling of the bone). The second way is to modify the structure of the chin with a small osteotomy. This procedure does not need a prosthesis, only a small titanium plate to stabilize the bone temporarily modified. During surgery, a space is opened to place a prosthetic chin or the shape of the chin is mechanically modified. The features of each procedure will be explained with their advantages and disadvantages.
• The final result will depend on your facial structure, as this aspect is just one of those who make the appearance of the face. Finally there will be some stitches within the mouth to close the small incision.
• Therefore, surgery is best indicated for:
• -Adult patients, both men and women who want to improve the appearance and harmony of the face.
• You will be asked to sign a consent form to ensure that there was a full understanding about the procedure to be conducted and that you are aware of the possible and potential complications. Possible complications of this surgery include: accumulation of blood under the skin (skin), swelling (edema), infection, poor healing, loss of hair at the site of the incision, the facial nerve injuries followed by facial asymmetry, areas with vascular suffering of the skin, areas with loss of sensitivity,thrombus formation and anesthetic complications.
• The intervention can be performed under local anesthesia with sedation or general, and the time spent at the health center may be only a few hours if done outpatient, or one day if you enter the clinic.

There are procedures to increase and decrease the thickness of the lips. The techniques of increased thickness of the lips can be classified into:

• Those that provide temporary results in which the effect is limited in time, and the implanted material is eventually reabsorbed by the body, recovering the previous form. Within this category is lip augmentation with hyaluronic acid, in which the effect appears only a few months (2 to 6). It is one of the most performed in the office and requires no hospitalization. It is carried out in half an hour.
• Those that offer permanent or final results, in which the effect remains indefinitely. In this category we include the following techniques:
• Fat Autograft
• Thecheiloplasty or surgical techniques of advance of the inner surface of the lip to the outside by V-Y plasties.
• To reduce the thickness of the lips, removal techniques of the mucous membrane of the inner lip that is in contact with teeth are used, with which they can achieve an adequate contour proportionate to the rest of the face without the existence of an external scar.
• Therefore, surgery is best indicated for:
• -Adult patients, both men and women who want to improve the aesthetic appearance of the lips.
• You will be asked to sign a consent form to ensure that there was a full understanding about the procedure to be conducted and that you are aware of the possible and potential complications. Possible complications of this surgery include: accumulation of blood under the skin (skin), swelling (edema), infection, poor healing, loss of hair at the site of the incision, the facial nerve injuries followed by facial asymmetry, areas with vascular suffering of the skin, areas with loss of sensitivity,thrombus formation and anesthetic complications.