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Cosmetic Surgery Capital Federal Buenos Aires

Cosmetic Surgery Capital Federal Buenos Aires

OSCAR A. ZIMMAN, ARGENTINA


Speciality:		Plastic Surgeon
Country: Argentina
State: Buenos Aires
City: Capital Federal
Contact between: 9:00 and 17:00 hours

Training / Credentials

PROFESOR DOCTOR OSCAR A. ZIMMAN
 
Dr. Zimman received his M.D. from the School of Medicine, University of Buenos Aires, in 1967. He completed his residency program in General Surgery at the Rawson Hospital in 1971 and began his training as a plastic surgeon at the Alvear Hospital. In 1976 he received the degree of specialist in Plastic Surgery from the Ministry of Public Health of Argentina
He received his PhD as a Doctor in Medicine in 1983, with a doctoral thesis entitled: Muscular and myo-cutaneous flaps, which obtained a qualification of outstanding (Honors).
He has been invited by several prestigious institutions such as the Mayo Clinic (Rochester, Minnesota, USA), the University of California at San Francisco, the University of Alabama in Birmingham, the Mount Sinai Medical Center in New York, the Society of Plastic Surgery of Perú, the Society of Plastic Surgery of Uruguay, the San Pablo Chapter of the Brazilian Society of Plastic Surgery, the Chilean Society of Plastic Surgery, etc. In 1987, he was awarded a scholarship by the American College of Surgeons in the U.S.
He has published numerous papers in Argentina and abroad, and has received several awards in his specialty.
He is a member of the Argentine Society of Plastic Surgery, the American Society of Plastic Surgeons, the Lipoplasty Society of North America and is a Fellow in Plastic Surgery of the American College of Surgeons. In 2003 he was appointed Honorary Member of the Society of Plastic, Reconstructive and Esthetic Surgery of Perú.
In 1996, as a result of an open contest, he obtained the position of Associate Professor of Plastic Surgery at the School of Medicine of the University of Buenos Aires.
In 1999, as a result of an open contest, he was appointed Chief of the Division of Plastic Surgery of the Hospital de Clínicas "José de San Martín". Since 2000 he is Director of the Career of Specialist in Plastic Surgery at the School of Medicine of the University of Buenos Aires. He is also General Coordinator of the Career since 2003 and member of the Faculty Council (CODEP) of the Department of Surgery, School of Medicine, University of Buenos Aires.
 
BEFORE UNDERGOING ANY SURGICAL PROCEDURE, WE RECOMMEND THE FOLLOWING:
 
1- Tell your doctor about your expectations with regard to the results of the surgery, as well as your concerns about the procedure.
2- Do not forget to disclose any history of prior diseases or surgery, as well as the medications you are currently taking and/or history of allergies.
3- Remember not to take aspirin during the weeks prior to and following your surgery, since the drug interferes with the coagulation process.
4- Remember that there is no surgery without a scar, in spite of the many misleading advertisements in the media that claim the opposite. The surgeon will make the scar as less evident as possible, locating it in the appropriate area. The result will be a combination of the surgeon’s skill, the individual characteristics of the patient and his/her type of healing.
5- Speak clearly about all financial-related aspects: medical fees, surgical expenses, cost of the prostheses, compression garments, postoperative treatments, etc. At the time of deciding your surgery, everything should be absolutely clear.
6- The day of your surgery you should wear comfortable clothes and no jewelry (earrings, bracelets, necklaces, rings, etc).
7- The day of your surgery you should attend accompanied by a friend or relative (not too many people).
8- Remember that after the surgery you will not be able to drive back home.
 
BREAST SURGERY
 
• AUGMENTATION MASTOPLASTY
Objective: increase in breast volume.
The intervention: consists of placing silicone implants (gel or saline filled) through small incisions, in the space between the mammary gland and the pectoralis major muscle. Occasionally, it may be necessary to implant them behind the muscle.
The size of the implants will be decided by the patient and surgeon jointly.
Type of procedure: outpatient or one-day admission.
Anesthesia: local with sedation or general.
Duration of the procedure: from 1-2 hours.
Recovery: initial recovery takes 7-15 days, and one month is necessary to fully resume all physical activity.
Results: are long-lasting, although they may be modified by weight gain or pregnancy/breastfeeding.
 
• REDUCTION MASTOPLASTY
Objective: Destined for women who wish to reduce the volume of their breasts, and elevate them in order to make them more harmonic and young-looking.
In cases of large-volume breasts (gigantomastia), this surgery also alleviates the back pain caused by their excessive weight.
The intervention: The technical rationale consists of removing a wedge of skin and gland in a vertical and horizontal direction.
Type of procedure: outpatient or one-day admission.
Anesthesia: local with sedation, or general.
Duration of the procedure: from 2 to 3 hours.
Recovery: between 7 days and 3 weeks.
Approximately 7 days, one month to completely resume all physical activity and 6-12 months for scars to become unnoticeable.
Results: are permanent, only modified by weight gain, pregnancy or aging.
 
• MASTOPEXY
Objective: Patients with normal-sized breasts, but with flaccidity or sagging breasts may benefit from some type of surgery.
The intervention: may entail placing implants or true breast "liftings" in which the surgeon removes skin and remodels the tissues: occasionally, the combination of both procedures is necessary.
Type of procedure: outpatient.
Anesthesia: local with sedation or general
Duration of the procedure: 2 to 3 hours.
Recovery: initial recovery takes 7 to 15 days and a after one month the patient may resume her usual physical activity.
Results: are long-lasting, although they may be modified by weight gain and pregnancy or breastfeeding.
 
• BREAST RECONSTRUCTION
Objective: Breast reconstruction of a gland that has been partially or totally resected due to cancer or other diseases is one of the most gratifying procedures that the surgeon can currently perform. It is a true challenge for the plastic surgeon, who has to make use of all his/her experience, since each case requires special consideration. Reconstruction can be immediate (performed simultaneously with the resection) or delayed (performed at a later time).
The intervention: There are several procedures and materials used in the reconstruction: placement of tissue expanders, prostheses, transfer of autologous tissues (such as the patient’s own abdominal fat or skin), etc. The reconstruction may require more than one surgical stage.
 
OTHER SURGERY
 
• ENDOSCOPIC PLASTIC SURGERY
Endoscopy is a surgical technique that uses the endoscope as a surgical tool, a special instrument that allows the surgeon to visualize internal elements of the body through small incisions. Endoscopic surgery has been performed for decades in operations such as gallbladder resections, gynecological disorders and knee surgery.
The endoscope consists of a hollow tube which holds a small television camera in its end; a TV monitor will show the surgeon images of the structures to be treated with the appropriate instruments.
In plastic surgery, its most important use is in the treatment of facial aging and especially in forehead lifting. The endoscope guides the surgeon, who resects the muscles which cause the wrinkles and repositions drooping eyebrows due to aging, thus avoiding the need for large incisions.
It is a great complement of blepharoplasty, which is the operation performed to correct eyelid wrinkles. It is also helpful for treating neck’s wrinkles. Endoscopy is also applied in nose surgeries that require correction of the nasal septum, to release the obstructions which are difficult to access under direct visual control.
 
• NOSE SURGERY: "RHINOPLASTY"
Objective: To treat nasal deformities.
The intervention: The surgeon’s role is not to change the face but rather to correct the defects of that patient so that the nose is in harmony with the rest of the face; for example to remove the hump, refine the tip of the nose, shorten and make the nose smaller, treat large nostrils and resolve cases with respiratory obstructive disorders.
Type of procedure: outpatient.
Anesthesia: local and sedation
Duration of the procedure: ranges from 1 to 2 hours.
Initial recovery: between one and two weeks.
Final appearance: attained in 6 to 9 months.
Result: permanent.
Complement: occasionally, it is necessary to add a chin augmentation in order to improve the patient’s profile.
 
• EYELID SURGERY: "BLEPHAROPLASTY"
Objective: To correct flaccidity, eyelid wrinkles and remove fatty bags under the eyes.
Fatty bags are small herniations of the fat which surrounds the eye, which, since there is no septum containing them, become visible and bulky under the skin.
The intervention: consists in removing the excess of skin and fat and repairing the septa, to prevent recurrences.
Type of procedure: outpatient.
Anesthesia: local and sedation.
Duration of the procedure: ranges from 1 to 2 hours.
Recovery: variable, usually from 3 to 5 days to begin activities and 2 to 3 weeks until complete recovery.
Results: last 5 to 10 years.
Complement: occasionally the procedure is combined with a limited facial lifting or an endoscopic forehead lifting in order to obtain better results.
 
• FACIAL REJUVENATION: "LIFTING"
Objective: to rejuvenate those facial traits that have lost their position and eliminate/attenuate most facial wrinkles. To diminish the signs of facial aging, while preserving the expression of the face.
The intervention: consists in repositioning the skin, muscles of the face and neck, remove the excess fat (when necessary) while achieving an overall natural result.
Type of procedure: outpatient.
Anesthesia: local with sedation, occasionally general anesthesia is used.
Duration of the procedure: from 2 to 4 hours.
Recovery: between 7 days and 3 weeks.
Results: last 5 to 10 years.
Complement: occasionally, it is necessary to perform a forehead lifting (endoscopically), or to place a malar prosthesis to better define a flat face, as well as fat fillings recycled from the same patient or eyelid surgery.
Each patient will require a different solution according to the surgeon’s advice and the final joint decision of the patient and surgeon.
Post-operative recovery: to make it faster, the use of anti-inflammatory masks is recommended, which enhance and improve the results of surgery.
 
• PROMINENT EARS: "AURICULOPLASTY"
Objective: this operation is performed to correct protruding ears and may be undertaken as early as in school-age children.
The intervention: the technique consists in removing skin, while at the same time treating the auricular cartilage in order to bring it closer to the head, and in some cases removing cartilage.
Type of procedure: outpatient.
Anesthesia: local or general (in young children)
Duration of the procedure: approximately 1 to 1 1/2 hours.
Recovery: is quick; in 3 days the patient may resume activities partially, and fully in 15 days.
Results: Results obtained are definitive.
 
• ABDOMEN AND THIGHS: FLACCIDITY AND ADIPOSIS."DERMOLIPECTOMY"
Objective: Patients with a prominent or flaccid abdomen require the resection of the excess of skin and fat, as well as muscle remodeling in order to improve their appearance.
The intervention: consists of removing the redundant tissues and is sometimes complemented by a lipoaspiration of the flanks. In the internal aspect of the thighs, when lipoaspiration is not enough, the excess of skin has to be removed.
Type of procedure: may be done as outpatient or inpatient.
Anesthesia: local with sedation or general anesthesia.
Duration of the procedure: ranges from 2 to 3 hours.
Recovery: ranges from 7 to 15 days and about a month to fully resume physical activity.
Results: are long-lasting when body weight is maintained.
 
• WRINKLE FILLING/REMOVING
Objective: filling of wrinkles, highlighting facial traits.
The intervention: there are several options: material implanted through local injections may be utilized, or the patient’s fat may be used as filling. Each procedure has its precise indication.
There are numerous filling materials in the market and others that are being introduced:
· collagen
· collagen + acrylic microspheres (arte-coll® ), radiesse®
· hyaluronic acid used alone or in combination
· bioplastique, etc.
Another option used to temporarily remove some wrinkles is the application of botulinum toxin type "A" (Botox®).
In cases of marked nasolabial folds, depressed commissures or the need for lip or cheek filling, fat may be obtained from some area of the patient’s body (abdomen, knees, gluteii, etc.), then processed, recycled and injected.
Although fat undergoes a process of resorbtion, it allows to obtain very good mid-term results. A second fat injection becomes necessary in some cases, since it complements the first one, and allows to obtain longer lasting results.
Type of procedure: outpatient.
Anesthesia: The injection of filling materials or fat is performed using local or topical anesthesia (EMLA).
Results: each type of material provides variable duration of results.
 
• CHEMICAL PEELING
Objective: is the care, improvement and maintenance of the skin damaged by aging, photosensitivity, seborrhea and different environmental factors.
Most frequent indications are: facial aging (skin dryness, fine wrinkles), pigmentation (spots), facial eritrosis (reddened skin), acne, sequelae of acne, facial seborrhea, damage due to excessive exposure to sunlight, etc.
The intervention: Several products are used : alfahydroxyacids (glycolic acid), retinoic acid, hydroquinone, vitamin C, derivatives of these products, etc. They cause almost no side effects. The procedure is also useful in the preparation of facial surgery (lifting) or as a complement to it, but does no t replace it.
Procedure:
1- At home, with creams, gels, lotions, etc. According to the need of each patient and the characteristics of the lesions to be treated.
2- In the office, with topical applications performed and controlled by the physician.
Duration of the procedure: The frequency of topical applications ranges between 7 and 14 days, with a number of 6 to 12 sessions. During maintenance, it is convenient to have one application monthly. Results: After 1 to 14 months, a marked improvement in the quality of the skin is noticeable.
 
• LOCALIZED ADIPOSIS "LIPOASPIRATION / LIPOSCULPTURE"
Objective: The procedure utilizes a cannula which emits ultrasound and aspirates simultaneously.
It is used to remove the excess of fatty deposits located in areas of the body which do not respond to diet and exercise and are generally under a strong genetic influence.
The intervention: The most frequent are double chin, arms, abdomen, back, hips, buttocks, thighs and legs. This type of ultrasonic lipoaspiration selectively destroys the contents of fat cells, while preserving the support of connective tissue, collagen, nerves, arteries and veins, causing limited trauma to the tissues. Hence, what is aspirated is the melted fat, with a homogeneous result and a significant effect of skin retraction. It may be used as a complement to other surgical procedures.
Procedure: no admission is required.
Anesthesia: local, with anesthetic support.
Duration of the procedure: ranges from 1 to 2 hours, according to the extent of the surgery.
Results: initial recovery is quick, from a few days to 2-4 weeks; for strenuous activities 2 to 4 weeks are required and the final result can be appreciated after 1 to 3 months.
For results to be durable, it is important to avoid weight gain and exercise regularly.
Complement: based on the experience of our center, where we have found it to be highly effective, we prescribe aspiration lymphatic drainage (endodermology, cellu-vac), for a variable number of sessions (6 to 10), which leads to a marked improvement in the postoperative recovery of the treated areas.

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