Why a liposuction?

Unhealthy eating habits, lack of physical activities but also genetic factors particularly present in women causes the creation of visible fat pockets that common sense calls it beads or saddlebags. In addition to the last area, several parts of the anatomy are involved such as the thighs, buttocks, back, stomach, arms, neck and chin. Liposuction is a procedure designed to remove these pockets of fat on one, two or all of the areas in question in order to find the silhouette smooth contours.

Click on the question to see the answer of our professionals

• How to practice a liposuction?
• Are there alternatives that can get rid of fat without surgery?
• How to treat multiple areas at once?
• What are the instructions to follow before and after the surgery?

Long Term Care of Silicone Breast Implants - Breast Augmentation

The silicone breast implants has led many women to explore this option. We have had many questions on our discussion board about the proper long term care for silicone breast implants. This article is a high level overview of the main issue women have been asking about detecting potential ruptures in silicone breast implants. This is not meant to worry anyone or make anyone think silicone breast implants are unsafe. The FDA would not have approved them if it felt they were unsafe. Rather this article is intended to help consumers understand the evolving nature of the long term care recommendations regarding silicone breast implants.

About Detecting Ruptures in Silicone Breast Implants

The silicone breast implants used in Breast augmentation  or breast reconstruction today generally do not leak the way saline implants leak. The silicone gel is what is known as "cohesive", meaning that it is thick and does not move freely the way water (saline) will move. If a silicone breast implant ruptures, there is unlikely to be any apparent change in observable breast size because the fluid does not leak out. Therefore, detection is very difficult if not impossible through observation and examination of the breast. Even your plastic surgeon probably can't detect a rupture in today's cohesive silicone breast implants. However, silicone implant ruptures are detectable through other methods.

Screening for Ruptures in Silicone Breast Implants

Silicone breast implant ruptures may not be detectable through self examination or observation, but they can be detected with proper screening through the use of an MRI. The FDA issued guidelines for recommended MRI screening when it approved silicone breast implants. The FDA states, The best method of screening is currently MRI at a center with a breast coil, with a magnet of at least 1.5 Tesla. The MRI should be read by a radiologist who is familiar with looking for implant rupture.

While that information sounds very technical and daunting, rest assured that the surgeon who performs your breast augmentation should be able to recommend a good radiologist who can perform the MRI screening for you. You won't need to worry about asking different radiologists about magnet size! In no case should the MRI screenings be seen as a replacement for your regular follow up visits with your plastic surgeon. Your plastic surgeon will look for other issues in addition to ruptures, so please, please go to your regular follow ups!

Frequency of MRI Screening - Silicone Breast Implants

The FDA initially recommended that patients begin MRI screening of silicone implants 3 years after implant surgery and then every two years, thereafter. This recommendation is only a guideline and has not been updated by the FDA as the study results continue to evolve. Many breast surgeons believe that an MRI is not needed after 3 years given the low failure rate of silicone breast implants after 3 years. If the studies show that failure rates remain low for many years, it may not be necessary to have an MRI for many years.

Conclusion

Silicone breast implants are as viable a choice today as saline. Your personal preferences and your plastic surgeon's recommendations and guidance will help you to determine which choice is right for you. Make sure to have regular follow up visits with your surgeon so that he can guide you with respect to long term care of your breast implants. As the Mentor and Allergan studies evolve, so will long term care recommendations, including the timing of any recommended MRI screenings.

What Happens When You Quit Smoking in just 48 hours?

Why Quit Smoking?

Smoking and the use of smokeless tobacco is the top cause of preventable death in the United States. The National Cancer Institute estimates that 443,000 people die each year from smoking. Kicking the habit can prevent many of these deaths. We’ve chosen a collection of top-rated apps geared toward making it easier to stop smoking. Click, tap, and swipe your way to better health.

20 Minutes After You Quit

The effects of quitting start to set in immediately. Less than 20 minutes after your last cigarette, your heart rate will already start to drop back towards normal levels (CDC, 2004).

Two Hours After You Quit

After two hours without a cigarette, your heart rate and blood pressure will have decreased to near normal levels. Your peripheral circulationmay also improve. The tips of your fingers and toes may start to feel warm. Nicotine withdrawal symptomsusually start about two hours after your last cigarette. Early withdrawal symptoms include:

• intense cravings
• anxiety, tension, or frustration
• drowsiness or trouble sleeping
• increased appetite

12 Hours After You Quit

Carbon monoxide, which can be toxic to the body at high levels, is released from burning tobacco and inhaled as part of cigarette smoke. Because carbon monoxide bonds so well to blood cells, high levels of the substance can prevent these cells from bonding with oxygen, which in turn causes serious cardiovascular problems. In just 12 hours after quitting smoking, the carbon monoxide in your body decreases to lower levels, and your blood oxygen levels increase to normal (CDC, 2004).

24 Hours After You Quit

The heart attack rate for smokers is 70 percent higher than for nonsmokers. But, believe or not, just one full day after quitting smoking, your risk for heart attack will already have begun to drop. While you're not quite out of the woods yet, you're on your way

48 Hours After You Quit

It may not be life-threatening, but deadened senses—specifically, smell and taste—are one of the more obvious consequences of smoking. Luckily, after 48 hours without a cigarette, your nerve endings will start to re-grow, and your ability to smell and taste is enhanced . In just a little while longer, you'll be better appreciating the finer things in life.

Otoplasty in Tunisia

Otoplasty and Ear Surgery

Otoplasty, or, ear reshaping surgery, is a popular procedure to correct ears that protrude or appear disproportional to the rest of the face. This can often cause great emotional distress, which is why ear correction is one of our most common cosmetic procedures.

Whatever the problem, in the hands of a skilled plastic surgeon, most of these imperfections can be considerably improved. Ear correction can therefore, give the patient both an aesthetic and also a psychological improvement.

Procedure

Step 1
Before surgery, this illustration shows a typical otoplasty patient with protruding or "sticking out" ears. Many patients seeking corrective ear surgery find this condition embarrassing.

Step 2
Surgery involves removal of cartilage from behind the ear, to reduce the protrusion of the outer ear shell.

Step 3
After surgery, the patient has neat ears against the head. They no longer stick out.

What happens after ear correction surgery?

After an Otoplasty is completed, you will have a dressing put on in the operating theatre. It is important that this dressing is not removed for at least 7-10 days.

Will I have any scarring after my ear surgery?

The surgeon perform Otoplasty by making the incision behind the ear so in most cases the scar will be hidden.

Am I a candidate for breast augmentation?

If you aren't satisfied with the shape, size or contour of your breasts, you may wish to consider breast augmentation. Also known as augmentation mammoplasty, the procedure involves using implants to enlarge the breasts. Breast augmentation may also help after pregnancy or weight loss if you are unhappy with the size or droopiness of your breasts. Implants can also correct asymmetry or unevenness in breast size caused by developmental problems or breast cancer surgery performed in the opposite breast.

One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

• You are worried by the feeling that your breasts are too small
• Clothes that fit well around your hips are often too large at the bustline
• You feel self-conscious wearing a swimsuit or form-fitting top
• Your breasts have become smaller and lost their firmness after childbirth
• Weight loss has changed the size and shape of your breasts
• One of your breasts is noticeably smaller than the other

How do I prepare for breast augmentation?

To help prepare for your procedure, plastic surgeons at Med Espoir may recommend a baseline mammogram before surgery if you are over 35 years old. This will help to detect any future changes in your breast tissue. Following augmentation mammoplasty, you will still be able to perform breast self-examination. If you are a smoker, you will be asked to stop smoking well in advance of surgery. You should avoid aspirin and certain anti-inflammatory drugs that can cause increased bleeding for a period of time before surgery. Your plastic surgeon will provide you with additional preoperative instructions. Breast enlargement is performed with implants that are placed either under the chest muscle (sub pectoral) or over the chest muscle (sub glandular). Our clinic's surgeons evaluate individual factors and personal preferences to determine your appropriate breast size, the location of incisions and whether the implants will be placed on top of or underneath the chest muscle.

How is breast augmentation performed?

Usually performed under general anesthesia, incisions are made in inconspicuous areas of the breast to minimize visible scarring. There are a variety of incisions used to perform the procedure:

• In the lower crease of the breast (inframammary incision)
• Around the lower portion of the areola, or dark-colored skin around the nipple (periareolar incision)
• In the armpit (transaxillary incision)
• Under the breast fold (sub-mammary incision)

Through these incisions, the plastic surgeon creates a pocket to place the implant. To maximize the accuracy of future mammograms, implants are generally placed under the muscle (subpectorally). Some breast enlargements can be performed in a minimally invasive manner using endoscopes and small incisions made in the armpit, with the major benefit being less scarring for the patient. The procedure, which takes about two hours, is typically performed on an outpatient basis.

Rhinoplasty In Tunisia

Rhinoplasty  corrects abnormalities of shape, size and projection of the nose, restores the straightness of the wall (making for people with a deviation a normal respiratory function) and the nasal bridge and changes the width and orientation of the nostrils (ethnic nose). This intervention is not achievable under local anesthesia outside minimal corrections on the tip or sides of the nose. The scars are usually invisible except for corrections of the point that leaves a scar on the tip of the hardly visible nose.

Cases of ethnic nose surgery

The ethnic nose is the specific nose for Asians and Africans. It is less projected than the Caucasians nose and nostrils are wider than their height. We often use a tissue transplant to increase the projection of the dorsum and the tip.

Following the Rhinoplasty

For an adjustment of the tip, the pain is minimal. Small wicks in the nostrils will prevent breathing through the nose for 48 hours and adhesive Steris-Strips will ensure restraint of the tip for 1 week.
When we have been practicing osteotomies (intentional fractures of the nasal bones), blue around the eyes and swelling of the eyes will appear and will last about ten days. A plaster cast made of resin will be worn for a week to maintain the new position of the bones. The sutures are resorbables except for the tip of the nose which will be removed in the following week. Antibiotics and painkillers will be prescribed for 1 week. The result is visible at the end of the week and will be final after six months.