News

Have you been contemplating dermal fillers and lip fillers?

Fillers in Dubai | 18 August 2019

Dermal Fillers and Lip Fillers are made of Hyaluronic acid, which is grown in a laboratory. This is naturally occurring in our skin and serves a variety of purposes. Youthful skin retains its turgor, resilience and pliability, among others, due to its high content of water. Daily external injury, in addition to the normal process of aging, causes loss of moisture. The key molecule involved in skin moisture is hyaluronic acid that has unique capacity in retaining water.

I am able to use dermal filler treatments to replicate bone, subcutaneous fat, to add more volume creating contours and symmetry to the face, to rejuvenate the ageing face, or to give overall hydration to improve skin texture. There are a variety of dermal fillers and lip fillers available on the market. I only use industry gold standard products to ensure we deliver you procedures with the evidence behind them. Dermal fillers and lip fillers come in a range of viscosities and are selected specifically for areas and the volume required.

Teosyal and Juvederm are traditional dermal fillers, dependent on the particle size and where they are placed, last from 6-12 months. The Teosyal RHA range lasts longer due to the elastic nature of the product. This helps to prolong breakdown by moving harmoniously with the skin and gives a more natural appearance. These dermal fillers typically last from 9-22 months.

1mL of dermal filler equates to 1/5th of a teaspoon which can give good improvement to younger patients and older, however if there is a significant ageing or volume required you may require more than 1mL.

Areas which can be treated with dermal fillers include volumising young or ageing lips; smoker’s lines; chin & jawline contouring; cheeks; temples; forehead rejuvenation; nose; under eye hollowing; back of hands; full facial rejuvenation with skin beauty boosters; décolletage rejuvenation.

I believe in the natural look and will never make you look ‘done’. My aim is to have your friends, family and colleagues admiring your freshness rather than thinking you have had assistance with aesthetic procedures.

Patients often ask if the procedures hurt. I strive to make your experience as comfortable as possible, using numbing creams and techniques to minimise discomfort. If you are anxious and would like a dental block for lip or peri-oral treatments I can accommodate this.

It is very important that you make an informed choice when it comes to dermal filler procedures. This is a medical procedure and Iwill thoroughly discuss potential side effects as well as treatment outcomes at your consultation.

 

 

What are Dermal Fillers?

Fillers in Dubai | 13 August 2019

Dermal fillers are a cosmetic treatment which involves small injections. They are used to add volume to the soft tissue in the face – in areas such as the cheek, mouth, lips, around the eye and the jawline – combatting signs of ageing by filling in wrinkles and addressing dark circles, as well as thinning lips. They use a gel which usually includes hyaluronic acid.

How do dermal fillers work?

As time goes on, our bodies produce lower amounts of the proteins which give us a youthful look – namely elastin and collagen. Dermal fillers work to smooth the deep lines in the face which appear as wrinkles. This injectable treatment is able to add volume which has been lost in these areas since elastin and collagen production has dropped. In this way, dermal fillers are able to enhance the appearance of the face, adding ‘lift’. The dermal fillers procedure can involve a series of injections, depending on the requirements of the individual. In preparation for the injection, the targeted part of the face is numbed with a topical anaesthetic cream. The injection into the skin is administered to a mid or deep level. Following a dermal fillers injection, patients can resume their everyday activities, including the application of makeup. It is recommended that patients refrain from rubbing or massaging the affected area of the face for a few days after the treatment.

Who is suitable for dermal fillers?

There is a level of debate on the age at which collagen and elastin production begins to decrease, but it is accepted that this is around 25. From then on, we can expect a steady decline of elastin and collagen. The production of these proteins stops altogether by the time we reach our late twenties. For this reason, dermal fillers may be considered as a cosmetic treatment by anyone in their late twenties or older. Other possible good candidates for dermal fillers include non-smokers, those who are in good physical condition, and individuals who habitually take good care of their skin.

The benefits of dermal fillers

So exactly which are the benefits of dermal fillers that make them such a compelling cosmetic treatment? In this section, we take a look:

– Natural-looking result

One thing which most cosmetic treatment patients have in common is that they want natural looking results. Nobody wishes to be left with the tell-tale signs that they have had cosmetic work done. Dermal filler injections are able to offer this desirable, natural look, which retains the normal movements and expressions of the face. This is in contrast to procedures which can result in lasting changes to the recipient’s facial expression. That’s thanks in part to the more gradual process of dermal fillers, which plump out targeted areas of the face over time.

– Minimally invasive

Unlike plastic surgery, dermal facial fillers are a minimally invasive treatment. Not only does this mean that the procedure itself is less drastic than many surgical options carried out by plastic surgeons, but it also makes the treatment shorter than many more intensive options. Depending on the type, a dermal filler procedure will generally take under an hour, meaning that they need not disrupt the everyday activities of the patient. The recovery time is negligible, and that is compared to the rest time of between four to six weeks which is required by surgery.

– Faster than creams

Anti-ageing creams are favoured by some seeking to combat the natural effects of ageing, such as the decrease in elastin and collagen production. While results are possible from these type of cosmetic products, they can take months to appear. These type of creams can be seen as a long-term skincare option, whereas dermal fillers offer results which are almost instant in some cases. All that is required is to inject filler into the right areas.

– Non-permanent

Because dermal fillers are a minimally invasive treatment which typically use hyaluronic acid that the body produces naturally, the effects gradually wear away over time as the acid is reabsorbed. For many, this is seen as an advantage, as it does not require a commitment to permanent surgery. Dermal fillers can be topped up periodically, allowing us to retain a youthful appearance in the long run, without surgery. And it should be noted that the effects usually last up to 18 months, meaning that dermal fillers are not typically required at regular intervals.

– Reversible

If for any reason a patient is not happy with the result of their dermal fillers treatment, there is a simple solution, and that is to reverse the effects immediately. In these cases, an enzyme known as Vitrase is used. It can be injected soon after the procedure and is capable of reversing the effects in a very short time.

Dermal fillers and Botox: What’s the difference?

If you are unacquainted with the range of cosmetic facial treatment options, you might be unsure of the difference between dermal fillers and Botox. The truth is that these two treatments, while similar in some respects, are virtually a world apart in others.

Botox and dermal fillers are both minimally invasive skin treatments with the same general objective of addressing wrinkles, but among the key differences is that Botox can only be effective on facial lines which are the cause of muscle movement, rather than a loss of plumpness. That means that Botox can be effective in treating ‘crow’s feet’ around the eyes, as well as horizontal lines which are found on the forehead. That’s because these lines are caused by squinting or frowning. It will not be effective in addressing ‘static wrinkles’ which are facial contours that are the result of sagging lower down in the face including ‘smile lines’ (nasolabial folds).

It should also be noted that Botox works in an entirely different way to dermal fillers. Botox uses botulinum toxin and serves to block out nerve signals in the muscles when injected into target areas. This has the effect of ‘freezing’ the muscle, and consequently, the lack of movement in the targeted area may soften wrinkles, or reduce them significantly.

 

Prominent Ears – What surgery is available and what techniques are involved?

Cosmetic Clinic Dubai | 10 August 2019

The ears are one of the first parts of the body to reach adult size.  When the ear projects excessively it can be regarded as prominent.  Around 2% of the population feel that their ears stick out too far. The problem is often inherited, and is caused by a lack of the usual cartilage folds in the ear.

Most cases of prominent ears become a problem in early childhood, often relating to teasing at school. Most surgeons advise that surgery for prominent ears is not undertaken until the child is old enough to understand what the surgery involves. At this stage the child is more likely to be cooperative and happy with the outcome. In addition one must consider that not all adults with prominent ears wish them to be corrected. Therefore if one operates on children prior to the acquisition of understanding a proportion will have been subjected to unnecessary surgery. For this reason, and because ear cartilage is often soft in the early years, operations for prominent ears are rarely performed on children under the age of five.

Otoplasty is the term used to describe the surgical correction of prominent ears. Most surgeons recommend that this operation in not carried out until a child’s ears are fully grown, which is usually around the age of eight. Some doctors will argue that the child should be left to decide for themselves. There is no right or wrong answer to this issue each child should be treated individually.

The surgery involves a general anaesthetic for children, although adults may be operated on under local anaesthetic only. During the operation, a cut is made behind the ear close to the groove between the ear and the side of the head. This incision exposes the cartilage, the ear maybe set back by scoring the front surface to weaken the cartilage, removing a small piece of the cartilage bowl (concha)  or by inserting some stitches at the back of the ear to reshape or to rotate it closer to the head. Once this is done, the skin is closed with a stitch and a protective bandage or head garment is usually applied.

 

 

Top Tips for Maintaining Your Cosmetic Surgery Results

Cosmetic Clinic Dubai | 7 August 2019

Cosmetic surgery is an investment. Literally speaking, you are investing money into your appearance and accruing confidence as your results take shape. It’s also an investment of time and energy – and you want to make sure your efforts pay off. Cosmetic surgery procedures boast high patient satisfaction rates, and most patients are thrilled with their results for many years after surgery. However, it’s important to understand that your results require upkeep to stay in shape, and that nothing can fully stop the effects of aging, lifestyle habits, and genetics.

The great news is that there are some things you can do to successfully maintain your results for years to come! Here are some suggestions for maximizing your cosmetic surgery outcomes:

1. A healthy diet & regular exercise are key

Body contouring procedures can transform your curves, providing a more pleasing and proportionate look. While the results may seem magical, the look you see now can only last if you remain at a healthy weight. For instance, fat removal procedures such as liposuction will permanently rid you of targeted fat cells, but if you gain weight, you will see it in other areas as remaining fat cells expand. It’s even more important to keep your weight within a stable range if you’ve had a surgical lifting procedure (such as tummy tuck or body lift)—you’ll want to avoid stretching your skin again and nullifying the improvements you worked hard to achieve. The best way to maintain body contouring results is to continue exercising regularly and eating a healthy diet. The good news is that sticking to this rule will also help you feel great and improve your overall health, in addition to helping you retain the look you love after surgery. Cosmetic surgery recovery can be a challenge for active patients, as required recovery time will put a damper on your regular exercise routine. Don’t become discouraged and know that it isn’t abnormal to gain a little weight during your recovery period. Eating the right things and introducing non-strenuous activity when it’s safe can help keep you healthy and make getting back to the gym easier once you’re healed.

2. Good skin practices make a big difference now and later

Immediately after your procedure, proper care makes a big difference in scarring. And as time goes by, great skin care will help your results look as good or better than ever. First off, scarring is a necessary aspect of many surgeries and while your surgeon will take care to place your incisions where they can be most easily hidden, making sure they heal optimally and fade nicely over time is partially in your hands. First, it is critical to follow any postoperative activity restrictions; these rules will help you avoid straining your scars, which could cause them to become wider or more visible. Secondly, be sure to protect your incisions in the sun, keep the area clean, and use the topical scar care creams and ointments recommended by your doctor. Later on, the right medical-grade skin care products can help enhance and maintain your cosmetic surgery results, particularly when it comes to facial procedures. Good skin care is so helpful that many surgeons have an aesthetician on staff to guide their patients to the right products for their skin. Even if you have an existing skincare routine, it’s best to ask about your products and see if you should adjust anything going forward. Follow your surgeon’s aftercare instructions to the letter. There are a number of holistic scar care products on the market making unsubstantiated claims—and some of these can even cause wound healing problems. Save yourself the time, money, and potential harm by only using what is recommended by your cosmetic surgeon.

3. Healthy habits inside & out

What you put in and on your body not only impacts your surgical results, it can make a huge difference in your overall health. For instance, most board certified cosmetic surgeons require patients to quit smoking tobacco for at least a few weeks before and after surgery. Nicotine greatly impacts your body’s ability to heal, resulting in prolonged recovery times and, potentially, complications that can lead to pain, bleeding, and more visible scarring. Excessive alcohol consumption is another pitfall you’ll want to avoid; there are a number of health drawbacks to overdoing it when it comes to drinking. Be honest with your surgeon about your lifestyle habits. Let him or her know if you smoke, how much you drink, any medications you are on, and even what supplements or vitamins you use both internally and externally. Your surgeon will let you know the steps you should take to prepare for surgery and what to avoid to ensure your results are optimal.

Maintaining lifelong healthy habits after surgery may be easier than you think

The good news is that many patients feel so much better about themselves and are so inspired by their improved appearance that they find extra motivation to maintain healthy habits after a cosmetic procedure. So go ahead and relish your new found confidence and see what it inspires you to do for yourself!

WHAT IS A BLEPHAROPLASTY?

Blepharoplasty Dubai | 4 August 2019

The eyes have a dramatic impact on appearance and can let others know how we feel – whether we are happy, sad, angry, or tired. They are one of the first things we notice and they have a great deal to do with how others perceive us as they glance at our facial features. Eyes with excessive or sagging skin are frequently associated with a perception of old age (even when they occur in a young per- son) and tiredness.

Unfortunately the eyes are often one of the first areas on the face to show telltale signs of aging. Over time, the eyelids may begin to droop and sag. Bags can form under the eyelids making it hard to feel alive and vibrant. The loose skin over your eyes and the fat bags under your eyes may be making you look more tired and older than you feel inside.

Cosmetic eyelid surgery, or blepharoplasty, is an operation (actually, a set of operations) for your eyelids designed to maintain the appearance of your eyes. Surgery of the eyelids, blepharoplasty upper and lower, can correct sagging eyelids, remove fatty pouches beneath the eyes and remove excess skin from the upper eyelids. The result is a brighter, more alert, and rested appearance.

Blepharoplasty is an operation performed on the eyelids (upper, lower or both) which involves the removal of skin and soft tissue, resulting in a fresher more youthful appearance to the eyes and entire face. The blepharoplasty procedure is done to reduce the heaviness around the eyes. This can be associated with skin, fat, and muscle excess both to the upper and lower eyelids leaving patients with a tired appearance even though may feel well rested. Blepharoplasty is often done as an elective surgery for cosmetic reasons. Lower eyelid blepharoplasty seeks to improve puffy lower eyelid “bags” and reduce the wrinkling of skin. Blepharoplasty is sometimes needed for functional reasons. When an advanced amount of upper eyelid skin is present, the skin may protrude over the eyelashes and causes a loss of peripheral vision. The outer and upper parts of the visual field are most commonly affected and the condition may cause difficulty with activities such as driving or reading. In this circumstance, upper eyelid blepharoplasty is performed to improve peripheral vision.

Top tips when considering cosmetic surgery

Cosmetic Clinic Dubai | 1 August 2019

1 Make sure you have clear reasons for wanting cosmetic surgery and ensure these reasons have been made by you and you alone. Spend some time considering whether surgery is right for you.

2 Try to be certain it will improve your well being and quality of life and consider whether now is the right time

3 Ensure you receive a professional opinion to provide you with sound clinical advice. Your consultant plastic surgeon should be certified and highly experienced.

4 Find out about the surgeon’s clinical history. What are your surgeon’s results like? Do they publish corrective surgery statistics and collect patient satisfaction data?

5 Consultations are very helpful if you’re not sure of your options.  

6 Ensure you feel at ease with your consultant. Are they courteous and professional? Do they understand your concerns and desired outcomes? Do they clearly explain your options? Do they take photographs with signed consent?

7 Research the procedure you intend to have thoroughly, ensuring you are aware of any possible complications. Your surgeon should not shy away from explaining the risks or complications of your procedure.

8 Be clear of your desired outcomes and ensure you understand what results you can expect.

9 If you are having implants, make sure you know how long they will last and if they will need to be replaced? Will there be any future costs?

10 It is important to have the support you need before surgery, but have you considered post-surgery? What aftercare will be provided and who should you contact if you are concerned?

11 Discuss prices beforehand.

12 Don’t feel pressurised to proceed after your first consultation, make sure you have a good think about whether surgery is right for you. It’s always advised to have a cooling off period to be 100% sure.

PREPARING FOR A TUMMY TUCK

Tummy Tuck Dubai | 30 July 2019

A tummy tuck (abdominoplasty) is an operation to remove excess fat and skin from your abdomen (tummy) and to tighten your abdominal muscles. The results of a tummy tuck can be long lasting. You can help this by keeping to a healthy weight after your surgery.

There are lots of reasons why people have this type of surgery, including having weaker abdominal muscles after pregnancy or having previously lost a lot of weight.

You should always meet the surgeon carrying out your procedure to discuss your care. It may differ from what’s described here as it will be designed to meet your individual needs.

PREPARING FOR A TUMMY TUCK 

I will always explain how to prepare for your operation. For example, if you smoke you will be asked to stop up to eight weeks before your surgery. Smoking increases your risk of getting a chest and wound infection, which can significantly slow your recovery. Coughing from a chest infection will make recovery much more painful. Smoking also reduces the amount of blood that reaches your skin, which means your wounds may heal more slowly.

I may also advise you to:

– lose excess weight – you should be as close to the ideal weight for your height as possible before your operation

– stop taking the contraceptive pill four to six weeks before your operation, to reduce the chances of a blood clot (thrombosis) – make sure you use an alternative method of contraception

You have tummy tuck surgery under a general anaesthetic. This means you’ll be asleep during the operation. Before a general anaesthetic, you are normally asked not to eat or drink for six hours beforehand. I will give you specific advice on what you may or may not eat or drink and for how long before the operation.

i will make sure you understand what will happen before, during and after your operation. They’ll also explain what to expect when you wake up and what level of discomfort or pain you might have. This is your opportunity to ask any remaining questions you have about the risks, benefits and alternatives to the procedure. This will help you to be informed, so you can give your consent for the operation to go ahead. 

I may ask you to wear compression stockings from the time of your operation until you are fully up and about again. This helps to prevent blood clots forming in the veins in your legs.

10 THINGS TO DO (AND NOT TO DO) TO PREPARE FOR TUMMY TUCK SURGERY

 

Tummy tuck surgery or abdominoplasty is a major surgical procedure requiring some preparation to help ensure a safe and smooth surgery and recovery. I can offer a list of do’s and don’ts to be followed as part of preparation. I am an experienced plastic surgeon providing tummy tuck and other procedures to patients in Dubai and surrounding locations.

Do’s

Create a Strong Support System around Yourself 

When you undergo tummy tuck surgery, chances are that you may experience severe emotional ups and downs or mood swings. These emotions can range from a feeling of depression to elation. You should enlist the support of close family and friends who can devote some time and effort to take care of you.

Stay Committed to the Healing Process

Tummy tuck procedure will involve at least one to two weeks of downtime, depending on the surgical technique. It will take another several weeks for the swelling to subside completely and for the patient to feel completely “normal” again. Patience, focus, and follow-ups are essential through this journey for a sound and sustainable recovery.

Get Involved in Healthy Relaxation Activities

Read books and magazines, surf the Internet, watch movies at home and perform mild household activities in the first two weeks after tummy tuck surgery. Do not return to work too early, and maintain a relaxed schedule for a few days.

Maintain Close Communication with the Surgeon 

Prior to the tummy tuck surgery, you should share all relevant health information, habits and other concerns frankly with me. After the procedure, if you experience any abnormal pain or other signs, or have any doubts, do not hesitate to speak with me.

Eat a Healthy, Protein-rich Diet

Prior to abdominoplasty, start taking a high protein diet about two to four weeks in advance. Continue this diet even after the surgery for a few weeks under the guidance of a nutritionist. Make sure you are not constipated and avoid any crash dieting.

Don’ts

Use Any Form of Tobacco

If you consume tobacco in any form, stop using it at least four to six weeks before and after the tummy tuck surgery. Smoking and other forms of tobacco will create poor healing, and may increase the risk of bleeding during surgery.

Avoid Rapid Weight Loss

If you have been trying to lose weight through special crash diet formulas, weight loss drugs or other means, you will have to stop it several weeks prior to the surgery. Maintain a stable, healthy body weight as far as possible before tummy tuck surgery.

Don’t Use Herbal Meds and Aspirin

Stop the use of any blood thinners such as aspirin or motrin at least two weeks before tummy tuck surgery. If you are taking herbal medications, vitamin E supplements, or certain prescription drugs, they may have to be stopped as well.

Be Regular on Your Bowel Regimen

Eat plenty of fibrous foods and natural fruit and veggies, exercise daily, and stay regular on your bowel regimen prior to the tummy tuck surgery. In case you get constipated following the surgery from medications and the anesthetic, you can tolerate it for a while until your mobility improves.

Arrange for Transportation and Aftercare

Arrange in advance for someone to drive you back home after the tummy tuck procedure, and if needed, hire some help for a few days during post-operative recovery. 

Choosing Breast Implant Measurements

Breast Augmentation Dubai | 28 July 2019

There are multiple factors that go into determining the best implant size for you. Breast measurements, desired size, characteristics of your breast, tissue and chest wall are all critical in making the right selection.

Breast implants are measured in cubic centimetres. That’s why you’ll typically see CC when labeling size, like 350CC. Breast implants come in a whole range of sizes, from about 80CC up to 800CC. Obviously, the higher the number, the bigger the breast implant size. The width of the base also varies, fom 7.4cm to 17.2cm.

Don’t measure your breast size by your bra

Bra cup size is not an accurate way to measure breast size. It is imprecise, because bra sizing standards vary from manufacturer to manufacturer and even country to country. Despite being labeled the same cup size, the actual volume may be different. That’s why it’s best if you bring in the exact bra you want to wear after your surgery to your sizing session.

How I help determine a proportionate implant size

From a medical standpoint, it’s important that I also consider your specific body measurements when deciding on what size is right for you. An overly large implant can cause complications, both right after surgery and a few years down the road. Such complications include separation of incision lines and excessive sagging. However, I also understand that an overly small implant won’t improve your body contour sufficiently.

Measurements, like your shoulder width, height and ribcage width is used to determine a range of implant sizes that would achieve proportionate improvement as well as reduce your risk of complications.

Factors that you should consider when choosing breast implant measurements

There are multiple factors that come into play when selecting the right implant size. If you don’t carefully pre-plan, you could run into situations in life that would adversely affect you and your new implants. You should take into consideration the following when selecting your implant size:

Fitness and exercise

Do you like to exercise regularly? If so, perhaps it’s best to stay conscious of the fact that breasts over a certain size can make some physical activities more difficult or cumbersome, such as running and tennis.

Your personality

Are you the type of person that likes to attract attention, or are you more quiet and reserved? The larger the implants, the more attention you could attract. You may want to opt for a slight increase in size, just enough to balance out your body contour for a more natural look.

Be true to yourself

You shouldn’t base your decision on breast size based on an actress that you saw on the internet. They are not you. You should select a size that accurately reflects your own personality and lifestyle. Don’t base your chosen size on how your girlfriend looks, either. Her body is different and the breast size she has may not look very flattering on your body.

Communicate effectively with your doctor

A breast implant consultation is a two-way street. You need to express your expectations and it’s my job to understand them so I can help you achieve them. If you feel that your concerns are not being addressed, don’t be afraid to ask for more clarification or explain your situation further. I’m here for you!

Know what you want

You should not agree to undergo the surgery until you’re confident that you’ll like your new look and size. If you have any doubts prior to your surgery, talk to me about them! We can also schedule another in-clinic implant sizer session.

As you can see, there are many factors that you need to take into consideration when selecting your implant size. You shouldn’t choose a size because it looks good on a friend or celebrity. You should select a size that is right for you. The process is personal and while you should take your doctors suggestions into consideration, you have the final say in the size you select.

Answer your surgery doubts

Unsure of the difference between 300cc and 400cc? Want a natural result? Wondering how you will look after surgery? Want to look like a specific celebrity? Discover your new you  with Crisalix – the leading VR 4D & 3D imaging solution among plastic surgeons around the world. Crisalix carries out ongoing post-consultation and surgery studies with patients to measure their level of satisfaction.

BOTULINUM TOXIN ANTI-WRINKLE INJECTIONS  

Fillers in Dubai | 26 July 2019

Botulinum toxin anti-wrinkle injections work by relaxing the facial muscles responsible for wrinkles. When used appropriately, botulinum toxin is a great solution for reducing the appearance of wrinkles around the face. In particular, it is highly effective in the lip, forehead and eye areas. I always undertake a detailed medical consultation to assess your general health and requirements. After which, if it is deemed safe and appropriate then I can offer botulinum toxin anti-wrinkle injections as a treatment.

Procedure Preparation

In preparation for botulinum toxin treatment, or any injectable procedure, bruising can be minimized by discontinuing aspirin and any medication or dietary supplement that has anticoagulant effects two weeks before treatment.

Aftercare

Patients are advised to avoid lying supine following treatment for four hours. They are also advised to avoid massaging or applying heat to the treatment area, and to avoid activities that cause flushing (such as exercising heavily, consuming alcohol, and hot tub use) on the day of treatment. 

Results and Follow-Up

Partial reduction in function of the targeted glabellar complex muscles is seen by the third day after botulinum toxin injection, with maximal reduction visible two weeks after injection. Return of muscle function is gradual, typically three to four months after treatment. Subsequent treatment is advised when muscle contraction is visible in the treatment area before facial lines return to their pretreatment appearance. After multiple treatments, botulinum toxin effects may be prolonged and, for some patients, treatment intervals can be extended beyond three to four months.

What are botulinum toxin injections used for?

Botulinum toxin injections are most commonly used for:

Frown Lines  

Lines around the eyes (crow’s feet)

Horizontal forehead lines

Nasal scrunch or squint lines

Lines on neck

Botulinum toxin is also used in small amounts in a number of other areas on the face depending on the way your muscles of facial expression work. It can raise the outer part of the eyebrow if it is sagging, lift the corners of the mouth, and help to smooth out dimpled or cobblestoned chins. Generally it is not used in the lines around the mouth, usually because it might be difficult to speak and eat. 

What is botulinum toxin?

Botulinum toxin is an injected liquid used to treat frown lines, squint and smile lines, nasal crunch lines, and horizontal forehead wrinkles. By relaxing the underlying muscles, these lines become less deep.

Botulinum toxin has been used to treat thousands of patients medically and cosmetically over 20 years. Botulinum toxin is produced in a lab by a bacterium called “Clostridium botulinum”. It has been purified under very strict controlled conditions. The Botox brand of botulinum toxin is made by Allergan, a company with a twenty-year history of making this product safely.

When injected into a small facial muscle, it doesn’t travel anywhere else in the body. It gradually wears off naturally over a 3-6 month period.  There are other forms of botulinum toxin now being produced by other companies. 

How long do the effects of botulinum toxin last?

Most patients find that the effects of botulinum toxin injections last approximately 3-6 month . Most of my patients come 3-4 times the first year and then 2-3 times a year after that. After the muscles have been relaxed for a while, it takes less to maintain that relaxation. But every patient is an individual, and there is no knowing exactly how you will respond.

How long does botulinum toxin take to work?

The effects are may be first noticed in 72 hours but it may take up to 7 days to maximize the effect. You may be asked to return after the first treatment so that I can assess your response. The first set of botulinum toxin injections may only give a partial response. This is common and complete relaxation may be noticed after the second or third treatment.

Do botulinum toxin injections hurt?

Botulinum toxin is injected with a very small needle (like an acupuncture needle), so it causes very little pain upon injection. Botulinum toxin does not cause irritation or inflammation. Occasionally, patients have noticed that there is a mild stinging sensation.

Are there any people who should not receive botulinum toxin?

Botulinum toxin injections should not be given to pregnant women, nursing mothers, or patients with neuromuscular diseases like myasthenia gravis, Lambert-Eaton syndrome, ALS (Lou Gehrig’s), or motor neuropathy should not use botulinum toxin. Patients who are allergic to human albumin (different than an egg allergy) should not use botulinum toxin. It is not recommended in pregnancy or nursing because it has not been tested.

Are there any medical side effects?

Side effects include bruising, eyebrow or eyelid droops, and a temporary headache, and rare flu-like symptoms have been reported. Many of the side effects that are listed for botulinum toxin are seen when large amounts are injected for medical purposes as opposed to the small amounts used for cosmetic purposes. Very rare allergic reactions have been reported.

Cosmetic side effects of botulinum toxin?

We’ve all seen these – and with celebrities too frequently. Basically, these problems are due to either a inexpert injector or a patient who insists on this look despite all evidence that it looks bad! With an expert, experienced doctor or nurse injecting, these potential problems should be rare or nonexistent.

Does Botox interact with other drugs?

Very rarely. It is always important to let me know if you are taking other drugs.

TUMMY TUCK – TIPS FOR RECOVERY

Tummy Tuck Dubai | 23 July 2019

If you’re considering having a tummy tuck or have one planned, it’s important to consider what the recovery will involve. Your recuperation will depend on several factors, including your age, health, and body weight. It will also depend on the type of tummy tuck you have.

It’s natural to want to bounce back to normal after your surgery, but it’s important that you give your body time to heal. You may only need to stay in the hospital for a few hours after the surgery, or I may have you stay for one night or longer. And once you leave the clinic, the real recovery begins. Here’s what you need to know.

TIMELINE FOR RECOVERY

You’ll want to figure out a time frame for your recovery so you have ample time to heal and can take a break from certain aspects of your life. Make sure you make the proper arrangements and are fully prepared for your recovery period.

Your drains will be left in for a few days after the surgery. You’ll be shown how to take care of and empty the drains. You’ll likely need to take an antibiotic and an anticoagulant while your drains are in place.

You’ll wear an abdominal binder for about six weeks. This helps to avoid fluid buildup and helps to support your abdomen.

While the recovery period is usually shorter for a mini-tummy tuck, you’ll still need to avoid strenuous activity for at least six weeks. This includes any vigorous exercise or heavy lifting.

WHAT TO EXPECT AFTER YOUR SURGERY

I will properly brief you about how to recover at home.

You will be guided:

how to care for incisions and drain tubes

what to be aware of in terms of infection or overall health

what to avoid in terms of physical activity that affects your incision line for six weeks

when you need to see me again

how long to wear the abdominal pressure garment

how much to rest

what you can eat

You’ll need to have someone who can drive you home from the hospital and help take care of you for at least the first few days after your surgery. You can shower 48 hours after you remove your drainage tubes. You may want to take a sponge bath until you can shower. You may be advised to use a chair when showering for some time.

You’ll be prescribed an antibiotic and possibly an anticoagulant. You may be given some type of medication to apply to the skin. Take any pain medication as directed. You shouldn’t take any medicine containing aspirin unless directed by your doctor.

You should also avoid alcohol if you’re taking pain medication, and avoid any form of nicotine for at least six weeks. Smoking can hinder the healing process and may cause complications.

GUIDELINES FOR AT-HOME RECOVERY

You may need to sleep on an incline for the first few days after surgery. Keeping your upper body raised slightly with your knees bent at an angle can help reduce swelling. Putting pillows underneath your knees can also reduce pressure on your abdomen. Your doctor will advise you on this.

Keep moving after your surgery, even if it’s only a bit of walking. This will help to keep your blood flowing, which helps with the healing process and decreases the chances of a blood clot in your legs.

I will also tell you how to find an optimal resting position that will be most comfortable. Rest as much as possible since you may feel tired for weeks or even months.

It’ll be several weeks before you are fully back to normal. You won’t be able to drive for a few weeks. You’ll also have to limit strenuous exercise and demanding physical activity for four to six weeks. I can help you decide what activities you can perform and how long you’ll need to take off work.

POSSIBLE PHYSICAL SIDE EFFECTS

Most of the intense pain will be in the first few days following surgery. You can take pain medication to control the pain you are likely to experience. You may experience swelling for up to three months after the surgery.

Your tummy may feel like it’s being pulled when you try to stand up straight. You may feel numbness in your tummy for months or even years. It’s normal to have bruises in your abdominal area. You may have fluid-filled swelling above the scar, but this will go away. Your scar may be red and raised, but it will eventually fade.

TIPS FOR RECOVERY

Taking steps to ensure a healthy recovery is important. You’ll want to be as healthy as possible during this time.

Set up a comfortable space where you can relax and have your needs met. Allow yourself to rest fully for at least two weeks and make sure not to push yourself to do anything physically before you’re ready.

You’ll want to drink plenty of water to flush your body of toxins and reduce swelling. Keep your diet as healthy as possible. Include as many fresh fruits and vegetables as possible.

I recommend the following:

Take vitamin A and vitamin C supplements.

Drink green tea to boost immunity and antioxidant levels.

Take a probiotic supplement.

Eat pineapple and papaya to reduce bloating and inflammation.

Use arnica to reduce swelling, bruising, and pain.

Take a staphysagria supplement to heal your incision.

Take a phosphorus supplement or drink ginger tea to relieve nausea.

TUMMY TUCK RECOVERY

There’s a lot to consider as far as tummy tuck recovery goes, but all of it is attainable and manageable. It just requires that you consider and plan for all aspects of this healing process, including the time frame.

It’s a slow process, so focus on getting better each day as you move toward your intended goal of full recovery. Be sure to check in with me if you have any questions or concerns.