How much time will I have to spend in Cyprus?
Depending on the type of treatment between 3 days and 2 weeks.
Should I worry about my surgeon being Hungarian plastic surgeon?
Not at all, in fact quite to the contrary. Hungarian plastic surgeons are world-renowned and are at the top of their field.
Will I have to travel to Cyprus more than once?
With most treatments and surgeries one visit to Cyprus is sufficient.
Will I be able to communicate with the surgeon?
Yes, dr. David speaks English.
If I decide to have surgery in Cyprus, how much notice do I have to give?
We generally require a minimum of 3 weeks notice.
How do I pay for surgery?
Payment for your procedure, which is quoted in EURO is required in Cash on the day of the procedure.
What should I do if I become ill shortly before I am due to come to Cyprus?
We need to know if you suffer any illness eg. colds, flu, sore throat or if your medical condition changes at all, as your surgery may have to be postponed and your deposit will be credited until you are fit and well.
What kind of Anesthetic will I have ?
Firstly all clients will usually have a pre-medication. This is given by the anesthetist whilst you are still in your room at the clinic. It relaxes and prepares you for surgery and has an amnesiac effect. You will think you have fallen asleep and will remember nothing at all about going to theatre. When you awaken it will all be over and you will be back in your room. As for the anesthetic, usually a full general anesthetic is given for all body procedures, e.g. liposuction, tummy tuck, and breast surgery.
For facial procedures, a combination of local with deep sedation is given. You are in deeply relaxed state almost to the point of being unconscious and are not aware of anything, neither will you remember anything about having had the procedure.
Please rest assure that whatever method of anesthesia you have, you will have a relaxed and pain free experience.
Is Cosmetic Surgery painful?
You will feel no pain at all during the procedure(s)and will remember nothing at all about having had it. However some "general discomfort" will be experienced immediately following surgery, but you will receive medication for to maintain your comfort. Everyone is individual with different tolerance levels and also the discomfort varies with each procedure. Please keep in your mind that whatever discomfort you experience, it is greatly diminished within a 48 hour period and during that time, will be controlled by the use of painkillers and proper postoperative care.
What if the surgeon finds me to be unfit for surgery?
In the unlikely event that dr. David feels that you are not fit enough to undergo surgery you have the choice of doing one of two things.
- Staying on in Cyprus to enjoy your holiday, in which case you will only be required to pay dr. David a consultation and your administration fee will be credited towards a new appointment.
- Or deciding to return home by the same conditions as above.
How much recovery time will I need?
It can be very individual but generally speaking 2-6 weeks depending on the procedure you are having. Dr.David will give a fully detailed individual answer for your question.
When can I resume regular exercise?
No matter what procedure you have had, it is important to keep mobile, this helps to prevent blood clots, helps to tone muscles, aids digestion, healing and recovery. Vigorous exercise increases the risks of bleeding, bruising and swelling as your heart rate and blood pressure rises. Dr. David will give you specific instructions depending on the procedure you have had but generally speaking 6-8 weeks before you can begin going to the gym.
What about the scars?
Whenever the skin is cut, a scar will form; there is no getting away from it. Unfortunately there can be no guarantees as to the condition of the end result of the scar. If you are normally a good healer and do not suffer from keloid scarring (thick, red and sometimes raised) then the chances are that all scars will be of a normal appearance. But what dr. David will do is to hide them in the natural lines and creases of your skin; also he will use a fine suture (thread) and needle to make the scarring as faint as possible.
Will people be able to tell that I have had Cosmetic Surgery?
In general, most cosmetic procedures will work to enhance your looks or minimize flaws naturally, and often go unnoticed by the majority of your friends and acquaintances. If anything, you may be asked if you've been exercising, lost weight or have begun a rejuvenating routine. Typically, no one will know for sure whether or not you have had cosmetic surgery. That's one of the reasons to come to Cyprus for your surgery; most people will attribute your looking so good because you have just come back from a holiday. Unless of course you decide to tell them!
What is Cosmetic Plastic Surgery?
A person who seeks cosmetic surgery is usually unhappy with some aspect of their appearance, such as a large nose, small breasts, pendulous breasts, wrinkles, double chin, jowls and eye bags etc. Because cosmetic surgery is elective surgery which means, surgery which is not required, is not an emergency, that can be scheduled in advance, the patient chooses to have it done, and, if delayed, would not result in death or permanent impairment of health. It is not covered by health insurance.
I smoke is that a problem?
Unfortunately YES.
Smoking seriously interferes with the healing process
If you were choosing to have plastic surgery to improve your looks and overall sense of well being, so it does not make sense to jeopardise the results.
What can I do?
- If you stop smoking four weeks before the operation, the body can excrete some poisons from cigarette smoke, allowing better healing of post-operative scars.
- If you give up smoking eight weeks before an operation you succeed in eliminating some of the bad post-operative effects caused by smoking.
BREAST ENLARGEMENT RELATED QUESTIONS
What do women tell you after plastic surgery?
Women report that the plastic surgery and recovery were easier than they had expected and they wish they had done it sooner. They are surprised by how good they feel so soon after plastic surgery. Women tell us they were worried that everybody would notice their new larger breasts, and they are delighted to discover that people just think they look terrific but can't identify why. When they do show their breasts to friends, family or a gynecologist, for example, they've been told that their breasts look natural and proportional to their body.
Where do you make the incision for the breast implants? Why?
My preference is to make the incision under the breast near the crease. This placement allows the incision to be fairly well hidden. There are fewer vital structures to go through, unlike an underarm incision, which may involve blood vessels and nerves to the arm, and an incision through the nipple, which can interfere with milk ducts and healthy breast tissue. When the incision is made beneath the breast, the pocket where the implant will be placed can be seen and reached easily without touching the breast tissue.
Will I lose nipple sensation?
Sensation to the breast, including the nipple and areola, may be altered and may be decreased or lost permanently, but this is rare.
Could the implant pop out while I'm healing?
Women sometimes worry that their implant will pop out if they lie on their stomach or their side or massage their breast during the healing phase. This won't happen for several reasons. I close the incision with three strong layers of dissolvable stitches. The deepest ones don't dissolve for 90 days. A strong healing ridge forms and prevents the implant from popping out. Less than two weeks after surgery, a smooth layer forms on the inside of the breast, like the lining of your mouth, which gives an additional layer of protection.
How soon can I get back to my exercise schedule?
Patients can generally return to aerobic activities and upper body weightlifting in six weeks.
When can I tan after plastic surgery?
Plastic surgery patients can tan - either outdoors or at a tanning salon - a couple of weeks after surgery providing there is no black and blue area and no skin numbness. (Both of these conditions are rare.) It's necessary to use a sun block with at least a 15 SPF. Ultraviolet light of the sun or tanning salon could make the scar red longer but the sun block helps minimize this.
Will I be able to breast feed after getting breast implants?
In most cases, a breast augmentation will not interfere with breastfeeding, because I do not disrupt milk ducts during plastic surgery. However, not all women are naturally able to breast feed, whether or not they have plastic surgery.
Will I need a mammogram?
Each patient's mammogram needs are evaluated on an individual basis. The most national medical quidelines recommend that women have a yearly mammogram beginning at age 40; we recommend that a woman with a family history of breast cancer (a mother or a sister) have a mammogram before breast surgery no matter what her age.
Will I be able to have a mammogram if I have breast implants?
With over 250,000 women having breast augmentations each year, most radiologists have experience reading these mammograms. Likewise, the placement does not interfere with a manual breast exam, by you or your gynecologist.
What’s the main difference between saline and silicone gel implants?
The gel in a silicone gel implant is lighter and thicker than saline. The gel acts as a unit, rather than a liquid, and holds together uniformly. Because of this, it is suggested that it doesn’t ripple or wrinkle as easily as saline. Therefore, it might cause less rippling under the skin on the sides or under the breast.
May implants need to be replaced or revised?
It’s important to know that your breast implants are not permanent and may require replacement during your lifetime. You should expect to have future visits with your plastic surgeon to discuss changes in your breasts.
Over time, your breasts can change due to aging, weight fluctuations, hormonal factors and gravity. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift or implant exchange to restore a more youthful contour.
Is a breast augmentation covered by insurance?
Cosmetic plastic surgery, such as a breast augmentation, is considered elective surgery and is not covered by health insurance. We require payment in advance.
BREAST REDUCTION RELATED QUESTIONS
Is it right for me?
Breast reduction is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.
Breast reduction is a good option for you if:
- You are physically healthy
- You have realistic expectations
- You don’t smoke
- You are bothered by the feeling that your breasts are too large
- Your breasts limit your physical activity
- You experience back, neck and shoulder pain caused by the weight of your breasts
- You have regular indentations from bra straps that support heavy, pendulous breasts
- You have skin irritation beneath the breast crease
- Your breasts hang low and have stretched skin
- Your nipples rest below the breast crease when your breasts are unsupported
- You have enlarged areolas caused by stretched skin
What do women tell you after breast reduction surgery?
Many women report that they got relief from their neck and back pain almost overnight. While they were mainly hoping for relief from physical discomfort, they are pleasantly surprised that they look better, too. They feel that their figure is finally in proportion; they are delighted that they can buy proper-fitting clothes (tops that match the bottoms). They tell us that people are talking to their face and not to their breasts!
What is the recovery like?
Women tell us that they have a little bit of soreness for a few days after breast surgery but much less than they expected. This is because the operation mostly involves the soft tissue, as opposed to the stretching of skin and muscle necessary for a breast augmentation.
How soon can I get back to my exercise schedule?
Breast reduction patients can generally return to aerobics and upper body weightlifting in six weeks.
Will I lose nipple sensation?
Sensation to the breast, including the nipple and areola, may be altered and may be decreased or lost permanently, but this is rare.
Will I be able to breast feed after a breast reduction?
After breast reduction surgery, nursing generally possible, although bottle supplementation may be necessary. However, not all women are naturally able to breast feed, whether or not they have breast surgery.
Will I need a mammogram?
Each patient's mammogram needs are evaluated on an individual basis. The national medical quidelines recommend that women have a yearly mammogram beginning at age 40; we recommend that a woman with a family history of breast cancer (a mother or a sister) have a mammogram before breast surgery no matter what her age.
Can a breast reduction cause breast cancer?
There is no increased risk of developing breast cancer from having breast reduction surgery. Postoperative breast X-rays or mammography can still be performed. The breast reduction operation does not increase the risk of breast malignancy nor does it interfere with the proper examination and detection of tumors should they occur at any time in the future.
DERMAL FILLERS RELATED QUESTIONS
Dermal fillers are substances that are injected just below the surface of the skin to fill in lines, wrinkles, and scars. Unlike face lifts that stretch the skin, fillers add volume for a more natural youthful appearance. Fillers can also increase the fullness of the lips (see section on lip enhancement) and lessen the downward slant of the corners of lips. The most common areas treated are the smile lines around the nose and mouth, fine lines above the mouth, frown lines between the eyes, and acne scars.
There are two classes of dermal fillers:
Permanent and temporary; the main permanent dermal filler in use today is silicone. There are a variety of temporary dermal fillers currently in use and several will be discussed below: Hydroxyappetite (Radiesse), hyaluronic acid (Restylane and Hylaform), sculptra, fat, and collagen. Temporary fillers are absorbed by the body over time, usually in 2-6 months and require repeated treatments to maintain the effect.
Silicone Dermal Fillers
The use of silicone fillers has been controversial in the past because of the risk of bumpy scars called granulomas that can form even decades after treatment. New formulations of silicone and new injection techniques have reportedly eliminated granuloma formation but long term studies are still in progress . One advantage of silicone is that repeated treatments are not required once the desired look has been achieved.
Collagen Fillers
Collagen is an abundant natural protein found in the body that provides structural support to skin, muscle, tendons and bone. In the skin, collagen fibers are woven together to provide texture, resiliency, and shape but is one of the substances lost during the normal aging process. Collagen injections are performed in an office setting, take less than an hour to perform, and require no recovery time. Combinations of fillers are used to achieve a natural, full look. Because some of the collagen products are made from animals, the main risk of the procedure is an allergic reaction which is why allergy testing is required prior to use (see below). The effect lasts between 3-6 months.
Radiesse (Formerly called "Radiance")
Radiesse, also used for lip augmentation, is made of a synthetic substance containing microspheres of calcium hydroxylapetite. There are no allergic reactions associated with this filler and with proper technique and local anesthesia the injections are not very painful. There may be some bruising after the procedure but most patients return to normal activities the next day. One of the advantages of Radiesse is that it can last up to 3 years.
Hyaluron acid (Restylane, Teosyal, etc.)
Hyaluron acid is natural cosmetic dermal filler that is made non-animal based. The fact that it is non animal based decreases the risk of animal based disease transmission or allergic reaction so no pre-testing required. Hyaluron acids have been approved by for use in moderate to severe facial wrinkles and folds such as nasolabial folds. There is usually no recovery time required after a Hyaluron injection and the effect lasts approximately six months.
Lipotransfer (fat)
This procedure is unique because it removes fat from one area of your body and transfers it to the area of concern. The main advantage of lipotransfer is that it eliminates the risk of an allergic reaction. Lipotransfer is a two step procedure. First, liposuction is performed using local anesthesia to collect the “donor” fat which is then injected into the face just below the second layer of the skin (dermis) or into the muscle. Bruising, swelling, and redness are common afterward and usually last a few days. No good studies have been performed to evaluate how long fat fillers last but patients report variable results from 3 months to 3 years.
Each is unique and has its own risk profile. In general, however, risks include allergic reactions, infections, pain, and scar formation. You should talk to your physician to decide if fillers are right for you. Fillers can be expensive and you may require repeat treatments.
Fillers are expensive but the pricing varies depending on the number and types of areas being treated in addition to the amount of filler material required. Treatments in EU can range from several hundred to several thousand Euros. Remember that temporary fillers last at the most 3-9 months.
Restylane contains hyaluronic acid in the form of a crystal-clear gel. It is injected into the skin to lift the lip, wrinkle or fold. Once in your skin it creates volume, resulting in a healthy and vital appearance. When injected into the lip it can restore a more natural and/or sensuous look. In contrast to other biodegradable implants, Restylane is not extracted from animals, which means no risk of an allergic reaction. Therefore, it is perfectly safe to use instantly without pre-testing.
Fine lines on the upper and lower lips that are not severe enough to require laser resurfacing fill nicely with Restylane as well as deeper wrinkles and folds in the cheek areas (nasolabial, melolabial) and lines at the corners of the mouth. Lip enhancement has up to twice the longevity of standard collagen implant treatments.
Yes. Hyaluronic acid occurs naturally in the body and therefore also dissolves naturally with time and is integrated into your body’s tissues. The hyaluronic acid has been used in Europe and Canada for many years and is now approved for use in the United States. dr. David will tailor your Hyaluron treatments according to the depth of the wrinkles and desired lip enhancement.
The treatment is performed by injecting Hyaluron acid under your skin and, since no pre-test is needed, your procedure can usually be done in less than one hour. Many patients like the added comfort provided with an anesthetic cream while others prefer an anesthetic block. This makes the treatment relatively painless.
Depending on the area treated, most folds and wrinkles require one treatment and the repeat maintenance treatment is usually not required for approximately 6 months or even longer. By experience, these products last almost twice as long as regular collagen injections. The great thing about Hyaluron acids is that you can replenish your natural beauty whenever you feel the need. Unlike permanent implants, these always leave you a choice when the effect of the treatment has worn off so a touch-up can be performed any time you like after the previous treatment.
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Following your injections, normal activities can be resumed immediately. Discomfort is minimal although the area treated might have a little swelling which may last a few hours. There may also be some slight bruising which can be covered with make-up. Depending on the area treated, correction can last up to six months or longer. If the lips are treated, initial swelling and tenderness may occur within the first several days but subsides after two or three days.
FAQ about BOTOX
Q .What can be done to alleviate my facial wrinkles during lunch, without pain, and without recovery time?
BOTOX !!
Who can benefit from BOTOX® ?
Almost anyone who has facial wrinkles may benefit from BOTOX® . BOTOX® has been used to alleviate wrinkles in the forehead, frown lines (between the eyes), and for "crow's feet" (wrinkles around the eyes) for the past 7-8 years. More recently, BOTOX® is being used for the treatment of bands in the neck, migraine headaches, nerve injuries, and hyperhidrosis (excessive sweating) in the axilla (armpit) and palms of the hands.
Q. What is BOTOX®?
BOTOX® is a therapeutic agent derived from the bacterium, Clostridium Botulinum. Also known as Botulinum Toxin Type A, the brand BOTOX® is produced in highly controlled laboratory conditions and is administered in extremely small therapeutic doses. Botulinum Toxin Type A is the most studied of the seven different serotypes of botulinum toxin (A, B, C1, D, E, F & G). Each type has different properties and actions. BOTOX® is a therapeutic muscle-relaxing agent that helps to remove wrinkles in a variety of areas around the face. This agent has been used, for at least 20 years for millions of injections, and is approved by the FDA for a number of different conditions.
Q . How does BOTOX® work?
Normally your brain sends electrical messages to facial muscles so that they can contract and move. The electrical message that is generated from your brain is transmitted through facial nerves. At the end of the nerve a neurotransmitter, acetylcholine, is released to deliver a message to the muscle. BOTOX® works to block the release of acetylcholine and, as a result, the muscle doesn't receive the message to contract. Therefore, BOTOX® provides predictable and reliable results in alleviating wrinkles resulting from over activity of certain muscles.
Q. How is BOTOX® administered?
BOTOX® is injected into the muscle using a very fine needle. Tiny amounts are required, usually less than 0.5cc. Multiple areas may be treated at the same time.
Q. Is Anesthesia required?
No.
Q. How long does the treatment take?
BOTOX® injections take less than 10 minute to perform.
Q. Does the treatment hurt?
No. Some patients may report minor and temporary discomfort from treatment, however, this lasts for only seconds. The majority of patients do not complain at all, and in fact, most patients will use BOTOX® again.
Q. Is there any recovery time required?
BOTOX® therapy is truly a lunchtime procedure. You may return to work immediately after treatment.
Q. When does BOTOX® start to work?
Usually, you will see the effects of BOTOX® within two to three days. The maximum benefit is reached in one to two weeks.
Q. How long does the effect last?
Secondary to its unique mechanism of action, BOTOX® Cosmetic injections offer sustained relief for four to six months. Typically the effects of BOTOX® will begin to gradually fade. When the desired effect is gone, additional treatments may be given.
Q. How long can I be treated with BOTOX® ?
BOTOX® treatments can typically be repeated indefinitely. Long-term treatment with BOTOX® Cosmetic has been well established as it has been used for over 20 years worldwide.
Q. Is BOTOX® right for me?
Ask your Dr. David if BOTOX is the right treatment for you. BOTOX should not be used during pregnancy, if you are nursing, or if you are taking certain medications. Only your Plastic Surgeon can determine the best course of therapy. The effects of BOTOX may be increased with the use of certain antibiotics or other drugs that interfere with neuromuscular transmission. If you have any questions regarding the use of BOTOX® treatment, please call or email us.
Q. What side effects may be experienced when using BOTOX?
All medications have some side effects. When using BOTOX for the treatment of facial wrinkles, the side effects are minimal. It has been reported, however, to cause a transient weakness of muscles at the injection sites. Occasionally, drooping of the eyebrow may be observed if the BOTOX® was placed too close to the eyebrow. This problem was observed more frequently when BOTOX® was first being used for these problems.
