Syringoma Treatment in Dubai
                     Syringoma Treatment in 
Dubai
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The Laser That Keeps Wrinkles Away
Blepharoplasty is one of the most frequently requested and satisfying 
procedures in plastic surgery. Each surgeon has his or her own style in 
performing this procedure, which, when done well, can yield a dramatic 
improvement in the patient's appearance. As an oculoplastic surgeon 
with a practice focus on cosmetic eyelid surgery, I realized that many of 
my patients wanted to go on to the "next step" in improving the 
appearance around their eyes after their blepharoplasty. This usually 
meant improving the appearance of the fine lines and wrinkles around 
the eyes. The management of skin in the periocular region has become 
a significant aspect of my practice, especially the use of resurfacing 
technology.
The Laser That Keeps Wrinkles Away
The choices we have in the arena of periocular skin care include topical creams, 
chemical peels and laser resurfacing. Gauging the patient's ultimate desire as well as 
their tolerance for discomfort are the key points that determine what I recommend.
Our patients want rapid healing, which often means returning to most of their 
normal activities - particularly work - in approximately one week. People are 
generally not patient with prolonged erythema as we have learned in many cases 
with the CO2 laser. I have found that the use of various anti-wrinkle creams have 
helped my patients with mild to moderate periocular rhytidosis. Adjuct procedures 
such as the use of Botox injections have also been beneficial in maximizing the 
effects of these anti-wrinkle creams. In my experience, the benefits of many anti-
wrinkle creams generally plateau after six months of treatment. Although I treat 
many patients with this cream, I have found considerable variability in compliance 
and the patient's perceptions of improvement.
The Laser That Keeps Wrinkles Away
In my opinion, the ideal compromise between the prolonged erythema and possible 
complications of the CO2 laser and the subtle improvements from the long-term use of 
anti-wrinkle creams is the Erbium Laser. There is currently considerable discussion in the 
dermatology and plastic surgery community regarding the true effectiveness of the Erbium 
laser and the mechanism of its action. In my experience, choosing patients correctly and 
discussing the final outcome generally results in patients being satisfied with the results.
• The Erbium laser is effectively absorbed by water with essentially no thermal effect. The 
2,940 nm emission wavelength matches the peak of water absorption. With a collimately 
10um per pass, the precision in which it may be used is excellent. As with other 
resurfacing procedures, depth should be limited to the papillary dermis. Resurfacing may 
be done before the blepharoplasty procedure or immediately after the completion of the 
procedure. If the Erbrium laser is to used at a later date, I usually wait at least three 
months after the blepharoplasty to allow for some natural skin contracture.
The Laser That Keeps Wrinkles Away
• My preoperative preparation is consistent with general standards of 
preparation prior to resurfacing. This includes the use of possible 
hyperpigmentation afterward. I also advise people to avoid excess sun 
exposure and to avoid tanning.
• Anitiviral medications are prescribed if resurfacing is done in the 
perioral ara regardless of previous history of herpes simplex. 
Depending on the timing of the desired procedure, preconditioning of 
the skin with topical methods and microdermabrasion can be useful 
in the healing process.
The Laser That Keeps Wrinkles Away
• When I first began using the Erbrium laser, I was performing the resurfacing with 
topical anesthetics such as EMLA cream or four percent tetracine gel. I have found 
that most people did not respond well to topical anesthetic only, even if the creams 
were supplemented with tetracaine spray during the procedure. It is for this reason, I 
now inject a small amount of lidocaine one percent with epinephrine 1:100:000 into 
the submuscular plane and wait at least 15 minutes before proceeding, If I am 
resurfacing other areas of the face at the same time, I combine limited local 
infiltration with regional nerve blocks. The laser itselft createsa significant amount of 
noise, as does my smoke evacuator, so I wait until the last moment before performing 
the resurfacing. Most of these surgeries are performed under straight local anesthesia 
or local anesthesia with sedation. Although the areas are well anesthetized, the 
patient is advised to expect to be aware of the "pops" as the spots are vaporized. The 
evacuator is essential as the procedure generates a fair amount of vapor (not heat).
Contact  Us
•Address: Dubai
•Phone:  +971588230420
•Website: dynamiclinic.com