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Breast Reconstruction in the ICP

We read in the press that Spain only 15% of women are reconstructed breast mastectomy . This low percentage may be due to the lack of information in the diagnosis or the lack of human and material resources. Most of these breast reconstructions are performed in public health.

breast reconstruction after mastectomy should be considered as an important part in treatment of the disease.

The ICP-Martín del Yerro have always considered the post-mastectomy breast reconstruction as one of the pillars of our surgical practice. We work with a multidisciplinary team Chiron Madrid hospital to offer women the previous diagnosis faster and more accurate and the best solutions to achieve after breast reconstruction. Our team has extensive experience in reconstructive surgery and our recovery protocols to manage postoperative return to daily activities can be done faster.

Whenever possible the reconstruction process is performed in the same the mastectomy surgery in what is known as immediate breast reconstruction.

More information: Breast Cancer Unit

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Cosmetic surgery is also for men

Traditionally cosmetic surgery are much in demand during the months before the summer, particularly from March to June when it starts known as "Operation bikini. "

The cosmetic surgery industry has historically been linked to female but sector is increasing the number of men attending to submit any questions trimming operation to some ears, nose or chest.

According to Dr. Vicente Paloma, a specialist in Plastic, Reconstructive and Aesthetic Medical Center of Barcelona Teknon the two most popular operations for men are often rhinoplasty and otoplasty or ear surgery, although today are growing much surgery of the eyelids and breast reduction or gynecomastia.

And that concern over physical appearance is not just something women, more men are the biggest consumers of treatments for skin care or aging and within this trend, plastic surgery for men are increasing.

According to data published by the Society of Plastic, Reconstructive and Aesthetic of Spain in the last decade has increased the percentage of men who undergo a cosmetic surgery consultation. And as in the case of women, cosmetic consultations multiply in the months before the summer to improve their body image, however, for Dr. Paloma is the ideal time to undergo a cosmetic treatment because it can be detrimental to scars prolonged sun exposure.

cosmetic surgery operations demanded by the sector more men are made usually for aesthetic reasons or to correct conditions that can cause a psychological disorder.

The most common operations are often the otoplasty , simple operation performed to correct protruding ears calls the blepharoplasty, also very simple operation to correct one of the signs of facial aging such as upper eyelid drooping and the appearance of bags and gynecomastia or male breast reduction.

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Breast Augmentation. Case 1

can also read the testimony of this patient .

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How to hide the scars with dressings

One of the most important post-operative care is the use of adhesive dressings (steri-strips, paper tape, silicone, etc..) For the treatment of scars.

After the intervention (in theater) are put steri-strips or similar dressings scars. These patches are held until 10 ° approximately. From then teach the patient to be the priest in his house and hide the scars with the most appropriate dressing.

During the first month should cover the scar with paper tape and then for a period of between 3 and 6 months cover with silicone dressings.

dressings have two functions, the first improve healing and the second to protect the scar. The dressings used must be easily removed (without causing injury) for this reason very important to only use the brand of paper espadrapo recommend you because other brands have more quantity adhesive and can make small cuts in the skin. It is also important to use the dressing with the recommended width.

espadrapo To apply the paper, we will:

With clean, dry skin is cut a strip of tape with a length slightly greater than the scar. In applying this should not extend espadrapo, just as we support over the scar. If extendiésemos while we apply it, we could create an accordion effect, ie the maximum stretch the skin and is then prayer transverse wrinkles forming the scar. The adhesive tape must be changed daily discarding used.

silicone sheets are applied similar but unlike the case with espadrapo, silicone sheets are waterproof and washable and can be used the same strip while still maintaining the grip (5 to 8 days). To put on clean, dry skin is cut silicone sheet width and length slightly greater than the scar (5-10 mm), then adhere to the skin over the edge of the sheet is adhesive. The skin should be cleaned daily and the wound should be monitored. The silicon wafers can be reused several times, while still adhering, in practice will be changed every 6 or 7 days.

How to Put the dressing on scar?

The dressing is usually placed parallel to the scar. Some interventions are specific ways of placing the dressing, eg

- In scars peri-areolar (around the areola), such as those occurring in the lift surgery and breast reduction, there to have the dressings designed to avoid the edema (swelling) often occurs in the areola. This will form a box with strips of plaster over the scar and then a diamond covering the entire areola. (See picture left)



- In rhinoplasty, the dressings should placed on a tile to help remove sweat or water.

- The kinesiotape can be used as a dressing for the treatment of scars, fibrosis and adhesions. In

cures and massage sessions teach you to place yourself postoperative dressings so as to improve healing and reduce swelling around them.

can combine the use of dressings with rosehip oil as follows:

Every two or three days ago to leave it uncovered the scar and applied rosehip oil on the scar massaging gently with the tip fingers. Please take the following precautions.

- If the scar shows any open wound is not applied rosehip oil on the wound.
- If the skin is abraded or injured by the use of the dressing (to detach the skin can hurt especially on the areola), will be two or three days without using the dressing and apply the oil two or three times a day.

What Happens If A Capillary Bursts

Physical exercise after abdominoplasty

limitations to exercise after a tummy tuck are caused by the plication (approximation) of the rectus abdominis and tissue healing.

plication is performed to approximate the edges of rectus muscle. During pregnancy, to facilitate fetal development often results in relaxation of the rectus muscle, separating this from the midline. This separation is corrected during abdominoplasty. This plication, coupled with the removal of excess skin, resulting in scarring and tightness in the area of \u200b\u200bthe gut and abdomen, are the cause, that during the first few weeks can not exercise the abdomen.

Although it is not advisable during the first 15 days, to exercise the abdominal muscles, if material, start taking walks. To walk you use proper shoes, without heels. We begin with short walks that will progressively increasing duration.

During the first two weeks may not be suitable to perform other exercises or sports since the muscles of the abdomen is contracted by bending, stabilize or hold the trunk. This contraction can be uncomfortable or painful. It is also necessary to promote healing.

From 4 to 6 weeks, and you can resume sports activity. Since there has been a period of inactivity, we recommend the gradual resumption of exercise.

is advisable to use a few weeks Bodi elastic, elastic or a shirt for extra support and comfort during sports.

exercises can be performed stretching of the rectus abdominis, to help remove the tension or post surgical stress. Pilates or yoga exercises can help restore muscle elasticity, but it is necessary to make them under supervision of a monitor.
From 4 to 6 weeks, you can start doing abdominal strengthening exercises. In them, you should always keep your knees bent. We begin with few repetitions (sets of 6 or 10), and little range of motion.

The post surgery treatment sessions, we teach you properly stretch the abdomen and correctly perform abdominal strengthening exercises. Listen

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Yerro Dr. Martin of the Cope

two intervencinones

Dr. José Luis Martín del Yerro on "The Dean" of Cope. If you can not hear the audio please visit this link: Plastic, cosmetic and restorative 12/05/2009 and breast reconstruction after mastectomy 26/05/2009

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manual lymphatic drainage after plastic surgery Rhinoplasty Case 1

lymph vessels through almost the whole organism and pass close to the veins, but are not visible to the naked view how are you. Its primary mission is to help to absorb excess fluid (edema) that forms in tissues. The fluid found within the lymphatic system called lymph. The lymphatic system also has an important immune function.

manual lymph drainage (MLD) is a massage technique using gentle, repetitive maneuvers on the skin, can accelerate or even redirect the superficial lymphatic circulation. Your application accelerates the reabsorption of edema and therefore reduces tissue swelling.

manual lymph drainage as its name suggests is made with the therapist's hands, not machines or machines. Although some of these devices (acupressure, ultrasound, LPG, INDIBA, etc.) can also speed up the flow of lymph, its use should be a complement not a substitute for DLM.

Manual lymph drainage is a gentle technique, the surface and moves are always welcome. Lymphatic drainage technique is not aggressive, strong kneading massage manipulations are not part of lymphatic drainage manual. Lymphatic drainage is performed without creams or oils.

must reject any or lymphatic drainage massage to act on the tissue abruptly after surgery. As the

manual lymphatic drainage technique improves lymphatic circulation, its use will help remove before all post-surgical edema. Thanks to DLM improve tissue healing, eliminate or reduce postoperative discomfort and speed recovery.
Manual lymph drainage is a proven technique and studied scientifically. It applies in all cosmetic surgery, among them we emphasize:

liposuction or liposculpture, intervention where quite edema and ecchymosis (bruises) as a result of surgical trauma.
Abdominoplasty is the most damaging intervention occurs in the lymphatic system, so it is essential to proper postoperative treatment. Manual lymphatic drainage helps to redirect traffic to alternative routes of lymphatic drainage was not damaged by the surgery and reduce swelling or inflammation of the abdomen.

in breast augmentation (breast enlargement) the DLM reduces inflammation of the breast, its correct application demonstrates its effectiveness from the first day.
After lifting, intervention can also damage the superficial lymphatic system, maneuvering speed recovery properly implemented. Surgical trauma on the lymphatic system maneuvers necessary to adapt and directions of lymphatic drainage.

In blepharoplasty, lymphatic drainage accelerates the reabsorption of edema, as well as after the lifting should be done with caution especially in areas close to the scars.

Other interventions that also benefit from manual lymphatic drainage are: reduction mammoplasty (breast reduction), mastopexy (breast lift), rhinoplasty, and in general, all cosmetic surgery, in which at first edema is formed accordingly.

In the treatment of scars, manual lymphatic drainage is the first step taken to promote healing. By reducing edema facilitates the arrival of nutrients and metabolic waste output needed for good healing.

In breast reconstruction, regardless of the reconstructive techniques used (with expanders and breast implants or autologous tissue), lymphatic drainage is very useful in all stages of the reconstructive process. The possible axillary lymphadenectomy (removal of lymph nodes under the arm) may require the therapist to carry out the lymphatic drainage seeking alternative routes.

addition of care after breast reconstruction, manual lymphatic drainage is essential in the treatment or prevention postmastectomy lymphedema

The MLD is a gentle massage technique that does not traumatize the tissue, and promotes desinflamación it. For this reason, you can start using as the operation performed, from 24 to 48 hours after surgery. We usually start the application 24 hours after surgery. After the liposuction and other interventions where there should be early mobilization of skin MLD performed with extreme care and the containment band.

lymph drainage after surgery should only be conducted by therapists with experience and training in treatment postoperative, especially if the sessions begin within days of surgery.

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Comments: Open rhinoplasty performed by Dr. José Luis Martín del Yerro. In addition there was a reduction of the back bone and cartilage, a shorter wing and the insertion of separators grafts (spreader grafts).