What are Fillers Made With?
Fillers in Dubai | 24 May 2019
What are Fillers Made With?
There are a variety of FDA approved filler products that cosmetic surgeons use. In general, fillers are categorized by the substance they are made from. A note for your safety: always make sure that you are receiving FDA approved, brand name fillers, which are only available through a licensed physician, such as a board certified cosmetic surgeon.
Hyaluronic Acid (HA)
Hyaluronic acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment. FDA approved HA fillers include:
Juvéderm products: Juvéderm XC, VOLUMA, VOLBELLA, VOLLURE
Restylane products: Restylane, Restylane Silk, Restylane Lyft, Restylane Refyne, and Restylane Defyne
Belotero Balance
Calcium Hydroxylapatite (CaHA)
Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. When used in a filler, the calcium particles are nearly microscopic and suspended in a smooth gel. The consistency of a CaHA filler is typically thicker than that of a hyaluronic acid filler and typically last longer as well, about 12 months for most patients. Calcium hydroxylapatite is also reported to help stimulate natural collagen production, and it is typically used for deeper lines and wrinkles. FDA approved CaHA fillers include Radiesse®.
Poly-L-lactic Acid
Poly-L-lactic acid is a biocompatible (meaning it is safe to use in the body), biodegradable synthetic substance. It has been used for many years in medical devices, such as dissolvable stitches. Poly-L-lactic acid products are technically classified as “collagen stimulators,” as their main mechanism to smooth fine lines is by helping your skin rebuild natural collagen—the filler gel itself dissipates a few days after treatment. Poly-L-lactic acid is typically used to treat deeper facial wrinkles, and results can last more than 2 years. FDA approved Poly-L-lactic acid fillers include Sculptra® Aesthetic.
Polymethylmethacrylate (PMMA)
Polymethylmethacrylate (PMMA) is a synthetic, biocompatible substance that has been used in medicine for much of the last century. In dermal fillers, PMMA takes the form of a “microsphere” or tiny ball, that remains beneath the skin indefinitely to provide continued support. PMMA fillers will also contain collagen, a naturally occurring substance in the skin that provides structure and firmness. FDA approved PMMA fillers include Bellafill® (formerly known as Artefill).
Autologous fat injections (facial fat grafting)
Autologous fat injections are the only injectable filler treatment that requires surgery, but results can last for many years. Your own fat is harvested from another area (autologous means “from the same person”), typically using liposuction. The fat is then purified and injected into the face to help restore volume to the cheeks, temples, lower eyelids, or other areas. Fat injections require specialized training to perform safely and achieve great results, and should only be performed by an experienced, board certified cosmetic surgeon.
Blepharoplasty – Options for Eyelid Lift Surgery
Blepharoplasty Dubai | 22 May 2019
Eyelid lift surgery actually encompasses a number of different surgical techniques; which techniques a cosmetic surgeon will use depends on a patient’s anatomy and the particular changes that need to be made to achieve a patient’s goals. For any given patient, an eyelid lift may include upper eyelid surgery, lower eyelid surgery, or both.
Upper Eyelid Surgery
Do you feel like your eyes always look tired, as though you are unhappy or less alert than you feel? Do your upper eyelids seem to lack contour or obscure your upper eyelashes? Sagging, wrinkled skin on the upper eyelids can cause this type of appearance, and upper eyelid surgery can help remove the excess skin and restore a naturally youthful shape to your eyelids and a more open, refreshed appearance to your eyes. Upper eyelid surgery typically involves an incision made in the natural crease above the eye, through which your cosmetic surgeon will remove a precise amount of excess skin and fat and/or adjust the surrounding muscles to make the desired improvements.
Lower Eyelid Surgery
Do you have puffy, sagging “bags” beneath your eyes that make you look as though you haven’t slept well, even though you have plenty of energy? This is likely due to herniated fat that collects beneath the eyes. While this can become more pronounced over time as skin loses elasticity, puffy lower lids can occur in patients as young their twenties, causing them to look much older than they actually are. Lower eyelid surgery can be an excellent solution to correct eyelid bags. There are a variety of surgical techniques that cosmetic surgeons can use to improve the lower eyelids; incisions are generally located on the outer edge of the lower eyelid, just beneath the eyelashes or inside the eyelid. Your cosmetic surgeon will explain the approach he or she determines is best for you. Through the incisions, your cosmetic surgeon will remove or reposition fat to create a smooth, natural contour beneath the eyelid. Depending on the case, excess, sagging skin may be removed or the lower eyelid muscle may be tightened to provide the most natural, effective results.
Combining Eyelid Surgery with Another Procedure
If you are like many patients, you may want to address aging in a few different areas of your face. While eyelid surgery alone can significantly rejuvenate your appearance, it’s quite common to have a facelift, brow lift, or both performed in conjunction with an eyelid lift to achieve more comprehensive facial rejuvenation. A brow lift will address sagging skin and deep furrows above the eyes, while a facelift will address jowling, sagging, and wrinkles on the cheeks and neck.
Learn about injectable dermal fillers
Fillers in Dubai | 18 May 2019
Did you know that many visible signs of aging can be traced back to volume loss? As facial tissues thin out, lines become etched around the nose and mouth and cheeks look a little hollow. Dermal fillers can replace lost volume to help smooth wrinkles, plump the lips, and restore a more youthful appearance.
What are Injectable Dermal Fillers?
Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases, or enhance facial contours. More than 1 million men and women annually have choose this popular facial rejuvenation treatment, which can be a cost-effective way to look younger without surgery or downtime.
How Can Dermal Fillers Enhance My Appearance?
While dermal fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address:
– Smooth out lines around nose and mouth (a.k.a. marionette lines, smile lines, and parentheses)
– Enhance & restore volume to sunken cheeks or temples
– Diminish vertical lip lines
– Plump & enhance the lips
– Smooth out a chin crease
– Improve symmetry among facial features
What are Fillers Made With?
There are a variety of FDA approved filler products that cosmetic surgeons use. In general, fillers are categorized by the substance they are made from. A note for your safety: always make sure that you are receiving FDA approved, brand name fillers, which are only available through a licensed physician, such as a board certified cosmetic surgeon.
Hyaluronic Acid (HA)
Hyaluronic acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment.
Which filler do I need?
With so many dermal filler products on the market, it can be difficult to know which option is best for you without an experienced cosmetic surgeon’s guidance. Each product is uniquely formulated to have a certain texture, density, and injection depth, which means that certain fillers work better for certain areas of concern.
What Is Blepharoplasty?
Blepharoplasty Dubai | 11 May 2019
Blepharoplasty is one of the most commonly performed functional and cosmetic facial plastic surgical procedures. It is generally a safe and effective aesthetic treatment, which in the right hands, will offer significant improvement in appearance with a low risk profile. Blepharoplasty deals with the contours of the upper and lower eyelid space. In the upper eyelid, it concentrates the region between the eyebrow and the eyelashes. Lower eyelid blepharoplasty focuses on the area between the eyelashes and the cheek. In essence, this procedure concerns the removal of excess skin and muscle from these areas and either reduces or repositions the underlying fat to a more youthful configuration.
Understanding Ageing Changes Around The Eyes
The way that the eyelids change is complex. The skin changes are often the earliest signs. With age, the elastic fibres within the skin tissues are lost leading to a loss of resilience and sagging appearance of the skin. As the skin ages, the underlying orbicularis oculi muscle also loses tone and becomes loose with redundant bulk of muscle. A significant exacerbating factor is the forward movement of fat from the eye socket. This fat is normally retained by the orbital septum, which weakens with time and then allows fat to herniate forward causing the tell-tale bulges in the inner aspect of the upper eyelid and also lower eyelid bags. Another key ageing change is descent of the midface. A youthful lower eyelid harmoniously shares a contour with the cheek. The ageing lid often becomes disjointed from the cheek as the midface descends. These change are illustrated in the adjacent image. A final hallmark of the ageing eyelids is loss of volume. A youthful face is full of volume which is lost with age, causing lines and hollows and sometimes a gaunt appearance. It is often important to correct the midface descent and volume loss. Although this are all natural ageing changes, they are accelerated by smoking, sun exposure and hereditary factors.
Rejuvenative cosmetic surgery of the upper third of the face
Cosmetic Surgery Dubai | 9 May 2019
A brow lift is a popular procedure for rejuvenation of the forehead and eyebrow; otherwise referred to as the eyebrow lift or forehead lift. It is carried out to correct the signs of ageing, in which forehead creases and the descent of the brow has caused a worn-out or aged look. This can also occur in younger patients, leading to crowding of the eyebrow/eyelid complex giving a tired, concerned appearance. By crowding the eyelids, it can also make the upper-lid skin appear hooded, giving the impression of excess skin. The contour of the brow also changes with loss of its natural arc.
Repositioning the brow and forehead not only raises the brow and enhances the eye area, but also restores the youthful shape to the browline. The aim of surgery is to restore the natural appearance of the upper facial area, which looks in line with the rest of the face.
Why undergo brow lift treatment?
Brow lifting is usually performed as an adjunct to upper lid blepharoplasty as a ‘Blepharoplasty Plus’ procedure . In appropriate patients, it can allow for a significant additional boost and enhancement of the blepharoplasty result. Brow lifting is not only performed for aesthetic reasons. In many cases, the drooping of the brow can actually affect vision and appropriate brow lifting can improve the lateral visual field significantly.
Breast enlargement can give women a fuller, firmer, better-proportioned appearance
Breast Enlargement Dubai | 7 May 2019
Breast enlargement can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned appearance through the placement of implants. Women may chose to undergo breast enlargement for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy, surgery or weight loss. There are a number of procedures available with regard to positioning of the implant (above or below the pectoralis muscle) and the types of incisions used (axillary approach, infra-mammary or through the areola). Furthermore, implants vary widely in shape, size and firmness. The choice of implant and procedure is best reached in consultation so that individual circumstances may be taken into account.
Anatomical breast implants
In most cases, anatomical implants will provide the best results for women seeking natural-looking breast enhancement, as they can be used to customise breast shape as well as volume. The extensive number of shapes and sizes manufactured offers opportunities for individualisation to an extent that is beyond what can be obtained with traditional round implants.
Breast enlargement consultation
I believe that any breast enlargement patient undeniably deserves the best treatment possible by being shown what their new body could look like before they go for surgery. My newly introduced Crisalix simulator offers patients 3D images of superior accuracy by integrating the latest advancements in 3D technology, similarly to what is used for box office motion picture animations as well as sophisticated 3D architectural visualizations and video games. The new simulator introduces state-of-the-art scientific algorithms which go to a level of detail and depth of perception never achieved till now. The shape of the implant in the body can be reproduced with exceptional precision, thereby enabling patients to clearly express their desires and expectations and communicate more effectively with me.
The breast surgery consultation is an analytic and scientific process based on mapping and measurement of chest shape and available breast tissue. It is a completely personalised approach, taking into account a woman’s general body proportions, occurring natural asymmetries and her aesthetic preferences.
Candidates for breast enlargement
Most women for breast enlargement are aged between 20 and 60, though as treatments are gentle to the breast tissue, surgeries can be performed at any age. If required, breast augmentation may be combined with other procedures such as a breast lift or correction of inverted nipples.
Facial rejuvenative procedures
Cosmetic Surgery Dubai | 5 May 2019
There may be various reasons to seek facial cosmetic surgery. These include dissatisfaction with naturally-given features, congenital problems, the wish to camouflage scars, or a desire to reverse the changes that have occurred due to ageing or life events. I provide the full range of facial rejuvenation procedures, including facelift, neck lift, brow lift, fat transfer, eyelid and ear surgeries. Due to my expertise, as well as our specialised technologies and instruments, I have been able to refine treatments for all areas of the face. Approaching the face as a whole – underlying topography, soft tissues and skin – we often find that more can be achieved with a lighter application of several complementary surgical treatments in combination, rather than a single ‘all-out’ procedure. Furthermore, we perform facial surgeries that respect the balance of proportions and concentration of character within an individual’s face – the aim is to rejuvenate and refine, not to exaggerate. Fundamentally, our skill lies in the provision of understated solutions that refresh and restore.
An overview of facial rejuvenative procedures:
Eyelid surgery
The eyes are the most important aesthetic component of the face – for this reason eyelid procedures are among the most efficient ways to obtain significant aesthetic improvement to the face with relatively light surgery. Whether the goal is to remove excess tissue or enhance shape and volume, I use advanced methods that conserve muscle and respect eyelid function.
Face and neck lift
A face and neck lift is the most efficient method for reversing the effects of gravity and ageing in the mid and lower portions of the face. This procedure will elevate the soft tissues in the cheek and mid-face, reduce jowls and provide a cleaner and more defined jawline. I provide highly specialised facelifts, repositioning the deeper layers to achieve a long-lasting rejuvenation and three-dimensional contouring – without stretching the skin.
Brow lift
The brow lift is used for rejuvenation of the forehead and areas adjacent to the eyes, reversing the effects of sagging, asymmetry and heavy creasing. It provides a graded and precisely adjusted lift, yet is gentle to the forehead and leaves only minor scarring that is hidden behind the hairline. As the brow lift has a pronounced rejuvenating effect to the forehead and eyelids, the procedure is often used to complement facelift surgeries in order to get a balanced result across the full face.
Treatment for facial and eyelid hollowness
Fat transfer, or surgical grafting, is used alongside the repositioning of soft tissues to re-volumise hollowed areas and restore structural integrity to the face. Using one’s own fat cells, this technique has a wide application and may be effectively combined with other procedures, such as face lift and eyelid surgery. It is used effectively to counteract gravity by offering a light lift, and deliver smooth and youthful contours.
Separation of the rectus abdominis muscles following childbirth
Cosmetic Surgery Dubai | 3 May 2019
Separation of the rectus abdominis muscles following childbirth is the most common reason for weakening of the abdominal wall. The condition impacts on body aesthetics and may be associated with stomach protrusion, hernia formation, lower back pain and impaired posture. Surgical treatment repositions and tightens the muscles, resulting in a stronger and flatter abdomen.
Diastasis recti is defined as a separation of the rectus abdominis muscles in the midline (linea alba). Up to 60 % of all women will experience muscle separation during the third trimester of pregnancy or the immediate postpartum period – a normal physiological event that usually reverts spontaneously.
Permanent diastasis is less frequent (10-15 %), most often occurring in women who have been pregnant three or more times or have carried large babies. The condition is thought to be caused by the accumulated effects of maternal hormones (which relax abdominal muscles and soften connective tissues) and the repeated biomechanical stretching of the abdominal wall.
Symptoms
Diastasis recti is evident around the navel (umbilicus) or the area above. The width of separation typically ranges between two to five centimetres and is easily felt whilst laying flat. As all muscles of the abdomen are connected in the fibrous midline, a widening of this area will diminish overall muscle-performance and core strength. A common concern is the inability to recover pre-pregnancy abdominal muscle tone, even with daily sit-ups and exercise. The weakened abdominal wall is prone to bulging while standing upright or in situations involving increased abdominal pressure. Hernias may develop but are usually asymptomatic.
Surgical treatment
Surgery aims to restore a healthy anatomy and strengthen the abdominal wall. As muscle separation usually occurs alongside other concerns such as skin laxity, the repair is generally performed as part of an abdominoplasty. During surgery, the rectus abdominis muscles are brought together while shortening and reinforcing the midline. This manoeuvre also repositions the corset-muscles in the flanks, improving both definition and waistline contours. Hernias are corrected as part of this procedure. Due to the physiological and hormonal changes in the postpartum period, I generally recommend that a patient waits for six to nine months after childbirth before undertaking surgical treatment.
Open up your eyes and reduce the signs of ageing
Blepharoplasty Dubai | 1 May 2019
Eyelid surgery (blepharoplasty) is cosmetic surgery to remove excess skin or fat from the eyelids. The aim is to improve hooded or droopy eyelids or eye bags.
A thin fold of skin that protects the eye, the eyelid is an area of the body particularly susceptible to effects of ageing. Heavy, drooping eyelids, dark circles and sagging skin around the eyes can make the face look older. In many cases people start to develop the characteristics in their late teens. Eyelid surgery, also known as ‘Eyelid rejuvenation’ or ‘Blepharoplasty surgery’, is a tried and tested procedure that removes excess tissue around the eyes to produce a more youthful appearance.
Blepharoplasty Dubai
As the eyelid is a thin fold of skin it is particularly susceptible to the effects of ageing. Tiny changes to the skin on or around either eye can be quite noticeable and can give the face an unbalanced look. Eyelid surgery, also known as ‘Eyelid rejuvenation’ or ‘Blepharoplasty surgery’, is the best way of combating this.
Over time the eyelid can sag and become ‘hooded’. It can restrict vision and can effect confidence. A tried and tested procedure, Blepharoplasty surgery can rectify this by removing excess tissue. The consultant will cut along the fold of eyelid to remove excess skin, muscle and fat before closing the incision. The incisions are performed along the natural contours of the eyelids and into the laughter lines at the corner of the eyes. Patients can normally leave shortly after the operation and recuperate at home but will need a period of rest and to avoid any strenuous work or sporting activity until the swelling subsides and the stitches have been removed, usually about seven days later.
A tummy tuck is an operation to remove excess fat and skin from your abdomen
Tummy Tuck Dubai | 30 April 2019
A tummy tuck (abdominoplasty) is an operation to remove excess fat and skin from your abdomen (tummy) and to tighten your abdominal muscles. The results of a tummy tuck can be long lasting. You can help this by keeping to a healthy weight after your surgery. There are lots of reasons why people have this type of surgery, including having weaker abdominal muscles after pregnancy or having previously lost a lot of weight.
Why do some people have a tummy tuck? You might want to have a tummy tuck because:
you have loose skin after major weight loss
your abdominal skin and muscles might have become slack after pregnancy
you have abdominal scarring from earlier surgery or injury
it’s part of another operation that you need, such as hernia repair
Tummy tuck surgery removes excess fat and skin and can tighten your abdominal muscles to improve the shape of your abdomen. Some stretch marks from pregnancy may be removed and others made less noticeable. Tummy tuck surgery isn’t a treatment to help you lose or control your weight and won’t stop you from gaining weight in the future either.