Breast implant illness: why good science needs to combat hysteria
Breast Augmentation Dubai | 8 April 2019
A lucrative industry is springing up around “breast implant illness”, with some doctors charging women thousands to remove implants with no guarantee the surgery will make them better. Social media is fuelling an explosion in the numbers of women scared their breast implants are making them sick and deciding to have them removed, with online support groups for breast implant illness (BII) numbering in the thousands and growing every day. But there is a lack of strong scientific evidence for whether breast implants are causing the clusters of unexplained and debilitating symptoms attributed to BII, two leading Australian plastic surgeons say.
Rising numbers of implant patients are reporting unexplained or vague illnesses and symptoms, including auto-immune diseases, allergies, migraine, chronic fatigue, joint pain, depression, heart and kidney problems and hair loss, said Associate Professor Anand Deva, head of plastic and reconstructive surgery at Macquarie University. Some doctors were cashing in on the BII boom, marketing breast implant removal – or breast explantation – as a treatment for BII and charging vulnerable women up to $20,000 for the invasive and potentially useless procedure, Dr Deva said.
“There is such a strong commercial driver that it’s drowning out any potential for science and trust in this space,” he said. Reports of BII first emerged in the 1960s, and recent studies have shown a link between silicone implants and certain autoimmune diseases. But Associate Professor Mark Magnusson, former president of the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), said there was a need for robust, systematic research to define BII, its causes and how to treat it. Professor Magnusson leads a group of researchers and surgeons that recently proposed a longitudinal trial to untangle the nebulous catch-all diagnosis. “[BII] has a very large following but unfortunately this doesn’t translate to good science,” Dr Magnusson said. “We need methodical, sophisticated research to try and answer these questions rather than jump to unsupported conclusions.” The surgeons suggest study participants would undergo thorough physical checks, blood tests to check for autoimmune disease markers and genetic sequencing to look for gene mutations that could predispose some women to BII.
Their implants, capsule and surrounding tissue would also be analysed. Patients would be followed up for at least two years. The surgeons said the most likely cause of BII is the body’s inflammatory response to contaminants or bacteria but it would take more than a decade to find definitive answers. “These illnesses patients describe could all be manifestations of the same thing,” Dr Deva said. The surgeons said women concerned about BII should be taken seriously and treated appropriately. Last week the US Food and Drug Administration held a two-day public hearing to discuss breast implant safety, including breast implant-associated anaplastic large cell lymphoma (a rare form of cancer), implant registries, potentially banning breast implants with textured surfaces, as well as breast implant illness.
The International Consortium of Investigative Journalists reported the FDA kept hundreds of thousands of breast implant incidents reports hidden from the public. Jane Kimpton, founder of an Australian BII support group on Facebook, said she welcomed robust research into BII, but was sceptical whether plastic surgeons with commercial ties to implant manufacturers were the most appropriate researchers. Dr Magnusson and Dr Deva consult and coordinate research for Johnson & Johnson and Allergan. Dr Deva also works with Motiva and Sientra. “In the meantime, all these tests, referrals and appointments are costing women thousands of dollars,” Ms Kimpton said. She said some women had suffered debilitating symptoms for years, but now social media influencers with relatively minor ailments and self-proclaimed experts were joining the bandwagon.
“This is not just something for 20-somethings in bikinis on Instagram to blog about,” Ms Kimpton said. “Then there are the pseudo-natural therapists who are suddenly experts in treating [BII] and trying to create a niche market. Women are just desperate to get answers.” Roberta Hongiman, a social worker who specialises in plastic surgery patients, suspects the uptick in women coming to her with BII concerns over the past two years was driven by “unsavoury social media hysteria” but added some of these women are feeling very unwell and extensive testing was not providing answers.
Breast Augmentation Dubai | 11 April 2019
DERMAL FILLERS: WHICH FILLERS ARE RIGHT FOR ME?
Fillers in Dubai | 1 April 2019
Which filler is the best for you, and which filler should you choose for a specific treatment: nasolabial wrinkles, lips, nose, cheeks, quality of skin tone, or undereye bags? The internet and media are full of contradictory information. Although there are dermal fillers such as Radiesse (calcium hydroxylapatite crystals), Sculptra (poly L-lactic acid), and permanent fillers like Aquamid, in this guide, I cover dermal fillers based on hyaluronic acid – as these are the only dermal fillers I personally recommend. The reason for this is that hyaluronic fillers are not permanent, they have no lasting effects, they yield the most natural results, and if necessary, can be removed and dissolved using a special enzyme.
If a doctor prefers the use of renowned brands such as Restylane, Juvéderm, or some other (i.e. Teosyal and Belotero hyaluronic fillers), then the patient is definitely in very good hands, because these brands offer a whole range of different fillers, with various densities, hyaluronic concentration, and molecule size, let alone years of medical testing and research. My medical experience in aesthetic medicine has shown me that no specific brand is ideal, which is why it is in every patient’s interest that their doctor has a selection of at least 2 of these brands of fillers. Hyaluronic dermal fillers, along with Botox are the main tool of modern aesthetic medicine. Hyaluronic acid is a natural component of our skin, and its main task is skin hydration, as well as collagen reinforcement, and the restoration of elasticity. Our skin thus acquires a glow, stays firm, we have a healthier skin tone, and lost volume is restored in the face.
The history of hyaluronic dermal fillers is a relatively brief one. Bengt Agerup, a Swedish scientist and genius, was the first to stabilise hyaluronic acid in 1996. Up to then we only had inferior collagen and dangerous silicone fillers, but when the first dermal filler, Restylane, was produced in Uppsala, the world of aesthetic medicine changed forever. Over 25 million treatments using Restylane fillers have been performed all over the world to date. Most hyaluronic fillers are produced by fermenting bacteria in a laboratory, meaning they are produced in a natural and organic way (rare brands of hyaluronic fillers such as Dermavisca stem from animal sources – the fleshy comb of a rooster). This hyaluronic acid (the largest production plants of natural hyaluronic acid are in France and China) is used not only in dermal fillers, but in cosmetics and many creams, as well as in mesotherapy. Each brand of filler uses a different method and technology to stabilise and bind the hyaluronic acid, so that it can last in the skin for an average of 6-36 months. There can be a great difference between various dermal fillers. The stabilisation process and binding of hyaluronic acid varies with each brand, and the consistency of each filler is also different, as well as the concentration of hyaluronic acid, size of the molecules, and density. Furthermore, only some dermal fillers such as Restylane, Juvéderm and Teosyal contain lidocaine, a local anaesthetic. This, for me, is essential, because the treatments are less painful, and are a mark of a serious dermal filler brand.
WHICH FILLER IS THE BEST FOR WHICH TREATMENT?
LIPS
I will begin with the lips because in my many years of experience i have come across the greatest controversies especially when it comes to this treatment. Although it appears to be simple, it is one of the most difficult procedures in aesthetic medicine, and one which requires years of experience.
Today I am proud to say that I perform countless lip augmentations and contouring on a monthly basis. Restylane is a dermal filler i have used for years for lip augmentation. The results are excellent and yield very natural and soft lips. It is still one of my favourite lip fillers because it contains the optimum concentration of hyaluronic acid. Drawbacks? The results only last 6 months, and the lips are very swollen right after the procedure; however, the swelling dies off in just 24 hours.
Restylane Kisse is the latest version of Restylane classic filler, with everything the same, except that results last over 9 months, because of the larger molecules and higher concentration of hyaluronic acid, due to the use of Emervel technology. There is no significant swelling following the procedure, the lips look exceptionally natural and very sensual.
Juvéderm Ultra 3 is a very good lip filler from the house of Allergan, but offers subtle results that last for only 6 months. Allergan has recently launched its new Vycross technology, under which is its selected lip filler, Juvéderm Volift, although Juvéderm Volbella can also be used.
Juvéderm Volift lasts for 9-12 months, there is no significant swelling following the procedure, but I have noticed minor swelling in some patients, which can be manifest as small balls and thickening of the upper lip after a couple of weeks. However, this problem quickly dissipates on its own, or after a massage.
Teosyal kiss and Neauvia Lips are also a very good dermal lip fillers. As the names suggest, they are specially formulated for lip treatment. They yield great results, with minimal side effects. Although it is difficult for me to determine the best filler for this treatment, I would give the title to a specially designed lip filler – Restylane Kysse. Right behind are definitely Juvéderm Volift and Restylane Lyps. In most cases, only 1ml of filler is enough per treatment, and it is not recommended to do more than that. It is wiser to come back after a month’s time and add another 1ml if your doctor finds it appropriate. What is most important is that the results are natural, and the face proportional.
UNDEREYE BAGS
Many doctors believe that there is no dermal filler suitable for this procedure, but from my own personal experience and following many successful treatments, I can confirm that this is not true. With my experience of undereye treatments, this is a remarkable treatment that yields outstanding results, and the best fillers for it is Teosyal Redensity II. Here it is possible, with great expertise, to use both thinner and thicker dermal fillers. Knowledge is what counts most. Over the years, I have tried using other dermal fillers in this facial zone such as juvederm Volbella, belotero, restylane perlane and although they yielded adequate results, too much oedema was reported, and the effects were not as good as the above-mentioned fillers. Teosyal is the absolute king for undereye bags. In 80% of cases, 1ml of dermal filler is enough to erase bags under the eyes – even extra-large ones. 10% of patients require more than 1ml, while 10% need to come back for their third ml.
NON-SURGICAL FACE-LIFTING / CHEEK AUGMENTATION
This increasingly popular treatment offers a natural facelift for skin that has lost volume and appears relaxed. With the expert administration of hyaluronic dermal fillers, there is no more need for a scalpel and surgery, because this can yield very effective and natural results with non-surgical face-lifting, and requires the use of 2ml – 5ml of dermal filler. What’s more, the effects can last for even 18 – 36 months (because this treatment uses denser fillers with larger molecules). The first such filler on the market was Restylane Sub Q, but it has proven to be too hard a filler, and so over the last 5 years my favourite filler for lifting the face, cheeks and saggy skin around the chin is definitely Juvéderm Voluma. It is a wonderful filler with large molecules that provides an adequate lift, which can easily be injected.
For these procedures, I can also pay compliments to Restylane Lyft, which has recently emerged on the market. It is a new technology from Galderma which is now keeping stride with Juvéderm. These two brands are unique in that they come in 1ml doses and can be injected with a syringe. Other brands either do not have these fillers with larger molecules (vital for an adequate facelift), or only offer 2ml ampules that can solely be applied through a cannula, which may be unsuitable for many patients. It is my opinion that in the majority of cases, fillers must be administered with a syringe and not a cannula, as this yields better and more accurate results, which is logical. From patient to patient, if we take into account their age, skin type and condition, at least 2ml of filler is needed for a non-surgical facelift, but the dosage can rise up to 8 – 10ml of filler, which is obviously administered in 2 to 3 separate treatments.
NOSE
When it comes to the nose, dermal fillers in Dubai should not be too dense due to the sensitive anatomy of the nose, yet must also have enough strength to lift and contour, fill in imperfections and align the nose. Restylane Lyft can achieve perfect results with no side effects but also Juvéderm, Teosyal, Neauvia and other fillers in Dubai, are also suitable for this treatment. As always, the most important factor is the expertise and experience of the doctor. If we select a proper brand of hyaluronic acid, along with a good quality doctor, in most cases 1ml is enough to yield results that last over 18 months.
NASOLABIAL WRINKLES
The correction of nasolabial wrinkles is still the most sought-after dermal filler treatment. It is a procedure that is most easily performed with the longest lasting effects. But, just a word of warning – I must emphasise that extensive knowledge, skill and expertise is also required here, not only to achieve the best results, but also because this zone demands detailed cognisance of its anatomy, in order to avoid side-effects such as vascular compromise, which cannot occur when administered by an expert, but becomes highly probable when one is in “unprofessional” hands. Here, many dermal fillers are very suitable, and so one can choose from a wide pallet. The dermal filler in Dubai should be thinner, with less molecules, such as is the case with Juvéderm Volbella or Volift filler, Restylane Classic, Teosyal Global Action or Neauvia Intense Flux. When dealing with shallow wrinkles, 1ml is enough for both wrinkles, but in many cases 2ml are required.
REJUVENATING THE SKIN OF THE FACE, NECK, DÉCOLLETÉ AND HANDS WITH STABILISED HYALURONIC ACID (“SKINBOOSTERS”)
Modern aesthetic medicine is turning more and more to treatments of the skin itself and its rejuvenation. Laser treatments, plasma treatments, and dermal rollers are increasingly popular, but hyaluronic preparations achieve the best results. The skin of the face, neck, décolleté and hands gain a new glow, while wrinkles, pores and scars disappear. Elasticity is restored, and the skin is firmer. In a treatment which I call medical mesotherapy, the best product are Restylane Vital Skinbooster and Neauvia Hydrodeluxe. In Restylane Skinbooster the greatest advantage is the technology of the syringe itself that has a special “clicker” to provide a precise dose with each prick of the needle. Neauvia Hydrodeluxe offers a very competitive package with more product at the same cost of other Skinboosters. The latest product of this type on the market is Juvéderm Volite, which yields excellent results, but we must also mention Profhilo, a recent market launch by Ibsa. It is an innovative dermal filler that is something between a dermal filler and a skinbooster.
Fillers in Dubai
Dermal fillers aim to be the perfect solution for delaying the ageing process
Fillers in Dubai | 1 April 2019
Dermal fillers aim to be the perfect solution for delaying the ageing process or filling in any depressions left from weight loss or illness. They can be used to get rid of fine lines, wrinkles, shadows and hollows around the eyes, lips and nose area. Dermal Fillers can also help replace lost volume in the face focusing on the cheek and nose area, it can be used to plump up lips and contour the face according to preference. It is a stress-free alternative to invasive surgery and will dissolve naturally over time. Most popular dermal fillers can last between 6-9 months, up to a year or longer depending on the individual strength and formula used. Individual treatments are tailored to each client and customer depending on personal circumstance, lifestyle and requirements.
Here is a selection of the most popular dermal fillers from Juviderm:
Fillers in Dubai – Juvederm® Ultra Smile
Juvederm® Ultra Smile is specifically formulated for the lips and mouth area. It is designed to enhance lip volume, redefine lip shape and to correct vertical lip lines; it can also be used to correct lines around the mouth. For the treatment of mid and /or deep depressions of the skin and lip definition. The enhancement is done by injection by an authorised medical practitioner
Characteristics
Juvederm® Ultra Smile is used to smooth wrinkles located between the nose and the corners of the mouth, and around the lips. It is specifically designed to give your lips a natural, smooth and sublime look, with long lasting results, it can give you a natural looking appearance and redefine the border.
Benefits of Juvederm Ultra Smile:
•Can be used to smooth wrinkles located between the nose and the corners of the mouth, and around the lips
•Creates a natural, smooth effect
•Enhances lip volume
•Redefines lip shape
•Corrects fine lines around the mouth
Packaging
•2 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine
•2 x 30G ½’’ needles
How long do the result last?
In general, Juvederm Ultra Smile results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Ultra 2
Juvederm® Ultra 2 is an injectable filler, which is used to treat superficial to moderate facial lines and skin depressions, usually those around the lips and eyes. Ultra 2 contains hyaluronic acid, which is a natural substance, its key property is to keep the skin hydrated whilst adding plumpness. The product contains lidocaine to ensure a more comfortable injection
Characteristics
Juvederm® Ultra 2 is a sterile pyrogen-free physiological solution of cross-linked hyaluronic acid which is not of animal origin. This product treats depressions of the skin and can be used to augment and volumise lips. The formulation is cohesive, flexible and precise, for a controlled injection, for a homogeneous distribution in the dermis.
Benefits of Juvederm Ultra 2
•Lip augmentation
•Treats superficial to moderate facial lines and skin depressions
•Treatment areas: mouth, lips, the corner of the eyes, close surface of the skin
Packaging
•2 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine
•2 x 30G ½’’ needles
How long does the result last for?
In general, Juvederm Ultra 2 results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Ultra 3
Juvederm® Ultra 3 is a hyaluronic acid filler with a smooth and long-lasting formula that can be used for filling mid and/or deep depressions of the skin. Juvederm Ultra 3 is primarily used to fill moderate to deeper facial wrinkles that occur around the nose and the mouth (nasolabial folds and marionette lines). This can also be used to enhance lip contour and lip volume.
Characteristics
Juvederm® Ultra 3 treats medium to deep skin depressions and increases the volume of lips. Juvederm uses an advanced 3D technology matrix for greater durability (up to 1 year) and optimal capacity volume.
Benefits of Juvederm Ultra 3
•Used for filling moderate to deeper facial wrinkles
•Enhances lip contour and volume
•Treatment area: nasolabial folds, marionette lines, lip
Packaging
•2 x 1ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine
•2 x 30G ½’’ needles
How long does the result last for?
In general, Juvederm Ultra 3 results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Ultra 4
Juvederm® Ultra 4 is an injectable implant used for filling any deep depressions of the skin via deep dermis injection, as well as for lip enhancement and cheekbone augmentation. Juvederm® Ultra 4 is intended for volumising and correcting deeper facial lines and wrinkles around the nose and mouth. This product contains lidocaine for a more comfortable injection.
Characteristics
Juvederm® Ultra 4 is a sterile pyrogen-free physiological solution of cross-linked hyaluronic acid which is not of animal origin. Juvederm use an advanced technology 3D matrix, for greater durability (up to 1 year) and optimum capacity volume.
Benefits of Juvederm Ultra 4
•Can be used for filling any deep depressions of the skin via deep dermis injection
•Lip enhancement
•Cheekbone augmentation
•Deep nasolabial folds
•Chin modelling
•Correction of deep facial lines and wrinkles
Packaging
•2 x 1ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine
•2 x 27G ½’’ needles
How long does the result last for?
Juvederm Ultra 4 results can last up to 12 months. This duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Voluma Lidocaine
Juvederm® Voluma Lidocaine is an injectable gel for deep injection in the cheek area to correct age-related volume loss in adults over 21. This is used for restoring the fullness of youth, by restoring volume to sunken cheeks and firmness to sagging skin of the jawline to create a smooth and natural effect. Juvederm Voluma Lidocaine also contains collagen and elastin to improve the structure and elasticity of the skin and give it a smooth appearance
Characteristics
Juvederm® Voluma Lidocaine is used to enhance the overall shape of the face and to create a smooth and natural look. The product contains lidocaine to ensure a more comfortable injection.
Benefits of Juvederm Voluma Lidocaine
•Enhances volume in cheeks and chin
•Restores lost skin volume
•Creates a smooth and natural look
•Enhances the overall shape of the face
Packaging
•2 x 1ml syringes with 20mg/ml hyaluronic acid and 0.3% lidocaine
•4 x 27G ½’’ needles (CE 0123)
How long does the result last for?
Juvederm Voluma Lidocaine results can last up to 18 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Volbella Lidocaine
Juvederm® Volbella Lidocaine is a dermal filler based on hyaluronic acid (HA) to be used in the lips and perioral area. It is designed for gently restoring lip volume and defining lip contours. Juvederm Volbella Lidocaine is a smooth gel that has been specifically developed to give a soft, natural result. It can be used for treatment of the fine lines and medium-sized depressions of the skin via superficial or mid-dermis injection, as well as enhancement of the lips by injection by an authorised medical practitioner in accordance with local applicable regulation.
Characteristics
Juvederm® Volbella Lidocaine provides a natural appearance. This filler contains lidocaine to ensure a more comfortable treatment. This gel can also be used to treat superficial facial lines and wrinkles. This filler helps lips to receive a validated demonstrating efficacy up to 12 months in a single treatment and clinical study, allowing patients to resume their daily lives faster.
Benefits of Juvederm Volite
•Increases volume of the lips
•Redraws the outline of the lips to sublimate the definition
•Redefines the area of philtrum (cupid’s bow)
•Filling of perioral wrinkles and marionette lines
•Increases lip volume for better symmetry
•Treat the corners of the mouth
Packaging
•2 x 1ml syringes with 15mg/ml hyaluronic acid and 0.3% lidocaine
•4 x 30G ½’’ needles (CE 0123)
How long does the result last for?
Juvederm Volbella Lidocaine results are instant from the first treatment, this can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Volift Lidocaine
Juvederm® Volift Lidocaine is an injectable filler intended for the treatment of deep skin depressions, face contouring and volume restoration via deep dermis injection as well as for restoration of lip volume by an authorised medical practitioner in accordance with local applicable regulation.
Characteristics
Juvederm® Volift Lidocaine is an innovative injectable facial filler made from hyaluronic acid that restores volume to sunken cheeks and increases the firmness of the skin of the sagging jawline. This product contains lidocaine to ensure a more comfortable treatment.
Benefits of Juvederm Volift Lidocaine
•Treatment of deep skin depressions
•Facial contouring
•For volume restoration via deep dermis
•Enhances lip volume
•Can be treated to cheek area and around the chin
Packaging
•2 x 1ml syringes with 17.5mg/ml hyaluronic acid and 0.3% lidocaine
•4 x 30G ½’’ needles (CE 0123)
How long does the result last for?
Juvederm Volift Lidocaine results can last up to 15 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Volift Retouch 2
Juvederm® Volift Retouch 2 x 0.55ml is ideal for the filling, smoothing and rejuvenation of the mid-face. This filler contains lidocaine which provides a comfortable treatment experience to the patient. Juvederm Volift Retouch was developed to treat deep skin depressions, facial contouring and volume restoration via deep dermis injection as well as for restoration of lip volume by an authorised medical practitioner in accordance with local applicable regulation.
Characteristics
Juvederm® Volift Retouch is an innovative injectable facial filler made from hyaluronic acid that restores volume to sunken cheeks and firmness of the skin sagging jawline, to create a smooth and natural effect.
Benefits of Juvederm Volift Retouch
•Treats any deep skin depressions (premature ageing)
•Restores facial volume to correct facial structural defects (asymmetry, contour deformities, volume loss in the lips, cheeks, chin, lower face)
•Facial contouring
•Ideal for touch-up sessions
Packaging
•2 x 1ml syringes with 17.5mg/ml hyaluronic acid and 0.3% lidocaine
•4 x 30G ½’’ needles (CE 0123)
How long does the result last for?
Juvederm Volift Retouch results are instant from the first treatment, this can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Volite
Juvederm® Volite is an injectable hyaluronic acid product used for the filling of superficial cutaneous depressions such as fine lines and for additional improvement of skin quality attributes such as hydration and elasticity by intra-dermal injection by an authorised medical practitioner in accordance with local applicable regulation. Juvederm Volite can be used in the face, hands, neck and décolleté area. This filler contains cross-linked hyaluronic acid gel and lidocaine to reduce patient’s pain during treatment.
Characteristics
Juvederm® Volite utilises patented VYCROSS technology, which is the first injectable specifically designed to improve skin quality and last up to 9 months with just one treatment session. Juvederm Volite guarantees a natural appearance.
Benefits of Juvederm Volite
•Improves skin smoothness
•Increases skin hydration and elasticity
•Improves overall skin quality
•Treatment area: face, neck, décolleté and hands
Packaging
•2 x 1ml syringes with 12mg/ml hyaluronic acid and 0.3% lidocaine
•4 x 32G ½’’ needles (CE 0123)
How long does the result last for?
Juvederm Volite results are instant from the first treatment, this can last from 6 to 9 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Hydrate
Juvederm® Hydrate is a treatment specifically designed to improve skin hydration and elasticity. The result is a more refreshed appearance and a natural, healthy glow. This is an effective solution formulated to restore the skin’s level of hyaluronic acid and to improve the elasticity and tone of the skin. Injections are administered 1-2cm apart, allowing the gel to flow evenly into the skin.
Characteristics
Juvederm Hydrate effectively replenishes depleted levels of hyaluronic acid (HA) in your skin to restore a natural, healthy glow. Juvederm Hydrate contains an antioxidizing agent Mannitol which helps to prevent the build-up of free radicals that are responsible for a degradation of hyaluronic acid, therefore prolonging the effects.
Benefits of Juvederm Hydrate
•Improves the hydration and elasticity of the skin
•Treatment area: Skin to face, neck, décolleté and hands
Packaging
•1 x 1ml syringe
•0.9% mannitol
•Two sterile 30G 1/6’’ needles
How long does the result last for?
Juvederm Hydrate results can last up to 3 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – JJuvederm® Ultra Smile
Juvederm® Ultra Smile is specifically formulated for the lips and mouth area. It is designed to enhance lip volume, redefine lip shape and to correct vertical lip lines, this can also be used to correct lines around the mouth, treatment of mid and /or deep depressions of the skin and lip definition and enhancement by injection by an authorized medical practitioner.
Characteristics
Juvederm® Ultra Smile is used to smooth wrinkles located between the nose and the corners of the mouth, and around the lips, specifically designed to give your lips a natural, smooth and sublime, with long lasting results, it can give you a natural looking appearance and redefine the border.
Benefits of Juvederm Ultra Smile
•Can be used to smooth wrinkles located between the nose and the corners of the mouth, and around the lips
•Creates a natural, smooth effect
•Enhances lip volume
•Redefines lip shape
•Corrects fine lines around the mouth
Packaging
•1 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine
•1 x 30G ½’’ needles
Fillers in Dubai – JJuvederm® Ultra 2
Juvederm® Ultra 2 is an injectable filler, which is used to treat superficial to moderate facial lines and skin depressions, usually those around the lips and eyes. Ultra 2 contains hyaluronic acid, which is a natural substance, its key property keeps the skin hydrated whilst adding plumpness. The product contains lidocaine to ensure a more comfortable injection.
Characteristics
Juvederm® Ultra 2 is a sterile pyrogen-free physiological solution of cross-linked hyaluronic acid which is not of animal origin. It treats depression of the skin and augments and volumises lips. The formulation is cohesive and flexible, for a controlled, precise injection for a homogeneous distribution in the dermis.
Benefits of Juvederm Ultra 2
•Lip augmentation
•Treats superficial to moderate facial lines and skin depressions
•Treatment area: mouth, lips, the corner of the eyes, close surface of the skin
Packaging
•1 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine
•1 x 30G ½’’ needles
How long does the result last for?
Juvederm Ultra 2 results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Ultra 3
Juvederm® Ultra 3 is a hyaluronic acid filler with a smooth and long-lasting formulation that can be used for filling mid and/or deep depressions of the skin. Juvederm Ultra 3 is primarily used to fill moderate to deeper facial wrinkles that occur around the nose and mouth (nasolabial folds and marionette lines). This can also be used to enhance lip contour and volume.
Characteristics
Juvederm® Ultra 3 treats medium to deep skin depressions and increases the volume of lips. Juvederm use an advance 3D technology matrix for greater durability (up to 1 year) and optimal capacity volume.
Benefits of Juvederm Ultra 3
•Used for filling moderate to deeper facial wrinkles
•Enhances lip contour and volume
•Treatment area: nasolabial folds, marionette lines, lip
Packaging
•1 x 0.55ml syringes with 24mg/ml hyaluronic acid and 0.3% lidocaine
•1 x 30G ½’’ needles
How long does the result last for?
Juvederm Ultra 3 results can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Fillers in Dubai – Juvederm® Volbella Lidocaine
Juvederm® Volbella Lidocaine is a dermal filler created with hyaluronic acid, for the lips and perioral area. It is designed for gently restoring lip volume and defining lip contours. Juvederm Volbella Lidocaine is a smooth gel that has been specifically developed to give a soft, natural result. It can be used for the treatment of the fine lines and medium-sized depressions of the skin via superficial or mid-dermis injection, as well as enhancement and pouting of the lips by injection by an authorized medical practitioner in accordance with local applicable regulation.
Characteristics
Juvederm® Volbella Lidocaine provides a natural appearance. Lidocaine is used to ensure a more comfortable treatment. This gel can also be used to treat superficial facial lines and wrinkles. This filler helps lips to receive a validated demonstrating efficacy up to 12 months in a single treatment, allowing patients to resume their daily lives faster.
Benefits of Juvederm Volite
•Increased volume of the lips
•For redrawing the outline of the lips to sublimate the definition
•For redefining the area of philtrum (cupid’s bow)
•For filling perioral wrinkles and marionette lines
•To increase lip volume for better symmetry
•To treat the corners of the mouth
Packaging
•1 x 1ml syringes with 15mg/ml hyaluronic acid and 0.3% lidocaine
•2 x 30G ½’’ needles (CE 0123)
How long does the result last for?
Juvederm Volbella Lidocaine results are instant from the first treatment and can last up to 12 months. The duration depends on the degree of correction required and the individual’s lifestyle, age and skin type.
Each product in the Juvéderm collection of dermal fillers adds volume to different areas of the face to lift cheeks, iron out wrinkles, smooth lines or plump the lips. The results are natural looking and long lasting. The Juvéderm collection of fillers is made from hyaluronic acid (HA). HA is a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume.
What are the Benefits of Breast Augmentation Surgery?
Breast Augmentation Dubai | 31 March 2019
Why do people have breast enlargement surgery?
People choose this operation for different reasons:
To enhance the body contour
To reconstruct the breast after previous breast surgery
To improve breast size or shape after having children
To balance a difference in breast size.
What are the benefits of breast enlargement surgery?
Perhaps you have always wanted larger breasts. Or you may want to enhance the shape of your breasts following pregnancy or weight loss. Breast augmentation patients often report psychological benefits following the procedure including:
Increased self esteem (self confidence)
Enjoy wearing new/fitted clothing
Feeling more feminine
Body balance, feeling breast are more in proportion with your body.
What kind of breast implant should I choose?
Based on your own needs I may also discuss and advise you on what implant might be best to use. All implants are made of an outer layer (shell) of silicone. They can be filled with silicone, salt water (saline) or both.The silicone used to fill the implant can be in the form of a liquid or gel (cohesive silicone). Liquid silicone and saline implants give a softer and more natural feel. Cohesive silicone implants give a firmer feel and can come in more shapes. Textured liquid implants with a simple round shape often give as good results as shaped cohesive-gel implants.
Is silicone safe?
Many studies have been carried out to find if silicone breast implants are safe. There is no evidence to suggest that women who have silicone breast implants are at a higher risk of getting diseases such as cancer and arthritis.
What happens during breast augmentation surgery?
Your operation is performed under a general anaesthetic (you will be asleep) and usually takes approximately an hour and a half. There are several options for surgical incisions:
Inframammary (the crease under the breast)
Transaxillary (the armpit)
Periareolar (the area around the nipple)
The type of incision used is based on the type of implant, the degree of augmentation (enlargement), your particular anatomy and patient/surgeon preference. I will usually place the implant in a pocket directly behind your breast as this gives the most natural result. However, if you do not have enough breast skin and tissue to cover the implant, I may recommend placing the implant behind the pectoral muscle.
Going home after your breast enlargement surgery
You should be able to go home the same day or the day after your surgery. You might be required to wear a special supportive bra for several weeks to help your breasts settle after the procedure. Everyone recovers at their own pace. However most women return to normal activities within two to three weeks. Depending on your type of job you should be able to return to work after the first week. You should be able to do a limited amount of activity, such as lifting young children, after about two weeks. It usually takes a few weeks for your breasts to look and feel more natural. The results of a breast augmentation usually last for a long time. The length of time a breast implant lasts will vary depending on an individual’s personal factors.
Why Choose Breast Augmentation?
Breast Augmentation Dubai | 26 March 2019
If you’re considering having breast augmentation surgery, it’s really important that you take time to think about it first. Find out about the procedure and if you decide to go for it, breast enlargement is a major operation.
Breast enlargement (or breast augmentation) usually involves putting an artificial implant either under the breast tissue or under the chest muscle behind the breast. You’ll probably have a general anaesthetic, and you may need to stay in hospital overnight. You’ll need to take between one and two weeks off work. You may still be able to breastfeed with breast implants, and silicone hasn’t been found in breast milk. Breast implants can interfere with mammography. If you’re going for breast screening, tell your radiographer or nurse that you have breast implants.
Why choose breast enlargement?
You may choose to have your breasts enlarged because you feel that they’re too small. Some women feel that their breasts are too small after losing weight or after a pregnancy. You may want to have a breast enlargement to correct a difference in size between your breasts. You may also consider breast implants if you’re having surgery to treat breast cancer or other conditions. This is because the size and shape of your breasts may be affected. I will discuss the size, shape and type of implants that are most suitable for you.
Getting advice about breast enlargement
It’s important not to rush into a decision to have any cosmetic procedure, including breast augmentation surgery. Spend some time looking into the type of surgery you’re thinking about. Before opting for a breast enlargement operation, discuss with me what you’re hoping to gain from the procedure. Ask about the result you can realistically expect and the risks and possible complications of the surgery. Remember, it’s OK to take a list of questions with you when you meet me. This is your chance to get all the information you need to make the decision whether to have surgery or not. I encourage you to take a few weeks as a ‘cooling off’ period before you go ahead with your surgery. If you still have questions, a second consultation with me may help.
Preparing for your operation
I will explain how to prepare for your operation. For example, if you smoke, you’ll be asked to stop. Smoking increases your risk of getting a chest and wound infection, which can slow your recovery. You’ll usually have your breast augmentation under a general anaesthetic. This means you’ll be asleep during the procedure. You’ll be asked to follow fasting instructions. This means not eating or drinking, typically for about six hours beforehand. However, it’s important to follow my advice. The operation may be carried out as a day case or you may need to stay in hospital overnight. Make arrangements beforehand to have someone drive you home afterwards.
I will discuss with you what will happen before, during and after your procedure, and any pain you might have. If you’re unsure about anything, ask. No question is too small. You don’t have to go ahead with the procedure if you decide you don’t want it. Once you understand the procedure and if you agree to have it, you’ll be asked to sign a consent form.
I will measure your breasts and assess their shape, your skin and the position of your nipples. I’ll probably draw on your breasts to mark the operation site. I may also photograph your breasts for confidential ‘before and after’ images.
What happens during Breast Augmentation Dubai?
Breast enlargement usually takes around one and a half hours. You’ll probably have a general anaesthetic, which means you’ll be asleep during the operation.
I will make incisions in the skin on your breast. The exact position of the cuts can vary. They may be in the crease under your breast, around your nipple or towards your armpit. I will then make a space for the implant. The implant usually lies under your breast tissue on top of your chest muscle, but is sometimes put under your chest muscle. There are pros and cons to putting the implant under or over your chest muscle. Putting the implant under your chest muscle reduces the chance of the edges of the implant showing. It may also reduce the risk of a complication called capsular contracture. However, it may mean you have more pain afterwards. I will discuss with you which method is best for you. I will close the cut with stitches (which may be dissolvable), and may wrap your breasts in a supportive dressing or support bra.
Recovering from breast enlargement surgery
You’ll probably need one to two weeks off work after breast enlargement surgery. How long you need may depend on what your job involves and what type of surgery you had. You shouldn’t do any strenuous exercise or lift heavy weights for around three to six weeks. I will give you advice about exercise, driving and returning to work in your particular circumstances – it’s important to follow this. You may be given some painkilling medicines to take home with you. If not, and you feel you need pain relief, you can take over-the-counter painkillers such as paracetamol or ibuprofen. Always read the patient information leaflet that comes with your medicine and if you have any questions, ask your pharmacist for advice.
Some women find it more comfortable to wear a sports bra for a month or so while they heal. Ask your surgeon whether they would recommend this for you.
Breast Augmentation Dubai
Breast Augmentation – Things to consider before your surgery
Breast Augmentation Dubai | 22 March 2019
During your consultation, you should aim to articulate your wishes for surgery and any concerns you may have. It is quite understandable that many patients will feel shy when discussing surgery; however, I will have spoken to hundreds of patients about similar issues and will do my absolute best to put you at your ease.
The more that you can prepare for your consultation, the more you are likely to get from it. Once you have booked your first consultation, you should try to doing a little “homework” by reading about the operation on the Internet. It is also often helpful to write your questions down; many patients comment that they remembered their most important question just as they were leaving the clinic.
What to expect
I will start the consultation by taking a medical “history”. You will be asked about any illnesses or operations you have had in the past, and any strong family history of illness. It is probable that this will start with questions about your concerns and expectations. If you are taking any medicines, you should be able to provide a list for me. You will also be asked about any allergies to medicines, dressings, latex etc. This will be followed by an examination where several measurements will be taken of the chest wall and the breasts. It is likely that pre-operative photographs will be taken after the examination. I will then discuss the surgery, its implications, limitations and any potential complications. You will then have a chance to ask any questions that you might have. If you are planning breast enlargement surgery, I will spend some time with you deciding on the size and style of the implants that will be used. Taking a friend or relative to a consultation can help put some patients at ease.
Things to consider before your surgery
Before booking your surgery date, it is important to consider events you may be attending in the near future, such as a wedding, holiday or work function. Please ensure you schedule your surgery as far away from these events as possible to give yourself time to make a full recovery.
Non Surgical Breast Enlargement
Breast Augmentation Dubai | 19 March 2019
I appreciate that many of my patients are interested in enhancing the shape and fullness of their breasts but would like to keep a natural profile and are not comfortable with the idea of implants, despite the huge progress that has been made in their manufacture and safety.
So it’s good to know all about what alternatives to breast implants are available and the variety of non-surgical breast enhancement techniques. Suction devices and other ‘natural’ alternatives may be suitable for patients who wish to avoid implants however I think you may be disappointed with the results.
Today, many women are opting for a very successful alternative – Fat Transfer, also known as Lipomodelling and a Natural Breast Enlargement. This is less invasive than inserting implants but more effective and long-lasting than other “non-surgical” procedures which do not tend to work. Fat Transfer is an implant-free surgical procedure carried out to add volume to an area of the body. This is not suitable for slim patients as you need to have plenty of access fat.
Fat is removed from an area of the body where it is in excess and transferred to an area that requires restoration or augmentation, this is designed to improve volume and change proportion and in most cases offers long lasting results. Breast enlargement with fat transfer is as an alternative to implants and may be used to increase the fullness of the breast by one cup size, balance cases of asymmetrical breasts (uneven breasts) or restore contours in cases of unevenness.
A ‘Natural Boob Job’ isn’t right for everyone. Unfortunately, I cannot consider patients whose body’s do not have sufficient fat resources. I will agree with you an area where you’d like to harvest fat from and discuss what breast enhancement outcome you may be able to achieve. It’s a win-win procedure. I am here to answer your questions and help you decide whether fat transfer is appropriate for you.
The perfect pout
Fillers in Dubai | 16 March 2019
What do Jennifer Lawrence, Scarlett Johansson, Jennifer Garner, and Kylie Jenner all have in common? The perfectly plump sexy pout that women of all ages are seeking. Lip augmentation procedures are currently a highly publicized and trending treatment thanks to these celebrities. Kylie Jenner’s lips alone overtook social media with her #KylieJennerChallenge, allowing us to now be more comfortable talking about these procedures. In the age of the selfie and duck faces, we are increasingly much more aware of the appearance of our lips. This has, in all senses of the phrase, created a perfect storm. It is no wonder that a record number are seeking lip enhancement procedures.
What traditionally consisted of patients with lip deficiencies from aging, ablative procedures or congenital abnormalities, now consists of a much younger age group that desire full, well-defined lips with enhanced volume and shape. While there are multiple permanent and nonpermanent options for lip augmentation, the most commonly performed and requested today are synthetic dermal fillers, the most popular of which are the hyaluronic acid (HA)-based fillers. HA is typically present in body tissues, such as the skin and cartilage and is, therefore, relatively safe when used appropriately by a trained healthcare professional. These fillers include, but are not limited to, Restylane, Juvederm Ultra, Ultra Plus, Voluma, Prevalle Silk, Perlane, and Belotero. Restylane Silk and Juvederm Ultra XC. These fillers generally last 6 months to one year, therefore, touch-ups will be required to maintain the desired appearance. Properties of fillers such as stiffness and viscosity, and surgeon preference are taken into consideration when choosing a filler. The benefits of the HA fillers are they allow improved control and gradual filling of the lips.
When is lip augmentation the right choice for you? If you desire a fuller lip or feel self-conscious about the appearance of your lips, you should seek out a consultation. There are many available options, so it is important to do your homework. Obtain a consultation by an experienced Plastic Surgeon who is trained in the safe use of these fillers, be open and honest about your desired lip, and you will be well on your way to that perfectly full and plump pout.
Breast augmentation – why cost shouldn’t be the first question you ask
Breast Augmentation Dubai | 8 March 2019
One of the most common questions regarding breast augmentation is “how much does it cost?” When you are looking to make a costly purchase of any kind, the cost is certainly an important factor to consider, but when your health and medical results are at stake, it shouldn’t be the only one. In fact, it should be far down the list, below patient safety and the quality of the results. Cheap surgery can end up being the most expensive procedure of all. Breast augmentation is real surgery, and although the complication rates are low, they are much higher in the hands of someone who isn’t well-trained or who cuts corners by operating in an unaccredited facility. The most extreme is to get bargain surgery in another country without rigorous safety regulations.
The basics of dermal fillers
Fillers in Dubai | 5 March 2019
Today both injectables and fillers are commonplace treatments to eliminate facial wrinkles. However, unlike injectables which temporarily paralyse active muscle, fillers are used to plump the problem area to lift and soften the appearance wrinkles. Injectable fillers can be used to plump the lips, enhance hollow areas of the face, soften fine lines and wrinkles, and improve the appearance of settled scars. Fillers are a great option for those with these aesthetic issues, but do not want to undergo an invasive surgery.
Ideal candidates for fillers are in general good health, do not smoke, and are realistic about the outcome of their procedure. It is important that patients understand what fillers can and cannot do for them so they are fully aware of the results. For example, fillers cannot achieve the same results as a facelift or a forehead lift. There are many different fillers available on the market today including Juvederm, Restylane, Perlane, Belotero, Bellafill and Radiesse.
Juvederm, Restylane, Perlane, Voluma and Belotero are hyaluronic acid (HA) fillers, which is a substance that occurs naturally in the body. Radiesse is not a HA filler, but is meant for the body to create volume through the use of the body’s own inflammatory process. Bellafill is a permanent filler. Because injectable fillers are minimally invasive, there is no scarring involved with treatment.
I also offer fat grafting injections as an option at my practice. For this technique, a patient’s own fat can be harvested from another location on their body to be used as a natural filler. If a patient has a substantial amount of fat on another remote location of the body, it can be liposuctioned to be harvested. Of course, this creates a secondary surgery site which may be associated with additional complications or scarring. It is best to determine during a consultation if this option is right for you.
When a patient desires a filler injection treatment, I will first evaluate the patient’s facial structure and skin tone to get a better feel for where the filler should be placed. I will then inject the filler into the designated areas. Most patients tolerate the injections well, though some do ask for a topical numbing cream to be applied beforehand. The entire injection process can take anywhere from 15 minutes to an hour, depending on the number of areas that need treatment.
After treatment, I recommend that patients use an ice pack to reduce any swelling that may occur. There is typically no downtime required after being treated with injectable fillers. With most treatments, the results are immediate, however, how long it lasts depends on the type of filler being used.