What happens in a tummy tuck procedure?
Tummy Tuck Dubai | 7 December 2018
The most common form of tummy tuck involves a horizontal incision near the pubic hairline, so swimwear or undergarments can hide the resulting scar. If there is excess skin above the navel, an incision around the navel may be required. Sometimes, the surgery involves liposuction to remove pockets of excess fat from specific areas of the body. To reduce scar tissue and increase the speed of healing, I may utilize a harmonic scalpel that uses ultrasonic energy to perform parts of the tummy tuck surgery. Diastasis is a term used to describe the separation of the two-paired abdominal muscles that make up the front of the abdomen, which is often caused by multiple pregnancies. Sutures are used to tighten up the abdominal wall, resulting in a flatter stomach. Stronger, tighter abdomen muscles may also help reduce lower back pain.
A tummy tuck is not a shortcut to weight loss. But, it can be a powerfully transforming surgery and complements the impact that weight loss has on the abdominal profile. Many of our patients say they feel liberated after having a tummy tuck. They can wear a bikini again, or not wear a shirt or a top to cover up their loose stomach. They feel good about being outdoors running, swimming and golfing. It does a lot to boost a person’s confidence in their bodies and for many of my patients, it’s an incentive to maintain a healthy appearance for the rest of their lives. For some patients, tighter abdomen muscles may also help reduce lower back pain.
Your Guide to Breast Augmentation
Breast Augmentation Dubai | 5 December 2018
BREAST AUGMENTATION DUBAI
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.
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Tummy Tuck Dubai FAQs
Tummy Tuck Dubai | 1 December 2018
1. What are the different types of tummy tuck procedures?
A: Tummy tuck is used as a synonym for a full Abdominoplasty, where the abdominal muscles are tightened, to reconstruct the abdominal wall. It is an important step on the abdominal contouring after pregnancy or moderate to severe weight gain in which cases the muscles separate. Another type of Abdominoplasty is the mini Abdominoplasty that does not involve tightening neither the abdominal muscle nor the relocation of the belly button. It only removes redundant skin from below the belly button.
2. Tummy Tuck – Is It Safe?
A: It is safe if performed by a certified plastic surgeon in a credentialed Hospital or Surgical center.
3. Tummy Tuck vs Liposuction?
A: Liposuction is a very good surgical procedure when the patient only needs contouring and has good skin tone with minimal stretch marks. If the patient has separation of the muscles, redundant skin and moderate to severe stretch marks, the Abdominoplasty will offer a better result, because it will reconstruct the abdominal wall and will get rid of the loose skin. I also like to do liposuction of the flanks in combination with the Abdominoplasty, to contour the waist better.
4. How long is the Recovery Period for Full Tummy Tuck?
A: Since all abdominoplasties are not alike, recovery times are different. The amount of dissection, the tightness of the closure, the need to tighten the muscles and to what degree may all influence post-op pain, sense of tightness, and recovery time. However, most patients should be able to resume most activities by 3-6 weeks and should be able to stand erect within a few days. Patients who work from home can probably do so after the first week.
5. Does a tummy tuck leave scars?
A: All incisions leave scars and this is not different with tummy tucks, but you can expect the scars to fade and become less noticeable with time.
6. Can I get pregnant after a tummy tuck?
A: Yes, all the sutures used are the kind that dissolves and will not prevent the patients from having an absolute normal pregnancy however is ideal that the patients are done having children, that way they don’t lose the benefits of the tummy tuck.
7. Are tummy tuck results permanent?
A: They are as far as the patients don’t get pregnant or gain a lot of weight.
8. Can a Tummy Tuck remove stretch marks on hips?
A: I like to make my incisions very low which allows me to pull the skin from the thighs to improve the stretch marks. The stretch marks will still be there but they will be a lot less noticeable.
9. Can Tummy Tuck fix loose belly button?
A: Yes, I keep the patient’s original belly button, but I do contour it when I relocate it.
10. Is it possible to have a natural looking belly button after tummy tuck?
A: Yes, not only natural but very pretty.
11. How long after tummy tuck do I have to wait before I can start doing strenuous exercises (such as sit ups, crunches and weight lifting)?
A: I recommend the patient to start walking and resuming light exercise a week after the surgery, but sit ups, crunches and heavy lifting of more than 15 lbs after 6 weeks.
12. How Will Weight Gain After Tummy Tuck Affect Results?
A: We have fat cells superficial to the abdominal wall and inside the abdominal cavity. Weight gain will stretch the skin and will stretch the muscles to allow for the fat cells to grow, so you lose the benefit of the muscle and skin tightening.
13. Is It Safe to Perform Tummy Tuck Surgery Right After a C-section?
A: I like to wait between 6 to 12 weeks to allow for uterine contraction, so I can do a better tightening of the muscles. If the patient is breast feeding I will recommend waiting until they are done because tummy tuck requires general anesthesia.
14. What is the best scar treatment after full Tummy Tuck?
A: I like to use tape on the incisions for 6 weeks, then a cream with silicone and sun protection for 6 more weeks and then massage the scars with vitamin E oil or lotion.
15. How soon after surgery can I start scar treatment?
A: After the first 6 weeks of taping.
16. Does a male tummy tuck differ from a female tummy tuck?
A: Most of the male patients that require a tummy tuck have gained and then lost a moderate to large amount the weight or have a ventral hernia that will require the reconstruction of the abdominal wall and the excision of the redundant skin, so the steps are very similar.
Tummy Tuck Dubai
Tear Trough Treatment for Eye Bags and Dark Circles
Aesthetic Medicine Dubai | 25 November 2018
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.
Aesthetic Medicine Dubai
Are You Losing Volume in Your Face?
Aesthetic Medicine Dubai | 21 November 2018
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.
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Square Jaw Reduction: No Surgery Slim Your Face
Aesthetic Medicine Dubai | 17 November 2018
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.
Aesthetic Medicine Dubai
How to Get Rid of Forehead Wrinkles
Aesthetic Medicine Dubai | 15 November 2018
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.
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WHAT ARE CROW’S FEET & SMILE LINES?
Aesthetic Medicine Dubai | 12 November 2018
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 collagen and elastin occurs naturally as we age. Of course, the other cause of the appearance of wrinkles is sun damage.
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. Hence, over time these smooth out wrinkles and prevent them from developing further.
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.
WHAT ARE JOWLS & MARIONETTE LINES?
Aesthetic Medicine Dubai | 9 November 2018
What are 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 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® as part of our non-surgical neck lift. 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.
How Can Dermal Fillers Help?
Aesthetic Medicine Dubai | 4 November 2018
Tired of looking and feeling older than you’d like? Flatter, sagging skin with deepening groves and wrinkles combined with thinning lips lead to a hollow, aged look.
How Can Dermal Fillers Help?
As you get older collagen breaks down in your face and it can become flat and saggy. Fillers simply replace the collagen you lose through ageing, raising flatter areas and restoring your youthful look. They can also be used to enhance your existing facial features. Once the treatment is gently injected into the target area it will pull in water to hydrate your skin. It also has antioxidant qualities providing instantly smoother skin with better results than any top brand moisturising creams. Results last between 6-12+ months. No none will guess you have had a filler treatment but you will feel more refreshed, confident and glamorous.