In the News

Aesthetic Medicine Dubai | 24 December 2019

Cosmetic PRP Therapy Treatment is an effective treatment for several conditions and has been successfully used to improve skin and hair conditions. I provide the following PRP treatments:  PRP hair regeneration and  PRP skin rejuvenation. PRP or Platelet Rich Plasma therapy is not for everyone. Certain medical conditions and use of certain medications may make your platelets less effective.

WHAT IS PRP?

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.

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 STRETCH MARK TREATMENT

Stretch marks are common in women and men of all ages. Stretch marks can present on many areas of the body such as tummy, thighs, buttocks etc due to a rapid increase in size such as rapid growth during puberty, increase in size during pregnancy and with a sizable weight gain. Stretch marks are like dermal scars in many ways and can be reduced in the same way as dermal scars. best treatment results are achieved with early intervention. For most individuals with stretch marks, I recommend a series of 3-5 treatments with PRP injection and PRP topical application with one or two of the microneedling sessions. 

HOW IS THE REGENERATIVE PRP SKIN THERAPY DONE?

Treatment with PRP can be completed in less than 30 minutes. When you arrive, a small vial of blood is drawn, similar to the volume required for routine blood work. The blood is then spin in a centrifuge to separate the growth factors, and platelets from the rest of the blood. Once this unique mixture is obtained, it can be injected directly into the targeted areas or applied through micro needling.

Before your Cosmetic PRP Therapy,  you will have a thorough consultation where I will evaluate your medical history for appropriateness of the cosmetic PRP treatments and discuss your goals and expectations for the treatment.

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

Fillers in Dubai | 22 December 2019

Full lips have always been associated with youth and beauty. Because of this, lip enhancement is one of the most frequently requested procedures in a cosmetic practice. The objective in treating the upper lip is to artistically create a form that harmonizes with the patient’s unique facial features and takes into account the age and ethnic background of the patient. The goal in treating the lower lip is to create bulk and greater prominence and artistic projection of the vermilion. The physician must establish appropriate guidelines and patient expectations for augmentation relative to normal lip proportions in order to avoid a cartoon-like appearance.

Any physician performing lip augmentation should recognize that temporary fillers can cause permanent stimulatory effects in tissues.After 2 or 3 sessions of lip augmentation, full correction may be obtained and persist indefinitely. Patients may return for additional filler merely because a certain amount of time has elapsed since their last injection, but the physician must evaluate the proportions of the lips to truly determine if additional filler is warranted. It is helpful to have a hand mirror for the patient to observe her lip proportions as the doctor seeks to determine whether more filler is needed. It is also beneficial to show the patient her lips from the lateral view; digital photography is extremely useful in this regard.

THE PROCEDURE

It’s important to see your box of injectables opened in front of you and to be sure only your dermatologist or plastic surgeon is doing the injections. Avoid blood thinners, like aspirin and fish oil, for at least a day beforehand, which can increase bruising. If you opt for numbing cream, expect it to be placed on the lips for approximately 10 minutes. The lips absorb quickly and do not require lengthy topical anaesthesia. Then, the skin surface should be cleansed properly and then injections are performed. Your doctor should go very slowly, often pausing to show you the progress that he or she is making. There is a real balance and art to it, I find that you really need to go little by little, so you normally inject the top lip first, balance it out on the other side, then inject the bottom lip. It takes about 15 to 20 minutes. What you see is what you get, you’re not waiting for it to work, like Botox.

Some doctors will gently mould the filler with their fingers after it is injected by squeezing and patting it into place, while others aim to inject it exactly where they want it and avoid moulding, since it can increase bruising and swelling. Based on my extensive experience, there is no single stance on moulding – it’s a technique that some like, while others do it sparingly.

Your doctor should let you chime in along the way and help decide whether or not to add more or stop. I even recommend my patients go lighter than they think they may want, live with it for a week, and then decide whether or not to do more. “It’s best to start with baby steps.

After the injections, ice packs are applied. That evening, I suggest patients sleep on two pillows to decrease swelling. Use ice sparingly at home (getting the H.A. too cold or hot can prevent it from settling properly) and ask your doctor if additional anti-swelling measures are right for you, like oral antihistamines, pain relievers, or topical corticosteroids.

The entire procedure should take under 30 minutes.

NATURAL RATIO

It’s no secret that some lip augmentations look incredibly natural and some look not so incredibly natural. This is partially because of the size that you and your doctor select, but it goes deeper than that. The fact of the matter is that some doctors have a better feel for nuance and aesthetics than others.

It’s something you have to have an appreciation for, to get the proportions right for each person. There is a lot more artistry to injecting lips than just injecting a wrinkle or a line. That is another reason why the consultation is so important. I show actual before and afters of my patients, so that everyone has a realistic expectation for the type of filler I do.

Selecting where, and at what volume, to inject the lips is also an important decision to make in the consultation. The lips are supposed to be filled in a natural ratio, where the upper lip is approximately 2/3 the size of the lower lip.

That means that sometimes, only one lip needs to be filled, sometimes both, and often at different volumes, since not everyone’s pout is symmetrical. Where to inject is also a delicate matter. The lips can be injected into the skin surrounding the lips (to define the Cupid’s bow, for example), into the lips (for fullness), and into the lipline (for definition). It’s like sculpting.

Creating Philtrum Columns

Sculpted philtrum columns are in style today. As we age, these well-defined longitudinal pillars are lost, leading to a flattened, ill-defined, unattractive upper lip. If the patient still has discernible philtrum columns, the object is to further enhance them. If the philtrum columns have been completely effaced, it is imperative to re-create them. This is accomplished by superficial vertical injection of filler into each philtrum column. It is important to realize that the philtrum columns are not parallel to each other, but rather they form an inverted “V” that narrows as it approaches the nostril sills and columella of the nose.

Creating Cupid’s Bow

The pouty, Cupid’s bow appearance of the central portion of the upper lip is considered sexy, desirable, and very much in fashion today. 

Creating Lower Lip “Pillows” or Tubercles on Each Side of the Midline

Here I ask the patient to evert the lower lip. I deposit approximately ~0.1 cc of filler as a depot injection into the orbicularis oris muscle at the vermilion-mucosal junction on each side of the midline. The depot injection is about one third of the distance from the midline to the oral commissure. This is gently massaged to prevent superficial lumpiness. 

Supporting or Bolstering the Oral Commissures

Placing a small amount of filler in the most lateral aspect of the cutaneous lower lip so as to provide upward support to the commissures. Injectable neuromodulating agents (botulinum toxin A) placed into the depressor anguli oris muscles can be used as an adjunct to further elevate the commissures. This combines structural support with chemical neuromodulation to shape the oral commissures. 

Filling the Nasolabial Creases

Placing a small amount of filler in the upper portion of the nasolabial crease helps to evert the upper lip. Augmentation lateral to the nasolabial crease only serves to deepen the appearance of the crease.

POST-INJECTION CARE

Cool compresses and ice packs can be used to minimize swelling and bruising. Patients should be advised to avoid ASA, NSAIDs, and other medications associated with an increased risk of bleeding. If anti-HSV I medication was prescribed, it should be continued according to physician recommendation. Because HAs are hydrophilic, they attract water from the surrounding tissues and further augment the soft tissue volume beyond that expected from mere implantation. The significant swelling of the vermilion in the immediate post-operative period may be camouflaged by applying flesh-toned foundation or concealer to the entire vermilion. Lipstick can then be applied to a smaller portion of the vermilion than usual so as to not exaggerate the swelling that may be present.

SELECTING THE RIGHT FILLER

There are a lot of difficult decisions you have to make when it comes to getting lip injections, but fortunately, picking the right filler isn’t one of them. Hyaluronic acid, in a few different forms, is both the industry standard for temporary lip injections and the only temporary lip filler approved by the FDA. 

They’re marketed under different brand names – Restylane Silk, Belotero, Juvederm – but they’re all made from the same molecule, which is hyaluronic acid, as you may already know, naturally occurs in skin and is a top ingredient in hydrating skin-care products, since it plumps skin by capturing and holding onto water. Picking which of the formulas is best for you is really up to your doctor. Hyaluronic acid is not only the best option, but the only option for those new to the world of injections, since it will dissolve on its own and is well-tolerated, since it’s already in your body. There are irreversible fillers and implants, but those are not for beginners. 

PAIN MANAGEMENT

Lips are one of the more uncomfortable places to inject filler. We have a lot of nerves in our lips, so I can do a combination of topical numbing cream and, sometimes, injectable numbing medications, so patients are comfortable. However, many of the H.A. injectables come with lidocaine (a numbing pain reliever) built right in, so some doctors opt out of additional measures.

One, or a combination of the above pain-reducing options, will normally temper the pain of the actual procedure, but you’re likely to experience pain later, since the skin is being stretched. The pain as mild to moderate and notes that it can last for a few days.

SIDE EFFECTS

Any time there is a needle crossing the skin, there is a risk. Bruising, swelling, and pain – all of which can last up to days and in rare cases, even weeks – may occur. There is also the risk of infection. Naturally, this makes it very important to check in with your doctor post-treatment, especially if you’re feeling nervous about side effects.

While hyaluronic acid is a naturally occurring substance in your body, you can still have an allergic reaction to H.A. injectables, since there are often inactive ingredients (like carrying agents) and pain-reducing ingredients (like lidocaine) in the formula. Those prone to allergies or are just plain nervous can do a patch test on their forearm a few days before the procedure to be sure they won’t have an adverse reaction.

Injecting the lips can prompt cold sores for those who are prone to them, so he normally pretreats those patients with a round of anti-viral medication, like Valtrex.

There are also less common side effects that are important to consider. More rare side effects include nodules or palpable material within the lips – basically bumps of H.A. that don’t settle or feel natural. Extremely rarely, lip filler can be introduced into a blood vessel in the lip, which can have more significant consequences if not dealt with immediately and appropriately.

WHAT TO EXPECT

One of the great things about lip injections is that the results are instantaneous, so you’ll leave the office with fairly accurate (albeit swollen) results. For the first 24 to 48 hours, the filler is malleable and your skin is prone to swelling, which means be gentle! This is noted as the time that your injections need to “settle.” No facials, yoga, or exercise is recommended, which can alter the placement of the filler and increase swelling and bruising.

Lips often swell for one to three days after treatment, but this is highly variable and some patients will experience no swelling and some will have more dramatic swelling that will take longer to subside. Bruising can last approximately one week, but can be covered with makeup or lipstick, as needed. Some doctors will offer to treat more significant bruising with a laser treatment if necessary.

While the average length of time H.A. fillers will last is about six months, it varies for everyone, from around three months to a year.  H.A. lasts different lengths, depending on where you put it and how active that body part is. I find that if the labelling says six to 12 months, [patients] normally come back every three to six months.

Breast Augmentation Dubai | 20 December 2019

Once your surgery is completed, you must follow all the instructions given to you in order to heal properly and have a good outcome.

The following instructions are your obligation. Use this as a checklist of progress as you heal. Included are normal post-surgical experiences and key health considerations that may be a cause of concern.

TYPICAL POST-OPERATIVE SYMPTOMS

Typical symptoms of breast augmentation and signs to watch for following surgery with silicone breast implants include the following:

Tightness in the chest region and stiffness 

Tingling, burning or intermittent shooting pain. These are normal experiences as the skin, muscles and tissue stretch to accommodate your breast implants, and as sensory nerves heal. Pain medication and muscle relaxants will help you cope with any discomfort. If you have drains, you may experience additional localised discomfort. Consistent sharp pain should be reported to our office immediately.

Hypersensitivity of nipples or lack of sensitivity

This is normal and will gradually resolve over time. You may also experience a small amount of fluid or milk seeping through the nipples. If this becomes painful or excessive notify my office immediately.

A feeling of heaviness

It is normal for your chest to feel heavy as you adjust to your implants. This will subside within 2-4 weeks following surgery.

Shiny skin or any itchy feeling

Swelling can cause the breast’s skin to appear shiny. As the healing process advances, you may also find a mild to severe itchy feeling of the breasts. If the skin becomes red and hot to the touch, contact our office immediately.

Asymmetry, the breasts look different, or heal differently

Breasts may look or feel quite different from one another in the days following surgery. This is normal. Although no two breasts in nature or following surgery are perfectly symmetrical, breast massage and time will produce breasts that are similar in shape, position and size.

A sloshing sound or sensation

This is not the result of your implant, but rather of air that is trapped in the implant pocket and fluid that may naturally accumulate. This is perfectly normal and will resolve within 2-4 weeks.

AFTER SURGERY CARE

Your greatest discomfort usually occurs the first 24-48 hours after surgery. During this time, take all medications prescribed by me as directed. It is helpful to take pain medication with bland food to avoid nausea, which may occur if taken on an empty stomach.

Wear garments as directed after surgery. An additional garment may be picked up at the office. Contact the office before taking any Aspirin, ibuprofen (Motrin/Advil) or Aspirin-like medications. You may take Tylenol, if you are not taking a pain medicine that already contains Tylenol (acetaminophen), such as Percocet (oxycodone) or Norco (hydrocodone).

Eat easily digestible foods. These are tolerated well the first 24 hours after surgery. If you are not experiencing nausea, you may resume a normal diet. Drink plenty of non-caffeinated beverages and eat fruit and food high in fiber to avoid constipation. Should constipation occur, discontinue pain medication (if tolerated). For relief, you may try magnesium citrate (purchased at your local pharmacy) or prune juice. It may take up to 24 hours to produce a bowel movement. These treatments may be repeated as needed.

AFTER SURGERY ACTIVITY AND HYGIENE INSTRUCTIONS

No lifting over 10-15lb. until cleared by myself. When at home, take frequent rest periods – you may walk for short distances, as walking is important to prevent clots from forming in your legs. As you increase your activity, let comfort be your guide. If it hurts, don’t do it.

Do not resume jogging, aerobics, sexual or vigorous activity until cleared by myself. No heavy household chores (laundry, vacuuming, sweeping/mopping, etc.) until cleared. You may shower 24 hours after surgery. Do not submerge incisions or drains (if present) under water such as in bath, lake, river, pool or hot tub. If present, leave steri-strips (flesh colored bandages) in place. All other dressings may be removed to shower.

Continue to wear the garment, placed on you at the time of surgery, 24/7 except to shower or to launder the garment. Two weeks after surgery, you may discontinue sleeping in the garment and only wear it during the day. While taking pain medicine, have someone assist you with daily activities, particularly personal hygiene.

Limit arm usage to routine daily functions such as brushing your teeth, eating, washing and combing your hair. Avoid vigorous arm motion that requires pushing, pulling and/or lifting heavy objects.

As you heal and soreness subsides, let pain be your guide for your activity level. If it hurts, don’t do it. Check with me before returning to work, particularly if your job requires heavy lifting or vigorous activity.

Avoid sleeping on your abdomen until all soreness has subsided. You may find sleeping propped on 2-3 pillows more comfortable. Avoid sunbathing for 4-6 weeks or until cleared by myself.

Do not wear an underwire bra for 6 weeks. At that point, you may wear a bra of your choice. However you will need to wear a good supportive bra for exercise or vigorous activity. Preferably a sports-type bra that has cups versus one that just compresses the breasts.

Do not smoke for 6 weeks as smoking delays the healing process.

WOUND CARE

You may have several layers of dressings. After 24 hours, you may remove all dressings except the flesh-colored bandages (steri-strips) or clear “tape” (Prineo). Leave either of these dressings in place until your follow up with your surgeon. If either of these dressings comes off, please contact my office for further instructions.

Do not put anything on your incisions except soap and water unless instructed.

Please notify me if:

– You have a fever greater than 101 that lasts more than 24 hours.

– You develop excessive swelling, redness or warmth of incisions.

– You experience severe pain not responding to pain medication.

– You develop thick, odorous drainage or bleeding that does not subside. – You experience shortness of breath.

– One breast appears twice the size or more than the other.

AFTERCARE: BREAST AUGMENTATION SUMMARY

Dressings

On day two from surgery remove all gauze in the bra and throw it away. Shower, and then pat the incisions (steri-strips or skin glue) with a clean cloth. Replace soft bra. You will not need gauze unless you have some slight drainage from the incision sites and want to keep this from getting on your clothes.

Bathing 

You may shower two days after surgery (48 hours after surgery). Do not bathe, swim, hot tub, lake swim, or use a whirlpool until incisions are fully closed. I will determine when you are cleared for these activities based on your physical exam. You may feel lightheaded on your first or second shower, therefore a shower assistant is mandatory. Sitting on a chair in the shower is also helpful if you feel more comfortable.

Medications

Complete your course of antibiotics. Arnica may reduce bruising and you should take a complete course. Take prescribed pain medication only as directed and consider Extra Strength Tylenol in place of narcotics. Take medications with food to reduce nausea. Resume pre-operative medications unless otherwise directed by your operating physician or personal physician.

Swelling

Initially, there will be quite a bit of swelling. This swelling over the first couple of days. You will notice that your implants/breasts seem high on your chest. This is often very normal. On day 5 you will start massaging your breasts. This will assist with the implants settling and the capsule to form flexibly. Do not apply heat or ice to any treatment areas. Your ability to sense if your skin is getting too cold or hot is not normal and you may burn yourself.

Massage

Start gentle massage of the breasts at day 5. I or my office staff will demonstrate this technique for you at your post-operative visit. Lymphatic massage has also been shown to help people with fluid retention following surgery. Do not lie on your stomach.

Diet

Start with a bland soft diet and increase this slowly. Slowly resume a balanced healthy diet. This is often difficult following surgery as you are not feeling at your best and are limited in the amount of physical activity you can do. Limit the amount of salt to take in as this will affect your swelling. Drink plenty of fluids. Avoid alcohol.

Clothing

Avoid tight fitting bras that dig into your skin or incision. Wear a soft bra that gives moderate support and opens from the front. This makes it easier to take it on and off.

Smoking

It is well known that nicotine impairs healing and increases your risk of infection. Your scars and final outcome are negatively affected by smoking/nicotine as well.

Driving

Do not drive or operate any heavy machinery for 24 hours following surgery and/or until you are not taking pain pills. You will need someone with you mandatorily for 24 hours following surgery.

Cosmetic Surgery Dubai | 15 December 2019

Loss of tissue elasticity and tone is a hallmark of aging skin. It is the characteristic change that makes one start to look older than one feels inside. Until recently, no surgical procedure or energy source achieved consistent significant tightening without an extensive recovery. Now, whether ultrasonic liposuction is used in conjunction with J-Plasma Renuvion for skin tightening or not, there is hardly an area of the body that cannot be treated.

WHAT IS J-PLASMA RENUVION?

J-Plasma Renuvion is a revolutionary minimally invasive procedure that uses cold plasma energy on the underside of the skin to instantly tighten and rejuvenate anywhere on the face and body. A unique alternative to traditional facelifts, tummy tucks, and body sculpting, the J-Plasma Renuvion procedure will shrink and sculpt loose and lax skin without large incisions, downtime or complications of cosmetic surgery.

J-Plasma for the face uses cold plasma energy under the skin to lift, tighten and rejuvenate the face and neck giving you natural-looking results with minimal downtime and no complications of a traditional facelift. J-Plasma Renuvion is unique because the cold plasma energy applied under the skin creates instant skin contraction resulting in improved laxity, tightening and shrinkage.

AM I A CANDIDATE FOR THIS SKIN TIGHTENING PROCEDURE?

Renuvion is a treatment option for patients who want skin tightening results, but do not want to do invasive plastic surgery. No other minimally invasive technology will tighten the skin to this degree with such a:

– tiny incision

– little or no scarring

– minimal downtime

BENEFITS OF J-PLASMA RENUVION FOR THE FACE

– Immediate skin tightening

– Improved skin elasticity

– Eliminates crepey skin

– Scar reduction

– Reduction and/or elimination of age spots, sun damaged pigment and 

   freckles

– Reduction of wrinkles and lines caused by ageing and weight changes

– Tightening of loose skin in known problematic areas of the face

– Improvement of skin texture and tone around the lips, eyes, cheeks, 

   forehead, jaw and neck

– Reduction of eye bags and crow’s feet

– Reduction of acne and pigment issues (chloasma)

J-PLASMA RENUVION COMMON TREATMENTS

Both women and men can undergo J Plasma treatment. However, it is most popular with women and the most common treatment areas are:

– Face

– Neck

– Breasts

– Stomach

– Arms

– Thighs

WHAT IS PLASMA ENERGY?

Cold plasma is created when helium gas is energized by radiofrequency energy and delivered through the J-Plasma device. Because Helium gas is very stable, it can be ionized at very low energy ensuring flexible, precise and safe delivery. Cold plasma is cooler than laser energy making J-Plasma Face a safer procedure with less risk and damage to the tissue and affording patients a quick recovery. The level of improvement and rejuvenation from cold plasma energy is unrivaled in current technologies. No laser, ultrasound or radiofrequency treatment is capable of tightening and firming skin to this level.

J-PLASMA RENUVION CONSULTATION

During your consultation, Dr. Vigo will evaluate your skin elasticity, and your underlying muscle tone. He will thoroughly explain the technique along with its risks, benefits, and recovery times.

J-PLASMA RENUVION FACE PROCEDURE

Performed in a day care facility  and using local anesthesia with sedation, Dr. Vigo starts the J-Plasma (Renuvion) procedure with three tiny, hidden incisions under the chin and behind each ear. He will then use the J-Plasma device sub-dermally (under the skin) to deliver cold plasma, which instantly tightens, shrinks and rejuvenates skin from the inside out. Results are immediate and continue to improve as your body continues to heal. A compressive garment is needed post operatively in order to enhance the result of the procedure.

DOES THE PROCEDURE REQUIRE GENERAL ANESTHESIA?

J-Plasma Renuvion can be done under general anesthesia, sedation or even local anesthesia only for limited areas.  

HOW MANY J-PLASMA RENUVION TREATMENTS WILL I NEED?

J-Plasma Renuvion is a single treatment. You will start seeing results soon after surgery, but the skin continues to tighten over the next several months and up to a year as the skin remodels and deposits new collagen.

RECOVERY AFTER J-PLASMA RENUVION SKIN RESURFACING

Although most patients are up and about at 2 weeks, there is still redness/erythema that lasts approximately 4 weeks. The energy penetrates deep into the skin for maximal result which does lengthen downtime. This is in contrast to J-Plasma Renuvion tightening where I have had patients go back to work within a few days. For limited areas, most patients only require a pain reliever during recovery. 

RECOVERY & SIDE EFFECTS

Recovery from Renuvion procedures can take between two to three weeks depending on the extent of the procedure and the target area.

Larger body parts generally require more downtime and patients will feel more symptoms than that of smaller target areas. Patients should expect to experience symptoms for up to three weeks post treatment. These can include:

– Dry skin

– Peeling skin

– Mild pain

– Redness

– Swelling

– Itching

– Bruising

Medication can be taken to curb symptoms if at any point you feel uncomfortable. However, symptoms are very rarely severe and patients can usually return to regular light activities after two to five days.

It is common for patients to experience a ‘tight’ feeling in the area that has been treated as the sensation post treatment is different than before.

In addition, compression wraps can be worn day and night in the immediate recovery phase to help with the healing process and ensure a more comfortable resting / sleeping state.

However, every patient is different and no two are the same. So if you are feeling like you are experiencing more symptoms than you should, contact your clinician for assistance and advice.

Fillers in Dubai | 12 December 2019

I am passionate about skin and fuss-free beauty. I have put together this brief guide of some of the most popular skin and aesthetic concerns which I see regularly in clinic. Over time I will continue to expand and update my dataset in order to provide you with concise and accurate information. Don’t forget to visit my website for more guides, news and blogs.

FOREHEAD WRINKLES & FROWN LINES

Forehead wrinkles are horizontal lines that appear on the forehead due to contraction of the muscles that raise the eyebrows. Frown lines are verticle wrinkles that appear between the eyes when you squint or frown. Both these wrinkles initially appear when you are moving the muscles responsible but over time can become ingrained and apparent even when your face is still. Whilst natural, most people seek treatment as they feel these lines make them look grumpy, anxious or even angry.

What Causes Forehead Wrinkles & Frown Lines?

Both forehead wrinkles and frown lines are predominantly caused by ageing. As we get older we lose both collagen and elastin. These two proteins form the scaffolding of the skin. Hence, they are responsible for keeping your skin firm, elastic and plump. As thin becomes thinner and less stretchy, wrinkles develop. Initially, this is when the muscles underlying them contracts such as when you raise your eyebrows or frown. Eventually, forehead wrinkles and frown lines become deeper and visible even when you aren’t moving your face. Sun damage, or photoaging, are also a cause.

Treatment Options For Forehead Wrinkles & Frown Lines

Thankfully there are a number of treatment options for forehead wrinkles and frown lines. The first step is to ensure that you have a good skincare routine which helps hydrate, nourish and protect your skin.

Botox® For Forehead Wrinkles & Frown Lines

Botox® injections are highly effective for wrinkles and lines that are only apparent when you make an expression. The treatment is quick and pain-free with results lasting for 3-4 months.

Dermal Fillers For Forehead Wrinkles & Frown Lines

If your wrinkles and lines are deeper and appear at rest then Botox® is likely to not completely smooth them out. Dermal filler anti-wrinkle injections, however, can very effectively treat these areas and results last between 6-12 months.

Professional Skin Treatments For Frown Lines & Forehead Wrinkles

Botox® and dermal fillers offer immediate smoothing out of lines and wrinkles by reducing muscle contraction (Botox®) or by filling out and lifting the skin (dermal fillers). Professional skin treatments are really useful if you’re looking to address the underlying cause of wrinkles in the long term. A combination of a course of chemical peels and microneedling will resurface the skin and induce collagen and elastin production. This will smooth out lines and wrinkles, firm and plump up the skin as well as give a youthful glowing complexion. In the long term, these bespoke skin rejuvenating treatments could reduce the need for treatments like Botox and dermal fillers.

CROW’S FEET & SMILE LINES

Crow’s feet, also known as smile lines, are wrinkles that appear on the outer corners of the eye. They are caused by contraction of the muscles responsible for squinting, smiling, laughing or frowning. Initially, these wrinkles are only visible when you smile or laugh but over time, like all wrinkles, they become deeper. Ingrained Crow’s feet and smile lines are visible whether or not you contract the underlying muscles (ie even when you’re resting the muscles of expression). Crow’s feet can also extend upwards towards the temple and downwards to affect the cheeks when they are more advanced and as volume is lost in these areas of the face with age.

What Causes Crow’s Feet & Smile Lines?

The main reason Crow’s feet or smile lines develop is due to loss of collagen and elastin in the skin. These proteins are the skin’s natural plumpers and provide elasticity. Hence losing them causes skin to become thinner and for wrinkles to become apparrent. Loss of colllagen and elastin occurs naturally as we age. Of course, the other cause of the appearance of wrinkles is sun damage (or photageing).

Treatments For Crow’s Feet & Smile Lines

First of all its important to start with basics like understanding your skin type and following a basic skincare routine. Simple lifestyle modifications such as sun protection, keeping hydrated and stopping smoking will also help slow down the development of Crow’s feet or smile lines.

Chemical Peels & Collagen Induction Therapy

There are a number of effective treatments for existing Crow’s feet and smile lines. The simplest option for very early signs of fine lines and wrinkles would be a course of chemical peels and/or microneedling. These resurface the skin and induce collagen and elastin production. 

Botox Injections

If you have Crow’s feet that are only evident on making expression, these can be treated very easily with Botox anti-wrinkle injections. For Crow’s feet or smile lines that are deeper (ie visible without making any expressions), then using hyaluronic acid dermal fillers would provide a better option.

Dermal Fillers

For more advanced Crow’s feet or under eye wrinkles and tear trough deformities, a combination of different dermal fillers can offer a natural looking solution. If you have smile lines that extend deep onto the cheeks, then you might which to consider both cheek fillers and wrinkle smoothing with dermal filler in order to restore volume and lift the wrinkles. For co-existing under eye hollows and wrinkles, the addition of tear trough fillers would help to completely rejuvenate the under eye area.

JAWLINE CONTOURING & SQUARE JAW REDUCTION

The shape of the jaw is dependent on the bone, muscles, fat and skin the comprise it. There are many factors that affect the appearance of the jaw including genetics and lifestyle. Some people seek to enhance the shape of the jaw (usually if there is sagging of the lower face or if they are seeking a more defined appearance) by having jawline contouring. This can widen or narrow and shorten or lengthen the appearance of the jawline as required. Jawline contouring can also help lift and firm up the appearance of a sagging lower face. For those with a wide jaw, square jaw reduction can help produce a narrower V-shaped jawline. Ultimately, the results are dependent on your face shape, targets and the abilities of your aesthetic doctor.

What Causes The Appearance Of A Sagging Or Square Jaw?

The shape of the lower face is made up of several structures including your jaw bones, muscles and soft tissues like fat or skin. Whilst genetics play a huge part in terms of the shape and size of these facial structures, there are a number of other factors that come in to play. The main cause for lack of definition or sagging of the jawline is ageing and reduced face volume. One of the main reasons for developing a square jaw in both men and women can be overactivity of the chewing muscles which is usually caused by tooth grinding. Other factors that can give the appearance of loss of definition, jawline sagging or a square jaw is ageing and loss of volume in the cheeks or lack of chin prominence or neck sagging.

Non-Surgical Jawline Contouring & Square Jaw Reduction

There are a number of non-surgical options for enhancing the jawline and reducing a square jaw. Botox injections are an effective treatment for square jaw reduction which also has the benefit of stopping teeth grinding. These Botox injections can also be used to lift a sagging neck and hence sculpt the lower face and jawline.

Hyaluronic acid dermal fillers can be used alone or in combination with Botox for jawline contouring. Dermal fillers can be used to directly reshape the jawline and lift up the lower face. A combination of jawline, cheek and chin dermal fillers to contour the jawline and the whole face. 

If the aim is to reduce the appearance of a square jaw or face, then a combination of Botox and dermal fillers can be used to provide a more contoured and V-line jaw appearance.

JOWLS & MARIONETTE LINES

Jowls are loose skin and flesh that hang beneath the lower jawline. Marionette lines or “puppet lines” are lines that run from the corners of the mouth to the chin. Both are a sign of ageing and volume loss in the face. One of the most commonly cited reasons for wanting to get rid of them is because they give the appearance of being grumpy or sad.

What Causes Jowls & Marionette Lines?

The main cause of both jowls and marionette lines is ageing. As we get older our skin becomes thinner and less pliable. This is due to loss of collagen and elastin. At the same time, we also lose volume in the face (particularly in the midface area) which provides scaffolding and shape. Both these processes result in sagging of the skin and tissues which gives rise to jowls and marionette lines in the lower face. Other factors which exacerbate skin ageing are smoking, sun-damage and genetics.

Treatment Options For Jowls & Marionette Lines

There are a number of treatment options for jowls and marionette lines. First of all, it is very important to ensure that you follow a regular skincare routine tailored to your skin type. Two highly effective and non-surgical options that I offer are Botox® and hyaluronic acid dermal fillers. Which of these (if any) is suitable for you will depend on your expectations and the severity of the lines.

Botox® For Jowls & Marionette Lines

For moderate jowls, I offer jawline tightening with Botox®. This treatment can soften the appearance of early jowling and provide a more defined jawline and sculpted neck. Whilst its possible to soften the appearance of marionette lines with Botox®, I do not think that this is the most effective treatment on its own. However, in some circumstances, I combine Botox with dermal fillers for treating marionette lines.

Dermal Fillers For Jowls & Marionette Lines

Since both Jowls and Marionette lines are caused by volume loss and sagging skin in the face, dermal fillers provide the opportunity to treat the underlying problem. For moderately severe lines, I can directly inject hyaluronic acid dermal filler into and around these creases to soften and minimize their appearance. For more severe jowling and marionette lines, I recommend hyaluronic acid dermal fillers to the cheeks to lift the face in addition to adding filler to the areas themselves.

If you have both jowls and marionette lines as well as other signs of ageing such as upper face wrinkles, then you can opt for a combination of Botox® and dermal fillers as part of my liquid facelift package.

LOSS OF FACE VOLUME

The whole mark of a younger face is one with thick, plump and firm skin. Additionally, younger faces have fuller volumes due to the size and location of the facial fat pads. As we age, our faces lose their fullness because of thinning of the skin, loss of elasticity and shrinking in size of the facial fat pads. This loss of face volume results in the appearance of lines, wrinkles and sagging of the face.

What Causes Loss Of Face Volume?

The main cause of facial volume loss is ageing. Over time, our body produces less collagen, elastin and the fat pads in the face reduce in size. This results in thinner and less pliable skin as well as sagging of the face. Similarly, changes in hormonal profile, in particular, oestrogen, can help accelerate this process. Lifestyle factors such as smoking and sun damage also contribute to skin ageing as well as loss of facial volume.

How Does Losing Volume Affect The Appearance Of Your Face?

Loss of skin volume leads to thinner and less elastic skin. This gives rise to wrinkles and uneven texture. At the same time, reduction in the volume of the fat pads, as well as their descent with gravity, occurs. This gives rise to a flatter profile and sagging of the skin in the mid and lower face. Hence this can lead to a gaunt appearance. It is due to this loss of facial fat volume that gives rise to tear trough deformities, hollowing of the temples, malar flattening, nose to mouth lines, jowls and marionette lines.

How To Add And Restore Volume To Your Face Naturally

In my opinion, hyaluronic acid dermal fillers are highly effective for restoring facial volume. This is because they can replace lost volume, help firm up and lift skin, smooth down wrinkles and deliver natural looking results. How much, which type of filler and where to pace them depends on the degree of facial volume loss and your overall face shape. 

The main ways Dermal fillers can help with face volume loss are:

– Cheek fillers for contouring and midface lifting

– Tear trough fillers for undereye circles and shadows

– Restoration of lip shape, definition and volume with lip fillers

– Combat sagging, marionette lines and jowls with jawline and lower face fillers

Additionally, face fillers can be combined with Botox as part of my signature liquid facelift to refresh and smooth the face. Collagen induction therapy can also boost the effects of dermal fillers by inducing elastin and collagen formation for thicker and plumper skin.

NECK SAGGING & WRINKLES

As we age, the skin on the neck loses collagen and elastin. This leads to thin and less pliable skin on the neck which gives rise to wrinkles. Loss of fat and skin thickness also leads to the appearance of neck sagging. This is further exacerbated by the shortening and loosening of the platysma muscle around the neck hence causing sagging and banding. The main neck complaint that I see is neck sagging with visible bands as well as wrinkling of the skin.

Treatment Options For Neck Sagging & Wrinkles

Thankfully there are a number of treatment options for forehead wrinkles and frown lines. The first step is to ensure that you have a good skincare routine which helps hydrate, nourish and protect your skin.

Botox® Non-Surgical Neck Lift For Neck Sagging & Bands

Botox® anti-wrinkle injections are highly effective for smoothing out wrinkles and lines on the skin. Furthermore, Botox® can be injected to relax the platysma muscle as well as other muscles that pull on the neck or jawline. This procedure is known as the Botox® non-surgical neck lift. The effect of this is that it lifts and sculpts the neck as well as jawline. The treatment takes 3-4 weeks to work and last for 3-4 months.

Dermal Fillers For Neck Wrinkles

If the main concern is deep lines or wrinkles on the face and a sagging jawline, then dermal fillers provide an ideal non-invasive procedure. Hyaluronic acid dermal fillers smooth put wrinkles and can also be used to sculpt the jawline and lower face and upper neck.

UNDER EYE CIRCLES, BAGS & TEAR TROUGHS

These are all very common areas of concern for both men and women. Under eye circles are dark patches that are visible under the eye. Depending on cause and skin tone, these can look like shadows or discolouration that’s red, blue or green in hue. Under eye bags on the other hand, are swollen pockets or patches under the eye. Both under eye circles and bags can either occur separately or alone. They may also be caused by or exasperated by the presence of a tear trough (this is a loss of fat tissue leading to hollowness under the eye). The most common complaints people tend to have with under eye circles, bags or tear trough deformities is that they give the appearance of tiredness.

What Causes Under Eye Circles, Bags & Tear Troughs?

There are a number of genetic and environmental causes that give rise to under eye circles, bags and tear trough deformities. Some people are more predisposed to developing these and whether they affect other members of your family is a good indicator of your risk. Your skin tone may also play a role. Paler skin tones tend to show up blood vessels more readily and thus give the impression of bluish discolouration under the eyes. Darker skin tones may exhibit increased pigmentation in the under eye area which gives the appearance of shadowing. Aside from genetics, other common causes include:

Ageing: as we get older, the skin under the eyes loses its thickness and elasticity. This thinner and more fragile skin is more likely to show underlying muscles and blood vessels which also gives the appearance of dark circles under the eyes. Sun damage can also cause dark pigmentation under the eyes as well as accelerate skin ageing. Fat loss and reduced skin laxity can also cause under eye bags to appear more prominent. Loss of fat under the skin and skin ageing can also give rise to tear trough deformities.

Diet: deficiencies in Vitamins C and K as well as iron are thought to present with discolouration under the eyes. Diets high in salt can also increase fluid retention which can increase the prominence of under eye bags.

Sleeping: or rather lack of, can result in worsening of under eye circles and bags.

Dehydration: reduced water intake, excess caffeine and alcohol can all cause volume depletion in the skin and lack of laxity.

Sun damage and smoking:  this can cause increased pigmentation and skin ageing both of which give rise to dark under eye circles and bags.

Inflammation and allergies: this can cause puffiness, bags and under eye circles over time.

Treatment Options For Under Eye Circles, Bags & Tear Troughs?

Luckily, there are a wide range of treatment options if you suffer from under eye circles or bags. The first thing is to ensure that you have a good skincare routine which includes using an under eye cream that contains ingredients like Vitamin C, Vitamin K and ferulic acid which help with under eye circles. Another important skincare tip is to ensure that the under eye skin is kept moisturised so having hyaluronic acid in your under eye cream would help immensely.

If the problem is purely due to thin skin or pigmentation issues, then advanced skin treatments like chemical peels and collagen induction therapy can help brighten and firm up the under eye skin. For tear trough deformities and under eye bags, hyaluronic acid tear trough fillers can treat the hollowness under the eyes and rejuvenate the eye area. For more defined tear trough deformities, cheek fillers can help provide support for the tear trough fillers.

Breast Augmentation Dubai | 9 December 2019

Having fuller more voluptuous breasts is a very important part of feeling feminine and more confident for women. The breasts give the female body more proportion, curves and shape, which makes many women feel more sexy.  There are a variety of factors that make women unhappy with their breasts. Such factors include the effects of aging, gravity which leads to sagging, post pregnancy changes and natural asymmetry. A breast augmentation helps women improve the overall appearance of the breasts and cleavage. This results in an improved self esteem, confidence and feeling sexier about your body.

Reasons why women seek breast augmentation include:

– Improved body proportion

– Correct loss of fullness or sagging due to aging, gravy, or pregnancy

– Improve cleavage appearance

– Increase breast shape and size

– Correct asymmetry of the breasts (one breast is larger than another)

WHAT TECHNIQUES ARE INVOLVED?

Breast augmentation involves the placement of an implant under the patient’s breast tissue to enhance the size and shape of the breast. The breast implants are usually inserted using an incision placed under the breast at the crease, but can also be put in via an incision in the armpit or around the nipple.

Breast augmentation surgery takes about one and a half hours, and is usually done under general anaesthetic. The operation itself involves accessing and creating the pocket into which the implant will be placed, using one of the insertion routes mentioned above: breast-crease, armpit  or nipple.

Incision Options

There are three different types of incisions that can be performed when getting a breast augmentation surgery. These incisions are Inframammary (incision below the breast), Transaxillary (through the armpit), and Peri-Areolar (along the lower edge of the Areola). Dr Vigo will go over the different options available to you during your consultation, showing you the benefits of each option and explaining exactly how they are performed including the associated recovery time for each.

Inframammary

An inframammary incision is the most common incision when getting a breast augmentation. This incision is made in the fold below the breast and carries a very low risk of complications. Inframammary incisions are highly recommended for large pre-filled implants such as silicone. These incisions are usually discreet as it goes along the natural crease below the breast, however, on occasion the scar may be visible due to the size or shape of the implant. All patients heal at different rates. Your incisions will be monitored after surgery and tailor your scar managment to optimize healing and appearence. Proper care and maintenance of your incisions will be closely followed with you as you heal.

Peri-Areolar

A Peri-Areolar incision is done around the bottom edge of the areola and is typically four to five centimeters in length. This incision is very discreet after it is healed. Often times it is impossible to notice as it goes along the natural edge of the areola. The trade off risks and benefits of their incision approach will be disscused at the time of your consultation. Some  women may experience difficulty with breast feeding after this incision approach. Nipple sensitivity is also jeopardized with this approach compared to other incision sites.

Transaxillary

A Transaxillary incision is the least visible of the different incision options as it is made in the armpit. This ensures there are no scars anywhere near the breasts. The breast augmentation procedure is performed using an endoscope during the surgery, which allows the surgeon to see the implant inside the pocket. Having the ability to see the implant inside the pocket allows for the best surgical decisions and precise placement of the implant. Implant type is limited by the incision, as only round smooth implants can be placed through this incision.

Once the pocket has been created, the surgeon may insert a trial implant to check that the size chosen is appropriate. The trial implant is removed, the definitive implant inserted and the incision wounds are stitched. You will be able to go home the same day. Postoperative pain in these procedures is easily controlled. Your chest will feel tight. Your breasts and ribs below your breasts will be tender. Patients will be mobile from day one and should be back to full exercise within six weeks. Patients are recommended to take around one to two weeks off work immediately after the operation in order to ensure you recuperate fully.

Implant Placement Options

There are two choices when it comes to the placement of the breast implants you select. They are subglandular (above the muscle) or submuscular (below the muscle). The benefits of each of the different placement options will be discussed with you at your consultation with a  recommendation of a specific placement option depending on the natural shape of your breasts or your overall goals for getting a breast augmentation.

Subglandular

Subglandular placement is when the implant is placed above the muscle. During this placement, the implants are placed below the natural breast tissue and the surgery is usually quicker but the recovery time is about the same as below the muscle. One of the benefits of subglandular placement is that if future surgery may be required due to rupture or leakage, it allows for easier access to the implant. However, subglandular placement does also have its downsides, such as an increased risk of capsular contracture, concerns about breast views on mammography, and the implant may be able to be felt through the skin.

Submuscular

Submuscular placement is when the breast implant is put under the pectoral muscle. The benefit with submuscular placement is that the final result of the breast augmentation will look and feel more natural. Any breast imaging will be easier including mammographies, because it is easier to differentiate the implant from real breast tissue. Most patients are able to drive in a few days and you may shower the next day. Most surgeons agree that implants under the muscle are in the best position for the long term health of the patient.

Dual plane augmentation

When slender women with slightly drooping breasts seek breast augmentation surgery, surgeons often combine these two routes, placing the implants partly behind the breast and partly behind the muscle. Through this combined approach surgeons try to give patients the benefits of both techniques. This is called a dual plane augmentation.

BEFORE BREAST AUGMENTATION SURGERY

Before going into breast augmentation surgery, it is very important to get a good nights rest. You must follow the instructions given such as limitations to food or medications the day before surgery. All of this is important to get the best results and have the quickest recovery possible when getting surgery.

On the day of surgery make sure you have a friend or family member drive you to the surgical facility. You may be very sleepy from anesthesia after the surgery. Before surgery, your surgeon will review the choices you selected and answer any final questions or concerns you may have. 

Your body will then be marked and you will be guided  through exactly what will happen during the surgery. 

Cosmetic Surgery Dubai | 6 December 2019

A natural-looking, rejuvenated appearance is made possible by skill and experience. To help in your decision-making process, this guide covers a range of facial cosmetic surgery procedures. I possess significant experience in all areas of aesthetic plastic surgery including facial cosmetic surgery, cosmetic breast surgery, and body contouring procedures:

NECK LIFT 

A neck lift offers a smoother and more toned appearance to skin under the chin and neck areas. Newer, less invasive procedures offer shorter operative times, quicker recoveries and can result in significant improvement in the neckline without requiring the extensive surgical dissection of a traditional face lift.  

Neck lift surgery can be performed in a variety of ways. Typically, an incision is made in front of and behind the ear. The edge of the sagging neck muscles is identified and pulled up and secured. The resulting excess skin is removed behind the ear hiding the incision. An alternate method involves creating an incision under the chin and tightening the underlying muscle without removing skin and without the need for an incision in front of the ear. Procedures are usually performed in half the time of a typical face lift, and patients generally recover within one week to 10 days and usually can return to work after the first week with only minor bruising.

FACE LIFT (RHYTIDECTOMY)

In the early days of cosmetic surgery, face lifts consisted of skin tightening only. Most modern face lift techniques today consist of tightening both the skin and the tissue beneath the skin in the cheek and the neck. There are many techniques. No matter the technique, however, the principle is the same: tightening of the deeper structures allows less tension to be put on the skin, which may lead to a longer term result.

With most face lift procedures, a drainage tube is inserted during surgery. This will be removed a day or two after surgery. All sutures are usually removed within five to 10 days following surgery. Surgeons generally recommend that patients avoid vigorous activity and arrange for post-surgery support from family and friends. 

Recovery usually takes two to three weeks, though many patients go back to work in two weeks. Scars are well concealed in natural skin creases and along the hair-line or, if necessary, by makeup until total healing has occurred. Bear in mind that the aging process continues after surgery and that some relaxation of tissues will occur in the first few weeks.

EYELID SURGERY (UPPER LID BLEPHAROPLASTY)

This procedure is aimed at removing excess skin and fat in the upper eyelids. It typically is done under local anesthesia combined with conscious sedation (“twilight sleep”) and has one of the most rapid recoveries of any facial plastic surgery procedure. The entire procedure takes approximately 45 minutes to an hour and the pain is minimal in most cases. Some minor swelling and bruising may last a few days, and most patients are completely recovered after a week. These procedures may be combined with brow lifts to achieve the best effect. 

EYELID SURGERY (LOWER LID BLEPHAROPLASTY)

This procedure addresses the puffiness of excess fat and the wrinkling of excess skin in the lower eyelids. For those patients with excess fat and little or no excess skin, the procedure can be performed by making the incision inside the eyelid  (transconjunctival), avoiding a scar on the skin. For those patients with excess skin and fat, an incision is made just below the eyelashes, where it can be well hidden. I will use an endoscope (a pencil-like camera device) inserted through a different incision, where the forehead skin is lifted and the muscles and underlying tissues are removed or altered to produce a smoother appearance.

BROW LIFT 

Also called a forehead lift, this procedure corrects a low-positioned or sagging brow, smooths furrows across the forehead and between the brows, and helps restore a more youthful appearance

A forehead lift can be done in a number of ways. The conventional “open” method involves making one continuous incision starting at ear level and moving up around the hairline. The incision is usually made well behind the hairline to hide the scar.  I offer innovations in forehead lift procedures including the use of smaller incisions and endoscopic technology to both elevate the eyebrows and reduce frown lines. 

With the endoscopic lift, instead of making one long incision, I will make about three to five shorter incisions in the scalp, where an endoscope  (pencil-like camera device) is inserted into one of the incisions. This will allow me to view the tissues and muscles from a screen and perform the procedure in a minimally invasive way.

EAR RESHAPING (OTOPLASTY)

Cosmetic ear surgery can improve the shape, position or proportion of the ear. It can correct a defect that is present from birth, an ear shape that becomes more noticeable with development or misshapen ears caused by injury. 

The ear is a complex composite structure of skin, cartilage and even small muscles organized into a defined 3-d shape. Abnormalities in any of these components can result in a noticeable change in the shape of the ear. Careful analysis of the nature of the abnormality is probably the most important step in performing any re-modelling procedure.

Once a defined preoperative plan is formulated, the procedure consists of altering the ear cartilage by suture and scoring (cartilage cutting) techniques. A dressing 

Cosmetic Clinic Dubai | 5 December 2019

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.

Breast Augmentation Dubai | 2 December 2019

Breast Augmentation is another name for Breast Enlargement or Breast Enhancement, and is also known as Boob Job. It is the single most requested plastic surgery in the world.

For women, their breasts play an important part in their overall personality and it also gives them a lot of confidence. Many women feel the need to have breast surgeries – some for cosmetic reasons, some due to deformities, and some due to mastectomies (removal of breast due to cancer). Whatever the reason, it is important to know that it is a surgery, which would need proper medical expertise and support.

So, before deciding to undergo this surgery, it is imperative to get a clear understanding of the process, and the do’s and don’ts associated with it. Being a leader in breast surgeries, and the best in the field of Breast Augmentation Dubai, I share the relevant information here for you.

What is Breast Augmentation Dubai or Boob Job?

Breast Augmentation is a surgical procedure which helps improve the looks of your breasts, making them larger and if needed fuller too. It is also referred to as breast enlargement or breast enhancement or breast reconstruction, or augmentation mammoplasty, or breast implants surgery.  Breast augmentation can be done as an outpatient procedure with twilight anesthesia (patient goes back home the same day), or as an inpatient procedure with general anesthesia (requires overnight stay at hospital or clinic).  In this procedure, a well-trained surgeon, will either insert an ‘implant’, or ‘fat’ grafted from other parts of your body into your breasts, helping them get bigger and fuller.Breast implants come in different types, shapes and sizes, and their quality has improved dramatically over the years. The method of inserting the implants differs according to the patient’s needs. More details are given below.  Fat grafting breast augmentation is a technique wherein your own body fat from other parts of the body is extracted and injected into your breasts. This is mainly used when the need for enlargement is small and a more natural result is preferred. 

Breast Augmentation Dubai  is a cosmetic surgery which is used to increase the size of breasts and enhance its shape and contour. It is considered as the most demanding job cosmetic surgery.

For women, breast is an important part of their personality and better-looking breast can greatly improve their self-confidence. There are various reason for which people undergo this surgery some women do it for cosmetic reasons while some due to deformities then there are those who need them as an after treatment of cancer. Whatever the reasons are it should be kept in mind that it is a surgical procedure and one should consult with their doctor before going ahead with the procedure.

Breast Augmentation Dubai will provide you with a long-term and effective solution to your worries regarding the size of your breasts. The implants will give you large, supple and natural looking breasts that will transform your body from an average to a beautiful one. Breast Augmentation Cost in Dubai primarily depends on the breast implant type you choose. Most commonly used breast implants for breast enlargement in Dubai include Saline Implants and Silicone Implants.

Why Breast Augmentation?

Usually breast augmentation is done to enhance the shape, size and texture of breasts, and to make them appear larger and fuller. This may be needed for cosmetic reasons or for reconstructive purposes, such as mastectomy after breast cancer, or correction of deformities. The reasons can be very personal and the decision should be made by you and your surgeon after understanding your needs, and more importantly your expectations.  You should be aware that a breast augmentation surgery does not automatically correct sagging or drooping breasts. A breast lift procedure may be required to rectify sagging breasts, which can be performed together with your breast implant surgery or independently, at a later date. A well planned and executed procedure can help regain breast volume, get a better shape, reduce asymmetry, improve balance of breast & hip contours, increase fullness and size of breasts, and also help enhance self-image and self-confidence. 

Deciding about Breast Augmentation Dubai 

Breast Augmentation is a common and popular procedure which will make your appearance different from your existing one. Nevertheless, it is a surgery, thus it is important for you to decide carefully before going ahead with your decision. Common questions that we suggest you ask yourself are:

Why do I need this augmentation?

Will it give me more confidence and contentment?

Will I be comfortable with this change?

Once you have answers to this and any other personal questions, you must then take the most important steps of identifying the best breast surgeon, and breast clinic in town. This will ensure that you get the best consultation, advice, and results for your desired procedure. A top breast augmentation surgeon is one who is appropriately certified, well qualified, has loads of experience, has worked with different solutions and techniques, and is well respected amongst his peers and patients. The surgeon should have a good track record of consistent and quality results. Also during your initial consultation, remember to ask him to share the ‘before’ and ‘after’ photos depicting his work. 

A well-known and respected clinic for breast augmentation is one which has a good team of surgeons, anesthetists, and nursing staff. Their location should be convenient and the premises should be approved by the medical authorities. They should have a reputation of successful surgeries, and their team should be able to explain the entire aspect of the procedures to you in detail. 

Who is a good breast augmentation candidate?

You are a good candidate for Breast Augmentation surgery in Dubai if:

You have naturally small breasts or have lost volume and shape due to mastectomy or trauma to the chest.

Your breasts are uneven or have lost volume and shape due to pregnancy or significant weight loss.

You are physically healthy and are not suffering from any ailment that can hinder wound healing.

You are not pregnant or breastfeeding.

You have realistic expectations with the outcomes of surgery.

Breast Augmentation Goals

Breast enhancement surgery aims at improving the appearance of breasts by making the following improvements.

Increases fullness and projection of breasts.

Improves the size and contours of small breasts.

Improves the symmetry of breasts.

Makes the breasts firmer and perkier.

Breast augmentation is indicated in following people:

Young women with very small breasts or hypo plastic breasts

Women after pregnancy or weight loss who have lost size of breasts

Women with mild to moderate sagging of breasts due to pregnancy, weight loss or aging process.

Asymmetrical breasts due to birth deformity.

Tuberous breast deformity where the shape of the breast is very narrow and tubular.

Reconstruction of breasts after breast removal surgery due to mastectomy or breast cancer.

A normally healthy woman, with stable blood pressure, not pregnant, nor currently breast feeding are generally good candidates. Being a non-smoker also helps. And importantly, you should be in the age bracket where your breasts have developed fully, which is a minimum of 18 years of age.

If you feel that some of these descriptions match you, come and talk to our experts, we will be able to guide you to the next steps towards having a fuller upper body.

What are the types of Breast Augmentation?

There are 3 main types of implants –

Silicone Implants

Saline Filled Implants

Fat Grafting or Fat Transfer from other parts of your body

SILICONE BREAST IMPLANTS

Silicone implants were first produced in the early 1960s, and are still extremely popular. They are silicone shells filled with a plastic gel, which makes them feel more like real breasts than other options. The quality of the gel and the shell itself has evolved with time and research, making them quite long lasting and with a superior feel. These days highly cohesive silicone gel breast implants, also referred to as “gummy bear breast implants” are gaining popularity over traditional or regular silicone implants. The gel inside these implants is quite similar in structure to the “gummy bears” sweets – so even if there is any mishap, or leak, the gel does not drip out. More than 90% of women prefer silicone implants, which now come with up to 15 years warranty. These implants are available in both teardrop (natural anatomy shape) and round shapes.

Advantages:

Being softer, they feel more natural

In a sub-glandular position (above the breast muscle), they hold better

Lower chances of “rippling”

The insert, being gelatin in nature does not leak or drip easily

They are long lasting

Disadvantages:

To insert them, a relatively larger incision is needed

In the rare case of a rupture, it is harder to detect (silent rupturing); so regular screenings are essential

SALINE FILLED IMPLANTS

These are also silicone shells, but are filled with sterile salt water solution, similar to the fluid that makes up most of our body. The feel of these implants is much firmer than gel, less natural, and thus fewer women prefer this as an option.

Advantages:

A smaller incision is needed to insert the Saline filled implant

The fill level is adjustable, giving greater variability in sizes

In the rare case of rupture, the saline content is immediately dispelled from the body, and the change is obviously visible

Disadvantages:

Their feel is not quite natural

These usually require to be placed behind the muscles

Due to the liquid filling, it can cause rippling

Both the Silicone and Saline-filled implants come in different shapes, sizes, and texture. During your consultation with our surgeon, you will see samples of these and understand the pros and cons of each. Follow the surgeon’s advice on which would suit you the best.

FAT GRAFTING

In this method, instead of inserting a silicone or saline implant, the surgeon will take fat from another part of your body (liposuction), and after treating it, will inject it into the breasts, to help gain volume.

This process works well if the enlargement needed is not much (1 bra cup size only), or only upper part fullness is needed, or after a conservative breast cancer surgery has been done.

Advantages:

Use of your own body material, rather than an external insert.

Double advantage – get rid of excess fat from unwanted areas, and use for breast enlargement

Disadvantages:

Usually only 1 cup size change is possible with fat transfer

Possibility of transferred fat to be reabsorbed by the body

More expensive

Can cause mammogram readings to be misleading; in some rare cases also mimic cancer, causing some panic

Talk to our doctors on this method and seek their wisdom if this would work for you. Book an appointment.

How to Choose Best Breast Augmentation Dubai Surgeon?

The most important thing about the procedure is choosing the right surgeon for the surgery. A skilled surgeon will give you far better results compared to an unskilled doctor. The first thing that you need to ask your doctor is “How many breast augmentation have you performed?” also ask the doctor to show you before and after picture of patients who have already undergone the surgery. By doing this you will have a clear idea about the skills and aesthetic style of that surgeon.

You need to make sure that the breast surgeon you are choosing is board certified surgeon which will give you surety that the surgeon is trained and qualified by checking the board certification you will also know that the surgeon is qualified for breast augmentation procedure. Also, make sure that the facility at which the procedure is going to be performed is an arcaded facility which is of great importance when it comes to your safety. Choosing price over quality can have great consequences go for the doctor that offer better results and more safety, not the cheaper ones.

TYPES OF INCISIONS:

There are 4 places on your body that the surgeon can do the incision to place the implant:

Below your breast – at the breast fold line: This is the most popular incision spot and preferred by patients and surgeons. In medical terms, this is known as Inframammary or Submammary Incision.

The scar can also be placed in the shape of a half-moon below the areola (the pigmented skin around the nipple). This is called the Periareolar Incision, and is suggested for women with a large nipple areola complex.

Very selectively, this incision can also be made in the Axilla (armpit). This is considered an option when the women do not want any scars on their breasts. It is also known as Transaxillary Incisions.

The least recommended method, also called as Transumbilical Breast Augmentation (TUBA), involves incisions made in the umbilical area for inserting the implant. This is not a common incision method and is only ever done for saline implants.

TYPES OF PLACEMENT:

Most surgeons place the implants either:

Under the chest muscle – Submuscular (or Retromuscular) placement, or

On top of the muscle but under the breast glands – Subglandular (or Subfascial) placement.

Submuscular Placement ensures that the implant is not easily felt through the skin, because the muscle covers it. It also helps get a better image of the breast during mammography.

Subglandular Placement is a faster procedure during the surgery and its recovery time is shorter too.

A recent innovative technique is “dual plane” wherein the implants are inserted in “dual plane”, that means half under the muscle and half under the breast glands. This procedure is performed only in selected patients, post examination by a highly skilled plastic surgeon.

Which is the right size and type of Breast Implant for me?

The size and type of breast implant ideal for you is a decision that must be made in consultation with your surgeon. These decisions depend on factors such as your current breast size and shape, areola size, quality of breast skin, volume of breast tissue, your anatomy (height, weight, breast footprint, body ratios), your plans for motherhood, your expectations from the surgery, and various other factors.

It is not practical to expect transition from a cup size A to cup size DD in a single surgery. Nor is it possible that you dictate to the surgeon that you need a certain size/ type of implant, with a specific incision and placement. Your surgeon should guide you to what is right for you personally.

I will do a detailed assessment of all relevant factors before suggesting what size, type, incision, and placement is appropriate for your specific case to deliver the best surgical outcome. I’ll make you try some “sizers” to give you an idea of the look and feel of your enhanced breasts. My end objective will always be a natural-looking result that is apt for your body and goals.

Breast Augmentation Techniques

Breast Enlargement surgery can be performed using a variety of techniques – depending on the incision patterns – and methods and various kinds of implants are available. I will determine the most appropriate technique and the type of breast implants. Breast implants options available include:

Saline implants – silicone shells filled with sterile salt water and are suitable for women who are 18 or more.

Silicone gel implants – are filled with silicone gel and are suitable for women who are 22 or more. Silicone implants feel more like real breasts but they pose more risk in case they leak.

Pre-op Preparation for Breast Augmentation in Dubai

During the pre-op visit, your photos will be taken and Iwill perform your physical examination and will give you pre-surgical instructions. These instructions are based on your individual goals and requirements. Some general preparation tips for breast enlargement surgery before start:

Stop using all the blood thinning medications including aspirin, ibuprofen and certain other medications – as recommended by the breast surgeon.

Avoid supplements – fish oil, omega-3, vitamin E etc.

Stop drinking alcohol.

Quit smoking as nicotine and carbon monoxide hinder the healing process.

Follow pre-surgical prescriptions.

In the broader spectrum pregnancy does not affect the implant of breasts. However after the breast implant, one should give thought to future pregnancies while deciding the placement and size of your implant. The physical appearance of breast might alter a little during the pregnancy. During the pregnancy, the mammary gland will swell and will be filled with milk which will also swell the surrounding tissues. After the pregnancy when you feed your child the mammary glands will shrink again which might leave your breasts sagged and elongated.

Another main problem caused to the implant by the pregnancy is Dimpling. This condition can appear anywhere near the implant this usually occurs on the top side of breasts or the sides of breasts. Dumpling occurs when the natural tissues begin to sag away from the implant and create irregular skin surface of breasts. The chances of Dimpling are rare and the condition for everyone is different.  

What are the choices of Breast Implant?

With the development of cosmetic procedures, breast augmentation has developed in many ways people have so many choices to choose from. Now you can alter your breast in any way you want. You can improve your curves and cleavage to your desired shape. Below are a couple of choices that you can consider for breast augmentation. Different types of implants are used for different needs and wants.

What type of implant should be used?

There are four types of fillings used for breast implants Saline, Silicone, Highly Cohesive Silicone implant also known as Gummy Bear implant and the last one is Fat Graft implants. The type of implant used depends entirely on the receiver of surgery and the results you expect from the surgery. I will decide what type of material shall be used and the decision of the surgeon will depend upon the result that the recipient expects from the surgery.

Saline and Silicone implants are made from the artificial material while Fat Graft implants are harvested from the person’s own body. These Fat Grafts are then used in breast augmentation. This implant is the most effective implant but there is a limitation to this implant because only one cup of fat can be implanted and harvested which makes it good for small amount of breast augmentation but not the large amount.

What is the shape of an implant?

Saline and Silicone implants come only in round shapes while gummy bear implants come in a variety of shapes as well as round shapes. Round shape will give its maximum advantage to the upper part of breasts and the breasts will appear more firm while shaped implant will give sloppy looks to the breasts. When performed by a skilled surgeon both the round and shaped implants look very natural.

What types of profile exists for breast implant

I will decide the type of profile that you will need for your breasts and will depend upon the existing structure of your breasts as well as the type of shape and structure you desire from your breasts. Patient with a larger frame of breasts will require a higher profile of implant to cover the entire area and to achieve the desired results while ensuring that the base of the implant is not wide at the bottom.

What should be the size of a breast implant?

Breast implant varies in sized so that they could fit the different needs of a person. It could be 150cc to 800cc or even larger in some cases. People require different breast implants for different results and shape to achieve the best size and shape. The size of breast implant depends on the existing breast size, the result you desire and my recommendations. By keeping all this in mind it becomes even more important to choose a skilled and qualified surgeon with the existing experience in the field to avoid any complications.

What is the impact of pregnancy on Breast Implants?

Broadly speaking, pregnancy does not affect the breast implants. While you should consider future pregnancies in deciding about the size and placement of implants, pregnancy by itself does not hinder your implants. However, some aesthetic impact (in looks and shape) is possible due to pregnancy. During pregnancy, the breasts naturally enlarge or engorge, which will then shrink after you stop nursing your baby, resulting in some sagging skin. Dimpling of skin is also a possibility in certain types of implants. However, both these are aesthetic issues and don’t generally affect your implants per se. In fact, many women experience none or very minimal of such effects. Please discuss in full detail with our consulting breast surgeon of your plans for pregnancy to get the right advice on the type of surgery best suited for you.

Does Breast Augmentation affect the ability to breastfeed?

Doctors see no harmful effects on breast milk with either saline or silicone implants. You will be able to breastfeed depending on the type and placement of your implants and the manner in which the surgery was done. Sometimes, during surgery, milk ducts, glands or nerves may be damaged, which can affect milk production or milk flow.

Type of incision – The type of surgical incision made may affect your ability to breastfeed, if it is around or across your areola (“periareolar incision”). Incisions made under the breast, armpit or umbilical area are less likely to damage your milk glands, ducts and nerves.

Placement of implants – The position where your breast implants are placed may also impede breastfeeding. Implants placed under the chest muscle are less likely to impact your ability to breastfeed.

Many women are able to successfully breastfeed even with implants.

Make sure that you mention your pregnancy plans to our consulting breast surgeon so they will advise you on what you need to do to be able to breastfeed with your implants, and also how you can monitor and ensure that your baby is getting sufficient breast milk.

Is Breast Augmentation permanent?

Breast implants today are definitely safer and more durable than in the past. However, they are medical devices, and like any other medical device, can fail over time, and may require a removal or replacement. The best types of breast implants today come with a 15 years life. So, depending upon your age at the time of surgery, you may need at least 1 re-operation, and you should take that into consideration. I use the highest quality breast implants that have a lifespan of 15 years. Additionally, the skill of our leading breast surgeons ensures that your surgery is done in the most technically proficient manner to ensure maximum longevity and minimal chances of revision surgery.

What to expect before the procedure?

Breast augmentation can either be done in a surgical center or a hospital and the patient is usually expected to go home on the day of surgery. In rare cases, patients are required to stay for the night. In some cases, the breast augmentation is performed using a local anesthesia but in most cases, general anesthesia is given to the patient.

Post breast augmentation surgery checklist

When the surgery is completed then you should rest at home the following day. For a speedy recovery and while you lay down for resting try to keep your head elevated with the help of pillows during your recovery.

When the doctor schedules your appointment after the procedure then make sure that you visit the doctor for all the appointments.

If a small amount of fluid drainage occurs at bandages then don’t panic its totally normal.

Bruising is to be expected after the procedure applies ice packs to the treatment area in order to minimize the swelling.

After the surgery, you will purchase the compression garments that you should wear all the time for a specific period of recovery.

If you have questions or concerns regarding the breast augmentation procedure then feel free to contact me for the consultation.

You can also take shower but should avoid the water from touching your wounds for the first couple of days.

Stop the consumption of alcohol, tobacco, and caffeine for at least one month after your procedure.

After the procedure, you won’t have an appetite, however, when your appetite returns then take light meals such as broths and soups.

Take the medicine and antibiotics according to the prescription of the doctor. Doing so will help a lot in minimizing the pain as well as reducing the chance of any infection.

Avoid strenuous activities such as bending or weightlifting for the first 3 to 4 days after your surgery.

Drink lots of water to keep your body hydrated and avoid dehydration.

Numbness in different spots of breasts is expected and avoid using the underwire bra till you start feeling good again. This can last for six weeks to six months.

Swelling and bruising are to be expected in the affected area which is not permanent and will disappear over time. Your breast will regain its natural appearance and softness three months after the surgery.

For the first 48 hours after your treatment keep your movements to the minimum. Small movement such as brushing your teeth and combing hairs is ok but avoid using your arms for lifting something heavy or supporting yourself. You can gradually increase the movement of your arms.

The pain and swelling are normal however if it becomes intense and the swelling of breasts becomes hard or one side appears larger than the other then you should immediately contact your doctor.

By following these steps you can maximize your results and can minimize your discomfort.

What to expect after the procedure?

Soreness, bruising and swelling is expected to last for a couple of weeks after the surgery. The scar will fade away overtime but don’t expect them to completely disappear. You will also be advised to wear compression garments to support your breast while they recover for extra support and good positioning. Medicines will also be prescribed by the doctor. During your recovery time, you should follow the instructions of your doctors while returning to your regular activity. If your job is not physically demanding then you are expected to return to your job in a few weeks. Avoid any activity that puts a strain on your body and raised your pulse and blood pressure for at least two weeks after the surgery. During your healing period, your breasts will be more sensitive to physical contact and irregular movements.

If the drainage tubes are placed for fluid removal then you will need a second appointment for their removal. Keep watch for infection if you notice redness or warmth in breasts and have a fever then it is a sign of infection. Also stay alert for shortness of breath or chest pain. When these happen to you then you should contact me as soon as possible.

Questions you need to ask the surgeon before the procedure

The most important part of any surgery is finding the best surgeon. A good and skilled surgeon not only reduce the chances of failure but also minimizes the risks associated with that surgery. For more chance of success and less chance of failure, one needs a skilled surgeon for any surgery and breast augmentation is no different. Following are the questions that you need to ask every cosmetic surgeon before selecting him or her for a surgery.

Ask the following question from your surgeon so that he or she understands that you have done your research which would help you in achieving your desired results.

How to prepare for the surgery?

Before you could go ahead with the surgery you need to consult your doctors about your preferences like shape, size, and appearance of your breasts. When you give complete details about your preferences surgeon will be able to determine what type of implant is best suited for you such as teardrop shape, smooth or textured. Giving full detail will also let your doctor determine the type of material that he/she will use in the breast augmentation surgery such as saline or silicone or surgical techniques like fat grafting.

Before deciding to go ahead with the surgery there are a couple of things that a person needs to consider

A breast implant can also create problems in breastfeeding. However, it is not always the case. Most women can breastfeed their children after the surgery but for some, it becomes a problem after the surgery.

A breast implant is not a procedure for a lifetime and the effect will fade away in 10 years. There is also a possibility of implant rupture. After the implant, the age of your breast will not stop and they will continue to age but weight loss or weight gain can have a great impact on the shape of your breasts which could lead to another surgery for the correction.

You need to understand that breast augmentation will not correct any sagging for and you will need to a breast lift surgery along with breast augmentation. Before a breast implant, you need to know that you will need to monitor your implant through MRI. According to recent studies, it is not a necessary step. If you ever decide to remove your breast implant you will need an additional corrective surgery so that your breast could restore its former appearance.

A breast implant is a cosmetic procedure and is considered medically unnecessary so insurance will not cover it. If it is proven that it is medically necessary in your case then the insurance will cover the expenses. In case you are doing it for cosmetic reasons then you should be prepared to handle the expenses.

How much do Breast Implants cost?

The cost of a breast augmentation surgery depends on the following:

Type of implant – Cost varies based on implant type and quality – silicone implants cost more than saline implants. Breast augmentation via fat transfer costs even more.

Technique – The technique used also affects the cost – based on incision type and location of implant.

Surgeon’s Expertise – The surgeon’s fee is based on their experience. Obviously, a reputed surgeon with an established track record of quality results will charge higher fees.

Clinic/ Hospital – Fees also depend upon the quality of the facility chosen for the operation, and also whether the procedure is done as outpatient (with twilight anesthesia) or as inpatient (with general anesthesia).

Geographic Area – Depending on the city/ area you decide to have your procedure in, your cost is likely be different. Larger metropolitan cities might cost more.

You should bear in mind that the expertise of your surgeon and your comfort factor with him/ her should be one the most important considerations than just the cost of the surgery. An initially cheaper option could turn out to be an expensive proposition in the long run.

For an accurate assessment of cost, you would need an initial consultation with me.

Breast Augmentation – risks and complications

As with any kind of surgery, there are risks that arise due to Anesthesia, the surgery itself, and in this case the implants.

Though the risks are unlikely, some of the possibilities are:

Due to Anesthesia – allergic reactions, chest infection, blood clots

Due to Surgery – scars, bleeding, infection, change in sensation, allergic reactions

Due to Implants – Capsular contracture (formation of scar or capsule around the implant), noticeable implants, implant failure or rupturing, breast droop

It is important for you to choose a surgeon and clinic which has an exceptional record in minimizing risks and complications.

Preparing for initial meeting 

The initial meeting with me is very important. It will give me an opportunity to better understand your needs, and I will be able to share my experience and explain the procedure to you.

A common goal of the outcome can then be established.

By this time, you should be clear on why you wish to undertake the breast augmentation surgery and what are realistic expectations.

Once you are clear about that, and have possibly discussed it with your family, or close friends, share the answers with the consulting surgeon. That will allow for a better understanding between you and the doctor, making you better prepared for the procedure.

Your consultation will include the following:

Your reasons, need and goals from the breast enhancement surgery

Your health, lifestyle and habits, ongoing medications, previous operations and relevant medical history

Your motherhood plans

Detailed measurements of your body/ anatomy, maybe some pictures too

Options available for your surgery, and which is best suited for you

Explanation of steps involved, what you can expect, potential risks

You may also be asked to get a mammogram or breast ultrasound before the surgery.

A bit of apprehension is natural, but don’t feel shy in discussing any issues that you may have in respect to your new look. These are essential to help plan your surgery better, and improve recovery time.

What should you ask your Breast Augmentation surgeon?

Now that you have gone through the basic questions in your mind, here are some of the other topics you should broach with your surgeon during your initial consultation.

About The Breast Augmentation Dubai Surgeon & Clinic:

How many years of experience do you have as a Plastic Surgeon?

How many breast augmentation procedures have you done?

What are the most common complications that your patients have had? And how were they handled?

Do you have a “before” and “after” photo album for this procedure?

What type of implants do you use – saline or silicone? What is your experience with each type?

What is your reoperation rate?

Where will the surgery be conducted?

Is the clinic prepared and certified to assist liposuction surgeries?

Do you have a licensed anesthetist on board?

About Breast Augmentation Dubai  Surgery:

Am I a good candidate?

What can I expect after the surgery?

What precautions would I need to take pre-surgery and post-surgery?

How many days will I take to recover fully?

What should I do for a quick recovery?

Will the shape and appearance of my body change over time? If yes, how?

What are the risks involved in this procedure?

What treatment option/ technique will be used for me?

Where will my scar be?

How long will the procedure take?

How soon will I be able to resume my normal activities at home and work?

What are the chances or situations in which I will need a reoperation?

About Breast Implants and Expected Results:

What is the nature, type & quality of implants that will be used – what shape, size and texture, and why?

How long will my implants last?

How will my breasts change over time?

What are realistic results for my specific case?

How will the implants feel?

How will pregnancy impact my implants?

How will the surgery impact my ability to breastfeed?

How will my cleavage change?

How easy is it to remove the implants?

How will my breasts change if I remove the implants?

How will I know my implants are intact and have not ruptured?

What ongoing care do I need to take of the implants?

What additional follow-ups will I need?

Will I be able to get mammograms or breast ultrasounds with implants? Will the results be accurate?

Can the size of the implants be increased or reduced in subsequent surgeries?

Please feel free to add any more questions that you wish to this list before your consultation session.

 You can rest assured that besides these questions, our team of leading breast enhancement surgeons at Cocoona, will also tell you about the procedure in detail, and patiently answer all queries you need clarification on. Reach out to us.

Breast Augmentation – preparing for the big day

Now that the decision has been made, we will work towards the transformation you so desire. Don’t be stressed – breast augmentation is the single most requested plastic surgery in the world, and our team excels in it. Closer to the big day, an additional thorough consultation is required to finalize all details of the surgery and to once again ensure that you clearly understand the expectations and risks of the procedure.

You may be required to do breast mammography or ultrasonography.

You need to refrain from smoking and medications that can thin your blood. It is recommended to keep yourself fit and healthy.

The nurse will provide you with all necessary support bras and prescriptions for post-surgery care.

Our team of nurses, counselors and doctors will ensure you are fully equipped and ready for your surgery.

Breast Augmentation recovery & follow-up

Breast augmentation is a quick procedure, and generally does not require an overnight stay. Its popularity also stems from the fact that the recovery period is small. Immediately after the surgery, your breasts will be bandaged, and you will also be given a special bra that will help reduce the swelling, while also offering support to the breasts. Your prescribed medicines will include pain killers, antibiotics, and ointment for the surgical area. A complete schedule of follow up appointments will be prepared for you, and I will advise you on the physical activities that you may or may not undertake. Usually women require a week or so to get back to normal work. Walking as an exercise is recommended, for harder exercise schedules like aerobics, a few more days are needed. Carrying heavy loads is not advisable during the first 7 – 10 days. It is advisable to take a week off from work – that usually suffices for most women. I may also prescribe vitamins and provide dietary guidelines. Collectively all these will aid your recovery.

Breast Augmentation results – what can you expect

While you may observe an immediate increase in breast size after the breast augmentation surgery, the final results will only be apparent after the swelling disappears and the skin stretching is completed. This might take a few weeks. Then the new shape and size will be apparent for you to admire.

The scars of the incision will take much longer to diminish

Over time, due to aging, expiry of implant life, hormonal issues, and weight fluctuations, your breasts might change. You may want to come back to us for a quick breast lift or implant replacement to get back the shape.

What is Breast Augmentation Dubai  or Boob Job?

 Breast Augmentation is a surgical procedure which helps improve the looks of your breasts, making them larger and if needed fuller too. It is also referred to as breast enlargement or breast enhancement or breast reconstruction, or augmentation mammoplasty, or breast implants surgery.  Breast augmentation can be done as an outpatient procedure with twilight anesthesia (patient goes back home the same day), or as an inpatient procedure with general anesthesia (requires overnight stay at hospital or clinic).  In this procedure, a well-trained surgeon, will either insert an ‘implant’, or ‘fat’ grafted from other parts of your body into your breasts, helping them get bigger and fuller.Breast implants come in different types, shapes and sizes, and their quality has improved dramatically over the years. The method of inserting the implants differs according to the patient’s needs, and the expertise of the surgeon. 

Fat grafting breast augmentation is a technique wherein your own body fat from other parts of the body is extracted and injected into your breasts. This is mainly used when the need for enlargement is small and a more natural result is preferred. 

Why Breast Augmentation Dubai ?

Usually breast augmentation is done to enhance the shape, size and texture of breasts, and to make them appear larger and fuller. This may be needed for cosmetic reasons or for reconstructive purposes, such as mastectomy after breast cancer, or correction of deformities. The reasons can be very personal and the decision should be made by you and I after understanding your needs, and more importantly your expectations.  You should be aware that a breast augmentation surgery does not automatically correct sagging or drooping breasts. A breast lift procedure may be required to rectify sagging breasts, which can be performed together with your breast implant surgery or independently, at a later date.  A well planned and executed procedure can help regain breast volume, get a better shape, reduce asymmetry, improve balance of breast & hip contours, increase fullness and size of breasts, and also help enhance self-image and self-confidence. 

Deciding about Breast Augmentation Dubai 

Breast Augmentation is a common and popular procedure which will make your appearance different from your existing one. Nevertheless, it is a surgery, thus it is important for you to decide carefully before going ahead with your decision. Common questions that we suggest you ask yourself are:

Why do I need this augmentation?

Will it give me more confidence and contentment?

Will I be comfortable with this change?

Once you have answers to this and any other personal questions, you must then take the most important steps of identifying the best breast surgeon, and breast clinic in town. This will ensure that you get the best consultation, advice, and results for your desired procedure  A top breast augmentation surgeon is one who is appropriately certified, well qualified, has loads of experience, has worked with different solutions and techniques, and is well respected amongst his peers and patients. The surgeon should have a good track record of consistent and quality results. Also during your initial consultation, remember to ask him to share the ‘before’ and ‘after’ photos depicting his work.  A well-known and respected clinic for breast augmentation is one which has a good team of surgeons, anesthetists, and nursing staff. Their location should be convenient and the premises should be approved by the medical authorities. They should have a reputation of successful surgeries, and their team should be able to explain the entire aspect of the procedures to you in detail. 

Breast Augmentation Dubai | 1 December 2019

Breast augmentation, sometimes referred to as a “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.

WHAT BREAST AUGMENTATION SURGERY CAN DO

– Increase fullness and projection of your breasts

– Improve balance of breast and hip contours

– Enhance your self-image and self-confidence

WHAT BREAST AUGMENTATION SURGERY CAN’T DO

Breast augmentation does not correct severely drooping breasts. A breast lift may be required along with a breast augmentation for sagging breasts to look fuller and lifted.

Breast lifting can often be done at the same time as your augmentation or may require a separate operation. I will assist you in making this decision.

WHO IS A GOOD CANDIDATE FOR BREAST AUGMENTATION?

Breast augmentation is a deeply personal procedure, and it’s important that you’re doing it for yourself and not for someone else, even if that person has offered to pay for it. Patient satisfaction is high, specifically when they want the procedure themselves.

You may be a candidate for breast augmentation if:

– You are physically healthy and you aren’t pregnant or breastfeeding

– You have realistic expectations

– Your breasts are fully developed

– You are bothered by the feeling that your breasts are too small

– You are dissatisfied with your breasts losing shape and volume after

pregnancy, weight loss or with aging

– You are unhappy with the upper part of your breast

appearing “empty”

– Your breasts are asymmetrical

– One or both breasts failed to develop normally or have an

elongated shape

WHAT TYPES OF BREAST IMPLANTS ARE AVAILABLE?

Saline breast implants

Saline breast implants are filled with sterile salt water. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body.

Saline breast implants provide a uniform shape, firmness and feel.

Structured saline breast implants

Structured implants are filled with sterile salt water, and contain an inner structure which aims to make the implant feel more natural.

Silicone breast implants

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

Gummy bear breast implants

Form-stable implants are sometimes referred to as gummy bear breast implants because they maintain their shape even when the implant shell is broken.

The consistency of the silicone gel inside the implant is thicker than traditional silicone gel implants. These implants are also firmer than traditional implants.

Shaped gummy bear breast implants have more projection at the bottom and are tapered towards the top. If a shaped implant rotates, it may lead to an unusual appearance of the breast that requires a separate procedure to correct.

Placement of gummy bear implants requires a slightly longer incision in the skin.

Round breast implants

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

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

Smooth breast implants

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

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

Textured breast implants

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

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

Whether you choose saline or silicone implants, it is important for you to monitor your breast implants and follow-up with appropriate checkups.

HOW SHOULD I PREPARE FOR BREAST AUGMENTATION?

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

– Get a blood test

– Take certain medications or adjust your current medications

– Stop smoking

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

increase bleeding

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

you for at least the first night following surgery.

WHAT SHOULD I EXPECT DURING MY BREAST AUGMENTATION RECOVERY?

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

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

WHAT RESULTS SHOULD I EXPECT AFTER BREAST AUGMENTATION SURGERY?

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

WHAT WORDS SHOULD I KNOW ABOUT BREAST AUGMENTATION?

AUGMENTATION MAMMAPLASTY

Breast enlargement or breast enhancement by surgery.

BREAST AUGMENTATION

Also known as augmentation mammoplasty; breast enlargement or breast enhancement by surgery.

BREAST IMPLANTS

Medical devices placed in your body to enhance an existing breast size or to reconstruct your breast. Breast implants fall into two categories: saline breast implants and silicone breast implants.

CAPSULAR CONTRACTURE

A complication of breast implant surgery which occurs when scar tissue that normally forms around the implant tightens and squeezes the implant and becomes firm.

GENERAL ANESTHESIA

Drugs and/or gasses used during an operation to relieve pain and alter consciousness.

INFRAMAMMARY INCISION

An incision made in the fold under the breast.

INTRAVENOUS SEDATION

Sedatives administered by injection into a vein to help you relax.

LOCAL ANESTHESIA

A drug injected directly to the site of an incision during an operation to relieve pain.

PERIAREOLAR INCISION

An incision made at the edge of the areola.

SALINE IMPLANTS

Breast implants filled with sterile salt water.

SILICONE IMPLANTS

Breast implants filled with an elastic gel.

SUBMAMMARY OR SUBGLANDULAR OR SUBFASCIAL PLACEMENT

Breast implants placed directly behind the breast tissue, over the pectoral muscle.

SUBMUSCULAR OR SUBPECTORAL PLACEMENT

Breast implants placed under the pectoral muscle, which is located between the breast tissue and chest wall.

SUTURES

Stitches used to hold skin and tissue together.

TRANSAXILLARY INCISION

An incision made in the underarm area.

ULTRASOUND

A diagnostic procedure that projects high-frequency sound waves into the body and records the echoes as pictures.