Tuesday 22 December 2015

Beautiful Breasts After Mastectomy


If you have undergone breast reconstruction following a mastectomy you may wish to complete your new breast/s with a reconstructed nipple areola complex.

Ocean Clinic Marbella offers two nipple areola reconstruction methods – reconstruction using tissue or a 3D nipple tattoo (micropigmentation). Read on to discover more about each technique…

Nipple areola reconstruction using tissue


Around three to four months after breast reconstruction surgery, once your new breast/s has had time to heal, you can have a simple surgical procedure to recreate a nipple from existing breast skin.

The surgeon makes small incisions around the site where the nipple would usually be located in order to create several flaps of skin. This skin is then elevated and shaped into a nipple mound.
The areola can be recreated with skin taken from elsewhere on the body, such as the inner thigh or buttock crease. 

The new nipple and areola is then tattooed to simulate the natural colours, which will be matched to your existing nipple in the case of singular mastectomy. 


Nipple areola reconstruction using 3D micropigmentation


It is also possible to reconstruct the nipple areola non-surgically, via 3D micropigmentation (also know as medical tattooing). This allows colour pigmentation to simulate the nipple areola without the contour of an actual nipple.

Biopigments are tattooed permanently into the skin’s epidermis with a thin, sterilized needle. Our skilled micropigmentation specialist is able to use pigment in shades that make the flat tattoo look three-dimensional.

The result can be highly lifelike and this method avoids the need for further surgery, which patients may prefer following the trauma of mastectomy and breast reconstruction. Micropigmentation of each nipple takes between 45 to 60 minutes and is not painful. 


3D micropigmentation in other breast surgeries


Micropigmentation can also be used to correct areola asymmetries following breast augmentation or reduction or to restore pigment in white scar tissue around the areola.


If the patient has suffered from areola necrosis, micropigmentation can also be used to reconstruct the nipple.

Equally, micropigmentation can be used independently of surgery, where patients desire to change the shape or colour of their areolar. As women age, areola tone begins to fade however Micropigmentation can be used to restore youthful colour. This technique can also be used to correct nipple areola asymmetries, which often appear at puberty, or simply improve on a patient’s natural shape.

Reconstruction of the nipple areola helps put the finishing touches on your new breast after a long journey in reconstruction. To find out more, book a free consultation.

Monday 14 December 2015

Do Your Hands Give Away Your Age?


As we age, we often fret over lines and wrinkles appearing on our face. In fact, facelifts are one of the most frequently requested procedures here at Ocean Clinic Marbella.


However, there is another part of our body, which can give away our age just as accurately – our hands. Hands can even make us look older than we actually are, because they can be prone to premature aging.

The good news is, there are an increasing number of hand rejuvenating treatments that can turn back the hands of time. Read on to find out more…

Why hands can age prematurely


Hands are the workhorses of the body – in constant use and exposed to sunlight, water and soap more than any other part of the anatomy.

In addition to this, the skin on the backs of the hands is thinner than elsewhere, which is why hands can age even faster than the face. Those with pale skin are particularly prone to premature ageing of the hands because sun exposure plays a big role in the ageing process.

The first signs of age tend to show on our hands around age 30. At this point skin-cell production decreases by 10%, making skin less efficient at repairing itself. Skin can become wrinkly and crepe-like and dry out more easily.

And because there is very little fat on the backs of the hands, they can also quickly lose plumpness as collagen and elastin breakdown. This causes veins, tendons and knuckles to look more prominent, giving the appearance of old hands.

Rejuvenating treatments for ageing hands


Ocean Clinic Marbella offers three different treatments that help improve the appearance of ageing hands:

    
·      Injectable fillers
·      Restylane Skinboosters
·      Fat grafting
·      Chemical peel

All three are non-surgical cosmetic procedures, performed on an outpatient basis and require no downtime.

Injectable fillers


To plump out hands that have lost volume we can use the same wrinkle-filling injections that are used on the face, such as JUVEDERM, Restylane or Emervel.

Once injected, the filler is massaged across the back of the hand to plump up and fill in the entire area, and smooth out wrinkling. It is a very low risk treatment and takes less than 20 minutes.

Results can last significantly longer than fillers injected in the face because the back of the hand has fewer muscles and less muscle activity capable of breaking down the filler. Patients may only need to visit for a top-up every couple of years.

Restylane Skinboosters


Before
After
Restylane Skinboosters can be used to improve the quality of the skin on the hands, increasing its smoothness, elasticity, thickness and firmness.





Each treatment involves a series of hydrating microinjections of long-lasting hyaluronic acid, also called stabilised HA, a water-loving substance found naturally in the body that maintains hydration in the skin. 

The hyaluronic acid is injected into the skin over a course of three treatments, each approximately four weeks apart. Results last around six months and the treatment can also be used alongside fillers to achieve an enhanced result.  


Before
After

Fat grafting


We can also replace lost volume in the backs of your hands with your own fat.
Donor fat is taken from another area of the body, such as the stomach or thighs. Only a small amount of fat is required and it is removed with a very fine needle-like cannula.

It it is transferred to the hands via microinjection; tiny droplets are injected, ensuring the fat is spread smoothly and evenly across the backs of the hands.

Using a patient’s own fat as a filler offers a number of benefits. The fat is transplanted as living cells – 40 to 60% of which are able to obtain a blood supply and become permanent tissue. This means that the appearance of the hands is improved permanently.

In addition to filling and plumping, the transplanted stem cells also help improve the texture of the skin, improving the appearance of crepeness.

Chemical peel


Liver spots, also known as age spots, are another sign of ageing hands. These brown freckles are caused by sun exposure and are very common amongst sun worshipers here on the Costa del Sol!

To help reduce the appearance of liver spots, and also fine lines, we can carry out a light chemical peel. A chemical peel removes the top layers of skin, to reveal new skin underneath and stimulate collagen production.

You will probably need two to three treatments at two to four week intervals to achieve optimum results. The treatment is very easy to carry out and will not prevent you from using your hands. Your hands will, however, be especially sensitive to the sun after treatment, so it is important to protect them with a high SPF sun cream.

Keeping your hands youthful


Frequent washing of hands and exposure to the elements strips them of their protective oil mantle, so it’s vital to replace lost moisture with a good hand cream.

Look for creams with ingredients such as shea butter, macadamia nut oil, olive oil, vitamin E, and glycerine, and moisturise your hands at least once a day (just before bed is best).

To keep hands looking young it’s also important to protect them from the sun. If you’re going outside (even if it’s cloudy) apply sunscreen to your hands, and re-apply each time you wash them.

Would you like younger looking hands? Contact us for a consultation and find out what we can do for you.


Wednesday 9 December 2015

Kick-Start New Year Weight Loss with a Gastric Balloon


Ocean Clinic is delighted to announce its partnership with Dr. Michael Peters, an experienced gastroenterologist and internal medicine specialist.


Dr. Peters will be expanding the range of treatments on offer at Ocean Clinic Marbella with the addition of gastric balloon endoscopy, which offers a safe, temporary aid to weight loss. 


What is a gastric balloon?

A gastric balloon is a silicone balloon filled with between 500 and 700 millilitres of sterile solution, which is inserted into a patient’s stomach to help them lose weight.  The balloon fills up half of the stomach so there’s not much room left for food. This means the patient will feel full quickly.

What kind of patient is suitable for gastric balloon treatment?

The balloon can be used in two ways. The first is for extremely obese patients with a BMI (body mass index) of 34 or over. They can use the balloon to lose weight before having a gastric bypass operation, where they have part of their stomach removed. They need it to be fit for the operation because the risk is increased the heavier they are.

The second way it can be used is to help moderately overweight people who are struggling to lose weight. The balloon is licenced for people with a BMI starting at 28. The balloon is ideal for them because they can loose between 10 to 15 kilos in six months. During this time, people are very aware of what they eat and drink. It helps them focus on their nutrition and start making lifestyle changes.

How is gastric balloon treatment carried out?

The treatment is carried out in hospital because we need to protect patients’ airways when we insert or remove the balloon and it requires a general aesthetic. The operation involves two gastroscopies, one to put the balloon in and another one to remove it after 6 months. These gastroscopies (or upper endoscopies) take in total about an hour from coming in and leaving. You wake up feeling like you’ve had a nice sleep.

Are there any risks involved?

We’re using the balloon that’s been on the market for the longest time and is totally safe for up to six months. It’s removed after six months because if it’s left longer ruptures could appear.

The balloon is filled with blue liquid and if it ruptures the blue colour will appear in the patient’s urine so they know immediately and we can remove it. The risk is that the balloon travels into the intestine, where it could cause a blockage, but this is truly rare.

Can you feel the balloon inside your tummy?

At the beginning people say yes, but after a couple of days it settles in the right spot and then people don’t notice it any more. They only know that they start eating something and after a couple of spoons they’re full. They don’t have any desire to eat anything more and that’s how it works.

How quickly does weight loss start?

Immediately. Patients lose weight every day – roughly half a kilo to a kilo per week. People are extremely enthusiastic about that, but that’s the easy bit. The hard bit is changing their lifestyle and understanding how they’re going to maintain their weight after the balloon is removed.

Do patients on a restricted diet suffer from low energy or any other side effects?

They shouldn’t. Even the small stomach has enough room for them to feed properly. We do blood checks after four to six weeks to check there’s no misbalance and we have regular follow ups to make sure they’re eating well and getting all their nutrients. 

When the balloon is removed does normal appetite instantly return?

Yes it does. People will put on some weight after it’s removed. It’s vital patients learn during the six months how to eat well, manage their food and how to integrate sport into their daily life, so they can maintain their weight loss.

Do you help people to adjust their lifestyle?

In the follow-up appoints we talk about what they eat and how often they eat. They don’t have to count the calories – the important thing is they eat a balance diet of fresh, unprocessed food.

If necessary we can organise a personal trainer and a nutritionist to help the patient in adjusting their diet. We can also arrange for them to see a psychologist. Some patients need that more than anything else in order to learn how to control their anxiety or desire to eat.

The balloon gives patients six months to change their habits. After that time, if they’re not ready to go it alone or want to wait a bit longer before having a gastric bypass they have the option of another gastric balloon.

Gastric balloon surgery at Ocean Clinic Marbella starts at €4,500 including monthly follow-ups with the doctor. Contact us for a consultation.