HAIR RESTORATION & SKIN REJUVENATION WITH PRP TREATMENT
Aesthetic Medicine Dubai | 15 August 2020
Platelet Rich Plasma or PRP is obtained from your blood and injected into your tissue wherever tissue regeneration is needed. Over the last decade, autologous PRP has been successfully and extensively used in sports medicine to regenerate tendon injuries, muscle injuries, worn out cartilage in aging joints; in general surgery to promote faster healing of large surgical scars and in the field of cosmetic and anti-aging medicine for skin rejuvenation and hair regeneration.
Autologous PRP provides a safe and very effective regenerative treatment option but unfortunately not everyone is a candidate for PRP cosmetic regenerative treatments. Below are some of the absolute and relative contraindications to PRP treatments:
Absolute Contraindications to PRP Regenerative Therapy:
– Platelet dysfunction syndrome
– Critical thrombocytopenia – very low platelet count
– Hemodynamic instability – very low blood pressure
– Septicemia or local infection to injection site
Relative Contraindications to PRP Regenerative Therapy
– Aspirin and other NSAIDs use within one week of the PRP therapy.
– Corticosteroid injection at treatment site (1 month)
– Systemic use of corticosteroids (2 weeks)
– Cancers (hematopoetic-blood or bone)
– HGB < 10g/dl or platelet count < 105/ul
I do not want you to stop taking your aspirin or blood thinner medication if you are taking these medications for heart condition and for stroke prevention. If you are taking any of the medications for a serious medical illness, you will need to pause the medications under your physician’s care and obtain a medical clearance letter before your PRP therapy.
Cosmetic PRP Therapy Treatment harnesses the healing ability of your blood to regenerate healthy new tissue in the treatment area for natural improvement of common skin concerns and thinning hair.
HOW LONG DOES THE PRP PROCEDURE TAKE?
The treatment will take around 30-40 minutes.
HOW MANY PRP TREATMENTS WILL I NEED?
For the best result, we recommend up to three treatments, 4-6 weeks apart, with top-ups at 6-24 months.
WHAT RESULTS CAN I EXPECT FROM PRP REJUVENATION TREATMENT?
You should notice fullness and improvements in skin texture and tone are noticeable within 3 weeks. Full collagen regeneration takes 3 months. Mild swelling may be seen immediately. Over the days and weeks, the platelets will release growth factors and pre stem cells which will assist in more collagen growth.
WHAT HAPPENS DURING YOUR TREATMENT OF PRP
Dr. Vigo will assess your skin condition, and come up with an action plan together. We will then perform a simple skin sample, and recommend a sensible treatment with a reasonable outcome. Pre-treatment photographs are taken.
Your skin is cleansed and prepared. Local anesthetic cream is applied to minimize pain. Blood is taken from your arm and placed in a test tube which is then centrifuged.
The Platelet Rich Plasma is then prepared and activated. It is then initially injected into the areas discussed prior to treatment. The remainder of the plasma is then injected all over the rest of the skin area to be treated.
PRP facial rejuvenation can be a one-off treatment, but further micro-injections can be re-performed at 4-6 weekly intervals for lines and wrinkles if the client desires this. It can also be used as part of a treatment program.
ARE THERE ANY POSSIBLE SIDE EFFECTS OF PRP TREATMENT TO SKIN REJUVENATION?
Minimal swelling is to be expected, bruising and redness for 12-24 hours. A bruise at the needle site may be visible for 2-3 days.
ARE THERE ANY POSSIBLE SIDE EFFECTS OF PRP TREATMENT TO SKIN REJUVENATION?
Results are normally visible at three weeks and improve gradually over ensuing months with improvement in texture and tone. This is due to the cause of action of the injected platelets and growth factors.
Results may not be visible immediately. You may notice swelling from the fluid is what you will see and feel first. Once the swelling has subsided you will not see much change at all. Over a few weeks, the platelets will stimulate the growth factors which will assist in more collagen growth.
HOW MANY PRP TREATMENTS ARE REQUIRED?
This will depend upon the health and age of your skin. Normally it is advised to have 2-3 treatments, 4-6 weeks apart. However, your clinician will determine your treatment protocol according to your skin condition.
HOW LONG DO THE RESULTS LAST?
Treatment results vary, however, in most patients the results last up to 18 months. Touch-up treatments will maintain the results.
WHO SHOULD NOT HAVE PRP TREATMENT?
– Heavy smokers
– Platelet Dysfunction Syndrome
– Critical Thrombocytopenia
– Hypofibrinogenaemia
– Haemodynamic Instability
– Sepsis
– Acute and Chronic Infections
– Chronic Liver Pathology
– Anti Coagulation Therapy
– A person with Skin Disease or Cancer
– Severe Metabolic and Systemic Disorders
– Hair loss treatment Birmingham
CLINICAL RESEARCH ON PRP TREATMENT EFFICACY FOR SKIN AND THINNING HAIR
Platelet Rich Plasma is obtained by processing your blood in a centrifuge to get a concentrated mixture of your platelets. Platelets are small cells in your blood that are responsible for your body’s healing response to injury. Upon any injury, your platelets release a minimum of eight growth factors which initiate a cascade of events leading to regeneration of healthy tissue to repair the injured area. High-quality PRP leads to the appropriate growth factor release which results in healthy tissue regeneration for rejuvenated skin and thicker hair when injected in these sites.
PRP THERAPY FOR SKIN
Cosmetic regenerative PRP therapy provides growth factors from your own blood to optimize your wound healing and is used for several non-surgical cosmetic skin treatments to enhance the results of your cosmetic skin treatment. I love the natural results from regenerative PRP skin treatments for improvement of several common cosmetic skin problems such as; skin aging, acne and other scars, stretch marks, melasma and other hyperpigmentation disorders. I often combine your PRP with different types of skin treatments specific to your needs to help you achieve your personal best for your skin needs.
PRP SKIN SURFACE REJUVENATION AND PHOTODAMAGE REPAIR
PRP injection into the dermis (middle layer of skin) and application of PRP topically with Micropen microneedling skin treatment may improve skin surface aging, fine lines, pigmentation, texture and skin tone.
PRP SKIN TIGHTENING AND PRP DEEP WRINKLE REDUCTION
To address the signs of deeper skin aging such loss of skin elasticity, deep wrinkles and folds, which present as jowls, sagging of the eyelids, sagging of the skin below the chin, deep nasolabial folds and so forth, I recommend a deeper skin tightening and collagen building treatment. The injection of PRP into the dermis and application of PRP topically with the MFR skin treatment can improve skin tightness, build collagen to lessen the appearance of deep wrinkles, deep folds, jowls, tighten the neck skin and lift the eyelids.
PRP WITH DERMAL FILLERS FOR VOLUME ENHANCEMENT
For areas with mild to moderate volume loss below the skin such as the age-related thinning of the back of hands, deep under-eye circles and loss of facial volume, PRP injections below the dermis can be combined with a dermal filler for volume replenishment. The advantage of PRP is that the regenerative response of your body leads to an improvement in the skin texture, firmness and tightness with healthy new tissue along with the volume that is replenished with the dermal filler. I see this effect most noticeable in the under eye area.
PRP HAIR LOSS THERAPY
PRP hair loss therapy is an effective treatment option for increasing hair density in individuals with certain types of hair loss disorders*
PRP hair loss therapy alone is effective in improving hair density and quality when injected into the scalp of men and women with early and mild androgenic alopecia and with telogen effluvium (after correcting the triggers of telogen effluvium). PRP hair loss therapy is effective in increasing hair density and hair quality in individuals with more advanced androgenic alopecia and androgenic alopecia lasting longer than 5 years. PRP hair loss therapy alone does not lead to hair regeneration in individuals with advanced hair loss with scarring and those with complete loss of hair follicles.
*Individual results vary with genetic, hormonal, environmental and other influences
Breast Reduction Surgery
Plastic Surgery Dubai | 12 August 2020
Breast reduction surgery, also known as reduction mammaplasty, is a procedure used to remove excess fat, tissue and skin from the breasts. If you have large breasts, you might choose to have breast reduction surgery to ease discomfort or to achieve a breast size proportionate to your body. Breast reduction surgery might also help improve your self-image and your ability to participate in physical activities. If you’re considering breast reduction surgery, consult an experienced plastic surgeon. It’s important to understand what breast reduction surgery entails – including possible risks and complications – as well as set realistic expectations.
BREAST REDUCTION SURGERY
Breast reduction surgery is meant for women who have large breasts and want to resolve issues such as:
– Chronic back, neck and shoulder pain that requires pain medications
– Chronic rash or skin irritation under the breasts
– Nerve pain
– Restricted activity
– Poor self-image related to large breasts
– Difficulty fitting into bras and clothing
Breast reduction surgery generally isn’t recommended if you:
– Smoke
– Have certain conditions such as diabetes or heart problems
– Are very obese
– Want to avoid scars on your breasts
You can have breast reduction surgery at any age – sometimes even as a teenager. But if your breasts aren’t yet fully developed, you might need a second surgery later in life. You might postpone breast reduction surgery if you have certain future plans, such as:
Childbirth. If you haven’t started a family or your family isn’t yet complete, you might wait until pregnancy isn’t an issue. Breast-feeding might be challenging after breast reduction surgery – although certain surgical techniques can help preserve your ability to breast-feed.
Weight loss. If you are interested in losing weight by changing your diet and starting an exercise program, you might wait to decide if reduction mammoplasty is for you. Losing weight can often result in changes to your breast size.
WHO IS A GOOD CANDIDATE?
– Patients who want smaller breasts.
– Patients with extensive breast asymmetry.
– Healthy patients without breast cancer.
– Patients who possess realistic expectations.
– Patients who will tolerate breast scars.
– Patients who complain of chronic neck, shoulder and back pain from
excessive breast size.
– Patients with large breasts who experience chronic skin irritation along
their bra straps and under the breast folds.
BREAST REDUCTION SURGERY RISKS
Breast reduction surgery has the same risks as any other type of major surgery – bleeding, infection and an adverse reaction to the anesthesia. Other possible risks include:
– Bruising, which is usually temporary
– Scarring
– Removal of or loss of sensation in the nipples and skin surrounding the
nipples (areolae)
– Difficulty or inability to breast-feed
– Differences in the size, shape and symmetry of the surgically altered
left and right breasts, which might lead to further surgery to improve
your appearance
HOW YOU PREPARE
Dr. Vigo will:
– Evaluate your medical history and overall health
– Discuss your expectations for breast size and appearance after the
surgery
– Provide a detailed description of the procedure and its risks and
benefits, including likely scarring and possible loss of sensation
– Examine and measure your breasts
– Take photographs of your breasts for your medical record
– Explain the type of anesthesia used during surgery
Before breast reduction surgery, you might also be asked to:
– Complete various lab tests
– Get a baseline mammogram
– Stop smoking for a certain period of time before and after surgery
– Avoid taking aspirin, anti-inflammatory drugs and herbal supplements,
to control bleeding during surgery
WHAT YOU CAN EXPECT
Breast reduction surgery is usually done under general anesthesia, either in a hospital or inpatient surgical facility. The specific technique used to reduce the size of your breasts can vary. The procedure might include:
– Surgery through incisions
– Liposuction to remove the excess fat in your breasts
Dr. Vigo will usually:
– Make an incision around the areola and down each breast
– Remove excess breast tissue, fat and skin to reduce the size of each
breast
– Reshape the breast and repositions the nipple and areola
The nipple and areola:
– Usually remain attached to the breast
– Might need to be removed and then reattached at a higher position as
a skin graft if your breasts are very large
Dr. Vigo will try to achieve symmetry between your breasts, but some variation in breast size and shape might occur. The size of the areola also might be reduced. Your incision scars might fade over time but will never completely disappear.
AFTER THE PROCEDURE
Your breasts will be covered with a gauze dressing or bandages. A tube might be placed under each arm to drain any excess blood or fluid. You likely will take medication for pain and antibiotics, to decrease your risk of infection.
For the first days or week after surgery:
– Your breasts will probably feel tender and sensitive
– Your breasts might be swollen and bruised
– Your surgeon might recommend an elastic compression bra to protect
the breasts
You’ll need to limit physical activity for two to four weeks while the breasts heal. Dr. Vigo might suggest avoiding underwire bras for a few months after surgery. Scarring usually fades over time. You will need a follow-up visit with Dr. Vigo to remove stitches and check your recovery.
THE POWER OF FAT DISSOLVING INJECTIONS
Aesthetic Medicine Dubai | 8 August 2020
Want to get rid of some stubborn fat in some area of your body or the face? Now the solution is just a step away with our fat dissolving injection which can guarantee you a result in few sessions. Pain free treatments with amazing result for those who don’t want to have surgeries or more invasive procedures.
With few injections you can target the area you want to reduce, such as the double chin, small area of the abdomen, flanks, hips or knees. A minimal redness and swelling after the procedure for a couple of days is considered normal and it means that the product is active and working. The results appear after 2-3 weeks and a minimal series of 3 treatment is able to guarantee the desired result. There is enough scientific data proving the effectiveness of adipocytolytic injections to reduce unwanted fat depots. These treatments are safe, with minimum side effects and almost no interference with our patients’ daily activities.
FAT DISSOLVING INJECTION TREATMENT
Fat dissolving injections can help you to achieve a slimmer, more contoured body shape, with long-lasting results of between two and four years. The results are even longer if you maintain a healthy diet and regularly exercise!. Like with all new treatments though, it’s important to understand exactly what is involved before rushing in. Here’s all you need to know about fat dissolving injections:
THEY ARE SAFE
Chin sculpting injections contain a synthesised deoxycholic acid that occurs naturally in the body and aids in the breakdown and absorption of dietary fat. General fat dissolving injections contain a substance called phosphatidylcholine (PC). Again, this is a natural compound derived from soybean. Both are safe to use and are naturally broken down by the body over time.
SIDE EFFECTS ARE RARE
Side effects of fat dissolving injections are rare. You may experience swelling, bruising, itching, pain, sensitivity to pressure and excessive warmth at the injection site however, this is usually resolved within three to five days.
PAIN IS MINIMAL
As with all treatments that involve needles, the injections may sting for a few seconds, but generally, pain is minimal with our chin sculpting and fat dissolving treatments. Dr. Vigo offers the option of applying a topical numbing agent to the treatment area to minimise discomfort.
THERE IS DOWNTIME
The biggest thing to note with fat dissolving injections and chin sculpting injections is they do require a bit of downtime. Both treatments recommend taking it easy for three to five days.
WHAT IS AQUALYX?
Aqualyx is made up from a number of different plant based compounds that have been refined in a lab environment. Aqualyx dissolves the membranes of fat cells in the treated area. The fat cells become unstable and break open. The fatty acids contained within the cell are then eliminated by macrophages (part of the body’s immune system) and the liver.
IS AQUALYX SUITABLE FOR ME?
If you are maintaining a healthy lifestyle and are close to your ideal body weight, but have isolated stubborn areas of fat then Aqualyx might be suitable. Popular areas that we treat are double chins, moobs, saddle bags, inner thighs, cankles and abdomen – including defining a six pack. If you have significant weight then Aqualyx is not suitable for you, but other body contouring treatments we offer maybe. If you have recently lost significant weight then the area concerning you may be loose skin which we can improve with skin tightening treatments. A consultation with Dr. Vigo will determine the correct treatment plan for you.
ARE THE RESULTS PERMANENT?
Whilst the body can regenerate fat cells – the process is very slow. So once fat cells are removed from a localised area your results are as good as permanent. However, if you do not continue to maintain a healthy lifestyle then your body will put on weight in other areas of your body where fat cells remain.
WHAT IS INVOLVED IN RECOVERY?
Immediately after treatment you may appear red and swollen with some bruising on the treated area. Aqualyx works by causing an inflammatory reaction in the fat cells which can result in swelling for 3-5 days. Therefore, if you intend to have a facial treatment, e.g. double chin where the swelling may be obvious, you may wish to organise time away from work or social engagements. You will be able to reduce the swelling by using a cool pack wrapped in a clean cloth for a maximum of 20 minutes each day.
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 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.