News

Cosmetic Surgery – Know your options

Cosmetic Surgery Dubai | 5 August 2020

Cosmetic plastic surgery includes surgical and nonsurgical procedures that enhance and reshape structures of the body to improve appearance and confidence. Healthy individuals with a positive outlook and realistic expectations are appropriate candidates for cosmetic procedures. Plastic surgery is a personal choice and should be done for yourself, not to meet someone else’s expectations or to try to fit an ideal image

ABDOMINOPLASTY

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals. Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

Aging

Heredity

Pregnancy

Prior surgery

Significant fluctuations in weight

ARM LIFT

An arm lift is a cosmetic surgical procedure to improve the appearance of the under portion of your upper arms. During an arm lift — also known as brachioplasty — excess skin and fat are removed from between the armpit and elbow. The remaining skin is placed back over the newly repositioned contours to create a more toned look.

BLEPHAROPLASTY OR COSMETIC EYELID SURGERY

Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids. Surgery can be performed on the upper lids, lower lids or both. Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.

BODY LIFT

A body lift improves the shape and tone of the underlying tissue that supports skin and fat. Excess sagging skin and fat are removed and the procedure(s) can improve a dimpled, irregular skin surface.

BODY CONTOURING

Dramatic weight loss has many benefits. But after any substantial amount of weight loss due to weight loss surgery and/or lifestyle changes, the skin and tissues often lack the elasticity to conform to the reduced body size. Surgical body contouring following major weight loss removes excess sagging skin and fat while improving the shape of the underlying support tissue. The result is a better-proportioned appearance with smoother contours.

BREAST AUGMENTATION SURGERY

Breast augmentation, sometimes referred to as a “breast aug” or “boob job” by patients, involves using breast implants or fat transfer to increase the size of your breasts. This procedure can also restore breast volume lost after weight reduction or pregnancy, achieve a more rounded breast shape or improve natural breast size asymmetry.

BREAST LIFT

A breast lift, also known as mastopexy, raises the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. A breast lift can rejuvenate your figure with a breast profile that is more youthful and uplifted. A woman’s breasts often change over time, losing their youthful shape and firmness.

BREAST RECONSTRUCTION SURGERY

Breast reconstruction is surgery to make a new breast after removal of the breast or part of the breast. The aim is to make a breast of similar size and shape to your original breast. But they won’t be identical. The main ways of making a new breast include:

removing the whole breast and skin, and using an implant underneath the remaining skin

removing the whole breast, leaving skin behind, and using an implant (skin sparing mastectomy)

using tissue taken from another part of your body

using your own tissue and an implant

After reconstruction surgery you might consider more surgery to:

create a new nipple

change the shape of your other breast to match

BREAST REDUCTION SURGERY

Breast reduction, also known as reduction mammaplasty, is a procedure to remove excess breast fat, glandular tissue and skin to achieve a breast size more in proportion with your body and to alleviate the discomfort associated with excessively large breasts (macromastia).

BROW LIFT

A brow lift, also known as a forehead lift:

Reduces the wrinkle lines that develop horizontally across the forehead, as well as those that occur on the bridge of the nose, between the eyes

Improves frown lines, the vertical creases that develop between the eyebrows

Raises sagging brows that are hooding the upper eyelids

Places the eyebrows in an alert and youthful position

BUTTOCK ENHANCEMENT

Buttock augmentation, or gluteal augmentation, is used to improve the contour, size and/or shape of the buttocks. This is done through the use of buttock implants, fat grafting or sometimes a combination of the two. Buttock implants are silicone-filled devices that are surgically placed deep within the tissues of the buttock. Buttock augmentation through the use of fat grafting involves the transfer of fat from one area of the body into the tissues of the buttocks. This technique is sometimes referred to as a Brazilian Butt Lift.

EAR SURGERY

Ear surgery, also known as otoplasty, can improve the shape, position or proportion of the ear. A defect in the ear structure that is present at birth or that becomes apparent with development can be corrected by otoplasty. This procedure can also treat misshapen ears caused by injury. Otoplasty creates a more natural shape while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound benefits to appearance and self-esteem. If protruding or disfigured ears bother you or your child, you may consider plastic surgery.

EYELID SURGERY

Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids. Surgery can be performed on the upper lids, lower lids or both. Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.

FACE LIFT

A facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck, such as:

Relaxation of the skin of the face causing sagging

Deepening of the fold lines between the nose and corner of the mouth

Fat that has fallen or has disappeared

Jowls developing in the cheeks and jaw

Loose skin and excess fat of the neck that can appear as a double chin or “turkey neck”

The loss of youthful contours in the face can be due to variety of factors, including thinning of the skin, loss of facial fat, gravity, sun damage, smoking, as well as heredity and stress.

FAT TRANSFER BREAST AUGMENTATION

Fat transfer breast augmentation essentially uses liposuction to take fat from other parts of your body and inject it into your breasts. This is a breast augmentation option for women who are looking for a relatively small increase in breast size and would prefer natural results.

GYNAECOMASTIA SURGERY

Gynecomastia surgery reduces breast size in men, flattening and enhancing the chest contours. In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced. Plastic surgery to correct gynecomastia is technically called reduction mammaplasty.

LASER SKIN RESURFACING

Laser skin resurfacing, also known as a laser peel, laser vaporization and lasabrasion, can reduce facial wrinkles, scars and blemishes. Newer laser technologies give your plastic surgeon a new level of control in laser surfacing, permitting extreme precision, especially in delicate areas.

LIPOSUCTION

Liposuction, sometimes referred to as “lipo” by patients, slims and reshapes specific areas of the body by removing excess fat deposits and improving your body contours and proportion.

MALE BREAST REDUCTION SURGERY

Gynecomastia surgery reduces breast size in men, flattening and enhancing the chest contours. In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced. Plastic surgery to correct gynecomastia is technically called reduction mammaplasty.

MOMMY MAKEOVER

The goal of a mommy makeover is to restore the shape and appearance of a woman’s body after childbearing. Many women notice changes in their bodies post-pregnancy. There are many areas of the body that can be addressed, most commonly the breasts, abdomen, waist, genitalia and buttocks. A mommy makeover is typically performed as a single stage procedure.

NECK LIFT

A neck lift, or lower rhytidectomy, is a surgical procedure that improves visible signs of aging in the jawline and neck. What neck lift surgery can treat:

Excess fat and skin relaxation in the lower face that creates jowls

Excess fatty deposits under the chin

Loose neck skin

Muscle banding in the neck, which created abnormal contours

OTOPLASTY

Ootoplasty, can improve the shape, position or proportion of the ear. A defect in the ear structure that is present at birth or that becomes apparent with development can be corrected by otoplasty. This procedure can also treat misshapen ears caused by injury. Otoplasty creates a more natural shape while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound benefits to appearance and self-esteem. If protruding or disfigured ears bother you or your child, you may consider plastic surgery.

PINNAPLASTY

Ear correction surgery is cosmetic surgery to alter the size or shape of the ears, or pin them back if they stick out. Pinning back the ears is known as an otoplasty, or pinnaplasty. It’s usually carried out on children and young teenagers, although adults may wish to have it done, too. An otoplasty isn’t suitable for children younger than five as their ears will still be growing and developing.

Most people are happy with the results of an otoplasty, and generally it’s a safe procedure. But it can be expensive and there are still risks to consider.

THIGH LIFT

Thigh lift surgery reshapes the thighs by reducing excess skin and fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body. If fitness and weight control efforts have not achieved your goals for a body that is firmer, more youthful-looking and more proportionate to your overall body image, a surgical lift may be right for you.

TUMMY TUCK

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals. Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

Aging

Heredity

Pregnancy

Prior surgery

Significant fluctuations in weight

innovative Stem Cell treatments

Aesthetic Medicine Dubai | 1 August 2020

Stem Cell Treatment is an effective treatment for several conditions and has been successfully used to improve skin and hair conditions. I provide the following treatments:  

Anti ageing

Scar and acne treatments

Hair loss

Natural body shaping

WHAT ARE ADIPOSE DERIVED STEM CELLS?

Adipose Derived Stem Cells are mesenchymal stem cells which can be found in the fat tissue; these cells represent a multipotent cellular population which can differentiate into cells of various tissues, including but not limited to bone, cartilage, heart and muscle.

Moreover, those cells can show immunomodulating properties and an elevated capacity to stimulate the formation of new blood vessels. Adipose derived stem cells are also contained in the bone marrow, in the amniotic liquid and epithelial tissue. The fat is our richest source of stem cells and it is the easiest tissue to be harvested through a normal liposuction. Adipose- derived stem cells can be used in many field in cosmetic and reconstructive surgery. They are very useful in the body shaping, helping the survival of the grafted fat, play an important role in the rejuvenation process of the skin, promote the healing of scars and the correction of it. They can be used also as a treatment for stretch marks, old scar depressions and keloids.

PERSONALIZED ANTI AGING SKIN CARE

This process allows you to create your own personal supply of collagen-producing Adipose Derived Cells to correct fine wrinkles, folds and ageing signs. It is a natural treatment that does not rely on injecting artificial components into the skin

THE AGING PROCESS

Fibroblasts are skin cells that produce collagen and elastin. Their function is essential for maintaining elasticity and firmness of your skin. As we age, our fibroblasts reduce in number and the collagen matrix that makes up most of the dermis breaks down. This creates an imbalance that causes the dermis to become less stretchable, less resilient, more lax and prone to wrinkling.

RESULTS

The new implanted Adipose Derived Cells produce collagen and elastin and make the skin smoother and healthier. Reducing the appearance of fine lines, wrinkles and superficial imperfections as damaged skin cells are quickly outnumbered by the proliferation of healthy cells. A boost in collagen and elastin, helps to restore the skin’s smoothness and elasticity.

The cells will make new collagen and they will require time to form that new matrix. The younger are the skin cells the quicker are the results; the average time from injection to when you see the changes is usually only a few months and you will see continued gradual improvements for 6 months to a year.

CAN I STOP THE AGEING PROCESS OF MY SKIN AND PREVENT IMPERFECTIONS?

Preserve your ADCells today and put a stop to skin-ageing. Thanks to the innovative cell culture processes, you can now obtain millions of new cells from cryopreserved ADC that will be used to restore the conditions of young skin and replace aged cells

SCAR AND ACNE TREATMENTS

Through the Adipose derived Stem Cells, it is now possible to reduce the deep acne scars and stretch marks: they occur when the skin is overstretched. This sudden extension causes a mark in the bottom layer of the skin that becomes noticeable. Scarring has many causes from accidents to acne, surgery, illnesses such as chicken pox, and countless other reasons. LIPOSKILL PLUS is an advanced treatment that allow the reduction of scars and stretch marks using Adipose Derived Stem Cells. In both cases, the injection of ADSC restores the physiologic condition of normal skin repairing the damages through the extracellular matrix rebuilt. In addition, the ADSC remove the fibrotic tissue that reveal the scar making it unpleasant in function and aesthetic.

WHAT TO EXPECT?

The treatment helps your skin heal properly without any scarring. Gradual Decrease of wound scars. Stretch marks can be reduced to give the skin a clear and fresh appearance. 

RESULTS 

ADSC help to rebuild new skin, allowing skin lesions to progressively fade and be replaced by fresh, smooth skin. The result is skin that looks healthy, smooth and translucent. Through the Adipose derived Stem Cells, it is now possible to reduce the deep acne scars and stretch marks: they occur when the skin is overstretched. This sudden extension causes a mark in the bottom layer of the skin that becomes noticeable. Scarring has many causes from accidents to acne, surgery, illnesses such as chicken pox, and countless other reasons. LIPOSKILL PLUS is an advanced treatment that allow the reduction of scars and stretch marks using Adipose Derived Stem Cells. In both cases, the injection of ADSC restores the physiologic condition of normal skin repairing the damages through the extracellular matrix rebuilt. In addition, the ADSC remove the fibrotic tissue that reveal the scar making it unpleasant in function and aesthetic.

RESULTS 

ADSC help to rebuild new skin, allowing skin lesions to progressively fade and be replaced by fresh, smooth skin. The result is skin that looks healthy, smooth and translucent..

HAIR LOSS

Alopecia Areata is an autoimmune disorder characterized by patches of non-scarring alopecia affecting scalp and body hair; it is clinically heterogeneous, and its natural history is unpredictable. There is no preventative therapy or cure at this moment. Hair transplantation – which takes plugs of natural hair from hair-rich occipital areas and transplants them to the hair-poor areas- may no longer be a viable option for treatment, as there might not be sufficient donor hair follicles (available from the scalp or other areas) that can be transplanted without causing collateral damage elsewhere. Cell therapy can restore bald scalp areas has become an emerging focus in addressing this medical condition.

Adipose derived cells (ADC) are one of the latest break-troughs in hair regeneration, since these cells and their conditioned media (ADC-CM) have been reported to promote hair growth in vitro and in some clinical reports of treatments for androgenic alopecia or female pattern hair loss (FPHL). Moreover, ADC-CM increases the proliferation of human follicle dermal papilla cells (DPC) and human epithelial keratinocytes, two cell types present in hair follicles, inducing anagen phase and stimulating hair regeneration.

THE TREATMENT

The treatment is based on the administration of ADC-CM alone or in association to autologous, in vitro expanded ADC. ADCs are isolated starting from a fat tissue sample which can be collected during a surgical liposuction or in one outpatient session. The cells are expanded under sterile conditions and culture media is collected for future use. About two weeks after the small FAT collection about ten millions of cells are ready for an immediate treatment and the remaining cells are cryopreserved for future treatments.

ADVANTAGES

ADC-CM contains various regenerative factors secreted by ADC that can limit hair loss by recruiting endogenous cells to hair follicles sites and triggering regeneration. Moreover, ADC-CM increases the poor engraftment of the ADC transplanted alone and the clinical outcomes in hair regeneration.

The sample can be taken using a simple micro-liposuction procedure with no need for surgery, the collection does not require dedicated equipment and/or kits, simply a standard syringe.

The possibility of freezing part of the material offers the advantage of repeating the treatment several times over the years without the need to undergo again to fat tissue collection.

NATURAL BODY SHAPING

With this treatment you can achieve a Natural Breast and Buttocks augmentation and shaping of concave deformities without any permanent implants by a safe and quick treatment. LIPOSKILL restores volume and contours body surfaces using hundreds of millions of expanded Adipose Derived Cells which are implanted using a scaffold consisting of autologous fat taken in advance.

This treatment shows a Significant reduction of the downtime and discomfort as well as the scarring and risks involved with all surgical procedures. Furthermore, it eliminates many of the concerns patients have about surgery such as undergoing general anesthesia. Permanent implants typically involve major surgery under general anesthesia which can leave extensive scarring and is associated with other medical and surgical risks. Unlike artificial implants, Adipose Derived Cells (ADC) in a natural fat scaffold allows more flexibility to shape and contour, leading to a more natural-looking and personalized result. Many patients like the idea of using their own natural fat instead of introducing foreign materials into the body since there is a lower risk of infection or other complications.

The procedure consists of two steps: the first is harvesting the fat to extract and expand the fat cells. The second is collecting the fat to use as a scaffold that will be enriched with the expanded cells and then implanted. By a withdrawal of fat of about 50-100 ml within 10 days, approximately 300 to 600 million cells are obtained. Then, the expanded cells are combined with 100-200 ml of autologous fat and implanted to increase the volume.

 

Cosmetic Clinic Dubai – Enhance the beauty of your lips

Cosmetic Clinic Dubai | 28 July 2020

What’s in a pout? Well, quite a lot, as it turns out that full and sumptuous lips are the most preferable lip shape of them all – but according to a global study, there’s one key trait that distinguishes the perfect pouts from their equally plump, yet sub-par, counterparts.

A survey of more than 1,000 people from 35 different countries revealed that the key to the ultimate lip shape actually boils down to symmetry. In the study, which was published in the Journal of Cranio-Maxillofacial Surgery, more than 60 per cent of respondents chose the 1:1 ratio between the upper and lower lip as the most attractive shape. The second highest-rated pouts were those with a fuller lower lip, like Kylie Jenner, who has built an entire beauty empire based on her infamous (and surgically-enhanced) pout.

A heavily-defined cupid’s bow is the most-requested lip shape. Cupid’s bows can be enhanced and further defined with the use of specific amounts of filler in the upper lip to enhance the natural vertical columns that lie immediately about the upper lip. The use of a specific filler can also be used to enhance and redefine the overall contour of the lips. Other common shapes patients request improvements on include the “natural trout pout”, when the lips’ symmetry is slightly offset by a heavier top lip, and the “flat upper lip” as seen on Julia Roberts, where the upper lip has no defined cupid’s bow.

Lips start to naturally reduce in size from the age of 28 onwards, as this is when collagen and hyaluronic acid production slows – the latter is the most commonly-used product in lip injection treatments. There are numerous lifestyle factors that can affect the fullness of your lips too. Don’t smoke, stay out of the sun and don’t overdo the booze if you want your lips to be naturally full for longer. Obviously there are some risks involved with lip-plumping treatments, which can leave patients with severe swelling, bruising and soreness afterwards. Prospective patients should always seek advice from a medical professional before embarking upon surgical treatment.

Dermal Filler FAQs

Fillers in Dubai | 25 July 2020

Which dermal filler lasts the longest?

Longevity of the dermal fillers depends on factors such as:

Density of the filler

Injection area

Patient’s metabolism

What is the difference between Restylane and Juvederm?

Juvederm and Restylane are both FDA-approved dermal fillers made from hyaluronic acid gels. Juvederm comes as a smooth gel while Restylane is slightly granular. These differences can impact on where I decide to use the fillers. Restylane typically lasts from between 6 to 9 months, while Juvederm is labelled as lasting from 9 to 12 months.

Does Juvederm stimulate collagen?

Although Juvederm and other dermal fillers use hyaluronic acid to fill out wrinkles, several studies suggest that these fillers also induce the formation of collagen. The result of this stimulation is that skin looks fresher and more rested for longer.

Are dermal fillers long lasting?

All the dermal fillers I use are semi-long lasting and made from hyaluronic acid, which breaks down and is absorbed into the skin after around 6 to 18 months.

Can dermal fillers be removed?

Hyaluronic acid fillers, such as Juvederm and Restylane, can be quickly dissolved using an enzyme known as hyaluronidase. This acts to disperse hyaluronic acid, speeding up the natural breakdown of the dermal filler. The use of hyaluronidase to remove fillers is off-license, so I will only go ahead if it is “in the best interest of the patient on the basis of available evidence”.

How long do fillers last in the cheeks?

The length of time a treatment lasts relies on a number of factors, including treatment area, skin elasticity, injection technique, the type of filler used and the patient’s metabolism. As everyone’s body is different and results will vary from person to person, I will be able to advise on the best course of action following a consultation. Juvederm and Restylane generally last between 6 months and 1 year.

What can dermal fillers be used for?

They can be used most effectively and naturally to restore areas of lost volume in the face that occurs as we age, which often contributes to the sag and jowling. Strategic and skilful placement of filler can lift and support the face naturally with no need for a surgical procedure.

Dermal fillers can smooth fine lines on the forehead and the lower face. Moderate lines occurring in the mouth to chin area and the nose to lip corners can be softened. Cheeks and chins can be remodelled and given more definition. Scars can be minimised, while lips can be defined or enhanced, subtly and naturally. Skinboosters can be used to increase hydration to the skin, particularly the face, neck, hands and décolletage.

How will I know which dermal filler is right for me?

Different fillers achieve different outcomes. At your initial consultation, we’ll discuss a personalised treatment plan that’s tailored to you. It could be that you need one or more of these options:

Increase hydration to your face, neck, hands and décolletage

Smooth fine lines on your forehead and the lower face

Soften moderate lines in your mouth to chin area and from your nose to lip corners

Remodel your cheeks and chin, and give more definition

Minimise scars

Define or enhance lips, subtly and naturally

Restore lost facial volume

How soon will I notice results?

You should be able to spot the difference immediately as a non-surgical lift. Your skin will look dewy and revitalised in a totally natural way.

I’m interested in having dermal fillers but will the injections hurt?

Many people find their procedure more comfortable than expected, and most dermal fillers contain a local anaesthetic. I am highly skilled and precise; you should merely feel a light sting on your skin during the injection procedure.

What’s the difference between a dermal filler and botulinum toxin?

Both treatments involve injections, but botulinum toxin relaxes muscle movement that results in wrinkles while dermal fillers simply plump out and smooth wrinkles. Sometimes, these treatments are more effective when combined.

Fillers in Dubai | 21 December 2018

Choosing The Right Type Of Dermal Filler

Fillers in Dubai | 18 July 2020

The area(s) of treatment are important when selecting the right type of filler product. Single treatment areas like the lips, eyes, or cheeks allow for the election of area-specific products. Teosyal by Teoxane offers an extensive range of products like Teosyal Kiss, which is specifically formulated for the delicate lip area. Teosyal also has Redensity l or ll for the eye area. The Teosyal product range is a preferred choice of dermal fillers because Teosyal dermal fillers contain hyaluronic acid compounds that are specifically formulated for exclusive areas on the face.

SKIN CONDITION

The condition of the skin prior to injection will regulate the amount of dermal filler that will be required along with the injection techniques that will be exercised.. The depth of wrinkles along with the patient’s age and lifestyle are determining factors in selecting the appropriate filler product for patients. Other factors include sun damage, irregularities like pigmentation, discoloration, moles, scars, and other visible signs of skin damage. These all play a role in which treatments should be used.

FREQUENCY

Dermal fillers are an ongoing anti-ageing regimen. Patients who regularly maintain their filler injections in a timely manner consequently end up with natural results with long-lasting effects. One of the most important elements in maintaining consistent dermal filler results is to have the treated area re-injected prior to the product being fully absorbed by the body. Typically, 4 weeks prior to the “lasting” period is ideal for the re-injection of pre-existing sites. For example, if your lip filler product lasts 6 months, then it is advisable to schedule a follow up appointment to get re-injected at about 5 months after the initial injection. People who regularly receive dermal fillers will require less product overtime because the body will become accustomed to the increased production of collagen and will continue to produce extra collagen to support the areas that have been injected with dermal fillers.

 

Breast Augmentation – The First Few Days

Breast Augmentation Dubai | 15 July 2020

You should plan on avoiding as much activity as possible for at least three to four days after your augmentation. Your breasts will be tender and swollen, and you will likely need to use prescription pain medications for the first day or two to ensure that you stay comfortable. You will not be able to drive yourself to work or to run errands, so we typically recommend that you plan to take these days off from regular daily responsibilities and arrange for extra help around the house. You should also avoid movements that might irritate your breasts like heavy lifting, jumping or laying on your stomach. These first few days are when your body will be experiencing the most adjustments as your sutures heal and you get used to your implants. Symptoms such as bruising and some bleeding are normal, though if you feel as though they are excessive, don’t hesitate to contact me with any questions. At your first follow-up appointment after these initial recovery days, I will be able to give you the go-ahead to return to a more normal schedule.

BREAST AUGMENTATION AFTERCARE

Breast Augmentation Dubai | 12 July 2020

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

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

TYPICAL POST-OPERATIVE SYMPTOMS

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

Tightness in the chest region and stiffness 

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

Hypersensitivity of nipples or lack of sensitivity

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

A feeling of heaviness

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

Shiny skin or any itchy feeling

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

Asymmetry, the breasts look different, or heal differently

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

A sloshing sound or sensation

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

AFTER SURGERY CARE

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

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

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

AFTER SURGERY ACTIVITY AND HYGIENE INSTRUCTIONS

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

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

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

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

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

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

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

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

WOUND CARE

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

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

Please notify me if:

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

You develop excessive swelling, redness or warmth of incisions.

You experience severe pain not responding to pain medication.

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

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

AFTERCARE: BREAST AUGMENTATION SUMMARY

Dressings

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

Bathing 

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

Medications

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

Swelling

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

Massage

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

Diet

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

Clothing

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

Smoking

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

Driving

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

Abdominoplasty aims to restore a more youthful, toned tummy

Cosmetic Surgery Dubai | 8 July 2020

Tummy tuck or abdominoplasty aims to restore a more youthful, toned tummy which has been affected by aging, pregnancy and weight gain that all take their toll on your shape, especially around the waist and hips. Skin laxity and stubborn fat contribute to the heavy abdomen and hips making it difficult to wear the clothes you want and also increasing lower back pain. Dr. Vigo’s many years of surgical expertise ensures that he provides you with a safe, caring, professional service to achieve a natural aesthetic appearance in Abdominoplasty, Tummy Tuck surgery.

Abdominplasty, Tummy Tuck surgery is performed to reduce the heavy lower abdomen and hips to enable you to wear the clothes you want and boost your self-esteem. A Tummy Tuck can restore a youthful figure following pregnancy of weight loss. Abdominoplasty can improve your posture and reduce lower back pain. Diabetic patients may benefit following an Abdominoplasty by improved blood sugar control or reduced requirements for medication. The improvement in body shape can boost your self confidence and comfort enabling you to exercise effectively to maintain a good body weight and shape.

What about the scars following Abdominoplasty, Tummy Tuck?

Unfortunately, it is necessary to have a scar as a result of Abdominoplasty, but every effort is made to minimize the scars and ensure that these are as inconspicuous as possible. The goal is to achieve a scar which is as short as possible and which, once fully healed is barely visible. The scar is placed within the pants line – bikini line usually from hip to hip. The extent of the scar is determined by the amount of excess skin to be removed. There will also be a scar around the umbilicus (belly button).

What are the risks of Abdominoplasty?

Common to all surgical procedures there are always risks associated with surgery. However, Abdominoplasty surgery is a safe procedure when performed by a fully qualified and trained Plastic / Cosmetic Surgeon with a high standard of care. The common risks are bleeding (less than 0.5%), infection (less than 0.5%) delayed skin healing, and seroma collection (fluid under the skin). Each of these risks may require revision surgery. Other risks that may occur are, poor scarring – hypertrophic or keloid, blood clots – DVT and PE (0.5%), asymmetry, numbness of the skin.

Am I the ideal patient for Abdominoplasty?

If you would like to improve your body shape because of skin laxity and excess fat in your lower abdomen, which does not reduce with good diet and exercise, and you have been concerned by this for a long time, do not have any serious medical conditions and are not significantly overweight, then an Abdominoplasty, tummy tuck is likely to be suitable for you.

6 Month Guide to Planning a Tummy Tuck

Tummy Tuck Dubai | 5 July 2020

An abdominoplasty, better known as a tummy tuck, is a surgical procedure that requires careful planning and meticulous follow-up care for the best results. Knowing the steps to take before your abdominoplasty will ensure a better recovery process.

Ideally, you’ll have several months in advance to prepare for your tummy tuck surgery. I recommend most individuals give themselves a full six months to prepare, giving them time to find the right surgeon, achieve or maintain their ideal weight and get a plan for aftercare in place.

Some people may not need the full six months of prep before their surgery, and that’s okay. You’ll still want to make sure that you’ve taken sufficient time to research, plan and prepare. The better prepared you are for the big day of surgery, the better your results will be. Use the information below as your guide to planning your tummy tuck.

4-6 months before tummy tuck surgery

As soon as you start thinking about a tummy tuck, it’s time to get serious about your diet and exercise habits. Eating well, drinking more water and staying active should be your focal point. If you smoke, start the process of quitting and limit your alcohol intake if you drink. These two factors can affect the way your body heals and fights off infection. Stress management is also a good thing to implement as chronic stress can affect your health and immune response.

4 months before tummy tuck surgery

By this time, you should be closing in on your ideal weight and fitness level. This is going to help me to evaluate your candidacy for surgery and also puts you in a good position to recover quickly. Around 4 months before you want to have surgery, you should begin scheduling consultations and meeting with me.

3 months before tummy tuck surgery

During your third month of preparation, after you’ve booked surgery, you should be scheduling leave from work, making arrangements for child and animal care and setting up your support system to help with transportation and care during the post-surgery recovery phase. This is something you and I will discuss and prepare for. By now, you should completely quit smoking. You are continuing with your health and wellness regimen and hopefully feeling great about life and excited for the transformation ahead.

1 month before tummy tuck surgery

The last few weeks before your surgery should be used to stock up on supplies needed for recovery and finalizing the details of your procedure. Staying as comfortable as possible in the initial stage of recovery is going to be your ultimate goal for home care, so now is the time to begin assembling your supplies. I will provide you with a list of supplies to buy.  

Tummy Tuck Dubai

A facelift operation can make you look younger by reducing sagging skin and wrinkles

Aesthetic Medicine Dubai | 1 July 2020

A Facelift (Rhytidectomy) is a surgical procedure that can improve the most visible signs of the ageing process by eliminating excess fat, tightening and elevating the muscles beneath the skin of the face, and by removing or repositioning sagging skin.

It is very common for this procedure to be performed in conjunction with Blepharoplasty, a Brow lift, or a Neck lift to balance and complement the newly rejuvenated face. A well-performed facelift should revitalise the face without distorting or changing ones facial features.

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