Friday, 3 November 2017

Do You Have A “Mathematically Beautiful” Face? (And How to Get One If You Don’t)

It’s often said that beauty lies in the eye of the beholder, however scientists have long been fascinated by trying to identify formulas for attractiveness.

On this blog, we have previously looked at the measurements hailed as “perfect” for noses, lips and buttocks - now we can reveal what science says about face shape.

The recent study, conducted by researchers at the Temple University School of Medicine in Philadelphia and published in Aesthetic Surgery Journal, aims to provide a guide for plastic surgeons to ideal mid-face proportions.

The study involved analysing photographs of 55 women with idealised facial proportions - the images were selected from a stock photography website after running a search for “beautiful young woman not smiling”.

Some 13 facial measurements were taken, but only eight were found to be statistically significant in terms of attractiveness. The researchers recorded the average measurements from the women’s faces (see below).

The most important measurements were:

  • The distance between the eyes (59.2mm)
  • Eye diameter (11.5mm)
  • Nose length (43.6mm)
  • Distance from the inside of the eye to top lip (53.8mm)
  • Width from cheekbone to inside of the eye (13.1mm)
  • Diagonal of cheekbone to chin (98.9mm)
  • Distance from cheekbone to hairline (86.9mm)
  • Distance from cheekbone to chin (83.5mm)

The overall conclusion from the study was that a heart-shaped face, with broad cheekbones and a narrow chin, was the most attractive. This face shape can be seen on celebrities like Reese Witherspoon, Jennifer Love Hewitt and Eva Longoria.
Writing in the journal, lead author Dr Gary Linkov, says: “The notion of ‘mathematical beauty’ implies the existence of ideal facial contours, dimensions, and ratios that, when present, create a harmonious, balanced, and attractive face.
“A heart-shaped mid-face is the quintessential symbol of youth and remains the overarching goal of mid-facial rejuvenation. However, few objective criteria exist to describe mid-facial position, whether in the ideal or aged state. We felt that these parameters might be useful to clinicians looking to find means of quantifying ageing changes, as well as postoperative improvements.”
Although some measurements recorded in the study - such as the distance between the eyes - cannot be cosmetically altered, others can be manipulated with injectable filler or fat transfer.
Cheeks, in particular, lose volume with age. This can be restored with fat or filler in order to give a fuller, more youthful looking face. One finding of the study was that cheekbones should be as wide as eyebrows for maximum attractiveness - augmenting the volume in the cheeks can help to achieve this appearance.
Ocean Clinic’s Head Surgeon Dr. Kai Kaye says: “Enhanced volume added to key areas of the face such as the cheeks and lips can make you look younger and more beautiful. However, if you don’t want a cosmetic procedure, contouring with makeup can help create the illusion of the desireable heart-shaped face.”

Meanwhile, women who have experienced facial skin sagging, resulting in jowls that have altered the lower proportions of their face, can have their jawline restored through a mini facelift.

To find out how your facial proportions could be enhanced, contact Ocean Clinic Marbella for a free consultation.

Thursday, 19 October 2017

Ocean Clinic Marbella Wins Award for Innovations in Plastic Surgery

Ocean Clinic Marbella has been named a winner in the Healthcare & Pharmaceutical Awards for the second year running. The clinic clinched the title of “Best Plastic and Cosmetic Surgery Clinic - Spain”.

The awards, organised by Global Health and Pharma Magazine, seek to recognise firms and organisations developing new and innovative ways to deliver healthcare around the world.

Ocean Clinic’s founder Doctor Kai Kaye is well known in the plastic surgery industry for pioneering new techniques including the PAVE-Lift facelift and is regularly invited to lecture to peers at medical meetings globally.

In June, Dr. Kaye and his team organised the second annual Marbella International Plastic Surgery Summer School (MIPSS), sharing insight with 110 specialists from 20 countries. The event included live surgery, performed at Ocean Clinic and livestreamed into the conference hall at H10 Andalucia Plaza Hotel.
Dr. Kaye said: “We are always looking for ways to enhance our treatments with new techniques and technology in order to achieve the best possible results for our patients. Since we won the GHP award last year, we have been finding new ways to work with water-jets. We now use water-jets as part of facelift, liposuction and fat transfer procedures. Water-jets reduce trauma to the soft tissues, which means better results and faster healing.

“We are delighted to be recognised, once again, for the progress we continue to make and will endeavour to make further advancements over the next 12 months. One new area of expertise will be penis enhancement, now offered by my colleague Doctor Sonja Kästner following training with a leading German specialist.”

Another innovation now available at Ocean Clinic Marbella is the Crisalix Virtual Reality headset, enabling patients to “try on” a large range of face, breast and body procedures before going under the knife. Ocean Clinic is one of the first clinics on the Costa del Sol to offer this advanced facility.  

To find out more about any of our new services, please contact us.

Monday, 9 October 2017

Facelift Surgery: Your Questions Answered

Would you like to give your face a new lease of life? Facelift surgery can, on average, take 10 years off your appearance.

If you have sagging jowls, a sagging neck or deep wrinkles that are making you look old, a facelift can help turn back the clock. Here at Ocean Clinic Marbella, we have performed hundreds of facelift procedures on both both men and women and the surgery has high satisfaction levels.

To learn more about facelift surgery and see before and after photos, you can make an appointment for a free consultation. In the meantime, here are the most commonly asked questions:

Should I have a facelift or filler?

Fillers and fat transfer can address light wrinkles and hollows caused by loss of volume, but they cannot address skin or muscle laxity. If you have any sagging skin or deeper wrinkles, such as nasolabial folds, filler alone will not provide satisfactory results.

A good option, especially for younger patients, is a mini lift targeting the lower portion of the face, combined with fat transfer to permanently replace lost volume.

Am I too young for facelift surgery?

Everyone ages at different rates, so a younger person could well be a good candidate for facelift surgery. This is especially true for patients who have lost a considerable amount of weight and have been left with sagging facial skin.

Since facelift is a highly customised procedure, your plastic surgeon should be able to tailor a treatment plan to fit your exact specifications.

Am I too old for facelift surgery?

Every person must be evaluated individually, taking into consideration their skin elasticity and overall health. A healthy seventy year old can be an ideal candidate for a facelift, providing they have realistic goals.

The main risk for an older person comes from the anesthesia. Your plastic surgeon can work with your primary medical doctor to evaluate your suitability.

How long is the downtime for facelift surgery?

Downtime for facelift surgery is two weeks and it is recommended you take this time off work if you don’t want people to know you’ve had surgery. Although you may feel fairly normal after a few days and able to go about your business, your face will still be bruised and swollen.

Downtime, therefore will depend on your sensitivity to your postoperative appearance. It will take around two weeks for the noticeable swelling and bruising to subside. Stitches will be removed after 10 days and scarring may be covered with makeup.

What scarring will I have after facelift surgery?

Thankfully, modern short scar facelift techniques require far smaller incisions than the cutaneous facelift of old. Rather than one long incision that runs the length of the hairline, two smaller incisions are made around the ears.

For a MACS facelift (our most frequently performed type of facelift), the incision starts in the sideburn area, follows the contours of the ear and then curves behind the earlobe.

How long and how well your incisions take to heal is dependent on several factors, including surgical technique, prevention of infection, not smoking (before or after surgery) and your genetics.

For the most part, facelift incisions heal very well and eventually should be undetectable to everyone but your hairdresser. For the first several weeks after surgery, the scars will be pink and noticeable, but can be covered by makeup and long hair if you have it. After 6-12 months, the incisions fade away to just a pale line.

What are the potential risks and side effects of facelift surgery?

Minimal incision techniques have reduced the risk associated with facelift surgery, however, as with any surgery there is always a degree of risk. Risks include bleeding, facial nerve injury, facial asymmetry, change in ear position and infection - you will be given antibiotics to help prevent this complication. In the event of complication, there is the possibility that revision surgery will be needed, but risk is significantly minimised in the hands of a skilled surgeon.

In terms of side effects, there will be some pain following surgery but it can be well managed with painkillers. You may experience nausea as a result of the anesthesia. Numbness can be expected in the areas operated on and the ear, which can last for up to a year.

What does facelift surgery cost in Spain?

Facelift surgery is not a one-size-fits-all procedure and you might pay anything from €5,500 to €8,500 depending on the treatment you require. While one person may be unhappy with “baggy eyelids”, another person may be troubled by “saggy jowls” or a “floppy neck”. Therefore, your treatment plan will be tailored to you.

For maximum results, your facelift surgery could also include fat transfer to replace lost volume, a chemical peel to resurface your skin and eyelid surgery. Your surgeon will advise which combination of treatments will be necessary to address your specific concerns. It goes without saying, that facelift surgery should not be scrimped on - your face is, of course, the most important part of your body!

How long will the results from facelift surgery last?

Although a facelift can turn back time, it cannot stop it. Once the surgery is complete, you will continue to age but from your new starting point. This means you will always look younger than you would have if you hadn’t had surgery. However, since you will continue to age, you may wish to have another facelift in 10-12 years time. Often a minor skin retuck is all that’s needed to prolong the result.

You can further slow the clock and maintain the benefits of your facelift by adopting an anti-aging skin care regime, including chemical peels, eating healthily, not smoking and minimising sun exposure.

Got more questions? We’d be pleased to answer them. Contact Ocean Clinic Marbella to make an appointment.

Thursday, 28 September 2017

Penis Enhancement Now Available at Ocean Clinic Marbella

Ocean Clinic Marbella is delighted to announce the addition of a new treatment for men - penis enhancement.

Dr. Kästner
The procedure, which can offer male patients an increase in both penis length and thickness, is offered by Doctor Sonja Kästner.  We asked her to tell us all about it...

Why has Ocean Clinic decided to add penis enhancements to its list of treatments?

The idea to bring penis enhancement surgery to Marbella results from my work in Germany in the Praxisklinik am Rosengarten in Cologne. I work there two weeks per month alongside Doctor Timo Spanholtz. He has specialised in penis enhancements for years and has now trained me in the procedure.

Penis enhancement seems to be big trend. We’ve seen a rise in operations and we’re now doing it two to three times weekly. Here, in the Costa del Sol region, there is nobody offering this procedure and we think there might be some demand. I’m pleased to be able to bring my experience in penis enhancement to Marbella.

What are the modern techniques for carrying out a penis enhancement?

There are different techniques; you could work with a silicon prosthesis but if avoidable I would rather not use a prosthesis because this can cause a lot of problems. What we mostly do is a combination of a penis enlargement to increase the length and a fat transfer to augment the thickness.

The penis enlargement is done by cutting the ligament that pins the penis to the pelvic bone. The erectile tissue is attached to the pelvic bone through that ligament. Due to this, one to four centimetres are hidden inside the body. If you cut this ligament you can pull the penis out and gain length.

Unfortunately you can’t promise the patient if it will be four centimetres or, if in his case, it will be only one centimetre. This is because you can’t examine it before the operation; the only way is to open up the area. However, in some cases you really can gain as much as four centimeters in length.

Are there any side effects of cutting the ligament?

Not to the function of the penis or the erectile tissue because the nerves are really far away from where you cut. The only thing that happens is the penis, which normally in the erect state stands up at around 150 degrees, won’t come up as high; 90 degrees at the most. You can often see this in the porn industry because there are a lot of men who have already had it done and you will notice the penis doesn’t come up as high.

How do you augment the thickness of the penis?

We use liposuction to take fat from wherever you have it, perhaps your love handles. Then we can inject between 20 to 50 millilitres directly under the skin of the penis, around the shaft. The results here are more foreseeable; you can gain one to two centimetres of extra girth. It works well.

You can also do a fat transfer to the glans penis (head of the penis) and then it appears fuller and a little bit enhardened.

It’s better to use your own fat rather than a synthetic filler because it’s entirely natural and will also provide a permanent change - whereas fillers are eventually absorbed into the body, fat that gains a blood supply will become permanent tissue.

Are there scars left on the penis after penis enhancement?

Not directly on the penis as the fat transfer doesn’t leave any scars. In the region of the pelvic zone there is an incision made across the pubic area of 2.5-3 cms, which is closed with dissolvable stitches. Normally that area heals pretty well, however it is a hairy area so you can hide it the scar if you want.

Is penis enhancement a painful procedure?

No it’s not. You have to really take care of yourself for a week afterwards because there is a risk of haematoma, which can then be painful but the procedure itself is not painful. What you should keep in mind however, is that the penis enhancement is not done with only the operation. You also need to wear a vacuum suction device called a PeniMaster.

Scar tissue needs six weeks to be stable so you should wear this device during this period to keep the length we gained during the operations. The longer you can wear it each day, the better but the minimum is two hours in the morning and two hours in the evening. Alternatively, you can put it on during the night and sleep wearing it.

Do patients stay overnight in the clinic following penis enhancement?

It is not a necessity but I would like it. Because patients don’t feel much pain following the operation they tend to do too many things. While penis enhancement is a relatively straightforward and low risk operation, if patients don’t rest afterwards there is a higher risk of bleeding.

Does recovery from a penis enhancement inhibit a patient’s ability to urinate? When can they engage in sexual activity again?

Patients are able to urinate normally immediately afterwards. In terms of resuming sexual activity, the wound must be stable and dry so it’s advisable to wait four weeks, better six.

How worthwhile is penis enhancement surgery? Will the patient be able to notice a difference?

The patient satisfaction is really high for the procedure. The only thing you have to keep in mind is we can’t promise you in advance the length you will gain. On average it is 2.3 centimetres as a long term result.

Before the operation, you need to ask yourself if it’s the flaccid appearance of your penis you wish to change or if it’s the erect appearance. This is the best operation to change the outer appearance of the non-erect penis.

If the penis is erect you might not have such a big difference but if you are self-conscious about the size of your penis when you’re at the sauna or in the changing rooms, this can provide a noticeable change.

What is the age range of patients requesting penis enhancement surgery?

It’s really surprising; we have patients between 18 and 75 - there seems to be no age limit for the wish to change something about oneself. What is also surprising is that most patients we see have average size penises; they are not especially poorly endowed they just want a bit more. In Spain the average erect penis size is 14 cms (5.5 inches).

How much does penis enhancement surgery cost in Spain?

The enlargement surgery is around €3,800 and the fat transfer is around €2800, plus costs for the anesthesia.

Interested to learn more about penis enhancement surgery? Dr. Kästner is available for consultation at Ocean Clinic Marbella during the last two weeks of every month. Call 951 775 518 to make an appointment.

Thursday, 21 September 2017

Science Identifies "Ideal" Female Lip Shape

Do you have a perfect pout? Scientists claim to have finally nailed down the ideal female lip proportions - the bottom lip should be twice the size of the top one.

Researchers at the University of California in America asked groups of men and women to assess the attractiveness of 160 pictures of white women’s faces. They found that a 1:2 ratio of upper to lower lip was considered the most attractive by both sexes.

Ideally, the lips should make up about 10% of the lower third of the face. For those considering lip fillers, these findings should be adhered to in order to preserve a natural look.

If you’ve ever seen someone with “fake” looking lips it’s because they’ve broken the golden rules of ratio and proportion. Women who increase the size of their lips by more than 50% risk leaving their face looking out of proportion. Meanwhile, those who overfill their upper lip will create an artificial, “duckbill” appearance.  

The authors of the study concluded: “We advocate preservation of the natural ratio or achieving a one to two ratio in lip augmentation procedures while avoiding the overfilled upper lip look frequently seen among celebrities.”

The Cupid’s bow

To be considered truly attractive, lips must not only be full, but also shapely. As one London-based doctor, Dr Tijion Esho, points out, the 1:2 ratio should not extend the entire width of the lips. The perfect lips will have a 1:1 ratio in the outer corners - plus an accentuated philtrum, or Cupid’s bow.

To create a really sensual look, the bottom lip should be plump in the centre while the top lip should be “dipped low” in the middle, like can be seen in Angelina Jolie’s famous pout. The shape can be achieved during lip augmentation by careful placement of small droplets of lip filler.

Why are full lips attractive?

Just like a high hip-to-waist ratio in a woman signals strong mating potential, full lips are also thought to indicate fertility. This is because lips lose volume and narrow as women age, therefore full lips are associated with youthfulness. Maximum lip thickness is reached in girls at age 14, from which point they gradually decrease in size.

Additionally full lips are linked to sexual arousal. Lips, like other sexual organs, engorge with blood leading to increased fullness and redness. The effect is mimicked by lipstick, which is why women have been painting their lips for centuries (dating back to the Ancient Egyptians).

A study, carried out at Manchester University in the UK, found a woman’s lips are the most attractive part of her body - especially if she’s wearing lipstick. The study involved tracking the eye movements of 50 men as they were presented with images of different women.

When the women wore lipstick, the men gazed at their lips for an average of seven seconds – spending just 0.95 seconds looking at their eyes and 0.85 seconds studying their hair. Red lipstick held them captivated for the longest time - an average of 7.3 seconds.

How do your lips measure up?

Despite the identification of the “perfect” measurements for lips, those with lips that don’t meet the criteria should not despair.  As the researchers from the University of California point out, the overall attractiveness of a face comes from more than the lips.

Looking at models in Vogue over the past 50 years, they found, on average, the women did not meet the 1:2 ratio, instead having bottom lips only 47% larger than the top.

In addition, the study at Manchester University found while full lips were deemed to be the most attractive, the appeal of thin lips increased by more than 40% after lipstick had been applied.

It just goes to show, with a flattering lipstick, it’s easy to make the most of what you’ve got! However, if you’d like to enhance your lip size or shape, modern fillers offer a good option.

New formulations that last longer and look more natural, combined with a greater understanding of lip aesthetics and advanced surgical techniques, mean a beautiful pout can be yours.

To find out more about lip fillers contact Ocean Clinic Marbella on or 951 775 518.

Friday, 15 September 2017

Breast Reduction - Your Questions Answered

While many women dream of having bigger breasts, for others big boobs can be a curse.

If you suffer with back or neck pain, struggle finding clothes that fit or experience discomfort when exercising, then a breast reduction could be the solution you’re looking for.

We understand, however, that having elective surgery is a big decision and you will have lots of questions. The surgeons at Ocean Clinic Marbella have extensive experience of breast surgery and we invite you to make an appointment for a free consultation to have all your questions answered.

In the meantime, here are answers to some commonly asked questions to help you in making your decision to have a breast reduction.

Should you wait until you’ve finished having kids before having a breast reduction?

If your breasts are causing you severe pain or discomfort, a breast reduction can bring you great relief - waiting until after you’ve completed your family will only extend your suffering. It’s worth noting that your breasts will increase in size during pregnancy, further exacerbating your symptoms.

However, because having a breast reduction may impair your ability to breastfeed you must weigh up the benefits of having smaller, more manageable breasts versus possibly having to formula feed your baby.

It’s also possible that you will require secondary breast surgery following pregnancy (if your breasts have significantly increased in size or changed in shape). For this reason, if it is purely for aesthetic reasons you are seeking a breast reduction, then it is better to wait until after having children to avoid revision surgery.

Will I be able to breastfeed following a breast reduction?

There is a risk of reduced ability to breastfeed with breast reduction surgery, however it can be greatly reduced by leaving the nipple and areola area still attached to the breast tissue beneath.

The experience of your surgeon will make a big difference to the amount of nerve damage sustained. Nerves are vital to breastfeeding because they trigger the release of prolactin and oxytocin, two hormones that affect milk production and letdown.

It is advisable to wait at least 18-months after having a breast reduction before becoming pregnant, giving your nerves time to recover and for full sensation to return.

How old do you have to be to have a breast reduction?

It is best to wait until you are at least 18 before having breast reduction surgery to be sure your breasts have finished developing. However, we understand there are many younger teenagers with breasts that are causing them extreme discomfort and psychological distress.

At Ocean Clinic Marbella we assess the suitability of each patient on a case-by-case basis, regardless of age. Breast reduction surgery can be an excellent option for some younger patients. However, it’s important to understand that further surgery may be necessary in the future, if the breasts were to grow in size again.

Can asymmetric breasts be corrected through breast reduction?

The breasts can be made more symmetric as part of breast reduction surgery. This is achieved by reducing each breast by a different amount. The shape of the nipple-areola complex can also be made symmetric at the same time.
However, absolute breast symmetry should not be expected with any type of breast surgery. There are many factors which may contribute to asymmetry, such as your rib cage, which can not be treated with a breast reduction.

Should I lose weight before having a breast reduction?

Ideally you should wait until you reach your goal weight before having breast reduction surgery. This will give you your best aesthetic result, since losing weight after your surgery could leave you with saggy breasts and/or loose breast skin.

That being said, many large breasted women find it too difficult to exercise, which inhibits their ability to lose weight. If you are unable to be properly active because of your chest size, then it makes sense to have a breast reduction sooner rather than later.

Can a breast reduction be done by liposuction alone?

Breast reduction can be carried out via liposuction alone but it is only suitable for a select group of patients. Your suitability for this procedure will depend on the amount of reduction you desire, how much sagging you have and the quality of your skin.

It is ideal for younger patients who only wish to go down one or two cup sizes. Younger people tend to have better skin tone meaning they will enjoy better retraction. Reduction via liposuction can provide these patients with good results without any scarring.

Liposuction will not provide pleasing aesthetic results for patients with a significant amount of ptosis, however it can be useful for reducing weight to alleviate back and neck pain.

What scars will I have following breast reduction?

There are two main techniques for carrying out breast reduction surgery. The Lejour, used for moderately heavy breasts, involves making an incision vertically from the base of the breast, up to and around the nipple (it mimics the shape of a lollypop).

The second technique, Hall-Findlay, is used for very heavy breasts or those with pronounced sagging, and involves an anchor-shaped scar. The incision goes around the nipple, extends from the nipple down to the base of the breast and then in the breast fold itself.

Scarring will be pink for a number of months but should eventually fade to become unnoticeable.

Will my nipples be cut off during breast reduction?

Usually the nipples remain attached to the breast tissue beneath (the pedicle technique) and simply moved to a higher position. Free nipple graft (complete detachment) is only necessary for extremely large breasts or very low nipples.

This technique is avoided where possible because the nipple areolar complex loses its blood supply. This results in loss of sensation and projection as well as loss of pigment. The nipple becomes either deep pink for darker skin types or pale pink for lighter skinned individuals.

Will a breast reduction correct sagging breasts?

A breast reduction alone will not correct sagging breasts. If you are suffering with breast ptosis (sagging) as well as excess breast tissue, it’s likely that your surgeon will recommend you have a breast lift in combination with your reduction.  

The lift moves your breast tissue higher on the chest wall and firms up your breasts, giving them a more youthful look. The breast lift is carried out using the same incisions so there is no additional scarring. Liposuction may also be used as part of your breast surgery to sculpt your breasts into a pleasing final shape.

Are you under local or general anesthetic for a breast reduction?

Breast reduction surgery is performed under general anesthesia. With this type of anesthesia the patient is completely unconscious during the procedure and will stay overnight in the clinic.

A liposuction-only breast reduction can be performed on an outpatient basis, with sedation (twilight sleep) plus local anesthetic.

How painful is breast reduction?

Because breast reduction only deals with skin and fat (not muscle or bone) it is one of the least painful procedures. Most patents have some discomfort for a few days only but rarely true pain.

Women are usually so happy to have the extra weight off their breasts that the minor pain from the incisions is a welcome trade off.

How much does a breast reduction in Spain cost?

The cost of breast reduction surgery in Spain is usually in the region of €5,000 to €6,500.

Ready to learn more about breast reduction? Contact Ocean Clinic Marbella to make an appointment.