Nose correction (Rhinoplasty) is one of our most common corrective procedures in the area of facial aesthetic surgery and it is definitely one of the most challenging and dynamic surgical procedures. The surgeon’s experience and aesthetic sense of the entire face is particularly important in this procedure, and the results can improve the entire facial harmony and beauty. Aesthetic nose surgery can often be combined with the so-called functional correction of the nasal partition – SEPTOPLASTY, thus taking care of both the aesthetic and functional aspect of the nose in one procedure. Using a surgical incision inside the nostrils ensures that there are no external scars and the recovery itself is faster and generally painless.

OPERATION

After the patient is fully asleep, the nasal correction operative procedure is started by entering the anatomic structure of the nose through micro-incisions inside the nostrils, thus avoiding any skin scarring of the nose. By using a whole range of specially designed instruments, the nose is slowly formed in accordance with the desired new form, taking into account the complete facial structure, in order to achieve a harmonious and natural facial and nose appearance. After the procedure, incisions within the nostrils are carefully closed using absorbable sutures which do not have to be removed, and small nasal packs are inserted in order to secure an adequate adaptation of the nasal mucosa and prevent possible bleeding through the incisions. A special material called AQUAPLAST is placed on the outside to fixate the new nasal bone position, as well as the whole newly designed nasal structure. Aquaplast placement signifies the end of the operative procedure and the patient can be awoken.

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Anaesthesia

Nasal correction is generally performed with general anaesthesia, enabling complete comfort and a painless procedure. Anaesthesia is administered and monitored by a specialist anaesthesiologist, using the latest anaesthetic equipment, monitoring and anaesthetics of highest quality ensuring complete safety of the patient.

Preoperative procedure

Prior to any procedure, including nose correction, it is necessary to make all the required laboratory tests after the surgeon’s examination, including an ECG and sometimes an RTG image of facial bones (generally only in those patients that have suffered a significant nasal trauma). Besides laboratory tests, it is advisable to that an internist and/or anaesthesiologist performs an examination, granting you permission to undergo an operative procedure. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica. On the day of the surgery you should come to the clinic on an empty stomach, bring all your documentation, and our staff will give you all other necessary information prior to your appointment in order to facilitate the whole procedure.

Postoperative procedure

After a nasal surgery and waking up from general anaesthesia, patients generally stay at the clinic for 2-3 hours under the staff’s supervision to awake and stabilise completely, after which they can be accompanied home or to their accommodation. Each patient will receive our “emergency” phone number which can be used to reach the clinic personnel at any moment. Two days after the surgical procedure nasal packs are removed from the nostrils and the patient is able to breathe through the nose. Five or six days after the surgery the outside fixture – AQUAPLAST – is removed as well and patients can return to their everyday activities. Physical efforts should be avoided for the first two weeks after the surgery, as well as wearing glasses 4 weeks after the surgery. Lymphatic drainage is recommended in order to reabsorb any possible postoperative edema. All other details of your postoperative recovery will be provided to you by our staff which is at your disposal.

Revision rhinoplasty

When first rhinoplasty procedure does not accomplish wanted result, patients very often decide to look for very skilled and experienced rhinoplasty surgeon. In order to correct a previous rhinoplasty which is much more difficult procedure, the patient has to find a surgeon with inordinate skills, years of experience and great aesthetic feel, just as well as empathy. Prim. dr. Glumičić has decades of experience, and has performed hundreds of revision rhinoplasties at his clinic providing the patients with the result they wished and deserved at the first time around.

During the consultation prim. dr. Glumičić will adress all the existing problems and carefully explain what needs to be done to achieve the best result possible.

FACE

Reflection of joy.

Face Lifting / SMAS Face Lifting

A face lift surgery is one of the synonyms for aesthetic surgery. Ageing of the human face is an unavoidable process supported by the gravitational force of our planet, as well as by natural ageing mechanisms in human cells. FACE LIFTING, i.e. tightening the skin of the face and neck belongs to rejuvenation procedures and the renewal of the face and neck appearance. A careful surgical approach and modern technology enable the removal of excess, saggy skin of the face and neck, a double chin, and elimination of wrinkles. At the same time, the SMAS technique is used to return the muscles of the face and neck in their prior position. The results of the procedure renew and rejuvenate the appearance drastically, but always in a natural way, without a mask effect.

Preoperative procedure

After the surgeon’s examination, laboratory tests are required in order for the anaesthesiologist to gather information about the patient’s health status. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.
If you are taking aspirin or similar products which reduce blood clotting, it is necessary to end such treatment at least two weeks prior to the operation, and if you are a smoker, it is advisable to quit smoking several weeks prior to the procedure. Our staff will give you all the other details regarding the preoperative procedure.

Anaesthesia

Face lifting is a completely painless procedure, and you will not experience any pain even after the surgery. The operation itself can be performed under general or local anaesthesia, depending on the specialist anaesthesiologist’s decision, as well as the patient’s wishes.

OPERATION

Prior to the procedure, preoperative imaging and careful planning is performed. We use the SMAS technique of FACE LIFTING which, along with removing excess skin, repositions the face musculature, providing a completely natural look and long-lasting results. The operative procedure lasts for around 2 and a half or 3 hours. The patient is awoken at the end of the procedure, without any pain or discomfort.

Postoperative procedure

After the performed operative procedure, patients stay at the Clinic for a few hours to awake and recover completely, after which they can be accompanied home or to their accommodation. A special compressive bandage should be worn around the face and below the neck, to be taken off in 24 hours, at the time of the first bandage change.
Basic recovery lasts for around 10 – 12 days after which most patients return to their everyday activities.

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BLEPHAROPLASTY / EYELID SURGERY

Correction of upper and lower eyelids is performed by a radio wave knife or laser, without any bleeding. The procedure can be done under local or general anaesthesia, and the minimal scar on the upper eyelids is hidden in the natural crease, while the correction of under-eye bags is performed using the so-called TRANSCONJUNCTIVAL approach without a skin incision and a subsequent scar. This procedure permanently eliminates under-eye bags and excess skin of the upper lids.

Preoperative procedure

Laboratory tests required for this procedure depend on the type of anaesthesia, i.e. the administration of local or general anaesthesia. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.On the day of the surgery you should come to the clinic on an empty stomach – not having eaten or drunk anything at least 8 hours before the procedure – in case of a general anaesthesia. Our staff will give you detailed instructions during the examination.

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Anaesthesia

Correction of upper eyelids is generally performed under local anaesthesia, while the correction of under-eye bags using a transconjunctival approach – without a skin incision – is performed under general anaesthesia.

OPERAtion

The correction of upper eyelids and under-eye bags – the so-called BLEPHAROPLASTY is a procedure that requires precise measurement and planning before performing the procedure, and it is a very delicate procedure, seeing as it involves very gentle and delicate tissue. Excess skin, a part of muscles and submuscular adipose tissue are removed from the upper lids. For the treatment of lower eyelids, excess adipose tissue forming under-eye bags is removed using a radio wave knife or laser, while the removal of excess skin is performed less often.

The TRANSCONJUNCTIVAL METHOD of removing under-eye bags that we have been using at the Clinic for a number of years entails a laser or radio wave incision in the lower eyelid conjunctiva – without a skin incision or visible sign of operation. This method can be used to remove adipose tissue causing under-eye bags at an early life age. This technique is used to avoid various complications, such as an ECTROPION, i.e. an outwardly turned lower lid, and the postoperative recovery is much faster.

Postoperative procedure

You should use cold compresses during the first 24 hours after the procedure in order to reduce bruising, and avoid any physical efforts for the next several days. Micro-stitches on the upper eyelids are removed after 6 to 7 days, while the procedure on lower lids generally does not require any stitches or external incisions. The recovery generally lasts 5 – 7 days, after which you can return to your every day activities. Our staff will give you detailed instructions regarding the postoperative period..

Transconjunctival blepharoplasty

About the procedure

Correction of under-eye bags is a surgical procedure that eliminates unwanted and often genetically conditioned fat pads underneath your eyes. The removal technique which we primarily use at our Clinic is called TRANSCONJUNCTIVAL BLEPHAROPLASTY and it involves the use of a laser or radio wave knife which is used to access through the conjunctiva of the lower eyelid the area where the fat pads are located. This way they can be completely removed without any visible scars, sutures or any sign of operation. This approach also eliminates the possibility of the emergence of ectropion complication, i.e. outwardly turning of lower lid which is unfortunately a common complication with the standard approach by external incision.

Preoperative procedure

Before operation, a surgeon will explain in detail the entire procedure as well as define how much fat pads need to be removed to obtain a more beautiful and natural effect. Since the procedure is mainly performed under general anaesthesia, all laboratory tests, ECG and other findings for performing the procedure under general anaesthesia should be performed. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.

Anaesthesia

For the correction of under-eye bags which is performed by TRANSCONJUNCTIVAL approach, it is necessary that is patient is completely still and it is generally recommended that the procedure is performed under general anaesthesia. The whole procedure is completely painless, and there is no visible postoperative scarring.

OPERATION

The area of the fat pads in the infraorbital zone is accessed with a careful incision by a laser or radio wave knife through the conjunctiva of the eye. They are then separated from the surrounding tissue and removed. At the same time all microvascular structures are ‘’welded’ by a laser or radio wave knife, so there is no need for suturing.

Postoperative procedure

By using this technique and transconjunctival approach, recovery is very fast, and most patients are ready to return to daily activities within 7 days. Few hours after the procedure, they can return home or to their own accommodation with their escort, and it is very important to use cold compresses during the first 24 to 48 hours after operation. Also, physical effort must be avoided during the first 7 days.

All of our patients receive our emergency phone number where they can reach our staff at any time in case of any need.

MENTOPLASTY / CHIN CORRECTION

aBOUT THE PROCEDURE

Chin correction is a highly effective aesthetic procedure that allows chin augmentation in patients with underdeveloped lower jaw – so-called Microgenia. Area beneath the muscles is prepared through a small incision below the lower edge of the jaw and permanent implant of the desired size is placed on the bone. This correction also creates proper profile line of the entire face, very effectively eliminates double chin and gives a more harmonious shape to the face.

Preoperative procedure

It is necessary to perform laboratory tests that are defined during the examination by a surgeon, and before the operation itself, our anesthesiologist will also perform an examination and carefully analyze all findings. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica. On the day of the operation, you need to come to clinic on an empty stomach (without eating or drinking anything), and bring all your documentation, and our staff will give you all the necessary instructions before your operation in order to facilitate the entire operation process as much as possible.

Anaesthesia

Chin correction is generally performed under general anesthesia, therefore providing complete comfort to the patient and painlessness of the whole procedure. Anesthesia is performed and supervised by an experienced specialist anesthesiologist by using the most modern anesthetic equipment and monitoring as well as today’s best quality anesthetics, ensuring maximum patient safety.

OPERATION

Before the procedure itself is performed, careful measurements and consultations are made to ensure that the surgeon together with the patient agreed on the size of the chin implant, respecting above all the patient’s wishes and the aesthetics of his face. After anesthesia is given, small incision below the chin is used to approach the so-called mandibular bone and area below the muscle is prepared. Implant is carefully placed which is permanent and at touch completely imitates the feeling of bone tissue. After careful suturing, the patient is awakened from anesthesia without any pain or discomfort.

Postoperative procedure

After the operation, the patient stays at out clinic for several hours to fully wake up and recover and then he can return home or to his accommodation with escort. A small compressive bandage is placed around the chin, which is removed the next day, when also the first change of bandages is performed. The basic recovery lasts about 8 days after which sutures are removed, and the patient can return to daily activities.

OTOPLASTY / PROTRUDING EAR CORRECTION

Correction of protruding ears (Otoplasty) is a common operative procedure that can be done in children, i.e. from the age of 7, seeing as the ears develop until that point in life. We perform procedures on children up to the age of 12 under general anaesthesia, in order to avoid any discomfort in patients,and patients older than 12 are generally operated under local anaesthesia. A correctly performed procedure and reconstruction of the ear cartilage signify a permanent solution to the problem of protruding ears.
Unlike classical methods of otoplasty where a small cut along the entire length behind the ear is made andage around patients ears over a period of several days after the procedure is neccessery, EARFOLD implants solves the problem of protruding ears in a simple procedure which takes approximately 15 minutes with the minimum local anesthesia, and does not require wearing any bandages, so the patient can return to his everyday activities the very next day.

EARFOLD IMPLANT is an implant made of a short strip of nitinol metal alloy. Nitinol alloy is made of two metals, titanium and is widely used in medicine. It is the same material that is used for coronary artery stents (for patients with heart disease due to a blockage of their arteries) and also for unbreakable spectacle frames. The implant consists of a curved, wafer-thin strip of metal (approximately the same thickness as a human hair) which is plated with 24-carat gold to reduce the visibility of the implant under the skin.

This method is patented and prim. dr. Glumičić is the first doctor who was training with Dr. Kangand got EARFOLD Certificate Installation for EARFOLD implants.
Beside shortened time of the operation and the very rapid recovery the superiority of this method lies in the fact that the possibility of complications that can follow the classical method of otoplasty (keloid formation, asymmetry of the ears, loss of skin sensitivity, etc… ) is largely reduced.
By the beginning of November 2013, EARFOLD IMPLANTS procedure could be carried out only in the Royal Free Hospital in London. Today Glumičić Medical Group and prim. dr. Glumičić has become the only institution with the London hospital in the world that uses EARFOLD implant.

Preoperative procedure

If the procedure is to be performed under general anaesthesia, it is necessary to perform the complete laboratory testing, as well as an ECG and possibly a coagulogram. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.The preparation of the patient prior to the procedure itself will also depend on the type of anaesthesia, which will be explained to you in detail by our staff.

Anaesthesia

Otoplasty procedures are generally performed under local anaesthesia, which is administered behind the ear, into the so-called incision area. General anaesthesia is recommended for children under the age of 12 in order to avoid any discomfort or fear. The administration of anaesthesia is short due to the short duration of the procedure itself.

Operation

EARFOLD IMPLANTAT

Once your ears have been numbed with a local anaesthetic injection, a small incision is made at the edge of your ear. The earFoldTM implant is supplied with a pre-loaded, disposable introducer. The surgeon will slide the introducer under the skin and release the implant in the correct position. Releasing the implant takes only a few seconds. Once the implant has been released, it grips the cartilage of the ear and immediately folds it into a pre-determined shape. One or two stitches are then used to close the skin incision. The whole procedure to treat two ears takes approximately 15-20 minutes. Patients will be able to see an immediate change in the prominence of their ears after treatment.

CLASSIC OTOPLASTY

There are multiple operation techniques for correcting otapostasis, i.e. the problem of protruding ears. The surgeon will suggest the best approach at your first examination, and the procedure is always performed through a generally invisible incision placed in the crease behind the ear. The reconstruction of the ear cartilage is sometimes necessary in order to secure permanent results. The operative procedure lasts around 1 hour, it is completely painless, and in the case of administration of local anaesthesia, patients can leave the clinic as soon as 20 minutes after the performed procedure.

EARFOLD IMPLANTAT

Bulky dressings are not required after the treatment has been performed and healing occurs within days.

CLASSIC OTOPLASTY

After the procedure, the ears are bandage is placed around the ears to be worn for the next 24-48 hours. After the bandage is removed, wearing an elastic band around the ears is recommended, especially during the night for a period of two weeks after the surgery. After all the stitches placed in the crease behind the ear have been removed and the wound has completely healed, there is no need for wearing the elastic band any longer.

HAIR TRANSPLANTATION

About the procedure

Cosmetic surgery for treating baldness holds a special place in the field of aesthetic surgery and requires a well-practised and experienced team, for a maximally successful hair transplantation procedure. Our team has an experience of 15 years and we regularly follow and use the latest global trends in the field of hair transplantation.

Permanent hair roots from the back or the side of the head are transplanted onto the area of the head where the hair has fallen off – most commonly the front and top section. Hair transplantation is a very precise process nowadays; the transplanted hair grows permanently, it no longer falls off, and can be normally cut and washed.

There are multiple techniques of hair transplantation, such as STRIP grafting, FUE method, FUT method, FOLLICULAR splitting method, and the process of cloning hair roots is being researched extensively. During the first preoperative examination and scalp analysis, the surgeon will discuss and define with the patient the best method for the patient’s individual case, as well as the required number of operative phases for the best effect.

Preoperative procedure

Since the hair transplantation procedure is generally performed under local anaesthesia, basic laboratory tests and a coagulogram are required, as well as stopping the acetylsalicylic therapy (aspirin etc. ) if the patient is taking it. Smokers are advised to quit smoking a couple of weeks before and after the procedure. On the day of the operation you should wash your hair. All other specific instructions will be given to you by the staff.

Anaesthesia

Depending on the applied method of HAIR TRANSPLANTATION, the surgeon and his staff will give you detailed instructions regarding the procedure at the preoperative examination.

OPERATION

U zavisnosti od primjenjene metode TRANSPLANTACIJE KOSE, hirurg i njegov tim će pružiti detaljna uputstva o samom zahvatu prilikom preoperacionog pregleda.

Postoperative procedure

You should avoid physical activity after the procedure, and a protective bandage can be placed on the part of the head where the transplantation was performed. After 24 hours, the bandage is removed, and the transplantation zone can be protected by wearing a cap. It is very important to avoid hitting the head for the period of 48 hours after the procedure to prevent any changes to the placed roots. Most patients return to their everyday activities 2 – 4 days after the procedure.

Lip lift

About the procedure

Lip lift is a surgical procedure that is designed to enhance the volume of the upper lip, as well as shorten the distance between the nostrils and the upper border of the upper lip (philtrum). Since it is well known that aging reduces volume of the upper lip up to 30% and also lengthens the philtrum, lip lift surgery gives the more natural and youthful appearance and adds volume to the upper lip. The difference between hyaluronic fillers and lip lift procedure is that the latter is permanent and requires no further corrections.

Preoperative procedure

If lip lift surgery is performed as an independent procedure, it can be done under local anaesthesia i.e. infraorbital nerve block (like in a tooth repair). If combined with a facelift, it is generally performed under general anaesthesia.

In that case, standard laboratory tests such as CBC (complete blood count), serum electrolytes, clotting and ECG are required. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.Smoking cessation is encouraged at least 3 months prior to surgery, in order to avoid any complications such as skin necrosis.

Anaesthesia

The operation is performed under local or general anaesthesia, with minor discomfort.

OPERATION

During the preoperative planning with your plastic surgeon, the desired volume of the lip is defined and it is then determined how much tissue will be removed, accordingly. The incision lines are hidden in the nostrils, which makes them practically invisible after the healing process is complete

Postoperative procedure

Postoperatively, if the procedure was done under local anaesthesia, the patient is free to go home after a short period of observation. In case of general anaesthesia, the patient will stay with us for the first 24h to receive adequate care.

BROW LIFT

ABOUT THE PROCEDURE

During aging, the skin starts sagging and the effect is first noticed around the eyes. Besides the weight of the excess skin on the upper eyelids, lateral border of the eyebrow often descends and creates “lateral hooding”, which in combination with the excess skin gives a sad and tired eye appearance. Some aggressive methods of rejuvenation are nowadays used to correct this, such as “temporal lift” which lifts off the whole area of skin between the scalp and the eyebrow.

We use a new method that creates the brow lift with the use of permanent sutures; a much less aggressive procedure that has a significantly reduced recovery time.

Preoperative procedure

Since the procedure is often combined with the upper blepharoplasty, it is possible to perform it under local anaesthesia. In case of general anaesthesia, standard laboratory tests such as CBC (complete blood count), serum electrolytes, clotting and ECG are required. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.

Anaesthesia

The operation is performed under local or general anaesthesia, with minor discomfort.

OPERATION

Since the brow lift procedure is often combined with the upper blepharoplasty operation, it then gives the best result and creates a much youthful appearance of the whole face. Through the same incision used for removal of the excess skin of the upper eyelids it is possible to reach the under layer of the eyebrow and create a new position of the lateral border by using permanent sutures, which gives an “open” look and appears more youthful.

Postoperative procedure

Postoperatively, if the procedure was done under local anaesthesia, the patient is free to go home after a short period of observation. In case of general anaesthesia, the patient will stay with us for the first 24h to receive adequate care.

FACIAL REJUVENATION WITH FAT GRAFTING

About the procedure

During aging, the skin starts sagging and the facial fat reduces in volume, which is most prominent in the cheek area and around the eyes. Facial rejuvenation with fat grafting is nowadays the most modern way of permanent volume restoration, which has a twofold effect – fat cells are removed from a critical zone (i.e. abdomen, thighs or back) and transferred into the area that needs volume, such as cheeks, dark circles under the eyes, temples or chin.

Also, lip volume can be restored in a similar fashion, giving it a permanent result. This procedure can be repeated safely multiple times, in case the first treatment didn’t achieve the desired volume.

Preoperative procedure

If the procedure involves only one region (i.e. chin or lips) it is possible to perform it under local anaesthesia. In case of general anaesthesia, standard laboratory tests such as CBC (complete blood count), serum electrolytes, clotting and ECG are required. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.

Anaesthesia

The operation is performed under local or general anaesthesia, with minor discomfort.

OPERATION

First part of the operations consists of harvesting the fat from a targeted critical zone (i.e. abdomen, flank, inner or outer thighs) and separating the fat cells from excess fluid using centrifuge. The fat cells are then prepared for transfer into the specific facial area that needs volume restoration. The attention is given to preserve fat cells vitality, which maximizes the intake of fat cells in the recipient area (expected final volume is about 60-70% of the volume transferred, because of partial resorption). Finally, the fat cells are transferred in the facial area that requires volume restoration, giving it a more youthful appearance and a form of uplift.

Postoperative procedure

Postoperatively, if the procedure was done under local anaesthesia, the patient is free to go home after a short period of observation. In case of general anaesthesia, the patient will stay with us for the first 24h to receive adequate care. It is advisable for the first 6 weeks to wear a special pressure garment on the area where fat was removed from, so the excess fluid doesn’t accumulate in the early postoperative period.

BREAST

Beauty and proportion

Breast augmentation performed by placing implants is one of the most common procedures in the field of cosmetic surgery.
The newest generation of implants is exceptionally safe, non-carcinogenic, and women can safely plan a pregnancy, give birth and breastfeed a child after the procedure. We use only the implants of highest quality produced nowadays.
Seeing as the implants are filled with a special cohesive gel, you do not have to fear the implants breaking and their content spilling into other parts of the body.

Why MENTOR ?

The world’s first company that has received the FDA breast implant certificate and has kept it up to date (with CE certification).

MENTOR Promise protection plan provides the most comprehensive guarantee on the silicone breast implants market and includes:

Free automatic registration for a warranty program
Free lifelong replacement of implants in case of breakage
Up to 1000 € financial aid in case of breaks in the first 10 years
Free replacement of implants for the first 10 years in case of capsular contracture

In 2018, Mentor introduced a new type of implant – MemoryGel XTRA. It is a form of round implant that provides a natural feeling that everyone wants, with extra projection, extra fullness and extra strength where needed. This type of implant is among other things intended for women looking for a lush look and a more pronounced decolon.

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Polytech Breast Implants manufactured in Germany Implants of Excellence program

The Implants of Excellence program is an additional guarantee as it documents the efficacy of POLYTECH gel-filled breast implants and establishes their traceability – for your safety. The program is designed to provide high personal safety for patients who opt for Politech breast implants and ensure the use of materials for the highest quality breast implants available on the market.

For all models of POLYTECH Breast Implants, the company gives lifelong guarantees for replacing implants in case of breakage.

In addition, for POLYTECH Microthane® Breast Implants, the company provides a free replacement of implants in case of capsular contraction, dislocation or rotation 10 years after the operation.

POLYTECH breast implants – the quality you can feel.

Preoperative procedure

As for all other procedures, complete laboratory testing is necessary, as well as an examination by an internist/anaesthesiologist for an optimal preparation of the patient for the operative procedure. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.

A mammography control is recommended prior to the breast augmentation procedure.

On the day of the surgery you should come to the clinic on an empty stomach (not having eaten or drunk anything), bring all your documentation, and our staff will give you all other necessary information prior to your operation appointment in order to ease the whole procedure.

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Anaesthesia

Augmentation mammoplasty is most commonly performed under general anaesthesia, enabling complete comfort and a painless procedure. Anaesthesia is administered and monitored by a specialist anaesthesiologist, using the latest anaesthetic equipment and monitoring, as well as anaesthetics of highest quality ensuring maximum safety of the patient.

OPERATION

The breast augmentation procedure is performed through a small incision of a few centimetres made in the inframammary ridge, i.e. the natural crease beneath the breast.

An inframammary incision is recommended, although the procedure can also be performed through an areola incision, or through the armpit. The implants are always placed under the glandular tissue of the breast, and they can be implanted either above or below the pectoral muscle, or in the so-called “dual plane” zone, i.e. between the muscles.

Along with micro drainage placed at the end of the procedure and removed after 24 hours, the patient is also given a postoperative compression bra made from a comfortable material, to be worn for 4 weeks after the procedure.

Postoperative procedure

Nakon obavljenog zahvata, u zavisnosti od njegove vrste i opsega, max 24h ostajete u Poliklinici kako biste se u potpunosti razbudili i oporavili. Nakon toga uz svoju pratnju napuštate bolnički smještaj. Dan nakon operacije se odstrane drenovi i dobijate poseban grudnjak koji je potrebno nositi 4-6 sedmica. Preporučuje se mirovanje prvih 24- 48 sati, a fizički napor izbjegavati 2-4 sedmice. Pacijentkinji je, u slučaju potrebe, na raspolaganju broj dežurnog telefona. Naše osoblje će Vam nakon operacije dati detaljna uputstva kako biste se što prije oporavili i vratili svojim svakodnevnim aktivnostima.

Alice Sherman, top model,
after breast augmentation by prim.dr.Glumičić

BREAST AUGMENTATION WITH FAT GRAFTING

About the procedure

Breast augmentation with fat grafting is nowadays the most modern way of breast enlargement in women who do not wish to have volume enhancement with silicone implants and has a twofold effect – fat cells are removed from a critical zone (i.e. abdomen, thighs or back) and transferred into the breasts to enhance the volume. This procedure can be repeated safely multiple times, in case the first treatment didn’t achieve the desired volume.

Preoperative procedure

After the initial surgical consultation it is advisable to perform a breast ultrasound (USS) or mammography (MMG) in order to be cleared for any breast tissue irregularities, as well as standard laboratory tests such as CBC (complete blood count), serum electrolytes, clotting and ECG. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.Smoking cessation is encouraged at least 3 months prior to surgery, in order to avoid any complications such as excess fat cells necrosis.

Anaesthesia

The operation is performed under general anaesthesia and is generally pain free.

Operation

First part of the operations consists of harvesting the fat from a targeted critical zone (i.e. abdomen, flank, inner or outer thighs) and separating the fat cells from excess fluid using centrifuge. The fat cells are then prepared for transfer into the breasts that need volume restoration (it is possible to restore partial volume loss, as well as enhance the volume of the whole breast). The attention is given to preserve fat cells vitality, which maximizes the intake of fat cells in the recipient area (expected final volume is about 60-70% of the volume transferred, because of partial resorption). Finally, the fat cells are transferred into the breasts to enhance the volume, giving it a more youthful appearance and a form of breast uplift.

Postoperative procedure

Postoperatively, the patient will stay with us for the first 24h to receive adequate care. Afterwards, it is encouraged to wear a specially designed soft supporting bra that will be provided to you by our staff and should be worn 23h/day for a period of 6 weeks, in order to help resolve the swelling and protect the new breast shape in the initial healing process.

BREAST LIFT

About the procedure

A breast lift is a procedure that can restore your youthful breast appearance after childbirth, breast feeding, weight loss and sagginess that usually develops with aging and loss of skin elasticity. The main purpose is to uplift the contour of the breast and reposition it to create a more natural and full cleavage. It can also be combined with breast augmentation in the same procedure, if the patient requires additional volume to achieve a more pleasing aesthetic result.

Preoperative procedure

After the initial surgical consultation it is advisable to perform a breast ultrasound or mammography in order to be cleared for any breast tissue irregularities, as well as standard laboratory tests such as CBC (complete blood count), serum electrolytes, clotting and ECG. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.Smoking cessation is encouraged at least 3 months prior to surgery, in order to avoid any complications such as skin or nipple necrosis.

Anaesthesia

The operation is performed under general anaesthesia and is generally pain free.

Operation

There are several techniques that can be used in order to achieve the result required and the surgeon will consult you on the best option in your particular case. Sometimes, when mild ptosis (sagging) is present, it is possible to only do a periareolar approach, where the scar is circular to the nipple-areola complex and hidden in the discrepancy of different skin colour. Another approach is through an added vertical incision (“lollipop scar”) that can be used for mild to moderate breast ptosis. But most frequently, an additional anchor scar is necessary to get the required breast shape without remnant skin folds (“dog ears”) in the ends of the incision lines; this scar is well hidden in the natural inframammary crease beneath the breast.

Postoperative procedure

Postoperatively, the patient will stay with us for the first 24h to receive adequate care. Due to sometimes extensive reshaping of breast tissue, in order to provide maximum safety from complications such as i.e. haematoma, small rubber or silicone drains are placed in the breasts and removed 24h after the operation.

Afterwards, it is encouraged to wear a specially designed soft supporting bra that will be provided to you by our staff and should be worn 23h/day for a period of 6 weeks, in order to help resolve the swelling and protect the new breast shape in the initial healing process.

BREAST REDUCTION

About the procedure

A breast reduction is a procedure that can resolve problems of too large breasts, asymmetry and sagging (ptosis) of breast tissue, while achieving a more natural and harmonious shape in relation to your body figure. Also, it will reduce your neck and back pain, resolve bra indentations that appear on your shoulders from breast tissue heaviness and will allow you to once again enjoy sports. The final breast shape will also result in an uplift, which will give you a more youthful appearance.

Preoperative procedure

After the initial surgical consultation it is advisable to perform a breast ultrasound or mammography in order to be cleared for any breast tissue irregularities, as well as standard laboratory tests such as CBC (complete blood count), serum electrolytes, clotting and ECG. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.Smoking cessation is encouraged at least 3 months prior to surgery, in order to avoid any complications such as skin or nipple necrosis.

Anaesthesia

The operation is performed under general anaesthesia and is generally pain free.

OPERATION

The most widely used scar in this operation is the anchor scar (reversed T), which is blended into the natural inframammary crease and therefore usually barely visible. Depending on the amount of tissue to be removed, as well as the position of the sagging (ptotic) nipple-areola complex, different tissue remodelling techniques are performed, in order to achieve the best individualised result. Drains are commonly used, in order to minimise the chance of haematoma formation and usually removed after 24 hours.

Postoperative procedure

Postoperatively, the patient will stay with us for the first 24h to receive adequate care. After the drain removal, it is encouraged to wear a supporting soft bra for 6 weeks, in order to help maintain the new breast position while initial healing takes place. Because of the tissue rearrangement, it is possible to sometimes experience nipple numbness, which usually resolves within first few months and breast feeding afterwards is generally not a problem.

MALE BREAST REDUCTION

About the procedure

Male breast reduction (Gynecomastia) correction is an operative procedure performed to reduce enlarged breasts in men. Gynecomastia can appear in some individuals already in puberty (juvenile form), as well as at an older age. Gynecomastia can have a significantly negative emotional impact on men. Some persons with gynecomastia even avoid going to the beach due to their enlarged breasts.

Preoperative procedure

Prior to the operative procedure, it is necessary to perform certain blood tests, an ECG, and sometimes a chest X-ray. Your doctor will inform of you of the required tests. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.

Anaesthesia

This procedure is performed under general anaesthesia.

Operation

Gynecomastia can develop due to excess fat or glandular tissue or a combination of both kinds of tissue. In case of a gynecomastia with predominant fat tissue, the best results can be accomplished by a liposuction. The advantage of this kind of correction is the fact that there are no scars, except for two small incisions of 2 mm, used for the introduction of cannulas for liposuction and the removal of fat tissue. In the predominantly glandular form of gynecomastia it is sometimes necessary to surgically remove the tissue through a semicircular incision in the lower part of the nipple.

Postoperative procedure

After the operation the patient should wear a corset for the duration of 4 – 6 weeks.

BODY

Constant improvement.

ABDOMINOPLASTY

About the procedure

Excess skin and fat tissue in the abdominal area is common after pregnancy or it can be caused by a significant weight loss. Correction of loose skin and abdominal adiposity (Abdominoplasty) is a surgery performed to remove the excess skin and fat tissue of the abdomen, and sometimes to reconstruct the weakened or separated abdominal muscles.

Preoperative procedure

Prior to the operative procedure, it is necessary to perform certain blood tests, an ECG, and sometimes a chest X-ray. Your doctor will inform of you of the required tests. All the necessary tests and diagnostics can be preformed at the same place, in the Specialized hospital Ars Medica.

Anaesthesia

This procedure is performed under general anaesthesia.

OPERATION

Persons with a smaller amount of excess tissue in the lower part of the abdomen bellow the navel can sometimes undergo a correction consisting of a smaller operative procedure called a “mini abdominoplasty”. In this operation, the surgeon makes a smaller horizontal incision in the lower part of the abdomen to remove the excess skin and fat tissue. In most cases, a complete abdominoplasty is necessary, and the surgeon makes a long, curved incision across the lower abdomen. The skin and adipose tissue is lifted and the excess tissue is removed. For this operation, the navel has to be repositioned. In case of a weakened musculature, muscles are sewn in the midline. This operation is often combined with a liposuction to improve the abdominal contour.

Postoperative procedure

The day after the surgery, plastic tubes that served for drainage are removed. A special corset has to be worn for 4-6 weeks after the operation. The duration of the recovery will depend on the extent of the surgery.

SMALL SURGICAL CORRECTIONS

REMOVAL OF BIRTHMARKS, FIBROMAS, ATHEROMAS, LIPOMAS, ...

SCAR CORRECTIONS

SMALL SURGICAL CORRECTIONS include numerous operations performed under local anaesthesia for a short amount of time, allowing patients to return to their every day activities immediately after the performed procedure, with the necessary caution and care explained to you by our staff in detail. In case of the removal of birthmarks of other skin growths, a pathohistological diagnosis is recommended, which will be performed by our staff.

ESTHETIC NON SURGICAL PROCEDURES

Excellent long lasting result.

E

DERMABRASION

NON SURGICAL ‘LIQUID FACELIFT’

pROCEDURE

A liquid facelift is a procedure that can mimic the result of a facelift without any surgical intervention. Since the main problem with aging is loss of volume and subsequent skin sagging, the idea of liquid facelift is to restore your lost volume with Hyaluronic acid fillers and give you a more youthful look, while achieving practically immediate results without any need for cutting. It can be combined with Botox, to erase the fines lines creates from the skin creases around the eyes or on the forehead.

Before treatment

To prevent bruising and swelling it is advisable to stop some medication up to 5 days before the treatment such as Aspirin, Ibuprofen or dietary supplements and vitamins, because they are so-called “blood thinners” and can influence your clotting. On the contrary, Arnica drops are encouraged 5 days prior to and even a few days after the treatment, because they minimise the bruising.

Anaesthesia

There is no need for general or local anaesthesia since the numbing effect is achieved by using EMLA cream, which needs to be applied 30-45 minutes before the treatment itself, to achieve maximum comfort.

TREATMENT

The main purpose of liquid facelift is to restore the lost volume with Hyaluronic acid fillers in areas that are typically involved, such as temporal region (temples), zygomatic area (cheek bones) and tear trough (bags under the eyes). When the skin loses support, the sagginess accentuates nasolabial folds and creates lines around the corners of the mouth (Marionette lines), which then combined give a sad and exhausted look. Also, in the jaw line region the excess skin creates so called jowls, which add up to the aging effect. Using different techniques and adding volume to deeper layers of skin these aging effects are reversed and the patient immediately sees the result. Skin quality is also improved, which adds to the vitality and hydration of the face but doesn’t distort the natural characteristics of the face.

POST TREATMENT

Sometimes it is possible to experience redness and swelling for several days post treatment and minor bruising can appear rarely. During this time period (up to 10 days) it is advisable to stay protected from the sun (to avoid any discolorations such as hyperpigmentation to occur) and also avoid facial massage and beauty treatment. Additional touch up procedures are available in 4-6 weeks, if necessary.

BOTOX

During the last two decades BOTOX has become one of the most common injection treatments in aesthetic surgery and is nowadays considered one of the most effective injection products for the removal of various facial wrinkles, as well as eliminating sweat from underarms, hands or feet.

Treatment

Botox injection treatment lasts for around 5 – 10 minutes and, besides a minimal discomfort during the microneedle puncture, no other discomforts are experienced. In very rare cases, light bruising can appear at the injection site, but it will disappear in 24 – 48 hours.
BOTOX application performed by a licensed and educated physician is extremely safe, and botox itself is metabolised only locally, at the site of injection, and does not spread to other body parts. Since this product has been used in medicine for more than 30 years, and it has been applied in neurology and ophthalmology, its application in aesthetic medicine is only an indicator of the safety of this treatment.

Effective for

BOTOX is very effective for the REMOVAL of eye wrinkles, wrinkles on the forehead and around the nose, as well as neck wrinkles, and it also LIFTS eyebrows, removes the signs of neck ageing and significantly renews and rejuvenates the facial appearance.

How long does it last

The botox effect is evident after 2 – 5 days, maximised in up to 14 days and remains that way for 4 – 6 months, when application can be repeated without any fears.

FILLERS – HYALURONIC ACID

Dermal fillers are products injected into special zoned – wrinkles – using special microneedles, in order to reduce wrinkles, renew the facial appearance, and optionally fill in the cheekbones, lips, or other facial areas that have experienced tissue atrophy.
HYALURONIC ACID has been the golden standard for injection therapy for a number of years. It is a stabilized non-animal hyaluronic acid produced through biotechnological procedures in very strict laboratory conditions. Due to its high stability and non-allergic characteristics, HYALURONIC ACID is extremely biocompatible with the human tissue and can be applied without a prior test application.

HYALURONIC ACID is used for:

CORRECTION OF WRINKLES:

nasolabial folds;
wrinkles caused by smoking;
laugh lines;
under-eye bags;
mentolabial lines;
glabellar and forehead wrinkles;
acne or injury scars

FACIAL CONTOURING:

Lip shaping / enhancement;
Cheek / cheekbone shaping;
Chin shaping;
Nose shaping / nose defects;
Eyebrow shaping.

REJUVENATION OF DRY AND EXHAUSTED SKIN OF FACE AND DECOLLETAGE

The effect of hyaluronic injection products lasts for around 8 – 12 months, although the effect of some products, depending on the cohesion of the acid itself, can last up to 16 months and longer, depending on the type of product and the manufacturer, as well as on the individual body and its resorption capabilities.

Process

The process of injecting hyaluronic acid is minimally unpleasant, due to the fact that these products contain a local anaesthetic, and the result is visible immediately after application. Seeing as hyaluronic acid stimulates an increased production of the body’s own collagen, the result itself can be additionally enhanced in the following weeks.

DERMABRASION

DERMABRASION is a method which uses special diamond brushes or sanders and a machine with a large number of rotations to abrade the surface of the skin or scars, thus removing unwanted imperfections. It is often applied in the treatment of raised scars or skin lesions, and it is generally performed under local anaesthesia.

INTIMATE REJUVENATION PROCEDURES

SURGICAL LABIOPLASTY / LABIA MINORA CORRECTION

About the procedure

Large or asymmetrical labia can be a significant problem for women. Labia minora correction (Labiaplasty) is an operative procedure which enables the correction of the size of labia or their asymmetry.

Preoperative procedure

Labiaplasty is an operative procedure performed generally under local anaesthesia and does not require special preoperative preparation.

Anaesthesia

Labiaplasty is an operative procedure performed generally under local anaesthesia.

OPERATION

Depending on the size and characteristics of the tissue or asymmetry, tangential excision can be used to remove excess tissue parallel with the line of labia majora. In some cases, it is better to perform a wedge resection of the excess tissue. The tissue is sewn by stitches which are reabsorbed in the tissue and do not require removal.

Postoperative procedure

Recovery after labiaplasty is relatively fast. Light swelling is expected immediately after the procedure, and a small amount of secretion is present for several more days. Sexual intercourse is possible after 3-6 weeks.

G SPOT ENHANCEMENT / G-SHOT

About the procedure

G spot enhancement is a simple procedure that creates more fullness to the G spot so that women can have more intense and satisfying sexual experience and possible deeper and more intense orgasm. Women find that after their G spot enhancement or so called G – shot they are much more aware of their G spot.

What is the G-SPOT?

G spot , also called the GRAFENBERG spot is typically located 5-8 cm up the front anterior vaginal wall, between the vaginal opening and the urethra and is sensitive area, considered by some researchers as major crossing of numerous nerve endings.

G SHOT procedure

The hyaluronic filler mixed with lidocaine is carefully injected in the G spot area giving it better fullness, enhances sensitivity and width of the g spot area.

E-mail:

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Phone:

Polyclinic: 020 227 224
Dentistry: 020 227 227
Gynecology: 020 227 444

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SPECIALIZED HOSPITAL ARS MEDICA & GLUMIČIĆ MEDICAL GROUP

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SPECIALIZED HOSPITAL ARS MEDICA & GLUMIČIĆ MEDICAL GROUP

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Alice Sherman, top model, after breast augmentation by prim.dr.Glumičić

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