Scarless Facelift/Silhouette soft
ANEWCONCEPT IN FACIAL REJUVENATION: SILHOUETTE SOFT®
FROMCOSMETIC SURGERY TOAESTHETICMEDICINE
SILHOUETTE SOFT®.Thisinnovativeprocedurealreadyhasastrongtrackrecord,havingproved its effectiveness over three years of successful use in Asia.
What is SILHOUETTE SOFT®?
Silhouette Soft® is a new technology with a doublelifting lifting and regenerating effect, through the action of re-absorbable sutures with bidirectional cones.
Madeinthe USA, Silhouette Soft®wasdeveloped onthebackof6years of
experience in the use of suspension sutures with cones in reconstructive and aesthetic surgery.
It is made of polylactic and glycolic acids. These components are totally re-absorbable in 18-‐24 months.
How does it twork? Two actions:
-A lift action for immediate yet discreet results:as soon as the treatment is carried out, the physician is able to redefine the focused area by compressing and lifting the tissue thanks to the bidirectional and re-absorbable cones.
A volume action for gradual and natural results: re‐absorption of the filament component, polylacticacid, helps skin boost its natural collagen,thus further redefining the feature being treated. SILHOUETTE SOFT® is the only product on the aesthetic market combining these two actions.
What about the process?
The procedure can be carried out in just thirty minutes,under local anaesthetic, at the doctor's practice. The treatment should be administered by a physician trained on Silhouette Soft sutures. One or more sutures can be necessary according to the area to be treated.
SILHOUETTESOFT®canbeusedasa stand-alone treatment or in conjunction with fillers and botulinumtoxin.
Which area can be treated?
Facial contour– jawline, cheeks and malar area.
Why is it so innovative?
Immediate but natural lift effect in addition to a progressive volume action.
Progressive recovery of natural collagen.
The procedure takes just 30 min under local anaesthetic at the doctor's practice.
No incision is made.
Quick return to professional and social life.
The components are entirely re‐absorbable.
Flabbiness in the mandible area, neck, malar area and dropping eyebrows can be corrected.
The effect lasts upto 18months.
The ideal patient is 30 to 60 years old, without either excessively loose skin or severe ptosis.
sheikhahmadbreastsurgeon.co.uk Mr Ahmad provides advance Botox and Filler treatment. He treats all areas of faces with both Botox and fillers giving more younger and attractive look. He also specialises in treating excessive sweating in the arm pits
sheikhahmadbreastsurgeon.co.uk 3D Animation Video of Cosmetic Breast Surgery
Breast Augmentation; some of frequently asked questions.
Breast augmentation cosmetic surgery is one of the most common procedures performed. Women may choose to under go breast enlargement surgery for various personal reasons e.g. under developed, or because of differences in the sizes of the breasts or from changes after pregnancy or breast-feeding. Some women may be happy with their breasts but just want them made fuller. Often after weight loss, ageing or childbirth a woman's breast volume and shape may change, this too can lead to a woman to seek a breast augmentation.
Breast implant surgery performed by cosmetic breast surgeons is the most popular way to improve breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self-esteem.
Am I a candidate for breast augmentation?
One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:
You are bothered by the feeling that your breasts are too small clothes that fit well around your hips are often too large at the bust-line
You feel self-conscious wearing a swimsuit or tight fitting tops
Weight loss has changed the size and shape of your breasts and one of your breasts is noticeably smaller than the other
Your Personal Consultation
During the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.
How will my cosmetic breast surgeon evaluate me for breast augmentation surgery?
Your cosmetic breast surgeon will examine your breasts and perhaps take photographs for your medical record. He or she will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts have dropped more then certain degree, a breast lift may be recommended in conjunction with augmentation, a procedure called “simultaneous Augmentation Mastopexy (SAM).
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.
There is no scientific evidence that breast augmentation increases the risk of breast cancer. The presence of breast implants, however, makes it more technically difficult to take and read mammograms. This may be a special consideration for women who perhaps are at higher risk for breast cancer because of their family history or other reasons. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination, but other factors may also need to be considered with regard to implant placement. Your surgeon will discuss this with you.
If you are planning to lose a significant amount of weight, be sure to tell your cosmetic breast surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery.
If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your cosmetic breast surgeon.
Is there an age restriction for Breast Implants?
There is no actual regulated minimum age for implant surgery although it is not recommended for girls under 18. There are several reasons for this, the main one being that girls can still develop breasts until into their early twenties and if implants are carried out before, the patient will not know what shape and size they will ultimately be. This can ultimately mean that there was no need to have the operation in the first place.
How should I prepare for breast augmentation plastic surgery?
If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions.
Breast augmentation is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.
What will the day of breast implant surgery be like?
Your breast augmentation surgery may be performed in a hospital.
Medications are administered for your comfort during the surgical procedure. Frequently, local anaesthesia and intravenous sedation are used for patients undergoing breast augmentation, although general anaesthesia may be desirable in some instances.
When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored.
You may be permitted to go home after a few hours, unless you and your cosmetic breast surgeon have determined that you will stay in the hospital or surgical facility overnight.
How will my breasts look and feel after the breast implants have been placed?
You are up and about the next day. Movements are uncomfortable but with painkillers it is not an issue. Any dressings will be at your first follow-up outpatient appointment, and you may be instructed to wear a support bra. Your cosmetic breast surgeon will probably permit you to shower between three and seven days following surgery. Usually there are no stitches to be removed, as they are placed under the skin. Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.
When can I expect to resume my normal activities after my breast augmentation?
While it will take several days to return to more normal activities after your breast augmentation, it is important to your recovery that you get up and move around. After breast augmentation, it is often possible to return to work within just a few days or a week, depending on the type of activities that are required at your job.
Physical activity should be avoided for at least the first couple of weeks following surgery. After that, care must be taken to be extremely gentle with your breasts for at least the 4 month.
What type of breast implants can be used for breast augmentation?
Commonest type used in UK is Silicone implants. Ask your surgeon what implant make is being used, an information, which must be ascertained before committing to having surgery. Manufacturers, which
The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame, and mass, your existing breast tissue, and the preferences you and your cosmetic breast surgeon discuss. All breast implants include a solid silicone rubber outer shell, called a lumen.
New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure. Your cosmetic breast surgeon will be able to provide you with the latest information.
Where are the incisions made for the placement of breast implants?
One of the advantages of a saline-filled implant is that, because it is filled with saltwater after being inserted, only a small incision is needed. Often, an incision of less than one inch is made underneath the breast, just above the crease, where it is usually quite inconspicuous.
Another possible location for the incision is around the lower edge of the areola. A third alternative is to make a small incision within the armpit.
Once the incision is made, the surgeon creates a pocket into which the implant will be inserted. This pocket is made either directly behind the breast tissue or underneath the pectoral muscle, which is located between the breast tissue and chest wall.
I understand that every plastic surgical procedure has risks, but how will I learn more so that I can make an informed decision?
The subject of risks and potential complications of surgery is best discussed on a personal basis between you and your cosmetic breast surgeon.
Some of the potential complications that may be discussed with you include reactions to anesthesia, blood accumulation that may need to be drained surgically and infection. Although rare, an infection that does not subside with appropriate treatment may require temporary removal of the implant. Changes in nipple or breast sensation may result from breast augmentation surgery, although they usually are temporary.
When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. Capsular contracture can occur to varying degrees. If it is severe, it can cause discomfort or changes in the breast's appearance. In such cases, more surgery may be needed to modify or remove the scar tissue, or perhaps remove or replace the implant.
Breast implants are not lifetime devices and cannot be expe
sheikhahmadbreastsurgeon.co.uk Surgeons, whilst performing implant-based ADM-aided breast reconstructions (IBAR), are using variable volume implants (expandable implants, a typical example being style 150 by Allergan of Beckers by Mentor). A fixed volume implant is seldom used and if it is, it tends to be in a highly selective group of patients. Demonstration of a technique to use fix volume permanent implants in ADM-aided breast recosntructions
sheikhahmadbreastsurgeon.co.uk [contact-form-7 id="3344" title="GP Referral"]
Mr. Ahmad is an innovative surgeon. He is the first to successfully perform one-stage delayed breast reconstruction with permanent implant using StratticeTM (developed from porcine skin) achieving excellent cosmetic results. This new technique of delayed breast reconstruction is indicated in patients who do not want elaborate flap reconstructions but still want to have naturally looking breasts. He popularised therapeutic mammoplasty in Cornwall and has one of the largest series of therapeutic mammoplasty procedures in the region. This operation for breast cancer gives a fabulous cosmetic result enabling the surgeon to perform breast lift at the same time as cancer treatment, thus lending both oncological and cosmetic advantages to the breast cancer patients. Mr. Ahmad routinely offers patients undergoing this procedure, plastic surgery to lift/reduce the opposite breast to ensure an excellent cosmetic result and symmetry.
He has helped the unit in introducing and establishing OSNA service in Cornwall. This rapid molecular technique prevents second operation in breast cancer patients by allowing the surgeon to assess axillary nodal status at the time of original surgery and performing axillary clearance if indicated during the same anaesthesia thus preventing a second operation.
Pre And Postoperative Information And Care For Breast Augmentation
Breast augmentation is a very personal decision and sometimes it takes prolong consideration before one decides to finally opt for breast augmentation and therefore its natural to have all the question answered regarding surgery and have a complete mental satisfaction with full picture of your pre and post-operative pathway.
Although most of the issues are addressed in my breast augmentation section but this blog is to answer all those question which are being asked more commonly.
Q: What is silicone implant and what is it made of?
A: It is made of outer capsule, which is composed of silicone elastomer and is filled with viscous silicone (viscosity of internal silicone varies according to the requirement of the augumentee). There are silicone implants, which are filled with saline but they are not popular in UK.
Q: Are silicone implants safe?
A: Silicone implants used these days are 5th generation, which they have gone through modification to make sure these are long lasting and fit for human use and have no health implications. They have been subjected to extensive studies both in US and Sweden and the results of these analysis and studies showed that “neurological diseases, or other systemic complaints or conditions are no more common in women with breast implants, than in women without implants”; subsequent studies and systemic review found no causal link between silicone breast implants and disease. Since the mid-1990s, the Fifth generation of silicone breast implant is made of a semi-solid gel that mostly eliminates filler leakage (silicone gel bleed) and silicone migration from the breast to elsewhere in the body. The studies Experience with Anatomical Soft Cohesive Silicone gel Prosthesis in Cosmetic and Reconstructive Breast Implant Surgery (2004) and Cohesive Silicone gel Breast Implants in Aesthetic and Reconstructive Breast Surgery (2005) reported low incidence rates of capsular contracture and of device-shell rupture, improved medical safety and technical efficacy greater than earlier generations of breast implant device.
Q: What are the different shapes of implants?
A: Implants come in 2 shapes; tear drop (anatomical) and round. Shape implants tend to give more natural shape and generally speaking requires 10% more volume to achieve the same result as round implants, especially the cleavage and the upper pole. Whereas the round implants will give fullness at the upper pole and will enhance cleavage. The other difference is that tear drop or anatomical implants are firmer than round due to the nature of the silicone used.
Q: Where are these implants placed?
A: Primarily there are 3 options of placing the implant:
Sub-glandular: This pocket is created just behind the breast and hence the implant is only covered with breast tissue. The advantage of this pocket is that it is less extensive surgery and the post-operative pain is far less. This is suitable for ladies with good tissue coverage. The disadvantages include implant palpability on the upper pole especially if there is you decide to loose weight. Other disadvantage is substandard mammography. All women are advised to have regular screening mammography after the age of 50. Sub-glandular implants can hamper the quality of the image.
Sub-muscular: This pocket is created behind Pectoralis major muscle without releasing the inferior attachment. This is suitable for women who have very thin breast tissue at the inferior pole. On the plus side it provides tissue coverage to the implant at the inferior pole but at the same time with the risk of causing “window shading”; a condition in which leads to implant displacement every time Pectoralis muscle is contracted, e.g. any upper body movement involving pushing. This can be quite disconcerting to women.
Sub-Pectoral (Dual plane): Is the commonest pocket to insert the implant deployed by UK breast surgeons. This pocket is created under the Pectoralis major muscle but it differs from sub-muscular pocket as in this approach inferior attachment of Pectoralis is released, avoiding window-shading effect. Other advantage is that mammographic views are not compromised. From cosmetic outcome point of view, this approach gives the best results. The down side being more post-operative pain but with strong painkillers, it is very well controlled.
Q: What happens at the first consultation?
A: First consultation is free. I will go through basics of breast augmentation and available options. You have your measurements taken and data is fed on the bio- dimensional software, which in turn gives you an idea of implant volume. You are also given opportunity to try different external implants to give you an idea of your body appearances with different volume implants. All your questions are answered to best of my ability.
In next couple of days you receive a detailed letter with all the information regarding your consultation. At this stage if you decide to proceed with breast augmentation, I book you for surgery but more often than not you take time to consider all the information provided and contact my secretary either to arrange a re-visit or book your surgery.
Q: What is the next step?
A: Once you have decided to go for your augmentation surgery, you are given date for your operation. Pre-operative MRSA test is done if you are having surgery at Duchy, Truro hospital but it is not mandatory if your surgery is at Bath BMI. Pre-operative assessment is mostly done on the phone by one of the nurses in the hospital.
Q: What happens on the day of operation?
A: On the day of you operation, you will be admitted few hours before your operation and will be checked and admitted by the ward nurse. I see you before your operation and go through the consent and pre-operative markings. The anesthetist also sees you and discusses all the operative and post-operative details with you.
After your surgery you are brought back to your room after a period in the recovery room.
You will have one drain on each side, which is removed after approximately 10-12 hours. Your post-operative pain is well controlled with oral analgesia and if required with injectable. I see you after your operation and then just before your discharge and make sure that everything is in order.
Q: What happens after discharge?
A: You are advised to contact my secretary or me if there is a concern, otherwise I see you in 2 weeks and your dressings are removed and instructions on wound care are given. You are next seen in approximately 4 months. All post-operative appointments are inclusive in the price and there is no extra fee for these appointments.
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