How We Work
When you come to the Institute of Plastic Surgery, you can feel secure and safe. We take care of our patients before, during and after surgery. We have the same goal as our patients: a good final result. We have invested in developments and have carefully introduced new methods. The safety of the patient has always been our most important concern.
We perform most types of surgery and other treatments within aesthetic and reconstructive plastic surgery. Many operations are performed in co-operation with an anaesthetist doctor. We also perform operations under so-called intravenous sedation, which is often carried out by an anaesthetist nurse, who will give the patient sedation and anaesthetics through the arm. In these cases the patient must be fasting for six hours prior to the surgery. The advantage of this simpler form of anaesthesia is that you seldom feel sick afterwards.
The clinic has also participated in the development of many techniques in patient surgery, nose operations and eyelid surgery.
For many years - and we have been almost alone in this – we have reconstructed the global line in the upper eyelid and eliminated the fat pad and dark shadows in the lower eyelids (called the tear trough). We use the fat pads in the lower eyelid as material to achieve a smooth transition between the lower eyelid and the cheek.
Early on, we were using autologous material in enlargement of the malar area and the lips. This has become an important technique for the rejuvenation of the face. We have participated in the development of tissue expansion as a method which was first used 25 years ago. This technique has made it possible to excise and remove huge skin defects and injures of the scalp. Simultaneously, tissue expansion has revolutionised breast surgery, a method which we use almost daily in breast augmentation and reconstruction of deformed breasts and of breasts deformed by cancer and surgery. Read more about this in Doctor Jan Wieslander’s book, “The New Plastic Surgery Methods,” so far only available in Swedish, but with many picture illustrations of the methods microsurgery, liposuction and tissue expansion.
Performing abdominoplasty (tummy tuck), we save the fat in the lowest part of the abdomen below the fascia (Scarpa’s fascia). This has dramatically reduced all complications, and we never have post-surgery fluid collections in the abdomen, which is very annoying and a frequent occurrence in other clinics after this type of surgery.
Since the first introduction many years ago, we have used liposuction in a careful way, which we combine almost daily with other types of surgery. As mentioned above, we use lipoaugmentation (enlargement) with autologous fat. In some instances we use dermis (the deeper parts of the skin) or fascia from the temporal area. These materials are excellent for lips and smaller defects in the nose or for any other place. Due to demands, malar implants have recently been used in increasing numbers, and today with safe and good results.
In the malar area an implant with a hard surface can be more elegant than fat. We never use permanent material in the lips because of the risks of infection and pain. We never use incisions in the mouth when we insert an implant, since there is a high risk of infection. The implant must then be taken out.
For treatment of wrinkles and furrows around the mouth, we have developed a much safer technique with laser treatment combined with dermabrasio. We achieve the advantage of laser treatment of the deeper parts of the skin but, by adding dermabrasio, we can avoid going too deep with the laser, since this can cause scar formation and change the pigmentation of the skin. The combined treatment accelerates heating.
We have a modern and technically advanced post-operative department fitted with all safety equipment. A specialized anaesthetist nurse is in charge.