Category: health

Information on Breast Augmentation

Breast reduction is the second most common surgical repair procedure after abdominal repair. It helps to correct a disabling breast enlargement that affects young women, or menopause.

There is unfortunately no medical treatment to treat breast hypertrophy and only a reduction surgery can treat the patients suffering from this discomfort (and disgrace) with quality. As a very frequent reason for consultation, breast reduction surgery satisfies the vast majority of patients, thanks to current surgical progress and rigorous postoperative follow-up. The benefits are as well aesthetic with a round breast and nicely contoured, psychic with a normal ease to dress recovered and a confidence restored, but also physical since the patient regains a real comfort in the postural.

There are a large number of surgical techniques to correct breast hypertrophy: cases of gigantomastia (withdrawal of at least one kilo per breast), tuberous breasts, asymmetric breasts, narrow or wide breasts, associated or non-associated chest deformity. .. The intervention strategy will be established by the plastic surgeon during the preoperative consultation.
The intervention
The procedure is always under general anesthesia, and the duration of hospitalization is one to two days depending on the case. A preoperative assessment is established and a visit with the anesthetist must be observed at least 48 hours before surgery. The glandular excess is removed and sent systematically in histological analysis. The mammary gland is reconcentrated, in order to obtain a well-shaped breast and of natural and harmonious form. The areola is often diminished and always ascended. The excess of skin is removed and the practitioner proceeds to the cutaneous reappearance of the breast.

A drainage is set up for one to two days, as well as a moderately compressive dressing that will be removed the day after the procedure for a sports bra, adapted to the new morphology of the patient. This bra should be worn for several weeks to maintain the bandages (the first days) and for comfort. The pain following the procedure is low to moderate and fades with the use of conventional analgesics. The patient should avoid violent physical activity the month following the procedure. Disorders of sensitivity to the areola may occur but this is normal, transient, and almost always fades after several weeks.

The results are optimal a few months after surgery, the time that the edema is absorbed, that the cicatricial maturity is established and that the mammary tissues soften.

Germe’s risks on Rhinoplasty

Germe’s Rhinoplasty Las Vegas

complications of abdominoplasty & rhinoplasty


As a result of any operation, certain complications may occur, some inherent to the medical and / or anesthetic procedure, and others specific to abdominoplasty and rhinoplasty.

Good safety practices limit serious risks but do not remove them.

Some risks, fortunately exceptional, can be unpredictable and involve the vital or functional prognosis (embolism, paralysis, septicemia …). Anesthesia has its own complications that will be explained to you during the interview with the anesthesiologist.
Specific risks to the abdominoplasty

Even if operative follow-ups are mostly simple, the possible complications related to the abdominoplasty are to know:

Thrombophlebitis: A risk of post-operative thrombophlebitis (clot) appears to be higher than the average of other cosmetic surgical procedures. As a result, to prevent this phenomenon low anti-thrombosis will be provided. These should be worn during surgery.

Unfavorable evolution of the scars: it is normal that the scar thickens and redden in the first months. This aspect of the inflammatory response of any wound healing takes twelve to eighteen months to improve and stabilize. Sometimes the scar has an abnormal evolution, thickening or blistering persisting beyond one year. We speak of hypertrophic scars or even keloids (more frequent on the black skins). These may occur unpredictably and may require special treatment. It is important to know with regard to scars in general, that they fade and will be little visible, but will not disappear.

Infection: The contamination of a wound, scar or drainage orifice is usually not severe. It rarely requires antibiotic treatment but rather dressings that will be performed with greater frequency.

Hematoma: postoperative bleeding is almost systematic and bruises on the skin for one to two weeks. It can cause a hematoma which results in swelling and painful tension. It is sometimes necessary to re-intervene: to evacuate the hematoma and to control the cause of it. In case of heavy bleeding, a blood transfusion may be necessary.
Impairment of predominant abdominal sensation in the sub-umbilical region. At the end of 3 to 12 months, in general, sensitivity reappears.

Necrosis: very rare, generally limited and localized It is the loss of a more or less extensive cutaneous area that can alter the aesthetic result. It is favored by the taking of tobacco. This is why smoking cessation is strongly recommended at least three weeks before and after surgery. In case of necrosis, a complementary gesture at a distance (one year) may be necessary.
Thromboembolic accidents (phlebitis, pulmonary embolism) are very rare thanks to strictly observed preventive measures (eg wearing compression stockings, anti-coagulant treatments, and rapid lifting).

It is not uncommon to observe on the 8th postoperative day an effusion related to a lymph flow. Such an effusion can sometimes be punctured.


Germe’s information on Breast Augmentation

Germe’s Best Nose Job in Las Vegas

Best Surgeon for Rhinoplasty Las Vegas

Surgery and aesthetic medicine of the lips, and nose, called a nose job or Rhinoplasty Las Vegas.

The lip is defined anatomically not only by the red (or vermilion) lip, but also by its underlying and underlying cutaneous portion, called the white lip.

In the aesthetics of the lips, it is important to take into account the totality of this area, and to ensure that it is included in the whole that forms the face, to have a harmonious result.

Strong points :

Lip augmentation (hyaluronic acid, lip implants, lipofilling)
Lip reduction
Lifting the upper lip
Peri-oral treatment

This information page is made by Dr. Nguyen, a cosmetic surgeon in Paris, who performs aesthetic treatment of the lips regularly. It contains all the information on the procedure, the scars, the follow-ups, the safe care, the Before and after photos, and prices for various surgical treatments and aesthetic medicine of the lips.

Lip augmentation

What are the techniques of lip augmentation?

First of all there are techniques of aesthetic medicine, by injection of filler, which is the most used method. The most commonly used filler is hyaluronic acid. Other resorbable products can also be used, but we advise against non-resorbable substances such as liquid silicone.

There are also surgical techniques for increasing the lips, the augmentation being carried out either by reinjection of fat (lipofilling) or by means of a lip implant.

What are the advantages and disadvantages of increasing hyaluronic acid lips in aesthetic medicine?

Advantages are :

– The quality of hyaluronic acid makes it possible to avoid any complication (granulomas, allergic reactions, ball …).

– The result is immediate and fast.

– The injections are practiced in the doctor’s office in 20 minutes.

– The suites are simple and the resumption of activities is immediate.

The only disadvantage is a temporary increase of the lips.

This is the most common method of lip augmentation.

What are the advantages and disadvantages of lip augmentation per implant in cosmetic surgery?

The benefits of lip implants are:

A definitive increase
Different choice of implants (shape and size)
Surgery possible under local anesthesia
Very natural appearance and touch
Removal of the lip implant on demand, also possible change

The disadvantages are:

Requires an operating theater
Possible rejection of the implant

What are the advantages and disadvantages of lip augmentation by lipofilling in cosmetic surgery?

Advantages are :

A natural method of increasing
A definitive increase
No foreign bodies
Surgery possible under local anesthesia

The disadvantages are:

An unpredictable increase, due to the possible resorption of fat
An imprecise increase of the lips
Requires an operating theater

This is the least used technique of lip augmentation.

Lip reduction

Why make a reduction of the lips?

In some people, the lips can be too fleshy, too thick, and can break the harmony of the face.

How is a reduction of the lips?

The reduction of the lips is performed in the operating room under local anesthesia, or under general anesthesia if the patient so requests.

A portion of the buccal mucosa is removed.

The consequences of the intervention are quite simple.

What are the scars of a lip reduction?

The scar is located at the junction of dry red lip and wet red lip. It becomes almost imperceptible over time.