Thursday, 2 July 2020

Why We Love... Orthodontics & Porcelain Veneers

Ocean Clinic’s Cosmetic Dentist Dr Nina King tells us why she loves transforming patients’ smiles with orthodontics and porcelain veneers

What is your favourite procedure to perform?

Doing orthodontics combined with porcelain veneers.

Why do you like it?

Orthodontics involves moving the teeth into the correct position and then the ceramic veneers change the colour, shape and size so we can completely transform someone's smile. Often my adult patients have been ashamed and embarrassed by their smile for a very long time and the boost in self-confidence is amazing.

How many times have you done it?

We have done many, many cases using these treatment techniques combined.

How is it carried out?

I work with a specialist orthodontist who tends to use “invisible braces”; clear retainers like Invisalign or a system called Incognito, which goes behind the teeth. This is because many of my adult patients are conscious of wearing a traditional metal brace.

Communication is absolutely essential between the orthodontist and myself as I plan and design the final result, normally using digital smile design techniques. We use this as a road map to direct where we want the teeth to be.

In this way, I can then prepare the teeth as minimally as possible and take the impressions for the new ceramic veneers to be fitted making sure that they are customised to meet each individual patient's needs.

What’s the most technical part?

Preparation for the veneers is a delicate procedure because there must be a balance between preserving as much healthy tooth structure as possible versus removal of enough so that the veneers sit well.

We can then create beautiful looking ceramic work, which will blend in naturally. I try to remove no more than 0.5mm of the top layer enamel.

Have there been any changes in the technique or technology used in this procedure?

With the onset of digital design and scanners, if we are using the invisible brace system Invisalign, we can now anticipate the final smile and get it preapproved by the patient. We enter this information into the system and simulate the movements and design the correct retainers for each phase.

Thus after the orthodontic work, the teeth are already positioned exactly as we need them to be. For example if I am using ceramic veneers to close spaces between teeth, the orthodontist can ensure the spaces are evenly spread out so we can have symmetrical final veneers.

How might this procedure change in the future?

I am doing more and more ceramic veneers in-house. That means that instead of taking traditional moulds and sending them to the laboratory technician, we can do milling in the surgery and have them ready in a matter of hours instead of days.

This is, however, still not appropriate for all cases due to limitations of the equipment. For example, how thin some of the ceramics can be prepared. I am sure that there will be even more evolution in the technology making it possible to do every case in-house.

Do you have any memories that stand out in relation to this procedure or the patients you’ve carried it out on? 

Patients sometimes think it's too late for them… they are aware their teeth are very overlapped or crooked and they may have wanted the treatment in the past but for financial or time constraints simply not gone ahead.

When they realise what can be achieved and the effects that we can create, it truly is a wonderful feeling to be able to help someone's self-confidence grow.

Interested in redesigning your smile with orthodontics and porcelain veneers? Book an online or in-clinic consultation.

Monday, 22 June 2020

Why We Love... Breast Augmentation

Welcome to our new interview series where Ocean Clinic’s doctors, nurses and specialists tell us about their favourite procedures. First up, it’s Head Surgical Nurse Louise Taylor talking about breast augmentation.

What is your favourite procedure to assist with? 

Breast augmentation. 

Why do you like it? 

Because it's incredibly satisfying and rewarding to transform small, droopy, uneven or empty breasts into beautiful, natural, perky, firm breasts in one hour! 

How many times have you done it? 

Literally thousands in my 25 years in the operating theatre.

How is it carried out?

A pocket is made inside the breast to the size of the implant, either under or over the chest muscles depending on the patient’s anatomy. The implant is placed inside in meticulously sterile conditions, either through the areola or through a small incision under the breast in the mammary fold. The incision is then closed with sutures. 

What’s the most technical part?

Finding the right plane to create the pocket, avoiding any damage to nerves and blood vessels, choosing the right implant for the patient’s anatomy, creating symmetry and harmony in the end result. 

Have there been any changes in the technique or technology used in this procedure?

Yes, the implants themselves have become ultra-safe over the years, without the need to be changed every 10 years. They also now come with digital chips implanted in them so all your implant info can be retrieved by simply scanning your breasts with a handheld scanner, plus the range of shapes, sizes, textures etc means your implants can be finely tailored to your wishes.

How might this procedure change in the future? 

Breast augmentation surgery will always be an extremely popular, valuable and safe procedure for women who are unhappy with their breasts for whatever reason, that will never change! But technological changes to the implants themselves will continue to improve safety and longevity in the implant market.

Do you have any memories that stand out in relation to this procedure or the patients you’ve carried it out on?

Some of the most rewarding memories have been performing breast augmentation for our transexual clients. Breasts are such symbols of physical femininity so it can be life-changing surgery for a trans patient, and seeing their expression when we take the bandages off… truly wonderful.

Interested in breast augmentation? Book an online or in-clinic consultation.

Monday, 1 June 2020

What's it Like to Have Profiloplasty (Rhinoplasty and a Chin Implant)?

Profiloplasty aims to balance the profile of someone’s face by making sure the forehead, nose, cheekbones and chin are all in proportion.

Ocean Clinic’s receptionist Mai Connell had profiloplasty in January, carried out by Head Surgeon Dr Kai Kaye. Her surgery included a nose job and chin implant, but profiloplasty can also involve cheek implants, a brow lift, lip enhancement and facial fat transfer. 

We asked Mai about her experience...

What did you want to change about your face?

I always wanted my nose done since I was about 13. It was a very big insecurity. I’d had quite a few consultations before, but they would show you pictures and all the noses looked the same and quite fake. The most important thing for me was to keep my face natural. I wanted a nose to suit my face because I’ve got big eyes and my mouth is quite big.

When I started working at Ocean Clinic, I saw the patients that Kai had operated on and I just knew that I was going to get it done with him. He keeps it so natural and he does exactly what you asked for. 

Did you have a clear idea of what needed to be done?

I actually said to Kai, “I need the lump filing down and my tip lifting up but I don’t know if I need it bigger, smaller or anything.” Kai put a mirror in front of me and said, “What we need to do is lift the tip.” I didn’t get my nostrils cut, I only got the middle cut because he said that would keep it a nice shape on my face, to keep the nostrils where they were.

He said he would file my nose down but he didn’t want to give me a ski slope so he would keep it straight to suit my face. It would keep it natural. And then he said a small chin implant would look good because it would bring my features forward. It would make my face look slimmer and the profile would be perfect. 

I’d had filler in my chin before and it was good but I needed a more permanent result. I didn't even know chin implants existed until Kai said he was going to do it for me. He took the fat out of my double chin as well. Now my profile is perfect, as in it’s all the same level, but I still look like me. 

How was your experience of the surgery? 

I was quite nervous the night before. I was still nervous in the morning but the team were always with me - I wasn’t on my own a lot. It was all over very quickly. I went down to theatre, they did the anesthesia and I woke up.

It was quite sore when I woke up but they gave me some painkillers and it was fine after that. I went up to my room and they looked after me perfectly. I’m staff but they treated me like an actual patient - I got exactly the same treatment as everyone else. 

The first day, you feel bunged up and quite tired, but my nose didn't hurt. It only hurt when I got the stents pulled out my nose; it was a weird kind of pressure. My chin hurt a bit more, it was a bit tender. And under my neck where they cut the fat out it was a bit sensitive because it was bruised. It was like when you go to the gym and you get painful muscles, that’s all it felt like. Overall, I didn’t have a lot of pain and I stopped taking painkillers after two days.

Did you have open or closed rhinoplasty?

It was an open rhinoplasty. They broke both sides of the nose and the top. They cut my columella and pulled it up. I had stitches and black eyes but they only lasted for five days. I had my operation on a Tuesday, Wednesday I was at home and then Thursday I was back at work.

Where was the incision for your chin implant made? 

Below my chin, just where your double chin is. You can't see it. It's so, so, fine. They don't stitch it up outwards, so you don’t have little knots. What they do is stitch it inside and use dissolvable stitches. The scar is literally as fine as a thread. I’ve sunbathed, had no makeup on and no one can tell.

And what about the scar at the base of your nose?

You can’t see it at all, there’s nothing. I do heal well but there was a boy who had his rhino done last week and I've been speaking to him every day. And he's just got his stitches out and he can’t even see the scar.

Can you feel the implant in your chin? 

At first I thought I could feel it. I think it’s psychological. It was really tender so I kept on thinking if I touched my face I might move it. But it’s in there with screws and it’s a material that ends up fusing to your bone. I can't feel it anymore. Now my face just feels like it did before.

How long was it before you could see the results of your surgery

It’s 10 days before you can go back and have the cast off. I decided to keep stickers on my nose for a bit longer but that was my choice. I saw the changes straight away, I think because I was so conscious of my nose. 

I started to see proper results when the swelling went down - on my chin after two weeks and my nose after three weeks. Now it's coming up to month three and I can really see the results.

How do you feel about your new profile?

Very confident. I'm a different person, I’m just really happy. I know it sounds silly, but it does actually change your life because I wouldn't get in any family pictures before. I wouldn't get in any photos with my friends if it wasn't on my phone. I had to always do contouring on my nose, I was just obsessed and now I don't even wear makeup. I went to a party the other day, everyone was taking pictures and I was just really laid back and really confident.

What do your friends and family think about it?

Everyone was scared that I wasn't going to look like me. They’ve seen nose jobs online and the only ones that come up are the fake-looking ones. But everyone was really happy with it, even my dad, who doesn't really agree with getting anything done. They all think I still look like me, but a more feminine, petite version of me.

What would you say to anybody who's thinking about having this kind of surgery but worried about taking the plunge?

I would say it's the best thing I've ever done. My thought is, why didn't I get it done before? I wish I had gotten it done before with Kai, maybe two, three years ago. Everyone who has had it done with Kai who I’ve spoken to - because I've spoken to his rhinoplasty patients - always says the same. They’re so happy to finally have it done. You build it up inside but once you have it done, there's no looking back. It's the best decision I've made.

If you’re interested to find out more about profiloplasty, contact Ocean Clinic for further information or a free consultation.

Wednesday, 29 April 2020

#YoMeQuedoEnCasa: Vanessa García, Patient Manager

Ocean Clinic is closed during Spain’s state of alarm but our team is still keeping busy. The #YoMeQuedoEnCasa blog series looks at what they’re up to.

What is your role at Ocean Clinic?

I am the patient manager of the clinic. I do all the administration, reception and accountancy.

What are you doing with your time while Ocean Clinic is closed?

I combine taking care of my three-year-old daughter and working from home. Because I can do my job by computer and phone, I’m able to keep the clinic running. I’m still arranging consultations via Zoom and Skype, liaising with post-operative patients and booking in future surgeries. 

How are you staying in touch with the industry and your peers during this time?

As I do with my family and friends, I stay in contact with the rest of the staff by video chats. How wonderful is the internet age!

How are you staying motivated?

I’ve been helping my partner to create protective face visors for people who are fighting against this virus. He uses a 3D printer to make the supports and then adds a plexiglass screen. It takes four hours to make two masks.

Dr. Paprottka and two nurses who used to work at Ocean Clinic have purchased materials to help with the idea. We have made masks for the OC team and for other people working in the emergency services. I have a lot of friends and family who work as nurses, doctors, police, etc. and so this is our little contribution. 

Do you think the coronavirus crisis will have any long term impact on your role or field of specialism?

In the short term, there will be an impact. We will see fewer patients due to the economy and we’ll also have to limit the number of patients we can see due to the new safety protocols. It will take a while for things to get back to normal but I don’t think there will be a long-term impact on my role. 

What are you looking forward to when you return to work?

I want to have my busy days with lots of patients to take care of and help - like we used to do before. I’m sure it won’t be long now.

Friday, 24 April 2020

#YoMeQuedoEnCasa: María del Mar García Cuevas, Theatre Nurse

Ocean Clinic is closed during Spain's state of alarm but our team is still keeping busy. The #YoMeQuedoEnCasa blog series looks at what they’re up to.

What is your role at Ocean Clinic?

I’m an RGN, register general nurse. At Ocean Clinic, I work as a theatre nurse and also as a ward nurse when needed. I’m in charge of ordering medication, gases and other things.

What are you doing with your time while Ocean Clinic is closed?

I’m still working part-time in the operating theatres of our local children’s hospital. Right now, we’re only operating cancer-related procedures and emergency cases, such as appendectomy, bad bone fractures and anything that cannot wait.

We’ve not had any confirmed cases of COVID-19 in the theatres. We have had some possible cases but the tests came back negative. If there’s any possibility of COVID, we have to take all the precautions. 

In the intensive care unit of the hospital, there were a couple of positive kids and two pregnant ladies that were also positive. One went home to do the quarantine but the other was worse and so they delivered the baby by C-section. The baby stayed at the neonatal unit and the mum went to the Carlos Haya Hospital to intensive care. I believe both of them are doing fine now.

How are you staying in touch with the industry and your peers during this time?

I keep in touch with my colleagues from Ocean Clinic via our WhatsApp group and we also have video calls.

How are you staying motivated?

The main thing I try to do is not to watch too much TV or read too much news as there are so many conflicting messages and it can be quite demotivating. After that, I try to do exercise and follow a routine to simulate a “normal” life as much as I can manage. I am enjoying spending more time at home with my partner and kids and, as I live in the countryside, there is always something to do.

Do you think the coronavirus crisis will have any long term impact on your role or field of specialism?

I think this crisis will have long term effects on all of us. I hope I can take something from this experience and that it will allow me to grow positively in my professional and personal life.

What are you looking forward to when you return to work?

I’m looking forward to seeing all my colleagues and, most of all, getting our lives back together as soon as possible.

Monday, 20 April 2020

#YoMeQuedoEnCasa: Dr Kai O Kaye, Head Surgeon

Ocean Clinic is closed during Spain's state of alarm but our team is still keeping busy. The #YoMeQuedoEnCasa blog series looks at what they're up to.

What is your role at Ocean Clinic?

As Medical Director and Head Surgeon, I oversee operations, train the younger surgeons and perform all kind of procedures, with the main focus on facial surgery, rhinoplasty and breast surgery.

What are you doing with your time while Ocean Clinic is closed?

Together with some of my colleagues from Ocean Clinic, we’re writing scientific articles covering the effect of COVID-19 on surgical procedures and I’m writing chapters for a plastic surgery book. One positive aspect is that I have more time for my two small kids, so I try to bond and play a lot.

How are you staying in touch with the industry and your peers during this time?

We have several WhatsApp groups of international and Spanish plastic surgeons where we discuss on a daily base new discoveries and the changing situation.

How are you staying motivated?

I miss operating, but I am using this time to formulate new protocols for our return. I have phone or Skype consultations with our patients who want to plan their operations and treatments for when we are back to normal clinical performance.

Do you think the coronavirus crisis will have any long term impact on your role or field of specialism?

Yes, due to the nature of the persistence of the virus, until a vaccine is available we will have to adapt our clinical workflow. We will reduce the flow of patients being in the clinic at the same time. This means we will have to space our days longer and we will maybe not be able to see the same number of patients, resulting in longer waiting times for appointments and surgeries. 

What are you looking forward to when you return to work?

I am looking forward to interacting with our patients again, to laugh with my staff, to manage a business with all that it entails. I’m looking forward to doing what I love: being a doctor and a surgeon who makes people feel healthier, happier and more beautiful.

Thursday, 16 April 2020

#YoMeQuedoEnCasa: Dr Nina King, Director of Ocean Dental

Ocean Clinic is closed during Spain's state of alarm but our team is still keeping busy. The #YoMeQuedoEnCasa blog series looks at what they're up to.

What is your role at Ocean Clinic?

I am the principal dentist, specialising in aesthetic dental treatment for adults - not only to enhance the appearance of smiles but also to improve dental function and harmony. I also collaborate with other dental specialists like the orthodontist.

What are you doing with your time while Ocean Clinic is closed?

As per the government directive, I am only allowed to see dental patients who need basic emergency treatment so for the majority of the time I have been staying in like everyone else. 

It seems I’m never short of things to do around the house and garden! I’ve also been enjoying reading, sewing and continuing to study French, plus I am finally getting around to that 1500 piece jigsaw puzzle bought at Christmas!

Professionally, I have been continuing to stay up to date in digital advances within dentistry and learn more about new technology and techniques. Fortunately, I enjoy learning and have a passion for the Cerec crown machine and in-house digital technology so it's a great opportunity for me.

How are you staying in touch with the industry and your peers during this time?

Technology has made self-isolation so much easier. Before the pandemic, I was always involved in discussions and forums with my peers many of whom are based around the world. So this has now increased even further. There has been a huge focus on online continuing professional development courses (CPD) so even though we can't travel to conferences, using webinars, forums and social media means we all stay connected. The Ocean Clinic Team also has an active WhatsApp group that helps keep us united during this difficult time.

How are you staying motivated?

I always try to stay in the moment and simply focus on the positive of my current situation. Part of that means keeping busy and ticking things off my list. So, some days I exercise, meditate and study, other days I can just relax and enjoy the break... it all depends on how I feel. Certainly, some days have been more challenging than others but I rely on daily chats with family and friends to keep my positive energy going! 

Do you think the coronavirus crisis will have any long term impact on your role or field of specialism?

It is clear that this will impact every industry but it's really hard to know to what extent. Realistically, when people are pressed financially, then elective treatments may be the first thing that get postponed. We all just have to take it day by day.

In addition, the nature of my field means very close contact with patients and naturally after all the social distancing measures some patents may be nervous to be in this dental environment. However, we have been closely following the recommended advice and protocols and will implement them once we are back to ensure our patients and staff remain protected.

What are you looking forwards to when you return to work?

I guess I just miss the human interaction, particularly the initial consultations with new patients when we get the chance to sit down and chat about their expectations and the possible treatment options. I truly enjoy my work and giving patients confidence in their smile! Of course, just being able to work with the team again will also be extremely satisfying.