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RADIOFREQUENCY SKIN TREATMENT. WHAT YOU SHOULD KNOW?

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.

RADIOFREQUENCY SKIN TREATMENT. WHAT SHOULD YOU KNOW?

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. 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.


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ABDOMEN LIPOSUCTION-IBRAHIM
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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.
TUMMY TUCK.IBRAHIM
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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.
VAMPIRE SKIN REJUVENATION
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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 VECTOR
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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. 
HAIR REMOVAL. WHAT YOU SHOULD KNOW
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ELOS and laser hair removal technologies successfully achieve long-term hair reduction. Before you book your session, or if you are a physician who needs to purchase new technology in the clinic for hair removal, it is better to read the following carefully. There are three main types of hair: lanugo, vellus, and terminal hair. Lanugo hairs are fine hairs that cover a fetus and are shed in the neonatal period. Vellus hairs are non-pigmented and have a diameter of 30 mm. Terminal hair shafts range from 150 to 300 mm in cross-sectional diameter. The type of hair produced by an individual follicle can change (e.g., vellus to terminal hair at puberty or terminal to vellus hair in androgenic alopecia). Hair color is determined by the amount of pigment in the hair shaft. Melanocytes produce two types of melanin: eumelanin, a brown-black pigment, and pheomelanin, a red pigment. Hair follicles cycle through three stages: anagen, the active growth phase; catagen, in which growth stops and the cycling part of the follicle undergoes cell death; and telogen, in which hair shedding occurs. On the scalp, a typical anagen follicle continues to produce a hair shaft for 2 to 3 years giving rise to longer hair. The shorter hairs found in other body locations have correspondingly shorter anagen periods. The catagen stage of the hair cycle, lasting only a few weeks, ends as the catagen hair enters a “resting” (telogen) stage, which lasts three months. New anagen hair growth is started by cells in the bulge region. On the scalp, most hair follicles (80–85%) are in the anagen phase, and the remaining follicles are either in the catagen (2%) or in the telogen (10–15%) phase. However, in other body areas, anagen hairs may account for only 20–50% of the total number of hairs present. Telogen may last for a couple of months on the face and many months on the upper arms and legs. Human hair growth patterns convey social information about sex, age, and racial background. Patients with hair growth abnormalities can experience considerable emotional stress and social exclusion. It is classified as either hypertrichosis or hirsutism. Hypertrichosis refers to excess hair growth at anybody’s not androgen-dependent site. Hirsutism is the abnormal growth of terminal hair in women in male-pattern (androgen-dependent) sites, such as the face and chest. Although hypertrichosis is often a primarily cosmetic problem, it may also represent a cutaneous sign of an underlying systemic disease. It can provide essential aid in diagnosing, and familiarity with its various causes is critical. One of the two important mechanisms of hypertrichosis is the conversion of vellus to terminal hairs. The surge of androgen production in adolescence causes the follicles in the axillae, groin, and, in males, the beard and chest to grow broader and deeper into the dermis and undergo conversion to terminal hairs.
HAND FAT INJECTION_2
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Fat injection in the hands and feet is a simple, rewarding procedure for rejuvenation. It covers unsightly veins. Nanofat is injected intradermally to improve skin quality. The average patient will require 10-15 cc of macrofat. Another 10cc nanofat. Rarely does the patient require a second session? It is very cost-effective when compared with non-autologous synthetic soft tissue fillers
BREAST REDUCTION LIPOSUCTION ONLY
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Breast liposuction reduction is a cosmetic surgery procedure that reduces the size and weight of large, heavy breasts, helping to create a more aesthetically pleasing breast contour that is better proportioned to a patient’s body. Women with large, pendulous breasts suffer from neck pain, back pain, shoulder pain, and discomfort from bra straps. The most common method of breast reduction is excision, and several such surgical techniques are available where general anesthesia is usually needed. Women may still be distressed by well-healed scars from traditional procedures, even with ideal symmetry. With liposuction, from thirty to fifty percent of breast volume can be removed with good elevation, along with a reduction of the size of the areola without post-surgical wound side effects or the disfiguring inverted T-shaped scar Prof. Moawad added.
SILICONE IMPLANT SURGERYP PROF. IBRAHIM
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Breast implant surgery to enlarge or augment the breast is done by placing silicone breast implants. The exact procedure is tailored to meet a woman’s individual needs. The choices include intravenous sedation and general anesthesia. The filling type, shape, profile, and size of the implants are discussed thoroughly in the pre-operative consultation. The decision of placing the incision and implant will depend on the type of implant, degree of enlargement, and body type. A breast implant will be inserted into a pocket either under or directly over the muscle. Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive, or surgical tape to close the skin. Over time, breast implants can change shape, size, or overlying breast tissue. Patients notice that the appearance or feel of the breast is less desirable than the first result; therefore, many women will replace or update their breast implants after10-year.
SKIN REJUVENATION CHEMICAL PEEL
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Skin rejuvenation chemical peel is a way to look great in public. Whether you are trying to look your best for job interviews or get attention, Skin Rejuvenation, resurfacing or a skin peel is a way to go. Skin rejuvenation chemical peel is a comprehensive anti-aging, anti-acne, scar treatment program. It uses state-of-the-art aesthetic medicine tailored y to your skin condition, needs, and expectation. The skin barrier is overcome using the dermal roller, dermapen, no needles mesotherapy (electroporation), microdermabrasion, fractional laser, and fractional radiofrequency. The skin rejuvenation program includes; steam, masks, exfoliation, comedones extraction, cosmeceuticals, PRP, chemical peels, LED, IPL, laser, ultrasound, and radiofrequency. We apply new techniques to enhance skin penetration of cosmeceutical ingredients, such as whitening, vitamins, anti-acne, and anti-aging. Skin Rejuvenation (high-tech skin peel) can be performed anywhere on the body but most generally are shown on the face, neck, hands, arms, and legs.
BRAZILIAN BUTTOCKS.FAT INJECTION B
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Brazilian Buttocks fat injection is the safest procedure for buttocks augmentation. Several advantages to buttocks fat transfer compared with implant surgery. A Brazilian Buttocks lift is a specialized fat transfer procedure that augments the size and shape of the buttocks without implants. Excess fat is removed from the hips, abdomen, lower back, or thighs with liposuction, and a portion of this fat is then strategically injected into the buttocks. A skilled cosmetic surgeon can improve the proportions of the entire lower body with Brazilian Buttocks lift surgery, helping a patient lose fat in common “problem areas” and enhance the buttocks, with results lasting many years. Autologous fat grafting is associated with the lowest rate of complications. It is ideal for correcting finite asymmetries and volume deficiencies. Principles of buttocks augmentation with autologous fat transfer have evolved from buttock augmentation to global, whole-body, 360° contouring and shaping, thereby producing an optimal, highly defined body/ buttocks balance without implant-related complications. Moreover, I can combine it with liposuction of the waist, lower back, and lateral thigh. Prof Moawad calls it “horseshoe liposuction” to create the universal perfect proportions of the female torso and meet the specific ethnic ideals of beautiful buttocks in one operation.
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