BEFORE AND AFTER

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.

attoo laser removal results are magnificent. Why shouldn't you be able to eliminate unwanted tattoos? Modern tattoo removal involves the use of Q-switched lasers to remove tattoo pigments. Or fade them to prepare the area for a different tattoo. You don't have to live thanks to the only available tattoo removal specific laser machines at MSI "Q-switched Nd: YAG laser 1064nm infra-red laser" and frequency-doubled 532nm green KTP laser with an unwanted tattoo. This laser sends precise pulses of high-energy light into the skin, vaporizing some tattoo inks and fragmenting other inks into thousands of tiny particles, safely eliminating them from your skin. I should also consider test spots for cosmetic, medical, traumatic, or decorative tattoos with light colors. Paradoxical darkening is likely to be encountered in these tattoos. After laser treatment of tattoos, skincare is quite similar to skincare after having a tattoo. Gentle cleansing of the skin and applying an antibiotic ointment will help tattoos heal quickly after treatment. Protect the treated area from sun exposure until the skin is completely healed and the skin color has returned to normal. Your tattoo usually fades over 4-6 weeks. Other non-laser methods of tattoo removal include surgical excision (cutting the tattoo out), dermabrasion (scrubbing away the skin), Sal abrasion (using salt to rub the tattoo), and chemical peels (using acid to burn away layers of skin). These methods are painful, expensive, and may result in scarring.

Removal of red skin spots (vascular) skin lesions without scarring was unthinkable a few decades ago. In the past thirty years, advances in laser technology have revolutionized the treatment of cutaneous vascular disorders and expanded the dermatologist's therapeutic armamentarium. Based on thousands of treatment sessions and follow-up evaluations, I can safely and effectively treat these vascular lesions in infancy, early childhood, or in adults with minimal pain, textural changes, pigment changes, scarring, and minimal postoperative wound care. Birthmarks such as port-wine stains (PWS), hemangiomas, lymphangioma, venous lake, cherry hemangioma, pyogenic granuloma, and warts are successful treatments. Furthermore, acne rosacea, facial erythema, facial telangiectasia, spider veins, red scars, and red stretch marks are markedly improved. Condition. We use selective lasers, fractional radiofrequency, and elos light technology. We mix and match different technologies to give the best possible results.

Acne and acne rosacea treatment results are satisfactory for both patients and physicians. Acne is one of the most common diseases with a point prevalence of up to 100% among adolescents and often persists into adulthood, with detrimental effects on self-esteem. The conception of acne has been refined towards ‘chronic disease.’ Therefore, the strategy of acne treatment is a critical intervention and maintenance. Acne medications are very efficient, but only when patients use them correctly. Newer methods include radiofrequency, light or laser, and photodynamic therapy that represent treatment alternatives for systemic medications. A treatment plan for rosacea includes avoiding triggers, using gentle skin care products, and treating the rosacea. Many skincare products can irritate skin with rosacea. While medicine or laser treatment can help reduce or clear signs of rosacea, your everyday habits may cause a new flare-up.

The periorbital region is one of the first facial regions to show signs of aging. It is critically important to understand precisely what feature of the periocular area is of the most concern to the patient before making therapeutic recommendations. Aging skin is characterized by the appearance of fine and coarse rhytids (wrinkles), rough and uneven texture, dryness, and changes in pigmentation. Fat atrophy occurs in the upper and lower periorbital region leading to progressive skeletonization of the orbit. Fat atrophy in the lower periorbital complex leads to a more prominent infraorbital rim, increasing the height of the lower eyelid and the overall soft tissue vertical dimension of the orbit. Typically, the nasojugal crease is more evident with aging. The malar fat pad has atrophied, the temples have hollowed, and the brow and upper lid have lost volume. In general, changes in skin texture, tone, laxity, or pigmentation are treated with physician skincare cosmeceuticals, chemical peels, lasers, or energy-based solutions. I can augment volume loss with the use of fillers, Autologous fat injection, and BOTOX A. Hyaluronic acid (HA) is the workhorse for the periorbital area because of its good efficacy and predictability and an excellent choice for correcting static rhytids that cannot be treated with BoNT alone and to recontour. Milli fat, micro fat, and nano fat with the addition of SVF and PRP for more massive volume deficits around the eyes may also be beneficial.

Dark Circles refer to conditions that present with relative darkness of the under eyes eyelids. This condition affects individuals of various ages, both sexes, and all races. It can be a significant cosmetic problem, and many individuals seek treatment for this condition. Having under-eyes dark circles makes you look tired, sad, or hungover. General fatigue, especially lack of sleep, worsens dark circles under the eyes. Dark circles also worsen with the aging process of skin sagging and altered subcutaneous fat distribution. The therapeutic modalities must differ depending on the cause because under-eyes dark circles are due to multiple factors. Physician Skincare products ( Dr. Derm cosmeceuticals), chemical peels, lasers, light sources, fat and filler injections, botox injections, and eyelids surgery are used to address skin darkening around the eyes.

Eyelid lift surgery or blepharoplasty surgery is shown when the eyelids require recontouring. Specifically, blepharoplasty is most useful when excess skin needs to be removed, the muscles are enlarged or require tightening, or eye fat needs to be removed or redistributed. Upper eyelid lift surgery typically involves an incision made in the natural crease above the eye. Your cosmetic surgeon will remove a precise amount of excess skin and fat and adjust the surrounding muscles to make the desired improvements. Cosmetic surgeons can use a variety of surgical techniques to improve the lower eyelids; incisions are located on the outer edge of the lower eyelid, just beneath the eyelashes, or inside the eyelid. Depending on the case, I may remove excess, sagging skin or tighten the lower eyelid muscle to supply the most natural, effective results.

Male breast enlargement or gynecomastia reduction surgery results are satisfactory for patients and surgeons. Gynecomastia is a condition of over-developed breasts in men that can occur at any age—excess localized fat, excess glandular tissue. Sometimes excess breast skin may present on one breast or both breasts. If the excess tissue is isolated to fat, liposuction alone may be enough to achieve the desired results. However, the breast tissue, which is denser than fat, can be surgically removed in some cases. The incision location will vary but may include the areola, under the breast, or at the armpit.

Breast augmentation or enlargement is typically done through silicone breast implants or fat injection Breast implant surgery is tailored to meet a woman's individual needs. The filling type, shape, profile, and size of the implants are discussed thoroughly in the pre-operative consultation. A breast implant will be inserted into a pocket either under or directly over the muscle. Modern breast augmentation is about volume distribution, not just volume addition. The excellent shape should prevail over volume. The technique of autologous fat-graft injection to the breast is applied for the correction of breast asymmetry; breast deformities; congenital disability correction" micromastia, and tuberous breast deformity, breast reconstruction: for post-mastectomy breast reconstruction (as a primary and as an adjunct technique; trauma-damaged tissues (blunt, penetrating), disease (breast cancer), explanation deformity (empty breast-implant socket).); for the improvement of soft-tissue coverage of breast implants and the aesthetic enhancement of the bust.

Ear correction surgery or otoplasty results are great for both patients and surgeons. It improves the ear's shape, position, or proportion and creates a more natural form while bringing balance and dimension to the ears and face. The social implications of ear deformities for the developing child are well documented. Protruding ears are a frequent source of ridicule by peers and may contribute to various developmental abnormalities, including social phobias and outright behavioral disturbances. Correction of even minor deformities can have profound benefits to appearance and self-esteem. The ear development is virtually completed by the age of five, when I can undertake adequate measures. 

Nose job results are very satisfactory. I can achieve good results through surgery or rhinoplasty, or recently injectables. However, during nose surgery, even in patients with a first satisfactory outcome, slight asymmetries, depressions, and contour irregularities may present several years after surgery. Correcting these minor problems often requires surgical revision, and the available surgical options are limited in number, expensive, time-consuming, and prone to further complications. Non-surgical rhinoplasty, injectable rhinoplasty, or injectable nose job (filler, fat, or botox) has gained popularity for primary and revision nose enhancement procedures. In selected people, injection rhinoplasty can give a ready vise result in the convenience of the office setting. The process is minimally invasive and has an excellent safety record. It has been proposed for patients. However, unlike surgical rhinoplasty, it is limited in its ability to produce a significant change in the caudal aspects of the nose.

Fat transfer has become an increasingly important method of facial rejuvenation both as a standalone procedure and in combination with traditional rejuvenation methods, like face-lifting, brow lifting, and Blepharoplasty. A variety knows fat transfer names, of which the most commonly used are fat transfer, fat injection, and autologous fat grafts. The word autologous means material (fat) is harvested from one area and donated to another in the same individual. Fat transfer is particularly suited for restructuring the proportion of the face. Typical facial structures can also be aided by adding constructive elements to correct a broad range of perceived facial deficiencies. For example, a stronger jawline creates a youthful, more powerful-looking face; eliminating the hollowness of lower lids helps reduce that tired, sad appearance; and fuller lips create a more youthful, attractive appearance. Other indications include congenital, traumatic defects, or surgical defects and scars. Nano fat is applicable in a wide range of indications to improve skin quality; trophic skin changes caused by age and sun damage, pigmentary skin conditions, and scarring non-facial areas such as the neck, the décolleté area, and the hands can also greatly benefit from the use of nano fat grafting, sometimes in combination with micro fat.

Facelift Botox injection result is the most appreciated in cosmetic medicine. BOTOX dosing and injection points should be based on assessing the patient’s anatomy, goals, preferences, and the physician’s own professional experience with prior treatments. Gender, cultural, and ethnic standards of attractiveness may significantly influence the patient’s preference. Each patient’s treatment should be individualized for the best results. Cosmetic BOTOX in the mid and lower face and neck has increased drastically over the past few years. Indeed, there is now a greater appreciation that BOTOX-A is one part of overall facial rejuvenation therapy, in which all aspects of aging are addressed in the same individual. Finally, new esthetic indications emerge, including the treatment for scars, the horizontal upper lip line, musculus risorius excessive gingival display (‘‘gummy smile’’), and masseter reduction to improve facial shape. BOTOX is also beneficial with other aesthetic modalities, such as dermal fillers, laser, skin resurfacing, and surgery. Several more general applications push BTX-A toward an ‘‘art,’’ rather than a clinical procedure.

Fat Injection results in satisfactory rejuvenation around the eyes or periorbital region with little recovering time. Fat transfer to the forehead is an excellent method to lift the eyebrows without raising the brow to an unnaturally high position. Micro-fat or nano fat grafting can fill the skeletonized upper lid sulcus. Fat injected into the lower eyelid region will shift the cheek up and build the convexity of the youthful eye. Lower-lid volume replacement is also helpful in treating dark circles under the eyes by reducing shadows and the appearance of blood vessels under the skin. Microfat Injection is also an excellent choice for correcting static wrinkles that it cannot treat with BoNT alone. In most patients, I must undertake the treatment of the infraorbital, cheek, and tear trough areas together. I must combine fat Injection with a skin-only eyelid lift to achieve desirable rejuvenation.

Around the eyes or periorbital region filler vs fat injections results in depend on understanding both perioral anatomy and perceived sign of aging. Volume augmentation can be beneficial for treating deep nasojugal lines (often referred to as "tear trough" defects), the elevation of the temporal brow, and even smoothing fine eyelid wrinkling. It is also an excellent choice for correcting static wrinkles that it cannot treat with BoNT alone and re-contour. Which filler substance is considered "best" or "preferred" for you depends on the doctor's technique, skill, experience, training, facial needs, and risk tolerance? It has nothing to do with headlines in the media; these are often a result of its marketing. While synthetic fillers can smooth out wrinkles and folds, they cannot restore fullness that is naturally lost as fat and bone diminish, and it is not for everyone. Some individuals are allergic to synthetic materials and may develop an allergic reaction. Nevertheless, its use stays limited compared to commercial fillers. It appears that surgically trained and oriented cosmetic practitioners are far more likely to use fat. In large numbers, less surgically dermatologists, non-surgically trained "cosmetic practitioners," and non-physician "extenders" such as physician assistants, nurse practitioners, and even simple registered nurses favor synthetic fillers over autologous permanent fat filling injections.

Skin moles removal results depends on location, size, and depth of moles. Most moles appear on the surface during childhood and adolescence. Moles will grow as the child (or teen) grows. Some moles will darken, and others will lighten. These changes are expected and seldom a sign of melanoma, the most severe skin cancer. Here are three facts that can help you find melanoma soon and get treatment. If you see a mole or other spot that is growing, itching, bleeding, or changing in any way, at once, make an appointment to see a dermatologist. Most moles do not require treatment. A dermatologist will remove a mole that: is bothersome (rubs against clothing, etc.), unattractive to a patient, and suspicious (could be skin cancer). After a mole is removed, the skin will heal. If the mole grows back, make another appointment to see your dermatologist. The recurrence of a mole could be a sign of melanoma, the most severe type of skin cancer.

Skin scars treatment or revision surgery results in the improvement of scars, either cosmetic or functional. Skin scars are results of earlier surgery trauma, or inflammatory processes, e.g., acne. The injury may be cosmetically distressing or may distort functional anatomy. Thus, the aim of scar revision is the achievement of an aesthetically pleasing or less visible scar. Scars can be categorized by various descriptive characteristics, including contour, shape, length, width, color, and function. Recognition and analysis of these unique characteristics, along with the scars’ location and place, will aid in determining the proper technique or combination of procedures in revising a given scar. Numerous revision procedures are available to correct the various types of injuries. No one treatment or procedure is effective in correcting all types of scars. Therefore, knowledge, understanding, and experience using various techniques are vital to achieving acceptable results.

Acne scars lead to emotional embarrassment, poor self-esteem, social isolation, low confidence, body image alterations, unemployment, lowered academic performance, and exacerbation of the psychiatric disease of anxiety or depression. Acne scars treatment must consider the cost of treatment, the severity of lesions, physician goals, patient expectations, side-effect profiles, psychological or emotional effects to the patient, and prevention measures. Various treatment modalities range from topical therapies, chemical peelings, micro-needling, or microdermabrasion, subcision, autologous ⁄ non-autologous dermal fillers to energy-based technology such as fractioned ⁄ non-fractionated lasers, ablative/non-ablative lasers, pigment or vascular-specific lasers, and minor surgical procedures. Whatever the choice, it should be clearly understood by both physicians and patients that, at present, improvement of scarring, rather than total cure, is the goal. Any intervention or treatment aims to improve scars, not for a total cure or perfection.