Prof. Dr. Ashok Govila Consultant Plastic Surgeon, Dubai slideshow EPSS honoring Dr Ashok Govila slideshow slideshow slideshow slideshow slideshow Prof. Dr. Ashok Govila Consultant Plastic Surgeon, Dubai slideshow slideshow slideshow slideshow slideshow slideshow
Dubai Aesthetica, Prof Ashok

Click below for information on individual subjects
GENERAL QUESTIONS
NOSE JOB
TUMMY TUCK
BREAST SURGERY
LIPOSUCTION


GENERAL QUESTIONS



How does a physician become a Plastic Surgeon?
Training to become a plastic surgeon is a difficult task. To become board certified by the American/British/ European/or Indian Board of Plastic Surgery a physician must complete a specialized post-graduate training course of five to seven years. Background training usually includes a thorough grounding in general surgery; however a background in ENT or orthopedics may be acceptable. The final two to three years of training must be in an approved plastic surgery training center. Prior to official certification by the Board of Plastic Surgery the physician must pass a rigorous set of both written and oral examinations. While the American (MD)and British board (FRCS)do not need any thesis ( Research work) Indian board (MS and M.Ch.) additionally requires
a thesis to be completed first in general surgery and then in plastic surgery during last two years. While numerous physicians use the term "plastic surgeons" only those certified by the Board of Plastic Surgery are true plastic surgeons..
Does certification by the Board of Plastic Surgery ensure that a patient will get a perfect result from an operation?
No. Healing of operated tissue is affected by several factors, and some of these are beyond the control of the surgeon. As in any other type of medicine, no guarantee of perfection or even a good result can be given. By making sure to do your homework before choosing a plastic surgeon, you can check out
a surgeon's training, skill, and experience to better ensure your safety and desired results by going through CV of the plastic surgeon if he has included in this web site. Board certification means that the surgeon has completed the rigorous requirements for full time practice as a specialist in plastic surgery.
Is a plastic surgeon a skin specialist?
Dermatologists specialize in skin, but the plastic surgeon has an equally important role of the treatment of benign and malignant tumors of the skin. The skills of a plastic surgeon are especially needed when large areas of the skin must be removed and replaced especially where disfigurement may result or when these areas are in conspicuous areas such as the face. Plastic surgeons also perform skin resurfacing techniques, for cosmetic purposes, in order to achieve healthier looking skin by reducing facial wrinkling and pigmentary changes of the skin.
What procedures do plastic surgeons perform?
Aesthetic (cosmetic) problems with the face, neck and trunk, including forehead, eyes, nose, ears, lips, chin, neck, breasts, abdomen, hips, buttocks, thighs, calves, arms, and skin. Congenital deformities of the hands and face, including clefts of the lip and palate. Benign (non-cancer) and malignant (cancerous) tumors of the head and neck, skin and soft tissues. Traumatic injuries of the bony facial skeleton and hand as well as soft tissue injuries of any part of the body. Surgery of the hand. Surgery of the jaw and facial skeleton. Any type of skin cover and replacement problems. All types of reconstruction following removal of cancer resulting in disfigurement of any part of the body including the face, breasts, and trunk.
Will I have a scar after plastic surgery?
Scarring is inevitable of healing, however a very fine lined scar placed in the correct orientation may be virtually invisible. A plastic surgeon spends years trying to master techniques to place scars in the most desirable location. Plastic surgeons will try to make incisions in areas that will not show, like under undergarments or along natural creases. Scars will normally fade over time, but certain areas of the body such as the back and chest, produce more severe scarring regardless of the technique used for reconstruction and closure. The severity of the scarring varies from person to person.
Does plastic surgery always involve skin grafting?
Skin grafting is only used when it is the best way of closing a wound or defect. A qualified plastic
surgeon uses judgment to decide the best way of reconstructing a defect. A skin graft may appear to have poor color match and texture compared to the native skin, but with careful selection of a skin graft donor site these problems may be minimized.
What is a pedicle graft or flap?
A pedicle graft also called a flap, consists of a segment of skin, underlying subcutaneous tissue and/or muscle which is shifted from one area to an open wound or defect for coverage of that wound. The word pedicle means that the blood supply to the flap is never divided. When the blood supply is completely divided and reattached this is called a free flap, and requires specialized skill in microvascular surgery.
Q.1 What is the difference between cosmetic and plastic surgery?
A.
Cosmetic surgery is a unique discipline of medicine focused on enhancing appearance through surgical and medical techniques. Cosmetic surgery can be performed on all areas of the head, neck and body. Because treated areas function properly but lack aesthetic appeal, cosmetic surgery is elective.
Plastic surgery is defined as a surgical specialty dedicated to reconstruction of facial and body defects due to birth disorders, trauma, burns, and disease. Plastic surgery is intended to correct dysfunctional areas of the body and is reconstructive in nature.
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Q.2 Who is a candidate for plastic surgery?
A. The best plastic surgery candidate is someone with realistic expectations and an understanding of the limitations set by medicine, technology, and each patient’s own body. Good candidates have a strong self-image, and well-developed reason for pursuing a plastic surgery procedure. They are looking for improvement of a physical trait, knowing that while this positive change may enhance their self-image, it will not change people’s perception of them. Dangerous motivations for plastic surgery would be purely doing it to gain popularity, or attempting to reverse recent life crises.
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Q.3 Is there a “right” age to pursue plastic surgery?
A. There isn’t any overarching rule as to the right age for plastic surgery. In fact, the appropriateness of a certain procedure should be determined more on a case by case basis, looking at the individual’s unique body type and aging process. Of course, there are age tendencies for certain procedures. Facelifts generally are not performed on patients under 30 years, as mini-lifts or laser procedures might be suggested instead, but this is not a rule. Otoplasty, on the other hand, is appropriate for adults or patients as young as 5 years old.
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Q.4 Is plastic surgery covered by insurance?
If not do you have any loan or payment plans for such surgery
A. When the plastic surgery procedure is being performed for cosmetic reasons, insurance will not be involved. When the surgery is necessary for reconstructive purposes, however, it may be partially or fully covered by insurance. Plastic surgery procedures that may be covered by insurance often include breast reconstructive (after a Lumpectomy), Rhinoplasty (for breathing problems), Tummy Tuck surgery (for gastric bypass patients) and eyelid surgery (to correct vision problems)We do have payment plans in which one can pay 50% down payment and rest 50 % in installments during 6 to 12 months by postdated cheques.
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Q.5 What is the difference between cosmetic and reconstructive surgery?
A. Cosmetic plastic surgery is performed to enhance or change a healthy, normal, functioning part of the body. Nothing but the patient’s desire for physical improvement necessitates cosmetic plastic surgery. Reconstructive surgery, however, is intended to correct a physical abnormality caused by a birth defect, disease or tumor, physical trauma, or infection. The goal of reconstructive surgery may be to restore function or to achieve physical normality.
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Q.6 Where is plastic surgery performed?
A. That can depend on the surgeon. Most plastic surgeons are affiliated with local hospitals and can arrange operating room times as needed. I operate at Jebel Ali Hospital (now called Lifeline Hospital). I do not carry out a similar procedure at surgical centers like clinics other then minor cosmetic dermatology procedures such as Mesotherapy or Facial Fillers. I will help you to choose your surgery location based on comfort, safety, scheduling issues, and sometimes geography issues (which surgery location is closest to home, and the cost effective etc.
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Q.7 How much pain is involved in plastic surgery?
A. Each plastic surgery procedure carries a different level of discomfort, and requires different methods of anesthetizing. In most situations, the patient’s preferences for safety and comfort, as well as personal pain threshold can help determine what type of anesthesia will be used. Very minor, non-invasive surgeries might involve a topical anesthetic, while minor invasive surgeries may call for local anesthetic or local combined with sedation. In more involved surgery, general anesthesia is usually used.
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Q.8 Is plastic surgery outpatient or inpatient?
A. Most plastic surgery procedures are performed on as a day care surgery in a hospital like liposuction and breast implants which means one goes home by the evening of surgery. In some cases, usually when the surgery is very extensive, an overnight stay might be required or 2 to 3 nights stay may be requirred in case of massive size patient undergoing tummy tuck with liposuction.

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NOSE JOB (RHINOPLASTY)
Are there any scars after nose job?
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The incisions for a rhinoplasty are usually placed within the nose therefore there are no scars outside unless an open rhinoplasty is undertaken that has a scar at the base of columella for first few months but in 6 months` time it disappears. Since the scar falls in the shadow of the nose it does not show much even in first few months. This scar is typically unnoticeable once the incision is healed. After the procedure there will be some swelling and mucus drainage. Patients tend to have a stuffy nose feeling as they are healing. The incisions for a rhinoplasty are usually placed within the nose. If an open rhinoplasty is performed there will be an external incision. This scar is typically unnoticeable once the incision is healed. After the procedure there will be some swelling and mucus drainage. Patients tend to have a stuffy nose feeling as they are healing.
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What does a nose-job surgery involve?
Rhinoplasty is an operation performed on the nose to change its shape to give a more pleasing cosmetic appearance. I perform what is called open structure rhinoplasty. This newer approach to rhinoplasty combines a traditional emphasis on cosmetic shape change with a particular focus on
maintaining the strength of the nose. A strong nose not only looks good but also works the way it is supposed to. This can improve the nasal passages in cases where nasal blockage is present. In selected individuals I don`t mind a closed approach rhinoplasty.
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How long is the swelling post rhinoplasty / nose job last?
A small Plastic cast (splint) will be applied to the nose for the first week and most of the swelling will be gone by the time the cast is removed. 80% of the swelling should be improved at 6 weeks, 90% at 3 months and 95% at 6 months. The final cosmetic result is not achieved until 12 months to two years
after the operation when the skin has reformed to its new framework. Patient shown here is result after 12 months and there is still some scope for improvement that will appear on its own in next 12 months time
What kind of scarring results from a nose job?
Usually during a nose job, incisions are placed inside the nasal cavities where they are not visible after surgery. However, do expect drainage, swelling (both internal and external), and numbness, and the feeling of a "stuffy nose" after reshaping (rhinoplasty). In this particular patient you can see a faint scar at the base of the columella at the end of 3 months. It will continue to improve for total 12 months when its not seen at all .This is a standard
location of a scar in my cases for open rhinoplasty. In closed rhinoplasty there is not scar at all.
Why is a nose job called rhinoplasty?
The word "rhino" means "nose" and the word "plasty" means "to shape or to mold. " So "rhinoplasty" literally means "to shape or mold the nose".
Do you do a standard "nose job"?
Definitely not! I strive to make the patient's nose fit their face. Since each patient is uniquely different, each procedure is tailored to the individual patient. Many surgeons, however, perform a routine rhinoplasty.
How do I know who is the best surgeon for my nose job in UNITED ARAB EMIRATES?
The best rhinoplasty specialist in UAE and the best rhinoplasty surgeon in DUBAI is one who performs the operation routinely in his practice. Remember, facial plastic surgery is the specialty that allows rhinoplasty surgeons to focus their talents only on the face. If a patient is looking for DUBAI rhinoplasty specialists, look for a facial plastic surgeon that will perform your procedure in the context of form and function.
In order for you to obtain great rhinoplasty results, the cost of rhinoplasty should not be the only determining factor. Look at the surgeon's before after rhinoplasty photographs and looks for the word of mouth. Patients usually return to school or to sedentary work one week after surgery. You should avoid strenuous activity (any activity which increases your heart rate) for 2 weeks after surgery. After 2 weeks you may gradually increase your activity so that you are back to your regular routine at 3 weeks. Avoid sun exposure by using sun screen, bumping your nose, and do not let your glasses rest on your nose for 8 weeks. If you choose a well-qualified surgeon, you are not likely to need a revision. While there is no guarantee about the results of your surgery, you can increase your likelihood of success by choosing a board certified doctor who has all the proper credentials and licensing and plenty of experience in the field. There may be some minor adjustments to be made after an initial rhinoplasty and that can require a revision. If you choose a well-qualified surgeon, you are not likely to need a revision. While there is no guarantee about the results of your surgery, you can increase your likelihood of success by choosing a board certified doctor who has all the proper credentials and licensing and plenty of experience in the field.

Where will your plastic surgery be performed, which hospital?
I operate at Cocoona Center for Aesthetic Transformation, Dubai London Hospital, Al Zahra Hospital, Barsha 1, Dubai and at International Modern Hospital at Port Rashid. They all have different rates for the facilities provided and they all have different quality and nursing care for a given situation and different expertise in anesthesia and complication rate. The extent of surgery decides the overall cost of surgery. The extent of surgery depends upon the severity of the deformity that one presents with. The cost of just hump removal or just alar plasty or just tip plasty is different than a total closed or total open rhinoplasty.

To wrap it up: Is a "nose job" worth it?
Apparently, of all aesthetic surgeries, the "nose job" is one that brings about the most patient satisfaction. Remember that each case is analyzed during the first consultation, and all details herein relayed are discussed again. Since we, the doctor and the patient, mutually decide to realize this surgery, it becomes worth it. If we do not see the surgery as "worth it" we will be the first to suggest that you do not operate. Patients usually request nasal surgery at age sixteen - surgery can be performed earlier but usually only for severe deformities.
How long does the non-surgical nose job take, and what should I expect?
The procedure is also dubbed the injection Rhinoplasty and the 15 Minute Nose Job ™. The procedure takes 15-30 minutes, is virtually pain-free, and has a very minimal recovery time. Typically, patients are back to work or class the same day. Professor Dr. Ashok Govila can perform, a non-surgical nose reshaping by using facial
fillers. Depending upon the filler used the results can last between 6 months to 5 years. The cost is accordingly different because of difference in the cost of filler. The areas marked in this figure are the areas where a filler can be injected to change the shape. This is mainly used for depressed areas of nose or post rhinoplasty asymmetries. A hump on nose cannot be treated obviously with this method I don't like the way my nose looks. Can it be fixed so that it doesn't look like I had a nose job? When performing a rhinoplasty, our goal is to obtain a result that appears very natural. Your nose should be harmonious with the rest of your face and not stand out or have an over-operated unnatural look.
Will everyone know that I have had a nose job?
The goal of rhinoplasty is to bring the nose in harmony with the rest of the face. Typically, after rhinoplasty, people will comment on the fact that you look better, but most may not notice that your nose is different. After rhinoplasty, people will tend to notice other features of your face, previously masked by your nose, such as your eyes and your lips.
Why should I consider Non-Surgical Nose Job?
It is minimally invasive; therefore there is no much downtime and risks of surgery.
2) It is much more affordable since traditional nose Rhinoplasty costs about $5000 - $7000.
3) Non-surgical nose job is reversible.
4) The client has a control over results of the procedure by looking in a hand held mirror and
advising the physician of his/her opinion of the progress of work. 5) Results are subtle, therefore you will look better but not like a person who had a nose job.
How do I know if the non-surgical nose job will work for me?
Long lasting facial fillers are effective for many types of nose imperfections. To be certain this procedure is right for you, call us to schedule a consultation with Prof. Dr. Ashok Govila. He will determine if the non-surgical nose reshaping will give you the results you desire. I have always felt that the hump on my nose makes my nose look too big for my face.
How would I know if I should get a nose job?
The rhinoplasty consultation is an extremely exciting opportunity to discover what changes can be predictably brought about to the nose, possibly even improving breathing. Following a detailed discussion and physical exam, many patients find video imaging educational and helpful for decision making.
Patients are surprised that there are many hundreds of surgical procedures that can be performed on the nose to bring about refinement and nice aesthetic changes.



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TUMMY TUCK - ABDOMINOPLASTY

WHAT IS TUMMY TUCK ( ABDOMINOPLASTY)?
Abdominoplasty, also known as a "Tummy Tuck" or simply "TT", is the surgery of the abdomen to remove the excess skin and fat that may accumulate after pregnancy, obesity or age. With a full abdominoplasty, benefits are also tightening of the abdominal muscles that may have become stretched out or lax over time. Even a new belly button can be obtained as a result! This isn't a simple procedure, and you should definitely be aware of the risks and post-operative care and attendance that will be needed. The purpose of the Abdominoplasty operation (Tummy Tuck) is two-fold. First, to flatten the abdomen by tightening the muscles and tissues of the abdomen under the skin and secondarily to remove excess skin and fat that is on the abdomen. The abdomen tends to take on a rounded appearance with aging and after childbirth. The muscles and tissues between the muscles of the abdomen become stretched. No amount of sit-ups or leg raises can remove this shape. Abdominoplasty is an aesthetic surgical procedure designed to remove excess skin and fat from the lower abdomen and to tighten the abdominal muscles. Abdominoplasty is a type of cosmetic surgery procedure where the excess skin, particularly on the abdominal area, is removed. Also known as tummy tuck, abdominoplasty can significantly flattens the abdomen, making it look normal and appear well proportioned.
Is abdominoplasty painful?
You will probably feel some pain and discomfort for the first few days after surgery. Dr. will prescribe pain medication to minimize this discomfort. Is an abdominoplasty permanent? Abdominoplasty effectively turns back the clock on the negative effects of aging on your physique. It does not, however, stop that clock. As you continue to age, it is possible that you will begin to develop some of the same problems again. However, the cumulative effects of the problems will be lessened, meaning that you will always have a trimmer midsection following an abdominoplasty than you would have if you hadn't had the tummy tuck procedure. What is the difference between an abdominoplasty and a mini-abdominoplasty? As opposed to a full tummy tuck , a mini-abdominoplasty employs a shorter supra pubic incision and no translocation of the umbilicus. A candidate for a
mini-abdominoplasty has skin redundancy mostly below the umbilicus with muscle laxity confined to the lower abdomen. Liposuction may also be a performed. As a general rule, the greater the amount and distribution of excess skin, the longer the scar and necessity to translocate the umbilicus and perform a full abdominoplasty.
What are the risks with abdominoplasty?
Every surgical procedure has risks, which is why it is so important to choose a qualified surgeon to reduce the risks involved and so that if an emergency complication arises the surgeon is able to react and control the situation in the proper manner. As with any surgery, there are risks with a tummy tuck. Though rare, tummy tuck surgery poses the risk of blood clots, infection and noticeably loose areas of skin following surgery. Poor healing could potentially lead to a second tummy tuck operation. To avoid further possible complications any plans of
future weight loss or pregnancy should be discussed before the tummy tuck procedure. A competent and qualified surgeon such as Professor Dr. Ashok Govila will do everything to mitigate the risk of tummy tuck side effects.
Where is abdominoplasty performed?
Tummy tuck procedure is performed as an inpatient in a hospital.
Who is the best candidate for abdominoplasty?
Someone who is in good shape in rest of the parts of body but cannot seem to lose excess tissue around the abdomen with diet or exercise is a good candidate. One who has fold of skin and fat below umbilicus hanging like a curtain on his or her pubic area is a typical example as shown here.
What are the risks of Abdominoplasty?
As with any surgical procedure, there are some potentially serious risks. Please refer to our section on Abdominoplasty Risks for more information.
When is Abdominoplasty usually performed?
The Abdominoplasty procedure is usually performed when a person is discontent with his or her appearance in the abdomen region. Although there is no "normal" age or time in one's life, it is most often sought after a woman has given birth and does not plan on having any more children. The reason that
not having additional children is an important factor is that, after the extra skin and muscle tissue is removed; the abdomen may not be able to accommodate another child for at least one year. The hudge gentleman shown here had a functional reason to undergo tummy tuck because of inability to function as man and because of difficulties to clean himself. In fact he lost all hopes and all interest in life. You can see his expression video in the
testemonial section and in the case study section as well. Many of my patients in UAE are women who are done having children and are discontent with their ability to lose weight or eliminate the sagging skin around their mid-section.
How is Abdominoplasty performed?
Abdominoplasty is performed most commonly under general anesthesia or light sleep IV sedation. Local anesthesia is then used to numb the abdomen. The operation is performed by making an incision in the lower abdomen just above the pubis. The incision may go from hip to hip. It is placed in the
bikini line so that it is well hidden. The skin and fat is dissected off of the abdominal muscles all the way up to the bottom of the rib cage. Abdominoplasty surgery is designed to remove and re-drape redundant lower and middle abdominal wall skin and fat. A horizontal incision is made above the pubic region, extending outward toward the hip bones. When possible, Professor Dr. Ashok Govila will keep the incision within swimsuit lines. The underlying muscles are tightened by pulling them together and stitching them in place. Excess skin from the lower abdomen is trimmed away. When a large amount of loose skin is present, a second incision will be made around the navel.
What are the different techniques for Abdominoplasty?
The different techniques pertaining to Abdominoplasty consist of the different incision shapes and placement. Although most surgeons attempt to place the incisions in the most inconspicuous area, some surgeons may not, so please discuss this with your surgeon beforehand. Some surgeons go completely horizontal and straight across, some use a 'V' shape, some a 'W' shape, and still others follow along the bikini line. Your body's needs will determine the incision placement.
Where are the scars after abdominoplasty?
There is always a scar around the navel. There is almost always a low horizontal scar across the lower abdomen just above the hairline. Sometimes there is also a short vertical scar above the pubic area. A person whose problem is only laxity of the muscles, rather than skin excess, may be able to have endoscopic abdominoplasty, leaving only the scar at the naval and a short scar above the pubic hairline. Is abdominoplasty surgery painful?
Yes, moderately so, because of the tightening of the muscles that is almost always included. All the patients are given strong narcotic pills to take at home, and limit their activities accordingly.

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BREAST SURGERY
What Is Breast Augmentation?
Breast augmentation is a plastic surgery procedure that increases the size of a woman's breasts. A saline filled implant or silicone filled implant is placed under the breast, which increases the breast size. What surgery can improve the appearance of breasts? Three common procedures that can improve the appearance of breast are: breast augmentation, breast lift, breast reduction. Augmentation mammaplasty is a procedure that can safely enlarge a small breast or increase an undesired size. Different techniques are used, but in general this is
performed using silicone breast implants 1992. Implants may be placed in different positions depending on the physical make-up of the patient and her breasts. The implant may be introduced through three different incisions: below the breast, around the nipple areola complex, or in axilla (arm pit). A breast lift is used when the patient is happy with the size of her breasts however due to aging and pregnancy the breast gland has begun to droop.
Various techniques are employed to accomplish a breast lift and results are generally excellent. At times a breast implant is used in conjunction with breast remodeling to give a breast lift. Breast reduction is designed to make overly large breasts smaller. Patients seeking this type of surgery often have multiple severe physical symptoms secondary to their large breasts including neck, shoulder, and back pain, paresthesia of the arms and bra strap grooving of the shoulders. The technique of breast reduction requires lengthy incisions; however, they may be placed in inconspicuous locations such as the fold underneath the breast. Typical symptoms of back pain, neck pain etc. are almost always improved after a breast reduction if not completely eliminated. It`s a quite tricky and complicated surgical procedures and only the masters of the art can satisfy a patient since the expectations are usually unduly high than what can be practically delivered to the patient. Beginners in the field can end up with asymmetrical breast with distorted appearance, partially or totally lost nipple, nipple areola complex, loss of sensations in nipple, or an ugly scar.
Who Is The Best Candidate For A Breast Augmentation?
Breast augmentation is a form of plastic surgery for women who wish to increase the size of their breasts. In many cases the woman wishing to undergo a breast augmentation procedure feels her current breast size is too small or disproportionate to her particular body size. Breast augmentation is considered an aesthetic surgical procedure that most often occurs with women who have not been satisfied with her final breast development size reached after puberty, and in some cases women's breasts have developed unevenly and she would like to achieve proper symmetry. Women who have lost a significant amount of weight or have had pregnancies may find their breast size has shrunken and they wish to restore their breast size through breast augmentation. In some circumstances the plastic surgeon will suggest a breast augmentation accompanied by a breast lift for women's breasts that have become saggy.
How Is A Breast Augmentation Surgery Performed?
Breast augmentation is an inpatient plastic surgery procedure that is performed under a general anesthesia. The introduction of saline filled implants allowed for a smaller incision, often less than just one inch underneath the breast and above the crease where it is well hidden. Some breast augmentation incisions are made by the lower edge of the areola, and incisions made within the armpit leaves no visible scars. After the incisions are made the breast augmentation surgeon is able to create a pocket, either on top of the pectoral muscle or beneath them, and insert the implant.
What is the cost of a Breast Augmentation?
There are several factors that determine the cost of Breast Augmentation.

Where will your plastic surgery be performed, which hospital?
I operate at Cocoona Center for Aesthetic Transformation, Dubai London Hospital, Al Zahra Hospital, Barsha 1, Dubai and at International Modern Hospital at Port Rashid. They all have different rates for the facilities provided and they all have different quality and nursing care for a given situation and different expertise in anesthesia and complication rate. It also depends upon which approach is used endoscopic or
conventional and what kind of accommodation is wanted by the patient. In general the cost is between $ 7000 to 9000. I use only Mantor implants from USA and I do not recommend saline implants because of high complication rate. Unless one is looking for a scar less than 5 cm then saline implant is the only choice.
What Is the Recovery time From Plastic Surgery Like?
Each patient will tolerate pain post-operatively in a different way, and we consider this. While some patients may describe the pain as an ache, others experience greater discomfort. Appropriate pain medications are prescribed for the post-operative patients, and these help minimize discomfort. Operations that require elevation or tightening of the muscles-such as a breast augmentation have discomfort equal to that of a C-section. How Long Is The Recuperative Period And When Can I Return To Work? The length of time it takes to recuperate after plastic surgery varies depending on the procedure performed and the person operated on. Most patients will require assistance for the first two days. Then most patients are able to care for themselves, but may still need assistance if they have small children to care for. The specific lengths of disability are outlined below by procedure. Breast augmentation patients can usually get around independently by the second day. One may return to work at 5 -7 days if not required to lift more than 15 pounds. These are approximations, and do not include return to exercise of serious weight lifting.
When Can I Resume Regular Exercise?
The time a patient resumes regular exercises varies based on the operation performed. All patients are encouraged to start a slow walking routine on the second postoperative day. Regular aerobic and more vigorous activities are not allowed during the first 2 weeks in order to decrease the risks of bleeding, swelling, and bruising. Weight lifting and contact sports are allowed at 1 month in most cases. How will Breast Augmentation affect my ability to breast feed? The ability to successfully breast feed varies for all women with or without breast implants. Breast structure remains untouched by this surgery and therefore it does not interfere with the ability to breast feed
what age do you have to be to have a Breast Augmentation?
A woman must be at least 18 years of age to have a Breast Augmentation using saline filled breast implants. Only women 22 years of age and older can have silicone breast implants for breast augmentation or enlargement.
what is the cost of a Breast Augmentation?
There are several factors that determine the cost of a Breast Augmentation.
1. Where will your plastic surgery be performed, in the operating suite or in an outpatient surgery center? I operate in several different hospitals of Dubai, all are internationally accredited and depending upon the quality of care and quality of facilities provided the cost varies.
2. What are the fees of your plastic surgeon and the anesthesiologist?
3. What style, type, and manufacture of implants will be used?
4. What is the approach used for insertion of silicon.
5. Endoscopic approach is more expensive.

6. Which Hospital you would like the surgery to be performed.

7. What kind of follow up period you like to be covered.

8. Are you looking for some kind of guarantee?

9. Guarantee to cover you for complications for one year after surgery.

10. Would you like to have compression garments and scar treatment to be supplied to you and be guided during the follow ups?

 


What are the risks of having a Breast Augmentation?
Any surgical procedure may involve the risk of complications such as the effects of anesthesia, infection, bleeding, swelling, and pain.
What are high profile implants?
Newer implants are now on the market that gives greater projection per base diameter. This is greatly advantageous in those patients who have a narrow chest wall, and who want to have projection and size of their breast.
What is the most common incision for breast implants, and what are the options?
The most commonly used incision is inframammary (crease incision). Many plastic surgeons use this incision because it arguably gives good control in placement of the implants and the incision is usually not visible. The periareolar (around the areola), is an incision in which usually heals well. Some plastic surgeons feel that there may be more of a chance in alteration of sensation utilizing this incision. In addition, some feel that there may be a higher rate of implant exposure to the body's own bacteria from the patient’s milk ducts. The transaxillary incision is a procedure in which an incision is made in the armpit. Some plastic surgeons feel that this incision gives less implant placement control. Discuss this with your own plastic surgeon. The Transumbilical procedure uses an incision inside the umbilicus (belly button). Many plastic surgeons feel that the disadvantages outweigh the advantages. Speak with your plastic surgeon about this. The correct incision depends on each patient's own anatomy, and your plastic surgeon's feelings about each procedure. Listen to the guidance from your individual plastic surgeon.
How Long Does The Procedure Take?
It usually takes approximately 1-2hours for the routine breast augmentation procedure.
Do I Need To Take Antibiotics Before And After Surgery? Antibiotics should probably be used when a patient undergoes any procedure in which "bacteria" may be released into the blood stream.
What is Arnica and Should I Take It?
Arnica is a homeopathic medication, which is presumed to reduce pain, swelling, and bruising. Arnica can be taken by pill or cream form. Ask your doctor his feeling about arnica. It’s of great use following bruising and bleeding under the skin.


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LIPOSUCTION
Who is a candidate for liposuction?
Liposuction is not used for weight loss, rather to correct problem areas or fat bulges. A candidate will be close to their ideal weight because a liposuction is typically performed in patients that have an area of fat they find hard to lose. The fat removed does not weight a lot, so patients should expect a shape change, not a weight change.
Does the result of liposuction last?
As long as the patient maintains a healthy life-style, including exercise and a sensible diet, liposuction results are long lasting. Once the fat cells have been removed from an area there is no longer a preferential fat storage area and any fat gain will be distributed more evenly over the rest of the body
What areas of the body can be treated with liposuction?
Most body areas can be treated with liposuction, though the most common areas in females are the abdomen, hips, and thighs. Men are often treated for liposuction in the breasts, hips, and abdomen. Liposuction is not limited to these areas, though other places may include the upper arms, under the chin and the buttocks.
Does liposuction leave scars?
Incisions made during liposuction are generally very small and put in areas that are more inconspicuous. Most cases of liposuction will heal well and it will be difficult to see where they were originally made.
What is the most likely complication of Liposuction?
Collection of liquid under the skin called Seroma is the most common complication. It is mixture of melted fat because of trauma at the time of liposuction, some serum (watery part of blood) and some infiltrated liquid. Normally it appears in the first week after liposuction. Surgeon will suspect it if the expected reduction in the volume at the area of liposuction does not show by then and if a fluid impulse is positive. The treatment is aspiration (which may have to be repeated weekly if too much) and if its left to resolve on its own it can get infected being a very good culture medium to grow bugs and may end up cellulitis (inflammation of skin fat in the treated area) If up to this stage the area remains untreated then even skin necrosis can take place. Most common cause of seroma formation is use of thin cannulas for liposuction and patient not using pressure garment s at least 8 hours a day.

 

 

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