GUADALAJARA, MÉXICO

FACIAL SURGERY

Plastic Surgery of the Face & Head

There are many ways to improve your appearance and your confidence. Aesthetic facial plastic surgery can improve your facial features, hair, and skin with procedures that help you look younger, reshape features, or correct injuries. Juan Gordillo M.D is qualified, trained, and experienced in performing a full range of procedures for the face and head.

Blepharoplasty (Eyelid Surgery)

Eyelid surgery is a surgical procedure to improve the appearance of the eyelids.
Surgery can be performed on either the upper and lower lids, or both. Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.

Procedure

Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision Excess fatty deposits that appear as puffiness in the eyelids Bags under the eyes Drooping lower eyelids that reveal white below the iris Excess skin and fine wrinkles of the lower eyelid.

Length

Approximately two hours.

Anesthesia

General anesthesia or intravenous sedation and local anesthesia are used.

Inpatient/Outpatient

This is an outpatient procedure.

Possible Side Effects

Temporary discomfort, feeling of «tightness» in the eyelid area, swelling or bruising. Excessive tearing and sensitivity to light for the first few weeks should be expected. Temporary dryness, burning, or itching of eyes may also occur but these side effects are rare.

Results

For some, the improvements from this procedure will last several years and may be permanent for others.

Risks

Temporary blurred or double vision, infection, bleeding, swelling at the corners of the eyelids, dry eyes, formation of whiteheads, slight asymmetry in healing or scarring, difficulty in closing eyes completely (which is rarely permanent), and a lowered position of the lower eyelid of the lower lids which may require further surgery. Permanent loss of vision is a risk but this is extremely rare.

Recovery

The patient may begin reading after about two to three days and can expect to return to work at approximately three to five days. Use of contact lens may be resumed after two weeks. The patient should not consume alcohol after the surgery. More strenuous activities and alcohol consumption may be resumed after three weeks. Bruising and swelling should be gone after several weeks.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Face Lift

Facelift is a surgical procedure that improves visible signs of aging in the face and neck.

Procedure

Useful to correct:

Sagging in the middle of your face.

Deep creases below the lower eyelids.

Deep creases along the nose extending to the corner of the mouth.
Fat that has fallen or has disappeared.

Loss of skin tone in the lower face that creates jowls.

Loose skin and excess fatty deposits under the chin and jaw can give even a person of normal weight the appearance of a double chin.

The loss of youthful contours in the face can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress.

Rejuvenation procedures typically performed in conjunction with a facelift are brow lift, to correct a sagging or deeply furrowed brow, and eyelid surgery to rejuvenate aging eyes.

Length

Approximately four hours.

Anesthesia

Usually general anesthesia is used or sedation and local anesthesia.

Inpatient/Outpatient

Overnight hospital stay.

Possible Side Effects

Temporary bruising, swelling, numbness and tenderness of the skin, as well as a tight feeling and dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.

Results

For some, the improvements from this procedure will last several years and may be permanent for others.

Risks

Injury to the nerves that control facial muscles or feeling (which is usually temporary but in rare cases may be permanent), infection, bleeding, poor healing, excessive scarring, asymmetry and a change in the hairline.

Recovery

The patient may return to work after ten to fourteen days. More strenuous activity may be resumed after three weeks or more. Bruising should begin to disappear after seven to ten days. Sun exposure must be limited for several months after surgery. The use of a sun block that provides both UVA and UVB protection is recommended.

Results

Most facelifts can be expected to maintain optimum appearance for five to ten years.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Facial Liposuction

Removes areas of excess fat from the face and neck.

Procedure

Facial liposuction has become a common cosmetic procedure, either on its own or in conjunction with facelift or other facial procedures. It consists of the removal of unwanted fatty tissue with a cannula and vacuum device promoting and improving facial shape like jaw line or even using laser lipolysis approach.

Length

Half an hour to one hour approximately.

Anesthesia

Depending on the patient, local anesthesia or local with intravenous sedation. 

Inpatient/Outpatient

Outpatient procedure.

Possible Side Effects

Swelling, soreness, and a temporary burning sensation are usually experienced in worked areas. Perfectly controllable with outpatient treatment.

Risks

Infection, asymmetry of the face, pigmentation changes (hyper or hypo) and decreased sensibility of the areas.

Recovery

The patient may return to work after two to three days. Full recovery time is between fifteen to twenty days, during which the patient will be asked to wear a night compression garment.

Results

The procedure achieves good results in patients with excess fat along the jowl and in the neck, good skin elasticity, and minimal platysmal banding.

 

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Otoplasty

Improves the appearance of the ears. Ear surgery creates a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound benefits to appearance and self-esteem.

Procedure

If protruding or disfigured ears bother you or your child, you may consider plastic surgery.

Specifically ear surgery can treat:

  • Overly large ears — a rare condition called macrotia.
  • Protruding ears occurring on one or both sides in varying degrees.
  • Adult dissatisfaction with previous ear surgery.

Length

Approximately two hours.

Anesthesia

Young children are usually given general anesthesia. For older children or adults, a general or local anesthesia can be used along with sedation.

Inpatient/Outpatient

Usually this is an outpatient procedure.

Possible Side Effects

Temporary throbbing, aching, swelling, redness and/or numbness.

Risks

Infection of cartilage, excessive scarring, blood clots that may need to be drained, mismatched or artificial-looking ears, or the recurrence of the protrusion, which requires repeat surgery.

Recovery

The patient may return to school or work within five to seven days, and resume strenuous activity, such as contact sports in one to two months. A compression garment is required to use for 4 weeks.

Results

Usually permanent.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Rhinoplasty

Improves the external shape of the nose and enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose.

Procedure

Rhinoplasty, also called nose surgery, reshapes the nose by reducing or increasing the size, removing a hump, changing the shape of the tip or bridge, narrowing the span of the nostrils, or changing the angle between the nose and upper lip.

Procedure to correct a deviated septum

This procedure may also relieve some breathing difficulties when combined with surgery performed on the nasal septum. Nose surgery that’s done to improve an obstructed airway requires careful evaluation of the nasal structure as it relates to airflow and breathing.

Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignment.

Length

Surgery takes approximately one hour or more.

Anesthesia

General anesthesia.

Inpatient/Outpatient

This is an outpatient procedure.

Possible Side Effects

Temporary swelling, bruising around the eyes and/or nose, and some bleeding and nasal stuffiness.

Risks

Infection, asymmetry, unsatisfactory nasal shape and incomplete improvement (which would require additional surgery) are possible.

Recovery

The patient may go back to work after three to five days. Activities that are more strenuous may be resumed after two to three weeks. The patient should avoid any activity that could impact on the nose or allow it to become sunburned for at least eight weeks. The use of a sunblock that provides both UVA and UVB protection is useful. The final results may take one year and sometimes longer to achieve.

Results

Permanent.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Mentoplasty (Chin surgery)

Improves the external shape of the chin.

Procedure

Mentoplasty, also called chin surgery, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone. Many times a plastic surgeon may recommend chin surgery to a patient having rhinoplasty in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose. Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.

Length

Surgery takes approximately one hour.

Anesthesia

General or intravenous sedation and local anesthesia are used.

Inpatient/Outpatient

This is an outpatient procedure.

Possible Side Effects

Temporary swelling, bruising around the mouth and/or neck, and some bleeding and chin stuffiness.

Risks

Infection, asymmetry, unsatisfactory chin shape and incomplete improvement (which would require additional surgery) are possible.

Recovery

The patient may go back to work after one week. Activities that are more strenuous may be resumed after two to three weeks. The patient should avoid any activity that could impact on the chin or allow it to become sunburned for at least eight weeks. The use of a sunblock that provides both UVA and UVB protection is useful. The final results may take one year and sometimes longer to achieve.

Results

Permanent.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Hair Restoration

Restores natural hair to areas of hair loss.

The truth about hair loss.

Baldness is often blamed on poor circulation to the scalp, vitamin deficiencies, dandruff, and even excessive hat-wearing. All of these theories have been disproved. It’s also untrue that hair loss can be determined by looking at your maternal grandfather, or that 40-year-old men who haven’t lost their hair will never lose it.

Hair loss is primarily caused by a combination of:

  • Aging.
  • A change in hormones.
  • And a family history of baldness.

As a rule, the earlier hair loss begins, the more severe the baldness will become.

Hair loss can also be caused by burns or trauma, in which case hair replacement surgery is considered a reconstructive treatment, and may be covered by health insurance.

Procedure

Also called hair transplant surgery, hair restoration surgery involves surgically removing hair follicles from one area (usually the back of the head) and transferring them to bald or thinning areas of the head. Because hair grows in groups of one to three follicles, it can be transplanted in these small increments and placed close together for natural looking results. Follicular unit extraction (FUE) devices are typically used to perform this process. A strip graft is another surgical method. Because the patient’s own hair is used, the grafts are not rejected by the body.

Length

The length of the surgery depends on the amount of hair being transferred. Several transplant sessions are typically required, but will depend on patient needs and the surgeon’s preference.

Anesthesia

This procedure is performed with injections of local anesthesia 

Inpatient/Outpatient

This is an outpatient procedure.

Risks

Risks include infection, excessive bleeding, and noticeable scars. The transplanted plugs of follicles may die. The donor area may feel numb initially, but usually returns to normal within two months.

If natural hair loss continues after transplant surgery, areas around the grafted follicles may look unnatural and unattractive. The appearance of these areas may be improved with additional surgery.

Recovery

The patient can return to work within a few days, but should avoid strenuous activity for approximately five to ten days. Small scabs will form around the grafted follicles and will fall off within a week. Hair in the grafted follicles will shed in approximately two to four weeks, and will begin to grow back within approximately three months. Final results are typically achieved in eight to ten months.

Results

Hair in the restored areas is permanent and will grow like the original hair in terms of color and texture. When performed by a skilled surgeon this procedure is typically rewarding and improves self-confidence.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

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