Facelift in Fortaleza BR
As we become older the gravity, sun exposure and everyday stress leave their marks on our faces. Wrinkles appear between the nose and the mouse, the skin becomes lose and drop below the jaw line and extra fat and skin accumulates around the neck. Facelift cannot stop the aging process but it can "turn back time" by removing extra skin and fat and straitening the muscles.
The ideal candidates for the procedure are patients with skin of the face and neck that started to drop but still has its elasticity.
The operation last from 3-7 hours (it can be longer if additional procedures are done). Some surgeons prefer to work on each side at a time and some do both sides simultaneously. The placement of the cuts and the magnitude of the operation depend on face structure and the correction required. The cut usually starts on the forehead goes in front of the ear and behind the ear lobe, additional cut below the chin is made to repair the neck. The surgeon separates the skin from the fat, removes the extra fat, strengthens the muscles and returns the fat pockets where they use to be. Afterwards he stretches the skin, cuts the extra and closes with sutures. A drainage tube usually left from both sides to draine secretions and blood and the face is bandaged for the first 24 hours.
Every operation has its risks although not common those include, bleeding, infection, damage to facial nerves (usually temporal), face asymmetry and delayed healing. Patients who smoke have higher rates of delayed healing.
There may be pain or uncomfortable felling after the recovery that can be treated with painkillers. A sensation of ants crawling usually disappears after weeks or a month after the surgery. Bandages are removed after a day or two and your face may look swollen. Red or pale with bleeding spots, you must remember that those will disappear after few days or weeks.
You can get out of bed after 24 hours but you should avoid any efforts for at least a week to help the healing process. You should avoid alcohol, hot tubs and saunas for at least a month. Most of the patients feel disappointed at first, their face look and feel strange but after a few weeks the scars will heal and you'll be able to see the final results. Many patients return to work after 3 weeks. Sometimes you may need to use make up to blur the hemorrhage spots.
More Fortaleza info...
Fortaleza Urban Beaches
Advice: Don't buy anything from beach (or street) vendors. Their food is a potential hazard to your health, and most anything they sell can be had from the beach shacks at a similar price. Souvenirs and clothing is cheaper and more varied at the Feirinha or Mercado Publico (see Buy-section). Many of them will distract you and steal your belongings. And, please, don't feel sorry for the kids: The more money they can make on the street/beach, the more colleagues they will attract: Their income goes either straight to their parents, or to drug dealers. The city of Fortaleza provides food and shelter for homeless kids, -note the people with the high visibility vests strolling Beira Mar. If you are sitting at a table, and really need something from a vendor, -say cigarettes, -ask the waiter to do the shopping on the pavement. This will be appreciated by everyone around you.
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Plastic Surgery News...
- According to research published in Arthritis and Research Therapy (free full text available at the above link), prolonged use of disease-modifying antirheumatic drugs (DMARDs) and biological therapies may reduce the risk of cardiovascular (CV) disease in patients with rheumatoid arthritis (RA).
The authors used data collected as part of QUEST-RA (The Questionnaires in Standard Monitoring of Patients with Rheumatoid Arthritis Program) to look at the prevalence of CV disease amongst non-selected RA outpatients and the relationship between this, clinical features of RA and the use of DMARDs. By October 2006, the QUEST-RA project had enrolled 4,363 patients; the majority were female (78%) and Caucasian (90%).
The prevalence for lifetime CV events in the entire sample was 3.2% for myocardial infarction, 1.9% for stroke, and 9.3% for any CV event (although there was considerable variation between different countries). A third (33%) of patients had hypertension; other traditional risk factors included hyperlipidaemia (14%), diabetes (8%), history of smoking (43%) and obesity (18%). After adjusting for traditional risk factors and countries, the authors found that prolonged exposure to methotrexate (HR 0.85; 95% CI 0.81 to 0.89), leflunomide (HR 0.59; 95% CI 0.43 to 0.79), sulfasalazine (HR 0.92; 95% CI 0.87 to 0.98), glucocorticoids (HR 0.95; 95% CI 0.92 to 0.98), and biologic agents (HR 0.42; 95% CI 0.21 to 0.81; P <0.05) was associated with a reduction in the risk of CV morbidity.
The authors discuss their findings and the limitations to their study; please see the link above for further details.
- A cellular protein that helps guide immune cells to the gut has been newly identified as a target of HIV when the virus begins its assault on the body's immune system, according to researchers from the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health (NIH).