Liposuction, How does it work?

The fat layer

A schematic representation of the subcutaneous tissue allows us to see that fat (yellow) is under the skin and nerves and just forthwith above the muscle. In the second diagram below, we see that when the patient does not pay attention to the line or under the weight of years, the layer of fat tends to get thicker, creating an imbalance in volumes between the different parts cited.

The fat being more important, it literally pushes the skin, which will cause these famous unsightly forms. These are actually adipose cells called steatomes the volume grow (especially for women) and it becomes very difficult to eradicate even with a diet.

The intervention in 5 steps

    • 1. The surgeon begins by marking the targeted areas by the intervention. In the example, it comes to the external surface of the thighs but as you see the patient in the graphics would need a larger action on her figure.
    • 2. The anesthesia. It can be local if we try to refine a small fold of the body but in general, we opt for general anesthesia.
    • 3. The surgeon inserts a physiological saline solution to relax the fat tissue. He also injects analgesic to minimize bleeding.
  • 4. H makes a tiny incision in a natural fold of skin and introduces a tipped cannula rounded a few millimeters. This cannula is going to dig tunnels into the fat layer (tunneling) which will be emptied by suction. The cannula is connected to a plastic tube intended to scoop out and collect the grease
  • 5. Closure with absorbable threads.

Breast augmentation

Breast augmentation

Responding Breast augmentationto a need to assert her femininity, breast augmentation gives women who have not developed enough or breast mastectomy the opportunity to make prosthesis implant. The major brands of current prostheses are very safe since they have a strong wall and filled with a cohesive gel that does not broadcast in the event of rupture. Screening mammography is not at all hampered by the prostheses.


Pathways and position of the prosthesis

There are three pathways: the hemiareolar inferior border, under breast and axillary. The choice of path is based on the diameter of the areolas, the volume of prostheses and habits of the surgeon. The axillary way deemed to be the most discreet uses endoscopy and has the disadvantage of bad bleeding control. The areolar path is very satisfactory but may sometimes become visible because of residual scar depigmentation. The subcutaneous breast offer discretion and safety of the procedure when well placed just in the future furrow.

The choice to place the implant behind the gland or behind the chest muscle is based on the volume of existing gland. When it’s sufficient to hide the circumferences of the prosthesis we will just place it behind gland. If instead the breast is too small, it is preferable to insert under the muscle. Muscle back position is more painful and requires the patient not to raise arms for a month at the risk of dislocating the prosthesis to the armpits. Moreover, with time, the fall of the glands is not accompanied by the prostheses and creates an imbalance; the prostheses remain suspended. The glandular retro position does not present these disadvantages. The size of the prosthesis must be adapted to the chest and volume of existing gland of the patient.

Following the breast augmentation

A tension of the breasts is felt the first days. The wound dressing and drains are removed the next day. The result is immediate and rewarding. A bra will be worn for one month. Antibiotics and painkillers are prescribed for 1 week. The activities will be resumed after one week and one month for the sports. The muscular retro position is more advised with a resumption of the sport after 2 months.

Otoplasty In Tunisia

Otoplasty med

Why you might consider Otoplasty

Otoplasty is a highly individualized operation. Most people seek ear surgery after having had some unpleasant experiences of coping and dealing with the shape or size of their ears.

Young people often suffer the most, and parents may push for their children to have ear surgery as early as possible in life. Parents would be wise to wait until their children are conscious of the issue and are certain they wish to have the procedure. Children who are keen to have corrective surgery will feel happier about the result and be more willing to have the operation. Parents need to ensure their child’s best welfare is at heart.

As with most cosmetic surgery, ear surgery is ideal for people with a mature outlook; in the case of children or adolescents, this means individuals who are aware of the issues and their options and are happy to have the procedure. One must consider their self-image, self-confidence and the likely comments of family and friends positive or negative made after surgery.

What an Otoplasty can do

For the most part, otoplasty is concerned with “pinning” back the ears by removing skin, removing cartilage, or both. The aim of ear surgery is to give your ears a positioning and size that is a normal as possible, in keeping with your other facial characteristics. Generally, ears protrude around 15 degrees from the scalp (up to a 2cm protrusion from the head is considered within “normal” bounds).

The procedure corrects:

  • Protruding ears
  • Lop ear when the tip of the ear appears to fold down and forward
  • Cup ear, an usually small ear
  • Shell ear the curve and natural folds and creases are missing
  • Elongated or stretched ear lobes
  • Excessive creases or wrinkles in ear lobes
  • Part of ears that are missing from birth or injury

What an Otoplasty won’t do

Otoplasty is best thought of as a corrective procedure able to enhance your appearance, but there are no guarantees. It is generally a highly successful operation and rarely does the outcome disappoint. However, as with all cosmetic surgery, it is impossible to tell before operating how a person’s ear will reshape and heal, and there is a small chance that corrective surgery might be required.

The surgeon perform by making the incision behind the ear so in most cases the scar will be hidden.

Long Term Care of Silicone Breast Implants – Breast Augmentation Tunisia

breast implants care

The silicone breast implants has led many women to explore this option. We have had many questions on our discussion board about the proper long term care for silicone breast implants. This article is a high level overview of the main issue women have been asking about detecting potential ruptures in silicone breast implants. This is not meant to worry anyone or make anyone think silicone breast implants are unsafe. The FDA would not have approved them if it felt they were unsafe. Rather this article is intended to help consumers understand the evolving nature of the long term care recommendations regarding silicone breast implants.

About Detecting Ruptures in Silicone Breast Implants

The silicone breast implants used in breast augmentation or breast reconstruction today generally do not leak the way saline implants leak. The silicone gel is what is known as “cohesive”, meaning that it is thick and does not move freely the way water (saline) will move. If a silicone breast implant ruptures, there is unlikely to be any apparent change in observable breast size because the fluid does not leak out. Therefore, detection is very difficult if not impossible through observation and examination of the breast. Even your plastic surgeon probably can’t detect a rupture in today’s cohesive silicone breast implants. However, silicone implant ruptures are detectible through other methods.

Screening for Ruptures in Silicone Breast Implants

Silicone breast implant ruptures may not be detectable through self examination or observation, but they can be detected with proper screening through the use of an MRI. The FDA issued guidelines for recommended MRI screening when it approved silicone breast implants. The FDA states, The best method of screening is currently MRI at a center with a breast coil, with a magnet of at least 1.5 Tesla. The MRI should be read by a radiologist who is familiar with looking for implant rupture.

While that information sounds very technical and daunting, rest assured that the surgeon who performs your breast augmentation should be able to recommend a good radiologist who can perform the MRI screening for you. You won’t need to worry about asking different radiologists about magnet size! In no case should the MRI screenings be seen as a replacement for your regular follow up visits with your plastic surgeon. Your plastic surgeon will look for other issues in addition to ruptures, so please, please go to your regular follow ups!

Frequency of MRI Screening – Silicone Breast Implants

The FDA initially recommended that patients begin MRI screening of silicone implants 3 years after implant surgery and then every two years, thereafter. This recommendation is only a guideline and has not been updated by the FDA as the study results continue to evolve. Many breast surgeons believe that an MRI is not needed after 3 years given the low failure rate of silicone breast implants after 3 years. If the studies show that failure rates remain low for many years, it may not be necessary to have an MRI for many years.


Silicone breast implants are as viable a choice today as saline. Your personal preferences and your plastic surgeon’s recommendations and guidance will help you to determine which choice is right for you. Make sure to have regular follow up visits with your surgeon so that he can guide you with respect to long term care of your breast implants. As the Mentor and Allergan studies evolve, so will long term care recommendations, including the timing of any recommended MRI screenings.

Rhinoplasty In Tunisia


Rhinoplasty or Nose surgery is a surgical procedure that reshapes the nose by reducing or increasing its size, removing the hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. The procedure takes from one to three hours and is performed under general or local anesthesia.

Postoperative instructions

  • Pain : weak
  • Appearance : Oedema and some bruises
  • Care : absorbable and non-absorbable sutures
  • Rest : from 8 to 15 days

Complementary interventions

There is no indication against associating a nose surgery to other interventions as breast surgery or silhouette surgery . However, it is not recommended to combine rhinoplasty with a facelift.