Clinical innovation
Own surgical techniques developed, published and registered in Mallorca Medical Group. Contributions to plastic surgery born from daily clinical practice and returned to the scientific community through international peer-reviewed journals and formal registries.
From practice to publication.
Plastic surgery advances when problems observed in the office become questions, questions become methods, and methods become reproducible solutions that can be shared and verified.
This section gathers Dr. García Ceballos’ own contributions: surgical techniques, classification systems and regenerative medicine applications that have been developed at MMG, have been contrasted with the clinical experience of hundreds of patients, and have been published in scientific journals or formally registered.
Each contribution responds to a specific limitation of conventional techniques, proposes a technically justified solution, and is accompanied – when applicable – by published clinical data supporting its use. They are not commercial promises: they are reproducible procedures with documentary support.
– I
Contributions
Rhinoplasty Cluster – Publication 2024Thefirst three contributions are part of the methodological framework published in Cirugía Plástica Ibero-Latinoamericana in 2024. Each addresses a different axis of the same clinical problem – the prevention of nasal dorsum irregularities in aesthetic rhinoplasty – and can be applied independently or together.
García Ceballos JI. Methodology for prevention of nasal dorsum irregularities in aesthetic rhinoplasty: classification according to soft tissue thickness and application of L-PRF-enriched nanofat. Cirugía Plástica Ibero-Latinoamericana, Vol. 50, No. 4, 2024.
01
Duvet
Surgical technique - Rhinoplasty
Duvet Rhinoplasty
Rhinoplasty technique designed to prevent the appearance
of visible irregularities in the nasal dorsum in patients
with thin skin (Type I, < 3 mm). It combines conventional bone and cartilage remodeling with the intraoperative application of a biologic blanket of L-PRF-enriched nanograss that acts as a regenerative padding – hence its name, duvet, comforter in French. In the published series, +0.9 mm average increase in skin thickness at one year and zero reinterventions for irregularities.
02
Biomaterial
Regenerative Medicine - Rhinoplasty
L-PRF in aesthetic rhinoplasty
Application of leukocyte- and platelet-rich fibrin (L-PRF) as an autologous biological adjuvant. Obtained from the patient himself by centrifugation of peripheral blood without anticoagulants or chemical activators -Choukroun protocol-, L-PRF provides a natural fibrin matrix with sustained release of growth factors for 7-14 days. Combined with nano-fat, it forms the biological mantle applied on the nasal dorsum.
03
System
Classification System - Rhinoplasty
Classification of rhinoplasty according to the thickness of the soft tissues
Preoperative classification system of the rhinoplasty patient into two types according to nasal soft tissue thickness measured with manual adipometer on the rhinion: Type I (< 3 mm, thin skin, greater risk of irregularities) and Type II (≥ 3 mm, thick skin, greater tendency to prolonged inflammation). The classification directs the indication of regenerative adjuvants and surgical planning.
04
Mammary
Surgical technique - Breast surgery
B.A.G.S.® System
Breast Anchoring Band Loop Suspension. Proprietary technique –notarially registered since 2008 –for mastopexy with simultaneous augmentation in patients with ptosis grade 1 to 2 (Regnault), areolas ≥ 3-4 cm and without significant skin excess in the lower pole. It combines upper hemiperiareolar incision, inframammary implantation of an anatomical polyurethane prosthesis and controlled suture of the glandular pillars, avoiding the vertical or inverted T-scars of classic mastopexy.
05
Cervical
Surgical technique - Facial surgery
Posterior access neck lift
Proprietary technique for the correction of posterolateral and inferior cervical flaccidity, without the need for incisions in the anterior aspect of the neck. The incision is the conventional one of the cervical lifting; the distinctive feature is the internal structural work: posterosuperior traction of the platysma anchored to the mastoid fascia by means of Quill PDO suture in inverted U shape. It is complemented with cervical liposuction in the same act.
– II
How to develop your own technique
The contributions collected in this section are not isolated occurrences. Each one follows the same maturation process that starts with an observed clinical problem, goes through a design and testing phase, and ends – when the procedure is reproducible and the results consistent – in scientific publication or intellectual property registration.
1 – Clinical observation
Identification of a recurrent problem in daily practice that conventional techniques do not solve satisfactorily. The source is always the practice and the operating room, not the literature.
2 – Design and validation
Proposal of a technical modification or a classification system that responds to the problem. Application in a clinical series, systematic recording of results, iterative adjustment of the procedure.
3 – Publication or registration
When the procedure is reproducible and the results consistent, it is published in a peer-reviewed journal or registered as a trademark or utility model. Only then is it incorporated into the clinic’s stable portfolio.
If you are considering an intervention and want to know if any of these contributions is applicable to your case, we can discuss it in a first face-to-face or telematic consultation.