Doctor Esbry

Facial CO2 Laser Resurfacing

Laser technology is the application of a light of great intensity concentrated on a point. In that case, when the lights is concentrated on a single point the equipment is used as surgical scalpel, that is to say to carry out any surgical procedure, of general surgery or in this case of Aesthetic Surgery.

In the case of Laser CO2 equipment (Carbonic Anhydride) it can be coupled, also with a Scanner with which is controlled, not alone the depth of the treatment, as the duration of the same one and the superficial quantity of tissue to treat. With the Scanner we can treat single pathological lesions of the skin, but also the superficial and deep wrinkles, product of the normal process of aging, being denominated to this procedure: Facial Laser Resurfacing.

Facial Laser Resurfacing with laser of CO2 has revolutionized the surgical treatment of the wrinkles of the face. With this procedure we can treat the entirety of the facial wrinkles making them practically disappear in a single session of Laser. The conventional treatment of face wrinkles for surgery, the Facial Lifting, has precise indications that have not been replaced by the laser. There are wrinkles of difficult solution, like the peri-buccal ones, those of the forehead, etc. that can be solved with the CO2 Laser in the same surgical act.

That is to sy, these two treatments are complementary in the global treatment of the wrinkles of the face.

Laser Resurfacing is a method for which a controlled EPIDERMO-TERMOLISIS of the superficial layers of the skin is carried out. The treatment can be done with local or general anesthesia and in all the cases it is of quick recovery and with spectacular results.

The treatment of the face wrinkles with Laser of CO2 is ideal in those incipient cases of relatively young patient in with being to appear the first wrinkles and with this treatment, they delayed the facial aging in several years.

Also in those patients that cannot be subjected for reasons of general health to a great surgery like it is it the conventional Facial Lifting.

The wrinkles that are frequently treat with this procedure are:
a) Complete facial resurfacing
b) Wrinkles of the forehead
c) Peri-oral winkles
d) Wrinkles around the eyes

Decálogo del paciente de Medicina Estética

La medicina estética es una integración de medicina social, de medicina preventiva, curativa y de rehabilitación para la comunidad. Su finalidad última es la construcción y reconstrucción de equilibrio físico y mental.

Aquí, un decálogo de criterios que deberían seguir para acercarse a la medicina estética de la forma más eficaz y segura posible, según SEME (Sociedad Española de Medicina Estética)

1.- Edúquese a sí mismo: No se conforme con un artículo de prensa, televisión o internet, debe comprobar y ver los certificados oficiales que le indiquen que está en una clínica autorizada de medicina estética.

2.- Pida todas las explicaciones: El médico estético le realizará siempre una visita y diagnóstico completo antes de cualquier tratamiento. Así mismo le explicará bien todo el procedimiento, limitaciones y posibles complicaciones. Consulte siempre con su médico acerca del “consentimiento informado”.

3.- La mejor curación es la prevención: Si empieza a pensar ahora en cómo será dentro de diez años y consulta con su médico-estético, este le indicará la mejor forma de iniciar hábitos de vida saludable para sacar mejor partido a sus tratamientos actuales y que el paso del tiempo sea lo menos nocivo posible para su salud y su imagen.

4.- Evalúe las alternativas: Pensar en los posibles métodos de intervención y, en caso de duda, lo ideal es optar por la solución menos invasiva. Es cierto que las técnicas suaves tienen resultados suaves, pero también leves complicaciones. Y siempre puede optar por la solución más invasiva cuando usted lo tenga claro.

5.- Diga no a la belleza “rápida e inmediata”: Debe tener cuidado con quien promete demasiado, cuídese de los milagros, de los magos y sobre todo debe tener confianza en el consejo del profesional experto, aunque no sea lo que usted quiere oír. No insistir en “algo más”.

6.- Solicite la documentación y el profesional responsable de su tratamiento: Nombre y nº de colegiado del médico que le atiende, detalles de las técnicas de tratamiento realizadas, de los medicamentos o productos sanitarios y de los equipos utilizados (composición, marca, etc.).

7.- No dé por sentado el resultado: No debe ir al médico estético como si fuera un paseo o algo inocuo, es un tratamiento médico, por tanto, usted debe pensar y reflexionar, como lo haría ante cualquier otro profesional de la medicina.

8.- Explique el objetivo estético de su consulta: Debe describir claramente al médico estético qué quiere lograr, cuáles son sus expectativas y asegurarse de que éste lo ha entendido. Debe pedirle que le informe si la medicina estética es capaz de lograr el resultado esperado y a través de qué medios.

9.- No se apunte a modelos inalcanzables: Hay que ser realista, las figuras mediáticas famosas y modelos muchas veces no son “reales”, ya que actualmente existen miles de trucos (casi mágicos) en los medios como son el Photoshop. En cambio, pida al médico que le ayude a sacar el mejor partido de sus rasgos y condición.

10.- Contacte sólo con profesionales certificados y con años de experiencia.

Recertificación Médica

Un tema de suma importancia en el mundo médico es LA RECERTIFICACIÓN.

Este procedimiento de estricto cumplimiento en el mundo anglosajón y algunos países latinoamericanos, Argentina entre ellos, tiene como objetivo supervisar periódicamente la idoneidad o la educación continua de los médicos, asegurando así que la prestación que dispensan y por ende la atención que sus pacientes reciben, es la apropiada.

Este procedimiento periódico y necesario debe estar supervisado por las autoridades medicas, exclusivamente, y no por organismos estatales ajenos a la profesión, dado que solo un médico puede evaluar la actividad de otro médico y este evaluador estar supeditado a las organizaciones médicas pertinentes como OMC, Colegios Médicos, etc.

El Ministerio de Salud y Medio Ambiente, en el caso de España, debería ser garante de este proceso y sentar las bases sobre las cuales se deba realizar, pero no ser el brazo ejecutor del mismo.

La Recertificación debe realizarla todo médico que practique la medicina, sea esta en ámbito privado o estatal y deberá ceñirse a estrictas reglamentaciones acordadas y supervisadas por estas, para determinar transparencia y equidad.

A mi modo de ver, en España la “matriculación no obligatoria, ni universal”, no debería recaer en los Colegios Médicos como habitualmente se hace, sino en el Ministerio de Sanidad, quien de esta forma garantizaría además, el proceso de Recertificación.

La Matriculación debería ser universal; todo médico que practique la medicina, sea en ámbito estatal o privado, debería estar matriculado, es decir: “Habilitado para ejercer la medicina” y esta Matriculación debería ser gratuita y a los efectos de contralor por parte del Estado y no en posesión de los colegios Médicos regionales para lo cual es necesario “colegiarse y pagar por ello un canon anual”.

De esta manera la “matriculación” le serviría al médico para ejercer en todo el ámbito de país sin necesidad de estar “colegiado” en cada Colegio Medico donde necesite ejercer. Serviría también para llevar un censo estricto de los médicos que ejercen la profesión, su distribución demográfica y las necesidades reales del sistema.

EVENTS: Aesthetic Conferences

Some photographs of the events of Dr. Esbry about Aesthetic.

 

Presentation about “Threads Lift” at the Institute of Medical Sciences

Last Thursday May 12, Dr. Esbry gave the presentation about “Threads Lift” in an event held at the Institute of Medical Sciences of Alicante.

This presentation was the first of a circuit of conferences related to cosmetic medicine whose aim is to bring patients to the aesthetic sector, solve all doubts and strengthen the bonds of trust with ICM center specialist.

The event started at 19:00, with the presentation of Dr. Luis de Teresa Parreno, manager of the forefront clinic.

The lecture consisted of 2 parts. The technical part was dictated by Beatriz Belenguer, senior technician in Integral Aesthetics and Oncology, backed by extensive training and over 15 years of professional experience.

The medical part was dictated by Dr. Jorge Esbry, aesthetic surgeon in London with more than 35 years of experience in cosmetic and reconstructive surgery who has held management positions in various hospitals located in countries such as Argentina, United States, Spain and UK where he has been perfecting their operating techniques and evolving in his profession.

The extensive experience of these specialists, instruments and cutting-edge techniques with high levels of safety and accuracy bring the best results to the patient.

During the talk they solved all the questions asked by the audience.

Elevation of the tail of the brows

This is a procedure that can be carried out on its own or in conjunction with any of the operations mentioned previously.

Indications: This operation is indicated when, due to this lowering of the tail of the brows, the face acquires a permanently sad and fatigued look. The sides of the forehead are also involved in this operation as this reduces the ageing sensation.

Procedure: Two methods can be used: One is the undermining of the skin of the sides of the forehead and the external angles of the brows in a deep plane and their elevation and fixation by means of a small biodegradable implant (Endotime Lift). The other procedure, much simpler, economical, and of quick recovery, is the external fixation with special threads.

Surgical elevation: This procedure consists of a small scar, hidden by the hair. There is undermining of the skin of the sides of the forehead until reaching the brows. A small biodegradable implant of Vicryl is placed on the bones of the skull (Endotime Lift). This implant keeps the tissues fixed and gives the necessary fibrosis, thus prolonging the effect of the operation.

Anaesthesia: I generally use local anaesthesia, following sedation, so that the patient can return home after a short period of rest.

Sutures: These are removed after 7 days and the scar is imperceptible.

Recovery: 7 days approximately.

About Partial Lifting (Mini Lifting)

Indications: When only the lower half the face is treated. This is a procedure used in cases of incipient wrinkles, usually in younger patients who want to overcome the ageing process, but do not need a complete lifting. The lower part of the cheeks is lifted, thus improving the facial contour. This can also be done in conjunction with an elevation of the tail of the brows. If the patient so wishes, a resurfacing with Co2 Laser can be carried out at the same time.

Procedure: Undermining of the skin of the cheeks with traction towards the ears tightened in order to lengthen the duration of the results. Resurfacing can be peri-oral, peri-orbital, or off the forehead.

Scars: Scars are located either in front of, or inside, the ear, with a slight continuation behind it. The resurfaced area acquires a pink pigmentation that lasts for 3 to 4 months.

Sutures: Sutures are removed 7 to 10 days after the operation or, in some cases, they are self-disolving.

Anaesthesia: Local anaesthesia with oor without previous sedation, depending on the patient’s emotional state. In either case hospitalisation is not necessary and the patient can return home after the operation.

Recovery: Being a less aggressive procedure than a total lifting, recovery time is shorter and can vary from 5 to 8 days, extending to 10 if there has been resurfacing.

ICM ficha al Dr. Esbry en Medicina Estética

El Instituto de Ciencias Médicas (ICM) acaba de ampliar su servicio de Medicina Estética de la mano del Dr. Jorge Esbry, cirujano de “Transformations”, colegiado en Londres con más de 35 años de experiencia en cirugía estética y reparadora. El Dr. Esbry ha ocupado puestos directivos en diversos hospitales localizados en países como Argentina, Estados Unidos, España e Inglaterra en donde ha ido perfeccionando sus técnicas de operación y evolucionando en su profesión.

El Instituto de Ciencias Médicas (ICM) es una clínica situada en el corazón de Alicante, que ofrece medicina privada al alcance de todos con el objetivo de mejorar la calidad de vida de sus pacientes. Regentado por el Doctor de Teresa Parreño, son reconocidos como una clínica de vanguardia en la localidad.

icm logo dr esbry
Cuentan con avanzados equipos de diagnóstico y un gran equipo humano asistido por modernos dispositivos, los cuales les permiten prever cualquier patología. Son expertos en patología médica crónica, además de disponer de propios equipos de radio, eco diagnóstico y análisis clínico en el mismo centro.

Sus profesionales realizan un asesoramiento personalizado, adecuando los tratamientos a las necesidades estéticas y de salud de cada persona. Cuentan con aparatología de última generación, además de un prestigioso equipo humano altamente cualificado.

Así, el Dr. Esbry acerca e introduce más sus especialidades al mercado español desde ICM, quienes se unen a la lista de centros autorizados de “Transformations”. “Transformations” es el sello de cirugía estética dirigido por el Dr. Esbry, que garantiza procedimientos de cirugía estética y tratamientos de calidad en España y Reino Unido. Estos centros son:

SWISS CARE CLINIC
386-388 Green Lanes Palmers Green
London – N13 5XQ
0208 886 2600

HARLEY HEALTH VILLAGE
64 Harley St.
London – W1G 7HB
0207 631 4779

INSTITUTO DE CIENCIAS MÉDICAS
Calle Poeta Quintana, 56
03004
Alicante – Spain
+34 966 592 350

CENTRO MEDICO ROJALES
Calle La Marina, 19
03170 Rojales
Alicante – Spain
+34 629 353 989

CLÍNICA PRAXIS
Calle Doctor Brotons, Poveda 28
03560 El Campello
Alicante – Spain
+34 629 353 989

Complete Facial Lifting: Procedure, scars, sutures, recovery

It is an important aspect of aesthetic surgery procedures. Facial lifting is indicated in people who have lost the elasticity of the skin of the face, with the consequent formation of wrinkles, deep furrows, hanging of the chin line, formation of bags under eyes, collapse of the skin of the superior eyelids, etc.

Facial lifting can be: COMPLETE FACIAL LIFTING

Indications: When a patient needs surgical restauration of the whole face, it is necesary to proceed to surgical resection of the skin of the superior and inferior eyelids, as well as surgical resection of the fat contained in the bags of the superior and inferior lids.

The same procedure is applicable when treating the wrinkles of the neck, and the elevation of the tail of the eyebrows. These procedures may call for the necessity of a partial resurfacing of the peri-oral or peri-orbital areas, respectively.

Procedure: In order to carry out the above mentioned procedures, it is necessary to undermine the entire skin of the face, for its elevation and traction up and behind, and resection of the redundant skin. Internally it is possible to proceed to the tightening of deeper tissues in order to obtain a firmer result. The resurfacing is carried out with CO2 Laser, which eliminates the finer wrinkles that surgery cannot reach.

Scars: The resulting scars are located in such places that they are practically unnoticeable. The most visible scars is located in front of the ear and, in some cases, inside it.

Sutures: Sutures are removed within 7 to 10 days after the operation or, in some cases, they are self-disolving.

Anaesthesia: In general it is local anaesthesia, following sedation. In most cases the patient can return home after a short period of rest (2 to 3 hours). If necesary it can be done under general anesthesia.

Recovery: This varies from individual to individual but, in general, the post-operatory inflammation and haematomas last from 10 to 15 days. In cases of resurfacing, the patient will need to take additional precautions such as the use of creams, sun protectors, etc.

Professional aesthetics surgeons in London and Alicante

We are working every day to give our clients the best quality service. For that reason, we offer the first consultation for free. You can come to one of our clinics and we can do the first chek-up, having a nice conversation about your beauty wishes and the possibilities to obtain them.

We are located in 4 different clinics situated in Spain and London. Find us in the clinic that is closer to you. We are prepared to give you the best care:

Centro Médico Rojales
Calle La Marina, 19 03170 Rojales Alicante, Spain.
Tel: +34 629 35 39 89

Clínica Praxis
Calle Doctor Brotons, Poveda 28 03560 El Campello, Alicante, Spain.
Tel: +34 629 35 39 89

Swiss Care Clinic
386-388 Green Lanes Palmers Green LONDON – N13 5XQ
Harley Health Village
64 Harley St. LONDON

Our aesthetic surgeries in the face zone

Within our services, one of our specialities are the surgeries in the face zone. These kind of cosmetic surgeries are one of the most demanded. Our professional has a very huge experience in:

Facelift
Facelift is a surgical procedure to tighten and lift loose skin and muscles, reversing the effects of time and gravity on the face.

As we age our faces sag, which leads to a drooping appearance and the formation of hanging cheeks, loss of a firm chin line and nose to mouth folds. Pockets of fat also commonly form beneath the eyes, giving the appearance of constant fatigue. Chin and neck distinction can be lost and delicate neck skin can become crêpey.

Facelift surgery can address all these concerns, restoring a youthful firmness to the face and improving the neck. Facelifts may be full or partial, depending on the areas of most concern. The surgeon will discuss all options.

Nose remodelling
More people are unhappy with the appearance of their nose than that of any other facial feature. People may feel their nose is too large, or may be unhappy with its shape, crookedness or even a bump. Whatever the dissatisfaction, nose remodelling can provide a solution. Rhinoplasty may also be used to correct structural deformities and alleviate breathing problems.

Eye lift
As we age, the effects of gravity and the loss of skin elasticity cause drooping around the eyes. Excess skin below the eye causes wrinkles and bulging, while on the upper lid drooping skin can hang over the lashes.
Eye lift surgery can improve the appearance of both the upper and lower lids, removing excess fat and skin layers and restoring a smoother, more youthful look.

Dermal fillers
Dermal fillers are facial injectable treatments designed to restore youthful volume to the face and minimise, or even erase, lines and wrinkles.
As we age, elastin and collagen break down, our faces lose volume and lines and wrinkles form. Fillers can be used to add volume to areas of the face or to treat specific wrinkles.
Fillers are often a good treatment for younger people who do not wish to undergo surgery to achieve a younger, fresher-looking appearance.
Fillers are also used to restore plumpness to ageing lips or to alter the volume and shape of thin lips.