Changes in plastic surgery: a path to naturalness and comprehensive patient recovery
The team of Dr. César Casado , a specialist in plastic, aesthetic and reconstructive surgery, with extensive experience in microsurgical reconstruction, as well as in secondary cases, has begun to offer continued care in three important centers in Madrid, such as the Ruber Internacional Hospital , where the doctor directs the Plastic, Aesthetic and Reconstructive Surgery Service , the Ruber Internacional Medical Center in Havana and the International Dermatology Clinic (CDI).
With the aim of strengthening and continuing to offer a high quality service to its patients , Dr. Casado's team has incorporated new experts into the medical team, including Dr. Felipe Salinas , a plastic surgeon specializing in facial surgery and aesthetic and reconstructive breast surgery, from the Teknon Medical Center in Barcelona , and reinforcing the presence of Dr. Francisco Leyva , a renowned specialist with extensive experience and current head of service at La Paz University Hospital in Madrid.
As Dr. Casado points out, "within the cross-cutting nature of plastic, aesthetic, and reconstructive surgery, collaborating with many other specialties and treating a wide variety of pathologies , we will also provide significant attention to reconstructive surgery, consolidating our position as a leading center at the European level."
In this sense, the reconstructive techniques and surgeries they perform, whether upper limb surgery, breast reconstruction after cancer, sarcoma treatment, oncological sequelae, or post-traumatic treatment of all kinds, have "positioned them internationally, and we are going to significantly strengthen this line" at the three Madrid centers.
Furthermore, he emphasizes, they will focus on the broad field of cosmetic surgery with the most cutting-edge techniques . "Breast surgery remains the gold standard for cosmetic surgery, something in which we already have recognized expertise. We treat patients from all over Spain who come to us with secondary cases, women who have undergone surgery and have experienced problems."
Dr. César Casado's team is a clear benchmark in aesthetic and reconstructive medicine and surgery . Their success, they assert, lies in "a highly qualified team with years of training and practice, always up-to-date with the most innovative techniques in the sector; but what truly sets us apart is our patient care. We listen to our patients and design solutions tailored to their case. Beyond the scalpel or the machines, our greatest tool is our commitment to excellence and the care of our patients," explains the doctor.
In the area of aesthetic medicine, they offer facial and body treatments that enhance natural beauty and boost a person's confidence, "always with a touch of discretion and elegance. Here, each patient is unique, and we strive to make visits an excellent experience," she asserts. The multidisciplinary relationship with other specialties "facilitates this careful patient care. Working closely with dermatologists and having the latest laser technology, for example, makes a difference in aesthetic medicine."
Regarding cosmetic surgery, they offer treatments that help enhance natural features , reshape and define the desired body, facial, or breast contour , and enhance natural beauty. According to Dr. Casado, "Each patient deserves a personalized approach. We have modern facilities and state-of-the-art equipment designed to guarantee that natural look with absolute safety." This is no longer exclusive to women, as men have taken a step forward in this regard and have been encouraged to undergo highly satisfactory procedures.
Regarding reconstructive surgery and the restoration of the affected area's form and function, the doctor states that "we correct defects and the after-effects of accidents, illnesses, or interventions, not just by covering up a defect, but by normalizing the organ's function with the greatest possible cosmetic guarantees." A change in recent years has brought about treatments for pathologies that until recently were unaddressable, such as lymphedema, brachial plexus and peripheral nerve injuries, blindness due to corneal injuries, or the debilitating Sudeck syndrome. "There are patients with hand or foot injuries who can barely use their limb, suffer intense pain, or have been advised to amputate, but we offer a very different approach and can help patients with treatments that are still relatively unknown," the doctor asserts.
In this sense, he points out that this type of intervention not only improves the patient's physical appearance , but also their emotional well-being, helping them regain their confidence and quality of life.
According to Dr. César Casado, the results of cosmetic surgery are increasingly focused on enhancing natural beauty through experience, quality, and safety . "Fortunately, we're seeing that patient demand for certain aesthetic medicine procedures is normalizing, as they're becoming aware of the significant problems arising from the overuse of fillers with abrupt and extravagant results. These are now clearly declining, and older people are seeking more natural results, with simpler aesthetic maneuvers and through minor outpatient surgical procedures." He specifically asserts that the facilities at the International Dermatology Clinic "are magnificent for performing these procedures."
And, as the expert points out, the change is due to two factors. "Twenty years ago, the aesthetic medicine boom began, and now we're seeing the after-effects and poor results of procedures that were supposedly harmless, and patients have gained respect. Furthermore, the popularization of this sector among all types of healthcare professionals—not just plastic surgeons or dermatologists, or even general practitioners who specialize in aesthetic medicine, but also specialists in any discipline, such as anesthesiologists or rheumatologists, and even nursing staff—is leading to a saturation of the sector, which inevitably leads to poor results due to a lack of specialization."
But on the other hand, she acknowledges that the profile of the patients she sees in aesthetic medicine practices is increasingly younger, for many reasons, such as the significant impact of social media, the use of technology, filters, and photo editing programs, and some models and influencers among this population who don't promote a natural look. "It's a reality we don't like," she concludes, "because the model that promoted more careful aging has changed to one that pursues unnatural results in a young population that doesn't really need anything."
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