Hyaluronic acid

BENEFITS

Dr Guzman’s technique using concentrated injections of Botox ™in certain muscles creates a natural lifting effect on the forehead and raising nicely the brow, opening your eyes without surgery.

Other unsightly facial lines could be treated at the same time, every treatment is adapted to your muscle anatomy, and wrinkle softening is obtained without changing your expressions.

Botox™ techniques is a true revolution in correcting the sings of aging, it replace the surgical options.

PROCEDURE

a thorough examination of your desires and needs will be study by Dr Guzman, then using tiny injections, and without any pain, the desired muscles will be targeted with the toxin. A second session will be proposed to refine the result.

LASTING QUALITY

the first year of treatment a minimum of 3 sessions are required to settle the treatment to an annual frequency of 2 sessions per year.

ANAESTHESIA

local with sedation or general anaesthesia.

PRATICAL INFORMATION

at Dr Guzman practice, pain control methods will be used and if needed to give you comfort, in between 15-30 minutes, 2 sessions will be proposed as part of the treatment in order to give the best possible results.

TIME OUT

zero, a little injection marks will be visible for 10 minutes after the session.

RESULTS

the results begin to be seen at 4 to 7 days after the initial injection, full effect around 10 to 15 days, if needed a top-up will be suggested at 15 days. The lasting effect will be present for 4 to 6 months depending on your own metabolism.

RISK AND COMPLICATIONS

Ecchymosis at the injection point is rare. Transitory headaches as a heaviness sensation are present in 10% of patients.

GENERAL RECOMMENDATIONS

The consultation is a paramount in your beautification project. Your motivations and precise demands should be clear. A detailed examination of yourself, your anatomy and all the medical conditions that could be responsible of the situation will be studied as well as other elements that might be not beneficial or contra-indicate the procedure. The benefits or what can be achieved by the procedure and what cannot be expected will be thoroughly exposed. In this way a well-informed patient and surgeon can have a mutual and authentic consent for an aesthetic procedure with the objective to prevent from post procedure deception. If the intervention implies general anaesthesia, the pre-surgical protocol will be respected: biological blood exams, electrocardiogram, anaesthesiologist consultation, pre-surgical fasting, non-aspirin or aspirin like medication at least 10 days before the procedure, stop smoking at least 2 weeks before your intervention. For some procedures local anaesthesia only will be proposed, or associated to a light sedation if you feel “nervous” or if the procedure will last more than 1 hour for your comfort and convenience. The duration of the intervention depends of the complexity of it, for some could be as quick as half and hour for an upper eyelid only surgery or 4 hours for a proper liposculpture procedure. Ambulatory procedures are the rule in modern plastic surgery (entry in the morning and exit by night). In order to assure a proper care, sometimes an overnight stay will be proposed.

Nowadays the sutures used to close the skin are very thin and stiches removal very quick as for example eyelids surgery. In other locations completely dissolvable suture will be used so no stiches removal at all. Scars from the elective plastic surgery procedures are placed in anatomical folds or areas where it can be easily hidden or almost invisible. The surgical dressings will give you comfort and protection during the first delicate days after your procedure, for some compression garments will be recommended to enhance and improve the final result. Pain in general is not major, discomfort or tightening sensations are commonest due to swelling, bruising or the tension forces put it in place by the surgical procedure, it will fade in time. Risk and complications exist for any procedure; it will be reduced by choosing a well trained and certified plastic surgeon. Nevertheless even in the best hands complications could be present many of them are benign and easy to cure. Others are more important but rare, a proper study of your case before an elective procedure might reduce the risk. Plastic surgery interventions gives long term results, measured in years, aesthetic medicine procedures are well positioned as a course of treatments that can be done with a frequency to give effects in a short or medium term, which is measured in months. Aesthetic medicine and plastic surgery are complementary both at the same time or very often one after other.