Buttocks HD Liposuction. How We Do It?

Minimally invasive procedures to tighten and lift skin give natural results with minimal risk and recovery time. Monopolar radiofrequency delivers a high-frequency electric current—tissue resistance to electrical current results in volumetric heating to the deep dermis and underlying tissue. The resulting heat leads to immediate collagen contraction and a delayed wound healing response, with new collagen formation up to 4 to 6-month post-treatment. INITIALLY, the FDA approved monopolar radiofrequency (RF) devices to treat periorbital wrinkles. Since then, they have been used to treat laxity of the forehead, cheeks, nasolabial folds, marionette, lines, jawline, and neck. Although the results of RF are not as dramatic as a facelift, over 90% of patients obtain noticeable tightening of the treated areas, and it never looks “pulled.” Another benefit of radiofrequency is reducing fat and tightening the skin by directing energy to target collagen. For example, a patient with flabby upper arms may have more loose skin than fat in this area. In this instance, Prof Moawad might use radiofrequency to tighten the skin first and then remove excess fat. However, if he determines that there is fat mainly in an area, he will remove the fat first and then tighten the skin afterward. “Radiofrequency is a versatile procedure that can be used on any area of the body – from large areas like the abdomen to minimal areas such as the chin – with the same degree of success.

Body in shape surgery is increasing public, medical, and scientific demand.  The demand increased because of the increased awareness about the many hazards of obesity. Excess body fat poses systemic health problems. Unwanted local fat deposits negatively affect body shape and image. Diets, exercise, medications, and/ liposuction, or gastric surgeries may effectively control obesity. Body shaping can dramatically improve the shape and proportion of your body, enhancing your appearance and boosting your self-confidence. Improvements to your body’s shape and overall body shaping in one surgical session or stage depend on your overall health, the type and extent of procedures, and the outcome of discussions and recommendations of Prof. Moawad during the consultation process. Body in shape or shaping, also called body contouring, is a broad term used to describe a range of aesthetic surgical procedures designed to reshape and improve the appearance of your body. Body shaping (body shaping) can include both surgical (body lift and liposuction) and non-surgical procedures. There is an increasing number of transcutaneous energy delivery devices currently available. They are classified according to the energy they deliver to their target—mechanical (e.g., suction, massage), radiofrequency, ultrasound, cryolipolysis, and laser. Radiofrequency devices are the most popular for non-surgical skin tightening and fat reduction.

Liposuction, the number one cosmetic surgery performed globally, is a procedure removing unwanted lumps, bulges, and areas of resistant fat deposits from specific areas of the body. Patients should be in good health, emotionally stable, and have realistic expectations. Age is not a consideration, but older patients usually have diminished skin elasticity and thus will probably not achieve the same results as a younger person with tighter skin. While no method of Liposuction is a substitute for proper nutrition and physical exercise, nor is it an alternative for general weight reduction, it is ideal for permanently removing localized areas of fat that are diet and exercise-resistant. The most common areas for treatment include upper thighs (saddlebags), abdomen, flanks (Love handles), and upper arms. Other areas include facial fat accumulations, including a double chin, neck and jowls, breast, hips, buttocks, and knees. I can do cheeks, calves, and ankles, but the results are less impressive in these areas. In men, Liposuction can be used to correct gynecomastia (enlarged breasts) and, more recently, scarless breast reduction in females. In addition, Liposuction is used to remove sweat glands in the underarm to reduce excessive sweating without affecting the body's ability to cool itself. The application of external ultrasound before Liposuction is a technique that applies the transcutaneous application of high-frequency ultrasonic fields delivered into the wetted fatty tissue to melt fat cells and make it easy for extraction. All types of energy (mechanical, ultrasound, laser, and radiofrequency have been combined with Liposuction to reduce surgeon effort and improve the result. The "power" in power-assisted/power-tumescent Liposuction (mechanical energy) refers to the use of a cannula with a back-and-forth motion of the tip passes through tissue to suction out fat in fibrous (male breast) or the back with reduced effort. Power-assisted Liposuction helps skin tighten during the recovery period.

Buttocks in shape surgery results are impressive Techniques for improving the appearance of the buttock’s region are essential elements in body contouring. In all cultures and communities, this physique aspect holds a special place among the elements comprising the ideals of physical beauty. Recent studies described the aesthetics of the gluteal region in terms of shape, volume, and projection. Prof Moawad noticed ten years ago the accumulation of fat in the lower back disturbs the shape of the buttocks. He decided to enhance the gluteal region by liposculpture of areas around the buttocks and, when needed, lipo-injection to give volume and projection. There is a growing interest in aesthetic surgery of the buttocks and posterior body contouring with severe weight loss. Weight loss often produces flat buttock deformities, which push the need for buttock lift surgery. Like breast surgery, buttocks surgery can be performed with several different techniques to make an aesthetically pleasing shape in or out of clothing. There is no single buttocks-lifting technique capable of solving all aesthetic problems. Choosing the correct procedure, combining techniques, or even adding an implant or fat, is common. The treatment or combination of suitable approaches for each patient is discovered through consultation that focuses on understanding a patient’s goals and unique anatomy. It is essential to realize that the buttock reshaping surgery must address the whole back, flanks, hip, and thigh as one unit. It is fundamental to understand the differences between female and male buttocks.

Back HD liposuction applies to individuals with localized fat in the upper and lower back. Liposuction of the back can decrease fullness in the upper back by reducing subcutaneous fat and can result in skin retraction, particularly with power-assisted ultrasound liposuction (U-PA)L. Liposuction of the upper back is an excellent complement to the arm, and breast lifts, while liposuction of the lower back will complement the abdomen, buttocks, and thigh lifts. Liposuction of the upper and lower back secondarily unmasks and enhances the buttock region. The sacrum often has a fatty deposit that responds well to liposuction and helps contour the buttock. Liposuction of the back is not a procedure frequently applied to massive weight loss patients who have achieved a body mass index of less than 30. Their issue is more skin redundancy and lax tissue than subcutaneous fat. Liposuction of the back primarily reduces subcutaneous fat. Liposuction may result in skin retraction, more so in the upper back than in the lower back, due to the thicker skin and more fibrous fat found in the upper back. Prof Moawad applies his favorite technique, the ultrasound-power-assisted liposuction, to contour the back.

Fractional radiofrequency (FRF) is the newest in the nonabrasive approach. FRF uses an array of microneedles arranged in pairs between which bipolar RF energy is delivered. The fractionally delivered energy creates zones of thermally damaged skin adjacent to unaffected areas. The damaged skin stimulates wound healing and deposits new collagen, elastin, and hyaluronic acid formation. The unaffected areas serve as a reservoir of stem cells that accelerate wound healing.  FRF improves acne scars, large facial pores, and skin quality. FRF devices are safe, tolerable, and effective modalities for wrinkles and facial laxity reduction. I may use a topical anesthetic cream before the treatment to minimize pain. Fractional radiofrequency is combined with PRP with significant amounts of growth factor and heal promoting factors to fasten healing. Recently, Nanofat has been combined with fractional radiofrequency to enhance skin quality and stimulate hair follicles. Fractional radiofrequency gives a wake-up call to your skin to remove injured collagen and elastic fibers, encouraging your fibroblast to synthesize new collagen and stimulate hair follicles to stem cells.

Skin rejuvenation laser peel involves the removal of the outer layer of damaged skin. Many ablative skin resurfacing techniques are available at MSI, broadly grouped as mechanical, chemical, and laser abrasion. All ablative techniques result in upper to the mid-dermal wound. Dermabrasion relies on mechanical 'cold steel' injury, acid peels result in a 'caustic' injury, and lasers result in a thermal injury. All ablative resurfacing treatments work the same way. First, the outer layers of damaged skin are stripped away. Then, as new cells form during the healing process, a smoother, tighter, younger-looking skin surface appears. Superficial or medium resurfacing is limited to the epidermis and papillary dermis. For deeper resurfacing, I can also remove the upper levels of the reticular dermis. Unlike chemical peels and dermabrasion, laser skin resurfacing (LSR) with the CO2 laser generates heat, which results in immediate tightening because of the shrinkage of collagen, which forcefully shortens the collagen fibers by 30%. This translates clinically into the smoothing out of superficial irregularities, including wrinkles, acne scars, nevi, epidermal growths, and even tumors, and a tightening effect that improves the skin's overall appearance. The laser stimulates the growth of healthy new collagen and elastic fibers in the skin continuously for six months after resurfacing. Therefore, any wrinkles or scars will continue to improve for up to one year. Nonablative or minimal ablative fractional CO2 holds great promise in both treatments of skin textural abnormalities (acne scarring, wrinkles, and skin mottling associated with photoaging) and pigmentary variation (melasma, hyperpigmented scars, lentigines, and dyschromia

Acne inversa or hidradenitis suppurativa (HS) is a disease that usually begins as pimple-like bumps on the skin. The pimple-like bumps tend to develop in places where everyday pimples do not appear. HS is most common on the underarms and groin. Getting treatment for HS is important. Early diagnosis and treatment can prevent HS from worsening. If HS worsens, the pimple-like bumps can grow deep into the skin and become painful. They can rupture, leaking bloodstained pus onto clothing. This fluid often has a foul odor. As the deep bumps heal, scars can form. Some people develop tunnel-like tracts under their skin. As the skin continues to improve and scar, the scars thicken. When thick scars form in the underarm, moving the arm can be difficult. Thick scars in the groin area can make walking difficult. Because HS can look a lot like acne, folliculitis, or boils, it is best to see a dermatologist for a diagnosis.

A dermatologic surgeon usually does plantar warts removal. Plantar warts are small growths that usually appear on your feet' heels or other weight-bearing areas. This pressure may also cause plantar warts to grow inward beneath a hard, thick layer of skin (callus). Plantar warts are caused by HPV. The virus enters your body through tiny cuts, breaks, or other weak spots on the bottom of your feet. Dermatologists have many treatments for warts. The procedure used depends on the patient's age and health. I prefer to cut the callus by scalpel. Then I use a curette to remove the viral material. Then I use a vascular laser to burn or cauterize tiny blood vessels that feed the virus. Then it cauterizes the base using an ablative laser or chemical TCA. A topical antibiotic is applied, and a special dressing is applied. The patient can walk without any pain immediately

There has been a 70% increase in minimally invasive cosmetic procedures and a 50% increase in dermabrasions over the past decade. Dermabrasion has many applications as a skin resurfacing technique and is used to treat fine perioral rhytids and many scars, including acne scars. It is done under local anesthesia with the option of sedation. The area to be dermabraded is marked. The appropriate diamond fraise tip is chosen, the skin is held taut, and the dermabrader is moved across the surface with constant, gentle pressure. A back-and-forth motion is used for the diamond fraise tip. The borders of the treated area are feathered to prevent any noticeable transitions. The depth of skin that is dermabraded is one of the most critical factors that will determine the outcome. Punctate bleeding is visualized when entering the papillary dermis. The papillary reticular junction is the ideal endpoint of Dermabrasion and is identified by increased, confluent bleeding. Immediately following the procedure, saline-soaked gauze moistened with dilute epinephrine may be temporarily placed on the open wounds to achieve hemostasis. A moist environment is necessary to promote wound healing. Dermabrasion is a useful skin-resurfacing tool; when performed correctly, it can achieve dramatic results and can be more effective than chemical peels or lasers, with a low risk of complications in patients with darker complexions