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To this day, eyelid surgery or “Blepharoplasty” is still performed in the same way as it was originally performed. Many surgeons in recent years are focused on removing less skin from the eyelids and forehead.

The Argentine Plastic Surgeon, Dr. Ricardo Hoogstra, a pioneer in minimally invasive eyelid rejuvenation , has proposed not removing any skin since 1994. He ensures that the forehead, eyebrows, eyelids and malar region can be rejuvenated and tightened without dryout skin and without leaving visible scars.

His technique was published in the most prestigious magazines of the specialty, his work and career is recognized by international societies and doctors from all over the world travel to learn this procedure at his clinic in the city of Buenos Aires.

To achieve natural results, beautify the expression of the eyes and rejuvenate the eyelids, Dr. Ricardo Hoogstra developed non-invasive techniques and perfected the use of lasers and other technologies.

Dr. Ricardo Hoogstra talks about a new paradigm that will change eyelid surgery. This new paradigm consists of rejuvenating and tightening the tissue instead of drying and damaging it.

It emphasizes and ensures that from the malar region to the insertion of the hair, there is no need to remove more skin, this will not only help obtain more natural results, it will also avoid scars and the most frequent complications that Blepharoplasty produces.

Limitations of Traditional Surgery

Irreversible damage caused by conventional Blepharoplasty.

Despite its long history, traditional blepharoplasty has faced significant criticism due to several limitations:

• Accelerated Aging: Recent studies, such as the one conducted by Rohrich and Villanueva in 2018, have suggested that conventional blepharoplasty can accelerate the aging process. 
• Removing skin from the eyelids  produces potential damage to the underlying structure.
  
  

  It is impossible to rejuvenate the skin of the eyelids and malar region by removing this thin strip of skin. Conventional Blepharoplasty does not adapt to the benefits produced by technologies such as the carbon dioxide laser or the non-invasive techniques developed by Dr. Ricardo Hoogstra since 1994.

• Unsatisfactory Aesthetic Results: Research conducted by Rohrich and Rog in 2004 has indicated that conventional blepharoplasty often produces unsightly results. Patients may experience a sad appearance, fatigue, and even premature aging after the procedure, in addition to the presence of scars.
  But this skin resection of the lower eyelid generates negative, descending vectors. This descending vector produces an open Eyelid, Scleral Show and Ectropion. The technique which Dr. Ricardo Hoogstra develops avoids this sides effect., produces a natural results and improved the quality and rejuvenate the eyelids and malar area

*This photo of a recently operated patient demonstrates what Dr. Hoogstra claims. On the upper eyelid we see extensive scars, absolutely unnecessary, given that this skin can be rejuvenated and tightened with the technique proposed by Dr. On the lower eyelid we also see an extensive scar and an open eye. In the future, this patient will require a restorative technique to solve the complication caused by resective Blepharoplasty.

Innovative Approach: Blepharoplasty Without Skin Resection

Blepharoplasty without skin resection developed by Dr. Ricardo Hoogstra represents a significant change in the way upper eyelid surgery is approached. Following the conventional approach of removing excess skin, this technique focuses on preserving the integrity of the skin and surrounding tissues to achieve more natural and harmonious results.

Preservation of Facial Structure

Resective Blepharoplasty dries out skin and often the orbicularis oculi muscle, which has the function of closing the eye.

This treatment can lead to complications mentioned in all books on the specialty, such as sclera show, ectropion, problems with eye occlusion, lowering of the eyebrows, among others.

Hoogstra technical blepharoplasty does not remove or damage any tissue, on the contrary it nourishes and rejuvenates it through the light action of the Carbon Dioxide Laser, micro-focused ultrasound and radiofrequency with Microneedles.

The Dr. Hoogstra assures that the face cannot be rejuvenated if the Laser technique is not used.

It can be seen on the internet that many propose Laser eyelid surgery, but the laser is used to cut the tissue and not in the rejuvenation mode.

Surgical schools train surgeons to use the scalpel and remove skin, to date there is no school that teaches how to use technology to rejuvenate

This is going to be a fundamental and essential change when approaching any facial rejuvenation.

Reduction of the Risk of Complications and time of evolution

By minimizing manipulation of the skin and tissues, this technique reduces the risk of surgical complications, such as hematomas, visible scars or asymmetries. Additionally, by not requiring extensive sutures or removing large areas of skin, recovery time is shortened and postoperative discomfort for the patient is reduced.

More Natural and Long Lasting Results with laser blepharoplasty

Blepharoplasty without skin resection allows the surgeon to more precisely address the patient's aesthetic concerns, such as excess fat and sagging skin, without compromising the natural facial appearance. As a result, patients can expect longer-lasting results and a fresh, rejuvenated appearance that suits their unique anatomy.

Technical blepharoplasty by Dr. Ricardo Hoogstra:

• It is performed with local anesthesia and sedation.
• Procedure time 30 minutes.
• Time in the clinic 3 hours.
• Being a quick procedure, requiring only local anesthesia and sedation, makes this procedure very safe.
• By not removing skin or damaging tissue, it reduces hemorrhages, hematomas, seromas, healing alterations, alterations in the normal function of the eyelid such as eye closure.
• By not giving sutures or having to remove stitches, patients can quickly reintegrate into their socio-labor activity, and patients from within and abroad can immediately return to their place of origin.

 

Backed by Research and Clinical Experience

Dr. Hoogstra 's approach is based on decades of clinical experience and continued research in the field of plastic surgery. His techniques are backed by scientific studies and have consistently been shown to provide safe and effective results for his patients.

academic works

• Hoogstra, R.,(1998). Transconjunctival blepharoplasty and Laser resurfacing. Rev. argent. cir. plastic , 2-7.
• Hoogstra, R.,(1996). Advances in the treatment of facial aging. Rev. argent. cir. plastic , 272-5.
• ISAPS Blepharoplasty Global perspective. 2017
• Physiological periorbital rejuvenation, 2024.

International recognition

Dr. Hoogstra's contributions to plastic surgery have been recognized worldwide. His innovative approach has received praise from the medical community, including leaders of the International Society of Plastic Surgeons , for his contribution to the improvement of surgical procedures.

“Dr Ricardo Hoogstra is one of the pre-eminent plastic surgeons in Argentina. He has traveled all over the world to further educate himself and enhance his surgical skills ”

Dr. Joop M. GrevelinkMD, PhD Harvard Univ., Director - Boston Dermatology & Laser Center

“I had the experience of training with different lasers. The application of these technologies in our surgical fields is very wide and it broadens the panorama of treatments. This concept dominates it and transmits it perfectly without any reservation. ”

Dr. Germán VargasGuatemala

“Ricardo is the finest example of a Plastic and Reconstructive Surgeon. He is well spoken, well read, and has excellent surgical skills. ”

Dr. Daniel M. CallowayMayo Clinic - United States

"As a practicing Plastic Surgeon, Dr. Hoogstra understands the needs of his trainees and gives very useful information. In addition to giving the necessary details while teaching lasers, Dr. Hoogstra gives the special pearls needed to get the best results from his trainees. ”

Dr. Steven ShapiroU.S

“Dear Ricardo, thank you for your excellent contribution to international plastic surgery. I ask you to present more topics for the ISAPS congress in Miami 2018, which we believe will be the largest in history. ”

Renato SaltzISAPS President

reflection

Conventional surgery has changed in most fields of medicine, cardiovascular surgery, abdominal surgery, large cuts in the abdominal wall are a thing of the past, today there are practically no scars due to the use of the endoscope, patients recover very fast and low complication rate.

Why does eyelid surgery remain the same as what was performed hundreds of years ago?

We must super-specialize, we cannot be good at every field of plastic surgery and we must use technology.

Technology represents an important and continuous investment, given that new and better equipment appears every year.

But the health of our patients is worth becoming a specialist and investing in technology.

Surely a procedure that uses technology has a higher cost, but in the end it ends up being much more economical, due to recovery times, results and reduction in complications.

Accurate Diagnosis: Key to Success

Understanding Peri-Orbital Aging

The periorbital area is one of the first to show signs of aging. However, identifying the exact causes of this process can be challenging. Dr. Hoogstra points out that, in many cases, brow descent is the main factor contributing to the aged appearance of the upper eyelid.

All of them have a descent, a very important fall of the eyebrow, like the one we can see in the drawing. The queen and the actors have natural aging produced by the lowering of the tail of the eyebrow. This descent can be represented in the drawing, this fall of the eyebrow produces an appearance of sadness, tiredness and old age. The images on the right also have the same appearance, they are young patients who were aged by the resection of the eyelid skin that produced a greater lowering of the eyebrows., with an agrabant that the resection of the skin, muscle and eyelid fat pads also generated and sunken eyelid.

Importance of Eyebrow Descent

Brow descent is the real culprit behind upper periorbital aging. When the eyebrow descends, it drags the skin of the upper eyelid with it, creating the illusion of excess skin. Therefore, correcting this descent becomes the key to achieving optimal and natural aesthetic results.

Resecting the skin of upper eyelid generates the opposite. Accelerate the aging process by pulling more down the tail of the eyebrow.

In her youth she had the tail of her eyebrow (black dot) above her head. In the photo on the right we can see that in her old age the tail of her eyebrow is well below her head. What would happen if we removed skin from the Queen's upper eyelid? Very simply, we would lower her eyebrow more. If we perform this treatment on a younger patient, we will greatly accelerate the normal aging process.

Wrong diagnosis leads to wrong treatment.

If we interpret that the upper eyelid has excess skin, we are going to remove it and produce what we already said.

Now, if the upper eyelid really appears flaccid and aged and the tail of the eyebrow is in a youthful position, we also do not have to remove skin. If it is sagging, we have to tighten it; if it is aged, we have to rejuvenate it. And we achieve that if we know how to use the Carbon Dioxide Laser, and this takes many, many years of experience. I started in 1994 with dermatologists from Harvard University, and in these 30 years, I acquired great experience in its use.

The new paradigm is skin tightening and skin rejuvenation instead of skin resection.

Any degree of flaccidity of the periorbital area can be tightened and rejuvenated with laser.

From the malar area to the scalp, it is never necessary to remove skin or leave visible scars.

This is my legacy to plastic surgery.

My commitment is to train medical doctors around the world to perform this procedure and help many patients who suffer from conventional eyelid surgery.

Advanced Technique: Elimination of Adipose Bags

Addressing the Main Problem

Fat bags in the upper eyelid are a common concern for many patients. These bags can make the eyes appear tired and aged, significantly affecting overall facial appearance.

Innovation in Laser Eyelid Surgery

The technique developed by Dr. Ricardo Hoogstra offers a precise and effective solution to eliminate these fatty bags. Through a minimal incision, the surgeon accesses the fat pockets and carefully removes them, thus restoring youth and vitality to the look.

More Natural and Long Lasting Results with laser blepharoplasty

Blepharoplasty without skin resection allows the surgeon to more precisely address the patient's aesthetic concerns, such as excess fat and sagging skin, without compromising the natural facial appearance. As a result, patients can expect longer-lasting results and a fresh, rejuvenated appearance that suits their unique anatomy.

The most important thing when we are going to rejuvenate the periorbital area is to work on the expression of the look.Always we must to get a rested, natural and youth expression.

It is impossible to get this removing skin.The key is reposition the eyebrow if it is necessary.Always tightening and rejuvenating the periorbital skin with laser and removing the eyelid fat pads without living scars.

Minimum Recovery Time

Thanks to its precise and less invasive surgical approach, patients experience a faster recovery time and less post-operative discomfort. This means they can return to their daily activities promptly, enjoying the results of their surgery in no time.

Security and Trust

Backed by years of experience and numerous success stories, Dr. Hoogstra's fat pad removal technique provides patients with the security and confidence needed to embark on their aesthetic transformation journey. With predictable and satisfactory results, they can face the future with a radiant new outlook. Blepharoplasty: before and after These are the results of some of our patients. You can see more than 1,000 educational videos and what patients say about this procedure.

Eyelid surgery price

The cost of it is u$d 3,000 (VAT not included) .

Patients from various countries have shared their experiences with Dr. Ricardo Hoogstra's technique.

Additional information for international patients:

Patients from abroad can schedule a video conference with Dr. Ricardo Hoogstra.The cost of a consultation or video conference is $100, which will be deducted from the procedure cost if the patient decides to proceed.

If they decide to travel for treatment, they are required to undergo pre-surgical studies. If these are satisfactory, they receive pre- and post-operative instructions along with a scheduled surgical date. Patients must arrive in Buenos Aires one day prior to the procedure. For eyelid procedures alone, the length of stay is typically 3 to 4 days.

For those also undergoing an invisible forehead lift, a recommended stay of 7 to 9 days is advised.

Patients undergoing full face rejuvenation are recommended to stay for 14 days.

We also provide airport pick-up and accommodation assistance.

For information on procedure costs, please contact Jose Luis Silvestre via e-mail or WhatsApp.

For appointment scheduling, consultations, procedure details, and additional information, please contact Josefina Nuñez.

For medical professionals interested in training in this procedure, the clinic offers a full-day immersion session in this and other treatments. Please contact Josefina Nuñez for details.

Blepharoplasty: before and after

These are the results of some of our patients.

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Patient opinions

Hundreds of patients from Argentina, Spain, Mexico, Colombia, Brazil, Among others, they have already visited us and these were their results.

7

San José de Calasanz
Buenos Aires, Autonomous City of Buenos Aires C1424

011 4901-6690

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  Mi marido es médico y se realizó con el Doctor Hoogstra una blefaroplastia.Excelente profesional; destaco su honestidad, su calidez humana y profesi... Read more

  Mi marido es médico y se realizó con el Doctor Hoogstra una blefaroplastia.Excelente profesional; destaco su honestidad, su calidez humana y profesionalismo. El proceso de la cirugía fue rápido y completamente indoloro, te hacen sentir acompañados en todo momento. Además, la recuperación fue notablemente rápida y libre de molestias. Quedamos muy conformes con el resultado final y es para destacar que no quedaron cicatrices . La atención del doctor y su equipo tanto antes, durante y después de la cirugía son inigualables. Josefina estuvo en todos los detalles. La calidad humana es lo que prima. Leer menos

  yamila gutierrez
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  Conocí al Dr. Hoogstra por YouTube y me sorprendieron las modernas técnicas que utiliza, únicas en su especie, lo que me llevó a acudir a su centr... Read more

  Conocí al Dr. Hoogstra por YouTube y me sorprendieron las modernas técnicas que utiliza, únicas en su especie, lo que me llevó a acudir a su centro médico. Es un profesional de excelencia, altamente recomendable, que asesora al paciente en sus necesidades , con mucha paciencia y los resultados que logra en sus procedimientos son muy naturales. Tambien merece mi distinción la aparatologia moderna que posee y todo el personal del centro que son muy amables y brindan un excelente trato al paciente. Lo super recomiendo . Leer menos

  leandra diaz kelly
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  Excelente atención! Me voy feliz 😀 muchas gracias a todo el equipo que trabaja en la clínica y en especial al doctor por tan maravillosa y modern... Read more

  Excelente atención! Me voy feliz 😀 muchas gracias a todo el equipo que trabaja en la clínica y en especial al doctor por tan maravillosa y moderna técnica de extirpación de lipomas. Leer menos

  Linda Montecinos
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  El Dr. Ricardo Hoogstra es un excelente especialista en cirugía plástica estética y reparadora, reconocido internacionalmente. Me realicé el rell... Read more

  El Dr. Ricardo Hoogstra es un excelente especialista en cirugía plástica estética y reparadora, reconocido internacionalmente. Me realicé el relleno del canal de la lágrima con él, y el resultado fue impecable, a tal punto que, me rejuveneció unos 10 años. Lo elegí porque sé que muy pocos médicos saben realizar correctamente esta práctica. Su atención es sumamente profesional y detallista, y su enfoque personalizado genera mucha confianza. Lo recomiendo sin duda alguna. Leer menos

  Andrea Rearte
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  Soy Ana Tato, de caballito. Me quite con láser un lunar que tenia en la cara. La atención del personal fue excelente y no me quedaron marcas y fue h... Read more

  Soy Ana Tato, de caballito. Me quite con láser un lunar que tenia en la cara. La atención del personal fue excelente y no me quedaron marcas y fue hace unos años atrás. Lo recomiendo👏 Leer menos

  Maria Ana Tato

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Doubts and queries

If you have any medical questions, send an email to  [email protected]   . Only medical consultations will be received in this email. Questions about shifts, payments and administrative issues are not answered.

If you have questions about the amount of the surgery, you can send him an email [email protected]  Or by WhatsApp: 0054 9 11 5037 9821

To coordinate operating dates,  send an email to Josefina Nuñez  [email protected] or whatsapp   005491169459535

By telephone on Mondays, Thursdays and Fridays from 8 am to 3 pm at the following phone numbers.

• 0054 11 4 901 6690
• 0054 11 4 904 3434
• 0054 11 4 904 0880

1 ) Consultation and programming process:

• Patients can only communicate via messages.
• A response will be provided within 48 to 72 business hours.
• The option is offered to request a video conference with Dr. Ricardo Hoogstra for a cost of $100. This option is especially useful for patients traveling from within the country or abroad, as it allows them to obtain a surgical date after evaluation.

2)Preoperative evaluation:

• Before scheduling surgery, all relevant pre-surgical studies will be requested to evaluate your suitability for the procedure.

3)Preparations for surgery:

• All patients must be in Buenos Aires the day before surgery in the morning to complete the surgical forms at the clinic.
• Surgeries begin at 6:30 am, so it is recommended to complete any administrative procedures the day before.
• Patients are scheduled one hour before the procedure to take photographs and clarify any outstanding questions.

4)Estimated recovery time:

• For eyelid surgery, a post-surgical stay of 48 to 72 hours is recommended.
• For an invisible facelift, a stay of approximately 7 days is recommended.
• For comprehensive facial rejuvenation, a stay of approximately 14 days is recommended.

5)Postoperative follow-up:

• During the surgery, Dr. Ricardo Hoogstra's cell phone number will be provided for consultations about your progress and to send photos, every day of the week, including holidays.
• Contact will continue after your return to your country, as necessary.

• Invisible Lifting treatment
• CO2 Laser
• Cheekbone aesthetics
• Baggy eyes removal
• Lifting of face and neck
• Ulcheterapy

What is cellulite?

This generally female condition can also occur in men. It is located in the deep layer of the skin. It usually appears on the skin of the abdomen, lower extremities, and pelvic region, and is usually occur after puberty.

Causes

When the microcirculation of a certain area does not work as it should, the fat reserves present in the dermis become more difficult for the body to use and gradually accumulate, compressing the small blood vessels.

This compression action causes worsen circulation and a transfer of plasma on the walls of the capillaries. Plasma begins to overflow and tends to infiltrate between cells. Causing an inflammation of the adipose tissue over time.

This generates a edematous, swollen and heavy feeling. Very fine fatty nodules are formed that give an "orange peel" appearance (fibrous cellulite).

A bad habit is, pFor example, exercising and not eating properly. When this occurs, the body releases fatty acids from adipose tissue and uses it as an energy source, but does not discriminate if it is taken from the buttocks, breasts, abdomen, etc. Generally, there are more resistant areas and many patients become emaciated, thin areas that they do not want to lose weight, and instead the unwanted fatty deposits remain intact.

Cellulite treatment with ultrasound

Ultrasonic devices emit millions of tiny high-frequency sound waves that are sent directly to the skin. These waves generate friction heat which passes through the deeper layers of the skin, facilitating the metabolism of the skin (the activation of collagen rejuvenates the skin and reduces the accumulation of fat). The thermal, vibratory and osmotic effects generated by ultrasound make it easier for fat cells to be destroyed.

This treatment also decreases fluid retention as it promotes the movement of interstitial fluids. That is, the fluids that are between the cells.

By breaking down fat cells with sound waves, this liquefied fat substance is then naturally collected in the bloodstream and removed from the body along with other bodily wastes.

Ultrasound: the best treatment for cellulite

This system eliminates localized fat, cellulite and those extra centimeters that annoy so much. Hoogstra Medical Centers has the most modern ultrasound technology on the market and the only one that comes with 13, 9 and 6 mm heads with which we can reduce adipose tissue. On the other hand, the 4.5, 3 and 1.5mm heads we allow skin tightening.

The thermal effect destroys the adipose tissue with results that can be seen immediately after finishing the treatment and that are durable in time.

After the treatment has been carried out, we ask the patient to drink plenty of water and take brisk 30-60 minute walks.

What happens when I destroy adipose tissue with ultrasound?

The adipocyte is formed in its 95% by Triglycerides. A triglyceride is made up of one molecule of Glycerol and 3 molecules of Fatty Acids. When we destroy the adipocyte we are releasing the interstitium, intracellular space Triglycerides and Fatty Acids.

The body does not differentiate where this fat comes from, whether it is from food or tissue damage. The fatty acids that are the lightest pass into the blood, bind to a protein that is albumine, reach the liver and are used for energy.

Triglycerides bind to a Lipoprotein called Chylomicron and pass first to the lymphatic system, then to the blood. These triglycerides can re-form fat in another part of the body, build muscle, and only in 20% is it used as energy.

Reduce cellulite is possible

Combining the power of our advanced ultrasound technology plus your commitment to physical activity and taking care of your diet, we can help you improve your physical appearance, freeing yourself of those fatty accumulations, but at the same time improve your health. So you can look and feel better.

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For all this, it is very important to add your commitment to the work of shaping your body.

If you walk every day for 30 to 60 minutes you are helping to consume the Fatty Acids and Triglycerides removed from the fatty tissue. Also without a correct diet you will be forming fat again.

How to eliminate cellulite?

Patient testimonials

Treatment cost

The cost of the intervention is made with prior evaluation of the Dr. Hoogstra. The query value is U$D 100  which are reimbursed in the total amount of the procedure."

Doubts and queries

You can call Monday through Friday from 8 a.m. to 8 p.m.

(011) 4901-6690     (011) 4904-3434     (011) 4904-0880

You can send an email to Andrea: [email protected]   or a WhatsApp + 54 9 11 4079 3779

Frequent questions

• Where is the treatment performed?
  The treatment of localized adiposities with ultrasound is performed in the office, it does not require a surgical unit.
• Should we carry out previous studies?
  They are not necessary.
• Is it a painful treatment?
  It is a treatment well tolerated by the patient, it does not require anesthetic cream or prior preparation.
• How long does the treatment last?
  A body area like the waist usually takes around 90 minutes, since several passes are made with almost all the heads, to treat different depths.
• When do I see the result?
  The result can be seen immediately after finishing the treatment, and continues to act for 120 days
• Is the result lasting in time?
  Once the adipocyte is destroyed, the fat does not return to that region. If you. Weight gain will spread throughout the body, but will not return to the treated area.
• Will I have sagging on the skin of the treated tissue?
  Remember that Ultrasound technology not only decreases localized adiposity, it also tightens the skin.

Reference links

• Blum CL, Menzinger S, Genné D. (2013) Cellulitis: clinical manifestations and management. Rev Med Suisse .. 9 (401): 1812-5.
• Rasmussen SG et al. (2007). Crystal structure of the human β2-adrenergic G-protein-coupled receptor. Nature 450 (7168): pp. 383–7.
• Bartlett, JL; Sumner, B; Ellis, RG; Kram, R. (2013) Activity and functions of the human gluteal muscles in walking, running, sprinting, and climbing. American Journal of Physical Anthropology 11/2013.

Dr. Hoogstra performs a novel video endoscopic technique for the placement of breast prostheses that has the following advantages:

1. Shorter operating time (30 minutes).
2. Quick recovery.
3. Less bruising and edema.
4. Unnoticeable scars.

Breast Prosthesis placement price

We currently use Mentor or Nagor brand prostheses.

The total cost of breast augmentation surgery is U$D 4,500 + VAT.

The value of the consultation with Dr. Ricardo Hoogstra is U$D 100 . If you later decide to carry out the treatment, this value will be deducted from the total amount.

If you live in the interior of the country or abroad you can send photos to the email [email protected]. You will be evaluated by Dr. Ricardo Hoogstra. You can carry out previous studies at your place of residence and travel with an already established date.

Inputs used

Nagor Enhance: Lifetime Warranty for Nagor Breast Implants.
Nagor Enhance offers an innovative and comprehensive coverage guarantee. The Nagor Enhance program is available at no cost to all patients who have chosen any of the Nagor breast implants.

Nagor is the only British company dedicated to the specialized design, manufacture and supply of high-quality breast prostheses. Our commitment to excellence and confidence in the quality of our products allows us to offer a guarantee of such wide scope.
For more details of the Nagor Enhance program visit http://nagor.es/

Automatic enrollment to the free 100% implant patient warranty plan. Lifetime product replacement

Before and after images

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Experiences of our patients

See our photo gallery with the various sizes to choose the most suitable for you and our YouTube channel on Breast Prosthesis

Patient testimonials

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Frequent questions

Preguntas frecuentes sobre prótesis mamarias:

1. Can breast prostheses cause cancer?
   • ¿Existe algún riesgo de cáncer asociado a las prótesis mamarias?
   • ¿Qué estudios respaldan la seguridad de las prótesis en relación al cáncer de mama?
   • ¿Se requieren chequeos adicionales después de la colocación de prótesis?

   Respuesta: So far, all studies show that patients who have prostheses are less likely to have cancer. It must be understood that this is not due to the prosthesis itself. Simply, when a patient requests to wear a prosthesis, we previously do studies and check-ups to see that her breasts are healthy and these studies must continue regularly over time.

2. Do I have fallen breasts?
   • ¿Las prótesis pueden corregir la flacidez de las mamas?
   • ¿Cómo pueden las prótesis mejorar la forma de los senos caídos?

   Respuesta: If the breasts are small and a little saggy, surely with the placement of prostheses the two problems are solved, volume is added and they rise.

3. Can you bring my breasts closer together?
   • ¿Es posible que las prótesis mejoren la proximidad de los senos?
   • ¿Se afecta la dirección natural de los senos después de la cirugía?

   Respuesta: Yes, it is possible that they are more together because having more volume with a soutien will see more together. But if we evaluate the breasts without soutien, they will have more volume (with prostheses) but with the same direction or axis that they had before surgery.

4. Is it better to place the implant behind the pectoral?
   • ¿Cuál es la vía preferida para la colocación de prótesis en Hoogstra Centros Médicos?
   • ¿Qué ventajas ofrece la vía subfacial en comparación con otras técnicas?

   Respuesta: At Hoogstra Medical Centers we use the subfacial route (under the fascia of the pectoral muscle). This new route combines the advantages of the submammary and submuscular routes, reduces the unwanted effects of the previous ones and the patient recovers more quickly and with less discomfort. We use video endoscopy, which helps us control hemostasis and dissection of the sub-facial plane.

5. "Round" or "drop" prostheses?
   • ¿Cuál es la recomendación sobre la forma de las prótesis?
   • ¿Hay riesgos asociados con las prótesis en forma de gota?

   Respuesta: La sugerencia es la de forma redonda. Hay trabajos que muestran que la prótesis con forma de gota se puede rotar. La prótesis texturizada, perfil alto y forma redonda, son para mí las más adecuadas. Las de forma de gota las utilizo en pacientes a quienes se les extirpó la glándula mamaria y hay que realizar una reconstrucción.

6. Smooth or rough prosthetics?
   • ¿Qué tipo de prótesis se utiliza y por qué?
   • ¿Cuál es la incidencia de encapsulamiento con diferentes tipos de prótesis?

   Respuesta: El Dr.Hoogstra opera prótesis desde 1984 y en aquel momento solo teníamos prótesis lisas, el porcentaje de encapsulamiento (dureza y deformación mamaria) representaba el 60% de los pacientes tratados. Desde hace más de 10 años utilizo únicamente prótesis texturizadas y el índice de encapsulamiento es menor del 3%.

7. Are the implants definitive?
   • ¿Es necesario reemplazar los implantes mamarios con el tiempo?
   • ¿Qué cuidados son necesarios para mantener la integridad de los implantes?

   Respuesta: Breast implants do not have an expiration date once placed. Doing their corresponding medical checks they have no indication to change.

8. Can they break?
   • ¿Qué factores pueden causar la ruptura de las prótesis?
   • ¿Cómo se maneja una ruptura de prótesis?

   Respuesta: Prostheses can be broken by a sudden blow like a bone can break. Spontaneous ruptures have also been seen but this is very rare. The current prostheses have evolved markedly in their manufacture, they are made with stronger outer layers and filled with cohesive gels. If a person has a prosthetic break, it is advisable to remove it as soon as possible and place new prostheses.

9. What type of anesthesia will I receive?
   • ¿Cuál es el método de anestesia preferido para la cirugía de colocación de prótesis?
   • ¿Quién supervisa la anestesia durante la operación?

   Respuesta: The ideal is to perform the surgery with anesthetic sedation (where the patient is asleep under induction). Always assisted by an anesthesiologist and in an authorized center.

10. Where will I put the prosthetics?
    • ¿Qué factores determinan la elección de la vía quirúrgica?
    • ¿Cuáles son las opciones de vía para la colocación de prótesis?

    Respuesta: The most used routes are the peri-areolar, submammary and axillary. The choice of the surgical route will depend on the anatomy of your breasts and your areola.

11. Will you leave me drains?
    • ¿Son necesarios los drenajes después de la cirugía de prótesis mamarias?

    Respuesta: They are not necessary.

12. What will I feel after surgery?
    • ¿Cuáles son las sensaciones comunes después de la cirugía de prótesis mamarias?
    • ¿Cómo se manejan las molestias postoperatorias?

    Respuesta: The postoperative period is very well tolerated, with moderate pain relievers. You should sit a few hours after surgery, if you don't, at night your back will hurt more than your breasts. It is normal to feel a burning sensation under your breasts as if you had done many abdominals. It is alleviated by placing cold packs.

13. Do I stay hospitalized or do I go home?
    • ¿Cuánto tiempo debo permanecer en el centro médico después de la cirugía?

    Respuesta: Most of the patients stay in our center approximately 5 hours after surgery.

14. When can I take a bath?
    • ¿Cuándo es seguro tomar un baño después de la cirugía de prótesis mamarias?

    Respuesta: The day after surgery.

15. Will I use compression girdles?
    • ¿Se requiere el uso de fajas compresivas después de la cirugía de prótesis mamarias?

    Respuesta: No, just anatomical bras.

16. When can I start working?
    • ¿Cuándo se puede retomar la actividad laboral después de la cirugía?

    Respuesta: At approximately 72 hours.

17. When can I start doing gymnastics?
    • ¿Cuál es el tiempo de recuperación necesario antes de retomar el ejercicio físico?

    Respuesta: Walk on the treadmill gently at 48 hours. Strong gymnastics may start a month.

18. When can I breastfeed, does having a prosthesis influence?
    • ¿Cómo afecta la colocación de prótesis a la capacidad de amamantar en el futuro?

    Respuesta: The placement of prostheses does not influence breastfeeding. If you plan to have a family soon after the placement of a prosthesis, it is recommended that you have a family first and then have surgery.

Instalaciones y Seguridad del Procedimiento

En nuestra clínica, nos enorgullecemos de ofrecer instalaciones de vanguardia y altos estándares de seguridad para todos nuestros procedimientos. Contamos con aparatología médica de última generación, lo que nos permite realizar intervenciones con precisión y eficiencia.

Nuestra unidad quirúrgica completa está equipada con tecnología de alto nivel, incluyendo modernas salas de cirugía asistidas por enfermeros e instrumentadores especializados en este tipo de intervenciones. Estas salas de cirugía están diseñadas para maximizar la seguridad del paciente, minimizando cualquier riesgo durante el procedimiento.

Además, disponemos de confortables salas de recuperación e internación, asegurando que los pacientes reciban atención continua y de calidad en un entorno seguro y controlado. La tecnología avanzada utilizada en nuestras instalaciones no solo mejora la precisión de las intervenciones, sino que también garantiza una rápida y segura recuperación.

La clínica cuenta con la aprobación de la Secretaría de Salud Pública, lo que certifica que cumplimos con los más altos estándares de seguridad y calidad en la atención médica. Nos comprometemos a mantener y superar estos estándares, brindando a nuestros pacientes la tranquilidad y confianza de estar en las mejores manos posibles.

Doubts and queries

If you have any medical questions, send an email to [email protected]  . In this mail Only medical consultations will be received. Inquiries about shifts, payments and administrative issues are not attended.

If you have questions about the amount of the surgery You can send an email [email protected]  Or by WhatsApp: 0054 9 11 5037 9821

To coordinate operative dates send mail to Josefina Nuñez [email protected] or a whatsapp  005491169459535

By phone on Monday, Thursday and Friday from 8 a.m. to 3 p.m. at the following telephone numbers.

• 0054 11 4 901 6690
• 0054 11 4 904 3434
• 0054 11 4 904 0880

The scars left by acne seem to be a double punishment, first the patient spends his adolescence with acute acne outbreaks, comedones, pustules, nodules etc. These typical acute acne lesions, if not properly treated, end in scars.

The best way to prevent these scars is to effectively treat acute acne.

Our Centers have the latest technology and a team of dermatologists trained to treat acute acne and prevent its sequelae. We invite you to watch explanatory videos and patient stories. here. To reduce or eliminate the scars left by acute acne, we have different treatments, from the least invasive and with immediate recovery to the most intense lasers:

Cost of Radiofrequency Treatment with Microneedles

It is a modern treatment that produces a gradual improvement of the skin, it is performed once a month, it is not painful and the patient can immediately continue with his life without traces. It requires 6 sessions with 30-day intervals between one and the other.

Costo: u$d 200 (IVA no incluido) por sesión. La realizan los dermatólogos en los 3 centros.

Cost of Treatment with LOTUS, Erbium Laser

The laser removes the superficial layers, leaves the skin smoother and with less scars.
It is very little bothersome and has a recovery of 48 hours, a period in which the skin is reddened. Several sessions are necessary depending on the degree of sequelae that the patient has.

cost

• lotus acne $80.000

la realizan los dermatólogos en los 3 centros.

Cost of Carbon Dioxide Laser Treatment

These lasers work at a deeper level achieving better aesthetic results. 

The cost of the intervention is made with prior evaluation of the Dr. Hoogstra. The query value is U$D 100 which are reimbursed in the total amount of the procedure.

El procedimiento es completamente indoloro, el tiempo de recuperación aproximado es 14 días.

You will be in the clinic for approximately 3 hours. Anesthetic cream is placed with which it will be for 60 minutes. The procedure takes about 15 to 20 minutes. Then it will be with cold packs.

Ud. Puede tomar su turno vía internet con el Dr.Ricardo Hoogstra

How do I take a shift?

The most effective, safe and practical way to take a shift is via the internet.

If you. If you have any medical questions, you can write to us in advance by sending an email to 

[email protected]

Only medical consultations will be received here. This mail does not address inquiries about shifts, payments and administrative issues.

An anesthesiologist performs sedation in the surgical unit.

The procedure is completely painless, the approximate recovery time of 7 to 10 days.

This treatment is carried out by Dr. Ricardo Hoogstra in Hoogstra Medical Centers Caballito branch.

Hoogstra Caballito Clinic, Buenos Aires, Argentina.

Address San José de Calasanz 176. Height Rivadavia Avenue 5,100 one block from Primera Junta station. The clinic has the approval of the Secretary of Public Health. Complete surgical unit. Recovery and hospitalization rooms.

The modern operating room is equipped with high-level technology and assisted by nurses, instructors specialized in this type of intervention.

All interventions are performed under local anesthesia. Previous studies can be done at your place of residence and travel with an established date.

To coordinate operative dates, andSend an email to Josefina Nuñez:

[email protected] or by WhatsApp at 005491169459535

By phone you can communicate on Monday, Thursday and Friday from 8 a.m. to 3 p.m. at the following telephone numbers.

0054 11 4 901 6690          0054 11 4 904 3434           0054 11 4 904 0880

To coordinate payments You can send an email to Jose Luis:

[email protected] Or by WhatsApp: 0054 9 11 5037 9821

Videos with patient cases

We invite you to watch the videos on our YouTube channel with the account of patients who have received this treatment, entering here: Acne scars

Patient testimonial

More Information on Scar Acne

Clinical picture:
To better understand how this process is, we must first understand what acute acne is.
Acute acne is caused by obstruction, outflow of the contents of the sebaceous pilo gland. This obstruction generates sebum retention and dead cells.
Dilation of the gland manifests itself on the skin as multiple pimples.
The sebum and dead cells retained in the sebaceous follicle promote the proliferation of bacteria, then infection ensues, the pimples turn red and hot.
Acute acne severity ranges from comedonic acne or blackheads, through pustules to large inflammatory nodules.
These processes affect the skin and subcutaneous cellular tissue to varying degrees, causing scars of varying degrees ranging from small depressions in the skin to large depressed scars.
The inflammatory nodules are usually the ones that leave the scars deeper and more extensive.

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