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Tummy Tuck Dubai | 30 April 2019

One variation of abdominoplasty is the mini-tummy tuck. This uses a shorter incision just at or above the pubic region, similar to the incision for a cesarean section. A mini tummy tuck is a modified tummy tuck that uses a C-section-like incision to tighten muscle and remove excess lower abdominal skin. The ideal candidate for a mini tummy tuck has most of his or her issues below the belly button, and it is usually recommended for patients who have always been in pretty good shape but have plateaued with diet and exercise.This procedure is ideal for people who have less excess tummy area skin or fat that is localized in the mid-abdomen area and want to tighten the abdominal area below the belly button.

Mini-Tummy Tuck vs. Full Tummy Tuck

Breast Augmentation Dubai | 27 April 2019

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.

Fillers in Dubai | 21 April 2019

How long does it take for dermal fillers to work?

You can expect the results of the procedure to be visible immediately after having the treatment. If there is any swelling then this should take a couple of weeks to settle down.

Is it possible to have an allergic reaction to dermal fillers?

Hyaluronic acid is a substance naturally found inside the human body so a reaction to this substance is extremely rare. Collagen stimulating fillers, such as Radiesse, are made from calcium, a substance also found naturally in the body so, again, reactions are very rare. Immediately after the treatment, there may be a slight redness, swelling, tenderness, a faint bubble like appearance and an itching sensation in the treated area. These side-effects are a normal result of the injection and will generally disappears gradually over a period of 7-14 days.

Should I expect to feel any pain after having dermal fillers injected?

Most patients won’t experience any pain after having dermal fillers. But some people may find they have a little bit of soreness and/or mild bruising at the injection sites. If you do experience any pain, bruising or swelling then you can treat this with an ice pack to reduce swelling and redness. I will apply local anaesthetic cream to the area before the injections to help keep any pain during the procedure to a minimum. The filler also has some local anaesthetic which makes the procedure very comfortable.

Can I take painkillers before having dermal filler injections?

It’s recommended to avoid anti-inflammatory painkillers before and after the procedure as these can thin the blood and increase the risk of bruising, swelling and bleeding. Ibuprofen and aspirin are the most well-known anti-inflammatory drugs; however, during your consultation it’s important that you let us know what medication you are taking so we can advise on possible contraindications.

Can I exercise after having dermal filler injections?

I recommend waiting at least a week after dermal fillers before doing any strenuous exercise to avoid the risk of infection. All strenuous exercise should be avoided, but it’s also recommended to avoid yoga as inverted positions, such as headstands, could also increase the risk of bruising and swelling.

How soon after having dermal fillers can I fly?

Although there is some concern that flying after having fillers can cause issues due to changing air pressure in the cabin, there is no evidence that this is the case. There should be no issue with flying after having dermal fillers.

How long is the recovery time after having dermal fillers?

Some people experience mild bruising and swelling after the procedure. If this occurs you can expect the bruising and swelling to wear off in a week or two. After the procedure you can expect to have slight redness around the treated area, which will last a few hours.

How soon after having dermal fillers can I sunbathe?

Sunbathing, sunbeds and intense heat (such as saunas and Turkish baths) should be avoided for 1 week after treatment. If you do go out in the sun, wear sunscreen at all times. You should also avoid exposing your skin to extreme cold for 1 week after treatment.

How soon after having dermal fillers can I touch my face?

Avoid touching the treated area for at least 6 hours after treatment. After that, the area can be gently cleansed and clean light make-up can be applied.

If I suffer from cold sores can I still have dermal fillers?

If you have a history of cold sores, there is a risk, due to the insertion of the needle into the skin, that the virus may be activated. This may cause a first outbreak of a cold sore or another eruption of a previous cold sore. Before your treatment, we advise you to take anti-viral medication. In the case of an outbreak of cold sores, please contact the clinic or seek medical advice.

What are some of the possible side-effects I should be aware of?

Rare but possible side-effects include redness, swelling, bleeding, bruising, pain, itching, infection, abscess formation. You can also experience lumpiness, prolonged firmness, nodule formation, granuloma formation, local necrosis, discolouration, allergic reaction and acne.

Rarely a scab can form at the treatment site, which can result in a scar. Treatment around the eyes and upper face can also result in swelling, bruising, lumpiness, discolouration, infection, abscess formation, scar formation, haemorrhage of the eyes, double vision and loss of vision.

Breast Augmentation Dubai | 17 April 2019

Silicone breast implants

Silicone breast implants are filled with silicone gel. The gel feels a bit more like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket.  

Gummy bear breast implants

Form-stable implants are sometimes referred to as gummy bear breast implants because they maintain their shape even when the implant shell is broken. The consistency of the silicone gel inside the implant is thicker than traditional silicone gel implants. These implants are also firmer than traditional implants. Shaped gummy bear breast implants have more projection at the bottom and are tapered towards the top. If a shaped implant rotates, it may lead to an unusual appearance of the breast that requires a separate procedure to correct. Placement of gummy bear implants requires a slightly longer incision in the skin.

Round breast implants

Round breast implants have a tendency to make breasts appear fuller than form-stable implants. Higher profile options can achieve even more projection.

Because round implants are the same shape all over, there is less concern about them rotating out of place.

Shaped breast implants (tear drops or anatomical shape)

Shaped breast implants are designed to define a more natural shape of the breast and maintain a long lasting result due to their firmness. The gel inside is very cohesive and maintain the shape giving the breast a very gentle slope on the upper pole. 

Smooth breast implants

Smooth breast implants are the softest feeling. They can move with the breast implant pocket, which may give more natural movement.

Smooth implants may have some palpable or visible rippling under the skin.

Textured breast implants

Textured breast implants develop scar tissue to stick to the implant, making them less likely to move around inside of the breast and become repositioned.

Texturing offers some advantage in diminishing the risk of a tight scar capsule. Implant manufacturers occasionally introduce new styles and types of breast implants, so there may be additional options available.

The latest technology in texturization is the mirco or nano- texturixation which mime the smooth implants giving the breast a more stable shape and diminishing the risks  od capsular contracture and rotation.

Whatever kind of implants you will choose , it is important for you to monitor your breast implants and follow-up with appropriate checkups.

WHERE WILL BE THE INCISION PLACED?

The typical incisions are placed under the breast (inframammary incision) or around the areolar (peri-areolar incision).  If you didn’t have children and you did not breast fed yet, the inframammary incision is recommended to avoid any cutting on the gland itself to avoid reduction of the production of milk during a future pregnancy. 

HOW SHOULD I PREPARE FOR BREAST AUGMENTATION?

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

– Get a blood test

– Get a preliminary ultrasound or mammogram (for patients above 40 

   years of age) 

– Take certain medications or adjust your current medications

– Stop smoking

– Avoid taking aspirin and certain anti-inflammatory drugs as they can 

  increase bleeding

– Arrange for someone to drive you to and from surgery and to stay with 

  you for at least the first night following surgery.

WHAT SHOULD I EXPECT DURING MY BREAST AUGMENTATION RECOVERY?

During your breast augmentation recovery, your breasts will be wrapped in gauze dressings and an elastic bandage or support bra will minimize swelling and support the breasts as they heal.

Immediately after surgery, you will be taken into a recovery area for close monitoring. You may be permitted to go home when you are stable for discharge, typically after few hours or so.

WHAT RESULTS SHOULD I EXPECT AFTER BREAST AUGMENTATION SURGERY?

While a breast augmentation yields larger breasts right away, the final results may take a few weeks as the swelling subsides and the skin stretches. Some patients may need to wear a bandeau to help shape their breasts, especially if they have underlying asymmetry or very small breasts to start with. Incision lines may take several months to fade.

Tummy Tuck Dubai | 13 April 2019

When it comes to a tummy tuck, I frequently explain to patients that the procedure is not a single surgical step, but rather a series of elements that can be combined to create customized results.

Whereas liposuction focuses solely on removing unwanted fat cells from the body – such as those that create a noticeable bulge at the belly – a tummy tuck is intended to create sleeker contours by addressing any number of conditions that keep the abdomen from looking toned.

Excess fat

Of course, stubborn pockets of fat are an obvious culprit when it comes to a larger waistline. While liposuction is frequently performed as a standalone procedure, it can also be used as part of a tummy tuck to help flatten the area. For this element, just about everything is handled as it would be for a solo lipo procedure: Fat is loosened and suctioned out via a cannula. The difference is that while liposuction requires small incisions that are later sutured closed, the incision made for a tummy tuck allows the surgeon access.

Excess skin

While extra fat causes bulges, extra skin creates a sagging pouch that can hide even well-defined abdominal muscles that sit beneath. The amount of excess tissue can range from a little to a lot (sometimes referred to as an “apron”). For a tummy tuck, the surgeon essentially re-drapes the abdominal skin so that it sits flat and tight, then trims away the excess. The incision and subsequent sutures for this element are typically hidden lower on the torso, where they can be covered by a swimsuit bottom or underwear.

Lax muscles

Over time, belly muscles and their covering fascia can become loose. Whereas firm fascia holds everything in place – something like interlaced fingers keeping a water balloon from bulging outward – lax fascia allow the contents behind to bulge outward. Abdominal muscles can separate, giving the entire midsection a flabby look. During a tummy tuck, a surgeon can, if necessary, stitch these muscles and fascia back together to make everything tight and toned. In some cases, as with a mini-tummy tuck, this may be the primary element of the procedure. It is often chosen by moms who have a small bulge that sits below the belly button.

Belly button placement

Depending on the tummy tuck details, the surgeon may need to “relocate” the belly button, which involves creating a hole in the newly taut abdominal skin so the navel appears where it should to remain proportional with the rest of the body. This is called “umbilical translocation.” Following this, the body can be further contoured to encourage an hourglass shape by creating an “internal corset.” I have performed measurements that show narrowing of the waist and improvement of the waistline due to work at this stage.

When all of the steps are completed, the incision will be closed with either a special glue or absorbable sutures, such that the patient can take a shower the next day and there is no need to remove the sutures. Lasers can be used post-operatively to hasten the healing of scars. Also, use of Exparel injections numb the abdomen for three days, which can minimize pain for patients.

Since every patient has a unique body shape and size, as well as personal goals for an ultimate look, each tummy tuck is its own procedure. While there are commonalities between all such surgeries, no two will be exactly alike.

The most common form of tummy tuck involves a horizontal incision near the pubic hairline, so swimwear or undergarments can hide the resulting scar. If there is excess skin above the navel, an incision around the navel may be required. Sometimes, the surgery involves liposuction to remove pockets of excess fat from specific areas of the body. To reduce scar tissue and increase the speed of healing, I may utilize a harmonic scalpel that uses ultrasonic energy to perform parts of the tummy tuck surgery. Diastasis is a term used to describe the separation of the two-paired abdominal muscles that make up the front of the abdomen, which is often caused by multiple pregnancies. Sutures are used to tighten up the abdominal wall, resulting in a flatter stomach. Stronger, tighter abdomen muscles may also help reduce lower back pain.

A tummy tuck is not a shortcut to weight loss. But, it can be a powerfully transforming surgery and complements the impact that weight loss has on the abdominal profile. Many of our patients say they feel liberated after having a tummy tuck. They can wear a bikini again, or not wear a shirt or a top to cover up their loose stomach. They feel good about being outdoors running, swimming and golfing. It does a lot to boost a person’s confidence in their bodies and for many of my patients, it’s an incentive to maintain a healthy appearance for the rest of their lives. For some patients, tighter abdomen muscles may also help reduce lower back pain.

TYPES OF TUMMY TUCKS

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 Plastic Surgeon. Some of them include your desired results, overall skin quality, body type and location of excess skin on the body. 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.

RECOVERY

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

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

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

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

WHAT TO EXPECT AFTER YOUR SURGERY

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

You will be guided:

– how to care for incisions and drain tubes

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

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

– when you need to see me again

– how long to wear the abdominal pressure garment

– how much to rest

– what you can eat

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

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

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

Fillers in Dubai | 1 April 2019

Which filler is the best for you, and which filler should you choose for a specific treatment: nasolabial wrinkles, lips, nose, cheeks, quality of skin tone, or undereye bags? The internet and media are full of contradictory information.  Although there are dermal fillers such as Radiesse (calcium hydroxylapatite crystals), Sculptra (poly L-lactic acid), and permanent fillers like Aquamid, in this guide, I cover dermal fillers based on hyaluronic acid – as these are the only dermal fillers I personally recommend. The reason for this is that hyaluronic fillers are not permanent, they have no lasting effects, they yield the most natural results, and if necessary, can be removed and dissolved using a special enzyme.

If a doctor prefers the use of renowned brands such as Restylane, Juvéderm, or some other (i.e. Teosyal and Belotero hyaluronic fillers), then the patient is definitely in very good hands, because these brands offer a whole range of different fillers, with various densities, hyaluronic concentration, and molecule size, let alone years of medical testing and research. My medical experience in aesthetic medicine has shown me that no specific brand is ideal, which is why it is in every patient’s interest that their doctor has a selection of at least 2 of these brands of fillers. Hyaluronic dermal fillers, along with Botox are the main tool of modern aesthetic medicine. Hyaluronic acid is a natural component of our skin, and its main task is skin hydration, as well as collagen reinforcement, and the restoration of elasticity. Our skin thus acquires a glow, stays firm, we have a healthier skin tone, and lost volume is restored in the face.

The history of hyaluronic dermal fillers is a relatively brief one. Bengt Agerup, a Swedish scientist and genius, was the first to stabilise hyaluronic acid in 1996. Up to then we only had inferior collagen and dangerous silicone fillers, but when the first dermal filler, Restylane, was produced in Uppsala, the world of aesthetic medicine changed forever. Over 25 million treatments using Restylane fillers have been performed all over the world to date. Most hyaluronic fillers are produced by fermenting bacteria in a laboratory, meaning they are produced in a natural and organic way (rare brands of hyaluronic fillers such as Dermavisca stem from animal sources – the fleshy comb of a rooster). This hyaluronic acid (the largest production plants of natural hyaluronic acid are in France and China) is used not only in dermal fillers, but in cosmetics and many creams, as well as in mesotherapy. Each brand of filler uses a different method and technology to stabilise and bind the hyaluronic acid, so that it can last in the skin for an average of 6-36 months. There can be a great difference between various dermal fillers. The stabilisation process and binding of hyaluronic acid varies with each brand, and the consistency of each filler is also different, as well as the concentration of hyaluronic acid, size of the molecules, and density. Furthermore, only some dermal fillers such as Restylane, Juvéderm and Teosyal contain lidocaine, a local anaesthetic. This, for me, is essential, because the treatments are less painful, and are a mark of a serious dermal filler brand.

WHICH FILLER IS THE BEST FOR WHICH TREATMENT?

LIPS

I will begin with the lips because in my many years of experience i have come across the greatest controversies especially when it comes to this treatment. Although it appears to be simple, it is one of the most difficult procedures in aesthetic medicine, and one which requires years of experience.

Today I am proud to say that I perform countless lip augmentations and contouring on a monthly basis.  Restylane is a dermal filler i have used for years for lip augmentation. The results are excellent and yield very natural and soft lips. It is still one of my favourite lip fillers because it contains the optimum concentration of hyaluronic acid. Drawbacks? The results only last 6  months, and the lips are very swollen right after the procedure; however, the swelling dies off in just 24 hours.

Restylane Kisse is the latest version of Restylane classic filler, with everything the same, except that results last over 9 months, because of the larger molecules and higher concentration of hyaluronic acid, due to the use of Emervel technology.  There is no significant swelling following the procedure, the lips look exceptionally natural and very sensual.

Juvéderm Ultra 3 is a very good lip filler from the house of Allergan, but offers subtle results that last for only 6 months. Allergan has recently launched its new Vycross technology, under which is its selected lip filler, Juvéderm Volift, although Juvéderm Volbella can also be used.

Juvéderm Volift lasts for 9-12 months, there is no significant swelling following the procedure, but I have noticed minor swelling in some patients, which can be manifest as small balls and thickening of the upper lip after a couple of weeks. However, this problem quickly dissipates on its own, or after a massage.

Teosyal kiss and Neauvia Lips are also a very good dermal lip fillers. As the names suggest, they are specially formulated for lip treatment. They yield great results, with minimal side effects. Although it is difficult for me to determine the best filler for this treatment, I would give the title to a specially designed lip filler – Restylane Kysse. Right behind are definitely Juvéderm Volift and Restylane Lyps. In most cases, only 1ml of filler is enough per treatment, and it is not recommended to do more than that. It is wiser to come back after a month’s time and add another 1ml if your doctor finds it appropriate. What is most important is that the results are natural, and the face proportional.

UNDEREYE BAGS

Many doctors believe that there is no dermal filler suitable for this procedure, but from my own personal experience and following many successful treatments, I can confirm that this is not true. With my experience of undereye treatments, this is a remarkable treatment that yields outstanding results, and the best fillers for it is Teosyal Redensity II. Here it is possible, with great expertise, to use both thinner and thicker dermal fillers. Knowledge is what counts most. Over the years, I have tried using other dermal fillers in this facial zone such as juvederm Volbella, belotero, restylane perlane and although they yielded adequate results, too much oedema was reported, and the effects were not as good as the above-mentioned fillers. Teosyal is the absolute king for undereye bags. In 80% of cases, 1ml of dermal filler is enough to erase bags under the eyes – even extra-large ones. 10% of patients require more than 1ml, while 10% need to come back for their third ml.

NON-SURGICAL FACE-LIFTING / CHEEK AUGMENTATION

This increasingly popular treatment offers a natural facelift for skin that has lost volume and appears relaxed. With the expert administration of hyaluronic dermal fillers, there is no more need for a scalpel and surgery, because this can yield very effective and natural results with non-surgical face-lifting, and requires the use of 2ml – 5ml of dermal filler. What’s more, the effects can last for even 18 – 36 months (because this treatment uses denser fillers with larger molecules). The first such filler on the market was Restylane Sub Q, but it has proven to be too hard a filler, and so over the last 5 years my favourite filler for lifting the face, cheeks and saggy skin around the chin is definitely Juvéderm Voluma. It is a wonderful filler with large molecules that provides an adequate lift, which can easily be injected. 

For these procedures, I can also pay compliments to Restylane Lyft, which has recently emerged on the market. It is a new technology from Galderma which is now keeping stride with Juvéderm. These two brands are unique in that they come in 1ml doses and can be injected with a syringe. Other brands either do not have these fillers with larger molecules (vital for an adequate facelift), or only offer 2ml ampules that can solely be applied through a cannula, which may be unsuitable for many patients. It is my opinion that in the majority of cases, fillers must be administered with a syringe and not a cannula, as this yields better and more accurate results, which is logical. From patient to patient, if we take into account their age, skin type and condition, at least 2ml of filler is needed for a non-surgical facelift, but the dosage can rise up to 8 – 10ml of filler, which is obviously administered in 2 to 3 separate treatments.

NOSE

When it comes to the nose, dermal fillers in Dubai should not be too dense due to the sensitive anatomy of the nose, yet must also have enough strength to lift and contour, fill in imperfections and align the nose. Restylane Lyft can achieve perfect results with no side effects but also Juvéderm, Teosyal, Neauvia and other fillers in Dubai, are also suitable for this treatment. As always, the most important factor is the expertise and experience of the doctor. If we select a proper brand of hyaluronic acid, along with a good quality doctor, in most cases 1ml is enough to yield results that last over 18 months.

NASOLABIAL WRINKLES

The correction of nasolabial wrinkles is still the most sought-after dermal filler treatment. It is a procedure that is most easily performed with the longest lasting effects. But, just a word of warning – I must emphasise that extensive knowledge, skill and expertise is also required here, not only to achieve the best results, but also because this zone demands detailed cognisance of its anatomy, in order to avoid side-effects such as vascular compromise, which cannot occur when administered by an expert, but becomes highly probable when one is in “unprofessional” hands. Here, many dermal fillers are very suitable, and so one can choose from a wide pallet. The dermal filler in Dubai should be thinner, with less molecules, such as is the case with Juvéderm Volbella or Volift filler, Restylane Classic, Teosyal Global Action or Neauvia Intense Flux. When dealing with shallow wrinkles, 1ml is enough for both wrinkles, but in many cases 2ml are required.

REJUVENATING THE SKIN OF THE FACE, NECK, DÉCOLLETÉ AND HANDS WITH STABILISED HYALURONIC ACID (“SKINBOOSTERS”)

Modern aesthetic medicine is turning more and more to treatments of the skin itself and its rejuvenation. Laser treatments, plasma treatments, and dermal rollers are increasingly popular, but hyaluronic preparations achieve the best results. The skin of the face, neck, décolleté and hands gain a new glow, while wrinkles, pores and scars disappear. Elasticity is restored, and the skin is firmer. In a treatment which I call medical mesotherapy, the best product are Restylane Vital Skinbooster and Neauvia Hydrodeluxe. In Restylane Skinbooster the greatest advantage is the technology of the syringe itself that has a special “clicker” to provide a precise dose with each prick of the needle. Neauvia Hydrodeluxe offers a very competitive package with more product at the same cost of other Skinboosters. The latest product of this type on the market is Juvéderm Volite, which yields excellent results, but we must also mention Profhilo, a recent market launch by Ibsa. It is an innovative dermal filler that is something between a dermal filler and a skinbooster.  

Fillers in Dubai

Fillers in Dubai | 1 April 2019

Dermal fillers aim to be the perfect solution for delaying the ageing process or filling in any depressions left from weight loss or illness. They can be used to get rid of fine lines, wrinkles, shadows and hollows around the eyes, lips and nose area. Dermal Fillers can also help replace lost volume in the face focusing on the cheek and nose area, it can be used to plump up lips and contour the face according to preference. It is a stress-free alternative to invasive surgery and will dissolve naturally over time.  Most popular dermal fillers can last between 6-9 months, up to a year or longer depending on the individual strength and formula used.  Individual treatments are tailored to each client and customer depending on personal circumstance, lifestyle and requirements. 

Here is a selection of the most popular dermal fillers from Juviderm:

Fillers in Dubai  – Juvederm® Ultra Smile

Juvederm® Ultra Smile is specifically formulated for the lips and mouth area. It is designed to enhance lip volume, redefine lip shape and to correct vertical lip lines; it can also be used to correct lines around the mouth. For the treatment of mid and /or deep depressions of the skin and lip definition. The enhancement is done by injection by an authorised medical practitioner

Characteristics

Juvederm® Ultra Smile is used to smooth wrinkles located between the nose and the corners of the mouth, and around the lips. It is specifically designed to give your lips a natural, smooth and sublime look, with long lasting results, it can give you a natural looking appearance and redefine the border.

Benefits of Juvederm Ultra Smile:

•Can be used to smooth wrinkles located between the nose and the corners of the mouth, and around the lips

•Creates a natural, smooth effect

•Enhances lip volume

•Redefines lip shape

•Corrects fine lines around the mouth

Packaging

•2 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine

•2 x 30G ½’’ needles

How long do the result last?

In general, Juvederm Ultra Smile results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Ultra 2

Juvederm® Ultra 2 is an injectable filler, which is used to treat superficial to moderate facial lines and skin depressions, usually those around the lips and eyes. Ultra 2 contains hyaluronic acid, which is a natural substance, its key property is to keep the skin hydrated whilst adding plumpness. The product contains lidocaine to ensure a more comfortable injection

Characteristics

Juvederm® Ultra 2 is a sterile pyrogen-free physiological solution of cross-linked hyaluronic acid which is not of animal origin. This product treats depressions of the skin and can be used to augment and volumise lips. The formulation is cohesive, flexible and precise, for a controlled injection, for a homogeneous distribution in the dermis.

 Benefits of Juvederm Ultra 2

•Lip augmentation

•Treats superficial to moderate facial lines and skin depressions

•Treatment areas: mouth, lips, the corner of the eyes, close surface of the skin

 Packaging

•2 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine

•2 x 30G ½’’ needles

 How long does the result last for?

In general, Juvederm Ultra 2 results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Ultra 3

Juvederm® Ultra 3 is a hyaluronic acid filler with a smooth and long-lasting formula that can be used for filling mid and/or deep depressions of the skin. Juvederm Ultra 3 is primarily used to fill moderate to deeper facial wrinkles that occur around the nose and the mouth (nasolabial folds and marionette lines). This can also be used to enhance lip contour and lip volume.

 Characteristics

Juvederm® Ultra 3 treats medium to deep skin depressions and increases the volume of lips. Juvederm uses an advanced 3D technology matrix for greater durability (up to 1 year) and optimal capacity volume.

 Benefits of Juvederm Ultra 3

•Used for filling moderate to deeper facial wrinkles

•Enhances lip contour and volume

•Treatment area: nasolabial folds, marionette lines, lip

 Packaging

•2 x 1ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine

•2 x 30G ½’’ needles

 How long does the result last for?

In general, Juvederm Ultra 3 results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Ultra 4

Juvederm® Ultra 4 is an injectable implant used for filling any deep depressions of the skin via deep dermis injection, as well as for lip enhancement and cheekbone augmentation. Juvederm® Ultra 4 is intended for volumising and correcting deeper facial lines and wrinkles around the nose and mouth. This product contains lidocaine for a more comfortable injection.

 Characteristics

Juvederm® Ultra 4 is a sterile pyrogen-free physiological solution of cross-linked hyaluronic acid which is not of animal origin. Juvederm use an advanced technology 3D matrix, for greater durability (up to 1 year) and optimum capacity volume.

Benefits of Juvederm Ultra 4

•Can be used for filling any deep depressions of the skin via deep dermis injection

•Lip enhancement

•Cheekbone augmentation

•Deep nasolabial folds

•Chin modelling

•Correction of deep facial lines and wrinkles

 Packaging

•2 x 1ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine

•2 x 27G ½’’ needles

 How long does the result last for?

Juvederm Ultra 4 results can last up to 12 months. This duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Voluma Lidocaine

Juvederm® Voluma Lidocaine is an injectable gel for deep injection in the cheek area to correct age-related volume loss in adults over 21. This is used for restoring the fullness of youth, by restoring volume to sunken cheeks and firmness to sagging skin of the jawline to create a smooth and natural effect. Juvederm Voluma Lidocaine also contains collagen and elastin to improve the structure and elasticity of the skin and give it a smooth appearance

 Characteristics

Juvederm® Voluma Lidocaine is used to enhance the overall shape of the face and to create a smooth and natural look. The product contains lidocaine to ensure a more comfortable injection.

 Benefits of Juvederm Voluma Lidocaine

•Enhances volume in cheeks and chin

•Restores lost skin volume

•Creates a smooth and natural look

•Enhances the overall shape of the face

 Packaging

•2 x 1ml syringes with 20mg/ml hyaluronic acid and 0.3% lidocaine

•4 x 27G ½’’ needles (CE 0123)

 How long does the result last for?

Juvederm Voluma Lidocaine results can last up to 18 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Volbella Lidocaine

Juvederm® Volbella Lidocaine is a dermal filler based on hyaluronic acid (HA) to be used in the lips and perioral area. It is designed for gently restoring lip volume and defining lip contours. Juvederm Volbella Lidocaine is a smooth gel that has been specifically developed to give a soft, natural result. It can be used for treatment of the fine lines and medium-sized depressions of the skin via superficial or mid-dermis injection, as well as enhancement of the lips by injection by an authorised medical practitioner in accordance with local applicable regulation.

 Characteristics

Juvederm® Volbella Lidocaine provides a natural appearance. This filler contains lidocaine to ensure a more comfortable treatment. This gel can also be used to treat superficial facial lines and wrinkles. This filler helps lips to receive a validated demonstrating efficacy up to 12 months in a single treatment and clinical study, allowing patients to resume their daily lives faster.

 Benefits of Juvederm Volite

•Increases volume of the lips

•Redraws the outline of the lips to sublimate the definition

•Redefines the area of philtrum (cupid’s bow)

•Filling of perioral wrinkles and marionette lines

•Increases lip volume for better symmetry

•Treat the corners of the mouth

Packaging

•2 x 1ml syringes with 15mg/ml hyaluronic acid and 0.3% lidocaine

•4 x 30G ½’’ needles (CE 0123)

 How long does the result last for?

Juvederm Volbella Lidocaine results are instant from the first treatment, this can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Volift Lidocaine

Juvederm® Volift Lidocaine is an injectable filler intended for the treatment of deep skin depressions, face contouring and volume restoration via deep dermis injection as well as for restoration of lip volume by an authorised medical practitioner in accordance with local applicable regulation.

Characteristics

Juvederm® Volift Lidocaine is an innovative injectable facial filler made from hyaluronic acid that restores volume to sunken cheeks and increases the firmness of the skin of the sagging jawline. This product contains lidocaine to ensure a more comfortable treatment.

 Benefits of Juvederm Volift Lidocaine

•Treatment of deep skin depressions

•Facial contouring

•For volume restoration via deep dermis

•Enhances lip volume

•Can be treated to cheek area and around the chin

Packaging

•2 x 1ml syringes with 17.5mg/ml hyaluronic acid and 0.3% lidocaine

•4 x 30G ½’’ needles (CE 0123)

How long does the result last for?

Juvederm Volift Lidocaine results can last up to 15 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Volift Retouch 2

Juvederm® Volift Retouch 2 x 0.55ml is ideal for the filling, smoothing and rejuvenation of the mid-face. This filler contains lidocaine which provides a comfortable treatment experience to the patient. Juvederm Volift Retouch was developed to treat deep skin depressions, facial contouring and volume restoration via deep dermis injection as well as for restoration of lip volume by an authorised medical practitioner in accordance with local applicable regulation.

Characteristics

Juvederm® Volift Retouch is an innovative injectable facial filler made from hyaluronic acid that restores volume to sunken cheeks and firmness of the skin sagging jawline, to create a smooth and natural effect.

Benefits of Juvederm Volift Retouch

•Treats any deep skin depressions (premature ageing)

•Restores facial volume to correct facial structural defects (asymmetry, contour deformities, volume loss in the lips, cheeks, chin, lower face)

•Facial contouring

•Ideal for touch-up sessions

Packaging

•2 x 1ml syringes with 17.5mg/ml hyaluronic acid and 0.3% lidocaine

•4 x 30G ½’’ needles (CE 0123)

How long does the result last for?

Juvederm Volift Retouch results are instant from the first treatment, this can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Volite

Juvederm® Volite is an injectable hyaluronic acid product used for the filling of superficial cutaneous depressions such as fine lines and for additional improvement of skin quality attributes such as hydration and elasticity by intra-dermal injection by an authorised medical practitioner in accordance with local applicable regulation. Juvederm Volite can be used in the face, hands, neck and décolleté area. This filler contains cross-linked hyaluronic acid gel and lidocaine to reduce patient’s pain during treatment.

Characteristics

Juvederm® Volite utilises patented VYCROSS technology, which is the first injectable specifically designed to improve skin quality and last up to 9 months with just one treatment session. Juvederm Volite guarantees a natural appearance.

Benefits of Juvederm Volite

•Improves skin smoothness

•Increases skin hydration and elasticity

•Improves overall skin quality

•Treatment area: face, neck, décolleté and hands

Packaging

•2 x 1ml syringes with 12mg/ml hyaluronic acid and 0.3% lidocaine

•4 x 32G ½’’ needles (CE 0123)

How long does the result last for?

Juvederm Volite results are instant from the first treatment, this can last from 6 to 9 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Hydrate

Juvederm® Hydrate is a treatment specifically designed to improve skin hydration and elasticity. The result is a more refreshed appearance and a natural, healthy glow. This is an effective solution formulated to restore the skin’s level of hyaluronic acid and to improve the elasticity and tone of the skin. Injections are administered 1-2cm apart, allowing the gel to flow evenly into the skin.

Characteristics

Juvederm Hydrate effectively replenishes depleted levels of hyaluronic acid (HA) in your skin to restore a natural, healthy glow. Juvederm Hydrate contains an antioxidizing agent Mannitol which helps to prevent the build-up of free radicals that are responsible for a degradation of hyaluronic acid, therefore prolonging the effects.

Benefits of Juvederm Hydrate

•Improves the hydration and elasticity of the skin

•Treatment area: Skin to face, neck, décolleté and hands

Packaging

•1 x 1ml syringe

•0.9% mannitol

•Two sterile 30G 1/6’’ needles

How long does the result last for?

Juvederm Hydrate results can last up to 3 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – JJuvederm® Ultra Smile

Juvederm® Ultra Smile is specifically formulated for the lips and mouth area. It is designed to enhance lip volume, redefine lip shape and to correct vertical lip lines, this can also be used to correct lines around the mouth, treatment of mid and /or deep depressions of the skin and lip definition and enhancement by injection by an authorized medical practitioner.

Characteristics

Juvederm® Ultra Smile is used to smooth wrinkles located between the nose and the corners of the mouth, and around the lips, specifically designed to give your lips a natural, smooth and sublime, with long lasting results, it can give you a natural looking appearance and redefine the border.

Benefits of Juvederm Ultra Smile

•Can be used to smooth wrinkles located between the nose and the corners of the mouth, and around the lips

•Creates a natural, smooth effect

•Enhances lip volume

•Redefines lip shape

•Corrects fine lines around the mouth

Packaging

•1 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine

•1 x 30G ½’’ needles

Fillers in Dubai – JJuvederm® Ultra 2

Juvederm® Ultra 2 is an injectable filler, which is used to treat superficial to moderate facial lines and skin depressions, usually those around the lips and eyes. Ultra 2 contains hyaluronic acid, which is a natural substance, its key property keeps the skin hydrated whilst adding plumpness. The product contains lidocaine to ensure a more comfortable injection.

Characteristics

Juvederm® Ultra 2 is a sterile pyrogen-free physiological solution of cross-linked hyaluronic acid which is not of animal origin. It treats depression of the skin and augments and volumises lips. The formulation is cohesive and flexible, for a controlled, precise injection for a homogeneous distribution in the dermis.

Benefits of Juvederm Ultra 2

•Lip augmentation

•Treats superficial to moderate facial lines and skin depressions

•Treatment area: mouth, lips, the corner of the eyes, close surface of the skin 

Packaging

•1 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine

•1 x 30G ½’’ needles

How long does the result last for?

Juvederm Ultra 2 results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Ultra 3

Juvederm® Ultra 3 is a hyaluronic acid filler with a smooth and long-lasting formulation that can be used for filling mid and/or deep depressions of the skin. Juvederm Ultra 3 is primarily used to fill moderate to deeper facial wrinkles that occur around the nose and mouth (nasolabial folds and marionette lines). This can also be used to enhance lip contour and volume.

Characteristics

Juvederm® Ultra 3 treats medium to deep skin depressions and increases the volume of lips. Juvederm use an advance 3D technology matrix for greater durability (up to 1 year) and optimal capacity volume.

Benefits of Juvederm Ultra 3

•Used for filling moderate to deeper facial wrinkles

•Enhances lip contour and volume

•Treatment area: nasolabial folds, marionette lines, lip

Packaging

•1 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine

•1 x 30G ½’’ needles

How long does the result last for?

Juvederm Ultra 3 results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Fillers in Dubai – Juvederm® Volbella Lidocaine

Juvederm® Volbella Lidocaine is a dermal filler created with hyaluronic acid, for the lips and perioral area. It is designed for gently restoring lip volume and defining lip contours. Juvederm Volbella Lidocaine is a smooth gel that has been specifically developed to give a soft, natural result. It can be used for the treatment of the fine lines and medium-sized depressions of the skin via superficial or mid-dermis injection, as well as enhancement and pouting of the lips by injection by an authorized medical practitioner in accordance with local applicable regulation.

Characteristics

Juvederm® Volbella Lidocaine provides a natural appearance. Lidocaine is used to ensure a more comfortable treatment. This gel can also be used to treat superficial facial lines and wrinkles. This filler helps lips to receive a validated demonstrating efficacy up to 12 months in a single treatment, allowing patients to resume their daily lives faster.

Benefits of Juvederm Volite

•Increased volume of the lips

•For redrawing the outline of the lips to sublimate the definition

•For redefining the area of philtrum (cupid’s bow)

•For filling perioral wrinkles and marionette lines

•To increase lip volume for better symmetry

•To treat the corners of the mouth

Packaging

•1 x 1ml syringes with 15mg/ml hyaluronic acid and 0.3% lidocaine

•2 x 30G ½’’ needles (CE 0123)

How long does the result last for?

Juvederm Volbella Lidocaine results are instant from the first treatment and can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.

Each product in the Juvéderm collection of dermal fillers adds volume to different areas of the face to lift cheeks, iron out wrinkles, smooth lines or plump the lips. The results are natural looking and long lasting. The Juvéderm collection of fillers is made from hyaluronic acid (HA). HA is a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume.