Plastic Surgery

Liposuction
Liposuction for Men’s Breast
Breast Augmentation
Breast Reduction
Tummy Tuck
Laser Hair Removal
Laser Vein Removal
Botox


Eyelid Surgery

What is eyelid surgery?

Eyelid surgery (technically called Blepharoplasty) is a procedure to remove fat–usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes – features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.

Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or brow lift.

If you’re considering eyelid surgery, this information will give you a basic understanding of the procedure-when it can help, how it’s performed, and what results you can expect.

Please ask us about anything you don’t understand.


Before

After

 

Are you a good candidate for eyelid surgery?

The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.

A few medical conditions make Blepharoplasty more risky. They include thyroid problems such as hypothyroidism and Graves’ disease, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease, and diabetes. A detached retina or glaucoma is also reason for caution

Risks and side effects:
The minor complications that occasionally follow Blepharoplasty include double or blurred vision for a few days; temporary swelling at the corner of the eyelids; and a slight asymmetry in healing or scarring. Tiny whiteheads may appear after your stitches are taken out; your surgeon can remove them easily with a very fine needle.

Following surgery, some patients may have difficulty closing their eyes when they sleep; this condition usually last no more than few days. Another very rare complication is ectropion, a pulling down of the lower lids. In this case, further surgery may be required.


Before

After

 

Planning your surgery
The initial consultation with your surgeon is very important. The surgeon will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform your surgeon if you have any allergies; if you’re taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke.

In this consultation, your surgeon or a nurse will test your vision and assess your tear production. You should also provide any relevant information from your ophthalmologist or the record of your most recent eye exam. If you wear glasses or contact lenses, be sure to bring them along.

You and your surgeon should carefully discuss your goals and expectations for this surgery. You’ll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate.

Preparing for your surgery
Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly.

While you’re making preparations, be sure to arrange for someone to drive you home after your surgery, and to help you out for a few days if needed.

Where your surgery will be performed
Your surgery will be performed in our CosmeSurge same day surgery Center where you remain for a few hours before going home.


Before

After

Types of anesthesia
Eyelid surgery is usually performed under local anesthesia–which numbs the area around your eyes–along with intravenous sedatives. You’ll be awake during the surgery, but relaxed and insensitive to pain.

The Surgery
In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow’s feet or laugh lines at the outer corners of your eyes. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures which are removed in 3-4 days.

If you have a pocket of fat beneath your lower eyelids but don’t need to have any skin removed, your surgeon may perform a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin.

After your surgery
After surgery, the surgeon will probably lubricate your eyes with ointment and may apply a bandage. Your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed by your surgeon. If you feel any severe pain, call your surgeon immediately.

Your surgeon will instruct you to keep your head elevated for several days, and to use cold compresses to reduce swelling and bruising. (Bruising varies forn person to person: it reaches its peak during the first week, and generally lasts anywhere 1-2weeks) You’ll be shown how to clean your eyes, which may be gummy for a week or so. Many doctors recommend eyedrops, since your eyelids may feel dry at first and your eyes may burn or itch. For the first few weeks you may also experience excessive tearing, sensitivity to light, and temporary changes in your eyesight, such as blurring or double vision.

Your surgeon will follow your progress very closely for the first week or two. The stitches will be removed two days to a week after surgery. Once they’re out, the swelling and discoloration around your eyes will gradually subside, and you’ll start to look and feel much better.

Getting back to normal
You should be able to read or watch television after two or three days. However, you won’t be able to wear contact lenses for about two weeks, and even then they may feel uncomfortable for a while.

Most people feel ready to go out in public (and back to work) in a week to 10 days. By then, depending on your rate of healing and your doctor’s instructions, you’ll probably be able to wear makeup to hide the bruising that remains. You may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses and a special sunblock made for eyelids when you go out.

Your surgeon will probably tell you to keep your activities to a minimum for three to five days, and to avoid more strenuous activities for about three weeks. It’s especially important to avoid activities that raise your blood pressure, including bending, lifting, and rigorous sports. You may also be told to avoid alcohol, since it causes fluid retention.

Your new look
Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery. Eventually, though, they’ll fade to a thin, nearly invisible white line.

On the other hand, the positive results of your eyelid surgery-the more alert and youthful look-will last for years. For many people, these results are permanent.


Hair Transplantation

Common misconceptions about hair loss:

The most common misconception is that cutting the hair or shaving it real short strengthens the hair. The fact is that when hair is short it is hard to see it falling, but when it is long it can be obvious and frightening.

Other popular believes that are not true include damage from covering the head, too many showers, pollution and mentally demanding jobs.

What are the true causes for hair loss?
The main reason in men and women is hereditary. Other causes include severe sickness, low protein strict diets, many medications used for high blood pressure, depression or contraception, severe anemia, thyroid problems and the period immediately after giving childbirth.

Our doctors will examine you to determine what causes your hair loss.


Before

After Three Sessions

 

What are the possible treatments for hair loss?
Medications: There are 284 products on the market all claiming they can re-grow your hair.

The Food and Drug Agency in America (FDA) recognizes only two products: Minoxidil and Propecia. Both can re-grow some thin, fuzzy hair after prolonged use in about 20% of patients. The drugs must be taken forever or you loose your new hair.

Hair replacement “without surgery”?
It means, wigs, hairpieces and hair attachments which may be appropriate for some women. This is not your hair, it doesn’t grow, is expensive to maintain and can be embarrassing for men.


Before

After one session

 

What is the best solution for hair loss?
Hair transplantation is the only medical solution that is permanent.

How is the procedure done?
We are born with two kinds of hair seeds (follicles); the permanent healthy ones, usually in the back of the head and the ones genetically programmed to fall in the future, usually in the front and middle of the head.

During hair transplantation we take some of the healthy follicles in the back and transplant them to the front, without affecting the way your hair looks in the back. The new hair will grow permanently. You can cut it, shave it and pull it. It is always there..

The procedure is done in 3-4 hours under local anesthesia, without pain while you are sitting in a chair watching TV and eating and drinking.

You will have a light dressing that is removed in 24 hours, after which you can resume your normal activities.

Your new hair will start growing in three months and will look natural but not dense. Better density will be achieved with one or two more sessions at four months intervals.


Before

After one session

 

Is hair transplantation suited for women?
Hair transplant can be done in all ages and for both sexes.

We also have a good experience in transplanting hair to the eyebrows.

Would my new hair look natural?
Our experienced surgeon and his team of hair transplant nurses use the latest micrograft techniques and their artistic talent to give you a natural look and a non-detectable hairline.

We also have a large experience in transplanting hair for the mustache area.


Before

After one session

How long would my new hair last?
The new hair will last as long as your hair in the back does, you can cut it, swim with it and you don’t remove it before you sleep.

It is simply yours and will last the rest of your life – guaranteed.

It is what you always dreamed of..


Before

After two sessions


Nose Reshaping

DECEPTIVE ANATOMY OF THE NOSE

Underlying the smooth exterior of the nose is a hodgepodge of bone, cartilage, fatty tissue, and mucous membrane. It’s no wonder, then, that rhinoplasty is a highly individual operation, and that a second operation is occasionally needed to make adjustments for the first. You can count on a protracted recovery period, too: anywhere from 3 months to a year.

Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Some people are unhappy with the noses they were born with, and some with the way aging has changed their nose. For others, an injury may have distorted the nose, or the goal may be improved breathing. But one thing is clear: nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one’s appearance.

Since there is no ideal in rhinoplasty, the goal is to improve the nose aesthetically, making it harmonize better with other facial features.

Skin type, ethnic background, and age are important factors to be considered in discussions with your surgeon prior to surgery. Before the nose is altered, a young patient must reach full growth, usually around age fifteen or sixteen. Exceptions are cases in which breathing is severely impaired.

The best candidates for Rhinoplasty
Rhinoplasty can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently.

The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you’re physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate.


Before

After

 

Planning your surgery

Good communication between you and your physician is essential. In your initial consultation, the surgeon will ask what you’d like your nose to look like, evaluate the structure of your nose and face, and discuss the possibilities with you.

In some cases, the appearance of your nose may also be influenced by some weakness in the features that surround it, such as flat cheeks, a week chin, thin lips, a recessed forehead, a double chin, etc. These features can be corrected at the same time or shortly after nasal surgery to enhance the final appearance of your nose.

In the case of revision surgery when the nose has undergone one or more previous unsuccessful operations, improvement is possible but the surgery is technically more difficult and the results more limited than in the case of a virgin nose.

Be sure to tell your surgeon if you’ve had any previous nose surgery or an injury to your nose, even if it was many years ago. You should also inform your surgeon if you have any allergies or breathing difficulties; if you’re taking any medications, vitamins, or if you smoke.

What is sometimes disparagingly called a “nose job” can do much more than create a smaller, cuter nose. In addition to improving appearance, it gives an opportunity to correct any breathing problems you may have.


Before

After

 

The nose is a complex structure consisting of an outer layer that slides over the semi rigid inner layer of cartilage and lining. The two layers work together in a delicate balance. Any manipulation of either can upset the equilibrium and lead to serious physical and aesthetic problems. An aggressive attempt to reduce the size of the nose can compromise its underlying structure. The cartilage could collapse and obstruct the airway.
Surgeons prevent this type of problem by rearranging, rather than reducing, the underlying skeletal structure, reshaping the nasal contour while preserving nasal function. The trouble is that many prospective patients don’t understand that rhinoplasty is always a compromise.

Explaining what can and cannot be accomplished is a considerable challenge for the surgeon. One important point to remember is that the nose is not perfectly symmetrical; the two sides develop independently.

Removing a hump or bump on the bridge of the nose may reveal a natural curve that must then be camouflaged by another procedure. Trimming a bulbous tip may throw off the proportions of the rest of the nose; what looks good in profile may be unattractive when seen from the front.


Before

After

 

 

Planning and Preparing

At your first appointment, the surgeon will take photos from all angles and ask you to explain what you consider good and bad about your nose. The nature of your complaints will influence the surgery, too. There is a big difference between “my nose is too large” and “I can’t breathe.”

The surgeon will use a model of the nose to describe what will be reduced, what may need to be enlarged (augmented), and what should be left alone. If you already consider your nose too large, you may be surprised to hear the surgeon suggest augmentation. But adding a little bit here or there can make another part of the nose look smaller without interfering with the airway.

It is important to understand the finer points of rhinoplasty and to agree with your surgeon on the approach to be used. You’ll also need to accept the surgeon’s priorities of safety, function, and appearance, in that order, and be willing to live with the potential consequences and complications.

Sometimes a second operation is required to modify the results of the first one or to make additional changes after the nose has healed. Also, some “defects” must be corrected in stages in order to keep a passage open for air.

Rhinoplasty encompasses several procedures. As a result, it’s hard to generalize. The surgeon can’t always predict the complete anatomy of a nose or visualize its volume and texture until it has been opened for surgery. A standard procedure to correct a specific problem may have to be modified once surgery begins.


Before

After

 

After the Operation
You’ll wake up after rhinoplasty to find your nose packed with bandages layered around plastic tubes called suction catheters, placed to keep the nasal airway open. Many people find that they can breathe much more easily than before, catheters and all. Depending on the type of surgery and the amount of bleeding, the packing will remain in place for 24 hours to a week.

Bleeding is fairly common with certain procedures and can be frightening. The more upset you get, the more likely you are to bleed. Often, simply remaining calm will dramatically reduce the blood flow. Infection is rare. The nasal packs are sometimes covered with antibiotic ointment, especially when packing must remain in place for several days or more.

Healing can take as long as a year. The nose continues to contract for several weeks after surgery. The outer layer of skin feels hard and remains stiff for up to 3 months and maybe for as long as a year. The tip of the nose will probably rotate slightly. Swelling seen from the front disappears slowly, and the nose will look bigger than it really is until the swelling has subsided.

Sometimes subsequent surgical “rehabilitation” is necessary to fine tune nasal function or appearance. If so, the follow up procedure will be scheduled after healing is complete, usually in 6 months to 1 year.

A person who has realistic goals is likely to be very happy with her “new” nose. A patient who expects the impossible, however, is sure to be disappointed.


Weight Reduction

What’s so bad about being overweight?

Beside the unattractive look of obese person, he or she has an increased chance of heart attacks, stroke, cancer, diabetes, high blood pressure, sleep apnea, back and knee problems, stretch marks, varicose veins, and yeast infections.

In addition to health problems, obese people face social barriers affecting their marriage and their carrier.

Genes are only one factor:
Statistics show that it is the rare person who can successfully lose weight and keep it off using will power alone. Obesity is a multi-factorial problem affected by heredity, psychology and behavior.

It is important to keep in mind that by definition obesity is an excess of fat storage rather than weight (which could excess muscles).

The role of liposuction and tummy tucks:
Liposuction is effective for localized fat deposits that are resistant to weight reduction programs.

It would be too dangerous of a procedure to suction enough fat in one operation to reduce weight.

Patients are advised instead to have multiple sessions of liposuction, which would be effective and safe.

Tummy tucks are reserved for patients with loose and redundant skin.

Why does our program work?
Losing weight is the easy part. It is achieved using balanced liquid supplements and very low calorie diets under strict medical supervision.

Our success with the harder part, the long-term maintenance, stems from our reliance on a comprehensive program addressing lifestyle and behavior changes, great exercise tips, attitude corrections, healthy relationships and a simplified and practical education about nutrition.

Practical Advice
Spices are not bad for your health Capseine, found in red pepper is proven to boost your immune system and counter asthma and arthritis
Cut down on fat in your food Food is tasteless unless it has fat or spices, spices do not cause ulcers or hemorrhoids but do irritate them if you already have them, to cut fat and keep food tasty use spices, aroma, garlic or onion
Don’t eat nuts and chips Don’t buy what you shouldn’t eat
Eat slowly Use your non-dominant hand to eat. Swallow before you refill your spoon or fork again
Exercise till you drop Choose an activity that you enjoy, twenty minutes – three time per week is enough
Cut down on empty calories Avoid juices and alcohol
Decrease eating out French restaurants are a lot kinder than Mexican ones
Eat regular meals Eat fruits instead of desserts
Savor and enjoy your meal Avoid eating while watching TV

 


Cosmetic Gynecology

Women who had multiple pregnancies may suffer from uterine prolapse and or urinary incontinence, which can be repaired using the newest technical advances in the field.
Loss of sexual enjoyment by your spouse may be due to excessive loss of tone and loose ligaments related to childbirth. An experienced cosmetic gynecologist can make a tremendous difference in your life performing what is known as “Intimate surgery” an outpatient procedure done in our centers under local anesthesia with IV sedation.


Chemical Peel

For centuries, people have sought smoother, more beautiful skin. No sooner do we grow out of our teenage skin problems, than we begin the next phases of aging: fine wrinkles, mild scarring and other irregularities of the skin caused by sun exposure, smoking and heredity to name a few. Every day thousands of skin cells die, flake off and are replaced by new cells from beneath the skin.
As we age, this process begins to slow down. Our skin may become dull and shows fewer complexions. Dark blotches, fine lines and other signs of sun-damage and aging begin to appear.

Today, new techniques and technologies in chemical peeling offer safe and effective ways to improve the texture of the skin.

Chemical Peel Skin Rejuvenation
Chemical Peeling is a process whereby a chemical solution is applied to the skin to remove dead skin cells and stimulate the production of new skin cells. It tightens the skin, reduces wrinkling and restores a more youthful appearance.


Before

After

 

Before The Peel

During your consultation with your doctor you will want to explain the level of skin improvement you hope to achieve. Your doctor will then review your medical history and examine your skin type and pigmentation to determine if you are a good candidate for a chemical peel. Together you can evaluate the advantages and disadvantages of the different types of chemical peels, discuss your options, your expectations and determine the best treatment for you.

Don’t forget to mention any history of viral infections (cold sores), sensitivity to the sun, or prior skin treatments such as dermabrasion or Roaccutane treatments within the past six months.

For best results the skin is prepared with a skin-conditioning program using special creams for one to two months before the procedure.

The Peel: How It Is Done
Chemical peels are always performed on an outpatient basis. Some doctors and situations, however, may indicate the use of a local or general anesthetic for full-face peels. Sedation for deeper peels is frequently used to keep you comfortable during the peeling operation.

Most peels, no matter the type, are performed in nearly the same way. The doctor begins your peel by cleansing your skin to remove all oils, dirt and soap traces. Your hair will also be moved out of the way. Then, the chemical is carefully applied to the appropriate areas using a swab applicator. For some, this may be a full-face peel, which would cover the entire face.

Others may need a partial peel, such as around the mouth for those fine, vertical lines, the forehead for horizontal wrinkles, or on cheeks for fine wrinkles and age spots.

The entire procedure usually takes from 15 minutes to an hour depending upon the extent and type of peel used.


Before

After

 

What Should You Expect After A Chemical Peel?

Reactions to chemical peels are similar to a sunburn and range from mild to severe. Generally, the deeper the peel, the longer the recovery

A light peel usually results in some redness, followed by scaling which lasts about four days.

There is no pain during the recovery period.

Medium and deep peels can result in swelling and blisters that break open forming a crust and turning brown, followed by peeling which can last up to two weeks. Ointments and creams will be applied to keep the skin moist. At first the new skin will have the color of severe sunburn. This will gradually fade to pink over the next several weeks. Cosmetics can be applied after about one to two weeks. Following a chemical peel, your new skin will be tighter, smoother and slightly lighter color than it was before surgery.

Following any skin peel, it is important that you avoid any exposure to the sun. Your new skin is very sensitive and susceptible to injury. Always apply a wide spectrum (UVA and UVB blocking) broad-spectrum sun block of at least SPF 15 twenty minutes before you go outside. Your doctor will prescribe a proper skin-care treatment program to ensure proper healing.

What Skin Conditions Can A Chemical Peel Improve?
Chemical peels can effectively improve a wide variety of skin conditions including:

  • Fine lines and wrinkles
  • Uneven pigmentation
  • Shallow acne scars
  • Sun-damaged skin
  • Age spots
  • Freckling
  • Pre-cancerous lesions

 

A chemical peel is not a substitute for a facelift. It can not eliminate excessive or lax skin.

Unlike laser peels, chemical peels can be performed on the face, neck, chest, hands and even the arms and legs.


Before

After

 

There Are Risks In All Surgical Procedures
Like all surgery, chemical peels involve some level of risk. To help ensure a successful outcome, the patient should be a good candidate, the doctor should be well trained in chemical peeling techniques, the surgical facility should be properly equipped and the patient should follow the doctor’s instructions and advice.

While severe complications are extremely unusual, you should discuss the risks and possible side effects with your doctor. Patients with liver, kidney or heart ailments need to make their doctor aware of them.

By carefully following the instructions and skin-care treatment program after the procedure you will insure and speed up proper healing and minimize possible complications.

Discuss the benefits and risks with our doctors given your particular circumstances.

Are You a Good Candidate?
There are now several different types of chemical peels depending upon your particular condition and skin type.

Glycolic acid peels are commonly performed but are too superficial to be effective for significant skin problems.

TCA peels are superficial or deep and can be much more effective but require an experienced doctor and longer recovery by the patient (three to ten days depending on peel depth.)

Chemical peels can enhance the appearance of facial and other skin on men and women of all ages. While chemical peeling is available to almost everyone, skin type and coloring are important considerations. Before your surgery, think carefully about your expectations and discuss them with your doctor. Remember, improvement, not perfection, is the goal.

The New You
Chemical peels represent the most popular cosmetic dermatology procedure in the world.

Although you’ll see your fresh new skin after only a few weeks, it may be up to six months before final results are achieved especially in patients with dark skin.

At your initial appointment you may have a computer image to get an idea of the expected results before you proceed with the procedure. You will also have a chance to review our photo album of patients who had the procedure done in our centers in the USA.

Each year, thousands of people enjoy tighter, smoother and softer skin as a result of their chemical peel, results they never thought were possible.

If you are interested in learning more about chemical peels, please call our Center and we will be happy to answer your questions.


Lip Augmentation

Lip Augmentation: More Than Lip Service

Aging can cause the lips to thin and flatten out. Fuller, more sensuous lips are now easily attainable. You don’t have to be born with full lips to have them.

Full, luscious lips have always been sought after, regardless of age. A plump pout is considered to be a sign of youth and an icon of sensuality. Many people have searched high and low for the perfect kissable lips, and out of frustration or lack of information settled on aging lips or on collagen injections. Over the years both women and men have utilized all sorts of devices, injectables, over the counter plumping products and manual massage and still the search goes on for the ideal pout.

Our lips thin as we age and today, as medical science has progressed we feel and act much younger than we may look. We are healthier, more active and aren’t about to give in to a “worn out” appearance without a fight.

Not all individuals may want a bigger set of lips but no one likes dry, chapped, peeling lips – no matter what size.


Before

After

 

How it’s done …

Ten years ago doctors started performing this procedure using Collagen. However Collagen is derived from cows which makes pre-testing for allergies mandatory. Furthermore with mad cows’ disease still a threat Collagen use has been losing ground to non animal derived substances such as Hyaluronic acids. These acids need no previous testing for allergy and do last for six months -twice as long as Collagen. Articole is a similar substance originating from Holland that can last two to three years but I caution against its use since it is not FDA approved and has been known to leave patients with lumpy lips like a worry bead. The patients own fat can be suctioned from her hips or abdomen and used instead (Fat transfer) but the results are not as predictable. Currently the best results are obtained with Hyaluronic acids.

What to expect after the procedure…
The procedure is done on an outpatient basis under local anesthesia. Bruising and swelling can last twenty four hours. There will be no change in sensation and no long term side effects. When healed, your lips will be soft to the touch and will feel normal.

What is Hyaluronic acid?
This substance is naturally present in the skin. It is manufactured and sold under different brand names (Perlane, Restylane, Aquamed and Softfill)

It is not derived from animals and last only six months (Perlane) or 1-2 years (Aquamed) making it very safe.


Before

After

 

What are the side effects?
If placed too Seuperficial it can feel lumpy to touch (rarely shows) and if placed too deep it wont last but for a couple of weeks.

How often do I have to redo it?
The temporary filling dis appears gradually and returns to their original shape. You do not have to redo the procedure unless you want to.


Perspiration

Freedom at Last!

Excessive sweating (Hyperhidrosis) can have profound effects socially and professionally for those individuals unlucky to suffer from it. Indeed, many individuals can be so emotionally affected by their complaint that it has a major impact on their whole life. Patients afflicted with this disorder can routinely soak through clothing in a matter of minutes, and must resort to the use of pads, shields, absorbent tissues, and frequently have to change their clothing just to cope with the constant embarrassment. Clothing is quickly stained and ruined, and literally thousands of dollars can be spent on dry-cleaning and replacing the wardrobe as a result of this disorder. Until now, there have been many topical applications for patients to help control the symptoms but often these can be accompanied with unpleasant side effects. In extreme cases, some patients have even resorted to surgical therapies for alleviation.

Today, chronic sufferers of Hyperhidrosis can enjoy relief thanks to the use of Botox® Injections. A recent study conducted in Europe has concluded that through a series of Botox® injections, (approximately every 9 to 12 months) patients experienced relatively complete relief from the symptoms with virtually no side effects. Imagine the freedom to now wear the clothing of your choice without the constant fear and stigma that has been attached to this condition for so long. If you or someone you know is suffering needlessly from Hyperhidrosis, we would welcome the opportunity to discuss your treatment options using Botox® Injection Therapy. Botox® is also being used in successfully treating patients suffering from chronic sweating palms and beading foreheads. Call today for a very private complimentary consultation.


Minor Blemishes

Definition:

“Chronic” inflammatory disease of the oil glands characterized by the formation of comedones (black and white heads), spots or pimples, nodules (thicker, harder, pimples), and in some cases scarring. Factors contributing to acne are thought to be increased skin oiliness, abnormal bacterial skin population and lazy skin shedding.

Very common condition
95% of 16 years old boys and 83 % of 16 years old girls are affected by some degree of acne. In about 20% the help of a doctor is needed; although most acne resolves by mid twenties, it is now thought that mature acne is increasing in frequency, and recent studies show that 25% of patients are in their mid-thirties (Adult acne).

Role of diet.
Chocolate and spicy or fatty food does not play a significant role in acne; whereas marked weight loss can reduce seborrhea (production of oil), and therefore reduce acne but is not an acne treatment per se!

Premenstrual flares.
Up to 70% of women report acne flares 2-7 days premenstrually.

Sweating
Living in a hot and humid environment such as the Gulf cause deterioration in acne.

Acne can induce severe stress in the individual and is a cause for shame and embarrassment, anxiety, lack of confidence, unemployment and impaired social contact. It is the number one reason for suicide amongst teenagers. It therefore can impair the quality of life considerably and hence must be treated.

TREATMENT.
Treatment depends upon the severity of acne. Mild acne can be treated with creams alone, such as topical antibiotics, Benzoyl peroxide preparations and Retin-A or Differin Gel. Moderate acne may need oral antibiotics, or hormonal preparations, in addition to the skin creams (topical treatment), whilst severe acne would warrant a course of Isotretinoin (Roaccutane) – this is a concentrated form of a Vitamin A derivative which is very effective, but must be prescribed by dermatologists after appropriate blood investigations. Patients on Roaccutane must not get pregnant while on the treatment and for two months after the end of the treatment as there is a very high risk of getting a child with deformities. The drug has been used safely for the last 23 years.

Roaccutane is the closest a patient can get to cure acne. It is successful in clearing acne in 85% of the cases. The course of treatment lasts usually for six months during which the patient may experience bothersome but not serious side effects including dryness of the eyes, lips, nose, fatigue and muscle aches. The cost of therapy is about 600 Derhams per month including the required lab work.

Discussion with the patient of the condition and explanation of therapy, realistic expectations as well as reassurance are a very important part of acne management.

The Different Treatments Of Acne Scars.

Early Acne Scars

After an acne lesion has healed, it can leave a red or hype-pigmented mark on the skin.

This is actually not a scar, but rather a post-inflammatory change. The redness or hyper-pigmentation is seen as the skin goes through its healing and remodeling process, which takes approximately 6-12 months. If no more acne lesions develop in that area, the skin can heal normally. Any color change or skin defect still present after one year is considered to be a permanent defect or scar.

Preventing Early Acne Scars
The best way to prevent post-inflammatory changes caused by acne is to prevent acne lesions from occurring. This is done by understanding the factors that cause acne and using the appropriate treatments for the different acne types.

Treating Early Acne Scars
The post-inflammatory changes caused by acne are part of the skin’s natural healing process. There are certain practices and medications that can help facilitate this healing process.

  • Unprotected exposure to the sun causes more skin damage and delays healing, therefore wearing a good sunscreen is important.
  • Using tretinoin (Retin-A) speeds up the skin’s remodeling process and helps heal post-inflammatory changes. (20 Derhams per month)
  • Appropriate formulations of Alpha-Hydroxy Acids (AHAs) and Beta-Hydroxy Acid (BHA) that contain the correct concentrations and are at the appropriate pH also help the skin’s remodeling process.
  • Picking at scabs should be avoided at all costs. Scabs form to protect the healing process that is going on underneath them. Pulling a scab off before it is ready interferes with the healing and remodeling process, prolonging the time that post-inflammatory changes will be visible.

 

Late acne scars.

Acne Scars – Icepick
Icepick scars are narrow, sharp scars that make the skin appear it has been punctured with an icepick. They are usually narrower than 2 mm and extend into the deep dermis or subcutaneous layer. Icepick scars are usually too deep to correct with skin resurfacing treatments such as dermabrasion or laser resurfacing.

Acne Scars – Boxcar
Boxcar scars are round to oval depressions that have sharp vertical edges. Unlike icepick scars they do not taper to a point at the base. Shallow boxcar scars are 0.1-0.5 mm in depth and can usually be treated with conventional skin resurfacing techniques. Deep boxcar scars are >0.5 mm in depth and require full-thickness treatment techniques.

Acne Scars – Rolling
Rolling scars occur as a result of tethering of otherwise normal-appearing skin to the subcutaneous tissue below. This process gives the skin a rolling or undulating appearance. Conventional skin resurfacing techniques do not work on rolling scars. They must be corrected by breaking up the subcutaneous fibrous bands.

Acne Scar Treatment After Accutane
An important consideration in the treatment of acne scars is the past use of Ro-accutane. Ro-Accutane is a powerful medication that can significantly remodel skin. However, studies have shown that people who have resurfacing procedures performed within 6 months of finishing Ro-accutane therapy have a higher risk of developing scarring as a result of the procedure. Based on this data, most physicians do not surgically treat patients who have taken Ro-accutane in the past 12 months.

Acne Scar Treatment Procedures
There are numerous procedures that can be used to correct acne scars. Each procedure has its own risks and benefits, and several procedures are normally combined to create the smoothest appearing skin. Here is a brief discussion of the more effective acne treatment procedures.

Dermal Fillers
There are many types of dermal fillers that can be injected into acne scars to raise the surface of the skin and give a smoother look.

Examples of dermal fillers are fat, bovine collagen, and hyaluronic acid derivatives. The injection of these materials does not permanently correct acne scars, so further injections are necessary. Cost 2000-4000 Derhams.

Punch Excision
This method of surgically correcting acne scars is used on deep scars such as icepick and deep boxcar scars. This procedure uses a punch biopsy tool which is basically a round, sharp “cookie-cutter” tool that comes in diameters ranging from 1.5 mm to 3.5 mm. The size of the tool is matched to the size of the scar to include the walls of the scar. Under local anesthesia the scar is excised with the punch tool and the skin edges are sutured together. The newly produced scar eventually fades and may not be noticeable. If it is noticeable, it is more amenable now to resurfacing techniques.
Cost 1000-2000 Derhams

Punch Excision with Skin Graft Replacement
With this method the scar is excised with the punch tool as above. Instead of suturing the skin edges together, the defect is filled with a punch skin graft usually taken from behind the ear. With this procedure a color and texture difference may be noticeable, but a skin resurfacing technique can be used 4-6 weeks after the grafting to correct this difference.
Cost 3000-4000 Derhams.

Punch Elevation
This method of surgically correcting acne scars is used on deep boxcar scars that have sharp edges and normal appearing bases. The same punch tool as above is used to excise the base of the scar leaving the walls of the scar intact. The excised base is then elevated to the surface of the skin and attached with sutures, steri-strips, or skin glue called Dermabond. This method lessens the risk of color or texture differences as can be seen with graft replacement, and lessens the risk of producing a visible scar as can be seen when wound edges are sutured.
Cost 1000-2000 Derhams.

Subcutaneous Incision
Subcutaneous incision, also known as Subcision, is used to break up the fibrous bands that cause rolling scars. Subcision is performed under local anesthesia by inserting a specially beveled needle under the skin so that it is parallel to the skin surface. Staying in the plane between the dermis and the subcutaneous tissue, the needle is gently advanced and retracted in a piston-like motion cutting the tethering bands. This procedure causes bruising which fades after about 1 week. The risks of subcision include bleeding and the formation of subcutaneous nodules. Bleeding can be controlled with proper use of anesthetics and bandaging, and the subcutaneous nodules can be treated with injection of corticosteroids into the nodule.
Cost 2000-3000 Derhams.

Dermabrasion.
This is one of the most effective treatments for acne scars although laser resurfacing has been more popular recently for treating acne scars. “Laser” sounds more advanced and more precise but when done by an expert dermabrasion gives frequently the best results. It does require general anesthesia and ten days to heal. The procedure involves using special mechanical rolling instrument to level the scars.
Cost 9000 Derhams.

Microdermabrasion (Using crystals)
This treatment is popular because it requires no down time and is safe but has limited efficacy in treating acne scars. It is similar to gently using sand paper.
Cost 300 Derhams per session (need 3-4 sessions)

Chemical peels.
Superficial chemical peels that are done by beauticians are not effective ion treating acne scars. Deeper TCA peels (a strong acid is applied to the scared skin so that new skin is forced out) are effective in treating permanent color changes seen in Asian and Middle Eastern skin. It requires one week to heal.
Cost 6500 Derhams.

Laser Resurfacing
Laser resurfacing is a popular treatment for many skin defects. The most popular laser types used for resurfacing of acne scars are the carbon dioxide (CO2). Lasers work by essentially burning the top layers of skin to a precise depth. The skin then heals replacing the burned layers with newer appearing skin. The correct post-operative care of skin that has undergone laser resurfacing is a very important factor in determining the success of the procedure. Healing time is ten days.
Cost 12000 Derhams.

Acne Scar Treatment Stages
Treating acne scars usually take several procedures performed in stages over six to twelve months. Often several surgical procedures are used in different areas to correct large defects. Then a resurfacing procedure is used to smooth out any scars created from the first stage, and to correct shallow defects. Just using a resurfacing procedure does not correct deep scars. Properly treating acne scars involves a significant investment of time and money, but the results can be dramatic. A 50-60% improvement is likely but the skin can never be baby smooth again.

Patients should understand that the dermatologist can control acne before it leads to permanent scarring and dark pigmentation which are much harder to treat. The best a patient can do is to find a good dermatologist and follow up with the same dermatologist and not shop around for a quick cure which would be detrimental to the outcome.


Esthetician Services

The ultimate in skin & body care

Presenting a fresh approach to beauty and health by using proven medical research. We enable you to experience the most effective professional therapies.
With experience and dedication, we offer you advanced techniques, expert advice and highly professional products to ensure total care and optimum benefits.

For your face

Personalised Facial
This custom designed just-for-you facial includes deep pore cleansing, nourishing and skin repairing programme with a soothing face and shoulder massage.

Aromatic Beauty
Relaxing and revitalizing facial, using a gentle skin refiner and aromatherapy products for massage and mask to help your skin radiate with health and vitality.

Healing Touch
Provides the skin with pure Lyophilized Collagen that significantly helps to reduce the sign of ageing and maintains a perfect level of hydration.

Comfort Lift
Non surgical treatment which draws on years of medical experience to offer you the most effective facial lifting system available today. All without pain!

Intensive Eye Repair
Formulated to combat the effects of stress in the eye area by specifically treating puffiness, dark circles and fine lines.

Skin Renewal Booster
Non-abrasive exfoliation system to improve your skin clarity, essential in case of acne, break outs and pigmentation problems.

Multi Vitamin Power
No matter what your skin type or age, physical, climatic and environmental changes can cause premature ageing. A unique alpha hydroxy formula enriched with nourishing vitamins helps to balance your skin and revitalise it.

Glycolic Glow
Our unique chemistry works to dissolve excessive build up of skin cell debris, revealing fresh new healthy skin underneath.

STX – Oxy Peel
Innovative “Oxygen rich” formula combined with specialised massage technique for total skin transformation.
For your Body

Vitality Detox
Respectively created to improve natural detoxifying process through Lymphatic Drainage Technique, leaving you refreshed with better skin and better body.

Botanical Remedy
The classic spa treatment for detoxification and slimming benefits. Natural product based, has firming and anti inflammatory properties to treat heavy, swollen legs and orange peel effect.

Seaweed Wrap
Our Seaweed Masque envelops you in all-natural aromatic cocoon, revitalising and toning your skin. This treatment delivers the most valid help to diminish cellulite appearance.

Slim & Slender
Selective muscle exercise programmes to shape and tone specific areas such as the waist, hips, buttocks, stomach and thighs.

Body Renewal Booster
Chemistry for a younger-looking, healthy body with a light alpha hydroxy peel and massage treatment to soften your skin while treating problem areas.

Better than Sun
Nourish your skin with mineral sea salt exfoliating massage followed by an application of Protective Self Tan for a polished, natural healthy tan glow.

Stress Relief for Back Face & Scalp
A unique combination of massage techniques with the blessing of aromatherapy oils, the ultimate remedy to everyday stress.

Cellulite Solution
STX/Cellulite Therapy with our special physio therapeutic massage treatment, helps improve your skin tone and reduce the appearance of cellulite and reshapes body contours.


Fat Transfer

Facial wrinkles and creases are part of the aging process. They begin to appear as the underlying Hyaluronic acid and elastin fibers break down and wear out. While this breakdown is part of the natural aging process, it can also result from excessive squinting, frowning and smiling.
Your Options
Injectable Hyaluronic Acids and fat cells taken from your own body are the two most frequently used materials for filling facial wrinkles and frown lines. While Hyaluronic acid can smooth out wrinkles, injectable Hyaluronic acid isn’t for everyone. It only lasts for six months and for longer lasting improvement you may consider fat transfer. Fat transfer, also called autologous fat transplantation or micro-lipoinjection, plumps up facial features with a patient’s own fat and is a popular alternative to other wrinkle treatments. Fat transfer to the face is a safe, natural, non-allergenic procedure designed to recontour your face and can provide definition to your cheeks and chin. It can also be used to correct facial deformities. Since fat transfer uses your own fat cells, you can never have an allergic reaction, because it’s from your own body. With fat transfer it is possible to have fat liposuctioned from your thighs and then transferred to any area of your body. Reinjected fat lasts longer in larger areas of non-movement, so it is very successful for the correction of sunken cheeks because this area does not move as often. Fat transfer can also correct atrophic aging of the hands, post-surgical and post-traumatic defects. But not every area of the body responds well to fat transfer. The breasts for instance, are out. Injecting fat into the breast makes it much more difficult to detect breast cancer with mammograms.

What are the benefits of Fat Transfer?

  • Fat transferred to the face can last as long as ten years.
  • Fat transfer can be very cost effective when combined with another procedure.
  • With fat transfer there’s no chance of an allergic reaction.

Before

After

 

What can I expect after my fat transfer?
Patients are up and around immediately following fat injections. Any discomfort following the procedure can be controlled with medication. Some swelling at the treatment site may last up to 36 hours. There may be some bruising, which can be covered with make-up. Your initial injection should last up to six months. Over the first few months about 65% of the fat will be absorbed by your body. The remaining 35% will usually stay in place for years. For results that will last years, patients usually receive two to three treatments over a six month period.

Fat transfer, also called autologous fat transplantation or micro-lipoinjection, plumps up facial features with a patient’s own fat and is a popular alternative to other wrinkle treatments. Fat transfer to the face is a safe, natural, non-allergenic procedure designed to recontour your face and can provide definition to your cheeks and chin. It can also be used to correct facial deformities. Since fat transfer uses your own fat cells, you can never have an allergic reaction, because it’s from your own body.

With fat transfer it is possible to have fat liposuctioned from your thighs and then transferred to any area of your body. Reinjected fat lasts longer in larger areas of non-movement, so it is very successful for the correction of sunken cheeks because this area does not move as often. Fat transfer can also correct atrophic aging of the hands, post-surgical and post-traumatic defects. But not every area of the body responds well to fat transfer. The breasts for instance, are out. Injecting fat into the breast makes it much more difficult to detect breast cancer with mammograms.

How is the procedure done?
Fat transfer is performed in our office on an outpatient basis. Both the area from which the fat is taken and the treatment site are anesthetized with a local anesthetic. Using a small needle attached to a syringe, fat is removed from a donor site where your fat is most tightly packed, such as your abdomen or your buttocks.

Once removed, your fat is processed to remove excess fluids and then reinjected using another needle, which is placed just under your skin beneath the wrinkle. This process may be repeated until the desired correction has been achieved.

Harvesting the fat cells for reinjection is often performed in conjunction with other procedures, such as liposuction, tummy tuck or cosmetic breast surgery. When fat is harvested during another procedure, it is often possible for your surgeon to harvest a larger amount of fat, then freeze and store your fat for future injections when they become necessary.

What are the benefits of Fat Transfer?
1) Fat transferred to the face can last as long as three years.

2) Fat transfer can be very cost effective when combined with another procedure.

There’s no chance of an allergic reaction.


Face Lift

Am I a good candidate?

Wrinkles, sagging skin, laxity in the jowls and neck begin to appear after years of exposure to the elements, facial expressions and the natural aging process.

Not long ago, a facelift was considered by many to be reserved for movie stars and celebrities. Today, a facelift, or rhytidectomy, is not just for the rich and famous. It is one of the most well-accepted and most frequently performed cosmetic procedures in the world. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well.

Facelifts are very individualized procedures. In your initial consultation the surgeon will evaluate your face, including the skin and underlying bone, and discuss your goals for the surgery.

Your surgeon should check for medical conditions that could cause problems during or after surgery, such as uncontrolled high blood pressure, blood clotting problems, or the tendency to form excessive scars. Be sure to tell your surgeon if you smoke or are taking any drugs or medications, especially aspirin or other drugs that affect clotting.


Before

After

 

What does a facelift accomplish?

Although the incisions made for a facelift are hidden back in your hairline, it does nothing to correct the visible signs of aging in the upper face. A facelift provides an overall lift to the lower third of your face by tightening loose skin in the jowls, neck, and jaw line.

A facelift alone will not remove forehead wrinkles, crow’s feet or bags under your eyes. These areas can, however, be treated at the same time as your facelift. During your initial consultation, your surgeon will discuss your particular condition, your expectations, and the probable outcome of your various treatment options. You will be shown several before and after photographs of patients having similar conditions, and we will explain the details of your procedure.

The procedure
Most facelifts are performed under local The incision is placed in the natural crease behind the ear.

Excess skin and fat may be removed. The incision is then closed with fine sutures and/or metal clips. If metal clips are used, shaving hair from the incision site may be avoided. A facelift can take between two to four hours depending on the extent of the procedure


Before

After

 

What happens after my surgery?
Most surgeons throughout our centers use Dr. Fanous technique which create minimal swelling.

Pain is normally minimal and can be controlled with oral medications. We will take off your bandages in our office in a day or two after surgery. You may then go home, take a shower and wash your hair. Sutures may be removed in one week.

Using Dr. Fanous technique, healing is a quick process. After about one week you will feel comfortable (with make-up) among strangers. After ten days you will look and feel confident enough to go out with friends again. Direct sun should be avoided for several weeks. Most patients are delighted with their new, more youthful and relaxed appearance.

Your surgeon will give you more specific guidelines for gradually resuming your normal activities. They’re likely to include these suggestions: Avoid strenuous activity, including sex and heavy housework, for at least two weeks (walking and mild stretching are fine); avoid alcohol, steam baths, and saunas for several months.

At the beginning, your face may look and feel rather strange. Your facial movements may be slightly stiff and you’ll probably be self-conscious about your scars. It’s not surprising that some patients are disappointed and depressed at first.

By the second week, you’ll look and feel much better. Most patients are back at work about seven to ten days after surgery.


Before

After

 

What are the possible complications

When a facelift is performed by a qualified surgeon operating in a good center, complications are infrequent and usually minor. Still, individuals vary greatly in their anatomy, their physical reactions, and their healing abilities, and the outcome is never completely predictable.

Complications that can occur include hematoma (a collection of blood under the skin that can be easily removed with a fine needle), injury to the nerves that control facial muscles (usually temporary) and infection. Poor healing of the skin is most likely to affect smokers.

You can reduce your risks by closely following your surgeon’s advice both before and after surgery and refrain from smoking for several days before and after your surgery.

Your new look
The chances are excellent that you’ll be happy with your facelift. The hair around your temples may be thin and your skin may feel dry and rough for a few weeks. Men may find they have to shave in new places-behind the neck and ears-where areas of beard- growing skin have been repositioned.

You’ll have some scars from your facelift, but they’re usually hidden by your hair or in the natural creases of your face and ears. In any case, they’ll fade within time and should be scarcely visible.

Gravity and longevity are a formidable combination, leaving their mark on the skin and on all that lies beneath it. The skin shrinks here and sags there, thins out, and becomes increasingly susceptible to the damage caused by exposure to the sun.

Sad to say, our faces begin to rearrange much earlier than most of us would like to admit. “Crow’s feet,” those short straight lines radiating from the outer edge of the eyes, can appear any time after the age of 30. Skin in the upper eyelids loosens as well. Creases in the forehead, between the eyebrows, and around the nose and mouth suddenly seem more noticeable when a woman reaches her 40s. By the age of 50, the neck starts to wrinkle, the jawline seems to blur, and the tip of the nose may look a bit droopy. Although signs of age appear at different times in different women, facial wrinkling and sagging become hard to ignore by the sixth decade of life.

A facelift (facialplasty) can turn the clock back a few years. Such procedures have been done since the early 1900s, but the modern era of facelifting dates from the 1970s when plastic surgeons began using techniques that correct the age related changes that occur deep beneath the skin.

While a properly performed facelift will make a woman look younger, the procedure won’t work miracles. Surgery can’t transform you into a “different” woman, or save a marriage. One of the toughest jobs facing a plastic surgeon is deciding who will truly benefit from the surgery and who is likely to be disappointed.


Before

After

 

Planning and Preparing for Surgery
Careful questioning during the first appointment helps doctors identify women who expect the impossible. If you have trouble describing exactly what you want to change or seem distraught about a relatively minor “deformity,” you are not a good candidate for a facelift, and probably won’t receive one.

If the doctor thinks plastic surgery would be good for you, he or she will ask about your medical history, any allergies, previous surgery, reactions to medication, and personal habits such as smoking.

Anything that may interfere with natural blood clotting mechanisms such as high blood pressure and medicines containing aspirin, poses the danger of excess bleeding and must be avoided. Smoking causes skin sloughing, in which areas of skin literally slide off the face, leading to additional scars. Surgery may therefore be delayed for several weeks until your blood pressure has dropped to normal levels, for example. Aspirin and smoking are banned for at least two weeks before surgery.

Preparations for surgery include a comprehensive physical examination. The doctor also checks every part of the face for creases, wrinkles, lines, puffiness, and sagging. The doctor will assess your skin’s thickness, elasticity, and mobility; check the jaw and neck for fatty deposits; examine the thickness of the hair and note the location of the hairline; and document any previous surgical incisions and scars. An assistant will then take a series of photographs which the surgeon will use to plan the operation and explain the procedure to you. The photographs will also remind you later of how you looked before surgery. Such photo sessions are standard before just about any kind of plastic surgery.

The doctor will explain the surgical plan feature by feature. Some trouble spots can be improved but not eliminated. Forehead lines, crow’s feet, and creases around the nose and mouth can be softened, for example, but not removed altogether. Fine wrinkles can, however, be treated with a chemical face peel after the area has healed.

Facelifts involve close work around the mouth and hairline, where bacteria hide in large numbers. To minimize contamination, you will be asked to remove all makeup the night before surgery and to scrub your face and wash your hair and scalp with a medicated soap.


Before

After

 

The Operation

Your hair will be combed away from your face. Antibiotic ointment may be combed into your hair to flatten it and prevent infection. You’ll take antibiotic medication and perhaps a sedative as well.

The surgeon will place marks on your face as a surgical “blueprint” just before you receive general anesthesia.

The relatively small facialplasty incisions, next to each ear, give the surgeon full access to the face, from cheeks to chin. The forehead, eyes, and nose are done with separate incisions. Electrocautery is used to singe the blood vessels and minimize bleeding. The skin is pulled tight, redraped, and tacked down in two spots above and behind the ear. The surgeon trims the extra skin and closes the incision. The procedure is then repeated on the other side of the face.
THE SURGICAL REMEDY FOR SAGGING SKIN
A facelift can’t produce perfection, but it can reduce the bags, wrinkles, and creases that come with advancing age. Tucked under the hairline and behind the ears, the basic incisions are almost unnoticeable. Separate invisible incisions alleviate baggy eyes. Be prepared, though, for a long convalescence: it can take up to 3 months for swelling and bruising to totally disappear.

 

After the Operation

 After the procedure, an elastic net dressing that leaves only a small part of the face and eyes exposed will cushion the skin flaps and absorb drainage from the wounds. This dramatic mummy like dressing helps remind you to let your face rest.

Dietary restrictions are necessary after facial surgery to limit the nausea and vomiting induced by anesthesia. Furthermore, chewing can cause bleeding. You’ll start out on clear liquids and quickly progress to a full liquid diet. Soft foods are added the day after surgery. If all goes well, you can return to your usual menu the day after that.

Movement is discouraged for 24 hours. Don’t talk on the phone and walk as little as possible. Keep your head still and slightly elevated at a 30 degree angle. After 24 hours, you can resume light activity. Most surgeons keep their facialplasty patients in the hospital for at least one night.

You’ll wash your hair on the third day after surgery and at least every other day after that, to keep the incisions clean. The stitches will be removed on days 5 through 10 after surgery.

You can expect swelling, black and blue marks, and numbness for many weeks after a facelift. Most women are confident enough to venture out of the house after a few weeks although all swelling and bruising may not disappear for 3 months. Sun block is strongly recommended for the first 6 months.

AFTER A FACELIFT
Day 1 (First 24 Hours After Surgery Day 2(24-48 Hours) Day 3(48-72 Hours) Days 5-10
Diet Clear liquids, then full liquid diet (to prevent nausea and vomiting due to anesthesia). No chewing (causes bleeding). Soft foods All foods All foods
Activities Overnight in hospital. No phone calls. Very little walking. Head slightly elevated. No bathing or showering. Discharged from hospital. Light Activity Shampoo hair Stitches removed. Shampoo hair at least every other day after day 3 (to keep incisions clean).

 

Several complications can follow facialplasty:

Hematomas. The most common problem you may encounter is the formation of a hematoma, the pooling of blood under the skin. If too much blood collects—a situation that occurs only 10 percent of the time—the surgeon pierces the skin and drains it. Most “major” hematomas appear within the first 10 to 12 hours after surgery. Another 10 to 15 percent of patients develop smaller hematomas, many of which aren’t noticed until the swelling goes down.

Skin sloughing. This happens most often in the skin around the ear, where the skin is especially thin and is also geographically farthest from the circulation system that supplies blood to facial structures. Superficial skin sloughs (in the top layer of the skin) may leave little or no scarring. In the 1 to 3 percent of facialplasty patients who develop deeper, full­thickness skin sloughs, however, some amount of scarring is inevitable. The risk of skin sloughing is up to 12 times greater in cigarette smokers than in nonsmokers.

Numbness. Your face may feel numb for 2 to 6 weeks after surgery. The reason is that lifting the skin disrupts the sensory nerves that provide feeling to it. Disturbing a facial nerve branch can interfere with your ability to move parts of your face. Full movement usually returns within a few weeks to a year after the injury, but can sometimes take even longer.

Scars. Facelift scars tend to fade away, becoming virtually invisible. The scars can become more evident if the blood supply to the skin flaps was compromised during surgery or the skin was pulled too tight, causing tension on the incision.

Hair loss. About 1 to 3 percent of people who have had facialplasty lose some hair, usually around the temples, where the incision interrupted the blood supply.

Dark Spots. Patches of darker skin may appear when facial swelling prevents the diagnosis of small hematomas. In most cases, the skin gradually lightens back to normal, although the process can take 6 to 8 months. In rare cases, the darker spots become permanent.

 


Laser Resurfacing

Remember when?

As a child, your skin was soft and smooth.

Over the years, the sun, wind, and toxins in the air have taken their toll and your skin is showing signs of aging.

You have been eating better, living healthier, and generally keeping fit. Now, you want the image you see in the mirror to reflect the way you feel inside. For many of us, this means reversing the years of wear and tear on your skin caused by fun in the sun, the environment, and natural aging.

Signs of aging skin
At first, fine lines appear near the eyes, around the lips, the forehead and across the cheeks. Next, the creases deepen near the mouth and between the eyes. Facial skin begins to loosen and sag.

All the while environmental assailants such as UV from the sun, toxins in the air, cigarette smoke, stress and poor nutrition accelerate the aging process..


Before

After

What is Laser Skin Resurfacing?
Laser skin resurfacing is an exciting medical procedure which corrects the effects of the sun, wind and time.

Physicians around the world use the pinpoint accuracy of advanced CO2 (carbon dioxide) lasers to repair damaged skin. Laser skin resurfacing reduces wrinkles without scalpels or stitches. The laser emits an intense beam of energy that heats and vaporizes tissue instantaneously. It is so precise that the normal surrounding tissue is not effected.

As your doctor guides the laser’s beam over the damaged or wrinkled skin, it gently removes the outer layers.

Fine lines and wrinkles around the mouth and eyes are smoothed. Deep creases and frown lines will be softened and acne scars are minimized. Once the outer layer of skin has been removed, the new skin beneath is softer, smoother with a more youthful appearance.

In addition, research has proven that a CO2 Laser Peel actually shrinks the collagen in your skin by up to 30%, providing a tightening and lifting effect. In some cases this may replace a face-lift or other plastic surgery procedures; in others, it can complement surgical procedures.

A new generation of resurfacing lasers is called the Erbium lasers. The Erbium laser provides a gentler, more precise resurfacing. This procedure works well on younger people, on men, on darker pigmented skin, and on more fragile areas of skin like the neck, chest and hands. It is also for any patient wanting a “lighter” peel.


Before

After

 

How is the procedure done?
The Laser Peel is an outpatient procedure. The Laser Peel lasts between 1 and

1-1/2 hours, and for full-face resurfacing, your physician usually recommends IV sedation with an anesthesiologist.

The procedure itself is painless and afterwards there is only mild discomfort, like sunburn. You wake up immediately following the procedure and are cared for in our recovery room, for another 30 to 60 minutes. You will need to be driven home by a friend or relative.

What about recovery?
Though the surface of your skin is usually healed within one week, it will be somewhat sensitive, and taking two to three weeks off assures you will look very natural when you return to your regular routine. However, depending upon each patient, and on the type of treatment, healing times can vary. For deeper peels, your skin can remain pink for up to four months, but is easily covered with make-up. For lighter peels, the pink color can fade in as little as two weeks. The good news is, that your new skin continues to improve through your body’s own healing process over six months following the procedure.

Improvements in your healthy new skin will last anywhere from five to ten years … especially with good home skin care. We design your personal skin care routine that will enhance your results for years.

What are the benefits of laser resurfacing?
Lasers cause less scarring, bleeding and bruising.

Lasers provide a level of control that is difficult to achieve with other treatments.

With lasers your doctor can immediately visualize the effect of the treatment.

Laser resurfacing is more predictable than other forms of treatment.

Laser surgery requires shorter recovery time than traditional treatments.

Are you a good candidate for Laser Skin Resurfacing?
Your doctor will review your medical history, age, skin type and pigmentation; consider your desired results, and determine if you are a candidate for laser skin resurfacing. Results will vary from patient to patient depending on age, skin type and condition.

Your doctor may discuss with you other skin rejuvenation procedures such as dermabrasion, chemical peels, facelifts, fat transfer or Botox injections.

At your initial appointment you may have a computer image to get an idea of the expected results before you proceed with the procedure. You will also have a chance to review our photo album of patients who had the procedure done in our centers in the USA.

Our physicians, who have performed thousands of laser peels, estimate patients can expect at least a 50% improvement and look 5 to 10 years younger.

If you are interested in learning more about laser resurfacing, please call our office and we will be happy to answer your questions.


Ear Reshaping

For many adults and children, having large ears leads to ridicule, poor adaptation to school, and/or extreme self-consciousness. Otoplasty is a procedure used to reduce large or protruding ears by setting the ears back closer to the head as well as molding, shaping and/or removing cartilage.
Otoplasty can be performed at any age after the ears have reached (or nearly reached) their full size, which is around 5 to 6 years of age. This surgery is most often performed on children between the ages of 5 and 14.

If you’re considering otoplasty, the following information will provide you with a good introduction to the procedure. For more detailed information about how this procedure may help you, we recommend that you consult our board-certified plastic surgeon with experience in otoplasty.

What are some of the most common benefits of this surgery?
Otoplasty can dramatically change a person’s appearance simply by making protruding ears look more normal. Often the problem is caused by an undeveloped middle fold of the ear. There may be other deformities as well, making it necessary to perform several procedures on the ear at the same time. Otoplasty can reshape the ears, reduce their size, make them more symmetrical, and/or position them closer to the head.

If you (or your child) are self-conscious about your ears, and always keep them covered with your hair, then this surgery can open up new possibilities for changing your appearance and your body image.


Before

After

 

What will happen at the initial consultation?

During the consultation, you and your surgeon will discuss the changes that you would like to make in your appearance. He/she will explain the different options available to you, the procedure itself, and its risks and limitations. He/she will also explain the kind of anesthesia required, surgical facility, and costs.

Your surgeon will ask for a complete medical history and examine the structure of both ears. Even if only one ear needs correction, surgery may still be recommended on both ears to achieve the most natural, symmetrical appearance.

Trust, based on realistic expectations and exacting medical expertise, should develop during the initial consultation. A positive attitude toward the surgery is an important factor in all plastic surgery, but it is especially critical when the patient is a child or adolescent.

How is this surgery performed?
This procedure generally involves reforming the cartilages that shape the ears, to pull them in, and reduce the protrusion. Sutures (stitches) are placed in the cartilage on the back side of the ear to maintain the new position. Incisions and the resulting scars are well concealed on the back of the ear, so that there is no visible scarring.

Surgery begins with an incision just behind the ear, in the natural fold where the ear is joined to the head. The surgeon will then remove the necessary amounts of cartilage and skin required to achieve the right effect. In some cases, the surgeon will trim the cartilage, shaping it into a more desirable form and then pin the cartilage back with permanent sutures to secure the cartilage. In other instances, the surgeon will not remove any cartilage at all, using stitches to hold the cartilage permanently in place.

How long does the surgery take?
Otoplasty generally takes about one to two hours per ear. The length of the procedure depends on the technique used and the amount of correction required. You’ll be able to return home within a few hours of the surgery. This surgery can be performed under local anesthetic, such as that used by most dentists, although most surgeons advise general anesthesia for young patients.


Before

After

 

Will the operation affect my hearing?

No. Only the outer ear is operated on, not the middle or inner ear, where hearing takes place.

Will there be any visible scars?
In most cases, no. The scars are hidden behind the ear.

What can I expect after surgery?
Most doctors like to have the patient wear a headband for a few weeks after surgery in order to protect the surgical repair. If you can wear this at work, then you can probably return to work quickly, but you will need to discuss this issue with your doctor.

What is the recovery period like?
Most normal activities can be resumed within a few weeks, but you will need to be very careful to protect your ears for at least 6 weeks, or possibly even longer. In order to make sure that there is no infection or bleeding in the ear after the surgery, you must be very careful to protect the ears and keep them clean. In addition, bending the ears forward in the first few months after the surgery can destroy even the finest surgical result, so be very careful to follow all of your surgeon’s instructions.

What is the long-term outcome like for most people?
The results are usually permanent, although there is always some small amount of “springing back” of the ears due to the elastic recoil of the ear cartilage.

Ideal candidate:

1) Child, aged four or older, or adult.

2) In general good health.

3) No history of scarring problems, such as keloids.

4) Wanting to improve appearance.

5) Realistic in expectations.

6) Understand the limitations on activities required for good healing.

7) Able and willing to carefully follow the surgeon’s after-care instructions.

The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he / she considers you (or your child) an ideal candidate for otoplasty.

Alternatives:
Wearing a headband or camouflaging the ears with long hair.

Accept the ears with their protruding shape.

Consider additional plastic surgery along with the otoplasty, to further improve the proportions of the head and face.

Risks:
In teenagers, it is best to wait for at least one year to see if the condition resolves spontaneously.

In all candidates, discontinuing alcohol, marijuana or anabolic steroids may resolve the problem without surgery.

Overweight men may find that losing weight will reduce breast fullness.

Costs:
Cost is 11-14,000 U.A.E Dirhams depending on the difficulty of each

specific case cost includes the operating room charges, anesthesia, surgeon’s fee and six months follow up visits.

Be sure to:
Tell your doctor about any allergies you have (to foods, drugs, environmental elements)

Tell your doctor about all medications you are taking (both prescription and non-prescription)

Carefully follow any instructions your surgeon gives you regarding eating and drinking, smoking, and vitamins.

Avoid aspirin and aspirin-containing medicines for two weeks prior to surgery.

Arrange for someone to drive you home after surgery.

The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result. The best method of determining your options is to consult qualified surgeons who are able to answer specific questions related to.


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