Hello, I am Dr. Afschin Ghofrani from Aestheticon. Today I want to talk to you about one of my favorite surgeries, which is the breast reduction surgery with the central pedicle technique.
The Advantage of The Central Pedicle Technique for Breast Reduction
The advantage of this technique is that:
– You can preserve the breastfeeding ability
– Preserve the original sensation compared to many other techniques out in the market.
Who’s The Right Candidate for the Surgery?
This makes it specifically suitable for younger women who have the family planning still ahead of them.
The Good Doctor program hosted Dr. Afschin Ghofrani to discuss abdominoplasty
Video Transcription
The Good Doctor Host:
Hi, everyone, welcome to another episode of the good doctor on easy living.com. Today I’m in the company of Dr. Afschin Ghofrani from Aestheticon and we’re going to be talking about abdominoplasty. Now for all of those who don’t know what that is basically tummy tuck. Welcome to the program Dr.
Dr. Afschin Ghofrani:
Thank you very much for having me here.
The Good Doctor Host:
So for all of our viewers who want to know what goes into a tummy tuck procedure, let’s talk about that. And my follow up question will be?
Who’s An Ideal Candidate For Abdominoplasty (Tummy Tuck)?
Dr. Afschin Ghofrani:
Great. So let me first answer who would like a tummy tuck. Actually, we all know the problems. We go to gym, we follow a diet, we try to lose weight, and we do and we’re happy, but sometimes there’s too much of tissue in the lower abdomen right? In women, mostly after giving birth. You cannot train away this tissue. Whatever you do, it will remain there. And these are the candidates for removal surgical removal of this excess of tissue which we call abdominoplasty or tummy tuck.
Is An Obese Ideal Candidate For A Tummy Tuck Procedure?
The Good Doctor Host:
So is this excessive skin that’s just hanging? Yeah. And there’s no way that it will contract because women have either given birth or Yeah. What about obesity desire having
Dr. Afschin Ghofrani:
lost weight, a lot of weight. So basically what happens is you overstretch the skin, right? Once you over stretch it, the the forces that could retract it are not effective anymore, right? And you cannot train it away.
The Good Doctor Host:
Right? And therefore, you need to have some kind of surgical procedure to do that.
Dr. Afschin Ghofrani:
That’s true.
The Good Doctor Host:
What Goes Into A Surgical Procedure?
Dr. Afschin Ghofrani:
What goes into it is, first of all, a thorough assessment of the situation discussion, explaining the cons and the pros. And after both sides are convinced it’s the right thing to do. There is a surgery involved, which usually takes place at a hospital where the excess of tissues removed and what I always recommend to do the muscle underlying is tightened. Its serving as an internal bodies, giving you even a better shape and a flat abdomen. Recovery takes usually 10 to 14 days, one overnight stay in general. And after two weeks, majority of the patients can go back to their normal daily routine. I’m not talking about sport of activities, that would take longer four to six weeks. But daily routine, yes.
How Long Does Tummy Tuck Recovery Take?
The Good Doctor Host:
Okay. So if anyone wants to get this procedure, they have to think about the two week recovery time period. Is that the best case of worst case?
Dr. Afschin Ghofrani:
This is the average on average. Yeah, I have had patients after five days they were back in the office with the sutures in place, right. And others would take three, three weeks to recover. But usually two weeks is a good estimate.
The Effect Of Technology Development On Tummy Tuck Procedure
The Good Doctor Host:
One final question that I have for you. Technology has made this procedure a lot safer these days. And anything that you want to add in terms of the technology that you’re using, that’s modern, which is different from let’s say a procedure done five years ago.
Dr. Afschin Ghofrani:
So that’s all About 10 years ago, 10 years ago what has developed recently our devices and different techniques to retract the skin non-surgically. So you can use this to even improve and enhance the results that you have. You can tighten the front abdomen very nicely by surgery but the flanks the lateral part, you can address with other devices which in a non invasive way can help you shrink the skin.
The Good Doctor Host:
Brilliant. Well, thank you very much for this insightful urination.
Yes, we are more than happy to have received so much positive feedback from our customers and patients during the last years, but we do not want to rest on our laurels and immediately will start the new year with very special specials:
NEW at Aestheticon®: Yoga, Acro Yoga, Pilates, Meditation, Reiki, Holistic Wellness Coaching
We are delighted to provide an Introductory Offer for the following personalized One on One Body & Mind Packages:
Body Toning: firming and toning muscles based on mat Pilates technique
Relaxation & Soothing: stress and tensions release based on Yin Yoga, fascia and meditative movement therapy to restore long lasting balance; private session, 60 min.
Tension Release: gentle touch fascial release relaxation for muscular and nervous tensions lodged anywhere, soothing and indulging; private session
Holistic Wellness Coaching: complete and confidential Me Time to unpack mind and body tensions, stress, emotional distress and restore balance, see through the veil and apply mindful tools; private session incl. consultation briefing, 75 min.
Eyelid Lifting Procedures: Superior Rejuvenation Effect, Long-lasting Results
Upper Eyelids in local or general anesthesia
Lower Eyelids in local or general anesthesia
Upper & lower eyelids in general anesthesia
And it’s not only the removal of skin and fat: Aestheticon®’s plastic/ aesthetic surgeons apply very specific techniques for a superior and long-lasting lifting effect!
Laser Hair Removal: Full Body
Skin Care:
Aestheticon®’s Double M
Microdermabersion & Mask application
Aestheticon®’s Triple M
Microdermabrasion, Meso therapy, Mask application
What procedure are you interested in? Prices on request!
Please contact us, ask any questions, and book your appointment at
There are many reasons why women consider having breast augmentation surgery. Many women seek ... <a href="https://www.aestheticon.ae/blog-and-media/breast-augmentation-surgery-what-you-need-to-now/" class="read-more-excerpt">See More...<span class="screen-reader-text">Breast Augmentation Surgery: What You Need to Know</span></a>
Surveys show that most people consider the doctor or physician as the most trustworthy person. As much as this fact fills doctors with gratitude and joy it is also a massive obligation to not misuse the patient’s trust.
As an expert in the field of Plastic and Aesthetic Surgery, I have come across all kinds of consultation styles being used or performed by colleagues. Some I have witnessed firsthand, most through patient’s reports. Patients expect from their trusted physicians that those will advise them in regards of best possible options to achieve the best possible treatment results. This is the patients’ right and is any way the obligation of each doctor. The fundamentals of this right are derived from the Hippocratic Oath, which was written in the late 5th century BC.
In reality, it’s not black and white. Aesthetic procedures are not performed to cure a physical disease. They are performed to improve one’s appearance and to boost their self-esteem, thus elevating their spirit. The crux is that there are many ways to approach a problem, some equal in efficacy some not.
How does a surgeon choose what to advise a patient about?
My first rule is to determine if what the patient wants is achievable at all. The second rule is to decide for myself is this is something I am ethically ok with and can see the patient’s point. If both rules are covered I engage in an in-depth consultation with the patient. Here is where approaches between surgeons can differ.
Some surgeons know, that what is asked is not achievable or at least not for them, because they may lack the experience or training. In that case, they should send the patient away or refer them to a colleague who can help. And this is exactly what patients would expect, because they trust the profession, as explained above. If a surgeon now chooses not to send a patient away but to propose a less effective procedure just to convert the business, the patient would not know until after. This is a very common complaint I hear from patients who come to us for correction of outside performed procedures.
Some surgeons don’t understand the patients’ point or know what is asked should not be entertained for ethical reasons. For example, performing a liposuction to replace a much-needed diet with weight loss. By performing ineffective or unnecessary procedures on the patients they break the rule of the Hippocratic Oath “you shall not harm”.
From my experience, it is a matter of course that our patients’ needs can usually be satisfied. However, from time to time it can happen that I have to tell a patient, that her / his perception of the treatment result is not realistic and thus not achievable. This can be due to different reasons e. g. lpg treatment, former misinformation regarding the treatment/ surgical options and expected results or for the special condition of the respective patient.
If you need to make a decision, which doesn’t meet the patient’s expectations, the patient will understand the reasons and take gratefully the advice, if they feel that you act out of concern for their wellbeing.
The Patient’s Benefit doesn’t allow compromises
Only rarely it happens, that a patient will consult another doctor to hear what she/ he might like to hear, but I truly believe that professional advice for the benefit of the patient does not allow any compromises. Experience shows that those patients, who underwent a procedure elsewhere against better advice, eventually come back to have things rectified.
Having a child is one of the most fulfilling and rewarding events for any parents. One of the possible consequences of a pregnancy, however, can pose a challenge to women. During pregnancy as well as any other type of weight gain the skin, soft tissue and muscles of the abdomen are stretched. After delivery or massive weight loss, an unsightly abdominal skin flap can remain, which does not respond well to conservative treatments or sport. Apart from the skin flap quite often the muscles of the abdominal wall are overstretched, too thus reducing the power to keep the abdominal content at bay.
As a consequence, the patients develop a bulging of the entire abdomen in addition to the skin flap in the lower abdomen. In less severe cases of skin and muscle overstretch a liposuction with muscle training can help. The advantage is less downtime and almost no visible scars like hypoxi solutions.
For all more severe cases the only solution to achieve a massive, long-lasting and effective improvement is an abdominoplasty, also called tummy tuck.
How Abdominoplasty is performed?
During the surgery (of a full abdominoplasty e.g.) the total excess of fat and skin below the navel will be removed, the skin above the navel will be pulled down to cover the entire area and for a harmonization of the proportions, the belly button will be re-positioned.
In order to top off the surgical effect and to create a truly flat and toned abdomen with a long-lasting to permanent effect, I tighten routinely the abdominal muscle which will function as an internal bodice. Depending on the case and necessity a liposuction can give the final touch.
What happens after Abdominoplasty?
This procedure is performed in general anesthesia at a hospital. The patients stay for one or 2 nights. A supportive garment is applied after the surgery to protect the wound and release pressure from the abdominal wall. At discharge, the patients are able to walk and take care of themselves. Sutures are removed after 2 weeks and daily routine can be established after that. Due to the muscle healing time lifting of heavy weights or sportive activities should not be performed until 6 week after the surgery.
The effect of a skillfully performed abdominoplasty is not only visible immediately, but due to the double tightening up, it can be long-lasting or even permanent. When standing the abdomen is truly flat and even when bending over the upper abdomen does not show bulging or skin laxity. Testimonials from patients confirm the longevity of the effect many years after surgery.
In conclusion: For those, who are not happy with their abdominal shape, I would advise consulting a plastic surgeon with a broad professional experience, who is capable to evaluate what kind of surgery will give the desired result. Unfortunately, I see many patients coming to a consultation with me and having had numerous ineffective procedures on their abdomen elsewhere. Assessing their initial preoperative photographs I can very often confirm that they should have been advised for the abdominoplasty surgery right away. This would have spared them time, discomfort and expenses.
Hand Surgery is beside the Aesthetic Surgery I do, one of my favorite surgical fields. It requires a profound knowledge of the anatomy and superior surgical skills as the hand is packed with tendons, nerves and arteries in close proximity.
What is Dupytren’s Contracture?
The Dupytren’s contracture is a disease of the connective tissue of the hand mainly the palmar aponeurosis which lies right under the skin of the palm and fingers. In patients suffering from this disease, the fibers of the palmar aponeurosis start growing, thickening and contracting. This leads to the fingers being bent in the base joints. Extending the fingers is not possible, but flexion into the fist still works. The disease usually starts on fingers 3 to 5 (middle to little finger), but can also be seen at the index finger or thumb. In very severe cases all fingers can be involved.
We know four stages with stage 1 being the beginning of the disease with the Dupuytrens cord just being visible to stage 4 being the most severe stage with flexion of the fingers into the fist making them literally unusable. The exact cause is still unclear but linked to genes more spread in Europe and North America.
How Dupytren’s contracture is treated?
In the beginning, the disease can be treated by physiotherapy or application of night splints to keep the fingers stretched. If it progresses to stage 2 and beyond invasive measures have to be taken. In recent years a minimal invasive treatment has been quite popular which uses percutaneous needles to cut the chords and straighten the finger. However, it cannot replace the surgery as recurrences are high. If a surgery is necessary, all affected connective tissue chords will be removed and the underlying nerves, vessels and tendons will be spared. Depending on the severity of the case and in recurrent cases it can be a demanding and time consuming surgery which should be left for the very experienced and trained hand surgeons.
Do you need physiotherapy after the surgery?
After the surgery usually a splint is applied to keep the fingers straight for 7 to 14 days. The skin sutures can be removed on the 12th to 14th day. After that physiotherapy will help in regaining full function quicker. Most patients can resume their normal daily activity 2 weeks after the surgery.
As a matter of fact, the surgical treatment of Dupuytrens disease was a routine procedure during my time in Germany. Almost every day we would treat patients with this condition. Having operated on more than 1000 of patients the outcome in my hands in reliably positive.
This is of particular importance as the recurrence rate of a Dupuytren is reported to be very high in the literature especially if a non-experienced surgeon performs the surgery.
Whoever suffers from this condition should, therefore, seek for hand specialist with a proven track record of successful surgical treatments of Dupuytren’s disease and sufficient experience in the field.
Last but not least surgeons who operate on this disease should also be versed in the repair of vessels and nerves to be able to reconstruct these structures if during the surgery damage to them happens.
“Can you avoid a rejuvenation surgery of face and eyes by undergoing repeatedly filler and/ or botulinumtoxin procedures?”
This topic is discussed quite controversially and the answer is not that simple.
Patients, who are looking for rejuvenation treatments of face and eye area, have the option to consult medical practitioners with different backgrounds, thus there can be more than one medical specialization engaged. According to their specializations, the practitioners will give their professional advice for a treatment, which can turn out very differently.
For instance, if a doctor does not perform surgeries at all, she or he will most probably advise to avoid surgeries and opt for non-invasive endermolift facial treatment for as long as possible. Does this work for a patient in his or her late 30’s? Yes, definitely, but maybe not that well for someone older than 45 years.
The crux is, that if you wait for too long before you opt for a surgery, the skin may have relaxed to an extend that an optimum result is difficult or not at all to achieve. Very often I need to tell patients, who are in their 60’s, and ask for my advice in my clinic, that it would have been better, if they had visited me a few years earlier. The majority of them tell me, that they have spent ten thousands of dollars over the past 2 decades for non-surgical treatments and that these procedures have not delivered the desired results after a certain age.
So what is the best solution? Every treatment has its rightful place for the right patient at the right time. A medical practitioner, who is able to offer both, non-surgical and surgical treatments of a broad spectrum, like a Plastic Surgeon, is the best person to seek advice regarding the right time/ age to opt for a surgery.
It has been shown over the last decades, that in order to achieve the best and longest lasting results with lifting procedures of face and eyes, the best average age bracket is between 45 and 55 years. In this age group you already see clear signs of ageing, but tissue quality and elasticity of the skin are still good enough to achieve an optimal lifting effect. On top of that, it plays an important role which surgical principals your surgeon follows and which technique is used, but that will be the topic of my next blog.
The most common aesthetic procedures in the world are filler and botulinum toxin injections. Filler serve the purpose to smoothen deep wrinkles and adding volume to face and body where needed. Botulinum toxin is applied for dynamic wrinkles of the face by paralyzing the underlying muscle temporary.
The vast majority of fillers are not permanent, which means that they will be absorbed or metabolized by the body within 3 to 12 months depending on the ingredients and brand. Some fillers, meant for very deep injections to add volume, might stay for up to 18 months.
The vast majority of filler patients are pleased with the treatment results and continue to undergo this procedure in appropriate intervals. The filler is available readily and the procedure is quickly performed with little downtime afterwards.
However, those who seek long lasting or even permanent results with fillers, can’t be satisfied with the existing products. The best solution for them could be the vice versa of fat reduction or what we called a fat transfer. The technique of injecting fat as body’s own tissue filler is described and already used worldwide for decades. There are sterile single-use kits available, which make the procedure safe and cost effective for patients and practitioners alike. One should know however, that fat cannot be used for very superficial fillings like intradermal injections. Otherwise there are no restrictions regarding the area and layer of injection.
Fat can be applied for facial filling including lips or even body contouring including buttocks and breasts. There is a downside however. Not all of the harvested and injected fat will survive in the injected area. On average, if done properly, up to 70% of the injected fat cells can stay alive and function as a permanent filler.
This fact requires the practitioner to “over-correct” to some extend while injecting and also to advise the patients, that touch up session might be necessary.
My approach is, that I recommend patients, who come for the first time for a filler treatment, to decide on ready-made fillers. This way the patients can experience the filling effect on a temporary basis and think of going for a longer lasting solution at the following filler session. If so, I usually propose fat filling to the patient.
Getting back to the question in the title: Yes, for those patients, who seek filler treatments on a regular basis, fat might be the best option as a long lasting solution.
Whenever we meet somebody, the first look is at the eyes. This is the reason, why the orbital/ periorbital region is perceived as the most important part of the face, when creating an impression on another person.
The human face is divided into different aesthetic units; the periorbital region consists of the upper and lower eyelid, the eye socket, the eyebrows and the upper cheek area.
When aging, different parts of this area can age at different speeds. Usually the upper eyelids will start, drooping and creating some excess skin. Thereafter under eye bags may form and the lower eyelid skin will show wrinkles and laxity. Eventually eyebrows will drop , worsening the sagging of the upper eyelid skin.
When rejuvenating the periobital region, optimally these signs of ageing can be addressed in one and the same procedure. Most commonly upper and lower blepharoplasties or eyelid lifts are performed with or without eyebrow lifts.
Although upper eyelid lifts are usually effectively performed, unfortunately this does often not apply to lower eyelid lifts. In many cases, patients are quite rightly dissatisfied with the results due to insufficient surgical corrections. Utilizing the correct surgical techniques and having sufficient experience, one can achieve truly wonderful and long lasting rejuvenation effects, not only for the lower eyelid as such, but also for the entire mid face area. In the course of the surgery, excess fat from the periorbital area will be removed and used to spread over the bony rim of the eye socket and the muscle is used to lift and suspend the entire mid face area upwards, reversing signs of time. These changes proof to be long lasting, even after 10 years my patients appear still younger than before the surgery.
In conclusion, the periorbital rejuvenation surgery is a rewarding and long lasting improvement of the overall facial appearance and impression, provided that the surgical methods are correctly applied. For optimal rejuvenation effects, patients need to make sure to choose a surgeon with extensive experience, who is also capable to include the mid face area in the lifting process.
Swiss Tower, 22nd floor, Cluster Y
Jumeirah Lakes Towers (JLT), Dubai, UAE
P. O. Box 939010 Makani: 13730-74844 Telephone:+971-4-4311863, +971-52-9843498 Opening Times: Saturday to Thursday 10 am to 7 pm and on appointment Parking Assistance:
RTA parking is available. If you need further parking assistance, our clinic driver is at your disposal. Please contact our reception.
Aestheticon Jumeirah Branch at Zia Center
Beach Road, Umm Suqeim 1
Dubai - United Arab Emirates
Telephone: +971-52-98434498
Mail: mail@www.aestheticon.ae
