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There are seasons for everything, but one thing you wouldn’t expect to be seasonal is cosmetic surgery. Any plastic surgeon, however, will tell you that the spring is the season for breast augmentations and liposuction, and the season for facelifts is right after Christmas. And many other procedures are more common during certain times of the year.

The reasons for this seasonality become obvious when you consider each procedure. During the spring, women start thinking about that dreaded bathing suit. They try them on and might notice a little fat that wasn’t there last year, or they might wish they filled it out better in certain areas. Since it takes a month or so to look reasonable in a bathing suit after cosmetic surgery, by July 4, if the surgery hasn’t been performed yet, many women wait until after the summer. 
When it comes to facial surgery, like face or eyelid lifts, fall or winter surgery is most common. While you should be able to face the public two weeks after a facelift, you might not really want to. You’ll have residual swelling and even a little bruising up to a month after the lift, and there’s always a chance of some odd lumps and bumps. It’s a lot easier to wear scarves or heavier makeup when it’s cold outside. When planning for cosmetic surgery, you might be pleasantly surprised at how fast you recover, but 5-10% of people have one thing or another that slows down their recovery. When planning out your schedule, you really have to plan for the worst-case scenario.
Recovery from larger procedures takes longer than recovery from smaller procedures. And older women take longer to bounce back than younger ones. And, of course, if you have significant medical problems, you have a much higher chance of a complication after surgery; you and your surgeon may decide to forgo surgery and improve your appearance with less invasive procedures that are less demanding on your body.
While some office procedures like Botox, Xeomin and Fillers, are easier to do and really don’t have seasonality, not all types of procedures are suited for the summer. Chemical peels and some laser treatments require strict avoidance of sun, so unless you live in a cave or are a vampire, you might consider having these treatments during the fall-winter months.

This Information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX
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a recent article in the NEW YORK DAILY NEWS discusses how women like how their selfies look using filters, and then head to their doctors to help create what they see.

 
You is the new you. Years ago, people seeking cosmetic surgery would bring pictures of celebrities to their doctor — and ask for “Angelina Jolie’s lips,” “Kate Beckinsale’s nose” or “Kim Kardashian’s butt.”
But now people bring their selfies — filtered through Instagram.
“This is a huge trend,” says Upper East Side surgeon Dr. Elie Levine. “People are bringing in pictures of themselves taken at a favorite angle or filtered, and saying they want to look like that.”
Anyone can nowadays, thanks to Photoshop — which even Beyoncé uses to always look her best in pictures.
But real life requires real solutions, and that’s where the Instagram-aided knife comes in.
Central Jersey mom Geri Hubner says she became obsessed with her growing wattle after staring at photos from her daughter’s wedding. She started using photo filters but then came to the ultimate real-world conclusion:
“I wanted to look like that all the time,” says Hubner, 56.
So she called facial plastic surgeon Dr. Andrew Miller in Edison, showed him the Instagrammed pictures and sprung for a neck lift, which can run $10,000 to $20,000.
“He’s an artist. I should have done this years ago,” says Hubner, who says the surgery and week-long recovery were relatively painless.
Queens resident Nancy Chacon, 32, also showed her best face on Instagram, using “either the Inkwell or Sutro filters, or the sepia tones, to hide blemishes.”
It worked — too well, she admits: “I decided I wanted people to see that person in person.”
So she got some laser treatments and broadband light photofacial therapy at Levine’s Manhattan clinic. It cost about $1,000, but her complexion is in the clear.
“So many people asked, ‘What are you doing to your face? You look so young!’ ” she says. “It was worth it.”
Huber also got Botox, for about $300, and injections of Juvederm, which runs about $1,000 per syringe. The result is smoother and fuller skin.
“I now have cheekbones,” she says. “It’s put a real skip in my step.”
These women aren’t alone: The American Academy of Facial Plastic and Reconstructive Surgery says there’s been a 33% bump in procedures driven by self-awareness from social media since 2013.
Midtown plastic surgeon Dr. David Shafer has clients pleading for a “social-media makeover” every day.
“They whip out their cellphones and start flipping through their pictures, saying, ‘I want to look like this all the time,’ ” he says.
Doctors can respond with an arsenal of minimally invasive, lunch-break treatments for under $1,000. The changes are big, but friends and family often don’t know that any work was done.
“I only tell my closest, tightest girlfriends that I’m doing this. Everyone else thinks I just look really well-rested,” says Janet Ross, 47, from San Francisco, who relied on the Amaro filter to soften her selfies before Dr. Jonathan Kaplan used Belotero fillers to reduce the lines around her eyes and mouth.
“I don’t want to look like one of the ‘Real Housewives,’ ” she says. “I just want to look like myself, but better.”

INSTAGRAM 101

The boom in Instagram-fueled cosmetic surgery may sound shallow, but it’s a step in the right direction for an industry where too much work can leave clients looking grotesque.
“Clients are not trying to look like a whole different person anymore,” says Dr. Andrew Miller, who is based in Edison, N.J. “We always stress taking what you have naturally and making it better. Otherwise, people can look really weird, with lips that are too big, a jawline that’s unreal.”
As a first step, here are some ways to tweak your selfies before contemplating surgery:
Soft, warm Instagram filters such as Rise and Toaster deemphasize pores and imperfections by highlighting your skin.
Black-and-white filters are universally flattering. They eliminating red or ruddy complexions and automatically make ho-hum classy.
Blur imperfections with the softer Willow filter, or go bold with the high-contrast Inkwell.
The duck face works: Purse your lips and shoot down from a higher angle to highlight cheekbones, conceal double-chins and emphasize your eyes.
Before you snap the shutter, shake up your hair by doing a quick punk rock head-bang, or ruffle your fingers through it to give limp strands a quick boost.
 
This Article Brought to you Courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield & Southlake, TX
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PLASTIC SURGERY & AESTHETIC MEDICINE- FDA Approves First Dermal Filler to Treat Acne Scarring
The U.S. Food and Drug Administration has approved the first dermal filler to treat pitted scarring of the cheek caused by acne, the most common skin disorder in the United States afflicting 40-50 million people.
Bellafill, developed by privately held Suneva Medical Inc, is made primarily of bovine collagen. When injected, it is designed to lift and smoothen scars to the level of the surrounding skin, in patients over the age of 21.
A cure for acne has long eluded drug developers. And despite treatments ranging from topical gels to lasers, nothing so far has satisfactorily treated scarring that affects up to 95 percent of acne sufferers.
A study testing Bellafill against a placebo in 150 acne patients showed a significant improvement in those receiving Suneva’s treatment that continued for up to a year, Suneva said on Tuesday.
“Until now, multiple laser treatments or other injectables have been used but are limited both in terms of efficacy and longevity and are hampered by potential side effects.
Approved in 2006 to smoothen “smile lines”, demand for Bellafill has grown more that 30 percent a year for the last several years, Suneva CEO Nicholas Teti said in an interview.
Pricing of the acne treatment is likely to be similar to that of the wrinkle treatment. Dosages would depend on the severity of the scarring.
San Diego-based Suneva, which was formed in 2009 out of the assets of Artes Medical, a publicly traded company that filed for bankruptcy the previous year, plans to launch Bellafill for scarring toward the end of January.
Sanford C. Bernstein analyst Aaron Gal, who covers Botox-maker Allergan Inc, termed Bellafill a “niche” product.
For these reasons, he said it was unlikely Bellafill would become “a big drug” such as Allergan’s Juvederm and Valeant Pharmaceutical International Inc’s Restylane.
Both are based on hyaluronic acid, a substance occurring naturally in the body but not approved to treat acne scarring.
This News Brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa

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f891a427f03d8bcc9ee63fd037e0f4cfWhether their goal is to turn back the hands of time, look as good as they feel, or age gracefully, Americans are embracing non surgical cosmetic facial treatments to get the quickest results with the least down time. In their quest for a more youthful appearance, however, they should keep in mind that popular non invasive procedures like the nonsurgical face lift and laser skin resurfacing are not just beauty routines. They’re medical treatments that should be respected for the benefits and risks associated with them.

Most of us want to look as good as we feel and reasonably attractive, and most people have an issue or two that they would admit to being self-conscious about. These procedures can be done rather quickly with a small amount of discomfort, there’s very little recovery time, and the results are fairly evident within a day or two. And the economics are much kinder to the person who does a little maintenance from time to time as opposed to the person that undergoes a lengthy surgical procedure.
The top nonsurgical procedures of choice for both sexes in the United States are BOTOX® Cosmetic, injectable dermal fillers, chemical peels, and microdermabrasion. Other popular procedures include the nonsurgical face lift and laser skin resurfacing, which is often used to deal with acne scars or general skin care.
Botox or Xeomin blocks the nerve impulses that cause the muscle contractions that control certain facial expressions which, in turn, cause a breakdown of collagen leading to creases.
Included in the category known as Injectable dermal fillers are commercial products like Juvederm, Belotero and Radiesse. Fillers, which replace the collagen and facial fat that we lose as we age, are used to lift, plump, smooth, and recontour the face. Botox and fillers are often administered in conjunction with each other to achieve the nonsurgical face lift or “liquid face lift”.
Like Botox and dermal fillers, microdermabrasion works best when repeated in a series of skin rejuvenation treatments. It involves using a machine that sprays fine mildly abrasive crystals to remove the epidermis, or outer skin layer consisting primarily of dead skin cells. The crystals and cells are then vacuumed away. This controlled trauma to the skin leaves it looking smoother and healthier, with improvements to both the epidermis (the top layer of skin) and dermis (the middle layer of skin that includes collagen and elastic tissue.)
Chemical peels are another type of skin resurfacing procedure that uses acids or other chemicals to treat sun-damage, wrinkles, blemishes and blotchiness. They can be applied to the entire face or just specific areas, or almost anywhere else on the body for smoother, more even-toned skin.
Like dermabrasion and chemical peels, laser skin treatments help revitalize aged or sun-damaged skin, revealing fresher, younger-looking skin. Other usages include the treatment of birthmarks, acne scars, and vascular lesions. Moles, warts, tattoos, and unwanted body hair can also be removed by laser skin treatment.
While these procedures may all seem to be mainly cosmetic in nature – more beauty procedure than surgical procedure – they are considered surgical, albeit less invasive than many other cosmetic surgery procedures. There are real risks involved that should be understood prior to committing to treatment. For example, using too much Botox or injecting it into the wrong spot can result in a drooping eyebrow or drooling. If dermal fillers are overinjected, you may end up with more augmentation than you were counting on, at least temporarily. With both microdermabrasion and chemical peels there is a risk of hyperpigmentation (dark spots) of the skin. Infection, bruising, and swelling are all temporary side effects of any procedure.
For best results with your noninvasive cosmetic procedure, consult with one or more plastic surgeons or dermatologists and make sure they are trained and experienced in the specific treatment that interests you. They should be able to assess your situation, answer your questions, lay out the risks and benefits, and determine if you are a viable candidate for the procedure.
First-time patients can ease their way into noninvasive cosmetic treatments by requesting one of the temporary fillers that last up to a year to “try on” the results. Start with a conservative approach to make sure you like what you see, and sample just one treatment at a time so you can discern what works and what doesn’t in your particular case.

This Information of brought to you courtesy of Dr. Mark Bishara And The Paragon Plastic Surgery & Med Spa

en Español

NO TRATAMIENTOS COSMÉTICOS QUIRÚRGICAS: NO SOLO A rutina de belleza
Ya sea que su objetivo es hacer retroceder las manecillas del tiempo, verse tan bien como se sienten, o envejecer con gracia, los estadounidenses están adoptando tratamientos faciales cosméticos no quirúrgicos para obtener los resultados más rápidos con el menor tiempo de inactividad. En su búsqueda de una apariencia más joven, sin embargo, deben tener en cuenta que tan popular como el y no son sólo rutinas de belleza. Son tratamientos médicos que deben ser respetados por los beneficios y riesgos asociados con them.non procedimientos invasivos como el y no son sólo rutinas de belleza. Son tratamientos médicos que deben ser respetados por los beneficios y riesgos asociados con lavado de cara them.nonsurgical y no son sólo rutinas de belleza. Son tratamientos médicos que deben ser respetados por los beneficios y riesgos asociados con them.laser rejuvenecimiento de la piel no son sólo rutinas de belleza. Son tratamientos médicos que deben ser respetados por los beneficios y riesgos asociados con ellos.
La mayoría de nosotros quiere verse tan bien como nos sentimos y razonablemente atractiva, y la mayoría de la gente tiene un problema o dos que iban a admitir que soy consciente de. Estos procedimientos se pueden realizar con bastante rapidez con una pequeña cantidad de incomodidad, hay muy poco tiempo de recuperación, y los resultados son bastante evidente dentro de un día o dos. Y la economía son mucho más amable con la persona que hace un poco de mantenimiento de vez en cuando en lugar de la persona que se somete a un procedimiento quirúrgico largo.
Los principales procedimientos no quirúrgicos de elección para ambos sexos en los Estados Unidos son Botox, rellenos dérmicos inyectables, peelings químicos y la microdermoabrasión. Otros procedimientos populares incluyen el estiramiento facial no quirúrgico y la piel con láser, que se utiliza a menudo para tratar cicatrices de acné o cuidados generales de la piel.
Botox o Xeomin bloquea los impulsos nerviosos que causan las contracciones musculares que controlan ciertas expresiones faciales que, a su vez, causan una descomposición del colágeno que conduce a las arrugas.Se incluyen en la categoría conocida como inyectables rellenos dérmicos son productos comerciales como Juvederm, Belotero y Radiesse. Rellenos, que reemplazan el colágeno y grasa facial que perdemos a medida que envejecemos, se utilizan para levantar, regordeta, liso, y remodelar la cara. Botox y los rellenos se administran a menudo en combinación con otros para lograr el estiramiento facial no quirúrgico o “estiramiento facial líquido”.
Al igual que el Botox y los rellenos dérmicos, la microdermabrasión funciona mejor cuando se repite en una serie de tratamientos de rejuvenecimiento de la piel. Se trata de utilizar una máquina que pulveriza cristales ligeramente abrasivas finas para eliminar la epidermis, o capa externa de la piel que consisten principalmente de las células muertas de la piel. Los cristales y las células son entonces aspiradas de distancia. Este trauma controlada en la piel hojas de su aspecto suave y más saludable, con mejoras tanto a la epidermis (la capa superior de la piel) y la dermis (la capa media de la piel que incluye colágeno y tejido elástico.)
Los peelings químicos son otro tipo de procedimiento de rejuvenecimiento de la piel que utiliza ácidos u otros productos químicos para tratar el daño solar, arrugas, manchas y manchas. Se pueden aplicar en todo el rostro o zonas específicas sólo, o casi cualquier otra parte del cuerpo para la piel más suave y tonificada siquiera.
Al igual que la dermoabrasión y peelings químicos, tratamientos de la piel con láser ayudan a revitalizar la piel envejecida o dañada por el sol, revelando una piel más fresca y joven. Otros usos incluyen el tratamiento de las marcas de nacimiento, cicatrices de acné y lesiones vasculares. Moles, verrugas, pelo tatuajes, y el cuerpo no deseado puede también ser eliminado por tratamiento de la piel con láser.
Si bien estos procedimientos pueden todos parecen ser principalmente de naturaleza cosmética – más procedimiento belleza de procedimiento quirúrgico – se consideran quirúrgica, aunque menos invasiva que muchos otros procedimientos de cirugía cosmética. Hay riesgos reales involucrados que deben ser entendidos antes de comprometerse con el tratamiento. Por ejemplo, el uso excesivo de Botox o inyectarlo en el lugar equivocado puede resultar en una caída de la ceja o babeo. Si se sobreinyectado rellenos dérmicos, usted puede terminar con más aumento de lo que contabas, al menos temporalmente. Con ambos microdermoabrasión y las exfoliaciones químicas hay un riesgo de hiperpigmentación (manchas oscuras) de la piel. La infección, hematomas e hinchazón son todos los efectos secundarios temporales de cualquier procedimiento.
Para obtener los mejores resultados con su procedimiento estético no invasivo, consultar con uno o más cirujanos plásticos o los dermatólogos y asegúrese de que están capacitados y con experiencia en el tratamiento específico que le interese. Ellos deben ser capaces de evaluar su situación, responder a sus preguntas, exponer los riesgos y beneficios, y determinar si usted es un candidato viable para el procedimiento.
Los pacientes de primera vez pueden facilitar su camino en tratamientos cosméticos no invasivos solicitando uno de los rellenos temporales que duran hasta un año para “probar” los resultados. Comience con un enfoque conservador para asegurarse de que te gusta lo que ves, y muestra sólo un tratamiento a la vez para que pueda discernir lo que funciona y lo que no funciona en su caso particular.
Esta información os traído a usted por cortesía de Dr. Mark Bishara Y La Cirugía Plástica y Paragon Med Spa

What are dermal fillers?

Most of our patients know the benefits of using Botox or Xeomin for their fine lines, but fillers are an underutilized injectable that everyone needs to know more about.

Dermal fillers help to diminish facial lines and restore volume and fullness in the face.
As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent.
The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.
Dermal fillers can be used to:

  • Plump thin lips
  • Enhance shallow contours
  • Soften facial creases and wrinkles
  • Improve the appearance of recessed scars

Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery.

What dermal fillers won’t do

For some patients, surgery such as a facelift, brow lift, or eye lift may be the best approach. Non-surgical rejuvenation treatments, such as soft tissue fillers, cannot achieve the same results, but may help delay the time when consideration of a facelift becomes appropriate.

Hyaluronic Acid Wrinkle Fillers

The most popular category of wrinkle fillers is hyaluronic acid. Each type works in a slightly different way with varying results.
Side effects are rare but can include redness, swelling, and bruising at the injection site. The filler may also show up under the skin as tiny bumps. This is a problem that often improves over time.
How long the results last varies from several months to over a year or two. Some research shows that repeated injections may help stimulate the body’s own natural production of collagen. That will help reduce the number of lines and wrinkles. There is also some evidence that less filler is needed over time to achieve the same look.
Hyaluronic wrinkle fillers available in our office include:

  • Belotero Balance– BELOTERO BALANCE® temporarily smooths out and fill in moderate-to-severe nasolabial folds (the folds or wrinkles that go from the side of the nose to the corner of the mouth).  BELOTERO BALANCE® is a hyaluronic acid (HA) injectable filler that completely integrates into the skin tissue. While some fillers are designed to rebuild facial volume and structure, BELOTERO BALANCE specifically treats moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips. This is also a great filler for under the eyes.
  • Juvederm Ultra Plus– JUVÉDERM® is the first and only non-surgical hyaluronic acid (HA) filler FDA-approved to instantly smooth moderate to severe wrinkles around your nose and mouth for up to one year with optimal treatment.
  • Juvederm Voluma XC– JUVÉDERM VOLUMA® XC is the first and only FDA-approved injectable gel to instantly add volume to your cheek area to correct age-related volume loss in adults over the age of 21. It can provide you contour and a subtle lift for up to two years with optimal treatment.

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What is RADIESSE?

  • RADIESSE® is a dermal filler that temporarily adds volume to help smooth moderate to severe facial wrinkles and folds. RADIESSE is a wrinkle filler used to plump the skin. RADIESSE is injected through a small needle and placed under the skin. Immediately, this filler works to add volume under the skin and over time, the benefits of RADIESSE continue by naturally stimulating your body’s own natural collagen. The natural results have been shown to last a year or more in many patients, making the treatment results both immediate and long lasting.

 

en Español

 
¿CUÁLES SON rellenos dérmicos?
La mayoría de nuestros pacientes conocen los beneficios del uso de Botox o Xeomin por sus líneas finas, pero rellenos son un inyectable subutilizado que todo el mundo necesita saber más.Los rellenos dérmicos ayudan a disminuir las líneas de expresión y restaurar el volumen y la plenitud en la cara.
A medida que envejecemos, nuestros rostros naturalmente pierden grasa subcutánea. Los músculos faciales son entonces trabajando más cerca de la superficie de la piel, por lo que sonreír líneas y patas de gallo se hacen más evidentes.
La piel de la cara también se extiende un poco, añadiendo a esta pérdida de volumen facial. Otros factores que afectan a la piel de la cara incluyen la exposición al sol, la herencia y el estilo de vida.
Los rellenos dérmicos se pueden utilizar para:
Plump labios finosMejorar contornos superficialesSuavizar las arrugas faciales y arrugasMejorar la apariencia de las cicatrices hundidasLos rellenos dérmicos pueden ser muy útiles en aquellos con los primeros signos de envejecimiento, o como parte de valor añadido de la cirugía de rejuvenecimiento facial.
QUÉ rellenos dérmicos NO HARÁ
Para algunos pacientes, la cirugía, como un lifting facial, levantamiento de cejas, o levantamiento de los ojos puede ser el mejor enfoque. Tratamientos de rejuvenecimiento no quirúrgico, como rellenos de tejidos blandos, no pueden lograr los mismos resultados, pero pueden ayudar a retrasar el momento en que la consideración de un lavado de cara se vuelve apropiada.
Rellenos de arrugas ÁCIDO HIALURÓNICO
La categoría más popular de rellenos de arrugas es el ácido hialurónico. Cada tipo funciona de una manera ligeramente diferente, con resultados variables.
Los efectos secundarios son raros pero pueden incluir enrojecimiento, hinchazón y hematomas en el sitio de la inyección. El relleno también puede aparecer bajo la piel como pequeñas protuberancias. Este es un problema que a menudo mejora con el tiempo.
¿Cuánto tiempo duran los resultados varía desde varios meses a más de un año o dos. Algunas investigaciones muestran que las inyecciones repetidas pueden ayudar a estimular la producción natural del cuerpo de colágeno. Eso ayudará a reducir el número de líneas y arrugas. También hay alguna evidencia de que se necesita menos de relleno con el tiempo para alcanzar la misma mirada.
Rellenos de arrugas hialurónico disponibles en nuestra oficina incluyen:
Belotero Balance- BELOTERO BALANCE® suaviza temporalmente fuera y complete los pliegues nasolabiales moderados a severos (los pliegues o arrugas que van desde el lado de la nariz hasta la comisura de la boca). BELOTERO BALANCE® es un relleno inyectable de ácido hialurónico (HA) que integra completamente en el tejido de la piel. Mientras que algunas cargas están diseñadas para reconstruir el volumen facial y estructura, BELOTERO BALANCE trata específicamente de moderada a grave arrugas y líneas grabadas en tales como líneas verticales de los labios por encima y alrededor de los labios. Este es también un gran relleno para debajo de los ojos.Juvederm Ultra Plus-JUVÉDERM® es el primer y único relleno no quirúrgico ácido hialurónico (HA) aprobado por la FDA para instantáneamente suave arrugas moderadas a severas alrededor de la nariz y la boca para un máximo de un año, con un tratamiento óptimo.Juvederm Voluma XC- JUVÉDERM VOLUMA® XC es el primer y único gel inyectable aprobado por la FDA para agregar instantáneamente volumen a tu área de la mejilla para corregir la pérdida de volumen relacionado con la edad en los adultos mayores de 21. Se le puede proporcionar el contorno y un ascensor sutil para un máximo de dos años con un tratamiento óptimo.
¿Cuál es RADIESSE?
Radiesse es un relleno dérmico que añade volumen temporalmente para ayudar a suavizar las arrugas moderadas a severas y pliegues faciales. Radiesse es un relleno de arrugas utilizado para rellenar la piel. RADIESSE se inyecta a través de una pequeña aguja y se coloca debajo de la piel. Inmediatamente, este relleno trabaja para aumentar el volumen debajo de la piel y con el tiempo, los beneficios de RADIESSE continúan estimulando naturalmente propio colágeno natural de su cuerpo. Los resultados naturales han demostrado durar un año o más en muchos pacientes, por lo que los resultados del tratamiento, tanto inmediatos y duraderos.