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Breast Augmentation Dubai – Answers to the Common Questions

Breast Augmentation Dubai | 10 April 2020

Below are some of the most common questions patients ask about breast augmentation.

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

How do you prevent rippling in breast implants?

The ideal option to prevent rippling is to decide preoperatively what type of implant you need and whether it should be placed above or below the muscle. The optimal way to prevent rippling, or at least minimize rippling, is to place the implant below the muscle, make sure there is adequate breast tissue and not oversize or underinflate an implant if you are using saline or silicone implants. Sometimes the use of silicone implants may be better, especially in patients with no breast tissue as well as placement below the pectoralis major muscle. If you are using saline implants make sure you maximally fill it and not overfill or underfill, as that can cause more scalping or rippling. If you underfill, it can cause more deflation in saline implants. Remember, one can almost always feel any implant in the lower outside quadrant of your breast.

Breast Enlargement – A Guide to the Operation

Breast Enlargement Dubai | 9 April 2020

Breast enlargement surgery is usually carried out under general anaesthetic. Most patients come to the clinic early in the morning on the day of their surgery. Your breast enhancement surgery will then take place later that morning or early afternoon that day. Patients can generally be discharged the same day however if your surgery is scheduled for the afternoon you may have to stay overnight before being discharged the next morning.

Depending on your specific type of procedure, surgery typically takes between 1 to 2 hours.

Possible Incision Areas

I pride myself on making the smallest and most concealed incisions possible, usually four to five centimetres long. There are three incision areas widely used for breast augmentation:

The infra-mammary incision (under the breast fold)
The circumareolar incision (around the nipple)
The axillary incision (in the armpit)
Each incision has its advantages and disadvantages. Your final choice needs to be discussed with me at consultation.

Inserting your breast implants

Your implants will be placed either under or over your pectoral muscle depending on several factors including the size of your breast, skin quality, and your breast shape. The position of the implant will have been decided prior to surgery at your consultations.

Implants placed under the muscle tend to give a slightly more natural upper ‘pole’ of the breast and possibly a lower incidence of capsular contracture (scar tissue that can develop around an implant and cause the breast to feel hard).

Subpectoral (under the chest muscle)
Subglandular (beneath your breast tissue)
Dual Plane (partly under the muscle, partly under breast tissue)
Closing your incisions

Dissolvable stitches are normally used to close the incision. Dressings will then be applied. I may place a drain on each side to remove unwanted fluid from around your implants. These are usually removed prior to discharge. Occasionally drains need to be left in place for a little longer.

Dermal Fillers FAQs: Dr. Matteo Vigo Answers Your Most Popular Questions

Fillers in Dubai | 8 April 2020

Dermal fillers are a non-surgical cosmetic treatment for adding volume to areas of the face, giving them a refreshed and more youthful appearance. If you’ve just had dermal fillers, or are thinking of having the treatment, you’ll find all the aftercare advice you need as Dr. Matteo Vigo answers your most common questions.

Latest figures show that lip fillers are becoming one of the most sought-after aesthetic treatments, so here is a summary of information about lip fillers or lip augmentation. Here’s your questions answered!

Q: How long does the procedure take?

Less than an hour. First, your injector will cleanse the area and apply a topical numbing cream which takes about 20 minutes to kick in have an effect. Then, the injections themselves take 15 to 20 minutes.

Q: Does it hurt?

When asked to describe the sensation, most people say it can be best described as an immediate pricking sensation, then uncomfortable pressure as the filler moves throughout the lips.

Q: Will they look good straight after?

You do see immediate volume, but you may see a few days of bruising and swelling.

Q: What about the side effects?

There can be some small bumps under your lips, though this is rare. They usually smooth out on their own within a week or two, but if not, your injector can remove them. While rare, more serious complications (like a blood clot) can occur.

Q: How do I take care of them after?

Gentle treatment without harsh products and no touching your lips for 48 hours after the injections. And hold off on exercise for a few days, as it speeds up your blood flow, which can break down the filler.

Q: How do I maintain them?

Touch-ups every three months to a year. Certain factors like filler consistency and lifestyle can affect longevity.

Q: What if I hate them?

Your doctor can dissolve the filler by injecting lips with the enzyme hyaluronidase. This can only be done two weeks after the filler was injected. If you are not sure about the level of volume less is more its far easier to add more filler than take it away.

Boob Job Techniques – Breast Enlargement

Breast Augmentation Dubai | 7 April 2020

It’s pretty amazing when you think about it: The first medical report of a breast augmentation surgery occurred 120 years ago. That’s more than 65 years before the silicone implant was invented!

In 1895 — to put that in perspective, Grover Cleveland was President of the United States, and Oscar Wilde was hanging out in a London prison — a German-Bohemian surgeon named Vincenz Czerny documented what is believed to be the first breast-reconstruction surgery, on a 41-year-old singer who was concerned about asymmetry after having a tumor and much of the surrounding tissue removed from her left breast.

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.

Breast Enlargement Dubai – Recovery & Aftercare

Breast Enlargement Dubai | 6 April 2020

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.

Botox: A Brief Guide to Botulinum Toxin

Fillers in Dubai | 5 April 2020

Botulinum Toxin (Botox ®) when injected into a muscle temporarily relaxes the muscle by blocking nerve impulses. As the nerve impulses are blocked the muscle is temporarily unable to contract so that dynamic wrinkles are not formed. This gives the overlying facial skin a softer, smoother and more youthful appearance.

What are Wrinkle Relaxing (Botox®) Injections?

Wrinkle relaxing injections are more commonly referred to as Botox®, short for Botulinum Toxin. Botox® itself is a registered trademark and brand name by the market leader, but other Botulinum Toxin products are available.

Whatever you call it and regardless of brand, Botox® when injected acts as a nerve block. So what really happens is your brain sends the message to the muscle to move, however the nerve can no longer respond as the Botox® has blocked the message being sent, resulting in a reduction in the movement of the muscle. This helps to reduce the appearance of lines and wrinkles, as these are caused by repetitive contractions of the muscle. It’s also used to relax tight muscles, which is more common in the lower face.

The thing to remember here is that this is only a temporary effect, eventually the Botox® wears off and the muscle starts moving as it did previously.

Is Botox® safe?

Botox® has been used in cosmetic procedures for at least the past 50 years – yes that’s right, it’s been around that long! Once reserved for the rich and famous due to its cost, it is now used widely mainly due to the reduction in the cost of treatments over the past 20 years. It is extremely rare for individuals to be allergic to Botox® or have anaphylactic reactions to it post injection.

What is Botox® used for?

More and more studies are carried out on Botox® every year and the list of the conditions it can treat almost seem endless, it is now known to significantly reduce facial scarring after trauma and also reduce psoriasis skin plaques; it really is a wonder drug. I use Botox® on both men and women to smooth out lines and wrinkles around the eyes, on the forehead and the glabella (between the eyebrows). I also use it to relax muscles around the lower jaw and smooth out the neck, this procedure is called the Nefertiti Lift.

You can also use Botox® to treat Hyperhidrosis,also known as excessive sweating. Although you can have the palms of your hands and the soles of your feet treated, the most common area tends to be the armpits. It’s a highly successful treatment that can significantly reduce the amount of sweat produced under the arm and for real sufferers of excessive sweating, this treatment can be a real lifesaver, especially during the summer months.

People also use Botox® to help alleviate the symptoms of migraines, unlike other headaches migraines are transmitted across the nerve endings of the forehead, by having Botox® in this area and blocking the nerve endings the migraine isn’t able to travel and for many people it will stop it altogether.

Are there any side effects to Botox®?

The most common side effects are slight swelling at the injection site, this is normal and shows that the Botox® has got into the muscle; these little bumps will go down within approximately 40 minutes. You may also have some redness around the injection site and you may get some bruising. If you do get bruising it is likely to be small pin prick marks which will may take up to 7 days to completely disappear. Some people do suffer with headaches post treatment, if you do just take Paracetamol or Ibuprofen as you would do normally.

One side-effect of Botox® that concerns people is something called a ptosis, these are related to injections of Botox® in the forehead when post treatment the brow drops and feels very heavy. Full ptosis is extremely rare, however what is more common is something called a partial ptosis, if you get a partial ptosis it is unlikely that anyone else will notice and it will resolve within about 4-6 weeks.

How quickly will I see results from a Botox® treatment?

You will start to see results about 4 days post treatment, however it could take 10-14 days for the full results to be seen. We expect to see a significant reduction in the size and the depth of the lines and wrinkles 14 days post treatment.

How long do the results last?

Typically results can last between 3-6 months, generally you start to see some muscle movement around 3 months post treatment, however it takes about 5-6 months for full muscle movement to return. Most people tend to have Botox® treatment every 4 months, the more you have it done, the longer the results tend to last.

Will Botox® make me feel numb?

No, everything will feel just as it did before, you will not have any reduced sensation in the area you’ve had treated. Some people have reported that their forehead feels “tight” and occasionally the brow may feel a little heavy, but these feelings are likely to reduce over the first 4-6 weeks following treatment.

How should I prepare for a Botox® treatment?

If you are concerned about bruising, or you tend to bruise easily avoid taking Aspirin, Ibuprofen and Vitamins for 3 days before treatment.

Breast Augmentation Recovery – What You Need To Know

Breast Augmentation Dubai | 4 April 2020

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.

Breast Enlargement / Breast Augmentation

Breast Enlargement Dubai | 3 April 2020

Breast augmentation surgery requires a general anaesthetic, with the operation taking 1-2 hours, and is usually performed as a day-stay or overnight-stay procedure. Following the surgery it is important to have restricted light activities, with no lifting or heavy duties for 7-10 days. Most patients may drive again and return to work within 10 days after the surgery. Heavy activities and sport should not be undertaken for 3-4 weeks following the surgery. Breast augmentation can enhance your appearance and your self-confidence, enlarging your breasts and making them more proportional with the rest of your body. Breast augmentation can also be used to correct differences in the size of your breasts or sagging breasts which can occur after pregnancy and breast-feeding. There are many choices and options in breast augmentation, which require careful planning to individualise which are the best options for you. All of these choices have advantages and disadvantages, which you should understand before you make a decision with your surgeon. Breast implants will make your breasts larger, but the underlying shape of your breasts will not change, and differences in the size and shape of your breasts may even be more obvious after the surgery.

A Brief Guide to Dermal Fillers

Fillers in Dubai | 2 April 2020

The most popular dermal fillers used today are made of a material using hyaluronic acid based products, such as those in the Juvéderm range manufactured by Allergan. These hyaluronic acid dermal fillers are non-permanent, meaning that they are reabsorbed into the body over time. Hyaluronic acid is a naturally occurring substance that is found in body tissues, and it has been used safely in general medical applications for several decades.

What are dermal fillers?

Dermal Fillers is the name given to products which can be injected into the skin to rejuvenate areas which have over time lost volume, however they can also be used to add volume to areas that we want to accentuate, typically the lips and cheeks. Commonly Dermal Fillers are composed of a substance called Hyaluronic Cross-Linked Acid (HA), which is something the skin naturally produces. (There are also other Dermal Filler products that use other products such as polylactic acid and calcium hydroxylapatite, but this post concentrates on HA)

How do they work?

Over time, our body reduces the amount of Hyaluronic acid it produces, which is associated with skin ageing. Hyaluronic Acid comes pre-packed syringes in a gel form, which is injected into the skin. This gives an instant plumping effect, however the Hyaluronic Acid also attracts approximately 500 times its own weight in water, which gives a secondary plumping effect and also gives the skin a really lovely rejuvenated and rehydrated appearance.

What areas can they be used to treat?

Dermal Fillers can be used to treat almost any problem area on the face, hands, neck and décolletage. Typically though they tend to be used for: nose to mouth lines, marionette lines (from the corner of the mouth to the chin), cheek enhancement, lip enhancement, smoker’s lines on the top lip or any fine line or wrinkles.

What are the benefits?

Dermal Fillers really do have anti-ageing properties, anecdotally people have said that even when the product has worn off the area that was treated never truly goes back to the way it was. This is because of the positive effect hyaluronic acid has on collagen and fibroblast production.

What is the difference between Dermal Fillers and Wrinkle Relaxing Injections?

I get asked this question a lot and I think it’s really important for the client to understand. Wrinkle Relaxing Injections consist of a neurotoxin Botulinum Toxin being injected into the muscle, which causes temporary paralysis of the muscle. Whilst the muscle isn’t moving, the skin is able to iron out and lines and wrinkles appear less obvious. The important thing is that word temporary; after 3-4 months the muscle will start moving again, with full movement returning around 6 months later. Hyaluronic Acid-based Dermal Fillers involve a completely natural product being injected into the skin to plump up areas which have lost volume or to areas that you want to accentuate.

Is it safe?

The Hyaluronic Acid used in Dermal Fillers is almost identical to what is created naturally by the body, so you would be extremely unlikely to have an allergic reaction to them. The most common side-effects include bruising, swelling and redness which typically clear up within 7-10 days. Less common side-effects can include migration of the product from the area it was injected, which can be easily fixed by dissolving the product with an enzyme called hyalauronidaise. Very rare side-effects can include granulomas, which are little lumps created by the body as a form of reaction to the Dermal Filler, and necrosis caused by the Dermal Filler being injected into a vein.

Breast Augmentation Recovery Tips

Breast Augmentation Dubai| 1 April 2020

Breast augmentation has been one of the most popular cosmetic procedures around the world for years and was the top surgical procedure in the United States last year. Many women report much higher levels of self-confidence and happiness following breast enhancement procedures, and report being extremely satisfied with the results of their surgeries. Before surgery however, learning what to expect post-surgery and how long it will take for a patient to feel completely recovered can help patients better prepare for what can be a life-transforming experience.

With an experienced plastic surgeon by your side, you can expect your breast augmentation recovery to go smoothly and quickly. In fact, many women are back to work and routine activities in three to five days. However, an easy recovery will depend on several factors, including how prepared you are to pamper yourself during those first vital days. Keep in mind these four tips for a healthy recovery following your breast augmentation.

Plan for assistance – While breast augmentation recovery is not extremely difficult, you will have just undergone major surgery. Therefore, for the first few days, you will be sore and tired. For six weeks, you should not do any heavy lifting, and this includes picking up children under 20 pounds. Plus, no driving until you are finished with all narcotic pain medications. It is recommended that you schedule assistance with household chores and with the children for the first 24 to 72 hours. Even just having a friend stop by each day to check in on you will be helpful.

Proper pain management – It is common to experience mild to moderate discomfort immediately after a breast augmentation procedure. Some women will feel pressure and tightness across their chest. Your doctor will prescribe a few days of pain medication to help you make it comfortably through the early recovery. However, many women find that after the first post-op day, they need nothing more than over-the-counter pain medications. Fill your prescriptions prior to the day of your breast augmentation, so that if you get home to find that you need pain or anti-nauseous medications, they are close at hand.

Get plenty of rest and sleep – Getting enough rest during your breast augmentation recovery sounds simple, but for some people, this is easier said than done. Make sure you have a quiet room set aside, as well as a comfortable bed to rest in, for the first few days. Have plenty of pillows, so you can prop yourself up at a comfortable angle. Some movies, books and magazines will help pass the time. You will be walking immediately after surgery, slowly regaining your strength. Just remember to listen to your body, getting plenty of sleep and relaxation, as you heal.

Have plenty of light, healthy foods and water at home – Before heading to the clinic for your breast augmentation, stock your kitchen with easy to prepare food and plenty of water. For the first post-op day, you may be nauseous from the anesthesia or not have much of an appetite, so soft, light foods are best. Make sure you have a healthy variety of foods on hand, to give your body energy and strength to heal over the following week. It is easy to become dehydrated during this time period, so drink water, water and more water.

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