Tuesday, 17 January 2017

Want a New Nose? Choose the Oldest Form of Cosmetic Surgery

Thinking about getting that long dreamed of nose job in 2017? Nose surgery may seem very daunting but it’s one of the oldest forms of cosmetic surgery, dating back thousands of years.


There’s been a lot in the press recently about new non-surgical ways to change one’s nose shape. These include an uncomfortable plastic insert to alter the shape of the nostrils and nose tip, and liquid rhinoplasty, the so-called ‘lunch break nose job’, carried out using injectable fillers.

However, reticence about actually going under the knife means people using these tactics must put up with either discomfort or inferior results. For anyone truly unhappy with their nose, surgery will always be the best option.

There is a lot of fear and misunderstanding around rhinoplasty, but for experienced surgeons it’s a straightforward surgery with an extremely small risk of serious complication – they’ve been doing it for years; 2,600 years to be exact.

Rhinoplasty’s roots date back to 600 BC


Nose surgery is an ancient art first referenced in The Compendium of Suśruta, a Sanskrit text on medicine and surgery, written in 6th century India.

The text was written by Sushruta, known today as the ‘Father of Plastic Surgery’, and includes historically unique chapters describing surgical training, instruments and procedures.

However, Sushruta’s innovations in nose surgery were motivated by necessity, as opposed to simply wanting to help patients change their appearance for cosmetic reasons.

Removal of noses (and ears) was a common punishment in wartime or for those who committed adultery or treason. Sushruta therefore developed a method to reconstruct damaged noses. His method involved removing flaps of skin from the forehead or cheek of the patient and using it to reconstruct the nose:

“The portion of the nose to be covered should be first measured with a leaf. Then, a piece of skin of the required size should be dissected from the living skin of the cheek, and turned back to cover the nose, keeping a small pedicle attached to the cheek.

“The part of the nose to which the skin is to be attached should be made raw, by cutting the nasal stump with a knife. The physician then should place the skin on the nose and stitch the two parts swiftly, keeping the skin properly elevated, by inserting two tubes of eranda (the castor-oil plant) in the position of the nostrils, so that the new nose has proper shape. The skin thus properly adjusted, it should then be sprinkled with a powder of liquorice, red sandal-wood, and barberry plant.”

Artificial noses were also used during the
16th and 17th centuries. Credit: Science
Museum London - CC BY-SA 2.0
Sushruta’s method was known to the ancient Romans, with the term ‘rhinoplasty’ derived from the Greek words 'Rhinos' and 'Plassein', meaning nose and shape.

However, the technique wasn’t embraced by Western medics until many years later, during the syphilis epidemic of the late 16th century. Syphilis can destroy the soft tissue of the nose resulting in a gaping hole in the middle of the patient’s face. This could lead to severe social stigmatisation so suffers required treatment not just for the physical pain.

From reconstruction to refinement


Advancements in nose surgery continued throughout the 17th and 18th centuries, with the first rhinoplasties to decrease or increase the size of a patient’s nose seen in the 19th century.
Jacques Joseph of Berlin developed techniques for performing nose-reduction rhinoplasty via internal incisions. Fellow German Johann Friedrich Dieffenbach was among the first surgeons to anaesthetise the patient before performing nose surgery.
In the United States, in 1887, John Orlando Roe wrote about using closed rhinoplasty to correct saddle nose deformities. And by 1902, a septoplasty procedure for correcting a deviated septum had been developed.


In the 100 years that followed nose surgery grew in popularity, with cosmetic surgery embraced by the Hollywood stars of the 40s and 50s – Elizabeth Taylor, Dean Martin and Marilyn Monroe are all said to have had rhinoplasty surgery.

Rhinoplasty in the 1950s: 


Back then rhinoplasty was so expensive it was necessary to be a movie star or very wealthy to be able to afford it. Now, the techniques have been refined and refined, making it a simpler and safer surgery and bringing the cost down significantly.

Want to change your appearance with a tried and tested surgery? Consult a surgeon with years of experience in rhinoplasty by making an appointment with Dr. Kaye at Ocean Clinic Marbella.  

Tuesday, 20 December 2016

Implants No Impediment to Breastfeeding, New Study Finds

"Will I be able to breastfeed?" This is one of the most common questions we are asked by prospective breast augmentation patients.



For women considering breast enlargement before they have completed their families, it is naturally a concern that implants could prevent them from being able to feed their babies.

However, a new study shows that they have little need to worry. The study, published in Plastic and Reconstructive Surgery, was carried out in Argentina and involved 100 pregnant women with breast implants, as well as 100 pregnant women with natural breasts. The participants were an equal split of first time mums and women who already had children.

When the women gave birth, they measured their ability to breastfeed (exclusively or partially) after 24 hours, 48 hours and 30 days. A majority of women with silicone gel breast implants were able to successfully establish breastfeeding – 93%.

The figure was only slightly below the group of women without breast implants, who achieved a 99% success rate.

After 30 days, a higher number of mothers with breast implants decided not to continue breastfeeding than those without; seven mothers with implants stopped, while only one mother with natural breasts did the same. The mothers with natural breasts were also more likely to breastfeed exclusively.


However there are many reasons why a mother may decide to stop breastfeeding or choose to feed a combination of breast milk and formula, which must be taken into consideration when reviewing this study.

Crucially, the study demonstrated no physical impediment to establishing breastfeeding in mothers with implants, for the vast majority of patients. What’s more, the researchers found no difference in the ability to feed between patients whose implants had been inserted via a submammary (under the breast) or areolar (around the nipple) incision.

This will come as welcome news for younger women considering breast implants planning to have children in the future. For extra reassurance you can discuss your intention to breastfeed with your surgeon. He or she can advise you regarding the best placement site, implant volume and surgical technique to minimise damage to milk ducts.

Although this will ensure your chances of being able to successfully breastfeed are not impaired, it is still advisable to wait 12 to 18 months before becoming pregnant following a breast enlargement. This allows for healing of scars and breast tissue and the full return of nipple sensitivity.

For more information about breast augmentation at Ocean Clinic Marbella contact (+34) 951 775 518.

Friday, 9 December 2016

Designing the Perfect Smile at Ocean Clinic Marbella

If you are not happy with your teeth, you might think fixing your smile will be a big, expensive job, but oftentimes simply making a small change can have dramatic results.

Transformation with just four veneers

Our resident dentist Dr. Paul Arts frequently performs smile makeovers using just four veneers and/or teeth contouring.

“Although people are familiar with veneers, which are placed over a tooth to give it a different shape or size, they are often not aware of the results that can be achieved via contouring,” says Dr. Arts.

An example of contouring

“Contouring is about filing and shaping the edges of the teeth to achieve a more harmonious and smooth line. The effect can be amazing, with minimal treatment, and especially in combination with whitening.”

When patients come to see Dr. Arts, he uses specialist computer software to help him assess what treatment is needed to improve their smiles. The program measures the size of the teeth and shows their proportion in relation to each other. Each individual tooth can then easily be scaled up or down or a new tooth shape can be superimposed. Teeth can also be mirrored to simulate symmetry and their shade can be adjusted to simulate whitening.


“The simulation not only lets me create a treatment plan for my patients, it enables them to see what is achievable,” explains Dr. Arts. “I am able to show them the before and after comparison immediately on the screen and more easily explain the proposed treatment.”

He adds: “It also allows the patient to be more involved in their smile design. Once satisfied with the virtual design it can than be copied into their mouth.”

Where veneers are required, Dr. Arts offers two varieties – traditional porcelain, and more affordable composites. Porcelain veneers (and also the ultra thin Lumineers) are the best long lasting solution. Composite veneers are made from special tooth coloured dental filling and offer a quicker solution, but with an equally impressive aesthetic result.

Composite veneers are shaped around the tooth in the chair and can be done in one session, whereas porcelain veneers take two to four sessions as they are made in the dental laboratory. Because they are less labour intensive, composite veneers are around 65% cheaper than porcelain veneers, meaning a dazzling smile is within your reach.


For a smile assessment and tailored quote make an appointment with Dr. Paul Arts on (0034) 951 775 518.

Monday, 5 December 2016

7 Unusual Cosmetic Treatments From Around the World

While liposuction, facelifts and breast augmentations number among the most popular cosmetic procedures in Europe, around the world some rather more unusual treatments are in demand.

Although they might sound strange to us, these cosmetic procedures help the recipients achieve the standards of beauty most sought after in their country and culture. 

1. Dimple creation surgery

In Asia, cheek dimples are considered a good omen, indicating fortune and fertility, which is one of the reasons dimple creation surgery is so popular there. However, dimples are also considered cute and youthful and this procedure is now gaining popularity in the west too.

Taiwanese celebrity Jasper Liu displays both
enviable dimples and aegyo sal. Credit: 白卡玲
Around 20% of the population have natural dimples, which are actually a birth defect resulting from a shortened facial muscle. Dimple creation surgery is minimally invasive, performed under local anaesthetic and involves a stich being placed inside the cheek.


2. Aegyo sal surgery

Aegyo sal is a Korean term for the small pocket of fat directly beneath the eye. It is distinct from eye bags and usually seen in children. Koreans believe aegyo sal to be highly desirable, giving a youthful and cute appearance.

Aegyo sal can be achieved in two ways, either by inserting a strip of surgical fabric under the skin’s surface through two small incisions or using facial filler (a temporary option, lasting around six months). You can also buy transparent sticky tape to place under the eye for a DIY solution!
3. Double eyelid surgery

A Korean woman with 'monolid' eyelids typical
in Asian people. Credit: Petar Milošević
Double eyelid surgery is a procedure designed to give East Asian patients a Caucasian style eyelid crease. Western celebrity culture has led to this treatment becoming hugely popular across China, Korea and Japan, where people commonly have a ‘monolid’ (single, crease-free eyelid).

The surgery pulls the eyelid back and thus makes the patients’ eyes look bigger and rounder. Non-surgical methods of achieving double eyelids are also popular including stick-on tape and eyelid glue. 

4. Cinderella Surgery
Remember how none of the Ugly Sisters could fit into Cinderella’s glass slipper? They might have been able to had they undergone this surgical procedure.
So-called Cinderella Surgery sees a patient’s feet shortened and slimmed so they can fit into high heels more comfortably and has been gaining popularity in the States. The treatment can include removal of the small toe and the shortening of toes. Fat or collagen can also be injected into the soles of the feet to make walking in stilettos less painful.   
5. Smile lift surgery
Smile lift surgery performed by
Aone Clinic in Korea
Another Korean innovation, the smile lift (also called 'Smile Lipt') is a procedure designed to lift the corners of the mouth to give the look of a smile. It is useful for patients who have naturally downturned mouths, which give them a grumpy appearance, and for those who expose too much gum when smiling.
However it is also popular with men and women in general as it allows them to look happy, friendly and confident even when they are not smiling. To achieve a permanently upturned mouth the muscles around the mouth are cut and repositioned.

6. Thigh gap surgery
Model with a prominent 'thigh gap'.
Credit: gnuckx
The ‘thigh gap’ is a body trend that has gained popularity among women and girls in the last few years following the appearance of models with very slender thighs in a Victoria’s Secret fashion show.
It is a space between the inner thighs that remains when the knees are touching – and now females in America are undergoing a cosmetic procedure to get it. The treatment is carried out using non-surgical CoolSculpting, where the fat cells are killed off over a course of two-hour sessions by exposure to cold temperatures.
7. Leg extension surgery
Leg extension surgery is not dissimilar to mediaeval torture but it is a trend in China where minimum heights are common for many careers. The procedure involves both legs being broken and then stretched on a rack.
Next, telescopic rods are inserted into the cartilage which pulls it apart very gradually, by one millimetre a day. New living bone grows along it to fill the gap, while muscles, nerves, arteries and skin also renew themselves. It takes at least three months to complete, requires gruelling physical therapy and costs around $85,000, but patients can gain up to six inches in height.

Although not as unusual as the procedures above, Ocean Clinic Marbella offers a wide range of treatments to address your body concerns. Contact us for a free consultation.