Beautymax – Ihr Schönheitsmakler

Cosmetic surgery FAQ

In the following, we have compiled the most frequently asked questions and the responses to these. Simply click on a procedure to obtain further information.

Feel free to contact one of our consultants should any of your questions on beauty procedures remain unanswered. A member of the team will provide personal, individual and confidential advice and guidance.

General questions

General questions

Why are Beautymax’s contractual surgeons a lot cheaper than English doctors?
In United Kingdom, the personnel, facility and advertising costs in addition to the taxes are far higher than in the Czech Republic. This is one reason why prices are higher in England and professional services far cheaper in the Czech Republic.
Expensive treatment is not necessarily better than cheaper treatment.
The price should not be the decisive criterion for an optimal outcome however, but rather the quality of the surgeon, the clinic and the technical facilities.

Can I expect the same standards of hygiene as in England?
Our contractual clinics all offer an excellent level of hygiene and cleanliness. The operating theatres and hospital rooms comply with English hygiene standards. The Medicom VIP Private Clinic obtained certification from the German Association of Technical Inspection (TÜV) in 2011. This confirms the highest possible standards of quality throughout the entire clinical organisation.

Are Beautymax surgeons all specialists in plastic surgery?
Yes! All our doctors are specialists in cosmetic surgery. All Beautymax specialists have gained qualification following countless years of study. They enjoy national and international reputations. They have specialised in aesthetic procedures and are highly experienced in these.

Do the surgeons and clinics have indemnity insurance?
Yes, Beautymax contractual surgeons and clinics hold indemnity insurance.

Could communication problems arise between my chosen surgeon and myself?
No! Most doctors speak English. Should a doctor not speak English language, a English-speaking assistant will always be on hand to translate.

Do the staff speak English?
Some of the nurses speak English.

How can I find out which procedure I need?
Do I need liposuction or a tummy tuck? Does breast augmentation make sense or would a lift be more beneficial? Or perhaps a combination of the two?
If you are uncertain which procedure to opt for, we recommend sending us some pictures of the areas you would like to have treated via email or post. We will forward these to your doctor of choice, who will then decide on the type of procedure and its exact price.

Is my chosen procedure realisable?
This must be discussed at the clinic with your chosen surgeon. Particularly if undergoing a facelift or lifts in general or if you are a borderline case, it will be necessary to forward us some pictures before your appointment.

What happens to the pictures and information sent?
Your pictures and information will be treated confidentially and will only be sent to your doctor and not to any third parties.

How long will I have to wait for an appointment?
It depends on the clinic and the season; approx. 4-6 weeks.

Is it possible to combine different procedures in one appointment?
Yes, it is possible to combine several different procedures, though this must be decided individually depending on the patient and the type of surgery. Possible combinations could be:
A facelift, neck and forehead lift, eyelid corrections, eyebrow lift
Liposuction and breast augmentation, eyelid reshaping, nose reshaping
Breast lift and augmentation

Will I receive a discount if I combine procedures?
If being placed under general anaesthetic, and depending on the type of procedure, patients may be given a discount of up to UK£ 80 (€ 100). This does not apply for special offers.

Is it possible to postpone the appointment?
You can only postpone your appointment once in case of sickness or an accident, etc.
Please refer to the section on booking a procedure for further information.

Is plastic surgery covered by health insurance?
Usually it is not, though it does not hurt to ask!

What’s the minimum age to undergo an aesthetic procedure?
18 years of age. If the patient is younger, they will need approval from their parents and doctor/gynaecologist.

How long will I have to wait before I can go out in the sun or to a solarium again?
You will need to protect the treated area and scars from direct sunlight and UV rays for at least 3 months. Not doing so can lead to a pigment disorder and discolouration of the scars.

Am I able to fly after surgery?
You can fly without any concerns, however you should take things easy and not attempt to carry any heavy luggage.

Can I obtain a sick note for my work?
Overseas doctors are not permitted to write medical certificate. In general, the responsible doctor is not allowed to write sick notes after performing plastic surgery.
Most patients take holiday leave to undergo cosmetic surgery.

How much time should be left between two procedures under general anaesthetic?
At least 8-10 weeks.

How do I prepare for the procedure?
You should reduce – and ideally give up entirely – the consumption of tobacco and alcohol for about two weeks before surgery. Painkillers containing acetylsalicylic acid (ASA) such as aspirin should be stopped two weeks beforehand.
Patients undergoing liposuction should reduce any excess weight as much as possible through dietary changes.

What papers will I need for my trip?
Citizens of Great Britain must have a national ID or passport that is valid for at least three more months.

The patient and their accompanying person are responsible for their travel documents.

Is my car parked safely during my hospital stay?
All clinics and hotels keep their offered parking spaces under surveillance.

Does Beautymax offer the possibility of financing?
Beautymax does not offer the possibility of financing itself, however you can contact our financing partner. For further information on financing for any of our procedures offered, please click here: financing plastic surgery

Is there the option of subsequent correction of a cosmetic procedure?
Six months after surgery, you will be asked to send pictures of the treated areas to Beautymax or the clinic. The responsible doctor will compare the before and after pictures. Should subsequent correction be objectively and clearly justified, a follow-up appointment can be arranged. An important criterion is the final result of the procedure, and not the patient’s prior expectations, which should be realistic and reasonable. It is for this reason that Beautymax greatly values the personal consultation between the patient and their chosen doctor.
Our surgeons have an average correction rate of 1-2%.

Are aesthetic procedures exempt from tax?
No! Aesthetic procedures cannot be claimed as tax exempt because they are performed for cosmetic reasons. Recovery costs can be claimed however. Please consult your tax adviser for further information.

Tummy tuck

Tummy tuck

Is it possible to undergo a tummy tuck as an outpatient?
A tummy tuck is one of the most elaborate and stressful cosmetic surgeries, and requires intensive preparation and aftercare. The procedure can take up to 3 hours and must be performed in a clinic.

Will I always need a general anaesthetic?
The classic abdominoplasty including a muscular lift needs to be performed under general anaesthetic. The mini abdominoplasty can be performed using local anaesthetic.

Is it possible to remove stretch marks with a tummy tuck?
Yes, if they are located in the lower abdominal area. Women with connective tissue weakness within the excess skin area often get so-called stretch marks. If undergoing a tummy tuck, parts of the excess skin underneath the navel will be removed. In most cases, this causes the stretch marks to disappear. If some marks are located above the navel, they can be treated separately using a laser (not in combination with a tummy tuck). The skin will improve and the marks will be smoothened even if they can’t be eliminated completely.

Can I get pregnant again afterwards?
Of course you can! However your abdominal area may well be stretched again and the effect of the tummy tuck reversed.

Is this procedure partly or fully covered by health insurance?
It generally isn’t. However some private health insurance companies will cover parts of the procedure such as a muscular lift and the treatment of torn muscles that may occur with overly stretched abdomens. This as well as the costs for the clinic and anaesthetic often account for most of the bill. Patients are advised to undergo a thorough pre-operative check-up and to submit an estimate based on the findings from this.

How long do the results last?

A tummy tuck is essentially permanent, though ageing and subsequent pregnancies may have a natural impact on the results.

Are there going to be noticeable scars?
Classic abdominoplasty uses a horizontal incision along the upper end of the pubic bone. It is important to discuss your preferred type of underwear to adjust the incision as best possible. In most cases, it is possible to fully conceal the stitches with your underwear/swim wear afterwards.

What is a mini abdominoplasty?
If undergoing a mini abdominoplasty the surgeon, will remove a strip of skin and tissue below the navel. The muscular tissue won’t be affected. The position of the navel will be retained. A mini abdominoplasty is ideal for light to medium-weight patients who suffer from stressed, stretched and wrinkled skin but do not have any weight issues.

What happens to the navel?
If undergoing a mini abdominoplasty, the navel’s original position is retained. If undergoing an extended abdominoplasty, which involves the removal of excess adipose tissue, lifting of the muscular tissue and removal of excess skin, the navel will be removed and subsequently reattached in a natural position.

Can the navel also be lifted?
The adolescent navel appears more vertically rounded whereas the aged navel tends to be more horizontally stretched. The adolescent shape of the navel may not be fully recovered, but usually the navel gains a more appealing, rounder shape than before.

Is it possible to combine liposuction and a tummy tuck?
Yes. A tummy tuck is often combined with liposuction in the neighbouring areas such as the thighs and hips or the upper abdomen to achieve better results. Liposuction of separate areas must be discussed with the responsible surgeon beforehand.

Would liposuction on the abdominal area be sufficient?
This question must be discussed individually with our specialist. Generally, less risk and lower costs also mean less effective results. Our specialist will advise you confidentially on the ideal treatment. Please be reminded that unlike women, most men have fat stored beneath the muscular tissue in the abdominal area. As a consequence, liposuction may not have the desired effect.


Breast augmentation

Breast augmentation

What different implants are there and which ones are normally used for breast augmentations?
There are silicon and saline implants. Mostly silicon implants are used for breast augmentations. They are believed to be safer and usually last longer than saline implants.

How does the surgeon insert the implant?
The implants can be inserted in several different ways: they are either inserted through the breast crease or the areola. The implant can be positioned above or below the breast muscle.

What advantages and disadvantages are there regarding the position of implants?
The plastic surgeon achieves very good results by performing either of the two methods. Making an incision in the armpit guarantees a practically invisible scar, however this method is less common, as it is more difficult to correct the big breast muscle than when inserting the implants through the breast crease or areola. From a technical perspective, the easiest method is via the breast crease with relatively subtle scars. Insertion via the areola requires a highly trained surgeon to keep the scars subtle. Our plastic surgeons are professionals in this field, and will advise you on the best method of insertion.

Which implant suits me best?

The choice of material, shape and positioning depends on several different factors. Our experienced surgeons assess the criteria from physical, health and psychological perspectives. The quality of advice therefore depends on the surgeon’s expertise. Our surgeons only use ISO standard implants with CE certification and an ID number to guarantee maximum safety.

Can the implants burst?

Modern-day implants are extremely resilient and impact-proof.

Can the inserted implants leak?
Silicon implants cannot leak because they are filled with a firm, cohesive gel.
Saline implants can leak, though this is extremely unlikely.

Will my ability to breastfeed be affected?
The implants are placed behind the mammary gland; the ability to breastfeed isn’t usually affected.

What is capsular fibrosis?

The most common complication in breast augmentation is capsular fibrosis. It is normal for the body to build tissue-like shells around foreign bodies (e.g. implants). Forming a thin adventitia around the implant is a normal physical reaction to the foreign body. Abnormal formations are known as capsular fibrosis.
The cause of this overreaction remains unknown, however haematoma, bacterial contamination as well as the surface structure are believed to be contributing factors. This risk of capsular fibrosis can be reduced using textured surfaces.
Capsular fibrosis can lead to sclerosis, pain, deformation of the breast, or palpability or dislocation of the implants.
The suspicion that implants can lead to autoimmune diseases remains unproven. The findings of the Institute of Medicine commissioned by the US congress to research this theory impressively disproved it. This brought an end to years of debate on the adverse impact on health of silicon implants.

How dangerous is capsular fibrosis?
Minor capsular fibrosis was a problem with old implants. These days, it is a fairly rare side effect if modern implants are used.

What is the likelihood of contracting breast cancer after having had a breast augmentation?
During clinical studies, no link has been found between breast cancer and breast augmentation or implants.

How much pain will I experience after surgery?
Severe pain is rare. Patients mostly report a feeling of tension, however this will go away after a few weeks. Feeling will normalise.

I’ve heard that it is possible to use one’s own fat for breast augmentation. Is this true?
The use and transfer of your own fat deposits to enlarge the breast is a renowned method. Some clinics offer this procedure, though most doctors advise against it.

What is the difference between round and drop-shaped implants?

Modern breast implants vary in width, height and projection. Round implants lead to a very dominant breast volume. Anatomically shaped implants result in a very natural and optically harmonising body silhouette.

Breast reductions and breast lifts

Breast reductions and breast lifts

At what age can a breast reduction/lift be performed?
Patients can undergo breast reduction as soon as their body is fully grown and the breasts are fully developed. However, teenage girls should only consider surgery if the physical and mental burden are unbearable, as there is a risk of further breast growth that may lead to the need for further surgery.

What surgical methods are used for breast reductions/lifts?
There are two preferred methods: one is based on the Lejour approach and results in minimal scarring. Using this method, the incision starts below the areola and extends to the breast crease. The second method involves an anchor-shaped incision that begins beneath the areola and continues into the breast crease.

What exactly is a breast lift and how is it performed?
Over the course of one’s life, your breasts may begin to sag as the breast tissue and areola drop due to excess skin in the lower breast area. A breast lift can help bring back firm, youthful breasts. The lift technique is similar to breast reduction. If required, the surgeon can insert implants to enhance the volume.

What exactly happens during surgery?
1. In general
The basis of all breast surgery is a precise pre-operative strategy and marking of the patient on the day of surgery. In doing so, the new position of the areola and the skin to be removed will be marked.
The main principles of this surgery are relocation of the glandular tissue to the upper breast area (upper filling), narrowing of the breast by forming a rounder décolleté with central projection, repositioning of the areola and the removal of excess skin. The diameter of the areola will be adjusted to the new breast shape.

The glandular tissue itself will only be removed if there is distinct asymmetry, or if the patient requests breast reduction at the same time.

2. Scarring after a breast reduction/lift
Depending on the chosen method of surgery, the size and volume of the breast as well as the breast base dimension and the individual consistency of the skin, different scars may be left. Usually the incision is made around the areola, down to the breast crease and possibly also along the breast crease.

If undergoing aesthetic surgery, the scars should be kept as short as possible and follow the natural contours of the breast. The initial redness will fade over time. In case of unpleasant, excessive scarring, scar revision can be undertaken after 6-12 months. The rate of success of scar revision using scar reducing techniques, which involves deliberately allowing the skin to shrink and not removing it by making longer cuts, is higher than other reduction techniques.

If a breast augmentation is required in addition to a lift, the surgeon can insert the implants inside the reshaped breast or underneath the muscle during the same procedure or in a follow-up procedure.

Will I experience pain after a breast reduction/lift?
People experience pain differently. After breast reduction, it is fairly rare to feel severe pain. The pain that might occur is treatable with painkillers.

Will I still be able to breastfeed after having breast reduction/lift?
Breast reduction can reduce or even fully eliminate the ability to breastfeed. Women wishing to breastfeed should bear this in mind.
A breast lift does not affect the ability to breastfeed.

Will the nipples be repositioned during breast reduction/lift?
In most cases, this is necessary to ensure an aesthetic result. In a worst-case scenario, your nipples may lose sensitivity.

Will I need to stay at the clinic after a breast reduction/lift?
Yes, you should expect a 2 to 3-day hospital stay.

How long will I need to wait before I can do sport again?
You should not do any sport for about 4-6 weeks after a breast reduction/lift to avoid jeopardising the results.

When will I see the final results?
An impression of the final results can be gained after approximately 6 months, whereby the scars may take another 1-2 years to heal.

When is a breast reduction/lift right for me?
When the skin loses its elasticity, the breasts can lose they former shape and firmness, go slack and become saggy.
As a result, most women find their breasts unattractive and start to suffer from early ageing and adverse changes in the form. Overly large breasts (gigantomachy) may encourage sagging.

When should I decide against a breast reduction/lift?
The lift effect may not be permanent for those with large or overly large breasts, or intending to become pregnant again after surgery – no treatment can permanently beat gravity!
Patients are advised to consider their family planning carefully before undergoing the procedure. Breast reduction may reduce or even fully eliminate the ability to breastfeed.
Further pregnancies may also have an unfavourable impact on the lift effect.

What may I expect from breast reduction/lift?
Many factors such as pregnancy, breastfeeding, age, size and weight of the breast, connective tissue weakness, skin elasticity, genetic disposition and many more may influence the shape of your breast.

Many women wish to have breast correction as the breast volume has shrunk and the skin has been left saggy after a pregnancy and breastfeeding. In many cases, women also get stretch marks, which are an indication of a loss of elasticity.

A breast lift can greatly improve your appearance and self-esteem.
Optimal results can be achieved with women who have normal-sized, saggy breasts and well-preserved skin elasticity.

Is this an outpatient procedure or will I need to be hospitalised?
Usually patients are hospitalised for 1 to 3 days. You should take about one week off work though.

Am I going to be under general anaesthetic?
Procedures that change the shape of the breast – reductions or lifts – are normally performed under general anaesthetic.

Extensive swelling of the breast due to the injection of a local anaesthetic, as performed with liposuction can make it difficult or even impossible to reshape the breast. If undergoing minor cosmetic corrections around the areola, such as a lift or inverted nipple correction, it may not be necessary to put you under general anaesthetic.

How can I best prepare for surgery?
Your doctor will recommend a mammography before surgery depending on your age, the results of a breast examination as well as family particularities.

Nicotine restricts the blood flow and may hinder the healing process. Also, statistically the risk of inflammation and infection is a great deal higher among smokers! For your own good, we highly recommend giving up smoking at least 4 weeks before surgery.

Avoid taking painkillers that contain acetylsalicylic acid (e.g. aspirin). This substance may have a significant impact on blood clotting and increase the risk of after-bleeding as a consequence.

Your doctor will provide specific advice on nutrition before surgery, on taking your usual medication and hormones/birth control pill as well as on general behaviour on the day before surgery.

Saggy, slightly enlarged breasts that may seem to need aesthetic surgery are not classified as an illness by your health insurance! Therefore you cannot obtain a sick note after having cosmetic surgery. Usually patients are able to return to work one week after surgery.

What do I need to heed after breast reduction/lift?
After surgery, you will wear a compression bra for a few days, which will subsequently be replaced by a well-fitting sports bra.

You will be able to shower on the first day after surgery, but you should avoid bathing for at least 4 weeks.

You should wear a bra 24/7 for at least 6 weeks after surgery.

Avoid sleeping on your stomach until fully recovered! You should also avoid pressure and impact on your breasts, as well as sports that cause the breasts to bounce or swing (e.g. jogging, aerobics, horse riding).

Six weeks after surgery, you can slowly return to your usual activities. If going to the solarium or out in the sun, your scars should be covered with sun cream with a high sun protection factor.

What are the risks involved in a breast reduction/lift?
Slight pain and swelling of the wound for a few days are normal and can be treated with painkillers and soothing medication. Minor haematomas will rapidly disappear.

After-bleeding, major haematomas, infection and healing process disturbances of the skin, the glandular tissue, the fat tissue and the areola are very rare side effects that may require follow-up corrections or treatments.

The feeling in your nipples and parts of the breast’s skin may be reduced or numbed after surgery. In most cases, it will return to normal within a few weeks or months.

You can expect to lose the ability to breastfeed depending on the surgical technique and the volume of glandular tissue that must be removed.

Your doctor will do their best to keep your scars as small and subtle as possible so that even a little bikini will be able to cover them.

The obvious initial redness will fade over time.

Will I need to consult a doctor later on?
The shunts inserted to drain excess fluid will be removed after 1-3 days. All incisions will be stitched using self-dissolving stitches, which will dissolve within the first few months. Only a couple of stitches will need to be removed after 7-10 days.

You should undergo a routine post-operative check-up at your family doctor within the first week, as well as after 1, 3 and 12 months. After 3 months (at the earliest), you can expect a complete reduction in the swelling and regression of the excess skin if you had scar reduction treatment.

Can a breast reduction/lift be reversed?
No, after performing a lift, you will be left with visible scars for life. Usually these scars fade to fine white lines after a year.

Is it possible to repeatedly undergo a breast reduction/lift?
Due to the natural ageing process and additional pregnancies, you may suffer from a loss of elasticity and saggy breasts again. It is no problem to perform further breast reduction or lift along the old and existing incisions. It is also possible to repeatedly remove glandular tissue to reduce the breast.

Facelift, forehead lifts and neck lifts

Facelift, forehead lifts and neck lifts

At what age can I undergo a facelift?
It basically depends on the degree of tissue ageing. Usually a facelift will not be performed before patients reach the age of 30 or 40. However we recommend halting and reversing the ageing process as soon as possible. This generally allows for better results to be achieved.

Is it possible for my face to seem too lifted after a facelift?

This shouldn’t be the case if a competent plastic surgeon has been consulted, as they will aim to achieve a natural look. Inexperienced surgeons may lift the tissue too much, which may result in a mask-like appearance. This effect may also occur if a facelift is repeatedly undergone. Beautymax surgeons are plastic surgery specialists and are experts in the subject.

How long does a facelift last?

It depends on the type of facelift (e.g. SMAS lift) as well as the state of the tissue. If not only the skin but also the deeper tissue is lifted, the ageing process can permanently turn the clock back 10 years.

Is it possible to undergo several facelifts?

It is essentially possible to undergo several facelifts. This depends on individual and other factors such as the tissue structure.

Is it possible to combine a facelift with a forehead lift and eyelid reshaping?
These area can of course be treated at the same time.

How extensively will the tissue be exposed?
In general, the skin should be detached carefully so that the vessels and important structures remain as undamaged as possible. In other words, most of the malar area will be exposed, but only parts of the flexible area will be affected. However, in the majority of cases the neck area and its platysma muscle have to be fully detached and exposed to access the disturbing fat deposits.

How long does a facelift take?
Depending on the scale of the procedure, it can take 3-5 hours.

How long will I need to be hospitalised?
A hospital stay of at least a day is recommended.

Will I need to wear bandages after surgery?
Depending on the type and dimension of the facelift, you may need to wear a bandage for 1-2 days. Depending on the individual healing process, a follow-up bandage usually isn’t necessary.

When will the stitches be removed?
Usually some of the stitches are removed 5 days after surgery. The rest will be removed 8-14 days after surgery.

How extensive is the feeling of tension after surgery?
Within the first few days, you will feel extensive tension, which will fade latest after 2 weeks. If undergoing more major procedures, it may take more than 6 weeks until the swelling and induration fully disappear.

When is it possible to wash my hair again after having had a facelift?
You can wash your hair with warm (not hot) water the following day already. It will not matter if water goes on the stitches. To give your highly sensitive skin a rest after surgery, you should avoid hot air and the use of hairdryers.

When will I be able to wear contact lenses again?
Contact lenses can be worn again approximately 2-3 weeks after surgery. Sometimes it may take a little longer until the lenses fully adjust again.

When will I be able to go out in the sun again?
You should avoid direct sunlight for at least 3 weeks. If you cannot avoid the sun, you should use sun cream with a high sun protection factor and wear sunglasses for at least the first 5 months.

What about sports after surgery?
High impact sports such as tennis, swimming, golf, jogging etc. can be resumed after 4-6 weeks. For at least 3 weeks, you should avoid activities that increase the blood pressure and heat (e.g. hot baths, running, etc.).

When will I be able to return to work?
Depending on the type of job you do, you may return to work as soon as you feel ready (usually 10-14 days after surgery).

Will additional follow-up appointments be necessary?
We advise having additional follow-up check-ups after one, three, six and 12 months.

What potential complications may arise?
No surgery is risk-free, however most complications that may occur with a facelift are harmless (e.g. haematomas, soreness, dryness of the eye, after-bleeding). If the operation is performed carefully and meticulously, these complications are fairly rare.

Will I be able to comb my hair after having had a facelift?
You will be able to do so as soon as the healing process is completed and the scars are practically invisible (approx. 3 months after surgery).

Liposuction

Liposuction

Are the technical and personnel requirements the same as in Germany?
The clinics are equipped with the latest diagnostic devises and surgical instruments.
We work with experienced and renowned specialists. All specialists have been educated and trained in the USA and Europe, and are all specialists in plastic surgery.

How come it is so much cheaper?
In United Kingdom, the personnel, facility and advertising costs in addition to the taxes are far higher than in the Czech Republic. This is one reason why prices are higher in England and professional services far cheaper in the Czech Republic.
Expensive treatment is not necessarily better than cheaper treatment.
The price should not be the decisive criterion for an optimal outcome however, but rather the quality of the surgeon, the clinic and the technical facilities.

Am I suitable for liposuction?

All those with a healthy cardiovascular system and without any prior major illnesses are suitable liposuction patients. Those, who are close to their ideal body weight but still fighting resistant fat deposits, are the most suitable. The most common problematic areas for women are the thighs, lower abdomen, hips and buttocks. For men, they are the abdomen and hips.

Is there a minimum age restriction?

There is no general age restriction for liposuction, however underage patients usually won’t be treated. There are no other restrictions. The basis for liposuction is a state of health that allows surgery. You should know that with advancing age, the elasticity of the tissue weakens, which may affect results. Only an individual consultation and a medical examination can determine about whether liposuction would make sense; sometimes a lift is more appropriate.

Is it a painful procedure?

  • Local anaesthetic
    You may feel the movement of the cannula, but the procedure is entirely painless.
  • General anaesthetic

The patient will be unconscious and therefore free from pain during the procedure.

Is it possible to treat several different areas at once?
Yes, it is possible to treat several problematic areas at once. In doing so, the specialist will reshape the problematic areas so that your body’s proportions are once again harmonised. This is known as body contouring or liposhaping.

Is it possible to undergo liposuction several times?
There is nothing wrong with undergoing liposuction several times under certain conditions and in strict accordance with reasonable intervals between each procedure. Under certain circumstances (regarding the used technique and the volume), it is possible to combine different problem areas in one session.

How big and how visible will the stitches be?

The puncture points will be less than 5 mm in length. Depending on the method used, their diameter will not exceed 3-5 mm. Extremely subtle placement will mean these will be virtually invisible after healing.

How much fat can be removed in one session?
The amount of fat that can be removed depends on the patient’s physiology and the area to be removed. Under special safety conditions and using specially qualified techniques, it is possible to remove over 5 litres of fat in one session. Classic liposuction involves the removal of between 0.5 and 3 litres of fat. If treating the knees, ankles and arms, the volume removed will not be more than a few centilitres.

Is tumescent liposuction safer than classic liposuction?
Tumescent liposuction allows the surgeon to remove larger quantities of fat. There is less tissue damage and the fibres are unaffected, meaning the skin seems firmer afterwards.

What does the fine cannula technique involve?
The surgeon uses an extremely fine cannula. This allows them to work more precisely and to remove fat that lies directly beneath the upper layer of skin. In this way, skin irregularities can be reduced. Also, sensitive body parts where the standard cannulas can no longer be used can be treated.

What happens directly after liposuction?
The patient will need to wear a compression garment for 14-45 days. The affected areas may leak a little the day after surgery. Daily soft massages during the following weeks may improve the ultimate procedure results.

Is it normal to feel tiny lumps and indurations after liposuction?

Yes, it is normal to feel some irregularities in the early stage after liposuction. These are part of the healing process and should disappear after a few weeks. Massages and lymph drainages encourage the healing process.

Irregularities and lumps after liposuction?
This is mainly due to the individual state of one’s tissue and the firmness of one’s skin. Tender skin often shows irregularities that usually disappear over time.

How long will the visible swelling remain, and how can I speed recovery?
Swelling may be visible for approx. 2-4 weeks after a major procedure. On rare occasions, swelling may last a little longer if you suffer from lymphatic problems. Wearing the compression garment will encourage a reduction in the swelling. Professional lymph drainage will also help.

Can the fat deposits return?
Fat cells don’t necessarily increase in certain areas, but liposuction will not stop you gaining weight again. The remaining fat cells could increase again if weight is gained. However, the fat would spread more evenly after a liposuction, hence liposuction is suitable for reshaping, forming and harmonising the body proportions, but cannot replace a healthy diet.

How could you support the skin restructuring after surgery?
The method of treatment is important regarding the post-surgical skin tightening. The fine cannula technique can tighten the skin by suctioning directly underneath the skin.
After 4 weeks, you can try a few LPG treatments that may also encourage skin tightening.

When will I be able to return to work?
Depending on the medical check-up, you should be able to resume sedentary activities after 3-5 days. We recommend getting up every 30 minutes and moving around a bit at the beginning. It is very important to drink a lot of water and to take mineral supplements.

What is the exact procedure once I have reached a decision? How often will I need to visit the Czech clinic?
You will be hospitalised for one day. You will have to plan for at least 2-3 days in a hotel after surgery – depending on whether you’re travelling alone or with a companion.
You will have your first post-operative check-up one day after surgery. Your family doctor can perform a second check-up after 7 days should he be qualified to do so. It is up to you whether you wish to travel to the Czech Republic again for a second check-up and to have the stitches removed. Further examinations will be arranged according to your individual options. Should you be unable to return for a second check-up, your family doctor can perform this if qualified to do so.

I’m on medication. Will this be a problem?
We ask that you inform us and the doctor of the dosage and the type of medication at the beginning. Some medication can be taken without any problem, while others must be discontinued before surgery (e.g. aspirin or ibuprofen).

Which medication shouldn’t be taken right before and after surgery?
Acetylsalicylic acid (aspirin etc.) should be discontinued 14 days before surgery as it affects the function of the blood platelets. Antibiotics will not interfere with liposuction. Your surgeon will advise you of all the details.

Will I need to discontinue the pill before liposuction?
You can continue taking the pill, though you should inform your doctor. Please note that the effectiveness of your contraception may be severely reduced!

What are the risks of thrombosis?
With every surgical procedure, there is a risk of thrombosis. Thrombosis is a possible complication, though it is rarely associated with the tumescent technique. Moreover, preventive thrombosis treatment is today part of every modern process of surgery – especially in major procedure.

How tightly should the compression garments fit?
It should fit comfortably and not be too tight. Slight pressure is entirely sufficient. Compression garments are available in all our clinics. It will be optimally adjusted to your body measurements especially as fluids and absorption add some additional volume after surgery.

How long will I need to wear the compression garments?
Opinions vary a great deal as to how long compression garments should be worn. We advise wearing them for at least 2 weeks. If they feels comfortable, you can wear them for 6 however. Please consult your surgeon.

Should I lose some weight before surgery?
Ideally. yes. Reducing your weight is advantageous before liposuction. More effective results can be achieved in this way. It is also beneficial to maintain this reduced weight after surgery.

When will I get to see the final results after liposuction?
Although regression isn’t completed after 6 months, the final results are apparent. The swelling may not subside very quickly if you suffer from lymphatic problems. If treating the chin and cheeks, it may take longer to subside. Preliminary results are visible 2 days after surgery though.
The treated area will begin to swell 3-4 days after surgery. Most of the swelling will have subsided after 4 weeks, however the final results will not be visible until after 12 months. By then the tissue will continue shrinking and the skin will straighten itself. It is a gradual progress that requires patience.

How effective is liposuction in terms of the aesthetic results?
Liposuction leads to permanent and usually very positive results. In most cases, even older patients do not need to undergo an additional lift.

What about sports after liposuction?
You should rest for at least 4 weeks before resuming any sports. Gentle activities can be undertaken in consultation with your surgeon. It is important that you wear the compression garments. Swimming should be fine as soon as the haematomas have healed. If the incisions have healed and you’re feeling comfortable, you may even go swimming a little sooner.

What do I need to be aware of with regards to skin care after liposuction?
Simply use a good-quality lotion to moisturise the skin. This will support the skin’s regression process sufficiently. Medical lotions are needlessly expensive and will not lead to better results.

Will I need to avoid the sun and solariums after liposuction?
Depending on the individual case and the method used, you should refrain from overheating for at least 4 weeks. This may encourage the spread of germs inside the wound.

How can the scars best be cared for?
Scar-reducing plasters are recommended for fresh scars. Please use a slightly fatty lotion for the scars. It’s ok to use olive oil, for example, though this is not entirely practical. Should you wish to go out in the sun or visit a solarium, please cover your scars with plasters or a blemish cream.

 

Eyelid reshaping and eye bag removal

Eyelid reshaping and eye bag removal

When does it make sense to undergo eyelid correction?
Small wrinkles around the eyes, eye bags and saggy eyelids usually run in the family. Sometimes they are more pronounced than in other cases, and may even lead to an abnormal restriction of your eyesight. This natural ageing process results in an unpleasant change in your eye area and affects a youthful look.
Oculoplasty is usually performed for aesthetic reasons. The decision is yours if and at what age you wish to undergo this procedure.

What exactly happens during the procedure?
When undergoing oculoplasty, the excess skin on the upper and lower eyelid is removed using a scalpel. The extent of this procedure depends on your eyelids. By precisely measuring the skin, the surgeon is able to achieve even and symmetric results.
Tightening of the skin and musculature occurs naturally when the excess skin is removed. Eye bags, which consist of fat tissue, will also be removed.
If suffering from pronounced crow’s feet, parts of the strong eyelid muscle will additionally be removed.

What are the possible results?
After surgery, the lower lids are unlined at rest except when you smile. The sometimes dark and extremely thin skin of the lower lids may not be brightened or tightened. You will be left with a fine thin line, which proceeds along the natural lid fold. The upper lids will be noticeably smoother and your eyes seem brighter.

What type of anaesthetic will I be given, and how long will I be hospitalised?
This is usually an outpatient procedure; you will be hospitalised for one day at the most. A sedative shot will put you in a doze and allay any nervousness or excitement. The local anaesthetic is injected via a fine, thin cannula, which you will barely feel.
Should you not wish to witness the surgery, you can be placed under general anaesthetic. You will have to undergo certain pre-operative check-ups and consult the anaesthetist in this case.

How can I prepare for surgery?
Before surgery, you will have to be examined to rule out any damage to the retina or eyeground. Please bring the medical report with you to your appointment at the clinic. You should not take any painkillers such as aspirin for at least 14 days before surgery, as they affect your blood-clotting ability. It is also best to refrain from consuming alcohol or sleeping pills. Purchase some compresses as well as two or three cold packs. A cold eye mask is also advisable. There is nothing more to prepare. You should check in without make-up on, be relaxed and bring dark sunglasses.

What is the exact surgery procedure?
Before performing the actual procedure, the surgeon must determine the course of the incision that will lead to the best results. With a special pen, he will draw an accurate draft onto the skin. The excess skin will be removed with a scalpel. The incision will be stitched intracutaneously so that the stitches are invisible. The procedure takes up to approx. 1.5 hours.

What happens after surgery?
Directly after surgery, the eye area will start to swell more or less heavily. The swelling will subside after a few days. There will also be haematomas around the eye, which will fade within one week. The scar along the lid fold will therefore barely be visible after 8 days. If the incision had to be made above the fold, their redness may be visible for a few weeks. Your vision may seem restricted due to the swelling, which will subside entirely after a few weeks.

What are the risks?
Please inform us if you are allergic to certain medication or care products, for example, or if you suffer from other illnesses. If you tend to bruise easily or bleed persistently from small injuries, your blood-clotting ability must be tested before surgery.

What are the possible complications?
After-bleeding is fairly rare, but can occur 1-2 days after surgery. After having eye bag removal, the lower lid may protrude slightly, resulting in the overproduction of lacrimal fluid due to individual scarring and haematomas. This is very likely if the patient is older or undergoing a second procedure.
Patients, who tend to scar more easily, may have visible, reddened scars for a few weeks. In this case, we will advise of the appropriate aftercare. A slight dryness of the eye is normal after surgery.
If your eyes are abnormally reddened and irritated, please consult an eye specialist.

What about aftercare?
Try to cool your eyes with damp and cold compresses for 1-2 days. This will help reduce the swelling faster. Any leftover bloodstains can be removed carefully using a damp pad.
Your family doctor will remove the intracutaneous stitches after 7-10 days.

What do I need to be aware of after surgery?
You should not use any lotions or ointments during the first week after surgery. In addition, you should not apply any make-up to the fresh scars for one week. Please note that the skin recovers best by itself. Ideally wear sunglasses to cover up any haematomas.

Nose reshaping

Nose reshaping

When would nose reshaping be appropriate?
The nose is the centre of our face and reflects our personality. Those who do not like their own nose often suffer for a great many years. Successful surgical correction puts an end to this mental suffering and boosts the self-esteem of those affected.
Surgical techniques are state of the art and are safe and successful when performed by a meticulous, experienced surgeon.

What happens during surgery?
After making invisible incisions on the inside of the nose, the cartilage and bone structure will be finely reshaped according to your wishes.
It is mostly distinctive nose bridges that require reshaping, nose tips that must be lifted, nostrils that require fine-tuning and bone structures that must be narrowed. Crooked noses often lead to malpositioning of the nasal septum, which can also affect breathing. Surgery then also involves straightening the septum. In the event of other defects or a saddle nose, the surgeon may have to transplant additional cartilage or bone to even out the nose bridge.

The shape of my nose has troubled me for some time and I’m considering having it reshaped. What should I do?
You may be suffering from a distinctive hump on your nose, or maybe you find it too small, large, pointed or long. Today’s possibilities of rhinoplasty are diverse: straightening, augmentation, reduction, widening, narrowing, removal of humps and many more – they are meanwhile all routine for an experienced plastic surgeon.

Please remember that a reshaped nose also implies a change in your facial appearance, hence it is extremely important to be advised in full on nose reshaping. This will allow you to discuss your expectations as well as the different possibilities that may apply in your case.

Will there be visible scars?
Whenever possible, the surgeon will attempt to gain access from within the nose so that there are not any visible scars.

At what age can I undergo a nose reshaping?
In general, you shouldn’t have a nose reshaping when underage, as your body hasn’t finished growing yet. However, nose reshaping may be advantageous at a young age for those suffering from severe breathing difficulties.

How long will I be unable to work?
You will need to wear a special nasal cast after surgery, which will be removed or renewed after one week. Once this cast has been removed, you will have to wear a special bandage that will also allow you to return to work.
Depending on your job, you will be able to resume work after 10-20 days.

Can I pick a nose shape from a magazine?
We strongly advise against this. The new nose should suit your face and its individual proportions.
Besides, the nasal passage should not be made too narrow, as you still need to be able to breathe and smell normally afterwards!

What about sports, showering, taking a bath and tanning?
Anything that stimulates blood flow (e.g. hot baths, sauna, sports) should be avoided for 4 to 6 weeks.
Intensive tanning should be avoided for at least 2 to 3 months.

Are good results guaranteed?
Usually the procedure turns out according to plan, though the results are not entirely predictable due to individual tissue reactions.

What are the risks?
Irritation of the olfactory and gustatory senses disappears as the swelling subsides. Permanent irritation is extremely rare.
On rare occasions, skin alterations (e.g. redness) or painful scars may appear.
Tingling and numbness are commonplace. These will subside over the following weeks.
On rare occasions, the nose remains sensitive to touch for longer periods of time.
The shape of the nose may still change after several weeks or months.
General surgical risks such as infection, healing disorders and after-bleeding are extremely rare.

Can thick skin be a problem during nose reshaping?
Thick skin can be a problem, however specific techniques exist that allow reshaping of the cartilage so that it appears slimmer.

Will I be able to wear my glasses after surgery?
We recommend not wearing glasses for 6-8 weeks after nose reshaping. If the glasses are really lightweight, you may be able to wear them by attaching them to your forehead with a plaster to avoid putting pressure on your newly reshaped nose.

What is a parrot beak?
A parrot beak is when the front (cartilaginous) part of your nose bridge is noticeably higher than the rear (bony) part.

Is there any medication I shouldn’t take before surgery?
You should not take any acetylsalicylic acid (e.g. aspirin) or vitamin E, as these can encourage after-bleeding and the formation of haematomas.

Will I need to reschedule surgery if I have a cold?
If it is only a runny nose, surgery can be performed, however you should be prescribed antibiotics as a precaution. The procedure should be rescheduled if the cold worsens to avoid the risk of sinusitis, which could also affect the final results.

How long does it take for excess skin to regress after a nose reshaping?
It may take up to 12 weeks for the skin to fully adjust to the new shape.

How long will my nose be swollen after surgery?
In most cases, swelling only subsides once the cast has been removed. The swelling will subside within the following 3-6 weeks, however it will not subside fully until after 6 months. Persistent swelling can be treated with medication (e.g. with cortisone).

How can swelling be avoided?
You should avoid any kind of physical activity within the first 4-6 weeks to keep swelling to a minimum. Seated activities and gentle walks are ok. Cold packs will only help during the first 2 weeks. There is medication that can help reduce the swelling. Please consult your doctor.

How long should I tape up my nose?
It makes sense to tape up your nose until a maximum of 3 weeks after surgery after which it will no longer be beneficial.

What about sensitive skin?
If your skin is easily irritated, you shouldn’t tape up your nose anymore. Otherwise the resulting inflammation can lead to scarring. The swelling will subside without taping up the nose – it will merely take a little longer.

What will I need to take into account if travelling by plane after surgery?
Both the nose and the connection to the middle ear is swollen after surgery. This may lead to complications during takeoff and landing, as you will be unable to equalize the pressure. You should avoid any active equalizing, as this may put too much pressure on your nose! During the first few days after surgery, you should use a nasal gel or cortisone (as required) before flying to be able to equalize naturally by letting the mucous membrane go down.

What is the best sleeping position after having had a nose reshaping?
If sleeping on your side, there shouldn’t be any problems during the first 3 weeks. Recommendations vary on a case by case basis; please consult your doctor.

What if I get a cold after surgery or if I suffer from hay fever?
Sneezing and blowing one’s nose may lead to a change in form even 4 weeks after nose reshaping – depending on the result and the surgical technique.
Please consult your surgeon, who will be able to recommend treatment.

Is it dangerous to laugh or talk too much after having nose reshaping?
It is unheard of that talking has affected the reshaped nose three weeks after surgery.

Will I need to avoid sunlight and tanning?
This is up to the responsible doctor. Usually you will be able to go out in the sun or go to the solarium after just a few weeks. However you shouldn’t expose your nose to the sun for too long, and you should cover the scars with sun cream, as they may turn brown otherwise.

What about sports?
You should refrain from sports for at least 4 weeks (and a maximum of 3 months) after surgery. This depends entirely on the surgical method. You should also consult your surgeon regarding this to. It is not actually the concussion that may be assumed to be problematic, but rather the swelling of the face that may occur when working out, which may lead to a plumper, thicker nose.

What about washing my hair?
You should ask someone to help you washing your hair with your head bent backwards. Consult your surgeon about when you are allowed to wash your hair with your head bent forwards again.

How long will I need to treat the nasal mucosa with ointment?
It depends on the surgical method that has been used as well as on what has been corrected. Please consult your surgeon. Usually you can stop using the ointment after 3 weeks.
 

Ear reshaping

Ear reshaping

When is it ok to undergo otoplasty?
Children commonly suffer from this abnormality, as this kind of deformation of the ear is congenital. The outcome: teasing and mocking begins in playschool or primary school. A child shouldn’t undergo ear reshaping until after their sixth or seventh birthday. Only then will the ears have reached 70-80 % of their ultimate size. Possible growth disturbances won’t occur anymore, as in most cases, both ears need to be reshaped. Ear correction is also unproblematic for adult.

When should I decide against otoplasty?
If there is a considerably higher surgical risk, or the risk of a wound healing disorder, you should not undergo surgery. Surgery should only be considered after a thorough consultation and reflection.

What are the results of an otoplasty?
The aim is puckering of the cartilage as well as correction of the pinna. Scars resulting from surgery are usually invisible due to today’s surgical methods.

What exactly happens during surgery?

First the desired puckering will be defined and marked on the front of the ear by bending the pinna into shape. In this way, the incision will be defined on the back of the rear side of the ear.

Usually there is only a small strip of skin, if any, that may be removed so that the space between ear and head does not get too small. Afterwards, parts of the skin of the pinna will be carefully detached. The cartilage will then be cut in a special way or thinned out using a surgical fraise until the tension is reduced sufficiently to be able to easily pucker the chondral tissue.

If it is not only underdeveloped puckering but also malpositioning of the ear, the connecting muscles are cut, to allow the pinna to be repositioned freely. By placing special, partly periosteal stitches, the surgeon is able to reposition the ear. The stitches can be removed free of pain. At the end of the surgery an additional shaping pressure bandage will be applied.

Will I be placed under general anaesthetic?
Children are always placed under general anaesthetic. At a young or adult age you can alternatively be placed under local anaesthetic. However, many patients find the surgical noises unpleasant, as the surgeon operates in the immediate proximity of the acoustic meatus.

Is this an outpatient procedure or will I need to be hospitalised?
Even if you are placed under general anaesthetic, this is normally an outpatient procedure. You may be hospitalised for one day at the most. Sometimes a short stay may be necessary due to accompanying illness, or if domestic care cannot be ensured.

How can I prepare for otoplasty?
No preparation is needed. You do not even need to cut or shave part of your hair.

What do I need to be aware of after surgery?
For approximately one week you will need to wear a head bandage. Afterwards, wearing a headband is sensible, especially at night to protect the operated ear for a further 4-6 weeks.
Physical activities with a higher risk of injury should be avoided, hence young patients are excused from team sports for 6 weeks. Scar formation should be stable thereafter.

What are the risks of an otoplasty?
Complications are fairly rare. The formation of haematomas, which can disrupt the supply to the cartilage, are feared the most. This can result in noticeable scarring – in the worst case scenario, in loss of part of the pinna. Wound infection is extremely rare due to the substantial supply of blood. In rare cases, a stitch may accidentally come undone or the pinna may be folded over unintentionally – should the ear loses its shape, due to a torn stitch or fold, it is no problem at all to correct the pinna again.

Usually there are no complications at all. This applies to every procedure regarding the correction of a deficient cartilage puckering. The fact is that this method will not allow correction of a malpositioned ear without an additional incision being made at the rear of the pinna.

Will I need to go to the doctor’s again later on?
There is no need for any special aftercare, apart from wearing a headband for 4-6 weeks after surgery. This is why even children will have forgotten the whole procedure after a few weeks.

Could (or should) I undergo otoplasty again?
Undergoing otoplasty again is not beneficial if the surgery was successful and correctly performed. The results are permanent. Should your ears be harmed however – in an accident, for example – it may be necessary to reshape them again.

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