Wednesday, 17 May 2017

Can You Freeze Time with “Preventative” Botox?

Most people think of Botox as a way to treat set-in wrinkles, but the cosmetic injectable is increasingly being used by younger patients as a means to prevent lines appearing in the first place.

The question is, what age should you start having Botox? Do you wait until you need it or start when you’re young and line-free? And does it actually have the ability to slow the aging process?

Botox has been around for long enough that there are many long-term users we can observe but what we are not able to know is how they would have aged without the treatment.

However, an illuminating study carried out on identical twins over the course of 13-years gives us a much better idea of the difference Botox makes (see above photo).

One of the twin sisters had Botox injections in the forehead and glabellar region (the skin between the eyebrows and above the nose) two to three times every year. She also had Botox administered to her crow’s feet twice over the last two years. The other sister received Botox only twice over the 13 years.

The results were compelling because the twin who had regular Botox had no visible lines in the treatment areas, whereas the untreated twin did. It’s clear to see from the photographs which sister is which.
The sisters were aged 25 when they started the experiment (aged 38 at the end) and lived similar lifestyles, except the sister treated with Botox lived in sun-damaging Malibu and the untreated sister lived in the much-cooler climate of Germany.
The researchers concluded that long-term treatment with Botox can prevent the development of imprinted facial lines that are visible at rest.

Not just paralyzing the face

The botulinum toxin was first recognised for its ability to paralyze the facial muscles. This prevents frowning and, as such, immediately improving the appearance of wrinkles. But in addition to this superficial improvement it also stops further wear and tear on the skin. Constantly moving muscles result in the breakdown of collagen and that’s when lines get imprinted.
Another recent study shows Botox does even more than simply giving the skin a break - Canadian dermatologists found it increases skin elasticity for the three to four months.
The researchers tracked 43 women who were using Botox for the first time and found that when the effects of the drug were at their most powerful, it could increase elasticity by 30%. This means that when Botox is ‘active’ it is actually improving the quality of the skin, which further helps prevent the formation of wrinkles.

So, when is the right time to start Botox?

Although you might think the younger the better, most doctors don’t recommend treatment for teenagers. This is because everyone’s skin ages differently, with some people not seeing the  first appearance of lines until their late 20s. This could mean a young person enduring years of unnecessary treatment. What’s more, because the treatment limits the animated facial expressions we associate with youth it could have the opposite effect of making them appear older than they are.
Instead, it is better to wait to see how your skin is ageing and start Botox when the first fine lines become visible. How your skin ages will depend on the thickness and colour of your complexion, how much you move your face, the amount of sun exposure you experience and other lifestyle factors like smoking and diet.
And because you can’t predict where lines will form, it’s impossible to know where to inject the Botox. Once fine lines are showing on your face when it is at rest, your plastic surgeon or dermatologist will be able to effectively target those areas and prevent further deepening.

In conclusion, starting Botox between the age of 25-30 will be sufficient for most people seeking to significantly delay skin ageing. Although it may still seem very young to commit to a regular injectables treatment plan, it will reduce the frequency and dose required if you begin later.

However, older patients can still benefit from the preventative powers of Botox. Whatever your age, starting treatment now can help stop the clock.

For a Botox consultation at Ocean Clinic Marbella contact 951 775 518.

Tuesday, 2 May 2017

Marbella Plastic Surgeons "Give Back" by Operating on Africa’s Poorest

Ocean Clinic Marbella teamed with two local charitable organisations to carry out life-changing surgery on 25 children and adults in Kenya.

The clinic sent a team of six medical staff, led by Head Surgeon Dr. Kai Kaye, as part of its on-going mission to “give back”.

Dr. Kaye said: “It is necessary to give back and I have the skills and means to do so. At some point in life you have to put things in relation, and ask yourself if you can plant your own little grassroots to help, even on a small scale.

“I can change lives in Kenya and have much more impact than I can here in Spain, where nobody lacks basic medical services or care. I call it part of our social responsibility.”

The five-day Plastic and Reconstructive Surgery Camp, follows a similar mission organised in Lamu, Kenya last year, and a trip to Peru in 2013.

This year, the team was able to assess 70 patients with medical conditions ranging from congenital malformations, tumours, burns and scars. They successfully treated a total of 45 patients, with 25 surgeries carried out.

Dr. Kaye was joined by fellow surgeon Dr. Richard Fakin from Switzerland. The team also included anesthetist Dr. Raimundo Escudero, nurses Louise Taylor and Marina Ristic and therapist Nicole Tascone, all from Ocean Clinic.

Says Dr. Kaye: “One of the highlights of this year’s camp was giving back extended leg mobility to a young girl called Maryam, who had a contracted knee after a burn. Now she will get physiotherapy and may have a chance of learning to walk again.”

The camp was made possible thanks to support from a number of partners and supporters. These included two local Spanish organisations working in Lamu; Anidan, which runs a shelter for orphans and abandoned children, and Foundation Pablo Horstman, which operates a hospital and two preschools.

Dr. Kaye offered his thanks to all those who donated to the mission, including Ms. Gisela Steinhoff and her husband for their generous donation of €1,000 Euros.

Ocean Clinic intends to run the camp again next Easter. People can support the 2018 campaign through financial donations, providing medical equipment and / or personal involvement. Please contact to get involved.

Monday, 17 April 2017

When Less is More: Having Your Breast Implants Removed

Are you considering removal of your breast implants? We take a look at the various reasons patients might desire an ‘explant’ and the different options available in each circumstance.

My breast implants are 10 years old

It’s actually a myth that breast implants must be removed after 10 years; they do not have expiration dates. The risk of rupture is higher as implants age (although new models are more robust), however their integrity can be checked without removal.

For saline implants, failure is quite obvious when it occurs, since the saline solution is quickly absorbed by the body and the 'deflated' side immediately looks smaller than the intact side. Silicone implant rupture is harder to detect as the gel material is not absorbed by the body, consequently the appearance and feel of the implant does not change. However, rupture can be detected with a mammogram or MRI scan.

Regardless of how long you have had your implants, if they are intact and are not causing you any problems, it is not necessary to have them removed or renewed. If you are worried, a surgeon can conduct a physical examination of your breasts and refer you for a scan.

I have capsular contracture around my implant/s

Over time, some patients may start to experience problems with their implants hardening or becoming misshapen. This is due to excess scar tissue which forms around the implant, squeezing and compressing it. As well as affecting the look and feel of the breast it can also cause discomfort and pain. Capsular contracture can occur in just one or both breasts.

In order to correct capsular contracture, the ‘capsule’ which has formed over the implant must be removed. However, removal does not eliminate the possibility of future scar tissue forming. After removal, the old implant can be reinserted or you may choose to have both implants replaced with new ones.

Implantation under the muscle reduces the risk of contracture to between 4-8% over your lifetime. If your implants are currently placed subglandular, having new implants placed submuscular could represent an alternative to complete removal.

If you do opt for removal, you may require a breast uplift (mastopexy) to deal with stretched skin. Another option is using fat, taken from elsewhere on your body, to replace the lost volume. Using a patient’s own fat ensures it will not be rejected by the body and can be the ideal solution for those experiencing issues with capsular contracture, however good candidates for this treatment must have sufficient donor fat available.

My breasts are too big now

If you have gained weight since having your implants, your breasts may now be larger than originally desired, possibly causing you physical discomfort. On the other hand, you may have have lost weight causing your implants to look overlarge on your now smaller frame.

It’s important to understand that simply removing your implants might not give you the smaller breasts you want. You may be left with flat, sagging breasts and should therefore discuss options such as a breast lift or augmentation with smaller implants with your surgeon in order to achieve the look you desire.

Another possibility worth considering is fat transplant. This technique can be used to give you smaller but still full breasts. This can be carried out in conjunction with an uplift, if necessary.

I want my implants out for health/personal reasons

Many people elect to have their breast implants removed at some point in their lives. Removal is relatively straightforward and can be carried out via the existing scar. Nice aesthetic outcomes are possible after implant removal, with the stretched skin and tissue gradually rebounding over six to 12 months (although the body’s capacity for restoration differs from person to person).

The end result will depend on how much breast tissue you had to start with, the size of your implants, your skin quality and your age. Your surgeon can advise if a preemptive breast lift is recommended, or alternatively you can wait to see your results and return at a later date for secondary surgery.

Using your own fat to replace the volume in your breasts after implant removal is another option. Using like for like is a natural way to enhance your breasts and comes without the worry of having anything man made in your body.

If you are considering breast implant removal and would like further advice, contact Ocean Clinic Marbella for a free consultation.

Tuesday, 4 April 2017

Ocean Clinic Celebrates Accolade for Excellence

Ocean Clinic has been named the Most Outstanding Plastic Surgery Clinic in Marbella.

The clinic received the accolade in the 2016 AI Global Excellence Awards. The awards, organised by AI Magazine, aim to recognise and reward the firms and individuals whose commitment to sustained outstanding performance has seen them leading the way, not only in their own sector or industry, but across the entire global corporate spectrum.

Honouring these top performers is done through a rigorous and in-depth selection process from AI’s in-house award specialists.

“The team left no stone unturned to ensure that every one of our chosen firms was selected based on proven performance over the past 12 months, guaranteeing that all award recipients were chosen purely on merit and can take pride in the knowledge that they truly deserve their place among this year’s esteemed winners,” said AI.

The judges especially look to reward innovation and “boundary pushing” and, as such, were impressed by Ocean Clinic’s signature treatments like the PAVE-Lift facelift, developed by Head Surgeon Dr. Kaye.

Dr. Kaye said: “It’s always gratifying to receive recognition for the work of our dedicated team here at Ocean Clinic. We pride ourselves on our use of cutting edge techniques and technology, which have helped the clinic to gain a reputation among the cosmetic surgery community globally.

“We are particularly passionate about sharing knowledge with our peers and in June will organise the second edition of the Marbella International Plastic Surgery Summer School. The event features presentations from surgeons and specialists from around the world, as well as live surgery.”

MIPSS 2017 will take place from June 22-24. Visit the website for further information.

Wednesday, 29 March 2017

A Holistic Approach to Body Remodelling at Ocean Clinic Marbella

For patients looking to lose weight or shift stubborn fat deposits, treatments such as gastric balloon endoscopy, abdominoplasty and liposuction can provide effective immediate solutions - but it’s how you modify your lifestyle afterwards that will guarantee long-lasting results.

Ocean Clinic Marbella believes patients should enjoy holistic care, which includes supporting them to meet their body goals after the bandages have been removed. As such, the clinic has teamed with clinical dietician Dr. Rebeca Eriksen, to provide ongoing diet and health advice to patients who desire it.

Dr. Rebeca Eriksen
Dr. Eriksen has worked in prestigious London hospitals such as The Portland, Harley Street Clinic, The Wellington, as well as for charitable organisations including WHO and UNICEF, helping to combat malnutrition in children.

She uses her wealth of knowledge to offer patients a comprehensive health and nutritional assessment that can include:

  • Analysis of current diet
  • Body composition calculations
  • Vitamin and mineral levels testing
  • Allergy and food intolerance testing
  • Antibody profiling
  • Hormone profiling
  • Cholesterol testing
  • Liver function testing
  • Genetic testing

Through diagnostic testing, Dr. Eriksen is able to identify imbalances in the body and then use food and supplements in a targeted manner to restore internal balance, increase vitality and maximise the results of your surgery.

Factors which can affect your weight and health

If your body is not functioning completely as it should be it can result in excess weight gain, which is why it’s important to address any imbalances when tailoring a nutritional plan.

Hormones play a huge role in regulating our bodies. If hormone levels become disrupted it can have profound effects on our health. Imbalances in hormone levels can be caused by poor diet, stress and exposure to toxins. However, following assessment of these substances in the blood or saliva, nutritional and lifestyle intervention can frequently balance these out over the following months.

Hormones commonly tested include those produced by the thyroid (which regulate our metabolism), the adrenals (stress hormones) and female and male sex hormones (which influence menstrual cycles in women and fertility and mood in both sexes).

Food intolerances and allergies, meanwhile, are thought to play a part in many digestive and chronic health conditions, with symptoms ranging from bloating, diarrhoea and constipation to joint pain, headaches and skin conditions.

Cellular tests measure immunological responses in the blood when food, food additives and other potential allergens are introduced to the sample in the lab. Antibody profiles are also available for diagnosing candida infection and gluten intolerance. Ocean Clinic’s in-house lab provides rapid analysis of samples.

Aside from imbalances and intolerances, our genetic makeup also plays an important part in how we process foods and store weight. Because of this, Dr. Eriksen offers genetic testing to help you understand your metabolism. Analysing your genetic response to food and nutrients enables Dr. Eriksen to tailor a unique diet and exercise plan, making it easier for you to maintain your weight and achieve maximum health.

Helping you achieve and maintain your body goals

Ocean Clinic’s partnership with Dr. Eriksen ensures that we not only address the symptoms alone, but provide both preventative and curative solutions. Nutritional and health assessment is therefore ideal for patients undergoing body contouring procedures, as well as individuals looking for a non-surgical approach to weight loss.

Detailed analysis of diet and lifestyle, coupled with setting realistic and maintainable goals ensure you can make the changes necessary to enjoy long-term health and body benefits.

For further information on nutritional therapy contact Ocean Clinic Marbella on 951 775 518.

Tuesday, 21 March 2017

Dr. Kaye Presents Advancements in Facial Rejuvenation in Barcelona

Ocean Clinic's Head Surgeon Dr. Kai Kaye performed a live facelift in front of 35 surgeons in Barcelona this month.

Dr. Kaye was invited to participate in a workshop on advanced facial rejuvenation techniques staged at Centro M├ędico Teknon.

Organised by Dr Ana Torres of Instituto Ana Torres in collaboration with Upviser / Human Med, the workshop included two live surgeries. 

One was the acclaimed Aqualift Facelift technique developed by Dr. Kaye, which utilises water-jets as a gentle way to separate the soft tissues and prevent damage to vessels and nerves. Read more about Aqualift.

The second surgery demonstrated three-dimensional fat grafting to the face and was performed by Dr Hilkka Peltroniemi from Finland.

Plastic surgeons from within Spain and around Europe attended the meeting endorsed by SECPRE and SETGRA to listen to the lectures and to interact live with the surgeons in the operating room.

Says Dr. Kaye: "We congratulate Ana for this successful event and thank the whole team at Clinica Teknon for the hospitality."

Thursday, 16 March 2017

Correction of Dentofacial Deformities at Ocean Clinic Marbella

Ocean Clinic Marbella is one of the few private cosmetic clinics on the Costa del Sol with a dedicated Oral Maxillofacial Unit, treating dentofacial deformities and defects.

Dentofacial deformities are genetic conditions in which the upper or lower jaws are out of proportion with the rest of the face and head. They can also be caused by birth defects such as cleft lip and palate, by facial cysts and tumours, impacted teeth and by facial trauma.

These conditions can cause both aesthetic and functional problems for patients, preventing them from chewing or biting properly and in some instances causing speech impediments or breathing difficulties. Working in conjunction with specialist orthodontists, surgery can be performed on the jaws and other facial bones to correct these issues and create a pleasing aesthetic appearance.

Here are some common dentofacial deformities that can be treated with oral maxillofacial surgery where orthodontics alone have been unable to correct the problem:


Overbite is a condition in which the upper front teeth overlap the lower front teeth. Most people have some degree of overbite but if your upper front teeth cover your lower front teeth by more than 25% it can become problematic, causing unhealthy teeth wearing, aesthetic concerns, and in some instances even jaw pain.

An excessive overbite, also know as a Class II malocclusion, can be caused by excessive maxillary growth (where the upper jaw grows too much) or deficient mandibular growth (where the lower jaw has not grown enough).


Underbite is a condition in which the lower front teeth overlap and partially cover the upper front teeth. Also known as a negative overjet or a Class III malocclusion, it can be caused by deficient maxillary growth or excessive mandibular growth.

An underbite can affect your ability to chew properly and speak clearly. It can cause jaw and joint pain, headaches, earaches, the excessive wear of tooth enamel, and tooth decay.


Openbite is a condition in which often some teeth are unable to make physical contact with the opposing teeth for a proper bite.

Most often caused by a genetic abnormal jaw structure, an openbite can cause poor or painful chewing, speech impairment and, in some cases, temporomandibular joint disorder, resulting in pain in the jaw joint and in the muscles that control jaw movement.

Occlusal cant (facial asymmetry)

Occlusal cant occurs when the teeth appear to be slanted relative to the nose and lips. Generally occlusal cants are caused by asymmetries within the jaw (unequal ramus lengths).

While subtle facial asymmetries are quite normal, obvious occlusal cants can cause significant bite problems and negatively impair a person’s appearance.  

Gummy smile

A gummy smile is one which has too much gingival display in relation to the lip. This threshold is deemed to be anything in excess of 2-4 mm of visible gum. The condition can be caused by excessive vertical growth of the upper jaw leading to a bulging protrusion within the gum tissue.

The problem is primarily aesthetic, but you may also have an uncomfortable or improper bite that could ultimately affect your long-term oral health.

Oral Maxillofacial surgery can realign the jaws to restore facial harmony, improving both your bite and your appearance. For more information, or to arrange an assessment contact Ocean Clinic Marbella.