What exactly is facial remodelling?
It consists in remodelling, by filling or augmenting, different parts of the face, like wrinkles, crow’s feet, creases or lips.
What’s the reason for the well-known ‘bee-sting lips’ that many models have?
An excess in the dose of the injected product. For this reason, the amount of the substance injected must be controlled very carefully.
Where are the products of animal origin obtained from?
It depends. They can come from a cow, a pig, the crest of a cockerel…
Has collagen ceased to be used because of mad cow disease?
Not necessarily due to this problem, but because collagen requires some allergy tests, and until a month after they’ve been performed it can’t be implanted. In contrast, hialuronic acid (which is also of animal origin, but not from cows) is more convenient because it doesn’t present any allergy problems.
Can liquid silicone be injected?
No. Nowadays it’s prohibited by the Ministry of Health except in the field of ophthalmology, where its use is efficient and productive. It was banned in surgery because of the problems of infection, migration and hardening it caused.
Can liposuctioned fat be extracted from the patient and injected in parts of the face?
Yes. In fact, it’s known as the Coleman technique, after an American surgeon who popularised the current technique of lipofilling.
What is botox and what is it used for in cosmetic surgery?
It’s used to treat dynamic wrinkles, basically wrinkles in the forehead, between the eyebrows and the periocular areas. The treatment consists in infiltrating small amounts of highly diluted botulinic toxin, which produces the selective paralysation of the muscles responsible for certain gestures that cause the appearance of deep, stable creases and wrinkles. The effect begins to appear between the third and sixth day and is complete at two weeks. But it’s not a definitive treatment; the infiltrations have to be made twice a year. Sometimes it’s appropriate to complete the treatment with filling procedures (collagen, hialuronic acid, etc.).
But with botox isn’t there a risk of ‘looking like a mummy’?
No. What botox really does is to reduce the expressiveness of the face, as it produces a partial blockage of the muscle, not total rigidity. That appearance of being ‘embalmed,’ of a stiff, inexpressive face, tends to occur when other inappropriate fillings have been applied.
Isn’t there a risk of facial paralysis?
Well, I only apply it in the forehead and the sides of the face. There are certain muscles that shouldn’t be paralysed, like those of the eye, due to the adverse effects this could have. An excessive dose of botox can cause paralysis with falling of the skin. But in any case, if the wrong muscle is paralysed the effect is not permanent, it disappears after six months.
Can solid implants be made in the face?
Yes. They’re used to correct the nasogenian folds and to augment and correct the lips. The filling product is applied by means of an incision in the zone to be treated. And although they’re designed as permanent implants, they can be removed if necessary.