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. Case 3

Comments: This patient has a breast augmentation with anatomical cohesive gel implants. We note that although there is some ptosis (falling), the appropriate use of anatomical implants successful, besides increasing the volume, raising the breast without additional scars. The implants were placed by via sub-mammary.

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Carboxitherapy is the therapeutic use of Carbon Dioxide (CO2), a gas that is administered through a subcutaneous application.

therapeutic effects are due to CO2 is a vasodilator effect by improving circulation, also improves tissue oxygenation and lipolysis in adipose tissue, so it favors the destruction fat.

main indication carboxitherapy in aesthetic medicine is the treatment of cellulite or orange peel. Carboxytherapy is an effective method to reduce fat and fibrosis that characterize cellulite and how difficult they are to treat.

Carboxytherapy stimulates the formation of collagen and elastin to increase the thickness and elasticity of the skin, making it an effective tool for treating wrinkles and aging of tissue. It is also effective in the treatment of stretch marks.

CO2 injection is performed through a thin needle and virtually painless with the help of a microprocessor that regulates the amount and pressure of CO2. From the point of introduction, the gas diffuses easily into the tissues to exert its therapeutic action, improving the exchange intracellular and cellular nutrition of these tissues.

"I use the carboxiterapia both facial and body treatments. It is an excellent reaffirmed tissue, alleviating the wrinkles. I have had excellent results removing wrinkles neck. By encouraging the destruction of fat cells in a major ally in the fight against cellulite. " Dr. Gil. Martín del Yerro ICP.

After the session you may feel a slight and transient itching burning or gas bloating injection site disappearing in seconds. Some patients report a temporary feeling a sense of heaviness. You can also see a slight redness of the tissue that disappears in minutes. All these symptoms are less intense as they pass through the sessions.

Carboxytherapy be combined with other treatments such as mesotherapy, radiofrequency, LPG or manual lymphatic drainage.

The price per session is 50 euros and you can make an appointment with Dr. Gil, calling

91.535.24.02

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Carboxytherapy Food and cosmetic surgery post-mastectomy lymphedema

The days leading up to surgery, it should be a healthy diet, reducing consumo de alcohol, y tomando abundante fruta y verdura. También es aconsejable los hidratos de carbono de fácil asimilación (arroz y pasta) y las proteínas (carne, pescado, huevo…)

Si eres una persona obesa y te quieres someter a una liposucción, abdominoplastia o reducción de mama es posible que te aconsejemos seguir un régimen de adelgazamiento unos meses antes de la intervención. Normalmente el objetivo de las intervenciones de cirugía estética es mejorar el contorno corporal no perder peso. La recuperación es más rápida y con menos riesgo de complicaciones cuando no hay exceso de peso.

Algunas personas medicinal plants usually taken as the Ginko Bilova, garlic supplements, or the herb St. John, these plants can interfere with anesthesia or conventional medicines used in the postoperative period.

If you are taking any herb you should inform before surgery the anesthesiologist and that some of these plants can interfere with drugs used in anesthesia.

As a general rule, the day before surgery, the food will be light, easy to digest. Try to eat at least 2 hours before bedtime, avoiding high-fat meals. Dispenses alcohol. Follow the advice of your surgeon. Remember that if you operas with general anesthesia you should go fasting can not eat or drink anything the hours preceding the intervention.

Before taking vitamin supplements, homeopathic supplements or vary your diet you consultarnoslo.

Generally after surgery the food must contain mainly, carbohydrates easily assimilated (rice, pasta) and protein (meat, fish, eggs). Carbohydrates provide the energy required for the repair and protein raw materials. You should drink plenty of fruit and vegetables.

is important fluids, water, juices (no sugar) and tea. If urine after the intervention is thick and yellow must increase fluid intake until the urine is clear.

After surgery, patients often take antibiotics to prevent infection. Antibiotics kill the intestinal flora. Eat yogurt, especially those enriched with Lactobacillus or Bifidobacteria may help regenerate damaged intestinal bacterial flora by antibiotics, stimulates the immune system.

RECOMMENDATIONS BY TYPE OF INTERVENTION

After abdominoplasty must avoid foods that cause gas, as the distension of the abdomen produced can cause discomfort. The fennel or chamomile tea anise, can relieve gas. It is advisable to make several smaller meals. Often, patients who underwent abdominoplasty with rectus plication was performed, one full before eating, due to pressure plication performed on the stomach.

After liposuction is advised low-fat foods in order to prevent the adipocytes (fat-storing cells) that remain after surgery hypertrophy (get bigger). Recall that in the adult fat cells do not reproduce but can hypertrophy. Proper diet and exercise, improves the results of the intervention.

After a facelift or surgery cheek implants and chin the first few days can cost you chew or open my mouth, it is recommended to eat soft foods like pasta, soups or purees

Edema is

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an accumulation of interstitial fluid in the middle. Colloquially it is referred to as swelling. When the cause is a malfunction of the lymphatic system is called lymphedema.

postmastectomy lymphedema is caused by interruption or slowing of lymphatic flow of the arm as a result of radiotherapy and lymphadenectomy (removal all or part of the axillary lymph nodes).

lymphatic circulatory system's mission is to absorb the excess fluid produced in the body also play an important role in immunity. When the lymphatic system not working properly there is edema, or swelling.

Lymph nodes are stations within the lymphatic system which cleans the lymphatic fluid or lymph. The lack of lymph nodes as a result of surgery or radiation injury can cause lymph edema.

Lymphedema can occur immediately after axillary surgery or radiotherapy, may appear months or years later, or never appear. Sometimes there is an underlying cause: a shot in the arm, a small infection, etc. Since its emergence can occur at any time, women affected or at risk of involvement should continue to take precautions as detailed at the end of the article.

lymphedema is detected by palpation and measurement of the affected limb. When presented originally in the hands is usually affected detecting lymphedema, as the fingers or the back of the hand is swollen slightly or substantially.
When presented: in the arm, underarm, above the elbow or forearm may initially passed unnoticed by the patient.
An easy way to self-diagnosis is bending your elbows and place them in the mirror noting that both have the same volume and contours. It is quite common
lymphedema undetectably small for the patient because they just increase the volume of the affected limb. If however these should also be treated lymphedema.

Fortunately most of the lymphedema with manual processing. The sooner you start treatment the greater the chance of success. With proper treatment, the affected limb may have a similar volume unaffected. Small lymphedema
are easier to treat. Sometimes the patient's own self-draining lymph can keep it controlled.

WHAT PRECAUTIONS SHOULD BE THE WOMAN WITH A Lymphedema?

The following lines describe the precautions to be taken any woman with postmastectomy lymphedema or at risk of developing it.

Al manicure

must exercise extreme caution when performing. Any injury no matter how small it takes longer to heal and the chance of infection is high. Once infection occurs, the risk of lymphedema occur or increase it.

If you perform a manicure on the affected arm. Should be followed carefully the following recommendations:

• There should be no injuries.
• Material be sterilized before each session.
• Avoid pushing and cut cuticles. It can cause a fungal infection (fungal).
• Do not use artificial nails (porcelain, gel, etc..) Can be a source of fungal infection.

By plucking ...

lymphedema affected women should not shave the wax into the armpit of the affected arm, the reason is that after waxing can cause folliculitis (infection of the skin pores). In a healthy woman folliculitis has no major consequences and disappears in a few days, but can be harmful when there is risk of developing lymphedema.

should not shaving blade because of the danger of infection or cause small cuts in the skin tissue edematicen. Nor

Electrolysis is recommended that the prick of the needle can cause microedema and overloading the affected limb.

hair removal is ideal for these women with electric razor, laser or pulsed light

When massaging ...

should not be given vigorous massage on the affected arm lymphedema. These maneuvers can injure tissue and edematous lymphatics.

Manual lymph drainage is always indicated when done by a specialist.

addition to the above activities, or employment described must:

• Avoid injuries, insect bites and burns.
• Do not take the stress or perform a blood test, they should not get injections or acupuncture needles.
• Avoid being overweight. Obese people have more risk of developing lymphedema. Limit salt intake.
• Take extra care of the skin because it has less defenses.
• Do not wear watches, bracelets or rings on the affected arm.
• Do not carry too much weight on the affected arm.
• Use rubber gloves in the kitchen or garden.
• No sewing, if it is imperative to use thimbles.
• Carry bag on the side opposite the affected arm.
• Raise your arm at night (by placing a pillow under your elbow and forearm on the chest).
• Raise and support the arm while sitting.
• Wear with wide sleeves and strapless bras that fasten in the back.
• Avoid excessive heat and cold. Avoid sudden temperature changes.
• Do not sleep on the side with lymphedema. • Apply daily
few minutes of draining.

tramientos In our postoperative recovery include the prevention and treatment of small lymphedema.

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Why I decided to undergo surgery to undergo a cosmetic surgery? Diary of my rhinoplasty

Why I decided to undergo surgery someterne for a cosmetic surgery?

This question is what we are all having gone through it, and something that our environment is determined to know.

Mastopexy before

I can only speak from my experience, but many people can feel identified with it. It is a decision, although in some isolated cases may be taken a bit lightly, most of the time is considered and studied for years. I myself had to be discussed, including the fact the desire to change what made me feel bad and the fact frivolous consideration prevailing in society when it comes to these issues. We are constantly bombarded with the theme that to be happy, you must be sick from within. That the physical is just a shell that holds what they really are. That to be happy is to be accepted as is and have a strong and healthy psyche.

mastopexy after

From all this I was always very conscious ... but still had the desire to change, what was starting to limit aspects of my life . So it was a struggle that lasted years.

Finish by making a decision, because as I said before, there were aspects of my life when I began to feel limited. Psychological handicap, but there it was. The feeling of rejection that part of my body was accentuated as the years passed and added to the weight loss and all the years go by without spending bill, was starting to get barriers. And it's something I had a solution, wipe out the problem. Therefore I started to tell me about plastic surgery.

If I'm honest, since I started to inform me until it goes under the knife, spent only two months. That if you use a lot of effort and time to know your subject well and what to expect it.

First phase to be well informed of the types of surgery there. And start watching and you go crazy, because you find very contradictory information everywhere. My first feeling was of little clarity. Types of prosthesis, surgical approach of surgery, recovery, results ... every track had several theories and often conflicting.

second phase, plastic surgeons. As in the previous phase, total chaos. There are many plastic surgeons, thousands of experiences of girls who have passed through his hands and of course, different ways of working. At least here was very clear that I was only going to watch surgeons operate on personal well-equipped hospitals competente.Tengo fortunate to work in health and fortune, here we end up knowing everyone. Therefore I turned to my co-workers and colleagues who had been there and could speak in first person from his experience. After researching the Internet a little more and earlier references, I decided to make an appointment. Since I talk to them very clearly where I was going to operate and with whom, as the results of my coworkers were great and the references that I gave my colleagues doctors and nurses, unbeatable.

Now the issue was tell my family and friends. And it's something you know in advance that they may not understand. I was lucky and my family and friends understood why he was doing. Someone might question my decision but always respected. Answered thousands of questions, because everyone has the same curiosity. Why? Are you worth spending an operation to feel better about yourself? And the answer to this was always, yes. I just wanted to bridge that barrier I had put myself without realizing it.

knew my postoperative

could be very painful, but I am fearful and although he knew my pain threshold was more than willing to deal with it. And the day came to my surgery, and enter the operating room quieter than expected. When I tried to re-open your eyes, it was over.

My recovery was amazingly good. Or pass such horrible pain of the people speak, nor did I have trouble sleeping or moving. Every body reacts differently and found that the mine has a very high pain threshold.

must be very aware that both in this surgery as in others, the final results are slow to be seen, be patient. That as important as the surgeon's hands is the care that we give in the immediate postoperative period. It is not just going through the operating table and think that everything is done. It takes about postoperative care and instruct us how to look after us well and at home to minimize the risk of complications.

The most important of the whole process, is always well informed about the plastic surgeon elijamos.Que provide us with confidence, be realistic about reporting and not try to "sell" their work as were in a fish watching to see who makes the best offer. A good surgeon always going to work in a hospital with sufficient means to any complications that may arise. A good surgeon always makes adequate follow their patients and makes sure everything is in place and if something goes wrong, it will be rectified. Many of the negligence that we read in the media are due to doctors without adequate qualifications to operate in places with no minimum guarantees of security.

From my experience, which have drawn more clear is that I'm still the same person as always, but without this problem that I distressed and limited aspects of my life. Can be summarized in that I am happier.

Originally published in the Journal of Cosmetic Surgery

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This is an excerpt of a journal that published one of our patients undergoing rhinoplasty.

February 9, 2008

It's only 10 days for rhinoplasty!. My mother ... Countdown .. What a mix of excitement and some nerves (I try not to control suggestible and nothing happens) ... Today I dreamed that I fell asleep the day of surgery and woke up when I had spent my time ... and I would call running the surgeon to see if I made a hole ... what anguish ... I've spent the night calling people with the mobile to get me !!... operate at that time how horrible dream ... Why stress ... reminds me of my student days ... always dreamed that I'd fall asleep before you go to a review ... and I missed it ....

me in the hospital operating Chiron Madrid, the plastic surgeon is Martin's Yerro ... rhinoseptoplasty open general anesthesia.

February 20

I'm in house. Yesterday after the operation I spent a day a little more swollen I have eyes like two peppers, but everything is going well. anesthesia incredibly well, no pain, no nausea, nothing ... pee pee and more just to throw .... but even I found!.

.... in the end I had to play much more wall than they thought, so I'll have to wear caps until this afternoon, instead of until yesterday, but no worries. today and give me my first massage after surgery and removed the taponcillos me ... to see how I am given and if it hurts or not!.

February 22

because in the end I removed the plugs on Wednesday and gave me a massage for 30 minutes, super tasty and I greatly deflated and bruised face softened ...

... and I went this morning and I have made another priest and I've seen in the ratillo I removed the splint to wipe your nose before returning to wear it and I almost fainted from shock. It looks super, super straight, but an incredible anchooooo ...!! I'm a monster right now !!!!. hopefully down ... so if not ... well I'm not kidding or Curran, lol.

... I end points are taken away on Monday along with the cast strips and let me put one more week to settle the skin q entirely to new structure.

.... I like the way but like 5 times less anchota ... to see how it goes deflating.

then gave me my massage at least half an hour, like new, chic @ s. .. every time I have less bruising and swelling of the cheeks has dropped a lot ...

I just need to pray that I deflate this mega brows within two weeks or else ... m refuse to see me and at the gigs, hehehe .. what a shame, because I have a face like a Bobito. .. jiji, used to my nose so TIGHT ... I have been sooo weird, but I imagine it is hinchadísisisisisisima!

February 26

for nothing, and yesterday I took the points and the cast ... and let me put some strips until Monday ... and yesterday I saw the nose and is more deflated and very rectita ... hopefully this does not change, but the swelling will go as soon as possible, to go to the job normally!. Curran allegedly entered on Tuesday, but do not know if I can because I have even maratoncillo in the eye and yellow face of restillos hematoma. I still somewhat swollen face but the truth is that very little and breath and cool, well, since the third day. The shape of the nose just that I love more deflated when I like it better ... hopefully not change the way it has now, but ... we know that it is unpredictable! I was told that the bit or pull down or go up ... I will be more deflated as is but ... hopefully, because I really like this ...

Saturday March 1, rhinoplasty, my daily cap II

I leave a picture of before and after MLD of fifth day ... Look at the "yellow" of the face due to hematoma ... and how low in the picture "after the massage " ... and swelling but not much appreciated as it is a flat picture .... Most notable was the change ... the picture was taken two hours apart ... so you can see how well they feel the lymph drainage massage at (to me one day make itself a no )!!!!. I told you it was milk!. apreciéis hope you well in the picture!.

and is therefore much better. now I just need a little Moradita in the right eyecup, but nothing more .. and face even something amarillita-green, hehe ... charm, come on, but almost anything!.

in rhinoplasty, bone limaron me (well, the hump, to be technically accurate), I managed the entire wall, it was making "s" on the inside of the nose (not seen on the outside), I joined the bone side with a hammer (what terminology ... LOL). and the tip lowered me a bit to make it with the nose rectita. Besides, I put a graft on my own wall so he could breathe better and had best tip ... fins are the same, except one that was previously very thin, and is now like the other ... and some more ... in short ... I did "everything" but apparently, it seems that the tip barely touched it and that I did everything ... but is very similar only more perfect, I know ...

ah, and I also cut the common elevator muscle of upper lip and wing of the nose ... (That it is his name, I promise) ... Plastic surgeons usually do so ... they cut the bridle and ready to not lower the nose and such, but to me it did for me in the nose, cutting the muscle name "so short" that I have written before ... and so have not had to take points on the lip or anything!

March 3

the other day, in the review of the month, I told the plastic surgeon, who by my compis of gigs and friends that badge! hehehe ... and the man there to Content!. Moreover, as I was reviewing the photos I said he was delighted with the result that he loved to do Rinos because they were a challenge, so to speak! . So very happy I am. In the mornings when I wake up is somewhat swollen, but after fifteen minutes ... deflate hehehe ... I told the person that makes me lymphatic drainage massage that this is because at night the lymphatic system slows down and retain more fluid, so to speak .... so that's why the face is more swollen in addition to the fact that we are lying in what is not filtered by the lymphatic channels (Do not know if I'll be saying well ....).

operáis if someday you, seriously, try going to give you the lymphatic drainage massage, because they are the cane ... as I have said many times, but you notice the difference muuusho. I'm done with mine ... but I recommend to those intending to operate to do so because that will help the swelling and bruising faster!

'm ultra happy! especially as it is natural ... no one would say that is operated ... and that was what I was miedecillo q more ... but I gotta take me in color with the result! there could be more successful with the surgeon plastic! yujuuu !!!!!!!!

These are photos of before and after, a month and a half of surgery

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Massage and tissue expansion in

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rebuilding Breast Augmentation Breast. Case 2

Comments: This patient operated by Dr. Martin of Yerro wanted a moderate increase in the chest. We used anatomical cohesive gel implants. In the photo on the right note in the inframammary fold and the patient has placed silicone dressings to promote healing.

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Mamas tubers. Case 1.

Mama tuberous tubular

The Plastic Surgery Institute of Yerro Martin we are specialized in breast surgery. The correction of tuberous breast is one of our most successful surgeries.

The term tuberous breast, breast tubular or tuberous breast, refers to the way it takes the breast, when its development in adolescence, this form is characterized by an insufficient development of the bottom of the breast, in many cases there is some degree of decline and herniation of the areola excessive diameter thereof.

There are different degrees, from barely discernible to some other really dramatic. The cause, is an increase in the density of breast tissue and subcutaneous, the submammary, forming a constriction band or flange, which prevents the normal development of the breast inferiorly, the consequence is that the breast grows forward only with the subsequent drop in the breast and / or herniation of the areola, next to the underdevelopment of the lower chest.

In the following pictures we can see the before and after surgery for correction of tuberous breast done by Dr. Martin of Yerro. The after photograph is taken with only a month apart, but it can be seen that the tuber has been corrected.