Clinical case #34834
(Before and After)

BEFORE AND AFTER PHOTOS BlepharoplastyChemical PeelingFace and Neck LiftFacial Fat TransferWrinkle Treatment with Toxin

Image 1: Front photo

Image 2: 3/4 left side photo

Image 3: Left side photo

Image 4: 3/4 right side photo

Image 5: Right side photo

BEFORE AND AFTER VIDEOS BlepharoplastyChemical PeelingFace and Neck LiftFacial Fat TransferWrinkle Treatment with Toxin

Vídeo 1: Isabel's before and after with LMR Plastic Surgery and Dois às 10 TVI.

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BEFORE AND AFTER DESCRIPTION

Patient's sex: Female

Age: 62

Diagnosis/Request: Patient was very uncomfortable with the ageing appearance of her face. As well as facial sagging and a lack of volume, the patient wanted to improve the appearance of her nose, the excess skin on her eyelids and her wrinkles.

Surgery performed: Facelift, Upper and Lower Blepharoplasty, Face Fat Grafting, Peeling and Botox. The aim of the surgery was to improve the appearance of the face in order to achieve a rejuvenated look. As well as removing excess skin, we also repositioned the deeper structures of the face (muscles) that sag with age, using the deep plane facelift technique. We also treated drooping eyelids and puffiness, creased wrinkles and a lack of volume in the face.

Type of anaesthesia: General

Surgery duration: Aproximadamente 6h

Recovery time: 2 weeks

The before and after photographs are taken 1 month apart.

The description of this clinical case is merely informative and does not dispense with the need for a consultation with a doctor specialising in plastic surgery, as this is the only way to clarify the indications for each procedure and the risks and complications involved.

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About Doctor
Dr. Luísa Magalhães Ramos / Plastic Surgery

PORTUGUESE MEDICAL ASSOCIATION, Nr. 42810

Graduated by the Faculty of Medicine of the University of Porto, she specialized in plastic, reconstructive and aesthetic surgery, at Hospital de São José, in Lisbon.

Throughout her training, she subspecialized in aesthetic plastic surgery, having worked in world-renowned clinics.

Currently, she is mainly dedicated to face and breast aesthetic plastic surgery and to intimate female surgery.

About Doctor
Dr. Alice Varanda Pereira / Plastic Surgery

PORTUGUESE MEDICAL ASSOCIATION, Nr. 47051. Specializing in Reconstructive and Aesthetic Plastic Surgery and Subspecialist in Aesthetic and Cosmetic Medicine.

Graduated by the Faculty of Medicine of the University of Lisbon, she completed her master’s degree in human sexuality and is currently developing her PhD at this same institution.

She joined the University faculty academic staff in 2008 as a lecturer of the Institute of Anatomy. It is in this unit that she produces most of her research projects, mainly in the area of surgical anatomy, whilst also supervising master’s thesis for undergraduate students.

About Doctor
Dr. Mariana da Rocha Martins / Plastic Surgery

Member of The Portuguese Medical Association – Nr. 55124

Graduated by the Abel Salazar Institute of Biomedical Sciences at the University of Porto and specialized in reconstructive and aesthetic plastic surgery at Hospital de São José, in Lisbon.

Throughout her specific training in plastic surgery, she worked in internationally renowned institutions such as Institut Kaplan (Barcelona), La Clinic (Montreux) and Great Ormond Street Hospital (London).

About Doctor
Dr. Marta Gouveia Duarte / Plastic Surgery

Member of The Portuguese Medical Association, Nº 57817

Graduated in Medicine from the School of Health Sciences of the University of Minho, where she completed her Master’s thesis in Human Aging.

She concluded her specialty in Plastic, Reconstructive, and Aesthetic Surgery at the Centro Hospitalar de Lisboa Central – Hospital de São José.

Collaborates in several research projects at NOVA Medical School.

About Doctor
Dr. Filipa Oliveira/ Plastic Surgery

PORTUGUESE MEDICAL ASSOCIATION: registration Nº. 59147, specialist in Reconstructive and Aesthetic Plastic Surgery.

Graduated in Medicine from the Faculty of Medicine of the University of Porto, where she completed her Master’s thesis on pediatric scars.

PhD in Medicine from the University of Münster in Germany.

After completing her specialty, she became a Senior Graduate Assistant (Oberärztin) at the Fachklinik Hornheide and the University of Münster. She is currently involved in various research projects at the University of Münster, where she is supervising doctoral students. She is also a regular correspondent for scientific and leisure magazines in Germany.

About Doctor
Dra. Catarina Duarte

Portuguese Medical Association – registration number 51027, specialising in Otorhinolaryngology.

With a Master’s degree in Medicine from the Faculty of Medicine in Lisbon, Dr. Catarina went on to specialise in Otorhinolaryngology at the Santa Maria Hospital in Lisbon, having joined the teaching staff of the Otorhinolaryngology chair as a free assistant. Her training in otorhinolaryngology had a strong component in head and neck surgery, but also in rhinology, otology and paediatric laryngology.

About Doctor
Dr. Joana Alves Barbosa / Dermatologist

PORTUGUESE MEDICAL ASSOCIATION: n.º 64457, Dermatologist.

Master in Medicine from the Abel Salazar Biomedical Sciences Institute.

She completed her medical internship in Dermatovenereology at the Centro Hospitalar e Universitário de Lisboa Central, having complemented her training in Dermatology with internships in Plastic and Reconstructive Surgery at the Centro Hospitalar de Vila Nova de Gaia/Espinho and in Cutaneous Oncology at the IPO do Porto.

Her main areas of interest include General, Surgical and Aesthetic Dermatology.

About Doctor
Dr. Rita Leite/ Aesthetic Medicine

Medical License Nº 48069

Dra. Rita Leite has an Integrated Master’s Degree in Medicine from the Faculty of Medical Sciences of Universidade Nova de Lisboa (FCML) and specialises in Radioncology at the Francisco Gentil Portuguese Institute of Oncology (IPO).

Between 2010-2013 she worked at the MD Anderson Cancer Center (MDACC) in Texas, the Mayo Clinic in Minnesota and the National Cancer Institute (INCA) in Rio de Janeiro.

In 2014 she was a hospital assistant at the IPO and since 2015 she has been a hospital assistant at the Centro Hospitalar Universitário de Lisboa Central (CHULC).

In 2020 she graduated in Aesthetic Medicine from the Portuguese Society of Aesthetic and Cosmetic Medicine (SPMEc).

About Doctor
Dr. Ana Mendes Gomes / Aesthetic Medicine

Member of The Portuguese Medical Association – Nr. 55658

Has a master’s degree in medicine by the Faculty of Medicine of the University of Masaryk in Brno and later completed a master’s degree in aesthetic medicine and anti-aging at the Complutense University of Madrid. She is a specialist in family medicine by the Regional Health Administration of the Lisbon Area.

Throughout her career, she undertook specific training in minimally invasive procedures, namely in the application of Toxin, facial fillers, thread lifts and facial mesotherapy, thus differentiating herself in the treatment and prevention of skin aging.

About Doctor
Dr. Carolina Medo / Aesthetic Medicine

Portuguese Medical Association : no. 68553, Aesthetic Medicine Physician

Dr. Carolina Saldanha Medo completed her Integrated Master’s Degree in Medicine at the Faculty of Medicine of the University of Lisbon in 2019 and her Specific Training Internship in General and Family Medicine in 2025.

Her dedication to a holistic approach to well-being led her to the field of Aesthetic Medicine, where she completed her postgraduate degree in Aesthetic Medicine at the University of Alcalá in 2020. She also completed additional training in hormonal balance and longevity.

Dr. Carolina believes that true aesthetics comes from balance and that each intervention should respect the individuality and natural harmony of each face.

Her practice combines scientific rigour and medical sensitivity, promoting subtle, safe and elegant results, with the aim of enhancing authentic beauty and promoting healthy and conscious ageing.

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