In the News

Abdominoplasty – Keeping Your Results Looking Their Best

Abdominoplasty Dubai | 13 October 2018

The improvements made during a tummy tuck are meant to last — abdominal muscles will remain firmer and tighter and the excess skin will not return. However, future pregnancies or weight gain can negatively affect your results, causing the muscles or skin to stretch back out and become lax after returning to your normal weight. If you’re planning to have more children or you are still working on reaching your goal weight, it’s best to wait until you have achieved these milestones before having a tummy tuck.

When performed by a qualified cosmetic surgeon, a tummy tuck can be a life-changing procedure, helping you enjoy a slimmer, more youthful body that looks and feels better every day.

Dr. Matteo Vigo is a member of the International Society of Aesthetic Plastic Surgery (ISAPS) is the world’s leading professional body for board-certified aesthetic plastic surgeons.

See Dr. Vigo’s Abdominoplasty Dubai page.

Abdominoplasty Dubai | Dr Matteo Vigo

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Watch Dr. Vigo explaining the tummy tuck procedure here.

Abdominoplasty – A firm, flat abdomen is a hallmark of a beautiful body contour

Abdominoplasty Dubai | 6 October 2018

A firm, flat abdomen is a hallmark of a beautiful body contour. A tummy tuck, personalized to your needs, can help you improve your abdominal shape for years to come.

What is an Abdominoplasty / Tummy Tuck?

A tummy tuck tightens and reshapes the abdominal area, helping to achieve a more aesthetically pleasing, slimmer overall appearance. Having a flatter, firmer midsection can dramatically improve the way clothing fits and looks, helping you feel more confident and comfortable in your body.

During the procedure, the abdominal muscles are tightened and excess, sagging skin is eliminated, correcting a protruding belly and leaving the midsection flatter and better toned. Tummy tucks are popular procedure for men and women, particularly those whose bodies have undergone dramatic changes from weight loss or pregnancy.

Who Might Benefit from a Tummy Tuck?

The decision to have any cosmetic procedure is personal, and patients choose to have tummy tucks for a variety of reasons. The best candidates are at or near their ideal body weight, are non-smokers in good health, and have realistic expectations about what surgery can achieve for them. If any of the following describe you, a tummy tuck is an option to consider:

– Diet & exercise have helped you lose weight, but your abdomen still protrudes and lacks tone.

– Your abdominal muscles and skin are stretched and sagging following pregnancy.

– After losing significant amounts of weight, you now have loose, excess skin hanging around your belly.

– You have always had a belly that “sticks out,” even though you are in very good shape.

– A tummy tuck can help patients in any of these situations address what they don’t like about their shape and achieve a firmer, flatter abdomen.

Types of Tummy Tucks

No two patients start with identical concerns, nor will any two patients share the exact same goals. I will recommend the type of tummy tuck that will achieve your desired outcome and create natural-appearing results with the least scarring possible.

Mini-Tummy Tuck: Improves the Lower Belly with Less Extensive Surgery

Are you mainly bothered by a “pooch” or loose skin and stretch marks below the belly button? A mini-tummy tuck may be a good option for you. This technique involves a single incision made just above the pubic mound, through which your cosmetic surgeon will tighten loose muscles (flattening the “pooch”) and remove excess skin to restore a smooth, flat abdominal wall.

The resulting scar from a mini-tummy tuck is a thin, horizontal line that is typically just a few inches long. Benefits of a mini-tummy tuck include a shorter, less involved procedure, a quicker recovery, and a flatter, slimmer lower abdomen that looks better in swimsuits and fitted clothing.

Classic or “Full” Tummy Tuck: Improves the Upper & Lower Abdomen

Are you bothered by roundness and/or excess skin folds above and below your belly button? A full tummy tuck, which addresses the full length of the abdominal wall, may yield the best results. Through a horizontal or U-shaped incision, made above the pubic mound, I will remove excess skin and tighten the abdominal muscles. In some cases, a second incision is made around the navel to address excess skin above the belly button and achieve the most natural looking results.

The resulting scar from a full tummy tuck looks similar to that for a mini-tummy tuck, but will typically be longer, running from hip bone to hip bone. Even so, a full tummy tuck scar can usually be hidden beneath a swimsuit bottom. Benefits of a full tummy tuck include a much flatter, smoother abdomen, reduced appearance of stretch marks, and enhanced comfort in pants and skirts. You will also find that form-fitting dresses and swimsuits have a more flattering fit.

Extended Tummy Tuck: Improves the Upper & Lower Abdomen and Flanks

Have you lost a lot of weight and now have excess, sagging skin hanging around the front half of your body? Or, have you noticed significant laxity in your abdominal muscles following multiple pregnancies? An extended tummy tuck may be the best option to address your concerns. Although it involves a longer incision, an extended tummy tuck removes excess, hanging skin from the front (upper and lower abdomen) and the flanks, as well as tightens the abdominal wall.

The resulting scar from an extended tummy tuck can often be hidden by clothing, including many swimsuits, but it may not be entirely covered for some patients. Even so, many patients consider some visible scarring a worthwhile price for a much improved body shape.

Dr. Matteo Vigo is a member of the International Society of Aesthetic Plastic Surgery (ISAPS) is the world’s leading professional body for board-certified aesthetic plastic surgeons.

See Dr. Vigo’s Abdominoplasty Dubai page.

Abdominoplasty Dubai | Dr Matteo Vigo

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Watch Dr. Vigo explaining the Abdominoplasty Dubai procedure below.

Male Breast Reduction Surgery Dubai

Male Breast Reduction Surgery Dubai | 2 October 2018

Some men find that one or both breasts may be abnormally large. Known as gynaecomastia, this condition can result from a hormone imbalance or from being very overweight, which can increase levels of oestrogen and cause breast tissue to grow. Breast reduction surgery is an option for men with this condition. It may also be used to tighten the breast area after dramatic weight loss that has caused the skin to sag. However, it is not suitable for men whose large breasts are simply excess fat from being overweight.

What does it involve?

Breast reduction surgery is usually carried out under general anaesthetic. There are several techniques the surgeon could use, but generally the operation involves:

making a cut (incision) around the nipple

using liposuction to suck out excess fatty tissue

extending the cuts and repositioning the nipples if there is a lot of tissue to remove

The operation takes about 90 minutes. You usually need to stay in hospital overnight.

Recovery

It can take a few weeks to fully recover from breast reduction surgery. You may need to take a few days off work. It can take up to six months to see the full results. You will need to wear an elastic garment day and night for a few weeks after the operation. The length of time you need to keep the dressings on depends on how quickly your wounds heal. After one or two weeks, your stitches will either dissolve or be removed. You should avoid stretching, strenuous exercise and heavy lifting for up to six weeks after the operation. You can drive again when it’s no longer painful to wear a seatbelt, which may be several weeks.

Side effects to expect

It’s typical after breast reduction surgery to have:

sore breasts for a few weeks

scars – these may take several months to fade

Most men are just left with a scar around the nipple. But a large breast reduction operation may also result in a scar that runs down vertically and horizontally across the breast crease.

 

FAQ: Breast Augmentation

Breast Augmentation Dubai | 1 October 2018

Will breast augmentation dubai increase my risk of breast cancer?

This is one of the most frequently asked questions by women considering this surgery. Many studies have shown that women who get implants are not at an increased risk for getting breast cancer. In addition, implants do not delay the detection of breast cancer. Finally, breast implant patients who do get breast cancer have the same chance of obtaining remission, or being free of cancer for 5 years, as women without implants.

Am I too old for the surgery?

Many women in their 40s and 50s have undergone breast augmentation dubai surgery with good results. The most common patient for this surgery is a woman in her 30s with two children who has been considering this operation for many years. Whatever your stage in life, we encourage you to schedule a consultation to find the best path toward your cosmetic goals.

Should I wait until I am done having children to have breast augmentation dubai?

Pregnancy will change the size and shape of a woman’s breasts whether she has implants or not. These changes may adversely affect the cosmetic appearance of any augmented breast. It is usually recommended that pregnancy be postponed until 6 months after the surgery. Breast-feeding with implants is still possible and has been shown to be safe for the baby and the mother.

Will breast augmentation dubai work for me if I feel my breasts are sagging?

Women with sagging breasts, which is called “ptosis”, can also receive breast implants. Depending on how much the breast sags, an additional surgery may also be necessary. For breasts with nipples that droop below the lower crease of the breast, a breast lift surgery, or mastoplexy, is often required as well. This surgery will also add scars all the way around the nipple-areola unlike most breast augmentation surgeries. Without this additional surgery to remove excess skin, placement of the implant may not adequately correct the sagging.

How do I choose my new size?

This is often one of the most difficult decisions, and for many reasons, has the most potential for disappointment. During your consultation, I will work with you to identify what size of breast you desire from augmentation. “Breast size” as measured by bra-size is variable and is often not a good way to measure final size. As a general rule, every 125-150cc of implant volume equals an increase in a single cup size. However, every patient’s body is different, you can set obtainable and healthy expectations together. It is helpful for you to bring in a bra the size you would like to be to help in finding the right sized implant for you.

Will my nipple sensation or feeling change?

Most women will have loss of some feeling or sensation following breast augmentation dubai surgery. For most of them, this lasts 6-12 months before returning to normal. 15% of women, however, have permanent alterations in nipple sensation.

How long until I can exercise?

It is recommended that patients begin walking immediately after surgery. However, women should not perform any intense physical exercise for six weeks following the operation. Physical exercise including weight lifting, biking, jogging, and other forms of intense activities may cause implants to shift position or cause wound healing problems that may alter the appearance of the breasts after surgery.

When can I return to work?

This depends on your job and its physical demands. Some general guidelines are: Upper arm movements, like reaching, should be avoided for the first 1-2 weeks. Lifting anything heavier than 5 pounds should be avoided for 6 weeks after the operation. This lifting restriction may prevent some women from returning to work.

How much pain can I expect?

The pain from breast augmentation dubai surgery is usually in the moderate range and generally can be well controlled with medication in the first 1-2 weeks following the surgery. It is important to note that severe or untreatable pain following surgery can mean infection or another complication.

When can I drive?

Women may start driving a car one week after surgery as long as they are not taking any pain medications.

Will the new implants affect my physical functioning, can I lift heavy objects?

It is unlikely that you will experience long term changes in physical functioning. Depending on the size of the implant, most women find no trouble performing most physical activities following the surgery. Weight lifting or lifting heavy objects will not affect the implant once the area has properly healed.

Can I breast feed after augmentation?

Yes. Placement of the implant below the breast tissue, as in subglandular placement, does not affect the ability of the breast to produce milk. Similarly, submuscular placement, or implant placement below one of the chest muscles preserves proper breast functioning. With the peri-areolar incision, an increased risk of breast-feeding problems may exist. In one study, 7/8 patients reported problems with breast-feeding following peri-areolar breast augmentation surgery. For women who choose the infra-mammary or trans-axillary incision, (incisions under the breast and through the armpit), breastfeeding is usually not a problem. Be sure to discuss your breast feeding needs with your surgeon during your consultation.

Will I need additional surgeries?

Sometimes additional surgeries may be required for breast augmentation dubai patients. To reach optimal symmetry, you may desire follow up breast lifts or other supporting procedures. Additional surgeries may be needed if you face any complications during your augmentation, like implant rupture or capsular contracture. In addition, implanted breasts will age just like any other body part and in the future some woman choose to have additional operations to correct the results of gravity and aging. During your consultation, you and your surgeon should discuss the possibility of additional procedures after breast augmentation.

Breast Augmentation Dubai | End

Abdominoplasty Dubai – A Patient’s Guide

Abdominoplasty Dubai | 1 October 2018

There are a variety of abdominoplasty, or tummy tuck, procedures available, and operations can be tailored to suit a patient’s wishes and needs. Generally speaking, however, tummy tucks are most commonly carried out to remove excess skin, unwanted scars, stretch marks and fat, and to tighten the stomach muscles. The ideal patient is someone whose weight is normal, particularly those who have been overweight and have lost the excess weight. Abdominoplasty is not an operation for people who are overweight, or as an attempt at losing weight. In appropriate patients abdominoplasty can have a very marked effect and is associated with high patient satisfaction.

Full abdominoplasty
For patients who have significant skin laxity, excess fat and separation of the muscles, a classic tummy tuck is the most common procedure. Performed under general anaesthetic, this operation can require patients to be in hospital for two or three days.

During the operation, an incision is made from hip to hip and around the umbilicus. The excess skin and fat is excised from the umbilicus to just above the pubic hair. The muscles above and below the umbilicus are tightened. The skin is then sewn up to give a circular scar around the umbilicus and a long scar across the lower abdomen. Although this operation leaves a large scar, it does provide the greatest improvement in abdominal shape. Patients who are thinking about becoming pregnant should not undergo this procedure, and should wait until they are sure they are not having any more children.

Mini abdominoplasty
For patients with only a small amount of excess skin a lesser abdominoplasty might be appropriate. A general anaesthetic is still needed.

During the operating, a wedge of skin and fat is excised from the lower tummy leaving a horizontal scar above the pubic hair. Sometimes the muscles will also be tightened. No scar is left around the umbilicus, which may be stretched slightly to become a different shape. A mini abdominoplasty will give a smaller effect than a full abdominoplasty.

Liposuction
Liposuction can sometimes be done at the same time as the abdominoplasty. However, liposuction can be recommended instead of an abdominoplasty for younger patients who have good quality, elastic skin and whose main problem is a localised excess of fat.

A general anaesthetic is most commonly used, but treatment can often be as a day case. During the procedure, small incisions are made, excess fat is removed and the wounds are then closed. Some degree of skin tightening or shrinkage can be expected as well, but the results of liposuction can sometimes be unpredictable. Liposuction alone will have less effect than abdominoplasty.

Dr. Matteo Vigo is a member of the International Society of Aesthetic Plastic Surgery (ISAPS) is the world’s leading professional body for board-certified aesthetic plastic surgeons.

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Watch Dr. Vigo explaining the tummy tuck procedure here.

 

Beneath your current face lies a secret one. A much more wrinkle free younger version of you

Fillers in Dubai | 28 September 2018

Are they safe?

Dermal fillers by nature are an extremely safe procedure and a leading option to restore and restructure facial volume.

What are the risks?

Risk is minimal compared to invasive surgical treatments which require cosmetic / plastic surgery, however it’s not uncommon to experience minor side effects as dermal fillers are injection based treatment and pierce the facial skin direct.

What are the side effects?

A side effect can be very light bruising. Lasting up to three days, medically this bruising process simply occurs as healthy bloodstream works to instantly treat the broken skin tissue and live wound – the process induced via the needle injecting point. This is temporary and lasts normally anything from 3 days up to a week. It should be noted that other interference issues may also provoke bruising including medications, lifestyle and alcohol. Swelling and redness may also appear. Normally a side effects which only lasts a few days.

Is filler permanent and how long can it last?

No, the filler itself is temporary and lasts anything from twelve months up to eighteen. Our skins natural collagen goes through a degradation – break down – process as we age. This applies to the collagen barriers surrounding the filler. They evaporate, and this in turn provokes the eventual gradual break down of the dermal filler.

 

DERMAL FILLER AFTERCARE

Fillers in Dubai | 23 September 2018

WHAT TO EXPECT DIRECTLY AFTER YOUR DERMAL FILLER TREATMENT

Post treatment there may be some tenderness, redness and swelling to the site, this is very normal and will subside, usually within a few days.

No recovery time is required after facial filler treatments and you can return to day to day activities straight away.

Occasional bruising can occur; it is usually short term and lasts a few days.

 

AFTER TREATMENT ADVICE

Avoid wearing make-up for 12 hours after your wrinkle filler treatment

Avoid extreme temperatures until redness and swelling subsides – no saunas, steam rooms, sun beds or sun exposure

Avoid strenuous exercise for 24 hours post treatment

Avoid alcohol for 24 hours minimum post treatment

Avoid manipulation of the treated area

Facial filler treatments are normally recommended every 6-12 months.

What is the difference between Wrinkle Injections and Dermal Filler injections?

Fillers in Dubai | 17 September 2018

Although both are classed as injectable treatments there is a big difference between Wrinkle Injections and Dermal Fillers.

Wrinkle injections work to relax the muscle that causes the wrinkles to appear whereas Dermal Fillers fill the treated area with Hyaluronic Acid which adds volume and reduces the appearance of lines, wrinkles and sunken areas of the face. Both treatments can be highly effective in reducing the appearance of lines and wrinkles and I suggest that you visit me for a consultation where I will be able to help you decide which treatment is best for you.

Facial Ageing Process

Fillers in Dubai | 7 September 2018

Lifestyle factors – Skin aging process is influenced by both intrinsic and extrinsic factors. While degradation of collagen and elastin fibers as well as the reduced quality of the body’s own hyaluronic acid are mainly genetically encoded, there are extrinsic or lifestyle factors which we all can control to a certain degree to reduce skin ageing. Smoking and drinking, excessive sun exposure and stress, can all speed-up the biological clock. However, of all these aging factors sun damage by UVR poses the greatest threat. Restylane products cannot turn back the passage of time. However, they can restore skin hydrobalance and improve the skin structure and elasticity, as well as fill out wrinkles and folds and restore facial volume.

Facial aging – Facial aging is due to changes in several types of tissue, including skin, fat, muscle, and bone. Changes in any one of these structural layers affects the other layers.

Skin – As skin ages, the middle layer of skin (dermis) thins due to collagen loss. The skin’s ability to retain elasticity (from elastin) and moisture (from hyaluronic acid) also reduces with age. Due to this loss of elastin and hyaluronic acid, the skin becomes:

Drier

Less elastic

Less supple

Thinner

Fat – In the face, fat is organized into fat pads. As we age, the fat is lost or redistributed, and the fat pads shift relative to each other. Over time, bony features, lines, and wrinkles become more visible.

Bone – There is a significant loss of facial bone with age. Aging of the craniofacial skeleton may be due to changes in the relative dynamics of bone expansion and bone resorption. Bone recession leads to thinner bone, removing structural support for the overlying tissues. This loss of support contributes to sagging and droopiness and noticeable changes in the other layers of overlying soft tissue and skin.

Types of Fillers & How They Work

Fillers in Dubai | 3 September 2018

Unlike botulinum toxin injectables—such as Botox, Dysport or Xeomin – which impact the way muscles move in your upper face, dermal fillers are meant to “take up space” just under the skin to fill in lines and restore volume lost to aging.

HYALURONIC ACID DERMAL FILLERS

Hyaluronic acid dermal fillers are well-loved for their long-lasting, natural-looking results. Here’s the lowdown on hyaluronic acid fillers like the Juvéderm family of fillers, Belotero Balance and Restylane Lyft.

For the science buffs: hyaluronic acid (HA) is a glycosaminoglycan found in epithelial, neural, and connective tissues in humans. For the rest of us: HA is a carbohydrate that naturally occurs in the body. Because it attracts water, HA helps keep skin lubricated, supple, and youthful-looking. The dermis (deepest layer of skin) is composed of hyaluronic acid and collagen—and as we age, our reserves of both are naturally depleted.

The reason HA makes such a powerful ingredient in dermal fillers is the way it interacts with the moisture in your skin. In gel form, HA will swell when combined with water, which ultimately smooths and fills lines and wrinkles while restoring natural-looking volume. The HA used in dermal fillers is either synthesized using bacteria or derived from animals, such as rooster comb. Because it mimics the HA already in our bodies, there is very low risk of adverse reaction.

Thanks to advancements in our understanding of the aging process, how hyaluronic acid works, and the quality of available dermal fillers, we are able to provide more consistent, longer-lasting results. Often, the hyaluronic acid in dermal fillers has gone through a crosslinking process, where the molecules have been chemically bonded to help them last in the body for longer periods of time.

Not all hyaluronic acid fillers are the same, and certain products are better-suited to addressing certain concerns. The consistency, size of the hyaluronic acid molecule, and how the molecules are bonded all impact where a filler works best and how long results will last.

NON-HYALURONIC ACID FILLERS

While hyaluronic acid fillers may be popular, they’re not your only option—and sometimes an alternate product will provide you with better results. Non-hyaluronic acid fillers are composed of a variety of ingredients ranging from collagen to mineral compounds. Often, these products provide a two-fold benefit: they physically fill in lines and plump up the skin in addition to helping your body make more collagen for a fuller, healthier look.

While you can likely expect nice looking results from any of the products, it’s important to be open with your provider and provide clear information about your expectations and any allergies you may have. It’s also worth your while to ask what can be done if you do not like your results – unlike hyaluronic acid fillers, the above fillers cannot be “undone” by anything other than time.

POPULAR DERMAL FILLER BRANDS

The Juvéderm family of fillers include multiple formulations specifically designed for treating different areas of the face and addressing a variety of concerns. All Juvéderm products contain lidocaine to help ensure treatment is as comfortable as possible.

  • Juvéderm XC instantly softens the appearance of moderate to severe creases on the mid- and lower-face for up to a year.
  • Juvéderm VOLLURE XC is a firmer, crosslinked gel that is ideal for smoothing deeper wrinkles around the nose and mouth for over a year. It uses Juvéderm’s patented VYCROSS technology (a particular ratio of large and small HA molecules) to create a very smooth result that is still durable enough to handle the movements of the lower face beautifully. VOLLURE is great for treating smile lines, marionette lines, and nasolabial folds.
  • Juvéderm VOLUMA XC is used to restore volume in all three areas of the cheeks and create a youthful contour in the midface. It provides a subtle lift, helping patients look noticeably younger, for up to two years.
  • Juvéderm VOLBELLA XC can subtly enhance lip volume, improve lip definition, and soften vertical lip lines. It has a lower concentration of HA in differently weighted particles to ensure it is soft enough to provide very natural results but durable enough to last at least a year.

Like Juvéderm products, Belotero Balance is formulated with hyaluronic acid and designed to fill in creases and correct age-related volume loss. What makes these two products different is their crosslinking, how cohesive the product is, and the firmness of the gel. Belotero is less viscous and thus able to spread to all the small areas of the dermis, which is why it is often recommended for treating “etched in” creases.

Restylane Lyft, on the other hand, is a denser hyaluronic acid gel with a higher molecular weight, meaning it’s a good option for treating deeper nasolabial folds, filling in severe lip lines, and adding volume to the cheeks.

Bellafill fills in lines and improves the appearance of scarring for up to five years. It contains a mixture of collagen gel and polymethyl methacrylate (PMMA) microspheres to improve wrinkles in two ways: it physically restores volume and plumps deep wrinkles and scars as the product rests under the skin and it provides an internal support structure to prompt your body’s natural collagen production. That means that while you’ll see see instant results, your skin will look and function better long-term and results will improve with time.

Radiesse contains calcium hydroxylapatite, which is a mineral compound found naturally in human bones and cartilage. When injected, it quickly acts to replenish lost volume while simultaneously prompting collagen production for lasting improvement. Radiesse can be mixed with lidocaine to reduce discomfort during injection. In addition to correcting facial wrinkles, Radiesse is often favored for hand rejuvenation.

Sculptra is an injectable poly-L-lactic acid that works by stimulating collagen production, restoring your skin’s inner structure, and increasing volume subtly and gradually over time. Sculptra is unique in its ability to provide improvement for at least two years after a treatment course of three to four injection sessions.

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