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Fillers in Dubai | 17 July 2019

Although no one likes the thought of aging, we can be thankful that we are living in this modern age when there are more facial cosmetic procedures than ever before to aid in the battle against time. Injectable fillers are not only effective, they are a completely safe method of rejuvenating the face.

Even in the past 10 years, there have been advancements in the science of fillers, and my clinic offers several different approved brands. The most popular are Juvéderm, Profhilo, Restylane, Radiesse, Teosyal and Neauvia. The area of the face that requires filling determines the type of filler that he chooses. Some fillers have a thicker consistency than others and are more suited to areas where more substance is needed to achieve the desired lift. It is possible to fill nasolabial folds (lines between the nose and mouth), cheekbones, noses, chins, tear troughs, jowls, and lips.

CONTOURING AND REFINING FEATURES

When injected by an experienced professional, fillers also have the ability to contour and refine features. Lips can be augmented to reduce the lines that appear with aging, and small noses can be enlarged so that they balance nicely with other facial features. A flat chin can be injected with filler to provide a symmetrical profile. Fillers can provide a straighter nose for people who have a hump in the middle. Cheek bones can be injected to provide a natural-looking lift to the face. Although amazing results can be achieved with injectable fillers, it is the artist in control of the needle who determines the final outcome. It takes artistry, not just a licence, to sculpt the face in perfect harmony and proportions.

Not only can fillers be injected in a short period of time, but there is also little discomfort for the patient. Local anaesthetic is administered prior to the injections, and some brands even have the anaesthetic combined with the filler. Slight swelling or redness at the injection site may be experienced, but this is minimal, eliminating the need to take a few days off of work to heal. Another major benefit of injectable fillers is that they are affordable. Great results can be accomplished without breaking your pocket book.

THINGS TO KNOW IF YOU’RE CONSIDERING DERMAL FILLERS

Whether you are considering getting dermal fillers to smooth out wrinkles or enhance facial contours, a quick look at some criteria and facts will help you know you have come to the right place for your treatment.

Dermal fillers should be injected only by an experienced and qualified medical doctor. This procedure requires qualifications, experience, and an artistic edge, because 90% of the success of cosmetic procedures depends on who is doing them. For example, a bad haircut would indicate the level of experience of the stylist, not the scissors that were used. This is why it is extremely important to inquire about the credentials of your practitioner and ask to see before and after pictures. Getting a consultation first is advisable, as you would get a chance to see my facility and raise your questions or concerns with me.

YOUR EXPECTATIONS

Bringing a picture of your younger self to your appointment is helpful. However, bringing a picture of your favorite celebrity is not conducive. While you may see one aspect or feature of your face, it is important to know that a face has to be analysed in whole and not in part. The aim of the injectable procedure is to look naturally enhanced. It is also important to understand that each face has its own asymmetry. A good doctor can help bring more symmetry while keeping the overall aesthetics of the face visually pleasing. So make the most of your consultation by being open to recommendations. Your doctor sees in three dimensions, and you would benefit from exploring all your options.

THE ACTUAL PRODUCT

There are many types of dermal fillers on the market. But the most common of them are hyaluronic acid (HA) products. They have proven to produce natural and lasting results while maintaining fluidity to move with facial expressions. This line of dermal fillers also incorporates antioxidants, minerals, and vitamins to deliver further treatment benefits while filling and contouring the face.

HOW LONG THE RESULTS WILL LAST

Hyaluronic acid in dermal fillers also naturally occurs in the body and therefore gets metabolized eventually. Depending on the dermal filler chosen and whether or not this is the first time you are having a filler injected, you can expect results to last anywhere from 3 to 6 months. If for some reason you are not satisfied with the results, which is very rare, HA fillers are also dissolvable at your request by injecting an enzyme called hyaluronidase.

WHAT TO DO BEFORE AND AFTER THE INJECTION

It is always best to schedule your injectable appointments a couple of days to a week prior to any major event. With dermal filler injections, you will also need to take bruising and swelling into account. You can reduce this likelihood by stopping any supplements that can act like blood thinners such as fish oil and also some pain killers such as Aspirin, Aleve, Advil, etc., 2 weeks prior to your appointment.

After your dermal fillers treatment, follow the post-care instructions given, which include applying cold compresses, avoiding extremely cold or hot drinks, sun exposure, extreme temperatures, excess facial mimicry, and vigorous exercises. Being gentle is key.

Breast Augmentation Dubai | 11 July 2019

Having fuller more voluptuous breasts is a very important part of feeling feminine and more confident for women. The breasts give the female body more proportion, curves and shape, which makes many women feel more sexy. There are a variety of factors that make women unhappy with their breasts. Such factors include the effects of aging, gravity which leads to sagging, post pregnancy changes and natural asymmetry. A breast augmentation helps women improve the overall appearance of the breasts and cleavage. This results in an improved self esteem, confidence and feeling sexier about your body.

Reasons why women seek breast augmentation include:

– Improved body proportion

– Correct loss of fullness or sagging due to aging, gravy, or pregnancy

– Improve cleavage appearance

– Increase breast shape and size

– Correct asymmetry of the breasts (one breast is larger than another)

WHAT TECHNIQUES ARE INVOLVED?

Breast augmentation involves the placement of an implant under the patient’s breast tissue to enhance the size and shape of the breast. The breast implants are usually inserted using an incision placed under the breast at the crease, but can also be put in via an incision in the armpit or around the nipple.

Breast augmentation surgery takes about one and a half hours, and is usually done under general anaesthetic. The operation itself involves accessing and creating the pocket into which the implant will be placed, using one of the insertion routes mentioned above: breast-crease, armpit or nipple.

Incision Options

There are three different types of incisions that can be performed when getting a breast augmentation surgery. These incisions are Inframammary (incision below the breast), Transaxillary (through the armpit), and Peri-Areolar (along the lower edge of the Areola). Dr Vigo will go over the different options available to you during your consultation, showing you the benefits of each option and explaining exactly how they are performed including the associated recovery time for each.

Inframammary

An inframammary incision is the most common incision when getting a breast augmentation. This incision is made in the fold below the breast and carries a very low risk of complications. Inframammary incisions are highly recommended for large pre-filled implants such as silicone. These incisions are usually discreet as it goes along the natural crease below the breast, however, on occasion the scar may be visible due to the size or shape of the implant. All patients heal at different rates. Your incisions will be monitored after surgery and tailor your scar managment to optimize healing and appearence. Proper care and maintenance of your incisions will be closely followed with you as you heal.

Peri-Areolar

A Peri-Areolar incision is done around the bottom edge of the areola and is typically four to five centimeters in length. This incision is very discreet after it is healed. Often times it is impossible to notice as it goes along the natural edge of the areola. The trade off risks and benefits of their incision approach will be disscused at the time of your consultation. Some women may experience difficulty with breast feeding after this incision approach. Nipple sensitivity is also jeopardized with this approach compared to other incision sites.

Transaxillary

A Transaxillary incision is the least visible of the different incision options as it is made in the armpit. This ensures there are no scars anywhere near the breasts. The breast augmentation procedure is performed using an endoscope during the surgery, which allows the surgeon to see the implant inside the pocket. Having the ability to see the implant inside the pocket allows for the best surgical decisions and precise placement of the implant. Implant type is limited by the incision, as only round smooth implants can be placed through this incision.

Once the pocket has been created, the surgeon may insert a trial implant to check that the size chosen is appropriate. The trial implant is removed, the definitive implant inserted and the incision wounds are stitched. You will be able to go home the same day. Postoperative pain in these procedures is easily controlled. Your chest will feel tight. Your breasts and ribs below your breasts will be tender. Patients will be mobile from day one and should be back to full exercise within six weeks. Patients are recommended to take around one to two weeks off work immediately after the operation in order to ensure you recuperate fully.

Implant Placement Options

There are two choices when it comes to the placement of the breast implants you select. They are subglandular (above the muscle) or submuscular (below the muscle). The benefits of each of the different placement options will be discussed with you at your consultation with a recommendation of a specific placement option depending on the natural shape of your breasts or your overall goals for getting a breast augmentation.

Subglandular

Subglandular placement is when the implant is placed above the muscle. During this placement, the implants are placed below the natural breast tissue and the surgery is usually quicker but the recovery time is about the same as below the muscle. One of the benefits of subglandular placement is that if future surgery may be required due to rupture or leakage, it allows for easier access to the implant. However, subglandular placement does also have its downsides, such as an increased risk of capsular contracture, concerns about breast views on mammography, and the implant may be able to be felt through the skin.

Submuscular

Submuscular placement is when the breast implant is put under the pectoral muscle. The benefit with submuscular placement is that the final result of the breast augmentation will look and feel more natural. Any breast imaging will be easier including mammographies, because it is easier to differentiate the implant from real breast tissue. Most patients are able to drive in a few days and you may shower the next day. Most surgeons agree that implants under the muscle are in the best position for the long term health of the patient.

Dual plane augmentation

When slender women with slightly drooping breasts seek breast augmentation surgery, surgeons often combine these two routes, placing the implants partly behind the breast and partly behind the muscle. Through this combined approach surgeons try to give patients the benefits of both techniques. This is called a dual plane augmentation.

BEFORE BREAST AUGMENTATION SURGERY

Before going into breast augmentation surgery, it is very important to get a good nights rest. You must follow the instructions given such as limitations to food or medications the day before surgery. All of this is important to get the best results and have the quickest recovery possible when getting surgery.

On the day of surgery make sure you have a friend or family member drive you to the surgical facility. You may be very sleepy from anesthesia after the surgery. Before surgery, your surgeon will review the choices you selected and answer any final questions or concerns you may have.

Your body will then be marked and you will be guided through exactly what will happen during the surgery.

Tummy Tuck Dubai | 10 July 2019

After pregnancy or weight loss, excess skin and fat can distort the appearance of the abdomen. In particular, many women find that after their second child or after bearing twins, their muscles and skin do not return to their original appearance secondary to repeated stretch of the abdomen. The abdominoplasty, or “tummy tuck” procedure, creates a flatter, firmer abdomen by removing excess fat and skin, and tightening the abdominal muscles. You are a good candidate for a tummy tuck if you are at a stable weight and are physically healthy, you have realistic expectations, and you do not smoke.

ANATOMY OF THE ABDOMEN

The abdominal wall consists of skin, fat, and muscle. The rectus abdominis muscles, which form the “six pack” of muscles on the abdomen, are covered by a firm sheath called the rectus fascia. This fascial layer frequently weakens and stretches out with pregnancy and weight gain. As a result, once a patient loses weight or has her children, she may be left with laxity of the abdominal wall. During surgery , the fascial layer over the rectus abdominis muscles is tightened, and the excess skin and fat are removed.

SURGERY STEPS

The abdominoplasty procedure is performed with a horizontal incision in the lower abdomen within the bikini line. In patients who have undergone a prior C-section, the incision can be made in the same location and extended to the sides. The rectus abdominis muscles of the abdomen are tightened, and the excess skin and fat are trimmed and redraped. Most abdominoplasty surgeries require repositioning of the umbilicus, or navel through a second incision. In the “mini” abdominoplasty procedure, lower abdominal muscle tightening with fat and skin removal are performed through a limited horizontal bikini incision only, without repositioning of the navel. The resulting scar is usually low on the abdomen, and therefore can be concealed within most bathing suits and clothing. Small drain tubes are placed with both techniques.

ADDITIONAL PROCEDURES

Liposuction is sometimes performed in conjunction with tummy tuck surgery to contour the flanks. Some patients wish to undergo simultaneous breast surgery to lift, add volume, or both. The combination of tummy tuck surgery and breast augmentation or lift surgery is commonly referred to as a “mommy makeover” procedure.

Additional procedures incur additional operating time, anesthesia, and surgical risks.

SURGERY AND ANESTHESIA

The surgery lasts 1 1/2 –2 hours, and is performed under general anesthesia. Many patients worry about the risk of general anesthesia, but it is very safe and it assures that you will be completely comfortable during surgery. Prior to surgery you will be required to obtain medical photographs, routine bloodwork, and in some cases preoperative clearance. The evening prior to surgery, you should not eat or drink anything after midnight. This ensures that you will have an empty stomach prior to surgery, which is very important for your anesthesiologist to care for you safely. You will need to have a responsible adult available to escort you home after surgery.

RECOVERY

Following surgery, you will awaken in the recovery area. Once you are fully alert, you will be transported to the stepdown area where you will be given something to eat prior to discharge. You will have two drains and a surgical garment placed at the conclusion of the procedure. The nurses in the recovery area will demonstrate how to empty and record the output from your drains. A responsible adult will need to be available to escort you home.

Patients are seen in the office one week following surgery. At that time your drains will be removed and you will be placed into a surgical garment. Most sutures placed will dissolve on their own.

Walking is permitted the day after surgery, but strenuous activity and heavy lifting are limited until six weeks following surgery. Most patients do not complain of severe pain following this surgery, but note that the abdomen feels “tight”, as if they have performed many sit-ups. Pain medication is prescribed for any discomfort. Swelling will be present for the initial 2-3 months after surgery, and the final results are typically seen 3-6 months after surgery. The scar will continue to fade and soften for up to one year following surgery, although it will never completely disappear.

WHAT A TUMMY TUCK CANNOT DO

A tummy tuck is not a substitute for weight loss or exercise. If you have ongoing weight loss, or are planning to become pregnant, you should delay your surgery. A tummy tuck cannot correct stretch marks, but it will remove the skin beneath the umbilicus. Stretch marks above this level some- times appear lighter after surgery, but they will not disappear.

Tummy Tuck Dubai | 8 July 2019

Tummy tucks are becoming increasingly more widespread. Let’s start with the definition. A tummy tuck is designed to reshape the contour of the belly area when skin elasticity has been lost, and the abdominal muscles weakened due to extreme body changes. The procedure takes about 1 to 5 hours to complete and is performed under general anesthesia. During the procedure, the plastic surgeon will disconnect the skin from the underlying tissue, suture the abdominal tissue, and cut away any excess flesh from the area.

When completely healed (full recovery can take about six weeks), the stomach area will be firmer, the abdominal muscles tighter, and the contour of the belly restored. But, for patients considering a tummy tuck, there may be more in store than just a firmer, more well-defined stomach. Here are some additional medical benefits to consider:

1. Easier to Maintain Weight Loss

Swiss researchers found that bariatric patients — people who go under the knife to reduce the size of the stomach in an effort to lose weight — were more likely to keep the weight off post-surgery when they combined it with a tummy tuck. In fact, patients that combined the two procedures regained an average of only a pound a year as opposed to 4 lbs a year for bariatric patients that didn’t have any body-contouring procedures performed. Researchers argue that, because of these findings, tummy tucks may be an essential aspect of weight loss surgery.

2. Improved Posture

Carrying an apron of excess skin combined with weakened abdominal muscles can lead to a condition called lordosis , commonly known as “sway back”. This is sometimes accompanied by at least some back pain. Since a tummy tuck will strengthen and tighten the abdominal muscles, the spine becomes supported, and the patient can stand up a little bit straighter. Any back pain that may have been caused by the previous condition should also be diminished or alleviated entirely.

3. No More Stress Urinary Incontinence

Women who undergo vaginal birth sometimes develop stress urinary incontinence or SUI. This is where the bladder tends to empty itself at awkward times, usually when coughing, sneezing, laughing or exercising.

The plastic surgeon can help the patient recover from this condition during a tummy tuck procedure by obstructing the bladder with soft tissue. These procedures are safe when combined and many women find that they no longer experience SUI following recovery.

4. Relief from Hernias

Ventral hernias can develop when the abdominal muscles become weak. In some cases, hernias can follow a Caesarean section or appendectomy. A ventral hernia is where the intestine or abdominal tissue begins to push through the abdominal wall. The plastic surgeon can also help this condition during the tummy tuck procedure. The combined procedures are safe, practical, and can save the patient money on medical expenses, as well as on the time spent in recovery.

5. Increased Exercise Tolerance

Excess skin and weak abs can make it difficult to exercise. A tummy tuck can reinvigorate the patient’s love of running, walking, or other aerobic activities. It is well-known that exercise is great for the heart and a person’s general well-being. Frequent exercise can also help to retain weight loss.

With all of these medical benefits and the boost to one’s self-esteem, it is easy to see why so many men and women would opt for this life-changing cosmetic surgery procedure. However, it should be noted that a tummy tuck is still considered a major operation with all of the associated risks, including infection. For this reason, a consultation should be scheduled with a qualified plastic surgeon to ensure that the person is in optimal health. There could also be high chances of adverse effects in patients who aren’t normally healthy.

Fillers in Dubai | 5 July 2019

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:

• Belotero Balance
• Juvederm Voluma XC
• Juvederm XC
• Juvederm Ultra XC
• Juvederm Volbella XC
• Juvederm Ultra
• Juvederm Ultra Plus
• Juvederm Vollure XC
• Prevelle Silk
• Restylane
• Restylane-L
• Restylane-Lyft
• Restylane Silk
• Restylane Refyne
• Restylane Defyne

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.

Tummy Tuck Dubai | 3 July 2019

A tummy tuck is a cosmetic surgery procedure that tightens the muscles and removes loose skin and fat from the abdomen so that it appears flat and toned. Mostly associated with “mommy makeovers,” a procedure that allows women to restore their figures after pregnancy, abdominoplasty is also used to help patients that have undergone extreme weight loss in a short period of time.

Between 2000 and 2014, the number of tummy tuck procedures rose an impressive 87 percent, according to the American Society of Plastic Surgeons. Many procedures were, no doubt, for cosmetic reasons, but there are several medical benefits to be gained after the procedure.

Reduction of Stress Urinary Incontinence

After a vaginal birth, some women can develop Stress Urinary Incontinence (SUI), a bladder control problem associated with uncontrollable leakage brought on by coughing, sneezing, exercising or even laughing.

In most cases, SUI is treated without surgery. For patients who require more care, several studies have indicated that a tummy tuck can aid in recovery especially in patients that have not had a caesarian section. During the procedure, a slight bladder obstruction is created using soft tissue near the pelvic area, thereby reducing incontinence.

Improved Abdominal Tone and Better Posture

After extreme weight loss or multiple pregnancies, stomach muscles can become distended, and diet and exercise alone cannot help. A tummy tuck surgically tightens weak muscles, while removing excess skin and fat, to flatten the abdomen.

Weak abdominal muscles are often associated with lordosis, or sway back. After an abdominoplasty, patients may notice that their posture has improved significantly, thanks to the tightened muscles supporting their spine. The improved support and better posture can have the added benefit of relieving certain types of back pain.

Ventral Hernia Correction

A ventral hernia occurs when the intestine or abdominal tissue breaks through the abdominal wall and forms a pocket or sack. There are several potential causes, including abdominal weakness caused by massive weight loss or surgeries like C-sections or appendectomies.

The underlying symptoms that require a ventral hernia correction are remarkably similar to those for abdominoplasty. Both surgeries correct weakened adnominal muscles and pressure on the skin. No matter the cause, whether pregnancy or weight, a weak abdominal wall will allow a hernia to form.

Once you develop a ventral hernia, it is very easy for it to happen again. Often, your surgeon will weigh the benefits of adding an abdominoplasty procedure to the hernia repair to strengthen the abdominal wall and prevent future occurrences. Combining the procedures is not only safe, but very practical, as it can reduce medical expenses and recovery time.

Risks and Rewards

Due to its growing popularity, many people believe that a tummy tuck is an easy procedure. It’s important for patients to realize that it is still a major operation, requiring one to five hours in the operating room, under general anesthesia.

A typical abdominoplasty removes up to 10 pounds of stomach fat by disconnecting the skin from the underlying tissue, suturing abdominal tissue, and cutting away any extra skin. A full recovery can take several weeks, and just like any other surgery, there are risks of infection and other complications.

That said, the various medical and cosmetic benefits of a tummy tuck make the procedure appealing for many people. Interested patients should discuss the procedure in detail with their surgeon and consider all the advice before deciding whether to undergo surgery.

Fillers in Dubai | 1 July 2019

There’s no escaping from the fact that as our bodies age our skin loses elasticity. Various factors such as over-exposure to the sun, pollution, and lifestyle factors can increase the speed at which a woman’s skin loses it elasticity and bounce. At one time there was very little choice for women who wanted to halt the skin aging process. Nowadays we have many options at our fingertips ranging from anti-aging cream to surgery. I believe there’s a better option that’s quicker than creams and less invasive and final than surgery: dermal fillers.

Dermal fillers are made up of hyaluronic acid which is a sugar molecule that exists naturally in almost all living organisms. Its role is to bind water molecules and act as a lubricant and shock absorber in moveable parts of the body. It is also responsible for transporting nutrients and regulating water balance in the skin. Dermal fillers boost the skin’s supply of hyaluronic acid, revitalising and adding volume to the skin, thus diminishing the appearance of fine lines and wrinkles.

Here is some of the main benefits of dermal fillers:

Quicker than creams

Anti-aging creams are a long-term investment in your skin. Applied daily in small amounts, the results can take several months to appear and may not even be very noticeable at all. Dermal fillers are injected into areas of the skin that need a little extra plumping and the results can be seen almost instantly.

Quicker than surgery

Most dermal filler procedures take less than an hour, so you can have your face plumped in your lunch hour then return to work straight after! Surgery tends to give slightly better results that will last much longer but it is very invasive and involves a recovery time of up to 4 to 6 weeks in most cases.

Long lasting but not permanent

Because dermal fillers are made from hyaluronic acid which occurs naturally within the body anyway, over time the acid dissipates and is re-absorbed by the body so the filling effect starts to wane. This is good for people that want to have a youthful look without committing to permanent surgery!

Natural looking effect

Dermal filler injections give a natural looking result that doesn’t alter the facial expressions of the recipient in the same way as filler treatments such as Botox can. As your face changes over time you can control the way you look with regular dermal fillers to plump out the right areas of your face.

Fillers in Dubai | 25 June 2019

Doctors have slammed “deadly” YouTube videos that show how to inject cosmetic fillers and Botox into your own face. The online clips encourage people to inject dermal fillers at home, rather than paying the average £200 to £500 cost at a clinic. But now experts have called for the videos to be removed, saying viewers risk infection, blood poisoning and even death if they get it wrong. Leading surgeons say viewers need to exercise extreme caution warning that YouTube videos showing so-called ‘DIY dermal filler methods’ are extremely dangerous. By attempting to follow them you’re risking infection. If you accidentally inject into a blood vessel, you risk the death of tissue and permanent scarring. In rare circumstances, it could even lead to blood poisoning and death. I would plead that no one ever administers their own filler. Leave it to a trusted medical expert who has had years of training and is fully understanding of the anatomy of the face. Read the full story here.

Tummy Tuck Dubai | 20 June 2019

Depending on the patient’s aesthetic objective, plastic surgeons will recommend one of the following three types of tummy tucks available:

Full or classic tummy tucks

Classic tummy tucks (which are also referred to as full tummy tucks) are utilized when individuals want to address the sections above and below their belly button, the full length of the abdominal wall. Patients who opt for a full tummy tuck often want to resolve general roundness and excess skin. With this procedure, one horizontal or u-shape incision, and possibly a second incision, are made above the pubic area and the belly button, respectively, to remove excess skin and tighten muscle. Full tummy tucks present the most natural-looking outcome, and can include a much firmer abdomen.

Mini tummy tucks

Mini tummy tucks involve less extensive incisions compared to a full tummy tuck and are intended to improve only the lower belly, below the patient’s belly button. This makes the procedure ideal for people who want to rid their bellies of a “pooch”, tiny bulge or stretch marks in the lower abdominal region only. Plastic surgeons can tighten loose muscles through a single low horizontal incision (typically without an incision around the belly button), and remove excess lower abdominal skin, resulting in a firmer, smoother lower belly.

Extended tummy tuck

The extended tummy tuck is considered when the goals of the procedure are to address the abdomen while simultaneously targeting the flanks and hips. To perform this procedure, the surgeon extends the horizontal incision more laterally as well as often incorporating a longer, vertical incision, which enables the surgeon to remove excess skin from the upper and lower abdominal region as well as the flanks while tightening the abdominal wall. This procedure is often ideal for those patients who have had multiple pregnancies or have lost lots of weight, either through diet and exercise or through weight loss surgery.

Determine which procedure is right for you

Deciding which procedure is right for you will be contingent upon several factors and is best done in consultation with an experienced and qualified Plastic Surgeon. The amount of excess skin will also determine which procedure is most appropriate. Finally, any scarring attained from a previous cosmetic procedure or surgery can determine which kind of tuck the patient qualifies for.

Breast Augmentation Dubai | 16 June 2019

Breast enlargement surgery is usually carried out under general anaesthetic. Most patients come to the clinic early in the morning on the day of their surgery. Your breast enhancement surgery will then take place later that morning or early afternoon that day. Patients can generally be discharged the same day however if your surgery is scheduled for the afternoon you may have to stay overnight before being discharged the next morning.

Depending on your specific type of procedure, surgery typically takes between 1 to 2 hours.

Possible Incision Areas

I pride myself on making the smallest and most concealed incisions possible, usually four to five centimetres long. There are three incision areas widely used for breast augmentation:

1. The infra-mammary incision (under the breast fold)
2. The circumareolar incision (around the nipple)
3. The axillary incision (in the armpit)

Each incision has its advantages and disadvantages. Your final choice needs to be discussed with me at consultation.

Inserting your breast implants

Your implants will be placed either under or over your pectoral muscle depending on several factors including the size of your breast, skin quality, and your breast shape. The position of the implant will have been decided prior to surgery at your consultations.

Implants placed under the muscle tend to give a slightly more natural upper ‘pole’ of the breast and possibly a lower incidence of capsular contracture (scar tissue that can develop around an implant and cause the breast to feel hard).

1. Subpectoral (under the chest muscle)
2. Subglandular (beneath your breast tissue)
3. Dual Plane (partly under the muscle, partly under breast tissue)

Closing your incisions

Dissolvable stitches are normally used to close the incision. Dressings will then be applied. I may place a drain on each side to remove unwanted fluid from around your implants. These are usually removed prior to discharge. Occasionally drains need to be left in place for a little longer.