Botulinum toxin is a material used to relax (paralyze) muscles for short period of time.
It was used for treating muscle hyperactivity and rebalancing muscles of eyes in patients with strabismus, it was introduced to aesthetic purposes in early 1990s when peroorbital wrinkles were noted to disappear in patients that received Botox for hyperactive muscle around eye. Nowadays Botox is # one treatment for forehead and glabellar wrinkles and periorbital and nose wrinkles, newer indications are perioral wrinkles and neck wrinkles. Botox injection is an office procedure where very fine needle is used with practically no pain, the procedure takes less than ten minutes, and patient can resume work directly after wards .The effect of Botox will start after three days and peek at 3 weeks. The effect lasts up to 6 months.
If you repeat the Botox every 6 months for 3 times the effect will last up to eight months, because the hyperactive muscles will become weaker and weaker injection after injection.
Breast lifting is done for breast that loss volume either after pregnancy or after weight loss; this can be corrected by several procedures,
If the volume loss is small sagging can be corrected with breast augmentation alone.
But in case of excessive degree of sagging, mastopexy or breast lift is the solution with a round scar around the areola with or without augmentation. In case of severe drooping lifting is done with bigger scars extending from a round to vertical to an inverted T scar.
All these operations can be done in hospital under general anesthesia, patients are discharged same day .Patient can resume work after a week .I advice patient to wear a surgical bra for three weeks.
Very Large breasts in addition to there unattractive look, are known to cause back, and neck pain, and skin irritation under the folds. To reduce the breast we resects part of the breast tissue, and the breast is lifted in the same procedure, the scar can be either around the nipple areola complex ,or with an extension to a vertical scar ,or a longer extension of the scar to under the breast fold to end with a round scar with an inverted T scar. The exact scar is discussed with the surgeon before the operation. Usually young girls do this operation they have a condition called (virginal hypertrophy),the patient will still be able to breast feed after the operation and have normal nipple sensation. The operation is done in hospital under general anesthesia; I leave a drain in the wound that is remove the second day and patient stays one night in hospital .patient can resume work in one week
Nasoplasty is one of the most popular procedures in plastic surgery.
We do it starting age of sixteen in girls and seventeen in boys. The ideal nose is that of natural looking nose, where I take into consideration not only ethnic background of the patient but also face skeleton mainly cheek bones, chin, size of eyes and lip size. The most common mistake on rhinoplasties done by non plastic surgeons is they do the same procedure for all patients so they look fake and do not suit their faces, thus they have the stigma of operated noses.
The operation is done mainly under general anesthesia or sometimes under local anesthesia with sedation, most of the times the I do it through incisions inside nose, sometimes I do open rhinoplasties, where a small incision is done at the base of the nose, in revision cases and in tip pasties. The dorsal hump, and septal cartilage is sculpted to refine the dorsum, nasal tip ,nasolabial ,&frontonasal angles are also modified.
Nasal opening are reduced through external incision.Septal deviation can be corrected with Nasoplasty procedure. The operation last between an hour and 2 hours depending if it is a fresh nose or a previously operated one. After the operation I do put a splint that is kept for one week, I do not put a pack inside the nose,there is no pain after the operation ,yes there is discomfort because of the swelling around the eyes and bluish discoloration that builds up in the first 3 days and then subside slowly over a week time patient will have nasal congestion because of swelling this will decrease over 2 wks time. Patient can perform regular work after one week.
Preliminary shape appears after one month but final result will take between six months and a year.