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When looking at the skeletal shape and fat distribution, one realises that all human beings are essentially built the same way. However, differences are present in shapes and are either racial, asthenic or due to excessive fat deposits. Liposuction is a cosmetic procedure that removes fat from different areas of the body. It is one of the most common procedures done yearly all over the world. Liposuction is usually done to remove fat from the abdomen, back, chest, inner thighs, outer thighs, flanks, neck and arms. Liposuction does not reduce the weight, it corrects the local deformity. Liposuction is done through a specially made cannula through a small opening in the body that usually does not leave a marked effect or scaring. Like any other surgery, liposuction carries risks like infection, bleeding, contour irregularities, intestinal perforation, emboli, asymmetry and brushing. The more the duration of surgery with bigger area of liposuction and big amount of liposuction aspirate, the greater the risks and complications.
To keep the effect post liposuction you need to:
- Keep wearing a binder
- Reduce calorie intake by eating a healthy diet
- Drink lots of water for hydration
- Exercise regularly
Filler and Botox
Filler and Botox are injectable materials that are used to rejuvenate the skin of special areas of the body such as the face. Botox works for temporary procedure paralysis of special facial muscles thus giving the face a younger appearance. The effect of Botox usually starts after 3 days. Filler is used to fill the shallow area of the face, hide facial laxity appearance with age, fill and soften the wrinkles. The filler effect starts immediate and stays for 6 months to 1 year on average. The side effects of Botox injections include itching, pain, bruising, numbness and redness. Filler injections may cause redness, bruising, bleeding, infection, skin necrosis, asymmetry, over-correction swelling and in very rare cases blindness.
Body Contouring Surgery is a surgical procedure that changes the shape of the body by removing or reducing fat or skin tissue. Body Contouring Surgery includes tummy tuck, arm lift and thigh lift. Tummy tuck is one of most common procedures all over the world. The idea of tummy tuck is to remove excess skin of abdomen, tighten the muscle layer thus providing better appearance of the abdomen. Usually, such surgeries are performed on ladies with repeated pregnancies or after weight reduction with excess skin or for those with weak muscle layer that needs to be strengthened. It is important to note that Body Contouring Surgeries have no role or effect on weight reduction.
It is defined as the enlargement of glandular portion of the male breast. There are many reasons for such enlargement like obesity, hormonal imbalance, older age, puberty, side effects of medications and liver problems. Though, an individual will need to do further investigations to identify the exact reason, surgical treatment for gynaecomastia is to excise the enlarged glandular portion of the breast with liposuction.
Breast Augmentation is one of the most common cosmetic procedures all over the world. There are two types of implants used for augmentation, one is silicone and the other is saline. They both have different shapes and sizes. The choice of implant type, shape and size are usually decided after a consultation with a plastic surgeon. Breast Augmentation Surgery is indicated in case of asymmetry of both breasts, breast pstosis with age, after pregnancy and weight loss. It also improves self-confidence. As any other surgery there are various risks and complications such as infection, bleeding, pain, change in nipple and breast sensation, change of implant position, rupture or leakage of implant, formation of capsule of scar tissue surrounding the implant that can cause distortion of the shape of the breast.
Many people decide to remove their tattoo or change it and ask for medical advice. Tattoo removal can be done either by a special laser machine or serial session of surgical excision which is dependent on the size of tattoo.
Fat Graft and Fat injection
The procedure of transferring fat from areas in which you have excess fat, such as abdomen, flanks and outer thigh into area lacking volume in face, hands, breast and buttocks can also be used for correction of wrinkles and old scars. Fat obtained from the same person will be injected through a liposuction procedure, which is a natural long lasting procedure.
Blepharoplasty is the surgery performed for the removal of excess skin of eyelids with reduction of bagginess of lower eyelids. The excess skin of the upper eyelid affect vision for many people. Upper blepharoplasty surgery can be done under local anaesthesia in a clinic. As any surgery, it includes risks and complications like infection, bleeding, dry eyes, bruising of eyelid, and in very rare cases, retrobulblar haemorrhage might cause loss of vision. Usually stitches are removed 7 days after surgery. It is common to have swelling and occasionally, bruising. Your eyelids return to normal within 1 to 2 weeks.
Cleft Lip Repair: This procedure provides not only closure of the skin but also muscle repair so oral sphincter functions are restored and this improves feeding and speech.
Cleft Palate Repair: This procedure involves closure of the palatal defect and separating the nasal cavity from the oral cavity preventing respiratory and speech problems.
Prominent Ear Correction: There are many options for correction of such deformity as non-invasive methods, such as taping of the auricle early in life or otoplasty operation if presented late.
Hemangiomas and Vascular Malformations: These can be corrected by variable modalities in the form of medical or surgical treatment. Congenital Nevi: These can be excised in single or multiple stages to get better results.
Syndactly: This involves adhesion of fingers either in the level of the skin only, or skin and bone. It is corrected by surgical separation of the fingers to restore cosmetic shape and function of the hand.
Polydactly: In cases where there is an extra finger or extra part of the finger, this can be surgically removed without having an impact on the hand function.
Acute Burns: These burns can be treated by first-aid measures and many types of dressings to improve wound healing and preventing bad scars.
Chronic Burns: These burns can be managed by treating hypertrophic scars and keloid, as well as the correction of joint contractures and burn complications.
Types of Facial Reconstruction:
Eyelid Reconstruction: The main aim of this procedure is restoring eyelid function by repairing all layers of the eye lid, not only the skin and improving the cosmetic shape and the eyelid function while protecting the eye globe.
Ear Reconstruction: To restore external ear function and shape.
Nasal Reconstruction: To restore the missed parts of the nose due to trauma, burns or tumours.
Cheek Reconstruction: This is a procedure done by preservation of the facial nerve branches and coverage to achieve best cosmetic result.
Reconstruction of Soft Tissue Defects All Over the Body: The reconstruction is done by using muscle and skin flaps to cover defects and prevent infection and deformity.
Breast Reconstruction: There are many modalities for reconstruction of the breast after Oncoplastic surgery such as transferring skin and muscles flaps from adjacent tissues to the breast and also by expanders and implants to restore the best cosmetic shape after the operation.
Acute and Chronic Wounds: There are many modalities of treatment for wounds, either conservative methods as traditional methods of dressing or using a negative pressure wound therapy device, especially in complicated wound as in diabetic foot. Also wounds can be treated surgically by many methods to treat all types of wounds, pressure ulcers, surgical sites dehiscence.
Skin Tumours: For early detection and management of skin tumours by excision and reconstruction to improve the prognosis and decrease the recurrence of the tumours.
Facial Reanimation: Many procedures are used to correct facial palsy and restore facial muscle functions and facial expressions either by non-surgical procedures as Botox injections or surgical procedures as nerve transfer or muscle transfer.
- Dr. Mahmoud Soliman
Dr. Mahmoud Soliman
MBBCH, Master degree in general surgery, M.D in plastic surgery
Specialist Plastic SurgeonBook an Appointment
- Plastic Surgery specialist with 10 years experience in all fields of plastic surgery
- 7 years as plastic surgery specialist in Assiut university Hospital, Egypt.
- Two years clinical fellowship in San Paolo Hospital in Milan, Italy.
- Aesthetic surgeries:
- Facial rejuvenation (non invasive) as filler and Botox injections.
- Face lift: Procedure for improving facial folds. Management of post-traumatic soft tissue defects. Body contouring surgeries as
- Abdominoplasty: This procedure is also known as a Tummy Tuck for bulging or loosely hanging tummies.
- Augmentation Mammoplasty: Breast enlargement
- Mastopexy: Breast Lifting
- Reduction Mammoplasty: Breast reduction
- Gynaecomastia surgery: Procedure carried out to reduce enlarged male breasts.
- Cheiloplasty: Procedure carried out to reduce thick lips.
- Otoplasty: Cosmetic surgery to change the appearance of a person's external ears.
- Blepharoplasty: Correction of baggy eyelids.
- Facial nerve surgeries (facial reanimation): for acute and chronic facial palsy.
- Congenital anomalies:
- Cleft lip and palate
- Hemangioma and vascular malformations.
- Prominent auricle
- Hand anomalies
- Reconstructive plastic surgery is mainly concerned with reconstruction of missing or deformed body parts of the face, trunk and limbs due to congenital defects, burns, trauma and cancer.
- Soft tissue hand surgery and hand trauma.
- Tissue expansion, pressure sores.
- Acute and chronic burn care and management.
- Management of post burn contractures and deformities.
- Use of the masseteric nerve to treat segmental midface paresis
British Journal of Oral and Maxillofacial Surgery_ October 2018
- Surgical treatment of synkinesis between smiling and eyelid closure
Journal of Cranio-Maxillo-Facial Surgery_ May 2017