Aesthetic Technique without cuts
|Clínica Naturale I - São Paulo
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Moema – São Paulo
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|Clínica Naturale II - Interior
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Limeira – São Paulo
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The Plastic Surgery Without Cuts
The aesthetics fields of medicine have developed quickly abroad and mainly in Brazil, one of its largest centers in the world. The doctors in these specialties need to recycle frequently under the risk of turning obsolete, such the speed of the progresses. We've experienced the revolution caused by Botox, the LASER, the lipoesculpture, the cosmiatry, and the Fillings, among others. Now, a new evolution begins to happen. It is known as Bioplasty, the plastic surgery without cuts, which can be applied to the face and the body.
Due to the fact that it does not make use of cuts, it doesn't need great anesthesia, it allows the patient to return to his routine immediately after the procedure, and mainly due to its good results, Bioplasty brings to body and facial aesthetics the same trend that has been observed in all fields of the medicine: the Minimally Invasive Treatments
Bioplasty has already been used almost secretly by famous, Misses, models, artists, and people who depend on good looks all over the world. Many international stars have come anonymously to Brazil to be treated. Arab Sheiks and petroleum millionaires have invited Brazilian doctors to go to the Middle East to perform buttock enlargements and to harmonize the face and body of their women . It all has happened in a very discreet way. Bioplasty is getting more popular. Not only famous but also ordinary people long for its benefits and a revolution in medical aesthetics begins to take place.
Bioplasty has a lot of applications, that can be divided in 3 fields :
Bioplasty - Beauty Improvement
The lines that give harmony and beauty to the face have been studied. It was noticed that beautiful women in the Western World have some characteristics in common: a more prominent malar bone , a well marked jaw outline, a light depression in the cheek - the "blush effect" - and a well established proportion between the nose and the chin. These characteristics are widely known in the fashion industry and in the marketing field. A lot of models are chosen based on these characteristics. These characteristics are also frequently observed among artists of success, to whom the facial beauty is quite important.
Also, for the men, we can find these well established characteristics of facial beauty: A large jaw, is masculine. Men need a more defined jaw, a more right mandibular angle is also important. Bioplasty can create or enhance these beauty lines in the face, increasing the malar area and defining the jaw. Bioplasty can work on the nose and the chin. What is really important is a balanced relationship among the structures of the face, including the nose, the chin , the malar bone and the mandibular area.
This is the type of Bioplasty that improves the beauty. Bioplasty can make even more beautiful what is beautiful already and it offers better facial and body harmony for who were genetically not favored. Bioplasty can also increase the volume of the lips, correct the nose, the chin and imperfections, and give a better appearance in an easy way, without cuts or surgery .
With the same idea, we can also use the technique for the body. Bioplasty has been used mainly for buttocks and calf augmentation . The role of the buttocks in Brazilian women's beauty standard and now for women all over the world is easily perceptible when we observe the beachwear fashion. We can notice the exhibition and valorization of this part of the body exalted in Brazilian's beachwear fashion, the famous "Tanga".
Bioplasty also gets to enhance the beauty of the body, augmenting and remodeling the buttocks, as well as the calf.
II - Bioplasty - Rejuvenation
In the aging process, sagging, drooping and wrinkling of the skin occurs naturally on the face and the neck. Not only the surface of the skin but also the deepest layers also change and lose volume due to fat loss and the tightening of the muscles. Then, wrinkles, large furrows, folds and laxity appear. We can notice the loss of the definition of the jaw, with the face skin being blended with the neck skin. The unpleasant double chin of flaccid skin occurs under the chin. Bioplasty for rejuvenation acts reestablishing volumes, redefining the jaw, and correcting furrows, folds and wrinkles. As part of the process, the beauty signs are created or reestablished, allowing an improvement of the appearance. Bioplasty doesn't compete with the other methods, like the cosmiatry, the botulinum toxin, the LASER and the peelings, that can also be used complementarily. Bioplasty, always in a Minimally Invasive way, recovers and maintains the beauty.
The hands also suffer the aging process, with the loss of conjunctive tissue. A thinner skin shows more laxity and age spots. The back of the hands reveals the tendons and the veins, giving them an aged aspect. Bioplasty can recover these volumes and disguise veins and tendons. Along with associated treatments to improve the quality of the skin, such as cosmiatry and LASER / Photorejuvenation, it is possible to recover the aesthetics of the hands.
III - Bioplasty - Correction
Bioplasty can correct alterations, such as the tip of the nose, the weak chin, the thin lips, the weak jaws without definition, among others. Small nose humps can be treated as well.
With the Bioplasty, it is possible to achieve chin and jaw augmentation , create larger, more defined and young-looking lips, retouch the nose and remove acne scars.
The Signs of Feminine Beauty
Everyone recognizes the beauty and there is an almost universal consensus about it in globalized societies. The collective unconscious is highly influenced by the media, but it hasn't lost its biological evolutionary nature: the beauty signs are millenarian in the human race. We know what is beautiful, but we don't know how to explain the reason. Although we still cannot reach the soul, part of the beauty, we can at least know its surface. Then, studying the Western Feminine Beauty anatomically, we can find some signs that are almost always present:
1 - The cheeks (malar area) are prominent, but with discretion.
2 - The prominent malar area is prolonged to the zygomatic area (zygomatic bone) towards the superior part of the ear. The discreetly prominent zygomatic bone narrows and finishes smoothly in the general level of the face.
3 - The "blush effect" is a depression formed by the prominences of the malar and the zygomatic bones on one side and of the jaw on the other. It is a main / important beauty sign.
4 - A well defined jaw, with certain proportion between its two parts, and the angle between them tending to be right (the jaw has two parts: the branch and the body, forming an angle at the point where they meet). The well marked jaw helps to create the "blush effect ".
To exemplify these signs we will use a natural beauty, one that hasn't had our help. A beauty that was a chance in nature, a happy genetic coincidence, or as we prefer, a delicate divine creation: the French actress Catherine Dorléac, known as Catherine Deneuve, who was born in October 1943, in Paris and who's now in her sixties, ambassadress of UNESCO for the preservation of the world cinematographic patrimony. A beautiful woman internally and externally.
The Signs of Masculine Beauty
The masculine beauty signs are not well known. But although masculine beauty is seen with distrust by men themselves, it occupies a new position nowadays. Men of all the ages begin to seek, in a growing rhythm, what women have already accepted and conquered for a long time: the improvement of the self-esteem and better social insertion. The definition of Metro sexuality is still insufficient to determine the actual behavior revolution that has affected men in the beginning of this century, and that is still not well understood. In our clinic, we've received a growing legion of men who seek the aesthetic treatments that only now begin to be considered by the doctors in this field. We can use the same resources, but the treatments cannot be the same ones used for women. Male characteristics have to be very well established.
Also, for men, we can find these well established characteristics of facial beauty: a large jaw is masculine. Man need a more defined jaw, which gives the sense of symmetry and balance. A weak jaw can make a normal nose seem large and an already prominent nose look even larger. On the other hand, a too prominent jaw may give a too strong appearance, which is not beautiful. A more right mandibular angle is also important. Bioplasty can create or enhance these beauty lines in the face, increasing the malar area and defining the jaw, as well as creating a depression in the area of the cheek called the " blush effect". Bioplasty can work on the nose, lifting its tip or removing a dorsal nasal hump. A weak chin, like a weak jaw, can make a normal nose seem large and a already prominent nose look even larger. Bioplasty can perform a chin augmentation. But what is really important is a balanced relationship among the structures of the face, including the nose, the chin , the malar and the mandibular areas, with a discreet "blush effect".
1 - A malar and a zygomatic area with very discreet prominence, not as much as in women.
2 - A well marked jaw, with certain proportion between its two parts with an angle tending to be right (the jaw has two parts: the branch and the body, forming an angle between them, at the point where they meet). The well marked jaw helps to create a discreet "blush effect ".
3 - Wide and proportionate chin
4 - Proportionate and straight nose
To exemplify these signs, we will use Michelangelo's Work, David.
The Bioplasty Technique
The Injectable Product
The injectable product used in Bioplasty is the PMMA, ( polymethymethacrylate microspheres) a product that is accepted biologically and that has been used in medicine since 1950. The PMMA began to be used in hip prosthesis, later in lenses placed inside the eye, surgical supporters, and more recently as aesthetic implants. The PMMA used in aesthetics is especially prepared for this purpose , with standard-sized micro spheres which have the necessary properties for the aesthetic implant in the face and the body.
Each area receives certain concentrations of the product, that is available in 3 concentrations, 2%, 10% and 30%. PMMA, that is Biocompatible, can be placed close to the bone, and molded in the desired format. The desired form and volumes are previously drawn. The PMMA will adhere to the bone and adjacent tissues, and become part of them. The PMMA can also be used in the muscle, as in buttocks augmentation. It can be put in the fat tissue as well as in the skin, to treat wrinkles and furrows. In this tissue there is also a biocompatibility and the PMMA will react with the tissue, becoming part of it too. Due to the mobility of the product, that can be used in bones, muscles, fat and skin, we've chosen PMMA to be used in Bioplasty.
Blunt-tipped microcannulas that Inject the Product
The technique of Bioplasty uses blunt-tipped microcannulas, specifically designed to minimize the risks of injury to tissues, vases and nerves. All the treatments are performed through micropunctures, under the skin and near the structures of the body, without any cuts and without the need of skin sutures. The treatments are performed through a minuscule micropuncture, smaller than 0,5 mm (smaller than a pinhead_, where the blunt-tipped Microcannulas are introduced. They will transport the microespheres of PMMA to the desired place, to achieve the transformations of Bioplasty. Everything is performed under local anesthesia.
Pos - Bioplasty
The patient can go home immediately, just after the end of the procedure. No cuts or sutures are necessary. The minuscule micropunctures are covered by small pieces of hypoallergenic surgical tape, that are kept in place for 2 days. Although some transitory signs of the treatment may appear, if the patient wants, he's allowed to return to his routine on the same day. The signs disappear in a few days. Cold compresses and a mild analgesic and an anti-inflammatory are prescribed and should be taken for a few days
Performing a Bioplasty
Bioplasty is performed at the our own clinic or in our Day Hospital, under local anesthesia, with the patient backing home in the same day.
The Technique of face and Body Bioplasty is an outpatient procedure, what means that internment is not necessary.
The whole treatment is performed under local anesthesia. No sedation is needed .
Bioplasty can even be performed in a office, but we prefer performing it in our day hospital, which is very similar to a clinic.
The "Day Hospital São Paulo LASER and Medical Center" was created by a group of doctors, of which the Naturale Clinic is part, to offer all the technical conditions of safety and of asepsis requested in the aesthetic procedures, but in a pleasant atmosphere and a with personalized and friendly attention, similar to an office.
1 - The patient comes to Naturale Clinic for a initial doctor consultation, when the doctor will evaluate the patient and to plan the procedure. If necessary, some tests will be requested.
2 - Pictures are taken and the procedure of Bioplasty is scheduled
3. The patient goes to the Day Hospital in the scheduled day and time.
4. The doctor performs pre-established demarcations on the face or on the buttocks, that are the procedure plans to guide the treatment.
5. The local anesthesia is performed.
6. Bioplasty is then executed. It takes about 40 to 60 minutes for the face and 1 hour and a half for the buttocks. Blunt-tipped microcannulas are used, which are specifically designed to minimize the risks of injury to tissues, vases and nerves. All the treatments are performed through micropuncture, under the skin and close to the structures of the body, without any cuts and without the need of sutures. Minuscule micropunctures, smaller than 0,5 mm are done, through where the blunt-tipped Microcannulas are introduced. They will transport the microespheres of PMMA to the desired place. Everything is executed under local anesthesia. The injections are performed with the help of a manual injector especially developed for this purpose. With models for the face and for the buttocks, this injector is capable of injecting exact amounts of the product , what allows a predictable application. The demarcations guide the doctor to perform the intended alterations. The patient is totally conscious and talking with the doctor during all the procedure. Sedation is not necessary. After the treatment , there is no need of sutures, just an hypoallergenic surgical tape is put on the micropuncture and it is kept for 2 days.
7. The patient can go back home immediately after the procedure.
8. Bruising and swelling may occur and they disappear within 3 to 15 days
9. A mild analgesic and an anti-inflammatory are prescribed and should be taken for a few days
10. The patient can return to his professional activities on the same day or on the following day, although there may be some swelling and some bruising .
11. The patient will come back to the clinic for evaluation after 5 or 6 days
Bioplasty can be used complementarily with other methods. That means the phenol peelings, LASERS / photorejuvenation , Botox, and the cosmiatric creams can be used and there is not incompatibility among them. The doctor who has all of the methods on hand can choose the best ones for the patient. Bioplasty can enhance the beauty, rejuvenate and correct. Botox, LASERS / photorejuvenation and peelings will treat the most superficial skin. The creams will treat the photoaging and photomelanosis and will prevent the aging, besides restoring the skin. Surgeries can also be used for those cases when Bioplasty and the minimally invasive methods do not apply. Surgeries could complete or be completed by Bioplasty, when it is necessary.
Bioplasty can also be used after lifting procedures. After the lifting, the aging process continues. Furthermore, it is not desirable to repeat this type of surgeries frequently because the natural aspect of the face can get lost. Then, Bioplasty can be used to avoid frequent liftings. On the other hand, when the lifting has already been performed, a little loss of the deep tissues and a thin aspect of the face are observed. Bioplasty can help restore the lost volumes.
Advantages of the new method of Bioplasty
Due to the great results of the treatment, its low risks and the simplicity of its execution, the new technique of Bioplasty - the plastic surgery without cuts - has been widely accepted by both doctors and patients.
Bioplasty was created according the trend of minimally invasive methods that ahs been observed in all areas of the medicine. Bioplasty offers good results, but with low risks and without great execution difficulties.
The new technique has a wide variety of applications, divided in 3 fields:
Bioplasty that improves the beauty, Bioplasty that rejuvenates and Bioplasty that corrects
Naturale Clinic, the pioneer in the use of Botox in the hiper-hidrose treatment, in the surgery of varicose veins with LASER, in Crioescleroterapy, and in several other important techniques, continues in the vanguard and already offers Bioplasty in its two 2 clinics.
Miguel Francischelli Neto MD, PhD, Head of the Naturale Clinic, already performs the new technique of Bioplasty with polymethymethacrylate microspheres: PMMA.
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