Hair Transplant Surgery (FUT). How We Do it?

No needles mesotherapy or electroporation device seeks to do the same as injection mesotherapy such as skin rejuvenation, whitening, acne, hair re-growth, localized fat reduction, and cellulite treatment. It uses a pulsed low-frequency current, whose intensity is adjusted by the operator. It delivers a particular waveform that ionizes the molecules in the active ingredients used in the treatment and creates tiny channels in the skin for the elements to travel down. Ingredients in water-soluble molecules permeate the skin's natural lipid barrier and then cascade through the tissue beneath via minute channels to penetrate the surface up to 9 -10cms and introduce 90% of the active ingredients being administered. This pain-free option is said to offer a practical mesotherapy alternative for needle-phobic.

Buttocks high definition (HD) liposuction is a demanded procedure in Egypt. The buttock area has received much media attention in recent years, which has produced increased patient demand for buttock reshaping. Four different anatomic variables:1. The underlying bony framework, 2. Gluteus maximus muscle,3. Subcutaneous fat topography, and 4. Skin influences the overall shape of the buttocks. The subcutaneous fat has the most significant impact in establishing the overall shape of the buttocks. 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. Buttocks Liposuction is performed using a hand-held instrument (cannula) attached to a vacuüm-like machine or a syringe. By pushing and pulling the cannula, fat cells are broken up and then sucked out with a vacuüm which is called traditional Buttocks Liposuction. Today, I can use several liposuction techniques to improve the ease of the procedure and enhance the outcome. Based on the experience of Prof Moawad for the last 20 years, he prefers the tumescent technique assisted with a suction cannula for considerable buttocks reduction. If precise contouring is the goal, he prefers syringe liposculpture. Syringe liposuction is a must when fat transfer is needed. Thorough anatomic analysis, surgical technique, and constant communication with patients to determine their aesthetic preferences are encouraged.

Thigh-high definition (HD) liposuction is indicated for patients present for thigh contouring to take care of obesity, fat collection, skin laxity, or both. The ideal patient for liposuction is the one who has localized areas of fat in the thigh but is otherwise fit and does not have skin laxity. Patients may also present with deformities after a prior attempt at thigh lift or thigh liposuction elsewhere will benefit from thigh fat injection. Lower extremity liposuction treats lymphedema that does not entirely resolve with nonsurgical measures. There is a risk of contour deformity and skin laxity. Liposuction in the knee and thigh, therefore, must be conservative. Based on the experience of Prof Moawad for the last 20 years, he prefers syringe liposculpture for small thighs and the external ultrasound power-assisted liposuction for large ones.

ack HD liposuction applies to individuals with localized fat in the upper and lower back. Both men and women present with fullness in the back which primarily comprises subcutaneous fat. Women are more typically present for upper back contouring as lipodystrophy leads to issues with fullness around the bra line and dissatisfaction with the appearance of clothing fitted in the torso. Women and men present with lipodystrophy in the waist and hip/flank region, often part of a circumferential process. The back typically houses fibrous fat and relatively thick skin, which contracts well after Liposuction, particularly Our technique with ultrasound-power-assisted Liposuction. Liposuction of the back often nicely complements abdominoplasty in men and women to give a more global improvement in the torso with improvement in the waistline. 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) or HD liposuction. 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 often 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. After 15 minutes of massage with external ultrasound, the power of Vibro-assisted Liposuction (PAL) or HD liposuction is used to enhance back contouring.

Arm HD liposuction is appropriate for younger patients with fatty collections and good skin quality. Women request this procedure more than men. Skin is relatively thin in the arm, so skin retraction is less likely in the standard patient than abdomen or back. Skin laxity is possible after liposuction, and if this is anticipated, it is best to discuss the potential need for second-stage skin removal. Arm HD Liposuction treatment is often weighed against arm lift with the possibility of a visible scar. While liposuction reduces bulk and improves the contour of the arm, it cannot adequately treat skin redundancy. Liposuction in the arm is challenging, finding the balance between removing subcutaneous fat to uncover a more muscular physique without removing so much that there is resulting skin redundancy. Today, non-invasive options are performed as an adjunct to liposuction to enhance the completeness of fat removal and the evenness of the result and aid in skin tightening and smoothing.

Arm lift surgery or Brachioplasty is rapidly increasing. Tremendous variability in presentation has led to different types of arm recontouring. From suction-assisted lipectomy, for appropriate candidates, to minimal incision Brachioplasty and a more extensive arm lift procedure. The objective is to reproduce a proportional functional proportional and functional arm contour. Patient selection, preoperative assessment, and a clear understanding of the arm’s anatomical features are paramount. Preoperatively designed markings of four significant groups of arm lift-minimal incision, standard, extensive, and chest-arm lift are based on the position and proximal and distal involvement of excess skin and fat and preferred scar position. Selective ancillary procedures, such as breast recontouring and upper body lifts, can be helpful adjuncts to arm lifts. 

Abdomen HD liposuction is indicated when a patient has average weight with firm elastic skin. However, he has pockets of excess fat that are resistant to diet and exercise and disproportionate to the rest of their body. Overweight patients may also have lipodystrophy, but food and exercise, rather than large-volume abdomen liposuction, are the mainstays of treatment for generalized obesity. Some patients must have multiple procedures if they have more fat than I can safely remove in one operation setting. While no method of abdomen liposuction is a substitute for proper nutrition and physical exercise, nor is it an alternative for general weight reduction. Abdomen liposuction is helpful as a secondary procedure after prior abdominoplasty to help further contour the abdomen. Abdomen etching is a form of superficial abdomen liposuction performed to simulate the appearance of muscle definition (high definition Lipo). Today, fat extraction or fat injection is used to improve the outcome. Based on the experience of Prof Moawad for the last 20 years, he prefers the tumescent syringe technique for a small stomach and ultrasound power-assisted cannula for the large abdomen.

Mini-tummy or abdomen lift surgery is an excellent procedure for patients with slight skin excess who want skin tightening. The ideal candidate already has a suprapubic horizontal scar, such as for cesarean section, and is young and fit except for some lower abdominal muscle weakness. Mini-abdominoplasty may be performed as an outpatient. The overall idea is to improve the contour of the abdominal wall by rectus abdominis fascia plication and remove excess skin and fat from the region. Mini-tummy tuck is achieved using a low-lying suprapubic incision that can be hidden under the bikini line. First, liposuction (Ultrasound-power-assisted liposuction) is performed in the epigastric or flank fat collection. After liposuction is complete, an incision is made in the suprapubic marking. Dissection is taken through the subcutaneous fat to the abdominal wall, and then superior dissection elevates the skin flap up to the umbilicus. The lower rectus is plicate with two layers of the suture. The flap is advanced inferiorly, the excess is removed, and the incision is closed by re=approximating Scarpa’s fascia and skin. The downward traction of the flap might pull down the navel a centimeter or two. Drains might be usually used.

A vampire facelift is indicated for those who want to look better with as little as possible downtime. Although a quick fix is not possible for severe wrinkles, newer treatment options such as fractional lasers and fractional radiofrequency are available to slow down the aging aspects that affect the face, neck, décolleté, and the back of the hands. Vampire Facelift is a non-surgical cosmetic procedure involving the injection of a platelet-rich plasma (PRP) derived from a patient's blood back into multiple areas of their face's skin to treat wrinkles "rejuvenate" the face. Platelets have essential growth factors that, when secreted, handle tissue regeneration and rejuvenation, increase collagen production, recruit other cells to the injury site, induce cell differentiation, and extracellular matrix formation. It has an anti-inflammatory effect that will speed up healing time and ease recovery time after resurfacing procedure. In a new approach, Prof uses fractional ablative lasers to overcome the epidermal barrier and increase the penetration of topical agents as laser-assisted drug delivery (LADD). Prof Moawad offers his patients a full-face fractional CO2 laser or fractional radiofrequency (FRF) to make tiny holes into the skin to overcome the stratum corneum to enhance PRP and nanofat. The results are double. You will enjoy the rejuvenating effect of fractional skin resurfacing systems and the regenerative effect of growth factors and stem cells in PRP and nanofat.

Elos and laser hair removal give satisfactory results in long-term thick black hair. Hirsutism is the abnormal growth of terminal hair in women in male-pattern (androgen-dependent) sites, such as the face and chest. Hypertrichosis refers to excess hair growth in any body area that is not androgen-dependent. Although hypertrichosis is often a primarily cosmetic problem, it may also represent a cutaneous sign of an underlying systemic disease. To ensure long-term hair reduction in these conditions, we combine three technology, light, laser, and radiofrequency. Electro-Optical Synergy (ELOS) or, in short, E-light technology combines electrical (conducted radiofrequency (RF)) and optical (laser/light) energies. The general idea of this method is to reduce the intensity – and thus, the potential side-effects of optical power (laser or light) by combining it with bipolar radiofrequency (RF). Based on this combination, E-light technology is more tolerated in all skin phototypes and more effective in removing lightly pigmented hair and thin hair. The large spot size of the light energy makes it easy to treat large surface areas such as the back, chest, and legs. Seventy to ninety of the total hair amount is reduced for many years after four to six-session. Hair that does grow is often much more delicate and lighter in color.