In the News

Rejuvenative cosmetic surgery of the upper third of the face

Cosmetic Surgery Dubai | 9 May 2019

A brow lift is a popular procedure for rejuvenation of the forehead and eyebrow; otherwise referred to as the eyebrow lift or forehead lift. It is carried out to correct the signs of ageing, in which forehead creases and the descent of the brow has caused a worn-out or aged look. This can also occur in younger patients, leading to crowding of the eyebrow/eyelid complex giving a tired, concerned appearance. By crowding the eyelids, it can also make the upper-lid skin appear hooded, giving the impression of excess skin. The contour of the brow also changes with loss of its natural arc.

Repositioning the brow and forehead not only raises the brow and enhances the eye area, but also restores the youthful shape to the browline. The aim of surgery is to restore the natural appearance of the upper facial area, which looks in line with the rest of the face.

Why undergo brow lift treatment?

Brow lifting is usually performed as an adjunct to upper lid blepharoplasty as a ‘Blepharoplasty Plus’ procedure . In appropriate patients, it can allow for a significant additional boost and enhancement of the blepharoplasty result. Brow lifting is not only performed for aesthetic reasons. In many cases, the drooping of the brow can actually affect vision and appropriate brow lifting can improve the lateral visual field significantly.

Breast enlargement can give women a fuller, firmer, better-proportioned appearance

Breast Enlargement Dubai | 7 May 2019

Breast enlargement can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned appearance through the placement of implants. Women may chose to undergo breast enlargement for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy, surgery or weight loss. There are a number of procedures available with regard to positioning of the implant (above or below the pectoralis muscle) and the types of incisions used (axillary approach, infra-mammary or through the areola). Furthermore, implants vary widely in shape, size and firmness. The choice of implant and procedure is best reached in consultation so that individual circumstances may be taken into account.

Anatomical breast implants

In most cases, anatomical implants will provide the best results for women seeking natural-looking breast enhancement, as they can be used to customise breast shape as well as volume. The extensive number of shapes and sizes manufactured offers opportunities for individualisation to an extent that is beyond what can be obtained with traditional round implants.

Breast enlargement consultation

I believe that any breast enlargement patient undeniably deserves the best treatment possible by being shown what their new body could look like before they go for surgery. My newly introduced Crisalix simulator offers patients 3D images of superior accuracy by integrating the latest advancements in 3D technology, similarly to what is used for box office motion picture animations as well as sophisticated 3D architectural visualizations and video games.  The new simulator introduces state-of-the-art scientific algorithms which go to a level of detail and depth of perception never achieved till now. The shape of the implant in the body can be reproduced with exceptional precision, thereby enabling patients to clearly express their desires and expectations and communicate more effectively with me.

 

The breast surgery consultation is an analytic and scientific process based on mapping and measurement of chest shape and available breast tissue. It is a completely personalised approach, taking into account a woman’s general body proportions, occurring natural asymmetries and her aesthetic preferences.

Candidates for breast enlargement

Most women for breast enlargement are aged between 20 and 60, though as treatments are gentle to the breast tissue, surgeries can be performed at any age. If required, breast augmentation may be combined with other procedures such as a breast lift or correction of inverted nipples.

Facial rejuvenative procedures

Cosmetic Surgery Dubai | 5 May 2019

There may be various reasons to seek facial cosmetic surgery. These include dissatisfaction with naturally-given features, congenital problems, the wish to camouflage scars, or a desire to reverse the changes that have occurred due to ageing or life events. I provide the full range of facial rejuvenation procedures, including facelift, neck lift, brow lift, fat transfer, eyelid and ear surgeries. Due to my expertise, as well as our specialised technologies and instruments, I have been able to refine treatments for all areas of the face. Approaching the face as a whole – underlying topography, soft tissues and skin – we often find that more can be achieved with a lighter application of several complementary surgical treatments in combination, rather than a single ‘all-out’ procedure. Furthermore, we perform facial surgeries that respect the balance of proportions and concentration of character within an individual’s face – the aim is to rejuvenate and refine, not to exaggerate. Fundamentally, our skill lies in the provision of understated solutions that refresh and restore.

An overview of facial rejuvenative procedures:

Eyelid surgery

The eyes are the most important aesthetic component of the face – for this reason eyelid procedures are among the most efficient ways to obtain significant aesthetic improvement to the face with relatively light surgery. Whether the goal is to remove excess tissue or enhance shape and volume, I use advanced methods that conserve muscle and respect eyelid function.

Face and neck lift

A face and neck lift is the most efficient method for reversing the effects of gravity and ageing in the mid and lower portions of the face. This procedure will elevate the soft tissues in the cheek and mid-face, reduce jowls and provide a cleaner and more defined jawline. I provide highly specialised facelifts, repositioning the deeper layers to achieve a long-lasting rejuvenation and three-dimensional contouring – without stretching the skin.

Brow lift

The brow lift is used for rejuvenation of the forehead and areas adjacent to the eyes, reversing the effects of sagging, asymmetry and heavy creasing. It provides a graded and precisely adjusted lift, yet is gentle to the forehead and leaves only minor scarring that is hidden behind the hairline. As the brow lift has a pronounced rejuvenating effect to the forehead and eyelids, the procedure is often used to complement facelift surgeries in order to get a balanced result across the full face.

Treatment for facial and eyelid hollowness

Fat transfer, or surgical grafting, is used alongside the repositioning of soft tissues to re-volumise hollowed areas and restore structural integrity to the face. Using one’s own fat cells, this technique has a wide application and may be effectively combined with other procedures, such as face lift and eyelid surgery. It is used effectively to counteract gravity by offering a light lift, and deliver smooth and youthful contours.

 

Separation of the rectus abdominis muscles following childbirth

Cosmetic Surgery Dubai | 3 May 2019

Separation of the rectus abdominis muscles following childbirth is the most common reason for weakening of the abdominal wall. The condition impacts on body aesthetics and may be associated with stomach protrusion, hernia formation, lower back pain and impaired posture. Surgical treatment repositions and tightens the muscles, resulting in a stronger and flatter abdomen.

Diastasis recti is defined as a separation of the rectus abdominis muscles in the midline (linea alba). Up to 60 % of all women will experience muscle separation during the third trimester of pregnancy or the immediate postpartum period – a normal physiological event that usually reverts spontaneously.

Permanent diastasis is less frequent (10-15 %), most often occurring in women who have been pregnant three or more times or have carried large babies. The condition is thought to be caused by the accumulated effects of maternal hormones (which relax abdominal muscles and soften connective tissues) and the repeated biomechanical stretching of the abdominal wall.

Symptoms

Diastasis recti is evident around the navel (umbilicus) or the area above. The width of separation typically ranges between two to five centimetres and is easily felt whilst laying flat. As all muscles of the abdomen are connected in the fibrous midline, a widening of this area will diminish overall muscle-performance and core strength. A common concern is the inability to recover pre-pregnancy abdominal muscle tone, even with daily sit-ups and exercise. The weakened abdominal wall is prone to bulging while standing upright or in situations involving increased abdominal pressure. Hernias may develop but are usually asymptomatic.

Surgical treatment

Surgery aims to restore a healthy anatomy and strengthen the abdominal wall. As muscle separation usually occurs alongside other concerns such as skin laxity, the repair is generally performed as part of an abdominoplasty. During surgery, the rectus abdominis muscles are brought together while shortening and reinforcing the midline. This manoeuvre also repositions the corset-muscles in the flanks, improving both definition and waistline contours. Hernias are corrected as part of this procedure. Due to the physiological and hormonal changes in the postpartum period, I generally recommend that a patient waits for six to nine months after childbirth before undertaking surgical treatment.

Open up your eyes and reduce the signs of ageing

Blepharoplasty Dubai | 1 May 2019

Eyelid surgery (blepharoplasty) is cosmetic surgery to remove excess skin or fat from the eyelids. The aim is to improve hooded or droopy eyelids or eye bags.

A thin fold of skin that protects the eye, the eyelid is an area of the body particularly susceptible to effects of ageing. Heavy, drooping eyelids, dark circles and sagging skin around the eyes can make the face look older. In many cases people start to develop the characteristics in their late teens. Eyelid surgery, also known as ‘Eyelid rejuvenation’ or ‘Blepharoplasty surgery’, is a tried and tested procedure that removes excess tissue around the eyes to produce a more youthful appearance.

Blepharoplasty Dubai

As the eyelid is a thin fold of skin it is particularly susceptible to the effects of ageing. Tiny changes to the skin on or around either eye can be quite noticeable and can give the face an unbalanced look. Eyelid surgery, also known as ‘Eyelid rejuvenation’ or ‘Blepharoplasty surgery’, is the best way of combating this.

Over time the eyelid can sag and become ‘hooded’. It can restrict vision and can effect confidence. A tried and tested procedure, Blepharoplasty surgery can rectify this by removing excess tissue. The consultant will cut along the fold of eyelid to remove excess skin, muscle and fat before closing the incision. The incisions are performed along the natural contours of the eyelids and into the laughter lines at the corner of the eyes. Patients can normally leave shortly after the operation and recuperate at home but will need a period of rest and to avoid any strenuous work or sporting activity until the swelling subsides and the stitches have been removed, usually about seven days later.

 

A tummy tuck is an operation to remove excess fat and skin from your abdomen

Tummy Tuck Dubai | 30 April 2019

A tummy tuck (abdominoplasty) is an operation to remove excess fat and skin from your abdomen (tummy) and to tighten your abdominal muscles. The results of a tummy tuck can be long lasting. You can help this by keeping to a healthy weight after your surgery. There are lots of reasons why people have this type of surgery, including having weaker abdominal muscles after pregnancy or having previously lost a lot of weight.

Why do some people have a tummy tuck? You might want to have a tummy tuck because:

you have loose skin after major weight loss

your abdominal skin and muscles might have become slack after pregnancy

you have abdominal scarring from earlier surgery or injury

it’s part of another operation that you need, such as hernia repair

Tummy tuck surgery removes excess fat and skin and can tighten your abdominal muscles to improve the shape of your abdomen. Some stretch marks from pregnancy may be removed and others made less noticeable. Tummy tuck surgery isn’t a treatment to help you lose or control your weight and won’t stop you from gaining weight in the future either.

Where are Dermal Fillers usually used?

Fillers in Dubai | 26 April 2019

Dermal fillers can be used to achieve a variety of results in different areas of the face. They are usually used in three main areas to achieve the following:

Around the Eyes:

Reduce under eye bags and dark circles

Soften fine lines and crow’s feet

Mid Face Area:

Smooth accordion lines (the fine lines that creep up the sides of the face towards the cheekbones) and folds

Add volume to the cheek area affected by gravity and age

Lower Face Area:

Smooth a “gummy smile” above the lips

Reduce the appearance of vertical lines above the lip

Add volume to the nasolabial folds around the mouth

Correct the downturned corners of the mouth

Stop the jawline from sagging

Plump and reduce chin creases

How long do they last?

Depending on the type of hyaluronic acid used, Dermal fillers can last anywhere between 6 to 18 months. This may also vary from person to person depending on how well it’s suited to the purpose and individual. There are many different brands of hyaluronic acid on the market, some of which you might recognise, including Juvederm, Belotero and Restylane. It can be difficult to know which dermal filler is right for you so be sure to ask your practitioner for advice on the right choice for you.

Things to know before your treatment

Dermal fillers are incredibly safe, and allergic reactions are extremely rare, so long as your treatment is carried out by a specially trained healthcare professional. Before getting dermal filler treatment there are a few simple steps you can carry out to ensure your treatment is as successful as possible.

Try and avoid any product containing aspirin, vitamin E, St John’s Wort and any dietary supplements that include ginko, garlic, primrose oil and ginseng for 2 weeks prior to your treatment.

Avoid ibuprofen, Aleve, fish oil, alcohol and any product that can thin your blood for 2 days prior to your treatment.

Remove all makeup and wash your face before the treatment to avoid skin irritation.

Are there any side effects of dermal fillers?

After having dermal filler treatment, you may notice some common side effects in and around the treated area. These can include:

Redness

Swelling

Bruising

Pain and discomfort

Using a trained and experienced practitioner can help to minimise these side effects. Taking the right kind of supplements may also help but you should check with your practitioner before taking anything. 

do’s and don’ts to help minimise any negative after effects of your dermal filler treatment

Fillers in Dubai | 20 April 2019

Here are a list of suggested do’s and don’ts to help minimise any negative after effects of your treatment.

Using a calming agent like chamomile or taking Bromelain and Turmeric together can help to reduce the skin redness, swelling, tenderness, and/or itchiness that are common after dermal filler treatment. If your symptoms last longer than 3 days be sure to speak to your practitioner.

Bruising is also fairly common, although this should go away within a few days. To help speed up the process you can use Arnica to help reduce bruising and swelling.

Do not massage the treated areas as this can cause the filler to move, resulting in an uneven look and feel.

Avoid applying heat to the treated area until any bruising or swelling has gone away. You should also try and avoid any activities that might cause you to blush or get red faced. Exercising, consuming alcohol, going in the sauna or using a sun bed should all be avoided. No skiing or mountain climbing in very cold temperatures either.

Regular washing and showering is fine as long as you’re using gentle cleansers and moisturisers. Makeup and sunscreen should also be fine to use as long as they are applied gently.

Are dermal fillers right for you?

The most important thing to do before going ahead with a dermal filler treatment is to do your research. Firstly, think about what you want to achieve from the treatment. This will help you and your practitioner to narrow down the type of filler you’ll want to use and ensure your treatment resolves your primary concerns.

Secondly, set a strict budget for your treatment. Many treatments are only fully effective with multiple treatments or a combination of dermal fillers and botox. It’s important to be aware of this so that you aren’t left disappointed by a half effective course of treatment. You should also be wary of practitioners offering a cheap service. These treatments, when carried out by an experienced, qualified practitioner, should not be cheap. If someone is offering you a treatment for a lot less than other practitioners it may reflect the quality of the practitioner, product or clinic. With Dermal fillers, you get what you pay for. So if you’re looking for a high quality treatment with minimal side effects, you’ll need to pay for it.

Finally, once you think you’ve found the treatment and practitioner to suit you, make sure you meet them, ask questions and feel comfortable having them treat you. There should be no pressure put on you to get a treatment done right away or use any products that you haven’t specifically requested. Dermal fillers are safe and effective as long as you select a provider who will make every effort to minimise risk, work with you to address your concerns and follow up to ensure that you are well and satisfied, so make sure you know who you’re dealing with.

What are Dermal Fillers?

Fillers in Dubai | 16 April 2019

Dermal fillers have grown in popularity over the last few years due to their ability as both volume enhancers and wrinkle fillers. They’re usually used on the lips, cheeks and under the eyes, often with amazing, age-defying results. If you or someone you know is thinking about getting a dermal filler treatment, we’ve put together a complete guide to help you decide if fillers are the right choice for you.

What are Dermal Fillers?

At around the age of 25, the body stops producing collagen and elastin. These two proteins work together to keep tissue firm and skin elastic. Without them, the body isn’t able to keep tissue strong and skin supple. It’s this that causes the typical signs of aging to start appearing, including lines and wrinkles, sunken cheeks and a loss of elasticity in the skin.

Dermal fillers are injectable gels that are usually made of hyaluronic acid, a naturally occurring molecule that attracts and binds water in the skin. A treatment will fill in wrinkles and provide volume to the soft tissues, helping to give your skin a more full and youthful appearance well after your body stops producing collagen.

How do they work?

Generally, injecting dermal fillers into the skin causes plumping of that area which helps smooth wrinkles, enhance definition and volumise the face. However, different types of filler can be used for different results and in different areas.

When it comes to treating facial volume loss (like sagging cheeks), a professional will typically use a thicker dermal filler that can provide effective support for the cheeks. Plumping or removing lines from lips, on the other hand, requires a much thinner dermal filler as the skin around that area is thinner.

While dermal fillers are often used alongside treatments like Botox, they actually work quite differently. Botox prevents movement of the small muscles that contribute to wrinkles. Dermal fillers, on the other hand, create additional plumping beneath the wrinkle, smoothing it out and restoring its youthful appearance. The combination of using Botox alongside Dermal fillers can result in amazing looking results which is why they are frequently used together.

Crisalix – A New Generation of Augmented & Virtual Reality in Surgery

Breast Augmentation Dubai | 12 April 2019

Dr Matteo Vigo, one of Dubai’s leading plastic surgeons, believes any breast augmentation patient undeniably deserves the best treatment possible by being shown what their new body could look like before they go for surgery. His newly introduced Crisalix simulator offers patients 3D images of superior accuracy by integrating the latest advancements in 3D technology, similarly to what is used for box office motion picture animations as well as sophisticated 3D architectural visualizations and video games. 

The new simulator introduces state-of-the-art scientific algorithms which go to a level of detail and depth of perception never achieved till now. The shape of the implant in the body can be reproduced with exceptional precision, thereby enabling patients to clearly express their desires and expectations and communicate more effectively with Dr Vigo.

Dr Vigo commented that “prospective patients find it comforting to see the final result before the operation. They are much more tranquil and at ease, thanks to Crisalix.”

Crisalix’s approach for creating the 3D image has been extended to the body’s back and upper arms, to recreate in 3D these parts of the anatomy. In addition, the replication of the patient’s skin in the 3D images has been significantly enhanced, faithfully reproducing the precise skin texture and colour.

To intensely test and validate Crisalix’s performance with various patient profiles, it conducted the first worldwide beta testing of its kind for web-based 3D imaging using standard 2D photos. This study was conducted with acclaimed university professors, recognized key opinion leaders, board members, founders and presidents of associations, and an amalgamation of a number of highly distinguished surgeons from every continent. 

Crisalix includes innovative features such as the world’s first 3D Virtual Wardrobe, enabling breast augmentation patients to visualize their new body dressed for any occasion, from a simple sweater to that décolleté or bikini that they never dared to wear before. Dr Vigo has also launched the unique Crisalix iPad app which offers patients a whole new level of interactivity during the consultation. 

To watch a video demonstrating the Crisalix technology, please click here.

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