Friday, 13 July 2018

Recovery After Plastic Surgery - What You Need to Know

Electing to undergo surgery is a big decision. You may well be concerned about the length of time it will take you to get back on your feet again afterwards.

To make sure you know exactly what to expect, Ocean Clinic Marbella has put together a guide covering all aspects of the recovery process. Post-surgical care will vary from procedure to procedure, but the information below applies to most surgeries.

Going home from the clinic

It is advisable not to drive after surgery as your body is recovering from the effects of the anesthetic. You will also have reduced movement and may be experiencing some pain. Therefore, you should arrange in advance for someone to drive you. We can organise a taxi for you, if necessary.

We recommend that you have someone stay with you for a least 48 hours following surgery. It is great to have the help and support of a partner or friend at this time and they can assist you should you start to feel unwell. You may also be unable to drive for a period of time. If you do not have anyone to call on, we can recommend carers who can be privately hired.  

Painkillers and antibiotics

Everybody experiences pain differently, but in general you should expect to be taking painkillers for around three to five days. Pain is usually well managed with over the counter medication, although it may leave you feeling fatigued so make time to rest.

You may be prescribed a course of antibiotics to take to minimise the chances of post-surgical infection. The full course should be finished, even if you feel fully recovered. You will also be given a stomach protector tablet to take daily.

Bruising and swelling

Healing differs greatly from person to person - some people bruise easily, while others hardly bruise at all. You will probably have an idea of how well you heal or how prone to swelling you are, which can help inform you about how long your recovery is likely to take.

However, it is safe to assume a period of around two weeks for bruising and swelling to subside (a little longer if you are having facial bones broken). You may be offered a course of lymphatic drainage sessions to help get rid of swelling faster. If you have had fat transfer, the area will continue to decrease in size for around six weeks while fat is reabsorbed.

Dressings and stitches

You will be asked to return to the clinic at different intervals after your surgery in order to have dressings changed or removed, and for the surgeon to check you are healing well.
Some procedures use dissolvable stitches, meaning you won’t have to have them removed. If you have received regular stitches, you will be asked to come back in after 10 days for them to be taken out. If you have undergone rhinoplasty, your nose cast will also be removed after 10 days.

Taking a bath or shower

Some dressings can be worn in the shower and dried with a hairdryer afterwards. Other bandages and casts must be kept dry meaning you will be unable to bathe properly until they are removed.

You should plan to wash with a flannel and you might want to seek the assistance of a partner or friend to wash your hair. You can be well prepared by stocking up on toiletries like dry shampoo and face wipes in advance.

Compression garments

If you have had liposuction, you might be asked to wear a compression garment - or in the case of breast surgery, a surgical bra. This should stay on at all times, although it can be taken off for showering.

You may have to wear this garment for as long as a month so it is a good idea to plan outfits that will cover it. Bear in mind that it might be a little hot to wear in summer so you’ll want to keep out of the sun.


To aid lymphatic drainage and help swelling go down, you may be asked to sleep in a semi-upright position. If you have a facial cast on or have had breast implants, it is even more important to sleep in a way that will not impair your surgical results.

You can prepare for this by investing in a v-shaped cushion that you can use to prop yourself up in bed. Sleeping may be uncomfortable for a day or two but you will soon get used to this new position.

Scar tissue and numbness

As you heal, you may notice areas of hardness under the skin as well as lumps, bumps and unevenness. This can take months to soften up and even out so it’s important not to worry about it. To speed up the release of scar tissue, you may be offered a course of ultrasound therapy sessions.

It is important to remember that you will sustain a certain amount of nerve damage as a part of your surgery. This means that the feeling in the treated area might take a while to fully come back. You may experience numbness for a number of months while the nerves repair themselves.

The final result of your surgery

People are understandably impatient to see the results of their plastic surgery. But while you will get a good idea of what it’s going to look like after a couple of months, you won’t see the end result for around 12 months.

The healing process is very gradual and things will be changing and developing inside your body for many week post-surgery. The area that has been operated on will continue to refine and soften. Only when all hardness caused by scar tissue and swelling has gone will you really see how good it looks. To keep track of your progress, you might like to take a photo every month!

Got more questions about your surgery or recovery? Email us at and we’ll be happy to answer them.

Tuesday, 3 July 2018

Top 5 Most Popular Cosmetic Surgery Treatments in Marbella

You only have to look at the designer shops of Puerto Banus, to know that Marbella is a place where people like to look good. It will probably come as no surprise, then, to learn that cosmetic and plastic surgery is very popular here.

It’s a great place to have it, too, because of the high quality of care available. In fact, the area is now gaining attention globally as a destination for plastic surgery. This has been aided by Ocean Clinic, which hosts a conference bringing more than 150 plastic surgeons from around the world to Marbella every year.

If you’re curious to know what treatments the people around you are most likely to have had done, read on for a run-down of the top five performed procedures here in Marbella.

Such are the popularity of Botox injections in Marbella, you probably know more people who’ve had them than you think. In the past, it was easier to spot someone who had had Botox because practitioners had not developed such skill in administering it. This led to the ‘frozen face’ expressionless look that became synonymous with this procedure.

These days, Botox can be carried out with much subtler results. The idea is to stop the wrinkles, not the expressions. Achieving this relies on having an understanding of the facial muscles - if you know exactly where to inject and how much is needed, you can easy-away forehead lines, frown lines and crow's feet, without preventing the show of emotion. Through skilled application of Botox, you can even lift the brow area, giving the impression of a mini facelift. Thanks to its versatility, and relative affordability, Botox is popular with women and men of all ages.

Large pouts are highly desired in 2018 and you will certainly notice some walking down the street. Unfortunately, this is another procedure where some people go overboard and opt for overfilling. When lips are made too large for a person’s face they can put it out of balance. A far more complementary look can be achieved with a conservative approach.

Filler can be used to refill areas where volume has been lost through age and plump out around the cupid’s bow. The focus should be on achieving a beautiful shape rather than a large size. Carried out with hyaluronic acid filler, the results will last for up to a year, but a longer-lasting alternative is a patient’s own body fat. Fat grafting, as it is known, is becoming increasingly popular - especially at Ocean Clinic Marbella, where Head Surgeon Dr. Kaye is a specialist in the procedure.

When it comes to surgical procedures, breast enlargement is the most commonly requested in Marbella. Most patients are seeking to increase their bust size by around three sizes. The most popular implant size is between 350-400cc and most women here opt for round, high profile implants.

To help you choose the size that’s right for you, your surgeon will take various chest measurements. They’ll also look at other factors such as the shape of your breast bone and the amount of soft tissue you have. You’ll then be able to try sizers on to see how the implants could look. Breast enlargement has a very high level of patient satisfaction, bringing confidence for those previously worried about filling out their bikini tops.

With Marbella’s great weather and beach culture, people here tend to wear less clothing and spend much of the time in swimwear. It’s no doubt why liposuction is the second most requested surgery after breast enlargement. Liposuction is popular with both men and women, with the key areas people wish to have treated being the ‘love handles’ and ‘muffin tops’ around the waist and tummy.

Other areas of stubborn fat people commonly want addressed include ‘saddle bags’ around the hips, ‘banana rolls’ beneath the buttocks and fat from the thighs. Liposuction to the thighs is becoming increasingly popular thanks to the recent body craze for having a ‘Toblerone tunnel’ - a triangular-shaped gap at the top of the thighs. At Ocean Clinic, we use water jet-assisted liposuction, which is extra gentle and minimises trauma, resulting in faster and better healing.

Marbella is a popular retirement destination for people from all over Europe and is a place retirees can enjoy a great quality of life, with lots of opportunities for socialising. As such, the older generation here are major consumers of cosmetic and plastic surgery.

Facelifts, especially, are highly in demand with those aged over 50 - particularly at Ocean Clinic, which is famous for its ‘PAVE AquaLift’. The procedure is carried out using water jet-assisted liposuction (WAL), which helps to gently separate the facial skin and tissue and remove unwanted fat deposits. WAL is then used to harvest fat from the body, which is grafted to the face in areas where volume has been lost. The result is that you might have great difficulty guessing a person’s age in Marbella!

For world-class cosmetic and plastic surgery here in Marbella, contact Ocean Clinic on 951 775 518.

Tuesday, 26 June 2018

Repairing Damage to Your Stomach After Pregnancy

Designed to dramatically change and adapt in order to carry babies, women’s bodies are incredible feats of engineering.

However, while this process is amazing, it is not perfect, and can result in damage to the body. In particular, women are often left with distortions to the abdomen following pregnancy.

Although it is very common, it is not always talked about. You may be led to believe that the changes to your tummy can be corrected through diet and exercise, and therefore feel ashamed or embarrassed if you are unable to achieve this.

The truth is, much of the damage sustained as a result of pregnancy can only be repaired through reconstructive surgery. This includes:

  • Diastasis recti
  • Loose skin and stretch marks
  • C-section scars
  • Umbilical hernias

Below we take a look at each of these conditions and how we can repair them.

Diastasis Recti

Diastasis recti is a condition where the left and right sides of the abdominal muscles (‘six pack’ muscles) separate. It is caused by the overstretching of the linea alba, the tissue that covers the front surface of the belly. There are a number of reasons this stretching can occur but pressure from a developing baby during pregnancy is a key culprit.

Doctors diagnose diastasis recti when the distance between the two sides of the rectus abdominis muscle reaches two centimeters or more. Research shows it is a condition that affects that at least 60% of women six weeks after birth, and 30% percent of women still have it a year after birth.

It is especially common in women who carry large babies or twins, or those who are petite in size themselves. The result of diastasis recti is that it leaves a gap or a pooch around the belly button and loose fatty tissue on either side.

Unfortunately, it’s a condition that not only causes aesthetic damage; it can lead to all kinds of problems and pain — like pelvic organ prolapse, incontinence, breathing and digestive problems, and pelvic girdle and back pain.

Diastasis recti can be repaired as part of an abdominoplasty, or tummy tuck. The muscles of the abdominal wall are pulled together and tightened from below the ribs to the pubic bone. Meanwhile, excess fat and skin is removed to ensure the stomach has a flat, smooth contour.

Loose Skin and Stretch Marks

The skin of the tummy is stretched during pregnancy and, while it does shrink back after birth, it will have lost some of its elasticity during the process. What this means is the skin might be looser, it might take on a crêpey appearance and in some cases, even sag downwards.

It is also common for stretch marks to appear where the skin has had to expand rapidly and this can give the tummy a stripy, scarred appearance. Stretch marks affect around 8 out of 10 pregnant women.

A tummy tuck will tackle loose skin by pulling it taught, removing the excess and resecuring it, via an incision made below the bikini line. Through this tightening of the skin, the appearance of stretch marks are also improved.

They can be further minimised through non-surgical treatments like Venus Viva, which resurfaces the skin using radiofrequency. Meanwhile, significant skin tightening can also be achieved with non-invasive techniques including Venus Legacy and LPG Endermologie.  

C-Section Scars

Delivering a baby by cesarean section can leave women with a highly visible scar, depending on how well the incision was made and closed and how the individual heals. It can also result in problems like infection, itchiness, rashes and pain, that can occur years after the procedure was performed.

Excess scarring happens when your body goes into overdrive during the healing process. A hypertrophic scar is one that is thicker and raised. They can also be red in colour. Keloid scarring, meanwhile, sees scar tissue extend beyond the original incision site.

A surgical scar excision can be performed as part of a tummy tuck or in isolation. The scar will be cut out and re-sutured with very fine stitches to reduce the scar to a minimum. To prevent excess scar tissue occurring, medication can be injected before, during, or after the excision, or a silicone gel dressing can be worn. Proper post-surgical care can ensure the incision heals nicely.

Umbilical Hernias

While most women get a sticky-out belly button during pregnancy, an umbilical hernia is when the navel protrudes so much it is considered ruptured. A true umbilical hernia does not go away after birth and should be repaired to prevent worsening.

Umbilical hernias are the result of a weakness in the abdominal muscle wall, which allows an internal part of the body (abdominal fat or small intestine) to push through. An umbilical hernia appears as a painless lump in or near the belly button and may get bigger when laughing, coughing or going to the toilet.

As well as appearing unattractive, umbilical hernias left untreated can lead to serious conditions like bowel obstruction or strangulation. Umbilical hernia repair is a simple procedure to close the hole in abdominal wall using stitches or a special mesh. At the same time, a desirable flat profile is restored to the belly button. It can be carried out as part of a tummy tuck or in isolation.

If your tummy has sustained postpartum damage, contact Ocean Clinic Marbella to find out how we can help restore your pre-pregnancy appearance.

Friday, 8 June 2018

A Short History of Breast Implants

Breast augmentation is the most performed plastic surgery procedure on the planet, having grown rapidly in popularity since its introduction more than 55 years ago.

The very first breast implant operation was carried out in 1962 - on a dog. The procedure was pioneered by three ambitious surgeons Thomas Biggs, Thomas Cronin and Frank Gerow in Houston, Texas (USA).

Inspiration strikes

Gerow had the idea for the implants after handling a bag of warm blood and being struck by how much it felt like a breast. The surgeons joined forces with the Dow Corning Corporation, the silicone company, to create the first ever, space-age breast implant.

The experiment to place the silicone implants in a dog - named Esmeralda - was deemed a success. The implants remained under the skin for a couple of weeks without adverse effects, before the dog started to chew at her stitches and they had to be removed.

The first human to receive breast implants

Later that same year, 29-year-old mother-of-six Timmie Jean Lindsey agreed to be the first person to receive the new breast implants. She had visited a charity hospital to see about having some tattoos removed from her breasts but was asked if she’d volunteer for the first-of-its-kind surgery. Timmie Jean Lindsey is still alive today and still has the original breast implants.

The medical team began looking for other women to try out the implants and, the following year, presented the work to the International Society of Plastic Surgeons. The revolutionary procedure set the plastic surgery world on fire.

Big breasts become big news

Breast augmentation surgery first took off in Houston, where 17 or 18 were being carried out per day. The trend soon spread to the rest of America, where the figure of breast implant operations eventually rose to over 300,000 annually.

The desire for bigger breasts was being driven by curvy cultural icons like Marilyn Monroe, Jane Russell, and even Barbie. Meanwhile, Playboy magazine was also taking off, followed by the launch of the Hooters restaurant chain, all of which led to a greater focus on women’s assets.

Breast implants become safer

The early silicone implant, although massively successful, wasn’t without its problems. Concerns over safety led the US Food and Drug Administration (FDA) in 1992 to limit the availability of silicone breast implants until more clinical trials had taken place.

During that time, surgeons turned to saline implants, which could be filled either before insertion or after. These provided a good alternative, since saline solution was known to be harmless should it leak into the body.

However, in 2007, following exhaustive studies, the FDA declared silicone-gel breast implants safe. They licensed two companies to manufacture them, under tight new regulations that included making the outer shell of the implant thicker to reduce the likelihood of rupture.

There have been many advances over the decades, including a move to so-called “gummy bear” implants, made from a semi-solid, silicone-based cohesive gel. Meanwhile, the range available has also grown massively. In the beginning, there were only four sizes, now there are more than 450 choices.

Did you know, Ocean Clinic Marbella specialises in breast surgery? If you’re interested to learn more about this procedure make an appointment for a consultation with one of our surgeons.

Thursday, 31 May 2018

Looking Good: Treatments to Rejuvinate Your Eyes

Sagging or wrinkling skin around the eyes is one of the most visible signs of ageing.

Sadly, it can make us look older than our years or more tired than we feel. Because of this, rejuvenating the eye area can have a dramatic impact.

However, not all eyes age in the same way - for example, some of us will experience eye bags, while others will have hollows, some people may have excessive crow’s feet and others might have a problem with sagging skin. The good news is, whatever issue you have with your eyes, we have a range of treatments to tackle them. Read on to find out.

Treatments for Crow’s Feet

We offer two non-surgical solutions for lines around the eyes. The most popular is Botox thanks to its instant results. Botox injections don’t treat the wrinkles themselves, but instead target the muscles behind them. The toxin paralyses the muscles making it harder for you to pull those facial expressions that create the wrinkles, such as squinting and scowling.

It is extremely effective on smile lines around the eyes, as well as frown lines between the eyebrows and forehead lines. Due to its muscle weakening effect, regular use can actually prevent the formation of new wrinkles. Botox lasts between 4-6 months.

The second treatment, Venus Viva, is a skin resurfacing tool. It works to smooth away lines by using nanofractional radiofrequency to heat the cells below the surface of the skin. This stimulates the body’s natural collagen production and triggers repair. Because Venus Viva is much gentler than laser treatment, it can be used around the delicate eye area.

Treatments for Eye Bags

The most effective treatment for eye bags is a lower blepharoplasty (also called lower eyelid surgery). This is a surgical solution that involves the removal of the excess or prolapsed fat that is responsible for the pouches beneath your eyes. It is carried out through a small incision on the inside of the lower eyelid or, if you also require removal of excess skin, in the crease on the outside. Either way, the scarring will be next to invisible.

An alternative approach is to add volume to the eye area, rather than take it away, in order to smooth over the bags. This makes the transition from eye to cheek less noticeable. Volume can be added with either dermal filler (lasting 12-18 months), or for a permanent fix, transplanted body fat.

Meanwhile, radiofrequency treatment system Venus Legacy can be used to target the pockets of fat beneath the eyes and tighten the skin. Heating the tissue helps break down stubborn fat accumulations and boosts collagen production, improving the skin tone. The treatment also stimulates the body’s lymphatic drainage system, releasing the trapped fluid that exacerbates the appearance of eye bags. A course of treatment is required.

Treatments for Saggy Eyelids

Hooded eyes can be treated with an upper blepharoplasty (also referred to as upper eyelid surgery or an eyelift). An eyelift is a simple surgical procedure that involves the removal of excess fatty tissue and skin. The incisions are made in an eyelid crease so as to make them inconspicuous.

It’s possible that your sagging eyelids are caused by weakening of the levator tendons (these help support the muscles responsible for opening and closing the eyes). In these cases, we would perform ptosis surgery to repair or shorten the levator tendons.

A brow lift offers another way to correct hooded eyes, at the same time as smoothing and tightening skin on the forehead. By lifting everything upwards and removing excess skin, a forehead lift will also restore your eyebrows to their youthful position. For this surgery it is only necessary to make tiny incisions in the hairline.

Treatment for Hollow Eyes

Hollow or sunken eyes are caused by the loss of orbital fat in the lower eyelids and can result in the appearance of dark circles. To treat this, volume must be restored beneath the eyes. For a temporary fix, this can be achieved by injecting dermal filler. It is a relatively low cost option and will last for 12-18 months.

For a permanent solution, a patient’s own body fat can be used to fill the hollows. Fat grafting is carried out using a tiny cannula that leaves no visible scarring. Although a certain percentage of transferred fat will be reabsorbed by the body, the fat that gains a blood supply will become permanent tissue.   

To make a consultation for any of the above treatments, contact Ocean Clinic Marbella via our website or Facebook page.