Facial Beauty #4

During my research for lectures and presentations it has become clear that there are certain features that are important for facial beauty.

Overall beauty is difficult to define, however it also depends on the proportions and harmony of facial features. The science of beauty is showing us that there are 7 areas which make a face beautiful. In the previous discussions we talked about the skin and eyes and techniques to improve the appearance.

Area 4: The Eyebrow
This is an area of the face that has a lot  of significance in that it can demonstrate emotion and sexual gender. The shape position and movements of the brow are highly effective non-verbal communication signals.

Brow-lifting and reshaping can be performed many techniques and it it important to discuss the procedures and the outcomes with me  before making a decision.

This is an area that I have been treating for several years and have also researched the science behind treatments that will improve the overall appearance of the eye and eyebrow region.

One aspect to understand is that everyone has has different requirements, also the requirements change with age. Not all of these need to be addressed with surgery, many non-surgical procedures and treatments can help  and these can be discussed during our consultation. It is therefore important that you have a proper examination and analysis of your face before considering any particular treatment programme.

There are many things that I now recommend to improve the area around the eyebrow  – this does not need to be anything too expensive or invasive. I generally break it down into the following areas:

Topical care – involves using a skin care programme. I suggest Neostrata Intensive Eye Therapy as a topical treatment. This is no more costly than a normal over the counter range of cosmetics bought at department stores. We have a range of different treatment programmes from leading skin technology companies that will be used specifically for your  particular  skin.

Injectable treatments: With recent developments in the science of injectables we can now offer treatments to lift the eyebrow by either relaxing the muscles that pull the brow down or use dermal fillers to lift the ligaments and raise the brow. It is also possible to  produce a brow reshaping with the use of a combination of fillers and muscle relaxation treatment. For the muscle relaxation treatments we use the world’s thinnest needle (‘Invisible Needle’) – this causes very little to no pain during the injection and we also use anaesthetic to reduce the pain of the treatments. We use a cannula to reduce the discomfort and reduce bruising.

Surgical Treatments: minimally invasive  brow “lifting / fixation” procedure may be performed this will allow your brow to be lifted and open out the eye region. We can use threads or specific “Endotine” Fixation devices to achieve the brow lift with minimal down time.

Before embarking on any treatment programme it is very important that you discus your concerns. Together we can develop a personalized treatment programme specifically for you. If you would like  discover more about my recommended treatments please contact my PA to arrange a consultation.


 

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PLASTIC SURGEON & COSMETIC NURSE SHORTLISTED FOR NATIONAL INDUSTRY AWARDS

Plastic & Cosmetic Surgeon Dalvi Humzah is in the running to receive two prestigious industry awards in the  annual Aesthetic Awards 2017.

Mr Humzah, whose private practice – Plastic and Dermatological Surgery (PDS) – is based at The Ramsay Health West Midlands Hospital  and  Winfield  Hospital has been announced as a contender in two of the most sought-after categories ‘The Enhance Insurance Award for Best Independent Training Provider of the Year’ for his Aesthetic Clinical Training Courses and ‘The PHI Clinic Award for Professional Initiative of the Year’ for his collaborative work in developing a Level 7 Qualification with MATA and is also a finalist with the multidisciplinary group (AIIVL)in developing a protocol to deal with the rare complication of blindness associated with filler injections. Cosmetic Nurse Anna Baker who works with Mr Humzah in the Aesthetic Clinical Training Courses is a Finalist for the heavily contested ‘The Institute Hyalual Award for Aesthetic Nurse Practitioner of the Year.

Organised by Aesthetics Journal, the awards recognise the achievements of practitioners and surgeons working in the cosmetic industry.

Mr Humzah has taken centre stage as key note speaker at a number of high profile industry events during the last 12 months including Royal College of Surgeons & Royal Society of Medicine, London, Korea , Paris and recently delivering an Anatomy talk on ligaments in the face in Singapore.

As a regular campaigner for improved standards for patients seeking surgical and non-surgical cosmetic procedures, Mr Humzah is delighted to be recognised in this year’s awards.

He said: “It is a real honour to be a finalist in both categories. The awards do a fantastic job in celebrating high standards and excellence in the industry, as well as creating a real buzz and excitement. I am delighted that Anna Baker has been recognised for her role in the teaching with in Dalvi Humzah Aesthetic Training and her clinical roles within the specialty”

Mr Humzah added: “Although I travel internationally to talk about my work, and teach, I’m proud of the fact that I’m based in the Ramsay West Midlands and Winfield Hospitals.”

For more information on the Award : www.aestheticsawards.com where you can vote for the finalists

The winners will be revealed at the Aesthetic Awards on 2nd  December 2017 at The Park Plaza Hotel, Westminster Bridge, London.

 For more information contact Plastic and Dermatological Surgery (PDS) on 0800 084 2321 or visit www.pdsurgery.co.uk.

 

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7 Secrets to a beautiful face…

During my research for lectures and presentations it has become clear that there are certain features that are important for facial beauty.

SONY DSCOverall beauty may be in the “eye of the beholder’, however it also depends on the proportions and harmony of facial features. The science of beauty is showing us that there are 7 areas which make a face beautiful.

Not all of these need to be addressed with surgery, many non-surgical procedures and treatments can help  and these can be discussed during our consultation.

Area 1: The skin
Our skin can tell a lot of things about our current health; “glowing with beauty – to ashen with fear”.
Sun damage, pollution, smoking dehydration and normal ageing contribute to the deterioration of the skin in texture, thickness and appearance. This will result in the skin losing its youthful appearance with the appearance of fine lines, wrinkles, loss of elasticity and smoothness.

This is an area that I have been looking at over several years and have also researched the science behind treatments that will rejuvenate and improve the overall quality of your skin.

One aspect to understand is that everyone has skin that has different requirements, also the requirements change with age. This means that the same treatments don’t give the same results for everyone and the treatments you may have will need to be changed as you age. It is therefore important that you have a proper examination and analysis of your skin before using any particular skin care.

There are many things that I now recommend to improve the skin – this does not need to be anything too expensive or invasive. As skin care is a personal individual programme I generally break it down into the following areas:

Topical care – involves Cosmeceutical cleansers and hydration programmes with the addition of prescription topical treatment to improve skin thickness and  rejuvenation. This is no more costly than a normal over the counter range of cosmetics bought at department stores. We have a range of different treatment programmes from leading skin technology companies that will be used specifically for your skin type

Topical skin peels – in the past skin peels have been aggressive and painful. We now have peels that have no down time with little if any pain. As we spread the treatment over 6 – 8 weeks you do not have the inconvenience of having to stay away from work and friends. Of course there are deeper peels but these are only performed in specific cases.

Injectable treatments: With recent developments in the science of injectables we can now offer very effective skin revitalization (Skin boosters), Deep wrinkle dermal filers, collagen stimulation in the skin and also muscle relaxation treatment for  wrinkles. For the muscle relaxation treatments we use the world’s thinnest needle (‘Invisible Needle’) – this causes very little to no pain during the injection and we also use anaesthetic to reduce the pain of the treatments.

Before embarking on any treatment programme it is very important that you discus your concerns about your skin and have it properly examined. Together we can develop a personalized treatment programme specifically for you. If you would like  discover more about my recommended skin treatments please contact my PA to arrange a non-surgical consultation.

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What are those post-nominals? (A brief guide to “qualifications” after the names of medical practitioners)

MRCGP – Member of the Royal College of GP’s  – has passed the specialty training programme and is on the GMC  GP Specialty register

MRCP Member of the Royal College of Physicians – has passed the specialty examination of the Royal College of Physicians

MRCS Has passed the Intercollegiate Membership examination of the Royal Colleges of Surgeons. Regarded as initial requirement to start specialty training – Is a trainee surgeon  – not  eligible to be on the Specialist register and not a specialist. Cannot use the term Mr / Miss

FRCS(XXXX) Has passed specialist examination in specialty is on the Specialist Register.  Can use the prefix Mr. / Miss Trained surgeon in that specialty – and can be appointed as a Consultant in the NHS. Specialty areas are:

Cardiothoracic

General Surgery

Neurosurgery

Ophthalmology

Oral & Maxillofacial Surgery

Otolaryngology

Paediatric Surgery

Plastic Surgery

Trauma & Orthopaedic Surgery

Vascular

Urology

No other subspecialties or groups are recognized in the UK

BDS: Dentists may use the courtesy title “Dr” in relation to their work in the dental area. The GDC does not prohibit the use of the title ‘Doctor’ as a courtesy title in the case of dentists. Dentists who choose to use the title must ensure that it is not used in a way which could mislead the public, for example by giving the impression that the dentist is a registered medical practitioner if they are not.”

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Reply to RJ

The use of language may infuriate many – The Keogh Report likened the provision of cosmetic services to be worse than buying a toothbrush . The issues in Aesthetic I think are more complex than a title – there are many abuses – when is someone a Dr / Nurse / Surgeon / Consultant. These terms seem to be understood by those in the profession – yet can be used to mislead others . Only a few days ago I saw a terms trained in “Surgery and Medicine” and “admitted to the Royal College of Surgeons (i.e MRCS – trainee surgeon) yet that may be misconstrued by the public to mean trained as a Surgeon and Dr (See the Blog shortly to find out more on the terms!).
Who should be doing various procedures comes down to competence and outcomes. Just performing a large number of procedures does not make one and “Expert”. We have found out during our Facial Anatomy Teaching sessions that many practitioners leave having discovered that the technique they have previously used may not be appropriate. The Recent HEE views that 30 non-surgical procedures a year will place a practitioner on an “expert” level. Practice does not make perfect – particularly when the practice is incorrect – it purely instills permanence..
We also need to address outcomes – an accurate logbook will demonstrate the numbers performed and record complications etc. Many surgeons have a Intercollegiate e-logbook (which also has provision for non-surgical procedures). My own view is all the associations should make it mandatory for their members to keep such logbooks which will allow their representatives to objectively state the number of procedures performed by their members per year etc. BAPRS and IPRAS provide a national and international perspective as their members contribute to this process. I remember speaking to senior members of a national practitioner association about this about 4 years ago– the response was that their membership was not keen to go down that route. Unless we have such figures that reflect the national picture it will be difficult for any group to be taken seriously.Ravi Jainhas accurate figures and some of the outcomes will be published shortly. Interesting another Ravi ( Ravi Jandhyala ignited this with the UKBTGA – would be interesting to see the progress of this).
Patient safety and practitioner performance has also got to be addressed – all practitioners would need to be independently appraised with regard to their performance and keeping up-to-date – we may all feel we do that but until its critically scrutinised and all practitioners are appraised and revalidated we will not have a level playing field within the speciality. Hopefully in the near future this will be the case for all medical practitioners.
Aesthetics as a speciality is a multidisciplinary field – the patients require a mixture of surgical and non-surgical procedures to get the best outcome. This could be delivered as a “Group Practice” or by those with adequate training to “…discuss all the options including not having the procedure..” A term used by the GMC regarding Good Medical Practice in informed consent. Turf wars are a disaster – look at the recent problem with Midwives and Drs that has got into the national press.
The RCS was specifically charged with the responsibility to oversee Cosmetic Surgery – the other Royal College Specialty groups (Royal College of Physicians , Royal College of GP’s ) have remained silent on the behalf of their members. I have maintained for a long time that there should be a “Faculty of Aesthetics” within a Royal College to maintain standards- there are multidisciplinary Faculties for Podiatry and Travel Medicine to name a few. Yet a Specialty of Aesthetics appears to be shunned – until an issue crops up and we get constructive reports likening the specialty to a tooth brush…and continue to infuriate ..

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Breform™ – The Internal Bra

Mr Dalvi Humzah is just one of the few practitioners and the first in the West Midlands to offer the breast treatment nicknamed ‘the internal bra’.

The science behind the ingenious surgical procedure – the Breform™ breast lift – works in much the same way as under-wiring on a bra.

A mesh device is simply inserted under the skin to physically – and permanently – lift up sagging breasts.

Already a hit in Holland, the procedure is particularly beneficial to those who have lost the buoyancy of their figure after starting a family, restoring the breasts to their youthful shape.

Patients are left with a natural-looking result that does not diminish over time, meaning the procedure offers patient’s a permanent cosmetic solution.

 Reassuringly, the Breform™ meshing is made of polyester which is long established in the field of cosmetic surgery, having been used in surgical procedures for over 40 years.

The procedure marks a new era in breast surgery. “I like to dub this treatment ‘the eternal internal bra system’. The obvious benefit of the internal bra system is that unlike other breast lifting procedures, the results are permanent.

“It can be an excellent option for those women who feel really self-conscious about their bodies, especially after becoming mums.”

The Breform™ breast lift procedure takes between just two and three hours to complete.

 For more information on Breform, or other procedures offered please call 0800 084 2321 or visit www.pdsurgery.co.uk.

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Reduce those wrinkles – a brief guide.

The aging process results in many visible changes, for example, loss of skin tone, contour changes and wrinkles (“laughter lines”). Traditionally, these may be treated by surgical techniques, e.g. facelift, to tighten the skin, although some areas will not be treated by this procedure. However, now there are many non-surgical techniques that can achieve similar results without the risks, time for recovery and the costs associated with a surgical procedure.

Dermal fillers have become popular in treating contour defects and lines associated with aging. There many different types of dermal fillers available and it is important that you are aware of these differences before proceeding with any form of therapy. The person providing the therapy should discuss the different products available and explain which is suitable for you.
Types of dermal fillers
Broadly speaking, dermal fillers may be regarded as either temporary, long lasting or permanent.
Temporary fillers are injected under the skin and in general, will need to be topped up every 3 to 6 months. These fillers are produced from a variety of sources. Usually these products are injected by trained doctors and nurses. We use the FDA approved filers Restylane and Belotero in our practice.
Fat was first used in the late 19th century by Dr F Neuber to correct facial defects using the patients own fat. Currently fat is harvested using a technique of liposuction, purified and concentrated before injecting it back into the desired area. This may require repeated treatments to achieve the optimal result and is not applicable for everyone.
Longer lasting fillers will last from 1 year to 4 years and many longer lasting fillers such as Radiesse Ellanse are available. You should discuss these with your practitioner to understand the potential benefits and consequences of these.
Permanent fillers are a new group that have become available. New-fill and Bio-Alcamid have been introduced into the U.K. for the treatment of soft tissue defects. These permanent fillers are injected by trained doctors only. They are rarely used in general cosmetic procedures and may have long term consequences.
How is the treatment performed?
The doctor performing the procedure should explain to you the possible techniques used to correct the defects you are concerned with, as well as the possible complications. You should also have a medical history taken to ensure there are no potential problems associated with having the treatment, as well as an examination.
Photographs before and after treatment are taken, as part of the medical records, to enable comparisons to be made following treatment.
The injection procedure is commonly performed using a local anaesthetic injection, (similar to that used by the Dentist), to numb the area to be treated. This will result in the procedure being painless or only mildly uncomfortable. If a large area is to be treated the doctor may recommend a general anaesthetic and you may need to be admitted as a day-case for this. Antibiotics may also be given for you to take.
Once the skin is thoroughly cleaned with antiseptic solution, the filler is injected under the skin. Following this the puncture site is cleaned and may be covered with a small dressing.
Effects following treatment
The most obvious effect following the injection of dermal fillers is the bleeding around the injection site followed by some bruising under the skin. This should disappear after 5 – 10 days; it is common for the treated area to be swollen for this period of time.
You may be advised to use cold packs to reduce the swelling and pain-killers for a few days following treatment. I often recommend Arnica tablets and/or cream to reduce the bruising.
After the treatment you should be seen by the doctor a few weeks later to ensure that you are not experiencing any problems.
To achieve a successful result in your particular case, the person treating you should be able to discuss which implant best corrects a particular defect and explain how and when to intervene if problems occur. It is also important that you are aware of the effects of the fillers and what can actually be achieved.
Before the procedure you should be aware of the credentials and experience of the person treating you, have a proper medical history taken and be examined; the potential risks associated with the procedure should also be fully explained.

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