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The most frequent questions around cosmetic surgery
Posted on September 17th, 2009 No commentsQuestion: What is the most popular procedure in cosmetic surgery ?
Dr.Aslani:In women breast augmentation and liposuction, in men gynecomastia(male breast reduction),rhinoplasty and liposuction. This only reflects my personal experience though. Different surgeons may have different views regarding that
Question:Can I do anyhing before surgery to improve my skin ?Dr.Aslani:You can prepare your skin with antiseptic solutions like for instance Hibiclens. You can furthermore treat your skin with moisturising lotions. I am unsure what effect that really has, but this is recommended. I do regard beneficial effects from so-called “scar-ointments” as purely fictional.
Question:Is it true that cosmetic surgery in Spain is more popular than anywhere else in Europe?
Dr.Aslani:Yes, I should think so.
Question:Do you think that the current situation has got an adverse effect on quality in cosmetic surgery , especially in Spain ?
Dr.Aslani:I hope not, but I am very much afraid this may well be the case.
Especially in the cosmetic surgery sector in Spain, we see very aggressive marketing moves from UK companies into the sector. We are seeing more and more petients hooked on unrealistic promises paired with ridicolously low pricing. I am afraid that this will not have any good long term effect neither on the cosmetic surgery sector in Spain, nor in the UK:
Question:Is it true that I can only have my eyelids done twice in a lifetime ?
Dr.Aslani:No, not entirely. You are likely to refer to the lower eyelids. There may be some truth in that regarding them though.Lower eyelid blepharoplasty is considerbly more complicated than upper.
Question:Is a deep peeling a good subtitute for a facelift ?
Dr.Aslani:Absolutely not. The mechanism as well as the indication are completely different. A peeling tackles different problems than a facelift.
The two can be combined, but I suggest to do one after the other and not two at the same time.
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Macrolane……alternative use to breast enlargement
Posted on June 2nd, 2009 5 comments
Macrolane is currently undergoing a certain hype as being the non-surgical alternative to traditional breast enlargement.There are good indications for Macrolane and some patients are indeed suitable for that, but it has to be borne in mind that not everybody is. Nevertheless I do see a promising potential for the substance in the treatment of for post-surgical irregulaities , for instance, following liposuction.
Such irregularities are not entirely unusual especially after extensive liposuction and sometimes not easy to treat, and I do think that Macrolane significantly adds to our instrumentarium in these cases, offering a less invasive solution for many cases. Nevertheless, Macrolane will not be able to permanently treplace breast augmentation surgery as many pateints looking for it falsely hope. It is an addition to the surgeons armatorium in breast augmentation, not a replacement.
Read more about macrolane here
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Permanent wrinkle fillers in the face
Posted on May 9th, 2009 14 commentsIt may just be coincidence, but I am lately noticing an increased number of patients asking me for permanent wrinkle fillers in the face.

I fully understand patients desire for that, because most patients are under the impression that permanent fillers will give them permanent results. This is one side of the story, the other side, which is worrying me as a surgeon more, is that I am rather concerned that not only results, but more so possible problems are permanent.
This is what a lot of patients do not bear in mind, and without wanting do demonize permanent fillers (I think there is quite a few good ones around), I advise that patients should always approach permanent fillers with the due respect.
Whilst most resorbable fillers like hyaluronic acid for instance do of course share the diadvantage of needing touch-ups because they are not permanent, this is also one of their key advantages, because complications arising from them are also temporary. In my practice I currently restrict the use of permanent fillers to the correction of irrgularities after rhinoplasty, and that only after treatment has benn initiated with a resorbable filler. Also bear in mind that once you have had a permanent wrinkel filler in the face, it excludes you form having a temporary wrinkle filler as addition afterwards.
I advise all patients to bear that in mind when looking into permanent wrinkle fillers, which often may sound more attractive than they are in the end.



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