FAQ

Whenever possible, we highly recommend visiting our center in Marbella or Barcelona in person for your consultation as it provides a complete preview of the Skullpture experience:

• A comprehensive 1-hour consultation with one of our surgeons to discuss surgery details and address your questions.
• Immediate quote delivery and consultation with a Patient Coordinator.
• Firsthand experience in HC International Marbella Hospital or IM Clinic in Barcelona, where Skullpture clinics are located.
• High-quality images for your consultation captured in our in-house studio using professional-grade cameras, lighting, and backgrounds.
• The opportunity to meet Skullpture’s staff in person before undergoing surgery.
• 3D CT-Scan for in-depth analysis of your facial bone structure, enabling more precise surgical recommendations.
• Airport transfers to and from Málaga or Barcelona Airport.

Skullpture has never charged patients for any of their facial bone surgery consultations throughout the entire process.

That’s regardless of whether they take place in-person or online.

When deciding who to trust with your facial bone surgery, cost is, of course, an important factor.

We know that, for many people, facial bone surgery costs will always play a significant role in their decision-making process. That’s why our priority is to help you become as well informed as possible when deciding on the procedures that are right for you.

For an indication of the price ranges Skullpture works with, we recommend you to speak directly with us and receive a personalized quote.

Our facial bone surgeries include the following procedures:

• Forehead Surgery
• Orthognatic Surgery
• Nose Surgery
• Jaw & Chin Surgery
• Tracheal Shave

Besides the above main procedures we offer complementary (aesthetic) procedures, to enhance the appearance even more.

If you are not sure which are the correct procedures for you, we recommend you to book a free consultation with one of our surgeons. We personalize our quotes for each person, based on your wishes and the surgeon’s recommendation.

Skullpture offers free facial bone surgery consultations, both in person, or online. During which, you’ll speak to a specialist to discuss your objectives and needs and which procedures are right for you.

During our in-person consultations in Marbella or Barcelona, you will have a great opportunity to meet the team and visit the beautiful facilities.

The FOREContour® facial bone surgery concept is possible thanks to our investment in the latest medical technologies.

3D Photography
Our facial scanner with VECTRA® H1 technology and precision optics enables us to take multi-positional, hi-res images that illustrate the very finest details of your face.

3D CT Scans
3D CT scans enable us to perform anatomical and volumetric studies and create a comprehensive three-dimensional reconstruction of your forehead before your personal consultation. This enables us to precisely plan your bespoke bone sculpture surgery and help you to visualise what you’ll look like after the surgery.

Ultrasonic Surgical Instruments
The ultrasound scalpel permits the cleanest and most concise cuts in mineralised tissues, such as bone. Such unparalleled precision and accuracy help ensure surrounding soft tissues are left untouched, heightening the safety of the procedure and minimising the risk of postoperative complications and side effects.

Following your forehead reshaping procedure, which may be complemented by additional enhancements, you will swiftly resume your daily activities. The initial 72-hour post-surgery period can present some challenges, primarily due to the effects of anaesthesia and your body’s response to the procedures. It’s worth noting that postoperative effects, such as nausea, swelling, bruising, and minor bleeding, are detailed in your comprehensive informed consent documents.

Immediate Postoperative Phase
Your surgery typically requires a 1 to 2-night stay in the hospital, where our team meticulously monitors your well-being. Your first postoperative meal will be provided during your hospital stay, and you can quickly return to your regular diet unless lower face procedures are involved. We recommend a 7-10 day stay after surgery, ensuring the comfortable removal of sutures. Gentle strolls are encouraged, and we invite you to explore our range of exclusive healing therapies, including personalised lymphatic drainage and acupuncture.

Two to Twelve Weeks Post-Surgery
Visible bruising and swelling will gradually subside within a few weeks, with the risk of potential complications significantly reduced. Upon returning home, patients should patiently wait 6-8 weeks before reengaging in strenuous physical activities, gradually easing back into their daily routines.

Our refined scalp incision and suturing technique allows for gradual hair regrowth, effectively concealing the scar, often achieved within a few months following the surgery. Complete scar coverage may take some more time, and we remain at your disposal for any necessary follow-up consultations.

Long-term Progress
Our postoperative team is at your service to address any concerns as you navigate your recovery journey. All patients are cordially invited to request a final checkup after one year, providing a comprehensive assessment of your transformation’s progress once all elements have harmoniously settled.

FOREContour® is proud to maintain an exceptional track record, reporting a remarkably low complication rate of less than 1% in our forehead feminisation surgeries, with an average revision rate of just 0.84%.

We understand that surgical interventions under general anaesthesia come with potential considerations. It’s important to note that, in some cases, minor complications like swelling and bleeding may occur, but these are typically manageable and vary in intensity. Occasionally, you may experience temporary symptoms, like numbness, which tend to gradually improve over time.

For your peace of mind, we want you to know that any major complications, if they occur, are typically identified within days following the surgery. To provide added security, we offer comprehensive medical insurance coverage to ensure that you’re fully supported in the unlikely event that unforeseen medical attention becomes necessary due to your forehead surgery.

The JAWContour® facial bone surgery concept is possible thanks to our investment in the latest medical technologies.

3D Printing and Cutting Guides
Our 3D printing capabilities enable us to create customised cutting guidelines alongside practice model surgery for risk prediction and planning. This ensures the design is faithful to what was agreed upon with you and guarantees symmetry while being mindful of the key nerves serving the jaw area to reduce the risk of complications.

Ultrasonic Surgical Instruments
An ultrasound scalpel guarantees the cleanest and most concise incisions in mineralised tissues, such as bone. Such unparalleled precision and accuracy help ensure surrounding soft tissues are left untouched, enhancing the safety of the procedure and reducing the risk of post-operative complications and side effects.

Bespoke, fixed biocompatible prosthetics
PEEK® – PolyEther-Ether-Ketone material – can be used to create bespoke, biocompatible prostheses for clients who are not suited for fat transfer to the jaw. Fixed in place with titanium screws, these highly-customised prostheses make the impossible possible.

PEEK® customised Prosthesis
At times, we are presented with cases that require increasing volumes where fat transfer is not ideal. In this situation, an anatomically fitted prosthetic is personalised to your needs to correct an existing anomaly. For instance, to recuperate volume in a previously operated area with unsatisfactory outcomes.

From a three-dimensional CT, prostheses can be printed in biocompatible PolyEther-Ether-Ketone (PEEK) material, which does not generate rejection in the body. Rigid fixation with titanium screws secures the moulded prosthetic in place

After undergoing your jaw bone surgery, you can expect a prompt return to the comfort of your own accommodations the day after the procedure. In the event of combining jaw surgery with other medical interventions, an additional overnight stay at the hospital may be necessary. However, it’s important to note that the initial postoperative nights may not be without their challenges. Following any invasive procedure performed under general anaesthesia, such as jaw surgery, it is usual for patients to experience certain commonly reported symptoms, including nausea, swelling, bruising, and light bleeding.

Immediate Recovery
The first 48 hours following the surgery can prove to be a demanding period for many patients undergoing Facial Bone Surgery. While some individuals may experience only minor discomforts, it’s crucial to recognise that each person’s body reacts uniquely, making it difficult to predict your specific experience. Maintaining a sense of tranquillity is advisable during this time, as our dedicated team of nurses, coordinators, doctors, and specialists is committed to providing comprehensive support.

Two to Twelve Weeks Post-Surgery
At this stage, the likelihood of encountering complications requiring surgical attention diminishes significantly. As bruising gradually subsides, you’ll find yourself better positioned to resume your regular activities and work on regaining full jaw strength and mobility. We do recommend abstaining from high-intensity activities for at least six weeks. Over the ensuing months, your healing progress will continue to improve and stabilise.

Long-Term Healing
Residual swelling and sensitivity will continue to evolve over time. Throughout your entire recovery journey, our post-operative department remains at your disposal, ready to assist, address any inquiries, or facilitate a consultation, should the need arise.

Surgical interventions, particularly those performed under general anaesthesia, come with a spectrum of potential complications meticulously outlined in the informed consent documents. Minor incidents, such as swelling, bleeding, or temporary numbness, may manifest to varying degrees and typically resolve in the course of time.

Significant complications are infrequent and are typically identified within the initial days following the surgery. Our patients enjoy the assurance of our medical insurance coverage, which provides support in the unlikely event that unforeseen medical attention is required due to jaw surgery.

At Skullpture, we take pride in our exceptional standard of care, with the occurrence of complications requiring further surgical intervention in jaw surgery averaging just 2.63%.

The REVONose® facial bone surgery concept is backed by our investment in the most advanced surgical technologies.

3D Printing and Cutting Guides

Our 3D printing capabilities enable us to create customised cutting guides for risk prediction and planning. This ensures symmetry, precision and accuracy and that the design remains faithful to the predictions we shared with you.

Ultrasonic Rhinoplasty

The use of Piezosurgery® in facial bone surgery gives us predictability. For this reason, it has been the standard for nasal osteotomies since 2015.

Piezosurgery® minimises trauma on nearby soft tissues while increasing precision during nasal osteotomies. To get technical, we perform a direct view using an external approach with an extended subperiosteal dissection. This approach reduces post-surgical edema and ecchymosis (bruising). It also provides better control of the osteotomy line when narrowing the nasal pyramid and modifying the bony hump.

After undergoing rhinoplasty, the path to resuming your regular routine arrives sooner than anticipated.

Though the notion of rhinoplasty may evoke images of discomfort, the truth is that the
majority of our patients encounter little more than transient bruising and swelling. A mere week time typically suffices for most individuals to return to their daily professional or academic endeavours.

Typically, any residual bruising vanishes within the span of two to three weeks. By the end of approximately two months, you will once again be able to engage in high-impact athletic activities, as your bones are completely healed by that juncture.

Rhinoplasty, a renowned surgical procedure, has garnered global recognition, albeit accompanied by a higher incidence of complications. The issues of asymmetry, deviation, and tip collapse frequently loom on the horizon for those who undertake this transformation.

These postoperative challenges tend to manifest when the emphasis solely rests on addressing aesthetic concerns, neglecting the underlying structural integrity of the nose. It is essential to acknowledge that purely aesthetic corrections often yield only temporary results, leaving a lingering sense of dissatisfaction.

ORTHOGNathic® relies on a combination of extensive skill and experience, and investment in the most advanced surgical technologies.   

See the future, be the future
Thanks to our investment in the latest 3D planning imaging and software, we can precisely simulate and predict your orthognathic surgery so that you can see exactly how we can evolve your facial structure to improve function and appearance. Using our technology, we can create surgical cutting guides that ensure your procedure is performed with unrivalled accuracy and stay faithful to our pre-planned design. We can also ensure that we avoid accidental damage to key nerves and respect and preserve neighbouring tissues and structures.

The latest surgical tools
An ultrasound scalpel guarantees the cleanest and most concise incisions in mineralised tissues, such as bone. Such unparalleled precision and accuracy ensure that surrounding soft tissues are left untouched, contributing to the exemplary safety profile of the procedure and reducing the risk of postoperative complications and side effects.

The realm of Minimally Invasive Orthognathic Surgery (MIOS), characterised by judiciously diminished approaches and the employment of sophisticated techniques alongside specialised instruments, yields markedly abbreviated recovery durations in comparison to conventional orthognathic surgery.

Through the adept application of these avant-garde methodologies, a solitary night of hospital sojourn suffices to ensure ample repose post-intervention, facilitated by intravenous administration of pain-alleviating and anti-inflammatory medications.

Immediate Recovery

Following your inaugural night within the hospital confines and guided by our adept nursing team, well-versed in imparting essential self-care insights for the initial days, you shall find yourself ready to transition back to your residence or accommodation. A mere day post-surgery will witness your ability to converse, dine, and ambulate nearly as usual, meticulously following our directives.

In the immediate convalescence period, we emphasise four pivotal tenets: assiduous management of discomfort and inflammation through medication, coupled with compression and lymphatic drainage; adherence to a regimen of wholesome nutrition; meticulous hygiene practices; and the prompt initiation of recuperative physiotherapy.

To mitigate the reintegration stress into your professional endeavours, we advocate a hiatus of a couple or three weeks from work.

In 10 days after the surger, we orchestrate alternating consultations with your orthodontist, who shall recommence the fine-tuning of dental occlusion.

Gradually, as autonomy burgeons, the resumption of your quotidian life, including work and physical exercise, becomes a possibility contingent upon your individual progression. Typically, a convalescence period of 4-6 weeks is advised.

Long-Term Recovery

The convalescent trajectory endures beyond a year, demanding a composed demeanor as the structural metamorphosis evolves gradually. In the grand tapestry of this protracted journey, the surgical interlude represents a fleeting 15-day episode, etching itself into the annals as an anecdotal chapter of the newfound you sought.

Our postoperative division remains attuned and accessible through electronic channels. Optionally, comprehensive evaluations may be orchestrated at intervals of one month, three months, six months, and a year, facilitating a sagacious evaluation of the transformation, punctuated by substantial settling.

Surgery, conjoined with general anaesthesia, inherently ushers in potential complexities meticulously outlined in the exhaustive informed consents meticulously provided to our esteemed patients.

In Orthognathics, a culmination of years of expertise and a trajectory towards Minimally Invasive Orthognathic Surgery (MIOS), a commendable testament to our proficiency is the minimal incidence of complications, standing at an enviable rate of less than a mere 2%. Our revision rate stands at approximately 1%.

Postoperatively, the imperative task of optimising occlusion and dental positioning falls under the purview of your orthodontist, executed under the vigilant supervision of your surgical team. In the immediate postoperative phase, a meticulous evaluation through a new CAT scan ensures the precise execution of the planned interventions.

While conceivable, post-surgical minor adversities, including swelling, bleeding, and bruising, are scrupulously managed through prompt medical interventions. Transient numbness and other minor sequelae of the surgical endeavour gradually wane over time.

Predominant complications, albeit infrequent, include nerve paresthesia (transient: >6 weeks, 20-25%; definitive: >2 years without change, <1%), palpable steps in the mandibular profile (5%), intolerance to osteosynthesis materials (miniplates and screws, <5%), surgical wound superinfection (1%), and reintervention (<1%).

The customary window for complication detection spans the initial post-surgery week. For your tranquillity, we seamlessly extend comprehensive medical insurance coverage, adeptly addressing unforeseen medical exigencies in Barcelona/Marbella.

How does our method orchestrate a more gratifying denouement?

1. Fully digital planning and bespoke materials (guides and plates) for precision;
2. Incognito scars and accelerated recovery attributed to MIOS;
3. Supplementation with aesthetic procedures to enhance your beauty and facial harmony.

The TContour® facial bone surgery concept is made possible by our investment in the latest technologies.

3D Printing and Cutting Guides

Our 3D printing capabilities enable us to create bespoke cutting guides for risk prediction and surgical planning. This ensures the design is faithful to what was agreed upon with you and ensures symmetry, precision and accuracy.

Ultrasonic Surgical Instruments
The ultrasonic scalpel is a versatile instrument ideal for the removal of hard cartilage found around the thyroid. Exemplary precision and accuracy ensure surrounding soft tissues are left unharmed, preserving the structural integrity of the Adam’s Apple, accelerating the healing process and reducing the risk of complications and side effects, such as vocal changes.

Should an Adam’s apple reduction stand as your only procedure, the prospect of a same-day hospital discharge is very likely. However, in alignment with our commitment to furnishing superlative holistic care, we advocate for an overnight stay following the intervention.

Your release from our custodianship requires a meticulous evaluation by our team. Remarkably, the extrication of intradermal sutures necessitates no external aid. These singular stitches, constituting intradermal sutures, gracefully yield to self-removal approximately nine days after the surgical event.

Short-term recovery after a tracheal shave
Initial sensations of soreness, swelling, stiffness, and a discernible throat discomfort may manifest. Gradually, within weeks, these tribulations shall wane out, facilitating a delicate reintegration into customary activities.

A moratorium of eight weeks is advised before embarking on any vigorous physical endeavours, with a gradual resumption via light exercises. Solicitations for subsequent consultations are welcomed at your discretion for the purpose of addressing any reservations.

Long-term recovery after a tracheal shave
The convalescent trajectory of the treated region persists over a duration exceeding a year. A tempered demeanour is requisite as the manifestation of feminine results necessitates patience.

Our postoperative division remains at your disposal through electronic correspondence. Should you wish, a conclusive evaluation may be arranged after a year, a juncture by which substantial settling has occurred, enabling a judicious assessment of the transformation.

Embedded within our all-encompassing care ethos is our perpetual accessibility throughout your convalescence. Upon the lapse of a year, a definitive appraisal of the consequences arising from your tracheal shave will be extended.

Surgery, coupled with general anaesthesia, inherently carries potential complications delineated within the comprehensive informed consents meticulously provided to our esteemed patients.

TContour® proudly attests to a minimal complication incidence, boasting a rate of less than a mere 0.79%.

Post-surgical minor adversities, encompassing issues such as swelling, bleeding, and bruising, while conceivable, are vigilantly managed through expeditious medical intervention. Transient numbness and other minor sequelae of the surgical endeavour gradually recede over time.

The customary time frame for complication detection spans within the initial week post-surgery. For your tranquillity, we seamlessly furnish comprehensive medical insurance coverage, ensuring unforeseen medical exigencies in Marbella are adeptly addressed.

The tracheal shave, an ostensibly secure and straightforward avenue for amplifying your feminine aesthetics, is characterised by a statistically low complication rate.

Yet, it is pivotal to acknowledge that Adam’s Apple reduction ranks among the frequently revisited procedures. The methodology mandates an artful equilibrium in the reduction of the thyroid cartilage. Unfortunately, dissatisfied individuals often find themselves compelled to seek corrective interventions for tracheal shaves, prompted by suboptimal outcomes from inexperienced practitioners.

Our approach circumvents three potential pitfalls:

• Mitigation of overzealous reductions that compromise laryngeal structural integrity and voice quality;
• Adherence to meticulous protocols, averting conspicuous scarring;
• Prophylaxis against adhesions that could induce unnatural movements in the neck area.

How does our trachea shave method engender a more gratifying denouement?

• Diagnostic precision ensures a foreseeably modulated volume reduction;
• Implementation of advanced protocols yielding practically imperceptible scars;
• Adherence to optimal practices forestalling fibrosis in adjacent tissues.