In the News

Aesthetic Medicine Dubai | 12 September 2020

The use of injectable facial fillers is one of the fastest growing areas in the field of cosmetic surgery. Many advances in have been made in the last 5 years that have led to safer, more predictable and longer lasting fillers.

As one ages, the face loses volume. This creates more prominent wrinkles and skin folds while features become less distinct. Dynamic wrinkles caused by facial movement such as smiling and frowning appear. Injectables were designed to subtly reduce these signs of aging.

Most fillers work by restoring the volume of a part of the face or filling the lip or wrinkle and are gradually digested by the body. Hyaluronic Acid Fillers: These were the first of the new fillers to be FDA approved. Hyaluronic acid is a naturally occurring carbohydrate which occurs in skin. It is a clear gel with a thick consistency. Since skin testing is not required, injections may be done on the same day as the initial consultation. Manufacturers have manipulated particle size (thickness) and crosslinked molecules to offer both normal and longer duration products.

Juviderm and Teosyal are examples of normal duration products that are injected in more superficial lines and have easier flow characteristics. Juvederm Voluma and Teosyal Redensity II are examples of longer duration products are usually injected into deeper lines and folds.

The newest advance has been the addition of local anesthetic, Lidocaine, to the filler to reduce discomfort upon injection.

Abdominoplasty Dubai | 8 September 2020

There are a variety of abdominoplasty, or tummy tuck, procedures available, and operations can be tailored to suit a patient’s wishes and needs. Generally speaking, however, tummy tucks are most commonly carried out to remove excess skin, unwanted scars, stretch marks and fat, and to tighten the stomach muscles. The ideal patient is someone whose weight is normal, particularly those who have been overweight and have lost the excess weight. Abdominoplasty is not an operation for people who are overweight, or as an attempt at losing weight. In appropriate patients abdominoplasty can have a very marked effect and is associated with high patient satisfaction.

Full abdominoplasty
For patients who have significant skin laxity, excess fat and separation of the muscles, a classic tummy tuck is the most common procedure. Performed under general anaesthetic, this operation can require patients to be in hospital for two or three days.

During the operation, an incision is made from hip to hip and around the umbilicus. The excess skin and fat is excised from the umbilicus to just above the pubic hair. The muscles above and below the umbilicus are tightened. The skin is then sewn up to give a circular scar around the umbilicus and a long scar across the lower abdomen. Although this operation leaves a large scar, it does provide the greatest improvement in abdominal shape. Patients who are thinking about becoming pregnant should not undergo this procedure, and should wait until they are sure they are not having any more children.

Mini abdominoplasty
For patients with only a small amount of excess skin a lesser abdominoplasty might be appropriate. A general anaesthetic is still needed.

During the operating, a wedge of skin and fat is excised from the lower tummy leaving a horizontal scar above the pubic hair. Sometimes the muscles will also be tightened. No scar is left around the umbilicus, which may be stretched slightly to become a different shape. A mini abdominoplasty will give a smaller effect than a full abdominoplasty.

Liposuction
Liposuction can sometimes be done at the same time as the abdominoplasty. However, liposuction can be recommended instead of an abdominoplasty for younger patients who have good quality, elastic skin and whose main problem is a localised excess of fat.

A general anaesthetic is most commonly used, but treatment can often be as a day case. During the procedure, small incisions are made, excess fat is removed and the wounds are then closed. Some degree of skin tightening or shrinkage can be expected as well, but the results of liposuction can sometimes be unpredictable. Liposuction alone will have less effect than abdominoplasty.

Breast Augmentation Dubai | 1 September 2020

What sizes can I choose?

There is an extensive range of breast implant sizes that will be offered to you. Following an assessment, I will advise the most appropriate size for your desired look. Implants sizes are measured in “cc” which is a unit of volume.

What are high, or extra high profiles?

“Profiles” refers to the amount of forward projection off the chest wall. You may choose a round or contoured implant depending on the profile you wish to achieve. Mentor round implants are offered in 5 projections: low, moderate, moderate plus, high and ultra high. Similarly, Mentor Contour Profile Gel breast implants (CPG) are offered in 4 projections: moderate, moderate plus, high or extra high.

Does breast augmentation leave a scar?

A breast enlargement incision is made in the crease under the breast (inframammary fold), usually measuring 3-5cm in length. I will discuss the size and placement of the incision with you before surgery. At first, the incision line will be red but after healing, it will fade to a thin white line – it can take up to a year to fully fade.

Do breast implants need to be replaced?

The length of time a breast implant lasts varies from individual to individual. The Medical Devices Agency has recommended that implants are replaced every 10-15 years or that you at least have an assessment during this time.

Why would you need your implants replacing?

Typically, patients will have their implants in for around 10 years and then opt for an implant removal and reaugmentation procedure. This will normally be due to the natural changes that the female body undergoes during this time. Pregnancy, breastfeeding, weight loss and the natural ageing of skin can mean that breasts could change in shape and size, meaning that implants no longer sit on the chest wall as they once did. There are instances of patients having their implants in for 30 years so it really does depend on your own body.

Does breast enlargement affect breastfeeding?

Breast implants will not normally prevent breastfeeding but may adversely affect the shape of the breast as may pregnancy itself. Women should expect physical changes to their bodies that could affect the aesthetic results of surgery and in some cases, it is advised that patients wait until after completion of their family or have achieved their optimum weight before surgery.

Fillers in Dubai | 28 August 2020

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

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

CONTOURING AND REFINING FEATURES

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

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

THINGS TO KNOW IF YOU’RE CONSIDERING DERMAL FILLERS

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

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

YOUR EXPECTATIONS

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

THE ACTUAL PRODUCT

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

HOW LONG THE RESULTS WILL LAST

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

WHAT TO DO BEFORE AND AFTER THE INJECTION

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

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

Breast Augmentation Dubai | 22 August 2020

Below are some of the most common questions patients ask about breast augmentation, along with answers from Dr. Matteo Vigo.

Your overall shape, build, and skin available for breast augmentation will be important in determining the size of your breasts. Your expectations are also important in this decision. If you have little or no breast tissue, very tight skin or are young, you typically can expect to increase your size from an A cup to approximately a C cup; however, stretching the muscle and skin too tightly can be detrimental. Patients that want to be very large can do so if there is available skin for coverage; otherwise, this may require more than one procedure.

Breast augmentation patients who have lost breast volume as a result of childbearing, breast feeding or weight loss typically have sufficient skin to restore their breasts to their original size or larger; and patients with moderate breast size usually can increase the size of their breasts easily.

What sizes can I choose?

There is an extensive range of breast implant sizes that will be offered to you. Following an assessment, I will advise the most appropriate size for your desired look. Implants sizes are measured in “cc” which is a unit of volume.

What are high, or extra high profiles?

“Profiles” refers to the amount of forward projection off the chest wall. You may choose a round or contoured implant depending on the profile you wish to achieve. Mentor round implants are offered in 5 projections: low, moderate, moderate plus, high and ultra high. Similarly, Mentor Contour Profile Gel breast implants (CPG) are offered in 4 projections: moderate, moderate plus, high or extra high.

Does breast augmentation leave a scar?

A breast enlargement incision is made in the crease under the breast (inframammary fold), usually measuring 3-5cm in length. I will discuss the size and placement of the incision with you before surgery. At first, the incision line will be red but after healing, it will fade to a thin white line – it can take up to a year to fully fade.

Do breast implants need to be replaced?

The length of time a breast implant lasts varies from individual to individual. The Medical Devices Agency has recommended that implants are replaced every 10-15 years or that you at least have an assessment during this time.

Why would you need your implants replacing?

Typically, patients will have their implants in for around 10 years and then opt for an implant removal and reaugmentation procedure. This will normally be due to the natural changes that the female body undergoes during this time. Pregnancy, breastfeeding, weight loss and the natural ageing of skin can mean that breasts could change in shape and size, meaning that implants no longer sit on the chest wall as they once did. There are instances of patients having their implants in for 30 years so it really does depend on your own body.

Does breast enlargement affect breastfeeding?

Breast implants will not normally prevent breastfeeding but may adversely affect the shape of the breast as may pregnancy itself. Women should expect physical changes to their bodies that could affect the aesthetic results of surgery and in some cases, it is advised that patients wait until after completion of their family or have achieved their optimum weight before surgery.

Tummy Tuck Dubai | 18 August 2020

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.

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.

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.

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

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.

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 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