Breast Augmentation Before And AFter Pictures Photos
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Breast Augmentation Guayaquil Guayas Before and After Photos


Country: Ecuador
State: Guayas
City: Guayaquil
Contact between:
9:00 and 20:00 hours
Training / Credentials
Almost all my patients  come to my  Medysis Clinic. But I also operate in other hospitals, such as Alcivar Hospital, Alborada Clinic, and any other hospital my patients choose. Medysis has spacious and comfortable waiting rooms, inpatients facilities adequate for overnight  stays, operating rooms and doctor’s offices equipped with the best technology, and a very qualified staff.
• Associate Doctor at “Sala San Aurelio” General Surgery Ward of the  Luis Vernaza Hospital  1998 – 2000
• Associate doctor of the Burnt  Unit of Luis Vernaza Hospital 2000- 2001 (Guayaquil, Ecuador)
• Jalisciense Institute of Reconstructive  Surgery – University of Guadalajara- Mexico 2002-2005
• Has collaborated with the Foundation “Rostros Felices -Interplast” (Happy Faces) doing reconstructive surgeries in Guayaquil, Ibarra, Portoviejo (Ecuador)
• Chief Resident  of Reconstructive Surgery  in the Jaliscinse Institute period 2004 – 2005
• Rotation in Prof. Ewaldo Souza Pinto Clinic, July 2003 Santos. Brazil
• Rotation in the Burnt Unit of Magdalena de Las Salinas Hospital, Mexico D.F., September 2003
• Several courses of the specialty in Mexico, Brazil and United States
• Plastic Surgery Staff member of Alcivar Hospital.
• Plastic Surgery Staff member of  Alborada Clinic
• Member of the Ecuadorian Society of Plastic surgery SECPRE
• Member of the Iberian-Latin American Federation of Plastic surgery and Reconstructive
• Fluent in English, German and Portuguese
• Breast augmentation
Breast augmentation surgery is, with out a doubt, one of the most frequent cosmetic procedures done in these days.  It’s the surgery of choice for women who consider their breast too small, have lost weight, have nursed  their babies, or simply, because of normal aging their breast have lost volume, changed shape or dropped. This
surgery consists of placing silicon implants under the mammary tissue. These implants in the majority of cases are filled with a cohesive gel, although, there are also some filled with saline solution, which will be used depending of the surgeon’s criteria and the choice of the patient.
• Breast reduction
The breast reduction surgery gives great satisfaction to the patients. Women, with large and dropped breasts, can relieve their problems, such as:  pain, and deformities on their back, neck pain, irritated skin, and other symptoms. In this case the surgery of choice is a reduction mammoplasty, in which the surgeon reduces the size of the breasts, but at the same time he sculptures the breast to give it the best possible shape. In many patients it’s not only the problem of dropped breasts, but also of flabbiness of the skin, this affects the shape of the breast. In these cases the ideal procedure is a mammary pexia. This is when the surgeon lifts the breast, and gives it a more pleasant shape, without drying the mammary tissue.  It is also possible to combine
this surgery adding breast implants, depending of the size of the breast.
• Reconstructive Breast Surgery
• Liposuction
Liposuction is an excellent procedure to eliminate excess fat, which an individual can have in any part of the body. As time has gone by, this procedure has improved and now it is called liposculpture, because what the surgeon really does is look for the most pleasing body contour and he eliminates the excess fat in some areas, and he injects fat in other areas, for an example, in the gluteus.
• Lipoinjection
Lipoinjection is considered one of the procedures that improve the body contour. The advantage it offers is that the fat used in the procedure is of the same person, which makes it safer, because there is no risk of rejection or encapsulment The obtained fat   is prepared and then injected in the deep levels of the skin using special cannulae. With this we achieve,  to restore or increase the volume of the injected areas. As time passes it is possible that 20 to 30% of the injected fat can be reabsorbed, but the other percentage stays in a permanent way
• Tummy-tuck
Abdominalplasty is a surgical procedure designed to eliminate excess skin and fat tissue of the middle and lower abdomen, also a tightening of the abdominal muscles is done. The abdominal flabbiness is a characteristic in women who have had several pregnancies or persons who have suffered an important weight lose. Stretch marks are also common. We should emphasize that stretch marks and flabbiness can not be eliminated by exercising; surgery is the only real effective way to get rid of them.
• Buttock  implants
The buttock implants surgery is ideal for persons who wish to increase and improve the shape of this part of the body. The implants used are especially designed for this purpose. They can have a round or oval shape. The surgeon will decide which is more appropriate for each case.
• Calf implants
• Rhinoplasty
Rhinoplasty, or plastic surgery of the nose, is one of the most common procedures in plastic surgery.
Rhinoplasty can reduce or increase the size of the nose, change the form of the tip of the nose of the bridge, narrow the span of the nostrils, or change the angle between the nose and the upper lip. It also can correct birth defects or an injury, or can help respiratory problems.
• Blefaroplasty
Blefaroplasty, is a facial rejuvenating procedure, which gives great satisfaction. As years go by the skin of the upper eyelids tend to drop and the fat bags of the lower eyelid become evident. This makes the patient look “tired” and it’s a sign of aging. With surgery the excess skin is eliminated and the fat is dried out and redistributed according to each case. What we achieve with this is to give a younger appearance and the eyes seem to have a fresher look.
• Eyebrow lift
Eyebrows play a very important part in rejuvenating the upper third of the face. Depending on each case there are different options to achieve the most adequate contour of the eyebrows, and attain a fresher and younger look. Among these options is the use of threads, scalp incisions, incisions around the eyebrows. All these are outpatient procedures, and generally are combined with eyelid surgery.
• Face and Neck lift
This procedure is among the group of surgeries of facial rejuvenation. With this surgery we can stop the time clock, and go back 10 to 15 years. Each case has its special considerations, but the technique is basically the same. Incisions are done in the front and back of the ear, which extend to the back (depending on each case). As time passes these incisions tend to disappear. The skin is lifted, stretched, and the excess skin is dried out. Also, a suspension of the muscles, and a suspension of the profound tissues of the face, are done; with this we achieve a more natural and durable result.  It can be combined with a neck liposuction or other complementary procedures. Sedation and local anesthesia are used. A stay  of one day in our medical center, is recommended, to prevent hematomas. Some bruises may appear, but in 5 to 7 days will disappear. To stop smoking from 10 to 15 days before the surgery is important, to avoid complications, as bad cicatrization or necrosis.
• Otoplasty
Otoplasty is a surgical procedure intended to correct the ears and its surroundings. Some of these problems could be: cupped ears, large or stretched earlobes, shell ears, and lop ears.  The recommended age to do this surgery is in children over 6 years old, when the ears have reached an adequate size.
• Neck Liposuction
Perhaps, the double chin, is one of the areas that most affects a person. But it’s good to know that neck liposuction can be a solution to this problem. For this procedure very fine cannulae are used, specially designed for this. We eliminate the excess fat and wait for the skin to retract, and this helps to give a better definition of the neck angle. Results are spectacular. Sedation combined with local anesthesia is used. It’s an outpatient surgery, Antibiotics and anti-inflammatories are prescribed. To wear a neck band, for two weeks, is necessary to assure a good retraction of the skin.
• Chin implants
• Cheek implants (malar implants)
• Cheek reduction (Buccal fat pad extraction)
• Derma-abrassion
This procedure is recommended to improve acne scars and for the treatment of facial lines, like those around the mouth. It is also useful for the treatment of scars. The procedure consists in removing the superficial layer of the skin. When these superficial layers are removed, the skin is regenerated and as a result a  new, younger, and fresher skin is obtained. While the regenerating process lasts, it is very important to follow Dr. Patiño’s instructions, to avoid spots on the skin. To stop smoking and to avoid the sun is also very important.
• Botox
Botox derives from a toxin produced from a bacteria known as clostridium botulinum.  What this toxin does is paralyze the muscles temporarily. Different types of wrinkles appear on the face, the most notorious are the ones caused by facial expressions, by the excess of gesticulation; for an example: forehead lines, crow’s feet, lines and folds between the brows, etc. Botox diminishes the activity of the muscles that cause the wrinkles, and as a result these are eliminated. It is very important to notice that the objective is to give the face a younger and more natural expression, for which an adequate dose is important, to avoid an nexpressive face. With Botox we can also work on the eyebrows contour, without the need of surgery.
• Injectable fillers
A great range of filling material, for wrinkle treatment, and to give more volume, can be found in the market. Unfortunately, the great majority of these is not completely safe and could have complications in the long run, such as granuloms, bumps, and an artificial appearance.
• Hair transplants
Hair replacement techniques have come a long way since these treatments started, when it was common to see what looked like “doll heads”, trademark of a surgery of this type. Now in days, hair micro grafts are performed, and results are natural and permanent. This technique consists in taking out a segment of hair scalp from the back of the head. Then, each follicle is separated form the segment. Once these micro-grafts are obtained, the doctor proceeds to put them where hair is lacking. The follicles are placed so the new hair grows in the same direction than as the rest of the hair. In each session 1000 to 1500 hairs are replaced. In megasessions, more follicular units can be replaced, surpassing the placement of to 2000 new hairs.
• Peeling
• Carboxitherapy
• Burns
• Cleft lips
• Hands
• Breast reconstruction 
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