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FAT DISSOLVING INJECTIONS… DO THEY WORK?

PLASTIC SURGERY DUBAI | 8 March 2022

Want to get rid of some stubborn fat in some area of your body or the face? Now the solution is just a step away with our fat dissolving injection which can guarantee you a result in few sessions. Pain free treatments with amazing result for those who don’t want to have surgeries or more invasive procedures.

With few injections you can target the area you want to reduce, such as the double chin, small area of the abdomen, flanks, hips or knees. A minimal redness and swelling after the procedure for a couple of days is considered normal and it means that the product is active and working. The results appear after 2-3 weeks and a minimal series of 3 treatment is able to guarantee the desired result. There is enough scientific data proving the effectiveness of adipocytolytic injections to reduce unwanted fat depots. These treatments are safe, with minimum side effects and almost no interference with our patients’ daily activities.

FAT DISSOLVING INJECTION TREATMENT

Fat dissolving injections can help you to achieve a slimmer, more contoured body shape, with long-lasting results of between two and four years. The results are even longer if you maintain a healthy diet and regularly exercise!.  Like with all new treatments though, it’s important to understand exactly what is involved before rushing in. Here’s all you need to know about fat dissolving injections: 

THEY ARE SAFE

Chin sculpting injections contain a synthesised deoxycholic acid that occurs naturally in the body and aids in the breakdown and absorption of dietary fat. General fat dissolving injections contain a substance called phosphatidylcholine (PC). Again, this is a natural compound derived from soybean. Both are safe to use and are naturally broken down by the body over time.  

SIDE EFFECTS ARE RARE

Side effects of fat dissolving injections are rare. You may experience swelling, bruising, itching, pain, sensitivity to pressure and excessive warmth at the injection site however, this is usually resolved within three to five days. 

PAIN IS MINIMAL

As with all treatments that involve needles, the injections may sting for a few seconds, but generally, pain is minimal with our chin sculpting and fat dissolving treatments. Dr. Vigo offers the option of applying a topical numbing agent to the treatment area to minimise discomfort.  

THERE IS DOWNTIME

The biggest thing to note with fat dissolving injections and chin sculpting injections is they do require a bit of downtime. Both treatments recommend taking it easy for three to five days.  

WHAT IS AQUALYX?

Aqualyx is made up from a number of different plant based compounds that have been refined in a lab environment. Aqualyx dissolves the membranes of fat cells in the treated area. The fat cells become unstable and break open. The fatty acids contained within the cell are then eliminated by macrophages (part of the body’s immune system) and the liver.

IS AQUALYX SUITABLE FOR ME?

If you are maintaining a healthy lifestyle and are close to your ideal body weight, but have isolated stubborn areas of fat then Aqualyx might be suitable. Popular areas that we treat are double chins, moobs, saddle bags, inner thighs, cankles and abdomen – including defining a six pack. If you have significant weight then Aqualyx is not suitable for you, but other body contouring treatments we offer maybe. If you have recently lost significant weight then the area concerning you may be loose skin which we can improve with skin tightening treatments. A consultation with Dr. Vigo will determine the correct treatment plan for you.

ARE THE RESULTS PERMANENT?

Whilst the body can regenerate fat cells – the process is very slow. So once fat cells are removed from a localised area your results are as good as permanent. However, if you do not continue to maintain a healthy lifestyle then your body will put on weight in other areas of your body where fat cells remain.

WHAT IS INVOLVED IN RECOVERY?

Immediately after treatment you may appear red and swollen with some bruising on the treated area. Aqualyx works by causing an inflammatory reaction in the fat cells which can result in swelling for 3-5 days. Therefore, if you intend to have a facial treatment, e.g. double chin where the swelling may be obvious, you may wish to organise time away from work or social engagements. You will be able to reduce the swelling by using a cool pack wrapped in a clean cloth for a maximum of 20 minutes each day.

GYNAECOMASTIA – MALE BREAST REDUCTION SURGERY

PLASTIC SURGERY DUBAI | 6 March 2022

Although there is no definitive cause of gynaecomastia, the condition is thought to be the result of hormones circulating in specific cells in the breast area. As such, symptoms of the condition are generally apparent after puberty, although the condition may be visible at birth.

An imbalance of the ratio of male and female hormones in the body is also thought to contribute to the development of the condition. While in the majority of cases the cause of gynaecomastia is developmental, in some instances the condition is linked to the use of substances such as anabolic steroids or marijuana.

Often, the condition may be genetic or hereditary, or as a result of organ disease.

Some men find that one or both breasts may be abnormally large. Known as gynaecomastia, this condition can result from a hormone imbalance or from being very overweight, which can increase levels of oestrogen and cause breast tissue to grow. Breast reduction surgery is an option for men with this condition. It may also be used to tighten the breast area after dramatic weight loss that has caused the skin to sag. However, it is not suitable for men whose large breasts are simply excess fat from being overweight.

Some cases of gynaecomastia will get better without any form of treatment. If one of your medications is thought to be causing the gynaecomastia, it may improve with changing or stopping a particular tablet. Whilst gynaecomastia itself can be uncomfortable and unsightly, it is not dangerous and no harm will come from having it. When cancer has been ruled out, many men are happy to have no treatment. Another form of treatment is to have medication. These medications are often good at reducing discomfort and sensitivity but may not reduce the size of the breast. The third form of treatment involves surgery to your breast.

SURGICAL TREATMENT OF GYNAECOMASTIA

There are three main surgical procedures which can be undertaken:

Liposuction

Liposuction is used to remove the fatty tissue under a general anaesthetic. Small incisions (cuts) are made on the chest wall. A small metal tube (cannula) is used to suck out the fatty tissue. The incisions are then sutured to give a flatter, firmer and better-contoured chest. Any stitches will be of the dissolving type and so do not need to be removed.

Excision of gynaecomastia

In excisional surgery, I will make a cut around the nipple to remove the breast tissue. This may be combined with liposuction of the breast tissue at the same time.

Male breast reduction

If the breast is very large more tissue and skin may have to be removed. This will give more scars. The degree of scarring will depend on how much skin needs to be removed. I will advise you about this.

AFTER SURGERY

After surgery for gynaecomastia your breasts will look discoloured and feel firm and swollen. Bruises can occur. You may need to have a drain (a fine plastic tube) inserted into the breast during the operation. This will be removed by the breast care nurses seven days after your operation. You should be able to go home the same day. You may be advised to wear a corset for up to four weeks after the operation to help with the swelling. You will not be able to drive home after your operation and it may be two to three days before you can drive.

The dressings can be removed after 7-10 days and you should be able to return to work after one weeks. For the first three weeks after the operation, don’t lift anything heavy or do heavy manual work. Most men resume normal activities within two to three weeks. 

FOLLOW UP

You will be given an appointment to return to the clinic in 7-10 days where the dressings and drain(s) will be removed and the wounds inspected. You will also be reviewed after your surgery once the bruising and swelling has completely settled.

If liposuction is performed and only fat is removed, weight gain can make the gynaecomastia return. If the breast tissue itself is removed, as in the excision surgery or male breast reduction there is a chance the breast tissue can regrow. You will have medical photography before and after surgery of your chest. There will be nothing which will identify you to anyone else on these and they are used as a record of your treatment.

PRP: HAIR RESTORATION & SKIN REJUVENATION TREATMENT

PLASTIC SURGERY DUBAI | 4 March 2022

Platelet Rich Plasma or PRP is obtained from your blood and injected into your tissue wherever tissue regeneration is needed. Over the last decade, autologous PRP has been successfully and extensively used in sports medicine to regenerate tendon injuries, muscle injuries, worn out cartilage in aging joints; in general surgery to promote faster healing of  large surgical scars and in the field of cosmetic and anti-aging medicine for skin rejuvenation and hair regeneration.

Autologous PRP provides a safe and very effective regenerative treatment option but unfortunately not everyone is a candidate for PRP cosmetic regenerative treatments. Below are some of the absolute and relative contraindications to PRP treatments:

Absolute Contraindications to PRP Regenerative Therapy:

Platelet dysfunction syndrome

Critical thrombocytopenia – very low platelet count

Hemodynamic instability – very low blood pressure

Septicemia or local infection to injection site

Relative Contraindications to PRP Regenerative Therapy

Aspirin and other NSAIDs use within one week of the PRP therapy.

Corticosteroid injection at treatment site (1 month)

Systemic use of corticosteroids (2 weeks)

Cancers (hematopoetic-blood or bone)

HGB < 10g/dl or platelet count < 105/ul

I do not want you to stop taking your aspirin or blood thinner medication if you are taking these medications for heart condition and for stroke prevention. If you are taking any of the medications for a serious medical illness, you will need to pause the medications under your physician’s care and obtain a medical clearance letter before your PRP therapy.

Cosmetic PRP Therapy Treatment harnesses the healing ability of your blood to regenerate healthy new tissue in the treatment area for natural improvement of common skin concerns and thinning hair.

HOW LONG DOES THE PRP PROCEDURE TAKE?

The treatment will take around 30-40 minutes.

 

HOW MANY PRP TREATMENTS WILL I NEED?

For the best result, we recommend up to three treatments, 4-6 weeks apart, with top-ups at 6-24 months.

 

WHAT RESULTS CAN I EXPECT FROM PRP REJUVENATION TREATMENT?

You should notice fullness and improvements in skin texture and tone are noticeable within 3 weeks. Full collagen regeneration takes 3 months. Mild swelling may be seen immediately. Over the days and weeks, the platelets will release growth factors and pre stem cells which will assist in more collagen growth.

 

WHAT HAPPENS DURING YOUR TREATMENT OF PRP

Dr. Vigo will assess your skin condition, and come up with an action plan together. We will then perform a simple skin sample, and recommend a sensible treatment with a reasonable outcome. Pre-treatment photographs are taken.

 

Your skin is cleansed and prepared. Local anesthetic cream is applied to minimize pain.  Blood is taken from your arm and placed in a test tube which is then centrifuged.

 

The Platelet Rich Plasma is then prepared and activated. It is then initially injected into the areas discussed prior to treatment. The remainder of the plasma is then injected all over the rest of the skin area to be treated.

PRP facial rejuvenation can be a one-off treatment, but further micro-injections can be re-performed at 4-6 weekly intervals for lines and wrinkles if the client desires this. It can also be used as part of a treatment program.

 

ARE THERE ANY POSSIBLE SIDE EFFECTS OF PRP TREATMENT TO SKIN REJUVENATION?

Minimal swelling is to be expected, bruising and redness for 12-24 hours. A bruise at the needle site may be visible for 2-3 days.

 

ARE THERE ANY POSSIBLE SIDE EFFECTS OF PRP TREATMENT TO SKIN REJUVENATION?

Results are normally visible at three weeks and improve gradually over ensuing months with improvement in texture and tone. This is due to the cause of action of the injected platelets and growth factors.

  

Results may not be visible immediately. You may notice swelling from the fluid is what you will see and feel first. Once the swelling has subsided you will not see much change at all. Over a few weeks, the platelets will stimulate the growth factors which will assist in more collagen growth.

 

HOW MANY PRP TREATMENTS ARE REQUIRED?

This will depend upon the health and age of your skin. Normally it is advised to have 2-3 treatments, 4-6 weeks apart. However, your clinician will determine your treatment protocol according to your skin condition.

 

HOW LONG DO THE RESULTS LAST?

Treatment results vary, however, in most patients the results last up to 18 months. Touch-up treatments will maintain the results. 

 

WHO SHOULD NOT HAVE PRP TREATMENT?

Heavy smokers

Platelet Dysfunction Syndrome

Critical Thrombocytopenia

Hypofibrinogenaemia

Haemodynamic Instability

Sepsis

Acute and Chronic Infections

Chronic Liver  Pathology

Anti Coagulation Therapy

A person with Skin Disease or Cancer

Severe Metabolic and Systemic  Disorders

Hair loss treatment Birmingham

CLINICAL RESEARCH ON PRP TREATMENT EFFICACY FOR SKIN AND THINNING HAIR

Platelet Rich Plasma is obtained by processing your blood in a centrifuge to get a concentrated mixture of your platelets. Platelets are small cells in your blood that are responsible for your body’s healing response to injury. Upon any injury, your platelets release a minimum of eight growth factors which initiate a cascade of events leading to regeneration of healthy tissue to repair the injured area. High-quality PRP leads to the appropriate growth factor release which results in healthy tissue regeneration for rejuvenated skin and thicker hair when injected in these sites.

PRP THERAPY FOR SKIN

Cosmetic regenerative PRP therapy provides growth factors from your own blood to optimize your wound healing and is used for several non-surgical cosmetic skin treatments to enhance the results of your cosmetic skin treatment. I love the natural results from regenerative PRP skin treatments for improvement of several common cosmetic skin problems such as; skin aging,  acne and other scars, stretch marks, melasma and other hyperpigmentation disorders. I often combine your PRP with different types of skin treatments specific to your needs to help you achieve your personal best for your skin needs. 

PRP SKIN SURFACE REJUVENATION AND PHOTODAMAGE REPAIR

PRP injection into the dermis (middle layer of skin) and application of PRP topically with Micropen microneedling skin treatment may improve skin surface aging, fine lines, pigmentation, texture and skin tone.  

PRP SKIN TIGHTENING AND PRP DEEP WRINKLE REDUCTION

To address the signs of deeper skin aging such loss of skin elasticity, deep wrinkles and folds, which present as jowls, sagging of the eyelids, sagging of the skin below the chin, deep nasolabial folds and so forth, I recommend a deeper skin tightening and collagen building treatment. The injection of PRP into the dermis and application of PRP topically with the MFR skin treatment can improve skin tightness, build collagen to lessen the appearance of deep wrinkles, deep folds, jowls, tighten the neck skin and lift the eyelids.

PRP WITH DERMAL FILLERS FOR VOLUME ENHANCEMENT

For areas with mild to moderate volume loss below the skin such as the age-related thinning of the back of hands, deep under-eye circles and loss of facial volume, PRP injections below the dermis can be combined with a dermal filler for volume replenishment. The advantage of PRP is that the regenerative response of your body leads to an improvement in the skin texture, firmness and tightness with healthy new tissue along with the volume that is replenished with the dermal filler. I see this effect most noticeable in the under eye area.

PRP HAIR LOSS THERAPY 

PRP hair loss therapy is an effective treatment option for increasing hair density in individuals with certain types of hair loss disorders*

PRP hair loss therapy alone is effective in improving hair density and quality when injected into the scalp of men and women with early and mild androgenic alopecia and with telogen effluvium (after correcting the triggers of telogen effluvium). PRP hair loss therapy is effective in increasing hair density and hair quality in individuals with more advanced androgenic alopecia and androgenic alopecia lasting longer than 5 years. PRP hair loss therapy alone does not lead to hair regeneration in individuals with advanced hair loss with scarring and those with complete loss of hair follicles.

*Individual results vary with genetic, hormonal, environmental and other influences

BELIEVABLE BEAUTY WITH BOTOX TREATMENTS

BOTOX DUBAI | 1 March 2022

When it comes to Botox and other non-invasive cosmetic procedures, experts in the field believe that less is more. Every procedure has an undesirable consequence, so people need to understand the necessity of less is more, and only have treatments where the positive outweighs that consequence.

If you can tell someone has had work done, it’s been done wrong. The results of a ‘less is more’ approach rest on knowing exactly where to put these minuscule measures of Botox to deliver the desired results.

Many people think that the aim of Botox is to get rid of lines, but it’s not – It’s far more important to look at the face as a whole, aiming to subtly lift key points using small amounts of Botox to create a fresher appearance.

BOTOX DUBAI 

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.

HOW SHOULD I PREPARE FOR BREAST AUGMENTATION?

Breast Augmentation Dubai | 28 February 2022

In preparing for breast augmentation, you may be asked to:

– Get a blood test
– Take certain medications or adjust your current medications
– Stop smoking
– Avoid taking aspirin and certain anti-inflammatory drugs as they can increase bleeding

Before your breast augmentation surgery, you will meet with your surgeon and choose the ideal implants for your body, desired results, and lifestyle. If you desire a natural look and natural feel, your doctor will most likely recommend structured breast implants. Your surgeon should talk you through the procedure and answer any questions you have. If your surgeon ever makes you feel uncomfortable or refuses to answer important questions, consider looking for a new surgeon. 

Breast augmentation surgery typically takes a couple of hours and, as long as there are no complications, you should be able to go home the same day. During the operation, you will be put under general anesthesia or IV sedation.

Your surgeon will place the implants either below the chest wall muscles (submuscular) or above them (subglandular). Your surgeon will then close the incision with tape, stitches, or glue. Breast augmentation surgery typically does not require an overnight stay at the surgery center or hospital. Be sure you have a friend or family member available to bring you home, which should be an hour or so after surgery. Your breasts will be wrapped with gauze and a bandage or support bra. It is important to follow all your surgeon’s post-op instructions for the best possible outcome. Wear your support bra and rest for as long as your surgeon recommends, take any medication prescribed, and be aware of the signs of infection. Call your doctor immediately if you have any concerns, or visit the ER if you believe it is an emergency. After the first week, the worst of the pain should be gone, but swelling and soreness will remain for a few weeks. Following your surgeon’s instructions for limiting activities, exercising, and follow-up visits will ensure you end up with the ideal implants for years to come.

HOW A TUMMY TUCK CAN BENEFIT YOUR OVERALL HEALTH

Tummy Tuck Dubai | 23 February 2022

In a traditional tummy tuck, the scar goes from hip to hip, I will do my best to ensure that the scar is hidden under the bikini line. A scar around the belly button is also necessary as belly button is actually relocated during the procedure. Clients who need just a small amount of skin to be removed and little muscles tightening, a mini tummy tuck is an option. A very little amount of excess skin is removed and the incision leaves a scar as little as a C-section scar.

Tummy Tuck Aftercare – You will be discharged from the clinic on the second day after your tummy tuck. Therefore you will need certain level of assistance at doing everyday routine activities. Such assistance may take up to seven days. General physical ease is recommended and no heavy weight lifts are allowed. Muscles tightening, excess skin removal, and remaining skin pulled and stretched are the reasons that are significantly responsible for limited movement and cause a kind of bent over position of the client after the tummy tuck. Various pain levels and back spasms are inevitable and present during the first couple of days after your tummy tuck. Cleaning the incision with anti-bacterial solution and medication are necessity and help prevent getting the wound infected. Clients are given a compression garment which must be worn for next six weeks. Such garment helps the healing process and keeps your belly at the right position. Proper diet and food rich in nutrition is a key factor too and makes healing smoother, ensures the best results and keeps you fit. Smoking is not allowed as these activities are healing stoppers.

Tummy Tuck Benefits Beyond The Cosmetic – Benefits of your tummy tuck procedure bring not only the physical approach toward yourself and the public but you will feel a lot more confident in your mind and your “new skin” than ever before. The procedure can also offer medical benefits as some studies show that tummy tucks may help with urinary incontinence, strength and support your body’s core. The abdominal muscles are tightened and this fact results in supporting your body as a whole. Generally speaking, the first 2 weeks may be physical and emotional demanding, but after a few weeks you will enjoy the results and expectations of your tummy tuck procedure, feel more confident, and look forward to your New look lifestyle.

IS BOTOX A FIX FOR FACIAL WRINKLES?

Botox Dubai | 19 February 2022

Botulinum Toxin (Botox ®) when injected into a muscle temporarily relaxes the muscle by blocking nerve impulses. As the nerve impulses are blocked the muscle is temporarily unable to contract so that dynamic wrinkles are not formed. This gives the overlying facial skin a softer, smoother and more youthful appearance.

What are Wrinkle Relaxing (Botox®) Injections?

Wrinkle relaxing injections are more commonly referred to as Botox®, short for Botulinum Toxin. Botox® itself is a registered trademark and brand name by the market leader, but other Botulinum Toxin products are available.

Whatever you call it and regardless of brand, Botox® when injected acts as a nerve block. So what really happens is your brain sends the message to the muscle to move, however the nerve can no longer respond as the Botox® has blocked the message being sent, resulting in a reduction in the movement of the muscle. This helps to reduce the appearance of lines and wrinkles, as these are caused by repetitive contractions of the muscle. It’s also used to relax tight muscles, which is more common in the lower face.

The thing to remember here is that this is only a temporary effect, eventually the Botox® wears off and the muscle starts moving as it did previously.

Is Botox® safe?

Botox® has been used in cosmetic procedures for at least the past 50 years – yes that’s right, it’s been around that long! Once reserved for the rich and famous due to its cost, it is now used widely mainly due to the reduction in the cost of treatments over the past 20 years. It is extremely rare for individuals to be allergic to Botox® or have anaphylactic reactions to it post injection.

What is Botox® used for?

More and more studies are carried out on Botox® every year and the list of the conditions it can treat almost seem endless, it is now known to significantly reduce facial scarring after trauma and also reduce psoriasis skin plaques; it really is a wonder drug. I use Botox® on both men and women to smooth out lines and wrinkles around the eyes, on the forehead and the glabella (between the eyebrows). I also use it to relax muscles around the lower jaw and smooth out the neck, this procedure is called the Nefertiti Lift.

You can also use Botox® to treat Hyperhidrosis,also known as excessive sweating. Although you can have the palms of your hands and the soles of your feet treated, the most common area tends to be the armpits. It’s a highly successful treatment that can significantly reduce the amount of sweat produced under the arm and for real sufferers of excessive sweating, this treatment can be a real lifesaver, especially during the summer months.

People also use Botox® to help alleviate the symptoms of migraines, unlike other headaches migraines are transmitted across the nerve endings of the forehead, by having Botox® in this area and blocking the nerve endings the migraine isn’t able to travel and for many people it will stop it altogether.

Are there any side effects to Botox®?

The most common side effects are slight swelling at the injection site, this is normal and shows that the Botox® has got into the muscle; these little bumps will go down within approximately 40 minutes. You may also have some redness around the injection site and you may get some bruising. If you do get bruising it is likely to be small pin prick marks which will may take up to 7 days to completely disappear. Some people do suffer with headaches post treatment, if you do just take Paracetamol or Ibuprofen as you would do normally.

One side-effect of Botox® that concerns people is something called a ptosis, these are related to injections of Botox® in the forehead when post treatment the brow drops and feels very heavy. Full ptosis is extremely rare, however what is more common is something called a partial ptosis, if you get a partial ptosis it is unlikely that anyone else will notice and it will resolve within about 4-6 weeks.

How quickly will I see results from a Botox® treatment?

You will start to see results about 4 days post treatment, however it could take 10-14 days for the full results to be seen. We expect to see a significant reduction in the size and the depth of the lines and wrinkles 14 days post treatment.

How long do the results last?

Typically results can last between 3-6 months, generally you start to see some muscle movement around 3 months post treatment, however it takes about 5-6 months for full muscle movement to return. Most people tend to have Botox® treatment every 4 months, the more you have it done, the longer the results tend to last.

Will Botox® make me feel numb?

No, everything will feel just as it did before, you will not have any reduced sensation in the area you’ve had treated. Some people have reported that their forehead feels “tight” and occasionally the brow may feel a little heavy, but these feelings are likely to reduce over the first 4-6 weeks following treatment.

How should I prepare for a Botox® treatment?

If you are concerned about bruising, or you tend to bruise easily avoid taking Aspirin, Ibuprofen and Vitamins for 3 days before treatment.

AFTERCARE FOR BREAST AUGMENTATION

Breast Augmentation Dubai | 15 February 2022

Once your surgery is completed, you must follow all the instructions given to you in order to heal properly and have a good outcome.

The following instructions are your obligation. Use this as a checklist of progress as you heal. Included are normal post-surgical experiences and key health considerations that may be a cause of concern.

TYPICAL POST-OPERATIVE SYMPTOMS

Typical symptoms of breast augmentation and signs to watch for following surgery with silicone breast implants include the following:

Tightness in the chest region and stiffness 

Tingling, burning or intermittent shooting pain. These are normal experiences as the skin, muscles and tissue stretch to accommodate your breast implants, and as sensory nerves heal. Pain medication and muscle relaxants will help you cope with any discomfort. If you have drains, you may experience additional localised discomfort. Consistent sharp pain should be reported to our office immediately.

Hypersensitivity of nipples or lack of sensitivity

This is normal and will gradually resolve over time. You may also experience a small amount of fluid or milk seeping through the nipples. If this becomes painful or excessive notify my office immediately.

A feeling of heaviness

It is normal for your chest to feel heavy as you adjust to your implants. This will subside within 2-4 weeks following surgery.

Shiny skin or any itchy feeling

Swelling can cause the breast’s skin to appear shiny. As the healing process advances, you may also find a mild to severe itchy feeling of the breasts. If the skin becomes red and hot to the touch, contact our office immediately.

Asymmetry, the breasts look different, or heal differently

Breasts may look or feel quite different from one another in the days following surgery. This is normal. Although no two breasts in nature or following surgery are perfectly symmetrical, breast massage and time will produce breasts that are similar in shape, position and size.

A sloshing sound or sensation

This is not the result of your implant, but rather of air that is trapped in the implant pocket and fluid that may naturally accumulate. This is perfectly normal and will resolve within 2-4 weeks.

AFTER SURGERY CARE

Your greatest discomfort usually occurs the first 24-48 hours after surgery. During this time, take all medications prescribed by me as directed. It is helpful to take pain medication with bland food to avoid nausea, which may occur if taken on an empty stomach.

Wear garments as directed after surgery. An additional garment may be picked up at the office. Contact the office before taking any Aspirin, ibuprofen (Motrin/Advil) or Aspirin-like medications. You may take Tylenol, if you are not taking a pain medicine that already contains Tylenol (acetaminophen), such as Percocet (oxycodone) or Norco (hydrocodone).

Eat easily digestible foods. These are tolerated well the first 24 hours after surgery. If you are not experiencing nausea, you may resume a normal diet. Drink plenty of non-caffeinated beverages and eat fruit and food high in fiber to avoid constipation. Should constipation occur, discontinue pain medication (if tolerated). For relief, you may try magnesium citrate (purchased at your local pharmacy) or prune juice. It may take up to 24 hours to produce a bowel movement. These treatments may be repeated as needed.

AFTER SURGERY ACTIVITY AND HYGIENE INSTRUCTIONS

No lifting over 10-15lb. until cleared by myself. When at home, take frequent rest periods – you may walk for short distances, as walking is important to prevent clots from forming in your legs. As you increase your activity, let comfort be your guide. If it hurts, don’t do it.

Do not resume jogging, aerobics, sexual or vigorous activity until cleared by myself. No heavy household chores (laundry, vacuuming, sweeping/mopping, etc.) until cleared. You may shower 24 hours after surgery. Do not submerge incisions or drains (if present) under water such as in bath, lake, river, pool or hot tub. If present, leave steri-strips (flesh colored bandages) in place. All other dressings may be removed to shower.

Continue to wear the garment, placed on you at the time of surgery, 24/7 except to shower or to launder the garment. Two weeks after surgery, you may discontinue sleeping in the garment and only wear it during the day. While taking pain medicine, have someone assist you with daily activities, particularly personal hygiene.

Limit arm usage to routine daily functions such as brushing your teeth, eating, washing and combing your hair. Avoid vigorous arm motion that requires pushing, pulling and/or lifting heavy objects.

As you heal and soreness subsides, let pain be your guide for your activity level. If it hurts, don’t do it. Check with me before returning to work, particularly if your job requires heavy lifting or vigorous activity.

Avoid sleeping on your abdomen until all soreness has subsided. You may find sleeping propped on 2-3 pillows more comfortable. Avoid sunbathing for 4-6 weeks or until cleared by myself.

Do not wear an underwire bra for 6 weeks. At that point, you may wear a bra of your choice. However you will need to wear a good supportive bra for exercise or vigorous activity. Preferably a sports-type bra that has cups versus one that just compresses the breasts.

Do not smoke for 6 weeks as smoking delays the healing process.

WOUND CARE

You may have several layers of dressings. After 24 hours, you may remove all dressings except the flesh-colored bandages (steri-strips) or clear “tape” (Prineo). Leave either of these dressings in place until your follow up with your surgeon. If either of these dressings comes off, please contact my office for further instructions.

Do not put anything on your incisions except soap and water unless instructed.

Please notify me if:

– You have a fever greater than 101 that lasts more than 24 hours.

– You develop excessive swelling, redness or warmth of incisions.

– You experience severe pain not responding to pain medication.

– You develop thick, odorous drainage or bleeding that does not subside. – You experience shortness of breath.

– One breast appears twice the size or more than the other.

AFTERCARE: BREAST AUGMENTATION SUMMARY

Dressings

On day two from surgery remove all gauze in the bra and throw it away. Shower, and then pat the incisions (steri-strips or skin glue) with a clean cloth. Replace soft bra. You will not need gauze unless you have some slight drainage from the incision sites and want to keep this from getting on your clothes.

Bathing 

You may shower two days after surgery (48 hours after surgery). Do not bathe, swim, hot tub, lake swim, or use a whirlpool until incisions are fully closed. I will determine when you are cleared for these activities based on your physical exam. You may feel lightheaded on your first or second shower, therefore a shower assistant is mandatory. Sitting on a chair in the shower is also helpful if you feel more comfortable.

Medications

Complete your course of antibiotics. Arnica may reduce bruising and you should take a complete course. Take prescribed pain medication only as directed and consider Extra Strength Tylenol in place of narcotics. Take medications with food to reduce nausea. Resume pre-operative medications unless otherwise directed by your operating physician or personal physician.

Swelling

Initially, there will be quite a bit of swelling. This swelling over the first couple of days. You will notice that your implants/breasts seem high on your chest. This is often very normal. On day 5 you will start massaging your breasts. This will assist with the implants settling and the capsule to form flexibly. Do not apply heat or ice to any treatment areas. Your ability to sense if your skin is getting too cold or hot is not normal and you may burn yourself.

Massage

Start gentle massage of the breasts at day 5. I or my office staff will demonstrate this technique for you at your post-operative visit. Lymphatic massage has also been shown to help people with fluid retention following surgery. Do not lie on your stomach.

Diet

Start with a bland soft diet and increase this slowly. Slowly resume a balanced healthy diet. This is often difficult following surgery as you are not feeling at your best and are limited in the amount of physical activity you can do. Limit the amount of salt to take in as this will affect your swelling. Drink plenty of fluids. Avoid alcohol.

Clothing

Avoid tight fitting bras that dig into your skin or incision. Wear a soft bra that gives moderate support and opens from the front. This makes it easier to take it on and off.

Smoking

It is well known that nicotine impairs healing and increases your risk of infection. Your scars and final outcome are negatively affected by smoking/nicotine as well.

Driving

Do not drive or operate any heavy machinery for 24 hours following surgery and/or until you are not taking pain pills. You will need someone with you mandatorily for 24 hours following surgery.

Breast Augmentation Dubai

WHY HAVE TUMMY TUCK SURGERY?⁣

Abdominoplasty Dubai | 13 February 2022

Sometimes, a healthy diet and regular exercise routine just aren’t enough when it comes to achieving the slimmer, more toned midsection you desire. Despite counting calories and spending long hours in gym, many women and men find that the abdomen and surrounding areas remain resistant to change, which is often a discouraging reality. In several instances, the reason for this lack of toning and refinement has to do with the presence of excess skin and/or stretched abdominal musculature, both of which cannot be fully improved with diet and exercise alone. This is particularly common among women who have had one or more pregnancies, as well as individuals who have lost a significant amount of weight.

For men and women struggling to attain a firmer, more youthful-looking midsection, abdominoplasty (tummy tuck) can often provide the following benefits:

A reduction in excess abdominal skin and localized fat pockets (via liposuction)

Tightening of loose and/or stretched abdominal muscles

Smoothing and tightening of skin in the lower stomach and abdomen

An improvement in the appearance of moderate to severe stretch marks

A correction of hernias near the bellybutton

A more toned and slender abdominal region and waistline

In the end, none of this is to say that tummy tuck surgery is a good alternative to diet and exercise – it should certainly not be viewed this way. However, when combined with a nutritious diet and routine exercise, abdominoplasty may be able to help you address the final concerns that are keeping you from achieving your desired figure.

FAQ: BREAST AUGMENTATION

Breast Augmentation Dubai | 10 February 2022

Will breast augmentation dubai increase my risk of breast cancer?

This is one of the most frequently asked questions by women considering this surgery. Many studies have shown that women who get implants are not at an increased risk for getting breast cancer. In addition, implants do not delay the detection of breast cancer. Finally, breast implant patients who do get breast cancer have the same chance of obtaining remission, or being free of cancer for 5 years, as women without implants.

Am I too old for the surgery?

Many women in their 40s and 50s have undergone breast augmentation dubai surgery with good results. The most common patient for this surgery is a woman in her 30s with two children who has been considering this operation for many years. Whatever your stage in life, we encourage you to schedule a consultation to find the best path toward your cosmetic goals.

Should I wait until I am done having children to have breast augmentation dubai?

Pregnancy will change the size and shape of a woman’s breasts whether she has implants or not. These changes may adversely affect the cosmetic appearance of any augmented breast. It is usually recommended that pregnancy be postponed until 6 months after the surgery. Breast-feeding with implants is still possible and has been shown to be safe for the baby and the mother.

Will breast augmentation dubai work for me if I feel my breasts are sagging?

Women with sagging breasts, which is called “ptosis”, can also receive breast implants. Depending on how much the breast sags, an additional surgery may also be necessary. For breasts with nipples that droop below the lower crease of the breast, a breast lift surgery, or mastoplexy, is often required as well. This surgery will also add scars all the way around the nipple-areola unlike most breast augmentation surgeries. Without this additional surgery to remove excess skin, placement of the implant may not adequately correct the sagging.

How do I choose my new size?

This is often one of the most difficult decisions, and for many reasons, has the most potential for disappointment. During your consultation, I will work with you to identify what size of breast you desire from augmentation. “Breast size” as measured by bra-size is variable and is often not a good way to measure final size. As a general rule, every 125-150cc of implant volume equals an increase in a single cup size. However, every patient’s body is different, you can set obtainable and healthy expectations together. It is helpful for you to bring in a bra the size you would like to be to help in finding the right sized implant for you.

Will my nipple sensation or feeling change?

Most women will have loss of some feeling or sensation following breast augmentation dubai surgery. For most of them, this lasts 6-12 months before returning to normal. 15% of women, however, have permanent alterations in nipple sensation.

How long until I can exercise?

It is recommended that patients begin walking immediately after surgery. However, women should not perform any intense physical exercise for six weeks following the operation. Physical exercise including weight lifting, biking, jogging, and other forms of intense activities may cause implants to shift position or cause wound healing problems that may alter the appearance of the breasts after surgery.

When can I return to work?

This depends on your job and its physical demands. Some general guidelines are: Upper arm movements, like reaching, should be avoided for the first 1-2 weeks. Lifting anything heavier than 5 pounds should be avoided for 6 weeks after the operation. This lifting restriction may prevent some women from returning to work.

How much pain can I expect?

The pain from breast augmentation dubai  surgery is usually in the moderate range and generally can be well controlled with medication in the first 1-2 weeks following the surgery. It is important to note that severe or untreatable pain following surgery can mean infection or another complication.

When can I drive?

Women may start driving a car one week after surgery as long as they are not taking any pain medications.

Will the new implants affect my physical functioning, can I lift heavy objects?

It is unlikely that you will experience long term changes in physical functioning. Depending on the size of the implant, most women find no trouble performing most physical activities following the surgery. Weight lifting or lifting heavy objects will not affect the implant once the area has properly healed.

Can I breast feed after augmentation?

Yes. Placement of the implant below the breast tissue, as in subglandular placement, does not affect the ability of the breast to produce milk. Similarly, submuscular placement, or implant placement below one of the chest muscles preserves proper breast functioning. With the peri-areolar incision, an increased risk of breast-feeding problems may exist. In one study, 7/8 patients reported problems with breast-feeding following peri-areolar breast augmentation surgery. For women who choose the infra-mammary or trans-axillary incision, (incisions under the breast and through the armpit), breastfeeding is usually not a problem. Be sure to discuss your breast feeding needs with your surgeon during your consultation.

Will I need additional surgeries?

Sometimes additional surgeries may be required for breast augmentation dubai  patients. To reach optimal symmetry, you may desire follow up breast lifts or other supporting procedures. Additional surgeries may be needed if you face any complications during your augmentation, like implant rupture or capsular contracture. In addition, implanted breasts will age just like any other body part and in the future some woman choose to have additional operations to correct the results of gravity and aging. During your consultation, you and your surgeon should discuss the possibility of additional procedures after breast augmentation.

Breast Augmentation Dubai | End

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