In the News

Platelet Rich Plasma Treatment for Hair Loss

Cosmetic Clinic Dubai | 5 November 2020

Are you looking for a hair loss solution? A therapy that promotes healing in injured joints may help restore your lost hair. Millions of men and women have male- or female-pattern baldness. It can begin early in life, but is much more common after the age of 50, when more than 50 percent of men will experience some kind of hair loss. However, an emerging treatment — platelet-rich plasma (PRP) therapy — appears to help regrow lost hair. And, there are virtually no side effects from PRP, except for a mild feeling of pressure at the injection site.

Physicians began using PRP therapy about a decade ago to speed up the healing process in damaged joints after injury or surgery. During the treatment, a technician draws your blood and spins it in a centrifuge to separate out the platelets and plasma. Doctors then inject the plasma, which helps repair blood vessels, promote cell growth and wound healing, and stimulate collagen production.

Doctors began using PRP in dermatology after researchers found that high concentrations of platelets in plasma cells help promote hair growth by prolonging the growing phase of the hair cycle. Doctors inject plasma into the scalp where hair loss has occurred. They typically administer injections monthly for three months, then spread them out over about three or four months for up to two years. The injection schedule will depend on your genetics, pattern and amount of hair loss, age and hormones.

Wrinkle Fillers: What You Need To Know

Fillers in Dubai | 3 November 2020

Injectable wrinkle fillers can give you a more youthful look for a fraction of what a traditional facelift costs. Most will fill hollows, lines, and wrinkles in less than 30 minutes with results that can last from 4 months to more than a year. Injectable wrinkle fillers, unlike Botox injections that relax the muscle under a wrinkle, fill the line, crease, or area with one of several different substances. As a result, trouble spots nearly disappear. Wrinkle fillers can also be used as “volumizers,” plumping and lifting cheeks, chins, jawlines, and temples; filling out thin lips, and plumping sagging hands. The treatment is fast and easy. But all wrinkle fillers have a downside, including the risk of allergic reaction and the formation of tiny bumps under the skin. In some cases, those bumps may be permanent. And sometimes, a bluish skin discoloration known as the Tyndall effect happens. The colour change can last for several months, but there are treatments available. Typically, the wrinkle fillers that last longer are the ones more likely to cause side effects. Not every wrinkle-filler is right for every type of wrinkle. The least risks and best results come from using the right one correctly. That’s why you should only have fillers injected by a plastic surgeon with ongoing, special training like myself.

Tummy Tuck – ARE YOU A GOOD CANDIDATE?

Tummy Tuck Dubai | 1 November 2020

Once reserved for Hollywood’s elite and America’s wealthy, the tummy tuck, also known as an abdominoplasty, is a cosmetic surgical procedure to which people of all walks of life are turning to for tightening the abdomen and the removal of excessive skin and fat. A tummy tuck works best for people who are close to their ideal weight, but cannot shed the loose skin that has developed in their abdominal area because of pregnancy, weight loss and age. The typical patient is a female whose abdominal wall has been stretched due to pregnancy. It’s also a procedure designed for men and women who have lost a large amount of weight as a result of exercise and a more healthy diet. Variations of the full tummy tuck, such as a mini-tummy tuck (which depends upon how much skin laxity is present and where it is located), are also a possibility. The result of tummy tuck surgery is a flatter, firmer abdominal contour that is more proportionate to a person’s body type and weight.

Pregnancy and excessive weight can stretch the skin of the abdomen many times its normal state. That’s where a tummy tuck can really help in tightening and flattening that area of your body. 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.

CONSULTATION

To find out if you’re really a good candidate to have a tummy tuck procedure, schedule an appointment with me in the first instance. There are various types of abdominoplasty, including mini-tummy tucks and full tucks with liposuction. Only a qualified and experienced plastic surgeon can tell you what’s right for you.

CHILDREN

Child bearing can cause unwanted tummy laxity. If you’re done having children, then it’s okay to pursue a tummy tuck, but if there’s any doubt, then you should wait.

MASSIVE WEIGHT LOSS

With TV programs such as Biggest Loser, there are many men and women who have pursued their own weight loss program to shed 100 or more pounds. Plastic surgeons will advise putting off a tummy tuck until the patient has maintained their ideal new weight over an extended period of time. Continued weight loss or weight gain can quickly undo the results of a tummy tuck.

EXERCISE

Before considering a tummy tuck, it’s critical to develop a healthy lifestyle involving regular exercise and good dietary habits. If you haven’t done so already, you should start. It’s always a good idea to consult with your family physician before starting a regular exercise regimen.

Facelift (rhytidectomy) – What to expect

Cosmetic Clinic Dubai | 17 October 2020

You don’t have to leave your youthful good looks behind as you age. In the hands of a skilled cosmetic surgeon, you can counteract the effects of time and gravity and restore the naturally vibrant appearance you remember from years ago, or even address the early signs of aging before they take hold.

What is Facelift Surgery?

Facelift surgery lifts and firms sagging facial tissues to restore a more naturally youthful facial appearance. It is often said that having a facelift works to “turn back the clock,” helping a patient look like a younger version of him or herself. By removing excess, sagging skin, smoothing deep folds, and lifting and tightening the deep facial tissues, a facelift surgery can help a patient look not just younger, but simply “better.”

Why Have a Facelift?

As we age, skin begins to lose elasticity, and facial tissues lose volume. Eventually, this results in “jowls” on the lower face, deep wrinkles, and loose skin on the neck. While this is a natural part of growing older, patients who are bothered by these signs of aging may find a facelift to be a good solution. If any of the following describe you, a facelift is an option to consider:

You feel self-conscious about the way your face & neck look due to sagging skin

You wear turtlenecks and scarves not because you want to, but because you want to hide your aging neck

When you see your reflection, you feel that your face makes you look much older than you feel

You feel that an aging appearance is negatively affecting your career or personal relationships

Following a facelift, patients frequently experience an upsurge in self-confidence, as their appearance better portrays their healthy, energetic vibe.

Types of Facelifts

Facelift surgery is individualized to a patient’s needs, and a cosmetic surgeon will tailor his or her techniques accordingly.

Mini-Facelift

Patients who exhibit a mild degree of jowling and sagging skin are often good candidates for a mini-facelift. This is a less invasive technique that allows a cosmetic surgeon to tighten deep facial tissues through shorter incisions, typically located along the hairline above each ear and/or in the natural creases surrounding the ear. Through these incisions, structural tissues around the cheeks are lifted and tightened to correct jowling, refine the jawline, and rejuvenate a “tired” appearance.

Depending on the case, a mini-facelift may be performed using local anesthesia with sedation or general anesthesia; your cosmetic surgeon will recommend the best option for your individual needs. A mini-facelift can help you address unwelcome signs of aging before they become too pronounced, postponing the need for more extensive surgery for many years.

Standard Facelift

A standard or “traditional” facelift will more fully address moderate to advanced aging around the mid-face and neck. While the surgery is more extensive than those for a mini-facelift, and thus more recovery time is required, the results are more dramatic. Through incisions located just behind the hairline, starting near the temples, and around the front of the ear, hidden in the natural folds, a cosmetic surgeon can reposition the deeper tissues beneath the skin and remove excess skin to smooth creases, eliminate jowling and sagging skin under the chin, and restore a naturally youthful contour to the face and neck.

Enlarged Male Breasts (Gynecomastia)

Plastic Surgery Dubai | 13 October 2020

Gynaecomastia is the benign (non-cancerous) growth of male breast tissue and can be due to a number of causes. It may be due to hormone imbalance or as a consequence of medication you are taking. It can also be due to alcohol excess or recreational drug abuse. Your doctor will discuss the cause of your gynaecomastia with you. Along with causing swelling of the breast and nipple, gynaecomastia can be uncomfortable and the nipple can become sensitive.

HOW CAN GYNAECOMASTIA BE TREATED?

Some cases of gynaecomastia will get better without any form of treatment. If one of your medications is thought to be causing the gynaecomastia, it may improve with changing or stopping a particular tablet. Your doctor will discuss this with you.

Whilst gynaecomastia itself can be uncomfortable and unsightly, it is not dangerous and no harm will come from having it. When cancer has been ruled out, many men are happy to have no treatment.

Another form of treatment is to have medication. These medications are often good at reducing discomfort and sensitivity but may not reduce the size of the breast.

The third form of treatment involves surgery to your breast.

 

SURGICAL TREATMENT OF GYNAECOMASTIA

There are three main surgical procedures which can be undertaken:

Liposuction

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

Excision of Gynaecomastia

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

Male Breast Reduction

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

After Surgery

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

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

Risks and Complications

All surgery carries with it some risk. Common side effects of a general anaesthetic include nausea and vomiting. As mentioned earlier, the chest can be swollen and bruised following the operation.

Specific Complications

Haematoma

This is bleeding into the tissues following surgery. It can occasionally lead to patients returning to theatre to stop the bleeding or remove the blood.

Wound infection

This can occur after any kind of surgery and may need treatment with antibiotics or a return to theatre. If your wound becomes red and inflamed you should contact your doctor.

Deep vein thrombosis

This can happen after any operation or general anaesthetic. The risks are reduced by wearing preventative stockings (TEDS) for two weeks.

Poor wound healing

With a male breast reduction problems may occur with the wound. The blood supply to the area around the vertical scar is at its poorest. This may delay healing and very occasionally the wound may break down and leave a small raw area. This gradually heals with time but may take several weeks.

Nipple complications

The operation by its nature partially disrupts some of the blood supply to the back of the nipple. There is a small risk therefore of the nipple dying resulting in its loss. There is a risk of loss or alteration in sensation to the nipple.

Asymmetry

There may be some lasting differences in the size and shape of your breasts following surgery. Most men are asymmetrical prior to the operation.

Scarring

Initially the scars will be bright red lines – in most cases the scars will heal satisfactorily and soften becoming much paler in time, usually within twelve months. Some patients have a tendency to form red and lumpy scars or keloid scars which are broad raised scars. Such scarring will be permanent.

FOLLOW UP

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

LONG TERM OUTLOOK

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

Liposuction: Uses & benefits

Cosmetic Surgery Dubai | 11 October 2020

Liposuction, Liposculpture, Suction Lipectomy, Body Reshaping is a Plastic Surgery operation to reshape areas of the face and body by removing excess fat that does not respond to diet and exercise in order to achieve a more aesthetic facial or body shape. Abnormal or excess fat deposition can arise from a familial trait or simply as a result of the changes of aging. Fat deposition in the lower body and legs (Lipodystrophy) commonly has a genetic link and can prove difficult for the patient to reduce with diet and exercise but is suitable for Liposuction, Liposculpture. Fat deposition in the male chest (Gynaecomastia) is relatively common and rarely responds to diet and exercise but is suitable for Liposuction, Liposculpture, or PAL Liposuction, VASER Liposuction.

What is Liposuction, Liposculpture?

Liposuction is a technique for fat removal using minimal incision and a thin cannula. Many methods have been developed to assist or improve the efficiency of fat removal. Traditional Liposuction uses manual movement of the cannula with suction, while Power Assisted Liposuction PAL, uses a rapidly vibrating cannula to remove fat. Ultrasound Assisted Liposuction UAL/ VASER, utilizes ultrasonic waves to disrupt fat cells before suction. LASER Assisted Liposuction achieves the similar effect as UAL but is less selective to the fat cells. BodyJet utilizes high flow water to disrupt fat while removing with suction. It is important to understand that all techniques require fat to be removed by suction. Many claim to be better than “Traditional Liposuction” but no scientific data has been published comparing these techniques. Like many surgical procedures (Liposuction is a surgical procedure) the results are determined by the skill and training of the operator more than the technique used.

What are the benefits of Liposuction, Liposculpture?

Liposuction – Liposculpture is performed to remove excess fat that does not reduce following exercise and diet. Liposculpture or Liposuction aims to improve body shape and self-image enabling you to wear the clothes you want. Liposuction – Liposculpture is carried out to correct abnormal fat deposits; under chin, neck, male chest (Gynaecomastia), and lower body (Lipodystrophy).

Am I the ideal patient for Liposuction, Liposculpture?

If you are on a good diet, are able to exercise and your weight is stable or reducing, but are concerned about stubborn fat around the abdomen, hips, thighs, knees, neck or arms then Liposuction can improve your body shape and self-image. Loose skin in the area of concern will reduce the benefit of Liposuction and some form of skin tightening treatment or procedure may be necessary in combination with Liposuction. Smoking must be avoided before and after Liposuction to avoid complications such as infection or poor healing. You should also avoid any blood thinning medication or supplements.

Do I need to lose weight before my Liposuction, Liposculpture?

We recommend that you should be as close to your ideal body weight as possible before you undergo Liposuction, Liposculpture. However, many patients find it very difficult to exercise effectively. It is important even in this circumstance that you eat a good diet and are losing weight before your surgery.

Dermal fillers – everything you need to know before a treatment

Fillers in Dubai | 9 October 2020

Dermal fillers are used to maintain volume in the face, and thus restore (or prolong) a youthful, rested, healthy appearance. Dermal filler injections take only minutes to perform and the cosmetic results are immediate. I inject the selected facial filler at sites where natural fat has depleted, the most common being the cheek bone area and the folds next to the nose (nasolabial), the lines running from the mouth toward the chin (marionette lines) and thinning lips. The new generation of facial fillers is more practical than the animal-based collagens they are descended from, as the newer products are biocompatible, more versatile in their weights and densities, and last longer. However, most facial fillers are still temporary, and depending on the staying power of the product as well as the reaction of the patient. Touch-ups will eventually be required.

Dermal fillers instantly plump up nasolabial folds, marionette lines, sunken cheeks, thinning lips and soft jaw lines. They can also be used to correct scars and deeper wrinkles.

No prep time is required with fillers, though you may request topical numbing cold ice packs prior to the procedure.

Cosmetic surgery top tips

Cosmetic Clinic Dubai | 7 October 2020

1 Make sure you have clear reasons for wanting cosmetic surgery and ensure these reasons have been made by you and you alone. Spend some time considering whether surgery is right for you.

2 Try to be certain it will improve your well being and quality of life and consider whether now is the right time

3 Ensure you receive a professional opinion to provide you with sound clinical advice. Your consultant plastic surgeon should be certified and highly experienced.

4 Find out about the surgeon’s clinical history. What are your surgeon’s results like? Do they publish corrective surgery statistics and collect patient satisfaction data?

5 Consultations are very helpful if you’re not sure of your options.

6 Ensure you feel at ease with your consultant. Are they courteous and professional? Do they understand your concerns and desired outcomes? Do they clearly explain your options? Do they take photographs with signed consent?

7 Research the procedure you intend to have thoroughly, ensuring you are aware of any possible complications. Your surgeon should not shy away from explaining the risks or complications of your procedure.

8 Be clear of your desired outcomes and ensure you understand what results you can expect.

9 If you are having implants, make sure you know how long they will last and if they will need to be replaced? Will there be any future costs?

10 It is important to have the support you need before surgery, but have you considered post-surgery? What aftercare will be provided and who should you contact if you are concerned?

11 Discuss prices beforehand.

12 Don’t feel pressurised to proceed after your first consultation, make sure you have a good think about whether surgery is right for you. It’s always advised to have a cooling off period to be 100% sure.

Hyperhidrosis: Diagnosis and treatment

Aesthetic Medicine Dubai | 5 October 2020

Excessive sweating is common and can affect the whole body or just certain areas. Sometimes it gets better with age but there are things you can do and treatments that can help.

What is excessive sweating?

It’s normal to sweat if you get hot or do exercise, but you may be sweating excessively if you’re sweating when your body doesn’t need to cool down. Excessive sweating can happen for no obvious reason, because of another condition you may have or as a side effect of medication you’re taking.

Things you can do to help with excessive sweating

Do

wear loose-fitting clothes to minimise signs of sweating

wear socks that absorb moisture and change your socks at least twice a day if possible

wear leather shoes and try to wear different shoes day to day

Don’t

wear tight clothes or man-made fabrics – for example, nylon

wear enclosed boots or sports shoes that may cause your feet to sweat more

do things that might make your sweating worse – for example, drinking alcohol or eating spicy food

Treatment with botulinum toxin temporarily blocks the nerves that cause sweating. Your skin will be iced or anesthetized first. Each affected area of your body will need several injections. The effects last six to 12 months, and then the treatment needs to be repeated. This treatment can be painful, and some people experience temporary muscle weakness in the treated area.

How to get natural-looking and kissable lips with a lip filler

Fillers in Dubai | 3 October 2020

Lip Fillers, also known as Lip Augmentation or Lip Injections, are a popular treatment which addresses many lip concerns.

Increases fullness of thin lips.

Enhances lip definition

Creates a more defined smile

Give the mouth area a youthful, rejuvenated appearance

Dermal fillers are also effective for smoothing out ‘Lipstick Lines’ or ‘Smokers Lines’ around the mouth, as well as other troublesome areas on the face.

There are many reasons why people are unhappy with the shape and size of their lips. For some their lips have started to appear thinner and less defined as a result of the natural ageing process. For others their lips have always been narrow with a less pronounced cupid’s bow. Make-up can create the illusion for fuller lips, however many lipsticks are prone to smudging, distorting and bleeding into the vertical lines known as ‘lipstick lines’ above the mouth.

My lip fillers have been specifically developed to enhance the natural pattern of your lips, helping you achieve more defined, beautifully shaped, bigger lips. My semi-permanent fillers are a manmade, non-animal gel that mimics the body’s natural hyaluronic acid, giving safe, long-lasting and natural looking results.

There are many lip fillers on the market that are substandard in terms of ingredients and quality. I only use the most advanced temporary lip filler range available.

BENEFITS OF LIP FILLERS

Lip Fillers lend volume and definition to lips, producing a sensual, more pronounced pout.

Gives a more youthful, rejuvenated appearance

Can help turn the corners of the mouth upwards

The treatment is non-invasive with virtually no recovery time necessary; you can resume your normal activities immediately after treatment.

Non-permanent and will naturally break down.

Suitable for Vegans

The treatment can be tailored to your needs providing a natural look.

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