Precision in treatment.
Care in reconstruction.

When it may be indicated

• Carcinomas in areas of particular functional or cosmetic importance, such as the face, nose, eyelids, ears and lips.
• Recurrent, poorly defined, aggressive or higher-risk tumors.
• Situations where preserving healthy tissue is especially important.
• Cases selected according to diagnosis, size, location and the patient’s health.

How it is performed

The removed tissue is mapped, processed and examined in stages. The removal and analysis cycle is repeated until the assessed margins are clear. The most appropriate method of wound reconstruction is then chosen.

Main objectives

Complete assessment of the examined margins, preservation of uninvolved tissue and reconstruction planning based on the anatomy of the area.

Recovery

Recovery varies with the size, location and reconstruction technique. Instructions on dressings, physical activity, medications and follow-up are individualized.

What can be assessed

• Lesions that have grown, changed, bleed or do not heal.
• Moles and tumors with suspicious clinical features.
• Cysts, lipomas and other benign lesions that cause symptoms or discomfort.
• Skin cancers already confirmed by biopsy.

Possible steps

Skin examination, dermoscopy when indicated, partial biopsy or complete removal of the lesion, and submission of the tissue for histopathological analysis.

Planning

The choice between conventional surgery, Mohs or another approach considers tumor type, location, size, the margins required and the patient’s clinical condition.

Postoperative care

Includes dressing instructions, scar protection, removal of stitches when needed and follow-up of the pathology results.

Techniques used

• Direct closure.
• Local skin flaps.
• Skin grafts.
• Healing by secondary intention in selected cases.

How the technique is chosen

The decision considers the size and depth of the defect, its location, skin mobility, nearby anatomical structures and the patient’s clinical condition.

Objectives

Achieve secure closure, preserve movement and natural contours, and promote functionally and cosmetically appropriate healing.

Follow-up

The scar changes over the course of several months. Follow-up provides guidance on care and allows additional measures to be considered when indicated.

Possible objectives

• Accentuate the transition between the shoulders and arms.
• Improve symmetry and proportions.
• Visually enhance body contour definition.

Planning

Body type, muscle structure, skin quality, asymmetries and required volume are assessed. The product, amount and number of sessions are determined individually.

Procedure

The procedure follows anatomical marking and skin preparation. The technique and injection planes depend on the chosen material and the agreed objective.

Recovery

Swelling, tenderness or bruising may occur. Physical activity and local care follow specific instructions after the procedure.

Possible indications

• Seeking greater definition of the pectoral contour.
• Correction of minor asymmetries.
• Complementing body contour results in selected patients.

Assessment

Assessment includes chest anatomy, muscle volume, tissue thickness, symmetry and expectations. The procedure does not replace muscle development or surgery when these are more appropriate.

Outcome

The aim is to build contour and projection gradually and proportionately. Amounts and stages vary with the case and the product used.

Aftercare

Instructions on compression, massage, exercise and return to activities are provided according to the technique used.

Possible objectives

• Improve contour and proportion.
• Soften selected depressions and asymmetries.
• Build volume gradually with a planned approach.

Planning

Assessment considers body structure, fat distribution, muscle, skin quality and expectations. A combination of treatments may be indicated.

Sessions

The number of sessions and the volume are individualized. Tissue response and safety determine the pace of treatment.

Recovery

Swelling, tenderness and bruising may occur. Exercise, local pressure and return to normal activities follow specific medical instructions.

Penile fillers

Primarily aimed at increasing circumference and improving the contour of the penile shaft. Product, amount, distribution and any need for additional sessions are determined according to each patient’s anatomy and goals.

Glans fillers

May be considered to address contour, proportion or minor asymmetries of the glans in selected patients. The indication is independent of shaft fillers and requires a specific assessment of the area.

How it is planned

The consultation includes anatomical assessment, shaft-to-glans proportions, tissue quality, previous procedures, clinical conditions and discussion of expectations. Not every patient is a suitable candidate.

Recovery and follow-up

Swelling, tenderness, bruising and temporary irregularities may occur. Hygiene, physical and sexual activity, local handling and follow-up appointments are individually guided according to the technique used.

Botulinum toxin

Used to modulate the action of specific muscles and soften dynamic wrinkles. Injection points and doses are determined according to anatomy and facial expression.

Fillers

May be indicated to restore volume, improve proportions or treat specific areas. The product and injection plan vary according to the objective.

Collagen biostimulators

Treatments designed to stimulate collagen production, with gradual results and indications based on skin quality and the degree of laxity.

Treatment plan

Not all procedures need to be performed. The plan prioritizes appropriate indications, a natural appearance, safety and monitoring of progress.