Laser Vaginal Rejuvenation (LVR)

We offer to your attention a video interview with Dr. Alexandros Bader, Cosmetic Gynecologist, who talks about Laser Vaginal Rejuvenation (LVR).

NOSE JOB WITHOUT SCARS?

N O S E  J O B  W I T H O U T  S C A R S ?  

By

 

 

Dr. Steven B. Hopping

Past President of American Academy of Cosmetic Surgery
Cosmetci Surgeon

 

American Academy of Cosmetic Surgery Hospital

 

 

 

Aesthetic Rhinoplasty is the surgical procedure that aims to correct the form of the nasal pyramid in a way that a better adequacy of facial beauty to the cosmetic rules consensually most acceptable in each time and place can be achieved.

The goal always is to improve the appearance and function of the nose.

Physiognomic alterations, like a nose that appears too large for the face, a hump on the nasal bridge when viewed in profile, a nose that seems too wide when viewed from the front, a tip that droops, plunges, is thickened or enlarged, nostrils that are excessively flared, a nose that is off-center or crooked or even a previous injury that has left the nose asymmetrical, are some of the most frequent problems mentioned during the consultation for Rhinoplasty.

Various techniques that can increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, change the angle between the nose and upper lip or reshape the tip can be addressed dependently each case and desire. The whole shape of the nose can be changed in a way that it will be adjusted to your face based on studies of your profile and frontal view. Details such as the curve, the width or the projection of your nose will be discussed.

Each patient has to understand that the nose is a very important structure centrally located at the face. It is a mark of human physiognomy. Every disproportion in the face is extremely perceptive and difficult to hide.

Main goal of this surgical procedure is to create a nose that is artistically as close as possible to each society’s beauty concepts which are influenced every time by ethnic cultural characteristics and fashion.

Most of all in every case the nasal physiological function must be always maintained or even become better, the form and symmetry must be proportional of the general facial contour and in any way the nose should be considered as an esthetic unit isolated and independent.

Any surgical procedure that alters the morphology of the nose will produce a permanent change in its physiology and in patient’s psychology as well. Thus accurate diagnosis of the particular deformity in each case is of vital importance as it will determine the operative technique.  Thorough pre operative evaluation is fundamental for the correct diagnosis of each deformity and local anatomical changes. No standard technique is applicable to all deformities. Each case is different and must be treated as so.

Most modern day rhinoplasties are performed via intranasal incisions. The incisions are placed inside your nose and if needed at the crease laterally in order to reshape your nostrils. Also if your nose needs to be built up in some areas, this can be done using nasal (septal) cartilage or perhaps bone or cartilage from another site as ears or rib.

External Rhinoplasty, Open Roof Rhinoplasty or Exorhinoplasty are all terms for the same procedure, the Open Rhinoplasty. The difference from the previously mentioned Closed Rhinoplasty is that it is performed through an extra external incision placed at the columella from which you can unfold the whole skin nasal cover so that the internal structural support (bony and cartilaginous) of the nose can be seen and altered.

In my opinion should not be performed so often as we usually notice, especially in the Middle East region, as it stigmatizes the patient with a scar. In some cases this external scar might be less evident, but a scar is always a scar. When something can be delivered otherwise with comparative results I cannot see any benefit sacrificing the nose.

Furthermore the magic in Aesthetic Plastic Surgery is to be able to perform all the procedures through small incisions in sites that can be very well hidden, covered and camouflaged.

It still remains a valuable procedure but for difficult cases especially for complex nasal tip problems, where a lot of detailed work must be done molding the cartilagenous supporting system, as the disadvantages are usually the increased post operative healing period, which means that the nose will stay swollen for a longer period and sometimes might end up being hard with an altered shape due to excessive fibrosis, the increased performing surgical time and the worst of all, the uncovered outside apparent incision.

Anesthesia for every kind of Rhinoplasty can be local with intravenous sedation for minor cases or general, depending on the emotional status, age, physical status, patient’s choice and the extent of the procedure.

One night stay at the Clinic and follow ups for two weeks when the nasal splinter and the tapes will be removed is obligatory.

Final results will be achieved after 6 months.

 

Dr. Steven Hopping, Cosmetic Surgeon

 

Things You Should Know About A “Tummy Tuck“

           T H I N G S  Y O U  S H O U L D  K N O W  A B O U T  A “T U M M Y T U C K “

     By

 

Dr. Wolf-Gunter Steinmetz

specialist for Plastic and Aesthetic Surgery

American Academy of Cosmetic Surgery Hospital

 

 

1. Who is a good candidate for the procedure?

 

Ideally the patient should be of normal weight, or at least not be excessively over weight. This procedure is not intended to reduce weight! Since it is a major procedure taking several hours under general anesthesia, the patient needs to be healthy and fit and there should be no skin infections present. After the procedure, it will take several weeks, even months for all the swelling to go down and everything to heal properly. Therefore, a candidate should be emotionally and psychologically stable.

A pregnancy after an abdominoplasty is possible and there is no added risk from the procedure, however, it is quite likely that the result will be ruined by a pregnancy. So it is recommended to only have the surgery done if you are not planning to have more children, but there can be exceptions to this.

 

2. When is the right time for me to have an abdominoplasty?

 

As mentioned above, it would be a good idea to be relatively sure you are done with your family planning and don‘t want more children, because a pregnancy might undo the benefits of the surgery. Also, it is advisable to wait at least 6 months after you stopped breast feeding, since the change in your hormonal status will affect strength of tissues and your body still changes during that period.

 

In a more immediate sense, you need to organize your life in such a way that you can deal with the limitations imposed by the post-surgical period. For example, you should not need to li anything heavy for 6 to 8 weeks, you will need me off from your job and you may need assistance for running your household. Furthermore, it is important that you wear a good compression garment for about 4 weeks after the surgery.

3. What are the limits for such a procedure and how do you deal with it?

 

It is important to understand that each surgery has its limits. Even the best surgeon cannot make you look 20 when you are really 50 or give you a super model body when you are heavy built. Also, there will always be scars and maybe other telltale signs of the surgery. One should never look only at one isolated area. If you have heavy breasts and full thighs, a pronounced slim waistline would look out of place. The goal of any cosmetic surgery is to improve the total harmony of your body not only deal with one little area and forget about the rest! You should only decide to have the procedure done if you feel you can live with the scars and will be happy with the result you can expect according to the surgeon. When it comes to deciding on a major procedure like abdominoplasty it is no me for wishful thinking!

Dr. Wolf Gunter Steinmetz, Plastic Surgeon

Five things you must know about breast augmentation

FIVE THINGS YOU MUST KNOW ABOUT BREAST AUGMENTATION

 
by

Dr. Wolf-Gunter Steinmetz

 Specialist for plastic and aesthetic surgery

Many women wish to have larger or firmer breasts. This is not a new trend, in fact it is probably as old as civilization. Today we have the knowledge and technology to make this wish come true for most of these women. While it sounds so easy and straightforward to put an implant in the breast and everything is fine, unfortunately it is not that easy at all and there are a number of things you should know about this:

1. What is the best method for breast augmentation?

Like so often in life, there is no best method. It all depends on the situation and the desires of the patient. While a patient with a small but firm and well shaped breast will probably be best off with an implant placed underneath the muscle, someone with a drooping breast that needs some element of ift, will benefit more from an implant on top of the muscle.

2. Which is the best implant?

As far as material, most cosmetic surgeons will agree that the modern silicone gel implants are much better than anything else we can offer. When it comes to shape and surface texture, it again depends on a variety of factors. A round
implant with a smooth surface performs extremely well underneath the muscle to enhance the shape and volume of a youthful looking breast that is not drooping. A breast that already has paid toll to gravity or several children having been
breast fed, will probably need the added support and volume in the lower quadrants that an implant with an anatomical shape can provide. These implants have a textured surface to prevent them from turning.

3. Which incision is right for me?

The implant needs to be placed in a pocket, which the surgeon has to create during the surgery. The shape, size and position of this pocket determine the outcome just as much as the type of implant, maybe even more. Preparing
the implant pocket is not as easy as it might seem and this is where the surgeon‘s skill and experience really matter. While theoretically it is possible to prepare such a pocket from any of the possible incisions, certain combinations just make more sense than others. If you want to place an implant behind the muscle, the most elegant way to do this, is through the armpit, because there you are already behind the muscle and don‘t have to split it. This works best with smooth round implants. On the other side, if you need an implant with anatomical shape on top of the muscle, an incision in the submamary fold works much better.


4. Do I have to exchange the implants sometime?

All the major manufacturers now give long term warranties on their products. Even though, the implants are subject to mechanical loads and therefore it is recommended to exchange them after about 15 years.

5. What are the risks of breast augmentation?

Overall, the risk for complications is very low in the hands of an experienced plastic surgeon, but of course every surgery has certain risks. The major risk is the so called constrictive capsular fibrosis. The body forms a very smooth connective tissue capsule around any implant. This is good, because it largely
prevents the implant from dislocating. In rare cases (approx. 5%) this capsule can contract and exert pressure on the implant changing its shape. If this happens it usually can be fixed with another operation and you can keep the same implants. Dr. Steinmetz is a board certified plastic and aesthetic surgeon, who runs his own clinic in Wuerzburg, Germany and regularly comes to the American Academy of Cosmetic Surgery Hospital in Dubai Health Care
City. While he performs most aesthetic procedures, breast surgery is one of his main areas of expertise and he employs some very unique techniques for placing implants through the armpit area underneath the muscle.

Dr. Wolf Gunter Steinmetz, Plastic Surgeon

Cosmetic Surgery Trends for 2012 - 2013

  Cosmetic Surgery trends for 2012-2013

  

  

     
    By: Dr. Michael Salivaras
    Plastic and Reconstructive Surgeon
    Chief Medical Director
   American Academy of Cosmetic Surgery Hospital

      Patient’s Safety. The number one issue. Any intervention must be performed at an accredited facility only by a board certified Aesthetic Plastic Surgeon. By that means we assure our safety and we guarantee that the maximum experience and knowledge will be addressed within the best possible way. 

       Rhinoplasty. The artistry of sculpting at its magnitude. A surgery that can last from 30 min up to 3 hours. From simple resections to complete reshaping by grafts and fillers. Also a matter of ethnicity. A worldwide accepted beauty form does not exist. A perfect match to our face and personality is principally what matters in addition to what the patient desires and what can be delivered.

·     Eyelids. 4 best ways to lift your eyebrow reshape your eyelids and growth your eyelashes effectively. A combination of micro fat grafting, fillers, Botox and minimally invasive techniques are available now.

·       Face and neck rejuvenation. How we can transform a hippo to a swan. Regenerative surgery for true facial rejuvenation. Organic Cosmetic Surgery, PRP with growth factors injections and again micro fat grafting techniques. Everything in our hands but cautiously applied.

·    Body Contouring. Mini lipo abdominoplasty, Safe liposuction, 3D Hi definition power assisted body sculpting, scar less belly buttons, Brazilian Gluteoplasty are the new trends. When liposuction is not enough and finally surgery is needed? Post weight loss patient need special attention by experienced surgeons at well-equipped facilities.

·     Stem cells enriched therapy, structural fat grafting even in large volumes and growth factors applied by micro injections are our new tools to enhance our surgical outcomes for scars, facial rejuvenation, large volume fat grafting of the buttocks and lipomodelling of the breast.

·     Aesthetic Breast surgery. Composite breast augmentation mastopexy with lipomodelling and implants. Painless techniques. 3D implants available now for natural results. Short scar yes but only when indicated. Internal bras new concepts applied.

·    Cosmetic Medicine. Cellulite treatments by tissue recycling and minimal invasive laser approach, fat grafts versus fillers, ultrasonic body contouring, new lasers for improving final aesthetic surgical results, PRP and mesotherapy cocktails rich in growth factors and stem cells combined with Botox for scratched faces.

·       And do not forget that multispecialty clinics are the best options for offering cosmetic treatments. A group consisting of a plastic surgeon, dermatologist, dentist, laser therapist and a massage beauty therapist ideally. Websites are useful do get an idea but sometimes can be really dangerous. Always meet and trust the doctor that you have been referred to.