Monthly Archives: February 2014

Alar Trimming, Alar Reshaping, Reshaping Rhinoplasty : Philippine Plastic Surgery

The nose is best evaluated and divided into 3 regions. These are the bridge, nasal tip area and alar rim-base area. The alar area of the nose is often called as the alar lobule. Alar rim thickness, contour and width often affect the character of the nose and the face as a whole. For patients that would have thick, overhanging and wide alar rim and/or alar base, often would have a strong and masculine nasal profile. This is commonly seen among Orientals and Asians.

In the Philippines, alar procedure like alar trimming, alar narrowing, alar plasty and alar re-contouring is often requested. This procedure soften the feature of the nose, by excising the excess and overhanging alar rim to improve contour and to thin out the thick alar rim. Also by removing the excess overhanging alar rim the procedure, exposes the columella of the nose when viewed from the side. This gives the patient a V-shape alar base.

Alar trimming or alar plasty is a powerful procedure in that it changes the nasal shape and influences facial character. By altering the shape and contour of the alar rim and base area, the nose and the face as whole, becomes less masculine and facial harmony between structures is attained.

Alar reshaping is usually performed under local anesthesia and surgery will take 1 to 2 hours to complete. Some patients prefer to be sedated during surgery for better comfort and to lessen their anxiety. If patient would have the procedure under sedation, an anesthesiologist will be required and pre operative laboratory test is requested. Alar surgery is a safe and straight-forward procedure, provided that patients should be adequately prepared before surgery. After the surgery, your nose will be swollen and may have some bruising. This will peak on the 3rd day and start to subside on the 4th day onwards. On the average, your nose will be socially presentable by the 7th day after surgery since most of the swelling had subside. Sutures are removed on the 5 and 7th day after surgery.

This surgery is a minor procedure. Some patient/s(not all) will need laboratory test or medical clearance prior to surgery. Only patient/s the following condition will require lab test:

Existing medical condition
Currently taking medications that may alter bleeding parameters
More thank 45 years of age with significant medical condition
Patients with hormonal problems or bleeding disorder
Patients who are taking herbal tea or medications or recreational drugs
Patients that prefer to have their surgery under sedation or general anesthesia

These are the laboratory test needs to be done with in a month prior to surgery if needed or indicated for any particular patient that may need further medical evaluation. Please be informed that laboratory test, medical evaluation and clearance cost or fees are not included in our package. These are the usual lab test needed to be done prior to surgery;

Complete Blood Count
Platelet Count
Bleeding Time
Clotting Time
Chest X-Ray
12L – EKG

If patients plans to have alar surgery, it would be ideal if they can send their doctor photos of their face and nose(front and side view) so that the doctor can evaluate their facial and nasal profile and be able to determine and plan the right procedure/s for their nose which will attain the result they want.

Also, it would help if you can see some before and after photos so that you may have an ideal of the possible outcome.

The cost or price of rhinoplasty or alar surgery in the Philippines is more affordable when compared to other countries in the west. Its best to discuss your procedure with the surgeon, so that you may know all your options and discuss your expectation and desired result.



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Brazilian Butt Lift in the Philippines

butt augmentationAlso known as butt augmentation and gluteal augmentation . 

At present the safest and most predictable way to enhance the contour and size of the gluteal area is by butt augmentation also know as gluteal augmentation. There are 2 types of buttocks augmentation, either by lifting using patients own fats or by surgical enlargement through an incision using preformed synthetic implant material.

The most common type of gluteal or buttocks augmentation is through a procedure called fat injection. This is also known as Brazilian Butt Lift, it involves and combines liposuction procedure around the buttocks area, such as the abdomen, thighs and back for the harvest of the fats. The fat is then process and purified before it is re-injected. This is why the procedure is also called fat transfer, fat injection and fat grafting.

Another way of enhancing the buttocks area is by the use of gluteal implants. This implants are much stronger than the usual breast implants, this made of an elastomer that does not leak. The implants are placed using a small incision through the fold between the gluteal cheek. It is placed between the gluteal muscles. And occupies the upper portion of the buttock. The incision scar will normally heal with the fold that is barely visible.

Any procedure be it surgical or not, has its inherent risks and complication. This is why, patients should be properly selected and thoroughly prepared prior to surgery be it a minor or major procedure. With this patient’s health is not compromise and results are maximize. For gluteal augmentation, the most common complication is seroma fluid accumulation. This is the fluid accumulation in the pocket were the implants were place. This may lead to dehiscence or gaping of the incision scar with leak of fluids. This may persist for weeks or months depending on the severity of the condition.

Any cosmetic procedure, like butt augmentation surgery involves many choices. The first and most important is selecting a surgeon. Your surgeon should have at least completed 5 to 7 years of surgical training. He or she is trained and experienced in all plastic surgery procedure, including breast, body, face and reconstruction. Your surgeon should be able to operate in accredited medical facilities. And most importantly he or she, should be board certified in his or her surgical specialty.

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