BLEPHAROPLASTY: WHY HAVE AN EYELID REDUCTION?
Plastic Surgery Dubai | 25 November 2021
The skin loses its elasticity and our muscles slacken with age. For the eyelids this results in an accumulation of loose skin which collects as folds in the upper lids and forms deepening creases in the lower lids. At the same time there is slackening of the muscle beneath the skin allowing the fat, which cushions the eyes in their sockets, to protrude forward to give the appearance of bagginess. In some families there is an inherited tendency for bags to develop during early adulthood before any skin changes.
What is blepharoplasty surgery?
Blepharoplasty surgery, commonly known as an eyelid reduction, is an operation to reshape the eyelids. An upper-eyelid reduction can improve your vision and make you look younger. A lower-eyelid reduction can help to reduce wrinkles and puffiness.
Why have an eyelid reduction?
With age, our muscles slacken and the skin loses its elasticity. For the eyelids, this results in folds in the upper lids and deepening creases in the lower lids. Also, the slackening of muscle beneath the skin allows the fat which cushions the eyes in their sockets to bulge forwards to give the appearance of bagginess. In some families there is an inherited tendency for bags to develop during early adulthood.
Folds, creases and bagginess often seem worse in the morning, particularly after periods of stress and lack of sleep. This is because fluid that is normally distributed throughout the body when it is upright tends to settle in areas where the skin is loose, such as the eyelids, when a person is lying down. The ageing process can also cause drooping of the eyelids, and folds of skin to gather in the upper eyelids. Sometimes there is so much skin that the upper lids hang over the eyelashes.
What will happen before my operation?
We will meet to talk about why you want surgery and what you want. I will make a note of any illnesses you have or have had in the past. In particular, you should tell me if you have ever had any thyroid disease, high blood pressure, diabetes or eye disorder (such as a detached retina or glaucoma). I will also make a record of any medication you are on, including herbal remedies and medicines that are not prescribed by your doctor. I will examine your eyes, face and skin, and may take some photographs for your medical records. I will ask you to sign a consent form for taking, storing and using the photographs.
I will measure your height and weight to make sure that it is safe to do an operation. If you are overweight, pregnant or planning to become pregnant, I may suggest delaying your operation. If you would be having the surgery under a local anaesthetic, I will make sure that you can lie flat and still. I may want you to be checked out by an ophthalmologist.
How is the surgery performed?
Eyelid reductions can be carried out under local anaesthetic or general anaesthetic. In a typical procedure, I make cuts that follow the natural lines of your eyelids – in the creases of the upper lids and just below the lashes in the lower lids (see the eye on the left of the diagram opposite). These cuts are extended a little way into the crow’s feet (also known as laughter lines) at the corner of the eyes.
What is the alternative treatment?
Sometimes, a sagging forehead and eyebrow can make the eyelid look like it is sagging. I may recommend an eyebrow lift instead of, or at the same time as, an eyelid reduction.
Only wrinkles in the skin which is cut away by the surgery will be improved. Folds of skin extending on to the cheek will not normally be improved. If you have wrinkles and saggy skin elsewhere on your face and neck, it may be useful to have a facelift or necklift (or both) at the same time as the eyelid reduction. A facelift can be used to not only lift the eyebrow and the upper eyelid, but also to lift and open the outer corner of the eye.
Although an eyelid reduction is the best way to reduce sagging of the eyelid, a laser can sometimes be used to burn the surface of your skin in a controlled way. This is called laser resurfacing and it can be carried out at the same time as the eyelid reduction to improve any remaining wrinkles. After laser resurfacing, the skin heals to be softer and less wrinkled. This improvement is not permanent, and the procedure does not work well on dark skin. It has no effect at all on dark circles under the eye.
Botox (injections of the botulinum toxin) can also be used to smooth out fine wrinkles.
UNDERSTANDING BREAST ENLARGEMENT
Breast Enlargement Dubai | 18 November 2021
Breast enlargement surgery requires a general anaesthetic, with the operation taking 1-2 hours, and is usually performed as a day-stay or overnight-stay procedure. Following the surgery it is important to have restricted light activities, with no lifting or heavy duties for 7-10 days. Most patients may drive again and return to work within 10 days after the surgery. Heavy activities and sport should not be undertaken for 3-4 weeks following the surgery.
Breast enlargement surgery can enhance your appearance and your self-confidence, enlarging your breasts and making them more proportional with the rest of your body. Breast augmentation can also be used to correct differences in the size of your breasts or sagging breasts which can occur after pregnancy and breast-feeding. There are many choices and options in breast augmentation, which require careful planning to individualise which are the best options for you. All of these choices have advantages and disadvantages, which you should understand before you make a decision with your surgeon. Breast implants will make your breasts larger, but the underlying shape of your breasts will not change, and differences in the size and shape of your breasts may even be more obvious after the surgery.
THE BENEFITS OF UNDERGOING BREAST AUGMENTATION
Breast Augmentation Dubai | 15 November 2021
TOP REASONS FOR UNDERGOING BREAST AUGMENTATION
Most breast augmentation patients choose implants for at least one of these common reasons. Let’s take a look at some of the top benefits of breast augmentation.
There is no absolute definition for Micromastia because breast size varies widely. A medical doctor typically diagnoses Micromastia when a women’s breasts do not develop after puberty. Micromastia is indicated by comparison to average breasts sizes and women’s self-perception, with those suffering from the condition often experiencing intense embarrassment about their figures. Breast implants can often provide such women a fuller figure, increased confident, and a dramatically improved self-image.
Same goes to say for men, as not only females elect undergoing a breast surgery procedure. Some men will require some form of reduction breast surgery if they suffer from gynecomastia. This is when swelling in the breast tissue of males occurs due to imbalance of the hormones estrogen and testosterone.
As the years pass, many women begin to notice that their breasts slowly sag and lose the lively volume they once had. In some cases, breast augmentation, especially when in conjunction with a breast lift, restores the youthful, perky figure that was once present.
Commonly seen with patients who have suffered from breast cancer, some women (or men) choose to bring back their figures by opting for breast reconstruction surgery using implants. It is important to keep in mind though that the operation for mastectomy patients is more complicated than simple augmentation in any ordinary patient. Aside from the placement of the actual implant, the operation also includes skin grafting and construction of the nipple-areola complex.
BREAST VOLUME LOSS POST-PREGNANCY
Some mothers find that after pregnancy and nursing, the breasts droop or get smaller, which is why some women opt for breast implants to help restore their pre-baby body. Basically, women often lose significant breast volume after giving birth, and because no amount of exercise can bring back the lost volume, the only way to achieve the desired look is through breast augmentation using implants. For these patients, breast augmentation is often combined with other cosmetic procedures such as a tummy tuck to complete what’s been nicknamed a full “mommy makeover.”
BOOST SELF ESTEEM
Research has shown that women who have low self-esteem regarding their appearance often experience a huge increase in confidence following breast augmentation surgery.
BETTER FITTING CLOTHES
Most women’s clothing is designed to fit someone with a C-size cup. So those carrying breasts that are too small or too large for that size might opt to undergo an augmentation or reduction surgery to make their body look more flattering or fashionable.
WHAT CAN DERMAL FILLERS TREAT?
Fillers in Dubai | 10 November 2021
These days, dermal fillers have become extremely popular for facial rejuvenation without the need for surgery or recovery time.
WHAT CAN DERMAL FILLERS TREAT?
Dermal fillers are generally used for smoothing fine lines and wrinkles, and for adding volume and fullness to skin beginning to suffer from volume loss. Dermal fillers can also be used for cheek and chin augmentation.
When performed by an expert with experience using dermal fillers, these treatments can be extraordinarily natural-looking. Most men and women don’t necessarily want to look as if they have had work done, so strategic dermal filler placement is ideal for someone who just wants to soften their lines and take a few years off their face.
One of the main draws for dermal filler treatments is that they require no recovery time. The actual procedure can be done in as little as ten minutes, depending on how many areas are to be treated, and the patient is then free to resume their daily activities and go back to work immediately. The potential side effects of dermal fillers when administered professionally are very minimal, just redness or swelling around the injection site. If this happens, it usually disappears within a few hours or a day, and can be covered easily with makeup. Bruising is another potential side effect, but these can generally be avoided by following your dermatologist’s instructions before coming in for your appointment.
BENEFITS OF DERMAL FILLERS
1. Immediate Results and No Downtime
One of the biggest benefits of using dermal fillers? They provide immediate results. Once you undergo a filler injection, you will notice your appearance transform soon thereafter. On top of this, you don’t have to worry about recovery time like you would following plastic surgery. In fact, you can complete the filler treatment in just 10 minutes depending on the number of areas needing treatment. Then, you’re free to continue your daily errands or even go back to work. In fact, a filler treatment is sometimes described as a “lunchtime facelift.” Talk about a life-changing lunch break.
The side effects you may experience as a result of your filler treatment are minimal. Just a little swelling or redness near your injection site is normal. Even then, this swelling and redness should disappear within several hours or one day. In the meantime, you can simply cover it up with makeup.
You may more commonly experience bruising, but you can typically avoid this by following my instructions prior to your filler treatment appointment.
2. Long-Lasting Effects
Yet another benefit of fillers is the lasting results you’ll enjoy after getting them. In the majority of cases, you’ll stay looking more youthful and beautiful for about one year. However, you might want to go in for a quick touch-up appointment in four to six months following your initial treatment. It’s in your best interest to maintain your filler results. You can do this simply by scheduling your next treatment before your filler has had the chance to metabolize completely.
3. Beneficial for the Skin
Most fillers feature a natural skin component that help the skin – a major plus for patients interested in getting filler injections. Hyaluronic acid present in fillers are naturally occurring substances in the skin. Thus, when they are injected, they’ll feel natural beneath your skin. It’s just another reason to love the skin you’re in after you get a filler treatment.
4. Subtle Results
If you choose to receive dermal fillers, you’ll also love how subtle and natural looking the results are. That’s exactly what you want if you’re like most patients. After all, who honestly wants to look like a totally different individual after the treatment than he or she was before it? You simply want to be the best version of yourself. With dermal fillers, the majority of people won’t even know what you had done. All they’ll notice is that you look amazing.
5. Self-Confidence Builder
People who receive dermal fillers generally improve their self-confidence following their treatment. They simply love how their fillers look and feel. At the hands of an experienced aesthetic practitioner, you can achieve amazing natural looking results and love how you look like never before.
As you grow older, your skin will lose collagen and fat. In other words, you’ll lose your youthful plumpness. Replacing the young, healthy look you’ve become accustomed to will be a hollowed-out look and more blatantly obvious wrinkles – clear signs of advancing age. Fortunately, fillers help to counteract these problems by making your skin plumper. In the end, you’ll end up with fuller-looking cheeks as well as fewer facial wrinkles – You can’t beat that.
7. Botox Complements Them
Another perk of using fillers? Botox complements fillers perfectly! As you get fillers, you might notice that a few of the wrinkles on your face are particularly deep – especially those on your forehead and glabella. Or maybe you notice vertical lip lines near your mouth. In these situations, you may want to receive a Botox or Dysport treament. This product will temporarily reduce the muscle activity responsible for your deep wrinkles and frown lines. It’s perfect for tackling those lines and wrinkles that dermal fillers won’t eliminate. With the powerful combination of fillers and Botox or Dysport, you may be able to delay or even avoid surgery, such as a facelift, down the road.
8. Good for Your Lips
Of course, fillers aren’t just good for filling in wrinkles and cheeks. Fillers can work wonders for your lips. Tired of thin lips? Fillers can make your lips look plumper and sexier. At the same time, it’ll soften the appearance of annoying wrinkles around the mouth. With dermal fillers, you can finally stop feeling self-conscious when it comes to your lips. In fact, your lips just might become your favorite feature. Just be sure to get lip fillers with an experienced aesthetic practitioner to ensure yourself an experience that is safe and that yields natural looking results.
9. Say Goodbye to Scars
A major advantage of springing for fillers is that they can improve the appearance of scars. This is a big deal if you’ve spent years applying makeup to hide unsightly scars as a result of acne, for example. Your practitioner can help you to determine if dermal fillers are an option for treating certain scars.
10. Boost Your Collagen
Last but not least, biostimulatory fillers, like Radiesse and Sculptra will stimulate the body’s natural collagen. A major reason that your skin ages as you get older is that collagen production declines. This is accelerated if someone has a lot of sun damage. Collagen is one of your skin’s essential building blocks. When collagen ends up breaking down, the signs of aging is more apperant. This includes having coarse skin texture and wrinkles.
Dermal fillers, however, can help your body stimulate more of its own collagen, just as a younger individual’s skin does. This translates to the younger, healthier-looking skin you’re after – in a natural way.
WHERE CAN DERMAL FILLERS BE APPLIED?
Fillers in Dubai | 8 November 2021
Dermal fillers can be used to achieve a variety of results in different areas of the face. They are usually used in three main areas to achieve the following:
Around the Eyes:
Reduce under eye bags and dark circles
Soften fine lines and crow’s feet
Mid Face Area:
Smooth accordion lines (the fine lines that creep up the sides of the face towards the cheekbones) and folds
Add volume to the cheek area affected by gravity and age
Lower Face Area:
Smooth a “gummy smile” above the lips
Reduce the appearance of vertical lines above the lip
Add volume to the nasolabial folds around the mouth
Correct the downturned corners of the mouth
Stop the jawline from sagging
Plump and reduce chin creases
How long do they last?
Depending on the type of hyaluronic acid used, Dermal fillers can last anywhere between 6 to 18 months. This may also vary from person to person depending on how well it’s suited to the purpose and individual. There are many different brands of hyaluronic acid on the market, some of which you might recognise, including Juvederm, Belotero and Restylane. It can be difficult to know which dermal filler is right for you so be sure to ask your practitioner for advice on the right choice for you.
Things to know before your treatment
Dermal fillers are incredibly safe, and allergic reactions are extremely rare, so long as your treatment is carried out by a specially trained healthcare professional. Before getting dermal filler treatment there are a few simple steps you can carry out to ensure your treatment is as successful as possible.
Try and avoid any product containing aspirin, vitamin E, St John’s Wort and any dietary supplements that include ginko, garlic, primrose oil and ginseng for 2 weeks prior to your treatment.
Avoid ibuprofen, Aleve, fish oil, alcohol and any product that can thin your blood for 2 days prior to your treatment.
Remove all makeup and wash your face before the treatment to avoid skin irritation.
Are there any side effects of dermal fillers?
After having dermal filler treatment, you may notice some common side effects in and around the treated area. These can include:
Pain and discomfort
Using a trained and experienced practitioner can help to minimise these side effects. Taking the right kind of supplements may also help but you should check with your practitioner before taking anything.
A MINI VS. FULL TUMMY TUCK
Tummy Tuck Dubai | 5 November 2021
A “tummy tuck,” aka an abdominoplasty, targets two main issues: excess skin and a separation between the abdominal muscles. As a bonus, it also takes care of excess fat. It doesn’t really matter how much fat you have, what really matters for this procedure is the skin and the muscle. While also removing excess fat via liposuction (more on that later), the first differentiating factor of a tummy tuck is that it can help target the excess skin or stretch marks from pregnancy or a significant weight loss. In fact, experts say a tummy tuck may be the only way to get rid of loose, sagging skin. Once the elastic gets too loose, you can put a safety pin in it, but by and large, the elastic is shot. Then there’s the muscle issue. We’re all born with a little separation between both sides of the rectus muscle, [aka your ‘six pack’] — maybe a half an inch or so. But with age, certain lifestyle factors, and definitely pregnancy, that muscle separates further. The result is like the loosening of a corset. Unfortunately, once these muscles spread, the only true way to “bring them back” is via surgery. A tummy tuck brings the muscle edges together, which acts like an internal corset, pulling your belly in.
The Steps of a Tummy Tuck
First, a surgeon “will make an incision, which stretches across your bikini line. Through this incision, your surgeon will not only be able to remove skin but will also be able to tighten your abdominal muscle. The surgeon will lift your skin away from the underlying muscles and then stitch the muscles together, restoring the tightness.
Next, the surgeon will address the skin, pulling it tight and removing any excess. To picture this, think of your stomach as a football field running from your chest to the top of your pubic hair – your belly button is the middle of it. In a full tummy tuck, the skin that’s above the belly button gets pulled down and does double duty to cover the upper and lower abdomen. So if you have a mole above your belly button before the operation, it’s going to be below it after. Speaking of belly buttons, don’t worry, it’s not suddenly going to be sitting on your bikini line. The surgeon will make a new hole for your belly button to emerge from.
Mini vs. Full Tummy Tuck
How involved this whole process gets depends on the type of tummy tuck in question — a “mini” or a full: A mini runs from inner thigh to inner thigh and a full spans the stomach from hip to hip. The difference between the two procedures is the length of the incision and the amount of skin that can be removed. (One other difference: In a mini tummy tuck, the surgeon usually only stitches up the lower half of the rectus muscles.) While they’re in there, surgeons might also address any excess fat, removing it the way they would during traditional liposuction. Before finishing the procedure, the surgeon places drains in your stomach to remove any extra fluid that accumulates as you heal, allowing the newly stretched skin to stick to the muscle. (The drains will be removed by your surgeon after about a week.)
The Recovery Process
Even though it’s major surgery — you’ll be under anesthesia for the two-and-a-half to four hours it takes to perform — tummy tucks are technically out-patient procedures, meaning you can go home after spending a couple hours in the recovery room. But you will have to do a lot of recouping after you get home. I generally advise my patients to take two weeks off of work. Light walking right after surgery is advised, but no hitting the gym for at least two weeks. By about five weeks, the patient can usually return to normal activities depending on their individual progress. The recovery process can be painful. It will take a few days to a week before you feel comfortable standing fully erect. Patients often walk slightly bent over due to the tightness of their abdomens.
Who Is a Candidate?
Not everyone is a tummy tuck candidate. This procedure is most commonly performed on women in their 40s and 50s, after they have finished having children. Remember, it has nothing to do with fat. The muscle repair and skin removal are the differentiating factors of the surgery. So, for those who might have excess fat, but not muscle separation or loose skin, or for those who plan on having children, doctors don’t recommend a tummy tuck. I looked at large volumes of statistics, and about 55 percent of women that come in the door [with concerns about their stomach] have liposuction, while about 45 percent need a tummy tuck. In males, it’s about 90 percent that end up needing liposuction and only about 10 percent that are better candidates for tummy tucks. Identifying which procedure is right for you — noninvasive body-sculpting, liposuction, mini or full tummy tuck — can be tricky, unless you’re a board-certified plastic surgeon. There are different roles for each procedure,.
How Does the Tummy Tuck Compare to Body-Sculpting Procedures?
If you’re hoping to get tummy tuck-like results on your lunch break, you’re out of luck. Noninvasive procedures can’t come close to achieving the results of a tummy tuck. In short, body-contouring procedures, like CoolSculpting and SculpSure, are surface level. They work by either freezing or heating fat cells to kill them off, which is great for stubborn squishy spots no amount of diet and exercise seem to effect, but won’t do anything to address the sagging skin or underlying muscle separation the tummy tuck targets. If a patient’s primary issue is excess fat, noninvasive options can usually reduce superficial fat by 25 percent, on average. So, for someone who does not need dramatic fat reduction, non-invasive options may be reasonable.
But what about lipo? Liposuction can remove significantly more fat than noninvasive body contouring, but that’s all it can do. Liposuction will only remove fat. It will not tighten loose muscles. Plus, if you’re concerned about loose skin, liposuction can actually make the problem worse. I think many patients look to new technology hoping to avoid surgical costs and downtime but patients who would really benefit from a tummy tuck will be frustrated by how limited the difference is.
MINIMIZING RISKS AND INCREASING GOOD OUTCOMES FOR ALL WRINKLE FILLERS
Fillers in Dubai | 3 November 2021
Injectable wrinkle fillers can give you a more youthful look for a fraction of what a traditional facelift costs. Most will fill hollows, lines, and wrinkles in less than 30 minutes with results that can last from 4 months to more than a year. Injectable wrinkle fillers, unlike Botox injections that relax the muscle under a wrinkle, fill the line, crease, or area with one of several different substances. As a result, trouble spots nearly disappear. Wrinkle fillers can also be used as “volumizers,” plumping and lifting cheeks, chins, jawlines, and temples; filling out thin lips, and plumping sagging hands.
The treatment is fast and easy. But all wrinkle fillers have a downside, including the risk of allergic reaction and the formation of tiny bumps under the skin. In some cases, those bumps may be permanent. And sometimes, a bluish skin discoloration known as the Tyndall effect happens. The color change can last for several months, but there are treatments available. In very rare cases, skin cells may die if the wrinkle fillers are not used properly. Not every wrinkle-filler is right for every type of wrinkle. The least risks and best results come from using the right one correctly. That’s why you should only have fillers injected by a board-certified dermatologist or plastic surgeon with ongoing, special training.
Here is a breakdown of available wrinkle fillers. It includes their basic ingredients, how they work, their pros and cons, and the best areas for treatment. I can help you choose the right one for you.
Hyaluronic Acid Wrinkle Fillers
The most popular category of wrinkle fillers is hyaluronic acid. Each type works in a slightly different way with varying results. Side effects are rare but can include redness, swelling, and bruising at the injection site. The filler may also show up under the skin as tiny bumps. This is a problem that often improves over time. How long the results last varies from several months to over a year or two. Some research shows that repeated injections may help stimulate the body’s own natural production of collagen. That will help reduce the number of lines and wrinkles. There is also some evidence that less filler is needed over time to achieve the same look.
Hyaluronic acid wrinkle fillers include:
Juvederm Voluma XC
Juvederm Ultra XC
Juvederm Volbella XC
Juvederm Ultra Plus
Juvederm Vollure XC
Autologous Wrinkle Fillers
Fat is the most commonly used substance in this category. Your own fat is surgically removed from your thighs, buttocks, or stomach, treated, then injected. You will need to have two procedures (one to remove the fat and one to inject it). Both procedures can be done in one visit. Additional fat purification steps done in the lab can be costly and time-consuming. Results can be semi-permanent, although you may need a series of injections done over time. Platelet-rich plasma injections (“vampire lift”) are another type of autologous wrinkle filler/volumizer. Blood is drawn from the arm, treated, then injected into the face. The effects can last 12 to 18 months.
Minimizing Risks and Increasing Good Outcomes for All Wrinkle Fillers
Wrinkle fillers are among the safest cosmetic procedures in use today. But there are things you can do to help ensure your treatment is safe:
Don’t let price be your guide. If you are offered a wrinkle filler treatment that costs far less than the standard treatment, it’s likely some compromises are being made, either in the skill of the provider or the quality of the product. Never risk making a bargain with your face.
All wrinkle fillers should be done in a medical setting with sterile instruments. Treatments done in homes, hotels, spas, or resorts are not being done in medical environments, regardless of who is doing them.
Do not get injectable wrinkle fillers from sources outside a doctor’s office. Know what you are being injected with, and ask your doctor if an FDA-approved wrinkle filler is being used and if it was purchased directly from the maker. There have been reports of everything from industrial-grade silicone to baby oil being used. If a provider won’t give you this information, don’t let them do the procedure.
Use sunscreen daily to help preserve the filler and help protect against post-inflammatory pigment changes due to the needle sticks from injections.
WHAT ARE WRINKLE RELAXING (BOTOX®) INJECTIONS?
Fillers in Dubai | 1 November 2021
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.
FOREHEAD WRINKLES & FROWN LINES
Aesthetic Medicine Dubai | 29 October 2021
Forehead wrinkles are horizontal lines that appear on the forehead due to contraction of the muscles that raise the eyebrows. Frown lines are verticle wrinkles that appear between the eyes when you squint or frown. Both these wrinkles initially appear when you are moving the muscles responsible but over time can become ingrained and apparent even when your face is still. Whilst natural, most people seek treatment as they feel these lines make them look grumpy, anxious or even angry.
What Causes Forehead Wrinkles & Frown Lines?
Both forehead wrinkles and frown lines are predominantly caused by ageing. As we get older we lose both collagen and elastin. These two proteins form the scaffolding of the skin. Hence, they are responsible for keeping your skin firm, elastic and plump. As thin becomes thinner and less stretchy, wrinkles develop. Initially, this is when the muscles underlying them contracts such as when you raise your eyebrows or frown. Eventually, forehead wrinkles and frown lines become deeper and visible even when you aren’t moving your face. Sun damage, or photoaging, are also a cause.
Treatment Options For Forehead Wrinkles & Frown Lines
Thankfully there are a number of treatment options for forehead wrinkles and frown lines. The first step is to ensure that you have a good skincare routine which helps hydrate, nourish and protect your skin.
Botox® For Forehead Wrinkles & Frown Lines
Botox® injections are highly effective for wrinkles and lines that are only apparent when you make an expression. The treatment is quick and pain-free with results lasting for 3-4 months.
Dermal Fillers For Forehead Wrinkles & Frown Lines
If your wrinkles and lines are deeper and appear at rest then Botox® is likely to not completely smooth them out. Dermal filler anti-wrinkle injections, however, can very effectively treat these areas and results last between 6-12 months.
Professional Skin Treatments For Frown Lines & Forehead Wrinkles
Botox® and dermal fillers offer immediate smoothing out of lines and wrinkles by reducing muscle contraction (Botox®) or by filling out and lifting the skin (dermal fillers). Professional skin treatments are really useful if you’re looking to address the underlying cause of wrinkles in the long term. A combination of a course of chemical peels and microneedling will resurface the skin and induce collagen and elastin production. This will smooth out lines and wrinkles, firm and plump up the skin as well as give a youthful glowing complexion. In the long term, these bespoke skin rejuvenating treatments could reduce the need for treatments like Botox and dermal fillers.
CROW’S FEET & SMILE LINES
Crow’s feet, also known as smile lines, are wrinkles that appear on the outer corners of the eye. They are caused by contraction of the muscles responsible for squinting, smiling, laughing or frowning. Initially, these wrinkles are only visible when you smile or laugh but over time, like all wrinkles, they become deeper. Ingrained Crow’s feet and smile lines are visible whether or not you contract the underlying muscles (ie even when you’re resting the muscles of expression). Crow’s feet can also extend upwards towards the temple and downwards to affect the cheeks when they are more advanced and as volume is lost in these areas of the face with age.
What Causes Crow’s Feet & Smile Lines?
The main reason Crow’s feet or smile lines develop is due to loss of collagen and elastin in the skin. These proteins are the skin’s natural plumpers and provide elasticity. Hence losing them causes skin to become thinner and for wrinkles to become apparrent. Loss of colllagen and elastin occurs naturally as we age. Of course, the other cause of the appearance of wrinkles is sun damage (or photageing).
Treatments For Crow’s Feet & Smile Lines
First of all its important to start with basics like understanding your skin type and following a basic skincare routine. Simple lifestyle modifications such as sun protection, keeping hydrated and stopping smoking will also help slow down the development of Crow’s feet or smile lines.
Chemical Peels & Collagen Induction Therapy
There are a number of effective treatments for existing Crow’s feet and smile lines. The simplest option for very early signs of fine lines and wrinkles would be a course of chemical peels and/or microneedling. These resurface the skin and induce collagen and elastin production.
If you have Crow’s feet that are only evident on making expression, these can be treated very easily with Botox anti-wrinkle injections. For Crow’s feet or smile lines that are deeper (ie visible without making any expressions), then using hyaluronic acid dermal fillers would provide a better option.
For more advanced Crow’s feet or under eye wrinkles and tear trough deformities, a combination of different dermal fillers can offer a natural looking solution. If you have smile lines that extend deep onto the cheeks, then you might which to consider both cheek fillers and wrinkle smoothing with dermal filler in order to restore volume and lift the wrinkles. For co-existing under eye hollows and wrinkles, the addition of tear trough fillers would help to completely rejuvenate the under eye area.
JAWLINE CONTOURING & SQUARE JAW REDUCTION
The shape of the jaw is dependent on the bone, muscles, fat and skin the comprise it. There are many factors that affect the appearance of the jaw including genetics and lifestyle. Some people seek to enhance the shape of the jaw (usually if there is sagging of the lower face or if they are seeking a more defined appearance) by having jawline contouring. This can widen or narrow and shorten or lengthen the appearance of the jawline as required. Jawline contouring can also help lift and firm up the appearance of a sagging lower face. For those with a wide jaw, square jaw reduction can help produce a narrower V-shaped jawline. Ultimately, the results are dependent on your face shape, targets and the abilities of your aesthetic doctor.
What Causes The Appearance Of A Sagging Or Square Jaw?
The shape of the lower face is made up of several structures including your jaw bones, muscles and soft tissues like fat or skin. Whilst genetics play a huge part in terms of the shape and size of these facial structures, there are a number of other factors that come in to play. The main cause for lack of definition or sagging of the jawline is ageing and reduced face volume. One of the main reasons for developing a square jaw in both men and women can be overactivity of the chewing muscles which is usually caused by tooth grinding. Other factors that can give the appearance of loss of definition, jawline sagging or a square jaw is ageing and loss of volume in the cheeks or lack of chin prominence or neck sagging.
Non-Surgical Jawline Contouring & Square Jaw Reduction
There are a number of non-surgical options for enhancing the jawline and reducing a square jaw. Botox injections are an effective treatment for square jaw reduction which also has the benefit of stopping teeth grinding. These Botox injections can also be used to lift a sagging neck and hence sculpt the lower face and jawline.
Hyaluronic acid dermal fillers can be used alone or in combination with Botox for jawline contouring. Dermal fillers can be used to directly reshape the jawline and lift up the lower face. A combination of jawline, cheek and chin dermal fillers to contour the jawline and the whole face.
If the aim is to reduce the appearance of a square jaw or face, then a combination of Botox and dermal fillers can be used to provide a more contoured and V-line jaw appearance.
JOWLS & MARIONETTE LINES
Jowls are loose skin and flesh that hang beneath the lower jawline. Marionette lines or “puppet lines” are lines that run from the corners of the mouth to the chin. Both are a sign of ageing and volume loss in the face. One of the most commonly cited reasons for wanting to get rid of them is because they give the appearance of being grumpy or sad.
What Causes Jowls & Marionette Lines?
The main cause of both jowls and marionette lines is ageing. As we get older our skin becomes thinner and less pliable. This is due to loss of collagen and elastin. At the same time, we also lose volume in the face (particularly in the midface area) which provides scaffolding and shape. Both these processes result in sagging of the skin and tissues which gives rise to jowls and marionette lines in the lower face. Other factors which exacerbate skin ageing are smoking, sun-damage and genetics.
Treatment Options For Jowls & Marionette Lines
There are a number of treatment options for jowls and marionette lines. First of all, it is very important to ensure that you follow a regular skincare routine tailored to your skin type. Two highly effective and non-surgical options that I offer are Botox® and hyaluronic acid dermal fillers. Which of these (if any) is suitable for you will depend on your expectations and the severity of the lines.
Botox® For Jowls & Marionette Lines
For moderate jowls, I offer jawline tightening with Botox®. This treatment can soften the appearance of early jowling and provide a more defined jawline and sculpted neck. Whilst its possible to soften the appearance of marionette lines with Botox®, I do not think that this is the most effective treatment on its own. However, in some circumstances, I combine Botox with dermal fillers for treating marionette lines.
Dermal Fillers For Jowls & Marionette Lines
Since both Jowls and Marionette lines are caused by volume loss and sagging skin in the face, dermal fillers provide the opportunity to treat the underlying problem. For moderately severe lines, I can directly inject hyaluronic acid dermal filler into and around these creases to soften and minimize their appearance. For more severe jowling and marionette lines, I recommend hyaluronic acid dermal fillers to the cheeks to lift the face in addition to adding filler to the areas themselves.
If you have both jowls and marionette lines as well as other signs of ageing such as upper face wrinkles, then you can opt for a combination of Botox® and dermal fillers as part of my liquid facelift package.
LOSS OF FACE VOLUME
The whole mark of a younger face is one with thick, plump and firm skin. Additionally, younger faces have fuller volumes due to the size and location of the facial fat pads. As we age, our faces lose their fullness because of thinning of the skin, loss of elasticity and shrinking in size of the facial fat pads. This loss of face volume results in the appearance of lines, wrinkles and sagging of the face.
What Causes Loss Of Face Volume?
The main cause of facial volume loss is ageing. Over time, our body produces less collagen, elastin and the fat pads in the face reduce in size. This results in thinner and less pliable skin as well as sagging of the face. Similarly, changes in hormonal profile, in particular, oestrogen, can help accelerate this process. Lifestyle factors such as smoking and sun damage also contribute to skin ageing as well as loss of facial volume.
How Does Losing Volume Affect The Appearance Of Your Face?
Loss of skin volume leads to thinner and less elastic skin. This gives rise to wrinkles and uneven texture. At the same time, reduction in the volume of the fat pads, as well as their descent with gravity, occurs. This gives rise to a flatter profile and sagging of the skin in the mid and lower face. Hence this can lead to a gaunt appearance. It is due to this loss of facial fat volume that gives rise to tear trough deformities, hollowing of the temples, malar flattening, nose to mouth lines, jowls and marionette lines.
How To Add And Restore Volume To Your Face Naturally
In my opinion, hyaluronic acid dermal fillers are highly effective for restoring facial volume. This is because they can replace lost volume, help firm up and lift skin, smooth down wrinkles and deliver natural looking results. How much, which type of filler and where to pace them depends on the degree of facial volume loss and your overall face shape.
The main ways Dermal fillers can help with face volume loss are:
– Cheek fillers for contouring and midface lifting
– Tear trough fillers for undereye circles and shadows
– Restoration of lip shape, definition and volume with lip fillers
– Combat sagging, marionette lines and jowls with jawline and lower face fillers
Additionally, face fillers can be combined with Botox as part of my signature liquid facelift to refresh and smooth the face. Collagen induction therapy can also boost the effects of dermal fillers by inducing elastin and collagen formation for thicker and plumper skin.
NECK SAGGING & WRINKLES
As we age, the skin on the neck loses collagen and elastin. This leads to thin and less pliable skin on the neck which gives rise to wrinkles. Loss of fat and skin thickness also leads to the appearance of neck sagging. This is further exacerbated by the shortening and loosening of the platysma muscle around the neck hence causing sagging and banding. The main neck complaint that I see is neck sagging with visible bands as well as wrinkling of the skin.
Treatment Options For Neck Sagging & Wrinkles
Thankfully there are a number of treatment options for forehead wrinkles and frown lines. The first step is to ensure that you have a good skincare routine which helps hydrate, nourish and protect your skin.
Botox® Non-Surgical Neck Lift For Neck Sagging & Bands
Botox® anti-wrinkle injections are highly effective for smoothing out wrinkles and lines on the skin. Furthermore, Botox® can be injected to relax the platysma muscle as well as other muscles that pull on the neck or jawline. This procedure is known as the Botox® non-surgical neck lift. The effect of this is that it lifts and sculpts the neck as well as jawline. The treatment takes 3-4 weeks to work and last for 3-4 months.
Dermal Fillers For Neck Wrinkles
If the main concern is deep lines or wrinkles on the face and a sagging jawline, then dermal fillers provide an ideal non-invasive procedure. Hyaluronic acid dermal fillers smooth put wrinkles and can also be used to sculpt the jawline and lower face and upper neck.
UNDER EYE CIRCLES, BAGS & TEAR TROUGHS
These are all very common areas of concern for both men and women. Under eye circles are dark patches that are visible under the eye. Depending on cause and skin tone, these can look like shadows or discolouration that’s red, blue or green in hue. Under eye bags on the other hand, are swollen pockets or patches under the eye. Both under eye circles and bags can either occur separately or alone. They may also be caused by or exasperated by the presence of a tear trough (this is a loss of fat tissue leading to hollowness under the eye). The most common complaints people tend to have with under eye circles, bags or tear trough deformities is that they give the appearance of tiredness.
What Causes Under Eye Circles, Bags & Tear Troughs?
There are a number of genetic and environmental causes that give rise to under eye circles, bags and tear trough deformities. Some people are more predisposed to developing these and whether they affect other members of your family is a good indicator of your risk. Your skin tone may also play a role. Paler skin tones tend to show up blood vessels more readily and thus give the impression of bluish discolouration under the eyes. Darker skin tones may exhibit increased pigmentation in the under eye area which gives the appearance of shadowing. Aside from genetics, other common causes include:
Ageing: as we get older, the skin under the eyes loses its thickness and elasticity. This thinner and more fragile skin is more likely to show underlying muscles and blood vessels which also gives the appearance of dark circles under the eyes. Sun damage can also cause dark pigmentation under the eyes as well as accelerate skin ageing. Fat loss and reduced skin laxity can also cause under eye bags to appear more prominent. Loss of fat under the skin and skin ageing can also give rise to tear trough deformities.
Diet: deficiencies in Vitamins C and K as well as iron are thought to present with discolouration under the eyes. Diets high in salt can also increase fluid retention which can increase the prominence of under eye bags.
Sleeping: or rather lack of, can result in worsening of under eye circles and bags.
Dehydration: reduced water intake, excess caffeine and alcohol can all cause volume depletion in the skin and lack of laxity.
Sun damage and smoking: this can cause increased pigmentation and skin ageing both of which give rise to dark under eye circles and bags.
Inflammation and allergies: this can cause puffiness, bags and under eye circles over time.
Treatment Options For Under Eye Circles, Bags & Tear Troughs?
Luckily, there are a wide range of treatment options if you suffer from under eye circles or bags. The first thing is to ensure that you have a good skincare routine which includes using an under eye cream that contains ingredients like Vitamin C, Vitamin K and ferulic acid which help with under eye circles. Another important skincare tip is to ensure that the under eye skin is kept moisturised so having hyaluronic acid in your under eye cream would help immensely.
If the problem is purely due to thin skin or pigmentation issues, then advanced skin treatments like chemical peels and collagen induction therapy can help brighten and firm up the under eye skin. For tear trough deformities and under eye bags, hyaluronic acid tear trough fillers can treat the hollowness under the eyes and rejuvenate the eye area. For more defined tear trough deformities, cheek fillers can help provide support for the tear trough fillers.
BOTULINUM TOXIN ANTI-WRINKLE INJECTIONS
Botox Dubai |25 October 2021
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.
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.
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.