Not all patients need treatment for their varicose veins or spider veins. Many people have no pain or other symptoms. For these individuals, no treatment is necessary unless they want the veins removed for cosmetic reasons. There are many different treatments available for varicose veins. These treatments vary based upon the size and location of the varicose veins, the presence of symptoms, or complications. Sclerotherapy, laser and intense-pulsed-light therapy, radiofrequency (RF) or laser ablation, and ambulatory phlebectomy are the modern techniques used to ablate varicosities. Numerous reports describe success rates of greater than 90% for more minor invasive procedures associated with fewer complications with comparable efficacy. The selection of the correct sclerosant and the exact volume and concentration of sclerosant depends on the type and location of disease, internal amount of the vessel to be treated, positioning of the patient, and many other factors. I should always use the minimum effective concentration and volume because sclerosant inevitably passes into the deep venous system, where endothelial injury can lead to disastrous consequences. Now here’s the bad news. Are you wearing a support hose? yes, we’re talking; the dreaded pantyhose is recommended for anyone with visible veins or for people who have had a procedure done. “Wear them every waking hour,” says Prof Moawad.
Botox is approved for the treatment of hyperhidrosis in the United States. It is injected intradermally to treat hyperhidrosis and inhibits the release of acetylcholine at the neuromuscular junction and from the sympathetic nerves that innervate eccrine sweat glands. When performed correctly, patients have little pain or discomfort. Proudly at MSI, a newer bipolar RF device are effective in reducing the amount of sweating. The new bipolar microneedles radiofrequency device can destroy the eccrine glands by thermolysis at the interface of the deep dermis and subcutis while minimizing damage to the surrounding tissue. Fractional radiofrequency treatment appears to be a new safe and effective treatment alternative for mild to moderate primary axillary hyperhidrosis. Prof Moawad suggests repeated sessions of fractional radiofrequency to achieve a complete response. When medical treatment fails, he will offer ultrasound and power-assisted liposuction of armpits to gently and thoroughly remove sweat glands.
The condition can be known medically as bromhidrosis, osmidrosis, fetid sweat, body smell, or malodorous sweating. Humans have two types of sweat glands: eccrine sweat glands and apocrine sweat glands. Eccrine sweat glands are present from birth, while the apocrine glands become activated during puberty. The body odor primarily results from the apocrine sweat glands, which secrete most chemical compounds needed for the skin flora to metabolize it into odorant substances. Body odor is most likely to occur in the following places: feet, groin, armpits, genitalia, pubic hair and other hair, belly button, anus, behind the ears, and the rest of the skin, to a lesser extent. Body odor is usually accompanied by excessive sweating and managed in the same manner. Botox is injected intradermally to treat hyperhidrosis and inhibits the release of acetylcholine at the neuromuscular junction and from the sympathetic nerves that innervate eccrine sweat glands. A new bipolar radiofrequency device can destroy the eccrine glands by thermolysis at the interface of the deep dermis and subcutis. When medical treatment fails, ultrasound and power-assisted liposuction of armpits can gently remove both eccrine and apocrine sweat glands.
Liposuction, the number one cosmetic surgery performed globally, is a procedure removing unwanted lumps, bulges, and areas of resistant fat deposits from specific areas of the body. Patients should be in good health, emotionally stable, and realistic in their expectations. Age is not a consideration, but older patients usually have diminished skin elasticity, thus will probably not achieve the same results as a younger person with tighter skin. While no method of liposuction is a substitute for proper nutrition and physical exercise, nor is it an alternative for general weight reduction, it is, however, ideal for permanently removing localized areas of fat that are diet and exercise-resistant. The most common areas for treatment include upper thighs (saddlebags), abdomen, flanks (Love handles), and upper arms. Other areas include facial fat accumulations, including a double chin, neck and jowls, breast, hips, buttocks, and knees. I can do cheeks, calves, and ankles, but results are less impressive in these areas. In men, liposuction can be used to correct gynecomastia (enlarged breasts) and, more recently as scarless breast reduction in females. In addition, liposuction is used to remove sweat glands in the underarm to reduce excessive sweating without affecting the body’s ability to cool itself. The application of external ultrasound before liposuction is a technique that applies the transcutaneous application of high-frequency ultrasonic fields delivered into the wetted fatty tissue to melt fat cells and make it easy for extraction. All types of energy (mechanical, ultrasound, laser, and radiofrequency have been combined with liposuction to reduce surgeon effort and improve the result. The “power” in power-assisted/power-tumescent liposuction (mechanical energy) refers to the use of a cannula with a back-and-forth motion of the tip passes through tissue to suction out fat in fibrous (male breast) or the back with reduced effort. Power-assisted liposuction helps skin tightening during the recovery period.
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/nonablative 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.
Cutaneous 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. The improvement of scars of either cosmetic or functional impairment is the goal of scars revision. Numerous revision procedures are available for the correction of the various types of injuries. No one treatment or procedure is effective in correcting all types of scars. Therefore, knowledge and understanding, as well as experienced in the use of a variety of techniques, is vital to do acceptable results.
Hair restoration involves moving hair from one area of the body to another for cosmetic improvement. The latest advances in the field, such as the use of smaller grafts, follicular unit extraction or FUE, and novel pain reduction methods, make hair restoration treatment successful, safer, and more comfortable. Hair transplantation is most used for male pattern baldness. Besides, a variety of conditions can be successfully treated with hair transplantation, such as scalp scarring, facial scars due to trauma or surgery, and hair loss due to traction can be repaired with hair transplantation. Finally, hair transplantation can be successfully used to restore hair to the eyebrows, eyelashes, beard, mustache, or goatee area; and even in areas of the body, such as the pubis or chest. The PRP and growth factors are used pre-operatively, intra-operatively, or post-operatively. Added to the scalp where hairs are transplanted, it decreases bleeding and bruising, accelerate healing, and reduces shock hair loss. The injection of nanofat or enriched microfat is performed subcutaneously above the galea and in proximity to the hair bulb, which is the region where stem cells exist.
Looking great in public is demanding. 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. MSI Skin peel (thigh-tech) is a comprehensive antiaging, anti-acne, scar treatment program that uses state of the art in aesthetic medicine. It is tailored precisely to your skin condition, needs, and expectation. It includes steam, masks, exfoliation, comedones extraction, cosmeceuticals, PRP, chemical peels, LED, IPL, laser, ultrasound, and radiofrequency. In addition, we apply new techniques to enhance skin penetration of cosmeceutical ingredients, such as whitening, vitamins, and anti-acne, antiaging dermal roller, dermapen, no needles mesotherapy (electroporation), microdermabrasion, fractional laser, and radiofrequency. 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.
Many ablative skin resurfacing techniques are available at MSI, broadly grouped as mechanical, chemical, and laser abrasion. All ablative techniques result in upper to the mid-dermal wound. Dermabrasion relies on mechanical ‘cold steel’ injury, acid peels result in a ‘caustic’ injury, and lasers result in a thermal injury. All ablative resurfacing treatments work the same way. First, the outer layers of damaged skin are stripped away. Then, as new cells form during the healing process, a smoother, tighter, younger-looking skin surface appears. Superficial or medium resurfacing is limited to the epidermis and papillary dermis. For deeper resurfacing, it can also remove the upper levels of the reticular dermis. Unlike chemical peels and dermabrasion, laser skin resurfacing (LSR) with the CO2 laser generates heat, which results in immediate tightening because of shrinkage of collagen, which forcefully shortens the collagen fibers by 30%. This translates clinically into the smoothing out of superficial irregularities, including wrinkles, acne scars, nevi, epidermal growths, and even tumors, as well as a tightening effect that improves the skin’s overall appearance. The laser continuously stimulates healthy new collagen and elastic fibers in the skin for six months after resurfacing. Therefore, any wrinkles or scars will continue to improve for up to one year. Nonablative or minimal ablative fractional CO2 holds great promise in both treatments of skin textural abnormalities (acne scarring, wrinkles, and skin mottling associated with photoaging) as well as pigmentary variation (melasma, hyperpigmented scars, lentigines, and dyschromia).
Fractional Radiofrequency Skin Rejuvenation
Fractional radiofrequency (FRF) deliver energy creates zones of affected skin adjacent to unaffected areas. The treated areas result in thermal damage in the deep dermal collagen, stimulating wound healing, dermal remodeling, and new collagen, elastin, and hyaluronic acid formation. The unaffected areas serve as a reservoir of cells that promote and accelerate wound healing. FRF improves acne scars and large facial pores, wrinkles, and facial laxity reduction. The most common sequence effects are erythema and edema, which are transient (few days). You may use a topical anesthetic cream before the treatment to minimize pain. In a new approach, Prof Moawad offers his patients a full-face FRF to make tiny holes into the skin to overcome the stratum corneum to enhance PRP and /or nanofat. The results are doubles, and you will enjoy both the rejuvenating effect of the FRF resurfacing system and the regenerative effect of growth factors and stems cells present in PRP and/or nanofat. Recently, we applied FRF before botox treatment of excessive sweating or hyperhidrosis of the axilla.
