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Archive for January, 2012
DR. FABIO ZAMPROGNO
Sugical Experience and History
Dr. Fabio’s vast experience has allowed him to develop special reconstructive techniques that include “flap procedures” that allow the usage of the patient’s own tissue for breast and butt enhancement (rather than implants) during breast lift and lower body lift procedures. Dr. Fabio’s special arm and inner thigh lift techniques allow for true sculpting/reduction of these areas yet avoid disruption of the delicate lymph node system that can result in permanent, severe swelling if not used.
YOUR DERMATOLOGIST – Dr. Livia Lourega
Dr. Livia provides many services including Botox®, Microdermabrasion, Restylane®, and Laser Hair Removal. She has excellent skills and her international patients have been pleased with their results and with the cost savings in Brazil.
Dr. Livia is a member of the SBD (Brazilian Dermatologist Society) and the SBME (Brazilian Society of Aesthetics Medicine).
Dr. Livia attended the Universidade Severino Sombra,in Vassouras, Rio de Janeiro. Post graduate in Dermatology at Santa Casa de Misericórdia Hospital Rio de Janeiro and post graduate in Aesthetics Medicine at Faculdade Souza Marques in Rio de Janeiro.
Dr. Ana Paula is a Brazilian Dentist holding Post-Graduate degrees, experienced in comprehensive restorative dentistry. Because of the rising costs of dental care, many people are seeking high quality dental care at a more affordable price in Brazil. As a result of her excellent skills, Dr. Ana Paula has many satisfied international patients. These patients also enjoyed their stay on the beautiful island of Vitoria, which is surrounded by both the sea and the mountains.
Work Experience – Prosthesis, Implants and Aesthetic Dentistry, Volunteer Professor of the Federal University of Espírito Santos, Dental Whitening Laser Habilitation, American Osseointegration Academy Membership, Volunteer at the Tempora-Mandibular Disfunction Center – Federal University of Espírito Santo (UFES).
Education – Graduate Degree in Dentistry (Espírito Santo – Brazil), Specialization in Prosthodentics (Minas Gerais – Brazil), Specialization in Implantodontology (Rio de Janeiro – Brazil)
DENTAL PROCEDURES
Oral Rehabilitation
We use state-of-the-art materials including porcelain, resin, metal and other resources for the restoration of damaged teeth and/or replacement of the missing ones. Our materials and techniques result in functionality and an esthetically pleasing outcome.
Implants
The objective is the restitution of the missing teeth providing functionality, comfort, esthetic appearance and good oral health. In some cases, the surgery and crown placement can be done in one appointment.
Laser tooth whitening
This is one of our most requested treatments and is done by Dr. Zovico in only two appointments! The difference between this type of whitening and home treatments is the comfort and speed of the results. The laser treatment does not generate heat; therefore there is no damage to the teeth.
Metal Free Esthetic Crown
Due to the lack of metal, the transparency of this material (alumina) results in a natural looking tooth, avoiding dark-looking areas, especially at the gum line seen when metal based crowns are used.
Bruxism (clenching or grinding teeth)
The stressful force of clenching causes pressure on the muscles, tissues, and other structures around your jaw. This can lead to jaw joint disorders, jaw pain, headaches, earaches, damaged teeth and other problems. These symptoms are often referred to as “TMJ” or temperomandibular joint problems. This treatment requires a team of various specialists, such as a physiotherapist, a psychologist, and a dentist. Accurate diagnosis is the key to treatment success.
HAIR IMPLANTATION / TRANSPLANTATION
Hair Implantation /Transplantation Dr. Fabio uses individually transplanted hairs from your own head.
The beauty of a Botox® Cosmetic treatment is that it’s a simple, non-surgical process. A few tiny injections, and within days there can be a noticeable improvement in the moderate to severe frown lines between the brows that can last up to 4 months. Results may vary. And there’s no recovery time. Your doctor will administer several tiny injections of Botox® Cosmetic directly into the muscles that cause those moderate to severe frown lines between the brows. Your doctor will determine where to administer the injections by examining your ability to move certain muscles in your brow area. The location, size, and use of the muscles that create a furrowed brow vary markedly among individuals. No anesthesia is required, although your doctor may choose to numb the area with a cold pack or anesthetic cream prior to injecting. Discomfort is usually minimal and brief.
Microdermabrasion Facial Resurfacing
This procedure causes only exfoliation of the most superficial layers of the skin. It doesn’t bleed and therefore it can be done in the doctor’s office without anesthesia. It is done through microcrystals that are launched under pressure on the patient’s skin through a specific device. The skin only gets reddish and anesthesia is not necessary.
Laser Facial Resurfacing
It can be superficial or deep according to what the dermatologist thinks is necessary, it is preferable to do only the superficial. The skin is removed by a light beam (laser) that causes a burning without the increase of the temperature of the deep skin.
Laser Hair Removal
Restylane®
Restylane® is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin to correct facial wrinkles and folds, such as nasolabial folds.
This procedure uses a Brazilian Plastic Surgery technique that consists of removing the fat/tissue under the skin via lipo, and then the flaccid skin is removed with a scalpel. Since the vital lymph nodes are found in the inner thigh area, simple scalpel excision of the fat/tissue inside the inner thigh has been known to result in the accidental removal or disruption of the lymphatic system which can cause severe swelling, sometimes permanent. However, using the Brazilian technique, the tube (lipo canula) that is used to suction is rounded and so it does not harm the lymph nodes or the blood vessels.
The incision is a T incision in most cases that would end mid-thigh. How far it extends down the thigh, and where the scar is placed, depends on the individual and the amount of skin and tissue to be resected. Unless you have very limited redundant skin, a simple incision and tuck in the groin/panty-line, will not address the lift of the skin properly, leaving you dissatisfied with your results.
In the recent years, many “new names” have been given to the traditional liposuction initially developed in France in 1983.
In fact, all this nomenclature serves only to increase the patient’s interest in liposuction. Today, we have for example: liposuction, liposculpture, lipo light, smart lipo, lipo with ultrasound and with laser (which can burn the patient’s skin and cause severe retractions), liposuction with seringa.
All of these procedures have the unique purpose to remodel the patient’s body, no matter which medical devices are performed, and there’s no scientific based work that proves that doing one or another medical device, the lipo will be better.
The result will depend on the surgeon’s ability, the capacity of skin retraction, absence of stretch marks, cellulite and patient’s weight.
Dr. Fabio’s technique is done with canulas that have 3 holes; he always does previous infiltration with physiological serum and adrenalin with the purpose to diminish the patient’s blood loss.
Or mechanic peeling is done using an electric engine of rotation and a diamond tip/edge. Through the rotation and the attrition, the layers of the skin are removed. It can be superficial or deep. It is usually used in thicker skins, such as the perioral area (around the mouth), therefore if it is done around the eyes (periocular area) the skin could pull out (cause damage) because it is very thin in this area. It can be done in all parts of the face but the periocular area (around the eyes). As the perioral wrinkles (around the mouth) are deeper, Dr. Fabio does the peeling in this area and then the dermatologist complements the other parts of the face doing laser or microdermabrasion.
Ear Pinning (prominent ears)
This procedure can be performed on a child as young as 5 years old. This procedure may only require a local anesthetic procedure or it may be necessary to perform in the hospital with sedation or general anesthesia.
Eyebrow Lift
This procedure is called a Modified Castanhares Technique. It is not the endoscopic brow lift. It is accomplished with a very small incision just above the eyebrow hairline and the brow is lifted and given a bit of an arch. It will address only the eyebrows.
Eyelid Lift
This procedure addresses the delicate eye area and will lift both the upper and lower eyelids and address the fat pockets under the eye.
Face Lift
This procedure will address the crow’s feet somewhat, cheeks, improve nasal-labial folds and neck. The incision generally traces the front outline of the ear, around the ear lobe, up about mid-ear and straight back into the hairline an inch or two. Depending on the severity of the lift needed, this incision could be less.
Forehead Lift
This procedure addresses wrinkles in the forehead with the excision of the frontal forehead muscles which effectively paralyzes (partially, sometimes totally) the muscles, essentially giving a permanent Botox effect. The incision is placed back in the hairline approximately two inches. It will also help to raise the eyebrows.
Nose
Dr. Fabio will perform the cosmetic procedure to the nose; however, this procedure can be combined with the expertise of an Ear, Nose and Throat Specialist to address problems in the nose outside the expertise of plastic surgery or in addition to the cosmetic surgery of the nose. You will generally need to have clearance from an ENT specialist if you plan on nasal reconstruction to verify there is no septum deviation or other defect or obstructive problems to be addressed, that could actually become worse (or finally evident) after plastic surgery.