Dr. FERNANDO QUINTANA JEDERMANN - Plastic Surgeon
Dr. Fernando Quintana Jedermann, professor of postgraduate studies of plastic surgery in the Catholic University of Guayaquil. His specialty studies were done in Mexico City, with Dr. Fernando Ortiz-Monasterio. He is dedicated to the private practice in Ecuador, forming part of the medical staff of specialists of the “Clinica Kennedy” Hospital; he is assistant manager of plastic surgery services of León Becerra Children’s Hospital and is part of the staff of the burnt unit of Luis Vernaza Hospital. He also renders his services as a volunteer to several non-profit organizations, which give social assistance to patients of low income
• Doctor in Medicine and Surgery, degree granted by the Catholic University Santiago of Guayaquil.
• Specialist in Plastic and Reconstructive Surgery, degree granted by the Mexican Health department in 1995
• Specialist in Plastic Surgery, degree granted by the Manuel Gea González Hospital of Mexico, DF in 1995, at Dr. Fernado Ortiz-Monasterio’s School
• Specialist in Plastic, Aesthetic and Reconstructive Surgery, degree granted by the Autonomous University of Mexico, in 1995
• Specialist in Plastic and Reconstructive Surgery, degree granted by the Medical School of Guayas (Ecuador)
• “Digital block through the flexor sheet”. Published in the Pediatric Journal of the León Becerra Hospital in 1999.
• “Electromyographic Evaluation of the functionality of the rear pillars in the pharyngoplasty of Jackson.” Published in the Medical Magazine of the Catholic University of Guayaquil, Vol. 7 No. 2 year 2001
• “Effect of copper needles with electrostimulation in low flow blood vessels”. Published in the Medical Magazine of the Gea González Hospital in Mexico in 1995.
• “Use of MEBO in donor zones, after skin graft of partial thickness”. Published in the Magazine “Metro Ciencia” pf the Metropolitan Hospital of Quito – Ecuador, Vol. 11 No. 1, 2002
• Reconstruction of the auricle with costal autologous cartilage”. Scientific Magazine, of the Medical School of Guayas – Ecuador. Vol 2 No. 2, 2001
· Corresponding Member of American Society of Plastic Surgeons
· Past president of The Ecuadorian Society of Plastic Surgery (Guayas Province)
· Past National Secretary of The Ecuatorian Society of Plastic Surgery
· Member Of The International Society Of Burn Injuries
· Member of The Medical School of Guayas since 1991
· Member of the Ecuadorian Society of Plastic, Aesthetic, and Reconstructive Surgery, since 1995
· Member of the Mexican Council of Plastic and Reconstructive Surgery since 1995
· Member of The Mexican Association of Residents and Ex-residents of Dr. Ortiz-Monasterio since 1994
· Member of the Mexican Association of Clef Palate and Craniofacial Anomalies, since 1995
· Member of the Ecuadorian Society of Pain, since 1998
· Member of the Iberic-Latin American Federation of Plastic and Reconstructive Surgery.
· National Secretary of the Ecuadorian Society of Plastic, Reconstructive and Aesthetic Surgery.
• Professor of Postgraduate Studies in Plastic and Reconstructive Surgery of the Catholic University of Santiago of Guayaquil
• Hospital Coordinator for Postgraduate studies in Plastic and Reconstructive Surgery of The Catholic University of Santiago of Guayaquil.
• Member of Plastic and Reconstructive Services of “Clinica Kennedy” Hospital of Guayaquil.
• Member of Plastic and Reconstructive Services of León Becerra Hospital of Guayaquil.
• Member of The Burnt Unit Staff of Luis Vernaza Hospital of Guayaquil
• Member of the Non-profit organization “Rostros Felices” (Happy Faces) for Reconstructive Surgery, since 1989
• Member of the Non-profit organization for The Rehabilitation of Burned Patients, since 1989
• Breast augmentation
In this surgery, mammary implants of saline solution are placed in the breasts. These implants are textured, and are of the best quality you can find in the North American market. This surgery is an out patient procedure, it takes from one hour to hour and a half. The patient remains three hours in the hospital, after that she can go home. Once at home, it’s very important to be careful, especially in the handling of the breast and also to sleep face up for 2 weeks. The only contradiction for this procedure is if you suffer of polycystic breasts. This is one of the procedures most frequently performed, because of the immediate results and the great personal satisfaction for the patient and also for her partner. The breasts don’t loose their sensibility, and after the surgery patients can breast feed their babies with out complications, in the event they become pregnant.
• Breast reduction
This is a procedure that takes approximately three and a half hours, it is necessary to stay in the hospital for 48 hours, and special cares at home for about two weeks after that. It depends on the volume of breast being reduced, also the amount and quality of the scars that could result of the reduction and as for the adjustment of the breast. Scars have the tendency to conceal 8 months after the operation. There is no lose of sensibility and the patient can breast feed without complications, in the event she becomes pregnant.
• Rhinoplasty (nose surgery)
This refers to nose surgery; it could be reconstructive or aesthetic. The aesthetic rhinoplasty is a procedure that takes approximately one hour or a little more. It’s an out-patient procedure, this means that the patient doesn’t have to sleep in the hospital. After the operation the patient remains for about 3 hours in the postoperative, then can return home.
It is very important to perform an evaluation before surgery to be able to determine the changes that will be performed to the nose and so doctor and patient can coordinate the desired results. (After the surgery )The patient will have to wear a plaster or plastic splint on the nose, for at least 5 days and after that some paper bandages for one more week.
• Face (facial) lifting
This is a rejuvenating procedure, the intervention takes about 3 hours. It consists of the treatment of cheeks and neck, usually eyelids are corrected and eyebrows lifted. This surgery requires the patient to remain in the hospital a couple of days, and at home the patient should rest to fully recuperate for about 12 to 14 days, as an average. The decision of having a face lift will depend of the evaluation of the patient with his doctor, and also of the characteristic and flabbiness of the skin.
• Blefaroplasty (eyelid surgery)
This refers to the surgery done to the eyelids, it’s a quick intervention which can be performed under local anesthesia and sedation. It lasts about 45 minutes to one hour, and it’s an out-patient procedure. It doesn’t require hospitalization, and recovery needs from a week to 10 days.
This refers to the surgery for open or prominent ears. It’s a simple procedure, its average duration is an hour and a half, it’s an out-patient procedure; it’s performed under local anesthesia and sedation. Stitches are removed after 10 days, and for 2 weeks after the operation the patient has to be taken care at home.
• Body liposculpture
This usually is an out patient procedure depending on the parts of the body to be liposuctioned. The changes in the patient are very important, especially in young patients with a good skin quality. The surgeon evaluates the patient before the procedure, to see if it should be combined with an abdominal surgery in which the abdomen is stretched and its muscles are corrected. Liposculpture always demands the use of wraps on the treated zones, lymphatic drainage massages, and the assistance of cosmetological treatment for an average of two weeks.
This surgery implies the stretching of the skin of the abdomen and the correction of the muscles, giving as a result a very flat abdomen and an excellent figure at expense of a horizontal scar just over the pubis, Usually this procedure is associated with a waist and hip liposculpture. It’s a surgery which requires a 48 hour hospitalization and more or less 10 to 15 days recovery. The surgery can be done under general anesthesia or peridural blockade, as the one used in a c-section. The postoperative also requires a cosmetological treatment with special bandages and lymphatic drainage.
• Hair implant
It’s an out patient surgery, sometimes it’s a lengthy procedure that could take from 2 to 6 hours, depending on the amount and volume of hair to be implanted. The patient should understand that it will take about 3 weeks for the new hair to grow, and that 10 to 15% of the implants are lost. The donor zone is usually in the back part of the head, from which stitches will have to be removed after 7 days of the intervention. Frequently, depending how severe the baldness is, more than one intervention is necessary, with in 2 or 3 months.
• Thigh surgery
This surgery can be an out patient procedure, if it’s performed only with liposuction; or it could require a 24 to 48 hour hospital stay, if the liposuction is associated with the lifting of the internal part of the thighs. This is decided according to the type of problem the patient has. In case of liposuction it’s an out patient procedure, which in the postoperative, the patient needs special bandages and lymphatic drainage. In case a lifting of the legs and liposuction is performed, the patient would require a 24 to 48 hour hospital stay, and also the use of bandages and lymphatic drainage in the postoperative. It can be performed under sedation, general anesthesia, or peridural blockade.
• Leg surgery
• Inferior maxillary surgery ( small or protruding jaw)
• Facial trauma
• Face and body congenital malformations
• Reconstructive surgeries in general: breast, corporal post trauma. etc.
PROCEDURES NO SURGICAL
The use of Botox is approved by legal medical institutions in our country and in North America. Botox is a toxin in which its infectious and toxic power has been reduced, so it can’t cause an infection or a general damage to the patient. Botox produces a local and temporary paralysis only where it has been applied with an injection. The duration of this temporary paralysis is about 6 months. The areas mostly treated are between the eyebrows, the forehead, and the area known as crow’s feet. The outcome is fabulous, however, results are temporary, and it’s important to realize that to maintain these results, a new infiltration should be considered.
• Injection for stuffed of furrows with you implant biocompatibles (Perlane, Restilane, Hyawronic Acid, PMMA).
For this purpose, biocompatible materials can be injected, as Perlane, Restilane, and Restilane for fine lines. The body degrades all these products, so they are not permanent and last for about 6 to 7 month. They are basically used for the filling of lines which run from the nose to the mouth, and lines that are over the upper lip. No serious secondary reactions have been registered. Another alternative of filling is the use of the own patient’s fat in the nasal creases, (Lines that run from the nose to the mouth).