Author Archives: drnadaf

lower body lift

Lower body lift

Due to sever weight loos, your lower body skin becomes sag and loose, so patients seek to perform lower body lift to improve appearance of your abdomen, thighs and hips.

Lower body lift and surgery is done to formation and removing sagging skin of the abdomen, back of thighs, outer and inner thighs and hips. This procedure is suitable for those patients who are near ideal weight.

How does lower body lift works?

This procedure involves combination of many cosmetic surgeries:

  • Abdominoplasty: to strengthen skin of abdomen, remove striae
  • Genital area lift:to reduce size of genital area, removing sagging and reduce thickness of the genital
  • Outer thigh lift: to lift loose muscles of outer thigh
  • Hip lift: to lift and improve sagging skin of the hips
  • Removing excess fat and skin of the back and sides to have a better formation

Who are good candidates of lower body lift?

Those patients who have performed surgery and now have sagging and loose skin are best candidates of surgery. This surgery improves your appearance and also helps to increasing self- steam.

lower body liftSome patients have moderate weight loss but have sagging and loose skin on their lower body, this surgery will have successful results for them, even better than abdominoplasty results.

Patients should be in good and general health condition and have BMI under 35. If you have had overweight surgery, should wait for at least 6 months to reach a stable weight. Smoking should be avoided after and before surgery, because it disturbs scars recovery.

Most important consideration of lower body lift

  • General consideration

This surgery lasts about 6 hours. During surgery, 4 tubes or derns  are put inside incisions to discharge leakage of the scars.  These derns remain on your body for 1 or 2 weeks and surgeons remove them after first ointment.

  • Lower body lift is not a way to loose weight

This surgery is not a good substitution for diet or exercise. Weight loose after removing excess fat is less than 15 pounds or 3 kg. performing this surgery is not recommended to obese patients or those who don’t lose weight enough.

  • Smoking should be avoided before surgery

Smoking directly affect on recovery process and scar recovery. Patients should avoid smoking 4 weeks before, during and after surgery, special during recovery time.

  • Stay at hospital

Patients should stay at hospital 1 night. Those patients who have had severe loosing may need to stay at hospital for a long time.

  • Incisions in lower body lift

Such as other surgeries, lower body lift also remains scars. Incisions are creates around genital, incisions are somehow similar to tummy tuck incisions, but on your back and above the hips. Skillful surgeons create incisions with less visibility.

Lower body lift recovery

Patients should rest at home to recover well. Doing some activities such stretching may be painful and irritating. It’s better for patients to bend their waist. First, there is a little pain but it will be faded. There is bruising and swelling around the incisions. Those patients who perform liposuction will have more swelling. Calmatives are prescribed to relieve and control pain.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

breast augmentation

Breast augmentation is a surgical procedure, to enlarge size of the breast and also removes asymmetric form of the breasts. Sometimes this surgery helps to lift breasts. In this surgery, surgeons put implants under soft tissue of the breast and fill it with saline or silicone. Breast augmentation can be done with a breast lift surgery, simultaneously.

Who are good candidates of breast augmentation?

  • If you want to have enlarge breast
  • If you don’t have symmetric breast
  • If you have loose breast due to pregnancy, weight loss or overweight
  • If you have sagging breast due to aging or weight loss

Patients who seek to perform breast augmentation, should consider following cares:

  • Should have general and physical health. Dr. Nadaf assesses your health before surgery.
  • Should give up smoking 2 weeks before surgery.
  • Women who have lactation, should wait 4- 8 weeks after this period.
  • Patients should have real and reasonable expectations.

breast augmentationSaline and silicone implants

Saline implants fill by liquid or serum and need small and tiny incisions and also is less expensive.

Silicone implants consists of silicone gel and seems more natural, and need large incisions.

Each implant has its own benefits. You should consider all individual factors and consult with your surgeon. These implants can remain for 10 to 20 years.

How to choose size of breast implants?
During consultation, Dr. Nadaf measures size of your breast and chooses the best implants. But final decision is made by patients, this is a personal decision. Examining before and after photos, and different sizes of implants helps you to choose your desirable size and implants.
Such as other surgeries, breast augmentation remains scars. Surgeons put incisions on folds under the breast to hide them.
There are other options to put breast implants, such as:
–    Transaxillary: incisions on armpit
–    Periareolar: incisions on lower edge of the areola (the dark skin that encircles the nipple)
–    There is no need to create extra incisions if breast augmentation done with breast lift.
Breast augmentation recovery
Patients should:
–    Rest at home and do activities such as watching TV or studying.
–    Visit their surgeon to remove sutures.
–    Avoid to do heavy activities 4- 6 weeks after surgery.
Some patients may feel obstruction or pain on their breast for 1 or 2 weeks, which reliefs by using drugs. Your doctors also learns you correct way of breast massaging. During first weeks, your breast seems more up or more artificial, but this is so common and removes 3- 6 months after surgery.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

breast reconstruction

Breast reconstruction

The aim of breast reconstruction is to reform appearance changes and restore health of the breast tissue. Women who have had breast cancer, are the best candidates for reconstruction.
Those who have small breast, loose their self- confidence and seek breast reconstruction surgery. This surgery not only improves the outside or appearance problems, but also helps to increase your self- confidence.
What are methods of breast reconstruction?
–    Reconstruction by using an artificial tissue (breast implant)
This prosthesis or implant is made by silicone and easily is placed inside the breast and leads to reconstruction.
–    Reconstruction by using your body tissues
In this way, surgeons use natural tissue of your body and perform reconstruction surgery.

breast reconstruction
The best time of breast reconstruction is when a women have had cancer and had to remove her breast, so, surgeons perform surgery with removing the breast tissue simultaneously.
Condition and type of your disease affect on time the breast reconstruction. In some cases, patients should wait for 6 to 12 weeks, because they should do some cares such as radiotherapy and chemotherapy before surgery.
Breast implant is one way of breast reconstruction.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

liposuction

 

Liposuction

Liposuction is a surgical procedure, that is used to remove your excess fat.

Liposuction, which is known as lipoplasty, is one of the most common cosmetic surgery in Iran. Liposuction, removes the fat on your desired area, and shape your body.

This surgrey, removes the fatty tissues from the different parts of your body by using tiny cuts, which results in smooth appearance with minimal convalescence.

Having a suitable diet and doing exercise, can reduce the amount of fat, but there is high amount of fat aggregation in some areas which just remove by surgery.

The fat stores in some areas. When you lose a weight or do exercises, your body lost the fat. In women, fat stores around the thigh, abdomen, back and flank. Flank and abdomen are the place of fat storage in men.

This surgery is the best way to remove this problem, without weight loss. Liposuction, removes the fat, locally.

Specific areas in liposuction surgery:

  • Abdomen
  • Flank
  • In and out part of tights
  • Face
  • Hips
  • Knee
  • Middle back

liposuctionDr. Nadaf also treats the following cases:

  • Anterior wrinkle of armpit
  • Posterior wrinkle or armpit
  • Ankle and leg
  • Nape
  • Pubis
  • Chin
  • Double chin

Who are good candidates for liposuction?

  • If you have unwanted or excessive fat on your body, which doesn’t remove by diet or doing exercise
  • Lipoplasty candidates are not often obese, rather have more fat storage.
  • The patients should have BMI, under the 35. With increasing BMI, the amount of risk is increased.
  • The patients who have low skin flexiblity, or have scar, are not suitable candidates.

Dr. Nadaf, visits you and diagnoses that whether you are the suitable candidate to perform liposuction or not.

It should be consider that, this surgery,

  • Is not a procedure to lose a weight
  • Doesn’t help the cellulitis:

Cellulitis, occurs near the skin surface. Liposuction is not performed near the surface, so has many risks.

  • Surgery should perform by a skillful plastic surgeon

Improved technique, makes this surgery safe with less pain. These techniques are as following:

  • Tumescent liposuction

In this technique, the combination of serum and some drugs, is injected into the fatty tissues. Which aims to:

  • Tighten the tissues
  • Provides the liquids reduction for patients
  • Reduce bleeding
  • Control the pain after the liposuction
  • Laser- assisted liposuction

This technique, liquate the fat before removing them. Laser, aggregates the skin due to creating the heat.

Liposuction recovery

  • Avoid doing heavy activities
  • Due to having swelling or pain, Dr. Nadaf prescribes sedative.
  • Back your work 3 days after the liposuction
  • Start the gym and exercise 1 week after the liposuction

First visit, is 1 week after the liposuction. This surgery also has its own risks and complication.

Dr. Nadaf, informs you about all these risks.

So, liposuction shape your body by removing the excessive fatty tissues. During liposuction, skillful surgeon place the incisions in areas which are not visible. The incisions improve soon and combine with the skin.  Liposuction is done under the general anesthetic along with sedatives.

Performing liposuction is a difficult surgery. Having enough ability, is one of the most important factor in a successful surgery.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

cleft lip

Cleft lip

Cleft lip, is a congenital disorder and is a split or opening in the roof of the mouth, and results in incomplete forming of upper lip. Different parts of the upper lip form during sixth months of pregnancy and upper lip is forming. Lack improvement of this process is called cleft lip.
Those children who have this disorder, should perform surgery during their infancy. This surgery included: primary repair of lip, jaw bone graft, pharyngoplasty and orthognathic surgery of the maxilla and mandible.
What causes a cleft lip?
Cleft lip occurs during early stages of formation and baby growth in embryonic stage. In this period, some parts of upper lip don’t get proper form and lead to a congenital disorder that known as cleft lip.
Revision surgery of cleft lip is a surgery that is used to correct abnormal form of the lip, main aim of this surgery is to reconstruct and correct appearance of the lip.

cleft lip
Cleft lip surgery
Cleft lip can be in one or both side. In this surgery, incisions are created to close separated parts to unify the lip, and it’s better to perform on 3 months of a baby.
During surgery, an abturator or blocker is put inside a baby’s mouth and helps to keep curvature of the lip and your baby’s feeding. There are various ways to perform surgery and remove harelip problem in children.
Needed recommendations after cleft lip surgery
– Using a syringe to feed your baby
After surgery, taping is used to reduce pressure of the incisions and scars and also prevents manipulation of scars. So, using antibiotics such as gentamicin is recommended.

 

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

breast reconstruction surgery

Breast reconstruction surgery

Breast reconstruction surgery, performs by using various techniques to have a normal size and shape of breast. During this surgery, some parts of breast tissue is removed which is called lumpectomy and in this way, breast will have better shape. If lumpectomy performs in lower or middle of the breast, surgeons performs more procedures on the breast and then, desirable results will achieved.

If you have had cancer or tumors hadn’t removed completely, surgeons performs mastectomy.

There are steps to perform breast reconstruction surgery.

  • First step. Anesthesia

Anesthesia drugs are prescribed for patient’s easiness. IV Sedation and general anesthesia, are main choices. Dr. Nadafkermani chooses the best one.

  • breast reconstruction surgerySecond step. Flap technique

This step is used to replace muscles, fat and skin to create prominence on the breast. This technique includes following types:

  • Tram flap: surgeons use from muscles, fat and skin of abdomen to reconstruct the breast.
  • Latissimus dorsi flap: surgeons use muscles, fat and skin of the back to reconstruct the breast.
  • Third step. Healthy skin is stretched and cover for implant is created.
  • Fourth step. Implants are placed to create prominence of the breast.
  • Fifth step. Skin graft with other techniques to create nipple and areola.

Important considerations

Breast reconstruction is as a new breast, but different result. You should make decision that want to perform this surgery or not, this surgery is as your benefit or not.

After performing this surgery, incisions remains of reconstruction or mastectomy on the breast. There are some risks such as infection, bleeding, bad reconstruction or risks of anesthesia.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

cleft palate

Cleft palate

A cleft is a gap or split in the upper lip or roof of the mouth (palate).

Cleft palate depends on different factors such as environmental factors, genetics, stress and psychological factors.

Palate is created due to the abnormal space in upper lip.

Now, here we consider these different factors.

  • Genetic factors

Statistics show that, 33 to 37 % of cleft palate is related to this factor.

  • Environmental factors

Factors such as, diabetes, infection diseases, hyperthyroidism and using some drugs can affect on the cleft.  If a woman smoke during her pregnancy, there is risk of hypoxia for her baby.

  • Psychological factors

Damages, stress or anxiety have considerable effects on creating cleft palate.

cleft palateDiagnosis of cleft palate

Diagnosis of this problem is usually easy. This cleft creates inside mouth of the children. Knowing location of the cleft is important.  Dr. Nadafkermani treats cleft palate based on the type of problem.

Doctors perform surgery for children who are between 12 to 18 months. Children who have this problem, should care about any ear and dental infections.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

scar revision

Scar revision

Scar revision is surgery to improve or reduce the appearance of scars. It also restores function, and corrects skin changes (disfigurement) caused by an injury, wound, or previous surgery.

Scars are visible that remains on skin after an injury or accident. If the scar be superficial, will be removed and recovered naturally, but deep scars may recovered by surgery.

There are various type of scar:

  • Discoloration scars

These types of scars are the most common type of  scar, that create due to natural process of the body. These scars are dark or red. These scars bulging after recovery time, but become discolored over time.

  • Hypertropic scars

These scars develop directly at a wound site, and are raised and red. They may become wide over time. There is risk of remaining these kind of scars on your body for few years.

  • Keloid scars

Sometimes, scar tissue grows more than normal way and appears as a keloid (excess meat) on your body. These kind of scar commonly appears on face, neck and ear.

Dr. Nadafkermani, performs scar revision surgery by using the newest and modern technologies of the world.

scar revisionTreatment is done based on the scars (deep scars or surface scar).

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

Botox

Botox

Introduction

Botox is a special medication that injects into the special muscles and removes creases. Botox, is a non- surgical procedure that reduces or removes frown line between eyebrows, creases on the forehead and around the eyes and neck. Botulinum toxin also is an effective procedure to treat headache and hyperhidrosis.
Botox was introduced at 2002 for the first time and botulinum toxin is a temporary treatment of frown line and creases between eyebrows. This injection has real and noticeable result and doesn’t have recovery time.
Injection is directly injected into the muscles by a plastic surgeon, is a simple and non-surgical procedure, and reduces activities of the frown muscles that are main factor of creases of the face.
Botox, treats those line and creases that create due to the muscles activities. All muscles don’t response to injection. Some facial muscles have important function and lack of movement can lead to functional problems or unsuitable appearance.
After injection, you look apathetic. But, if this injection does by a skilled plastic surgeon, this problem won’t occur. This point shows importance of choosing plastic surgeon to inject Botox.

Botox
Important information
Before injection, patients should avoid to use aspirin 10 days before injection. Effect of Botox is temporary and lasts for 4- 6 months.
Details of Botox injection
Botox is a simple procedure. Dr. Nadafkermani first considers his patients and wants patients to frown, or lift their eyebrows. Injection is done by a tiny needle according to your facial anatomy and lasts 5 minutes. Patients return to their routine work immediately after injection.

Botox recovery

It’s recommended for patients not to lie own and do heavy activities. Effects of Botox is seen 24 hours or 4 days after injection. After injection, muscles contraction become hard. If you have deep creases on your skin, it lasts 4 weeks that skin becomes loose.

Botox is injected into the different areas such as:

  • Between eyebrows
  • Forehead
  • Creased around the eyes
  • Lines on neck
  • Treatment of hidrosis on hands and armpits
  • Hallow of chin
  • Lines around mouth

Possible risks and problems

There is low risk and complication after injection. The most common condition that patients may experience is that, Botox works so well and lead to removing muscles activity. Some patients complain about feeling heaviness on their forehead. These patients use to frown or lift thyeir eyebrow, and when can not do this, feel heaviness and irritation. Doctors try to reduce such risk as possible.

Botox rarely affect on adjacent muscles and then results in dying muscles activity on other areas, such as upper eyelid sagging. This problem can occur due to Botox injection between eyebrows. This problem can treat and remove by eye drops.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

chin and neck liposuction

Chin and neck liposuction

Introduction

Most people worry about appearance of their chin and neck and seek to perform chin and neck liposuction surgery. These patients have following problems:

  • Excess fat (double chin)
  • Ropy form of muscles
  • Excess skin or tense skin (turkey neck)

Neck liposuction removes excess fat on this area and also helps to rejuvenate neck with less cost and recovery time.

Chin and neck liposuction procedure

Chin and neck liposuction makes the neck more narrow and youth. This procedure is suitable for those patients who have excess fat on their neck and have a fine skin.

This procedure aims to:

  • Remove excess fat of the neck and chin
  • Help to specify angle of the chin
  • Help to specify extent of the neck and jaw

chin and neck liposuctionWho are good candidates for chin and neck liposuction?

As mentioned before, this surgery is suitable for those who have excess fat on the neck and also don’t have sagging and loose skin. Those patients who have loose skin should perform neck lift surgery.

Good candidate are:

  • Young patients (30- 50)
  • Those who have fine neck skin
  • Those who have excess fat on the neck

Chin and neck liposuction and incisions

Such as other surgeries, this procedure remains scar and incisions. Plastic surgeon tries to create incisions with less visibility. Incisions are created 3 mm under the chin.

Chin and neck liposuction recovery

Patients should:

  • Do activities such as watching TV, or reading a book and rest at home.
  • Use some pillows to elevate head, and help to reduce swelling.
  • Use prescribed drugs to reduce pain.
  • Use bandages to reduce swelling.
  • Avoid to do heavy activities 3 weeks after surgery.

Patients return to their work 2- 5 days after surgery.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382