Mesotherapy is a procedure rejuvenating not only facial, neck and low neck skin but also the skin of arms. It enhances blood and lymph circulation and substantially improves the regenerative capacity of the skin.
Mesotherapy naturally supports formation of collagen and new cells, stretches your skin and smoothes medium wrinkles. Mesotherapy is also used to treat cellulites.
Mesotherapy is a minimum invasive procedure that involves injecting of microscopic quantities of healing solutions into the mesoderm (i.e. to the depth of 4 mm).
Healing solutions mostly contain high concentrations of vitamins, amino acids and coenzymes.These substances significantly enhance the skin regeneration.
If your skin is too dry or if fine wrinkles are to be smoothed, the solution is combined with hyaluronic acid, which is one of the fundamental elements of the skin structure. Its application intensively hydrates and subsequently stretches and consolidates the skin profile. Even medium facial or low neck wrinkles can be smoothed.
The surgeon performs the procedure manually or uses a special applicator. He/she determines the specific procedure and the exact composition of the healing solution on the grounds of the skin age and state.
If you are looking for a non-surgical bargain method of rejuvenating your facial, neck and low neck skin, you are probably the right candidate for mesotherapy. Nevertheless, your expectations should be realistic. Mesotherapy will not prevent your skin from aging but it can temporarily stretch the skin and smooth medium wrinkles, and thus make you look better.
Discuss your expectations and ideas with your surgeon who will check the state and age of your skin and decide which healing solution should be used. Composition of such solution is always highly individual.
Mesotherapy may be combined with other aesthetic surgery procedures.
Mostly, the desensitization is not necessary. Extremely sensitive patients may ask for a desensitizing cream.
It is vital to avoid sun exposure immediately after the operation and for the two subsequent days; sun-block creams (SPF 40-100) must be used.
The recovery process depends on the extent of the procedure and the state of your skin. No other limitations are in place. You will be able to return to your job and other everyday activities within two hours after the operation.
Since the effect of healing solutions is immediate, the results are visible after the first session already. Nevertheless, the effect of mesotherapy is temporary and the treatment must be repeated.
Mostly, it is recommended to have the first two applications in one-month time and the third application after three months. To sustain the effects of mesotherapy it is recommended to repeat the treatment once a year.
What is Esthelis, Restylane, Juvederm, Surgiderm, Teosyal, Matridex, Matridur?
New generation of injection fillers containing hyaluronic acid. It is prepared from bio fermentative hyaluronic acid by patented process. It is a monocomponent formulation – containing only one substance. Unique polydensified cohesive structure of Esthelis consists of cohesive gel, which is easy to administer. The skin is smooth after its application. Esthelis is supplied packaged sterile and ready to use immediately.
Esthelis can be used immediately with no prior skin test. The cohesiveness and elasticity allow treatment without overcorrection. The Esthelis injection is administered by a medical professional, which is trained in such injection fillers application. It takes approximately 30 minutes to perform. The final result is visible in 1 to 2 days. It is stable and long lasting. Its main advantage is the natural structure of the substance, which is own to the body and also degrades in the organism naturally. Therefore there is no risk of allergies and undesirable effects.
Use
Duration of the effect
Temporary (6 – 12 months).
Duration of the treatment
About 30 minutes.
What is Restylane®?
RESTYLANE® is hyaluric acid, which is natural to the body. This substance occurs throughout the body and ensures the hydration and elasticity of the skin. Over time, however, the production of hyaluric acid decreases, wrinkles form and the skin becomes less flexible. RESTYLANE® replaces natural hyaluric acid. It forms cushions under the skin that completely fill the wrinkles and furrows. Three kinds of RESTYLANE® (RESTYLANE®, Restylane Touch® or Restylane Perlane®) are used, depending on the depth of the wrinkles. The products are virtually identical: they differ only in the size of the acid beads. Smaller ones are used for minor wrinkles, and larger ones for deeper furrows and for renewing volume.
The treatment
The doctor applies RESTYLANE® to the skin using a thin needle. The slight burning sensation this causes disappears immediately after the substance has been applied. The skin is desensitized with cream at sensitive places, like the lips.
Results
The result of the treatment– smooth skin and fuller lips – can be seen immediately. Although the skin may be slightly swollen directly after the treatment, the swelling disappears within one or two days. The body completely decomposes RESTYLANE® within six to twelve months, at which point the effect of the treatment disappears. However, the treatment can be repeated without difficulty.
As we age, gravity often takes its toll on our bodies. Sometimes this results in loose and excess skin on our face and neck. Unfortunately when this happens around our eyes, it can make us look old and tired. Sometimes drooping eyelids are not only a cosmetic problem, but a health one, as in many cases excess skin can interfere with one´s vision. Eyelid surgery may offer you a solution.
Eyelid surgery is a cosmetic change of upper and lower eyelids. Blepharoplasty solves mostly ptosis (drooping of eyelid), fat prolapses or combination of both defects. The surgeon removes excess skin and so-called fat bags (prolapses). If necessary he/she removes also some parts of increased oblique eye muscle. The patient can undergo the upper and lower eyelid surgery at the same time. If there are only fat bags in the lower eyelids and it is not necessary to remove excessive skin, the operation can be done from the inner-conjunctival side of the lid. This is called the transconjunctival version of the eyelid surgery.
If you have droopy or baggy lids, medical specialists recommend undergoing eyelid surgery as soon as possible. The results are then much better and will last longer. Usually, eyelid surgery is done for clients older than 35 years of age, but in some cases, it can be done earlier, usually because of a genetic predisposition of the client. In the case of younger clients, operation of the lower eyelids is done mostly from the inner–conjunctival side of the eye.
Eyelid surgery can improve your look, but do not expect people to treat you differently. It is therefore important to consider what your expectations are from eyelid surgery. Eyelid surgery can be done together with face-lift or browlift.
Prague has many attractive features for those considering eyelid surgery abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and eyelid surgeons ensure you’ll receive the best possible care. Eyelid surgery Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
First, the consultation with the eyelid surgeon is very important. It is necessary to speak openly about the reasons for the operation and to decide if it is desirable to operate on all four eyelids or just the upper or just the lower. The surgeon will explain the operational procedure and the process of anesthesia. Do not be afraid to ask questions, especially if you have any doubts or are unsure about something. You can also get more information in our blepharoplasty forum.
Avoid the use of medications such as Acylpiryn, Aspirin, Alnagon or Mironal before the eyelid surgery, as they can increase bleeding during and after the procedure.
Eyelid surgery can be only done if the patient is in a general state of good health. Your surgeon will define the extent of pre-operational examinations needed.
While making pre-operation preparations, be sure to arrange for someone to drive you home after your eyelid surgery and help out for a few days, if needed.
If you decide to undergo the surgery under local anesthesia, a presurgical internal examination is not necessary. You are sent to eye department, where quality and field of vision will be checked, pressure inside the eye will be measured and your eye will be examined microscopically with slit lamp (all these examinations are part of normal examination at ophthalmologist).
Blepharoplasty is not performed if your lacrimal aparat does not function sufficiently. Functional tests of lacrimation serve for evaluation (e.g. Schirmer’s test: A small piece of paper with high absorbable features is inserted on the edge of lower eyelid, distance of its moistening is read after certain time). Further the surgeon evaluates various eye parameters:
Size of palpebral fissure: It is a separation between central edge of upper eyelid and the edge of lower eyelid. The palpebral fissure is narrowed, if the distance is less than 10 mm.
MRD1: It is a separation between middle of pupil in the straight position and middle of upper eyelid.
MRD2: It is the same distance between pupil and lower eyelid. Both these distances should measure more than 4 mm.
Distance between eye fold and centre of pupil.
Exceptionally the surgeon requests CT to eliminate pathologic processes in the back part of eye socket.
On contrary functional tests of eyelid levator are common. The upper eyelid is turned and the patient is asked to look upwards. If the levator is in function the eyelid should turn back. The second test checks the elevation of eyelid by elimination of frontalis muscle out of function.
Eyelid surgery is usually performed under local anesthesia. However, the surgeon or patient may prefer to use general anesthesia. In case of general anesthesia, you will not be allowed to eat, drink and smoke for about six hours before the operation. If local anesthesia is used, the patient can leave for home after the surgery, however general anesthesia requires the patient to stay in hospital.
Blepharoplasty usually takes about one hour. The incision of the upper lids is made in a place to allow the scar to be hidden in the eye´s natural folds. The incision of the lower lid is made approximately 2mm under the eyelashes along the edge of the eye. On the base of prior measurements and layout, excess skin and fat bags are removed during the treatment. Then the cut is closed with precise stitches. After the operation, the eyes may be covered with pads and slight elastic compression. According to your needs, the surgery is done on the upper and lower lids simultaneously or separately and can be combined with other cosmetic surgeries of the face.
Indications to this procedure are:
Ptosis: It is drooping of upper eyelid, which interferes beyond the border of cornea. Ptosis can be congenital or caused during life. Mostly it is caused by underdevelopment of muscle that raises the eyelid or by damage of innervation of this muscle. Often also so-called pseudoptosis occurs, when the eyelid does not droop but is covered with skin fold. Pseudoptosis can be also caused by facial asymmetry and therefore is resembles look of a patient with ptosis.
Solution: At first we check the function of eyelid levator. The surgeon fixes the eyebrow with index finger. It disables function of frontalis muscle that works as adjoining muscle to eyelid elevation. After that he/she checks the movement of eyelids. If the movement is greater than 10 mm and ptosis is up to 3 mm, it means that the levator is in good condition.
Fasanell-Servat surgery (Müllerectomy) – Solution to moderate ptosis up to 2 mm with functional eyelid levator. The surgeon turns over the eyelid and cuts out part of conjunctiva and tiny adjoining muscle (Muller’s muscle) and it is sewed to levator. It shortens and reduces the ptosis.
Aponeurosis of levator palpebrae superioris (levator muscle of upper eyelid) – Solution to ptosis greater than 2 mm when the levator’s function is preserved. The surgeon folds the tendon of levator on the smooth cartilage that thickens upper lid.
Resection of musculus levator palpebrae (eyelid levator) – Solution to moderate ptosis with non-functional eyelid levator. The surgeon can choose either approach through skin (transcutaneous) or approach through interior of eyelid (transconjunctival). In case of transcutaneous approach the incision is lead in natural skin fold, so that the final scar is minimally visible. After that part of the muscle is lifted and the rested parts are sewed.
Frontalis suspension – Solution to non-functional levator and/or heavy ptosis. The surgeon makes two short incisions above the eyelashes of upper lid and two incisions above eyebrows. He/she creates tunnel between holes on lids and forehead and laces through them thin fascia artificial or own to the body (firm and flexible muscle cover). Patient after this surgery opens and closes eyelid with the help of frontalis muscle. He/she learns to control the eyelid with this method during rehabilitation.
Fat prolapses, dermatochalasis, and increased oblique muscle: The incision on the upper eyelids and therefore even final scar is lead so that it is hidden in the skin fold of the lid. This way the surgeon gets into the subcutis. After removal of fat prolapses he/she gets to the muscle. Reduction of muscle fibres is not performed commonly, only in case the muscle is too big. By cutting the muscle the surgeon penetrates into fibrous septum, which separates the orbit (part of the cranial cavity containing eyeball) from its external part. It also avoids the transfer of infection to the interior of orbit. Cutting this septum can remove fat that prolapses behind the eyeball. Greater effect can be achieved if the surgeon presses slightly on the eyeball. At the end of the surgery the muscles are sutured. The fibrous septum does not have to be sewed. During the procedure after previous measurement and draft excessive skin is removed. The surgeon must be careful not to remove too much skin, the lid won’t close then.
Indications for lower eyelid surgery are similar to upper eyelids. They can be performed in two surgical approaches. By the first one the surgeon leads the 2 mm incision below eyelashes (subciliary approach), by the second approach is the incision lead from the conjunctival side of lid with laser (transconjunctival approach). The process is similar to upper eyelid surgery. The aim is the same to remove extra skin and fat. Covers on cornea and pads into eyelid are often used by the transconjunctival approach to eliminate unpleasant feelings during fat extraction under local anesthesia. Advantage of this procedure is mainly invisible scars. Although they cause more often complications that the eyelid lifts from the eyeball (Ectropion).
Blepharoplasty can be completed with a surgery correcting the width of palpebral fissure, the height of corners of the eye or their stabilization (canthopexy, canthoplasty).
Canthopexy: It is a surgery of outer canthus that fixes it. It completes blepharoplasty and can be done through same incisions. The surgeon fixes the ligament of outer corner to the ligament that covers parietal bone (periosteum).
Canthoplasty: It is a surgery similar to canthopexy and these terms are often mixed. By canthoplasty the ligaments of outer corner are loosened. After that the surgeon transfers the ligament and sutures it to periosteum. It changes also the shape of eyeball. Also this surgery presents additional procedure to blepharoplasty. Bandages and light elastic compressions are inserted after the procedure. There are new processes, when the excessive fat is not removed but it is shaped into desired shape. Through this method it was achieved to prevent often darker circles below the eyes after blepharoplasty. Sometimes carboxytherapy is recommended for visible eye circles. You can find out more in the articles: Carboxytherapy and How to solve bags and circles below eyes.
In some cases blepharoplasty is not recommended. It is especially when your eyes have small amount of tears or if you suffer from eye infection. If the skin is too short or if you have lagophthalmos (the inability to close the eyelids completely).
Before you go home, you will receive detailed instructions about necessary care and also receive some painkillers. It is recommended to keep your head higher than the body while sleeping. For at least a week, you should avoid physical activities which raise your blood pressure as this is undesirable following eyelid surgery. The first few days after the surgery, the lids will be swollen and small bruises may occur, especially in the area of lower lids. There are many agents that help to moderate bruises and swellings and they therefore accelerate the recovery process. Wobenzym is recommended that moderates swellings. The best is to take Wobenzym second or third day after the surgery and three times a day. It is only an additional treatment; the state improves even without it. A similar effect has also ointment Auriderm, which is applied on the eyelids two times a day. It is good to start to apply it already 10 days before the surgery. There are many of such agents; it is good to talk about their usage with the surgeon. Eyes may be more sensitive to light, and it is usually recommended that patients wear sunglasses. Most people are able to read and perform their normal activities within a few days.
The stitches will be removed at the latest ten days after eyelid surgery, depending on the how the lids were sutured. Most swelling disappears during the first couple of days after surgery, if you carefully apply the compresses. Most clients return to work seven or ten days following eyelid surgery.
If you consider undergoing the eyelid surgery you should know about various complications that can be associated with this surgery. One of them is oculo-cardial reflex caused by pressure in the eyeball. It is manifested by reduction of blood pressure and pulse. This state can be very severe, although usually it is only small pressure reduction. Sometimes we can see separation of the wounds after taking out the stitches.
Most severe complication is so-called ectropion. It is a state when the eyelid is turned outwards and/or when the conjunctiva is separated from the eye. The patient has permanent tears and the skin around the eyes is constantly moist and irritated. One has the feeling of foreign element in the eye. The eye is then too sensitive and easily infected. Ectropion appears soon after the surgery as a consequence of the swellings, such ectropion is temporary and it improves with absorbing of the swellings. Permanent ectropion is caused by removal of excessively big part of the skin or by complication of deep scars in the area of muscles and ligament.
Therapy: It is not simple. If ectropion is caused by excessive removal of skin, muscle or fat and it is visible even during the surgery, an immediate transplantation of removed skin is then recommended. If such state is visible after the surgery, a skin transplanted from the back of the ear lobe replaces the removed skin. Within conservative therapy also a pressure massage and suspension of the eyelid are recommended. Sometimes even a surgical method canthopexy is used (fixation of outer eyelid).
Another possible and severe complication is feeling of dry eye.
Therapy: It is treated by conservative way with the help of artificial teardrops.
We often encounter with lagophthalmos. It is manifested by inability to close eyes completely, especially during sleep.
Therapy: Treatment is conservative because in most cases the improvement is reached without medical help. It is important that the eye doesn’t dry up too much. That is why artificial teardrops and eye creams during night are used. Sometimes it is good when the eyelids are covered with moistured plaster. Exceptionally a surgical treatment is performed.
Swellings and hematomas cause ptosis after the surgery. It is healed automatically during several days. Sometimes the levators of the eyelid can be damaged or innervated during the surgery. That causes permanent ptosis.
Therapy: Following therapy is surgical with the help of frontalis suspension, which is mentioned in therapy of congenital ptosis.
Very rare complication present visible scars, where the ligaments are reproduced. If you already have such scar on your body, consult it with your surgeon immediately after first session.
We usually encounter with hyperpigmentation (increased darkening) of treated area.
Therapy: If the hyperpigmentation is too visible it can be corrected with laser, although earliest half a year after the procedure.
Among very frequent complications that are not too severe belong milia. Those are tiny white formations localized in the scars. They are formed by damage and closing of the apertura of tiny glands.
Therapy: Easy treatment, when the milium is punctured with thin needle and the content is pushed out. If milia are formed repeatedly they can be cut off.
Asymmetry of palpebral fissure doesn’t have to be caused by the surgery. If the patient before the surgery was without asymmetry it means probably asymmetric removal of fat prolapses.
Therapy: The state is treated with reoperation.
The state is often complicated with infections that have very slight progress.
Blindness after the surgery is very rare. It is caused by bleeding behind the eyeball. Pressure of effusion of blood causes mortification of the retina. Symptoms of such bleeding are insidious; it is a tension inside the eye, pain and firm eyeball.As we age, gravity often takes its toll on our bodies. Sometimes this results in loose and excess skin on our face and neck. ses the same incisions; the procedure is simpler than the first surgery. Before and after photos of previous patient’s eyelid surgery can be seen here.
Laugh lines and other character wrinkles aren’t always funny or welcome on our face. The effects of gravity, exposure to the sun, and the stresses of daily life can all be reflected in our ageing faces. Usually they take the form of loose and sagging facial skin and skin folds in the neck; along with the appearance of wrinkles. One way to brighten your look and lessen the signs of ageing could be the face lift.
Wrinkles can take hold in different parts of the face on different people. Some people develop deep creases between the nose and mouth, while others see the skin around their lower jaw and neck is getting weak and loose. These changes can be effectively removed by having surgery of the face and neck, more commonly known as a face lift.
By removing excess facial skin, as well as any excess fat, and then tightening the underlying muscles and tissues, a reformation of the skin on the face and neck can be achieved. This can lead to the removal or lessening of the above mentioned signs of ageing.
Face lifts can be done alone, or in conjunction with other procedures such as eyelid surgery. Another option for you may be a feather face lift APTOS.
If you’re considering a face lift, the following information will give you a basic understanding of the procedure, when it can help, how it’s performed, and what results can be expected. You can post questions about face lifts in our forum. The actual procedure may more or less differ from this information, since a lot depends on the individual attitude of the patient and his relationship to his face lift doctor. A good result is always influenced through good understanding and cooperation between the patient and the surgeon. Therefore do not hesitate to ask your surgeon about anything you don’t understand.
Prague has many attractive features for those considering facelift surgery abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and face lift surgeons ensure you’ll receive the best possible care. Face lift Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Face lift surgery can be done under general anesthesia or under so-called analgosedation, which is a combination of analgesics (painkillers) and sedatives. Most surgeons prefer this type of anesthesia but when deciding which type of anesthesia to use it depends on the patient. No matter what type of anesthesia will be used, people are requested not to eat, drink or smoke for a minimum of six hours before the surgery. The patient must also plan for a minimum one day stay in hospital.
A facelift usually takes 1.5 to 3 hours; if you’re having more than one procedure done, it can take longer. For extensive procedures, most surgeons prefer to schedule two separate sessions.
Every surgeon approaches the procedure in his or her own way. The exact placement of incisions and the sequence of events depends on your surgeon’s technique, although in most cases it doesn’t vary that much.
The incision usually begins above the hairline at the temples, extends in a natural line just inside the cartilage at the front of the ear, and continues behind the earlobe to the lower scalp. If the neck needs work, a small incision may also be made under the chin.
The surgeon gently loosens the skin around the temples and neck, and after an exact measurement he/she removes the excess. In case of a deeper fat layer, especially around the neck and chin, the procedure may be combined with a gentle liposuction. For a long lasting result it is necessary to tighten the subdermal musculoaponeurotic system tzv. SMAS lifting as well as the skin. The incisions are usually closed with intradermal absorbable sutures.
Under the skin of the neck and cheeks a drain may be placed on both sides. The drain will collect any liquid in order to prevent its accumulation which could significantly complicate the healing process. At the end of the surgery the surgeon usually uses an elastic bandage to fix the area of cheeks and neck.
Face lifts are popular among women, and lately interest is growing among men as well. The main indication if a face lift would be right for you is loose skin in the face and neck. A natural condition is an overall healthy patient. Most patients are in their forties to sixties. A face lift can be done on younger patients, if the above mentioned ageing effects have appeared sooner than expected. The surgery can also be considered by older people, if they fulfill the medical requiremenrs. Face lifts can make you look younger and fresher and the result should never lead to an unnatural look. Before you decide to have face lift surgery, think carefully about your expectations and discuss them with your surgeon. Also, view before and after face lift photos to see the results from face lift surgery that you can expect.
If you decide to have a facelift abroad, your surgeon will explain the surgery process and the chosen anesthesia to you; he or she should also inform you about the risks involved. Don’t hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results. Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain medications. Carefully following these instructions will help your facelift to go more smoothly and you to heal without troubles. Before the planned surgery you should arrange for someone to drive you home after your surgery, and to help out for the first days if needed.
The inserted drainage tube will be removed a day after the surgery and the patient can go home, but further treatment may be required.
In individual cases, a longer hospital stay may be necessary. The head bandage is usually removed three to five days after the surgery and nonabsorbable sutures, if used, are removed seven to ten days after the face lift. The convalescence period takes usually from one to two weeks. Any abnormal physical strain is not recommended for one month.
There usually isn’t significant discomfort after face lift surgery. If there is, it can be lessened with pain medication prescribed by your surgeon. Severe or persistent pain or a sudden swelling of your face should be reported to your surgeon immediately.
Some numbness of the skin is quite normal and it will disappear in a few weeks or months.
In the first phase after the surgery you should be prepared for both large and small swelling and sometimes even bruises. It is not possible to expect your final look right after the surgery, you will have to wait for it with patience.
The final effects can be expected to last for five to ten years. The procedure can be repeated as needed.
Injectable fillers are substances own or foreign to the body that are applied under the skin with the aim to smooth and lift aging skin. There are used own fat, collagen, hyaluronic acid, hydroxylapatite, acrylates and others. Anesthesia is local only in form of anesthesia cream. The duration of the treatment depends on the type of filler and size of treated area. Return to normal activities is possible right after the treatment.
Soft-tissue fillers such as injectable collagen or fat, can help fill in facial lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. Injectable fillers can also add fullness to the lips and cheeks. They may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a face-lift.
Injected collagen and fat are primarily used to improve the appearance of the skin’s texture. They can help fill out deep facial wrinkles, creases and furrows, “sunken” cheeks, skin depressions and some types of scars. They can also be used to add a fuller, more sensuous look to the lips.
Injectables are usually not helpful for severe surface wrinkles on the face, such as multiple vertical “lipstick lines” that sometimes form around the mouth. Instead, your plastic surgeon may suggest a resurfacing technique, such as a chemical peel, dermabrasion or laser treatments. Rather than filling in facial lines, resurfacing methods strip away the outer layers of the skin to produce a smoother appearance.
Deep folds in the face or brow caused by overactive muscles or by loose skin may be more effectively treated with cosmetic surgery, such as a face-lift or brow-lift. Injectable fillers are sometimes used in conjunction with facial surgery procedures; however, injectables alone cannot change your facial contour the way surgery can.
Prague has many attractive features for those considering injectable filllers abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and injectable filler surgeons ensure you’ll receive the best possible care. Injectable fillers Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Collagen is used primarily to fill wrinkles, lines and scars on the face and sometimes the neck, back and chest.
Collagen is a naturally occurring protein that provides support to various parts of the human body: the skin, the joints, the bones and the ligaments. Injectable collagen, patented by the Collagen Corporation under the trade names Zyderm and Zyplast, is derived from purified bovine collagen. The purification process creates a product similar to human collagen. Injectable collagen received approval from the Food and Drug Administration in 1981. It is produced in various thicknesses to meet individual patient needs.
In the medical world, the fat-injection procedure is known as autologous fat transplantation or microlipoinjection. It involves extracting fat cells from the patient’s abdomen, thighs, buttocks or elsewhere and reinjecting them beneath the facial skin. Fat is most often used to fill in “sunken” cheeks or laugh lines between the nose and mouth; to correct skin depressions or indentations; to minimize forehead wrinkles and to enhance the lips.
Because the anesthetic agent lidocaine is mixed in with collagen, additional anesthetic is usually not used when receiving injectable fillers. However, if you are especially sensitive to pain, your doctor may use a topical cream anesthetic or a freon spray to numb the injected area.
You may also choose to have an injected local anesthetic or sedative drugs.
Both the donor and recipient fat areas are numbed with local anesthesia. Sedation can be used as well. If you elect to use sedation, be sure to arrange for a ride home after your treatment.
The injectable filling procedure takes from 15 minutes to one hour.
Collagen
Injectable filler treatment with collagen can begin after a skin test determines that you’re not allergic to the substance. The collagen is injected using a fine needle inserted at several points along the edge of the treatment site. If a local anesthesia has not been used, you may feel some minor stinging or burning as the injections are administered.
Since part of the substance is salt water that will be absorbed by the body within a few days, your doctor will slightly overfill the area.
You may be asked to hold a hand mirror during the procedure to help your doctor decide when you’ve had enough.
Fat
After both the donor and recipient sites are cleansed and treated with a local anesthesia, the fat is withdrawn using a syringe with a large-bore needle or a cannula (the same instrument used in liposuction) attached to a suction device. The fat is then prepared and injected into the recipient site with a needle. Sometimes an adhesive bandage is applied over the injection site.
As with collagen, “overfilling” is necessary to allow for fat absorption in the weeks following treatment. When fat is used to fill sunken cheeks or to correct areas on the face other than lines, this overcorrection of newly injected fat may temporarily make the face appear abnormally puffy or swollen.
An Injectable fillers procedure can enhance your appearance and your self-confidence, however it will not change your looks. Before you decide to have this procedure, keep in mind that the results are not long-lasting. The best candidates for injectable fillers are men and women who are physically healthy, psychologically stable, and realistic in their expectations as to how injectable fillers can enhance their appearance. to see the effect of other people’s injectable fillers surgery, click here for injectable fillers before and after photos.
In your initial consultation, your plastic surgeon will evaluate your face – the skin, the muscles and the underlying bone – and discuss your wishes for the surgery. Your doctor will help you select a treatment option based on your goals and concerns, your anatomy and your lifestyle.
Your surgeon will ask you about your medical history, drug allergies, and check for conditions that could cause problems, such as active skin infections or non-healed sores from old injuries. Collagen injections are generally off limits for pregnant women, individuals who are allergic to beef or bovine products, patients who suffer from autoimmune diseases, and those who are allergic to lidocaine (the anesthetic agent contained in the syringe with the collagen material.)
Collagen
Immediately following the injectable filler treatment, you may notice some minor discomfort, stinging or throbbing in the injected area. Occasionally some bruising or swelling will occur, but it is usually minor. Any redness that appears in the injected site usually disappears within 24 hours.
However, in some individuals, particularly fair-skinned patients, this redness may persist for a week or more. Tiny scabs may also form over the needle-stick areas; these generally heal quickly.
No bandaging is needed and you are free to eat, drink, and wear makeup with sunblock protection shortly after the injectable filler surgery.
There may be some temporary swelling and redness in the treated area which should disappear within a few days. If these symptoms persist, contact your surgeon.
Fat
If a larger area was treated, you may be advised to curtail your activity for a brief time. However, many patients are able to resume normal activity immediately.
You can expect some swelling, bruising or redness in both the donor and recipient sites. The severity of these symptoms depends upon the size and location of the treated area. You should stay out of the sun until the redness and bruising subsides – usually about 48 hours. In the meantime, you may use makeup with sunblock protection to help conceal your condition.
The swelling and puffiness in the recipient site may last several weeks, especially if a large area was filled.
Results from collagen injections varies. The injected material is eventually metabolized by the body. You should not expect the same long-lasting results that may be gained from cosmetic surgery.
In some individuals, the results may last only a few weeks; in others, the results may be maintained indefinitely. Researchers believe that age, genetic background, skin quality and lifestyle as well as the injected body site may all play a role in the injected material’s “staying power.” However, the precise reason for the variation of results among patients has yet to be identified.
If you’ve had short-lived results from fat injections, you shouldn’t necessarily assume that collagen injections will work better for you. And, conversely, if you’ve had disappointing results from collagen, don’t assume that injected fat is the answer.
Although it’s true that some individuals’ bodies are more receptive to one substance than the other, others may find that neither substance produces long-lasting results. Sometimes one substance may work better than the other for a specific problem.
The duration of fat injections varies significantly from patient to patient. Though some patients have reported results lasting a year or more, the majority of patients find that at least half of the injected fullness disappears within 3-6 months. Therefore, repeated injections may be necessary. Your doctor will advise you on how to maintain your results with repeat treatments.
Looking for a new look? Consider liposuction surgery abroad. Read on to discover if liposuction surgery is a good option for you!
Liposuction is a procedure which removes localized fat deposits to shape one or more places on your body. Liposuction improves your body’s shape by intrusion and removal of subcutaneous fat using metal cannula connected to a vacuum device through a tube. It enables to suck the fat from the required areas. The suction cannula is inserted in the body through short incisions, maximum several centimeters in size, which are located in the natural skin folds to be as little visible as possible when healed up. Liposuction can help sculpt the body mainly in the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Liposuction is suitable if you have fat deposits in so-called problematic parts of your body and exercise and diet do not help. It cannot be used to treat extreme overweight or obesity!
Prague has many attractive features for those considering liposuction abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and liposuction surgeons ensure you’ll receive the best possible care. Liposuction Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
The liposuction techniques are divided into dry and wet (fluid is not or is used). According to the device used and cannula type liposuction can be divided into classical, power-assisted, ultrasound-assisted and laser. They all use the same principle where the intruded fat tissue is removed through a narrow tube – cannula. The cannula is inserted under the skin and using the vacuum it removes the excessive fat tissue. The methods of liposuction and anesthesia maybe combined in various ways. The final result depends on how much tissue is removed, how experienced the surgeon performing the procedure is and, of course, on the technique and anesthesia used.
Dry technique: The technique does not use any fluid injection – therefore the name Dry Technique. A higher suction must be used in this method which may lead to higher blood loss or tissue damage resulting in more significant unevenness. The method is considered as obsolete and is seldom used today.
Wet techniques: The fluid is injected under the skin. The wet techniques differ according to the amount of used fluid. The fluid is a mixture of saline solution (solution of sodium chloride), adrenaline (substance contracting blood vessels) and it may also contain an anesthetic. The technique facilitates the removal of fat, reduces blood loss and if an anesthetic is included it also provides anesthesia during and after the surgery. The injected fluid also helps to reduce bruising.
The volume of injected fluid is lower than the expected volume of removed fat. Usually 200 – 300 ml of the fluid for the treated area.
The volume of injected fluid approximately equals to the expected volume of removed fat. The technique is similar to the tumescent technique, except that a local anesthetic is not usually contained in the fluid or only in small amounts.
If the tumescent liposuction technique is used, large volumes of fluid are injected into the treated area through a 12cm-long needle which is tubed to a bag with the diluted solution. The fluid is infused slowly using a pump operated by a foot, which enables the surgeon to control the flow easily. The tumescent fluid contains a local anesthetic, usually lidocaine, to provide local anesthesia in the treated area. It enables to perform the procedure without the necessity of general anesthesia. The procedure performed under local anesthesia takes more time than liposuction under general anesthesia. It is necessary to wait for the effect of the local anesthetic and thus inject the fluid into each area just before the suction. The amount of the anesthetic and thereby the amount of the fluid is determined by the weight of the patient. The volume of fluid is usually 2-3 times higher than the volume of the sucked fat. It results in a solid swelling – tumescence, the skin in the treated area becomes white and cold. When the tumescent solution has been applied the suction of fat tissue can start. The liposuction is performed through a cannula tubed to a device which uses vacuum to suck. Different types of cannulas may be used with this technique. The biggest advantage is the possibility to position the patient as the procedure is performed under local anesthesia. The patient is conscious he/she can turn as needed, lift limbs or stand up. Some fat may be after a palpative and visual check removed when the patient stands.
Power assisted liposuction utilizes a so-called vibration cannula that gently vibrates in quick micro-movements within 0,5 – 1 mm back and forth. The cannula is connected to a special device which produces the necessary power. It carefully penetrates fibrous fat tissue – e. g. in buttocks or back. At the end of the procedure it helps to smooth irregularities in the sucked area and its borders to make the transition from sucked to non-sucked area even and smooth. It is used for example in repeated interventions in the tissue. Most clinics use the advanced Vacuson LP 60 equipment which includes the vibration cannula, a device for solution infiltration and a sucking device. Presently, most experts consider the combination of tumescent liposuction, which is due to the contain of an anesthetic in the infiltration solution performed under local anesthesia, and vibration cannula as most advanced as well as most effective and sparing method.
Ultrasound-assisted liposuction uses a special cannula that produces ultrasonic energy. The energy bursts the walls of the fat cells and the fat is then liquefied. Ultrasound liposuction can be an effective tool for removing fat from fibrous body areas, such as the upper half of the back or enlarged male breasts. The advantage of ultrasound liposuction is the ability to penetrate the more fibrous tissues, e. g. fat tissues. It may be used in repeated liposuctions. Another advantage is a lower blood loss. There is a danger of skin burns unless the technique is performed correctly. The fat is removed in the same way as in other liposuction techniques. The combination of the tumescent method with ultrasound cannula is also a suitable however rare method due to the higher costs of the ultrasound device.
Under the term ultrasound liposuction we often encounter a non-invasive fat removal method where ultrasonic energy is applied to the fat tissue from outside the body. The fat cells are broken and purged by the natural metabolism of the body. Ultracontour and Ultrashape are devices using this advanced technology. The term non-invasive liposuction or E-UAL – external ultrasound-assisted liposuction may be rather misleading as it is not liposuction in the true sense of the word. No fat is sucked away.
Laser-assisted liposuction known also as ultrasound lipolysis uses a 1-2 mm wide cannula with a laser beam. With the forth and back movement of the cannula the energy is applied directly to fat cell, dissolves it and enables its removal. The laser beam also affects hypodermis, contracting collagen fibers. The liquefied fat tissue is not usually sucked in small localities. It is gradually absorbed during natural metabolism. In larger areas it is necessary to suck the fat tissue liquefied by laser. According to the laser type used we know SmartLipo and CoolLipo. Most clinics use a vibration cannula for the suction; it means they combine laser and power-assisted liposuction.
The liposuction cannula diameter is important in all liposuction technique. Wider cannulas suck more fat and save time and effort. However this type of cannulas leaves more empty space behind and therefore creates bigger irregularities on the skin surface. Presently, cannulas with smaller diameters are used more often as they are considered more delicate.
In out-patient liposuction under local anesthesia it is not advised to remove large amount of fat at a time but divide the procedure in several sessions. The suction of larger volume of fat, which also removes water, vitamins and other nutritious substances, can cause a state of collapse (shock). More extensive liposuctions (more than five litres of fat) should be performed by wet technique under general anesthesia. They require careful post-operative care including 1-2 days of hospitalization, replacement of lost liquids by infusions, pain relieving therapy.
Liposuction may be performed under local or general anesthesia or with tumescent technique.
Liposuction in small areas may be performed under local anesthesia, i. e. the treated area is filled with a solution of local anesthetic.
Tumescent technique uses a rather diluted solution of a local anesthetic. The anesthetic is absorbed from the tissue with contracted vessels (effect of adrenalin) to blood circulation slowly and the limits for the anesthetic contained in blood are not exceeded. There is another advantage as due to the slow absorption the local anesthetic operates in the target area on a long-term basis. The disadvantage is the toxic effect of lidocaine. With this technique you may feel discomfort when the fluid is being injected.
With a general anesthesia the patient sleeps through the entire procedure and all pain is eliminated. The pain is controlled only during the procedure; when the operation is over painkillers must be administered. The choice of analgesic depends on the scope of the procedure. It is necessary not to drink, eat and smoke for about six hours before general anesthesia. Note that general anesthesia is an interference with the organism and has some risks. Presently the liposuction under general anesthesia involves super wet or wet technique and the fluid usually does not contain an anesthetic.
Infiltration pump – is connected to a tube system. It is designed to infuse the infiltration fluid into hypodermis.
Suction device – is connected to the liposuction cannula through a tube system. It enables the suction of fat.
The suction device and infiltration pump may be included in one instrument (e. g. Vacuson LP 60 which produces also the energy for the vibration cannula).
Liposuction cannulas – have various diameters from 2 to 4 mm (sometimes 6 mm), various lengths, curvatures; the ends are either rounded or in the shape of a pointless chisel. Each type has its purpose.
There are also the aforementioned power-assisted cannulas, ultrasound cannulas, laser cannulas. Their equipment must include an ultrasound or laser device to produce the energy.
Containers for sucked fat – they are transparent to check the addition of blood and the amount of sucked fat, mainly to compare two sides.
During your initial consultation, your surgeon will explain the surgery in detail, discussing which liposuction techniques are most appropriate for you. You will together determine where your fat deposits lie and assess the condition of your skin. Be sure to discuss your expectations frankly with your surgeon. You should be realistic in your expectations. The surgeon should be equally frank with you, describing your alternatives and the risks and limitations of each liposuction technique. You should realize that general anesthesia is a significant risk and load for your organism, in particular in case of heart and vascular diseases. During the procedure unexpected complications occurred in some patients, e. g. heart failure due to the fluid overload, allergic reactions to the anesthetic or even death. It is necessary to consider especially following cases:
Your surgeon shall give you instructions to prepare for the surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. You may be asked not to use any medications containing acetylsalicylic acid (such as Acylpyrin, Aspirin, Alnagon, Mironal, etc.) They can increase bleeding during and after surgery. It is assumed that no illnesses (viral illness, cold, etc.) will have occurred at least three weeks before the planned operation. Report any illness to your doctor. If you smoke, plan to quit at least one to two weeks before your surgery and not to resume for at least two weeks after your surgery.
Liposuction surgery takes one, two or even five hours, depending on the scope of the procedure (size and number of the treated areas, amount of fat being removed, the type of anesthesia and the technique used.) Before the surgery the surgeon marks the area on the skin from which the fat should be removed. The marking should be performed in standing position as in lying position the locations of subcutaneous fat change and the anatomic relations may be distorted. Disinfection shall be applied on the marked place and its surroundings when in the operating theatre or surgery. The place is covered by sterile towels to prevent contamination of surgical tools and subsequent infection.
Depending on the liposuction technique used (except dry technique) the infiltration solution shall be infused in the marked area. Its content depends on the type of technique: with a local anesthetic for tumescent technique and without an anesthetic for wet techniques under general anesthesia. The solution is infused from an infusion bottle connected to a tube with a needle on the other end. The needle is punched into the hypodermis under the marked areas, usually through several punctures, to fill the whole area equally with the fluid. It is important to infuse the solution slowly to give the body time to adapt and in a sufficient amount to suck the fat totally. A pump is used to apply the solution. If the procedure is performed under local anesthesia it is necessary to wait circa 40 to 60 minutes until the anesthetic takes effect.
Then the most important stage, the suction of fat, is performed. It takes usually 40 minutes. The surgeon makes an incision with scalpel, usually 2 or 3 incisions for one treated area. The liposuction cannula (narrow tube) shall be applied into the hypodermis through the incision (circa 3- 6 mm) and the layer of fat shall be sucked. During the procedure the cannula moves from base to surface (up and down) to prevent any damage to the underlying muscle layer and upper skin cover. The movements must be gentle and even; it is an accurate job. During the liposuction it is possible to change cannulas with different diameters. The most difficult part is the suction of borderlines of the marked locality. The cannula is connected to a vacuum device and the fat is sucked through a tube to the collecting container. The sucked fat is mixed with blood and has peach-like color. The surgeon continuously checks the appearance of the sucked fat and according to the color of fat evaluates the extent of bleeding. In the end the incisions are sutured and dressed with a sterile cover. At some clinics these minor wounds are not sutured but the rims are brought together by a steri-strip which is permeable for the rest of effluent tumescent solution and tissue liquid, and covered. The patient is immediately after the liposuction dressed in a compression garment which may be even tailored at the clinic. Its supply is included in the liposuction procedure. It prevents swellings and hematomas (blood clotts) and enhances the healing process. The liquid keeps leaking for 8 – 10 hours after the procedure is over or even longer and therefore the patients are provided with absorbent mats which may be changed when at home. Corrective procedures or repeated liposuction are not recommended within six months following the initial procedure.
To be a good candidate for liposuction, you must have realistic expectations about what the procedure can do for you. The best candidates for liposuction are normal weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy and psychologically stable. Your age is not a major consideration; however, older patients may have diminished skin elasticity (around 40 years of age) and may not achieve the same results as a younger patient with tighter skin. The procedure then combines with plastic surgery which removes the excessive skin.
Not all areas are suitable for liposuction. There are so-called prohibited areas which include the lower part of buttocks. Some areas are not explicitly prohibited but the liposuction is not recommended due to the anatomic localization, e. g. back. Other unsuitable areas are those with excess skin or even an overhang.
Liposuction is a high-risk procedure for people with health disorders as diabetes mellitus, heart or lung diseases, blood circulation insufficiency (in particular in case of general anesthesia) or for those who have recently undergone an operation near the area to be treated.
Some infiltration solution and tissular fluid shall outflow from the incisions after the operation. It is fluid which was not sucked and has not been absorbed by the organism yet. The fluid may be colored by blood – there is no need to worry. The outflow stops after approx. 10 hours. At some clinics a small drainage tube (so-called drain) may be inserted beneath the skin for a couple of days to prevent fluid build-up. To control swelling and to enhance your skin condition you will be fitted with a close compression garment. The garment cannot be taken off during first 24 hours after the operation. Than it can be taken off for 1-2 hours every day and perhaps washed. Most types of compression garment have a hole to enable toilet. The garment is worn for a period recommended by the surgeon; it depends on the practice at a clinic. Usually the period of 2 to 3 weeks (even at night) is recommended. The question of massages, so-called “rolling”, is rather discussed. Some surgeons advise not to roll and let the sucked areas quietly heal. Others recommend rolling – roll the sucked areas 3 times a day with a pastry rolling pin. You can go to work and do common activities after 2 or 3 days after the procedure performed by tumescent technique. Driving is not recommended immediately after the procedure; get somebody to drive you home. Sports are not recommended for 2 weeks. Wounds are covered by steri-strips for approx. 5-6 days and then the cover may be removed. The use of painkillers depends on every individual. Usually, it is not necessary or 1-2 tablets of Ibuprofen are sufficient. Tummy is a specific locality where rather strong sensitive nerves to innervate the tummy skin get out of rectus abdominis muscles. Note that during the liposuction under local anesthesia not only the fat but also the local anesthetic is sucked away, which means that the patient may feel pain of different intensity towards the end of the liposuction. Moreover in the tummy liposuction the cannula pulls these nerves which cannot be numbed as they run through the muscles and the pain may be really very unpleasant. The liposuction under general anesthesia is followed by a 1-2 day hospitalization and it is advised to wear the compression garment for 8 to 12 weeks. Sports should be avoided for 4 weeks. The period of wearing the compression garment depends in case of all liposuction techniques on skin conditions, amount of sucked fat, size of treated area and recommendation of the surgeon or clinic.
Shortly after the operation under general anesthesia you should start to exercise lower limbs, eventually stand up and make a short walk. It is a prevention of thromboembolic complications. The swellings and hematomas are individual, you are likely to feel stiffness, pain, burning or your sensitivity may be temporarily diminished. Your surgeon may also use antibiotics to prevent infection. It is not usual at every clinic. It is also suitable to use products for better healing as e. g. Wobenzym. The larger part of post-operative swelling disappears within 7 – 10 days. The stitches, provided the incisions are sutured, are usually removed within the week after surgery. Most of the burning and swelling usually disappears within 3 weeks. Healing is a long-term process and the recovery depends on your physical condition.
Don’t expect to look great right after liposuction surgery. New liposuction technique are more gentle than the old ones, despite, you shall experience some pain or itching for several weeks. The final result is apparent after 2 – 3 months, exceptionally after six months. At some clinics you will be checked regularly during the recovery to judge if you need any correction or you suffer from any complication. Some surgeons do not monitor you and you come only in case of complications. If you have bruises, sunbathing is not recommended. Sunbathing is also not advised for 3-6 months until the scars fade. During this period the scars may be covered by plasters or cream with a high sun protection factor.
As with any other surgery, complication may occur even after liposuction. Although it is not very often your surgeon should inform you on the risks. Complications may occur if your body has for example a reduced healing ability. Problems with recovery may occur if you do not observe surgeon’s instructions or you take unnecessary risk, for example when visiting solarium or doing sports. The skin may very rarely show:
Liposuction is a safe method of aesthetic surgery; however, you should follow all instructions of your surgeon and inform him/her on your health state. If the surgery is performed with precision by an experienced surgeon, the complications are minimal and the result is satisfactory. The liposuction of more than one area during one session is more complicated; eventually a combination of liposuction with other surgical interventions. It is performed rarely and mostly under general anesthesia.
Liposuction is always an aesthetic surgery paid by the client. The health insurance does not cover it as there is no health indication. The client cannot go on sickness leave and must plan holidays instead.
You will see a noticeable difference in the shape of your body usually a week after the surgery. However, improvement will become even more apparent after about four to six weeks, when most of the swelling has subsided. If your expectations are realistic, you will probably be very pleased with the results of your liposuction surgery. You may find that you are more comfortable in a wide variety of clothes and more at ease with your body. By eating a healthy diet and getting regular exercise, you can help to maintain your new shape.
Do you find it time consuming to constantly remove dark hair from your armpits, bikini area, legs or face? Typical hair removal methods such as shaving, depilatories, plucking or waxing are only temporary and may not be good for your skin. If you find excessive body hair embarassing, you may want to consider laser hair removal.
The human body is covered by a lot of hair. Most of this hair is not visible to the naked eye because of its pale colour. This pale hair plays a very important role in protecting the skin. Only a small amount of body hair is visible. Laser treatment enables us to remove ugly, dark hair without damaging the natural skin protection body hair offers.
Laser hair removal is a painless procedure with long lasting results. There is no need to have repeat laser hair removal treatments as is typical in more painful and less effective methods of hair removal. Some people are afraid when they hear the word “laser.” A laser is just a beam of light. This depilatory laser beam destroys the hair’s root. There are at least three times more hair roots in the subcutis than hair. The process of body hair change is the same as in the case of “real hair” on the head. Some hair has fallen out, some is growing through the subcutis and some has grown out. Accordingly, all hair goes through several growth phases. Laser only destroys hair in its active growth phase, the anagen phase. This means that one session is not sufficient, the treatment has to be repeated after a period of time (usually 4 times.) This time period differs according to the treated area. For example, the laser hair removal treatment of the upper lip is repeated after six weeks; armpits and bikini areas, after three months and legs, after six months.
Prague has many attractive features for those considering laser hair removal abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and laser hair removal surgeonsensure you’ll receive the best possible care. Laser hair removal Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Laser hair removal is recommended to almost anyone who suffers from unwanted dark hair anywhere on the body (exceptions include excess hair on/in the ears or nose.) This method may not sufficiently treat pale hair. The hair bulb must be in its active growth phase in order to absorb the energy which will destroy its cells and prevent hair regrowth.
It is possible to remove hair from the face (upper lip, chin, cheeks,) the neck, armpits, forearms, the bikini area, inner thighs, legs, back, chest, abdomen and areolas.
It is important to not pluck the hair for at least 6 weeks before the treatment. Acceptable hair removal methods are shaving, cutting or removing with a depilatory paste. Laser treatment gets rid of the cause of dark hair – the hair root – not only the root’s result (hair.) The hair bulb must be fully regenerated to make the treatment effective.
It is necessary to closely shave the treated area before the laser removal. Each session may last anywhere from a few minutes up to several hours depending on the size of the treated area.
Another important issue is suntan. The treated area should not have a fresh suntan or sunburn, from either the sun or visit to a solarium.
There are different types of laser that offer different results. It is important to consult with your surgeon on the laser type and expected effect, taking into consideration the treated area and laser type suitable for this area. All laser types require additional sessions to achieve the desired results. The treatment is not painful, the patient just feels light stinging on more sensitive spots.
After the treatment, it is necessary to protect the skin from sun. Your skin will have open pores which must be protected from the sun’s harmful rays. It is recommended to use a strong sun block, preferably of SPF 50, after your treatment. Your skin may be slightly red at the treated place, it depends on the treated area and the sensitivity of your skin. The redness should disappear after a few hours. Visit our photo gallery to see before and after photos of laser hair removal Prague.
The number of sessions and effectiveness of the treatment depends on the treated area and type of laser. It is therefore very important to discuss the expected number of sessions and suitable laser frequency in advance with your surgeon.
Almost everyone’s skin is marred with marks, moles or other skin protrusions. Some of these may need to be removed for medical reasons and others because of cosmetic reasons. If you are dissatisfied with your moles or any other skin protrusions, we recommend contacing a dermatologist who will analyze and remove them.
Prague has many attractive features for those considering mole removal abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and mole removal surgeons ensure you’ll receive the best possible care. Mole removal Prague costs are often much more affordable than in the UK or with the NHS. Many people have had their moles succesfully removed; see our before and after photos of mole removal Prague. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Removing unwanted hair from the face, neck or breasts can be done with electrolysis. Electrolysis is a nearly painless method of hair removal and does not leave scars. Information about electrolysis hair removal abroad can be found here.
Prague has many attractive features for those considering electrolysis hair removal abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and electrolysis surgeons ensure you’ll receive the best possible care. Electrolysis hair removal Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Biostimulation treatments use a laser to deliver healing heat to the patient’s skin. Biostimulation treatments can be used to treat scars, inflammatory processes of the skin or to regenerate and oxidize the skin. The procedure is non-invasive, painless and there are no post-treatment restrictions.
Prague has many attractive features for those considering biostimulation treatment abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and biostimulation laser treatment surgeons ensure you’ll receive the best possible care. Biostimulation treatment Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Injection implants enable you to augment the lips, to smooth the wrinkles away and to correct the contours of the face. You will be young and beautiful…. Collagen is used to fill wrinkles, scars and tiny furrows on the face and sometimes the neck, back and chest. It is protein that provides support to various parts of the human body: the skin, the joints, the bones and the ligaments. Injectable collagen, patented by the Collagen Corporation under the trade names Zyderm and Zyplast, is derived from purified bovine collagen. The purification process creates a product similar to human collagen. Injectable collagen received approval from the Food and Drug Administration in the year 1981. It is produced in many viariations to meet individual patient needs.
Skin rejuvenation that is drooping and aging. This revolutionary method uses plasma flow of ionized nitrogen that regenerates skin from depth but does not damage it. It can remove scars after acne, bags around eyes and other problems. You do not even have to restrict your activities even immediately after the procedure.
Plasma is a fourth state of matter (beside liquid, solid and gas) which is formed by free electrons of atom that form inert gas. Nitrogen is used as a source of gas thanks to its ability to oust oxygen from the surface of he skin. This way we can avoid heating of the skin, burns and creation of scars. Nitrogen is not inflammable, therefore there is no risk of sparkle or explosion.
Plasma causes controlled thermal damage of the upper layer of old skin and stimulates creation of collagen fibers and therefore creation of new skin. There is no direct contact with the skin, however the thermal energy is transported right into the tissues.
Plasma skin regeneration – PRS uses portrait device.
The Portrait device is formed by radiofrequency generator that makes inert nitrogen gas, which is then placed into the adapter with a jet at the end in form of millisecond stream right on the skin. Immediately after the contact with the skin the energy changes into heat that won’t damage the epidermis. Plasma appears as a characteristic heat/flame, which changes in yellow light. The distance between the jet and the skin should be approximately 5 mm, in case of high energy the distance should be 1 cm to prevent creation of border lines. The pulse should flow in one direction not from left to right. The area and depth of the thermal effect depends on the selected energy and the size of adapter. The energy can be selected between 1 – 4 J per pulse. This technology can be used for different selected energies, that is associated with the depth of the treatment.
Peel of the epidermis to heating into depth is possible.
The resurfacing of the skin with the usage of plasma has 4 recommended schemas of treatment:
It is mainly used for facial skin rejuvenation: wrinkle removal and general skin lift, removal of odds and unwanted pigmentation. Also for rejuvenation of skin on the neck, chest and back side of hands. The portrait device can treat also areas around mouth and eyes.
Local anesthesia was used with the combination of anesthetic cream, which was applied on the treated area. At present usage of the cream is sufficient, although its application must have the right timing, i.e. it must be applied only on small areas and stepwise on the others according to already finished treatment.
Care after the procedure of skin regenaration with plasma is minimal in case of usage of low energy. In high energies it is relatively simple. You should avoid sun exposure and apply sensitive cream on the treated spots frequently after the procedure during the healing process of the skin.
In case of usage of low energy the redness of the skin stays 2 – 3 hours. When using high energy redness and rough skin appearance is visible. The healing process takes 5 – 10 days, during this period the old epidermis peels away. It is important for the patient not to peel the skin by her/himself and wait until it separates. Not to intervene in the process of healing.
Redness and itching several days after the procedure is common. Itching can be avoided by application of ice on the treated spots. Creation of scabs can appear in case of usage of high energy. A sensitive lotion is good then. Dark spots on the skin might appear caused by low or high energy, they usually absorb within several weeks or months.
The price ranges from 5000 – 35000,- CZK depending on the size of treated area and the intensity of the procedure.
Are you unsatisfied with your tattoo? Do you have skin pigmentation problems; perhaps caused by ageing skin or the sun? Previously, removal of these skin issues was painful; but new laser methods offer the opportunity to clear your skin safely and pain-free.
To remove tattoos, pigment stains or permanent make-up, in most cases an Alexandrite laser is used. Laser pulses penetrate the skin without damaging it and they break dark pigment into smaller parts. These are then absorbed with the help of white blood cells.
The laser device works with an accuracy to one-thousandth of a millimeter. This means there is maximum protection of the surrounding tissue. Please remember that more sessions will be needed for the remvoal of a professional tattoo – the pigmentation is deposited through more layers, which have to be broken down in steps. Another option for tattoo removal is “grinding” with the help of an Erbium laser. With this method it is possible to remove the tattoo during the first session, and because this method is quicker, it is even less expensive than with the use of the Alexandrite laser. The disadvantage to this treatment is that a scar may appear in the treated area.
Prague has many attractive features for those considering tattoo and pigmentation laser removal abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and laser tattoo and pigmentation removal surgeons ensure you’ll receive the best possible care. Laser tattoo and pigmentation removal Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
If you have an undesirable tattoo or pigment stains caused by sunshine or old age, then this procedure will probably work for you. Your expectations should be realistic.
If your surgeon recommends the use of the Alexandrite laser that “breaks up“ the tattoo pigments, it may be necessary to repeat the treatment several times, especially if the tattoo is deep or the pigmentation large. It is easier to remove tattoos and pigmentation from places that move a lot (fingers, neck.) The Alexandrite laser works well on black and dark blue ink, but it does not work as well on green ink. It unfortunately has no effect on yellow and red ink. The effect of the Erbium tattoo laser treatment is usually 100% after the first visit.
During the consultation, the dermatologist will examine your tattoo or pigmentation and suggest a procedure to achieve the best possible results. The first consultation should include a test, which should show the effect of the laser method on a small part of the damaged skin. This test can prevent you from wasting money on a procedure that may not work for you.
Treatment with the Alexandrite laser is intense but very gentle. It is often compared to a stinging nettle. In most cases, it is not necessary to use anesthesia. In case of larger treatments or the use of the Erbium laser, it is possible to use a local anesthesia of anesthetic ointment or light analgosedation. If you are extremely sensitive to pain, you can ask for this type of anesthesia.
The Alexandrite laser treatment has an advantage; it does not really damage the skin. The skin may sometimes turn red and swell, but the swelling does not last long. Sometimes, small scabs may appear, but they soon fall off. There are no scars after the laser treatment. In the case of the Erbium laser treatment, a small scab might appear in the treated area, which will fall off in several days. However a scar might remain. In both laser methods it is necessary to protect the treated place from sunshine for several weeks. Use sunscreens with a high UV filter (50+.)
It is not possible to see the results of the Alexandrite laser treatment immediately. The healing and clearing can take approximately 6-8 weeks. If you have undergone the removal of sun spots, one treatment should be sufficient. In the case of removing tattoos or permanent make-up, it is necessary to plan for more treatments to achieve the best possible results (approximately 5 times or more.) It is possible to undergo the next treatment approximately two to three weeks after the previous one. To see the results from other patients, visit our before and after tattoo and pigmentation laser removal Prague photos.