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Breast cosmetic surgery, breast augmentation or uplift

Liposuction permanent tat removal, fat transfer.


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مرضى شهادة الفيديو من الدكتور سكوت فيليب قبل بعد الجراحة التجميلية

الدكتور فيليب شوت جراح التجميل في باريس. آراء وأشرطة الفيديو من المرضى الدكتور فيليب شوت قبل بعد الجراحة التجميلية مثل تجميل الأنف، جراحات الأنف، شد الوجه والرقبة.

معلومات حول الجراحة التجميلية مكتوبة باللغة العربيةدكتور فيليب شوت

آراء وأشرطة الفيديو من المرضى الدكتور فيليب شوت قبل بعد الجراحة التجميلية

< دكتور فيليب شوت طبيب على الانترنت

الدكتور فيليب شوت جراح التجميل الجمالية، ومشاهدة أشرطة الفيديو قبل النتائج بعد العمليات. رأي المرضى الدكتور سكوت.

آراء وأشرطة الفيديو من المرضى الدكتور فيليب شوت قبل بعد عملية تجميل الأنف، والجراحة التجميلية للأنف.

الدكتور فيليب شوت جراح التجميل في باريس. آراء وأشرطة الفيديو من المرضى الدكتور فيليب شوت قبل بعد الجراحة التجميلية مثل تجميل الأنف، جراحات الأنف، شد الوجه والرقبة.

آراء وأشرطة الفيديو من المرضى الدكتور فيليب شوت قبل بعد شد الوجه والرقبة. المريض راض جدا عن النتيجة التي هي ممتازة.

صالات العرض من أشرطة الفيديو باللغة العربية لعملائنا والمرضى الكويت ودبي وقطر وسلطنة عمان على، والمملكة العربية السعودية.

الدكتور فيليب شوت جراح التجميل في باريس. آراء وأشرطة الفيديو من المرضى الدكتور فيليب شوت قبل بعد الجراحة التجميلية مثل تجميل الأنف، جراحات الأنف، شد الوجه والرقبة.

شهادات من المرضى في أشرطة الفيديو قبل وبعد شد الوجه والرقبة، وتجميل وتجديد شباب الوجه الذي قام به الدكتور فيليب شوت. رأي المرضى نتائج جيدة جدا. الدكتور فيليب شوت هو جراح التجميل جيدة.

موقع، موقع على الانترنت الدكتور فيليب شوت. رأي المرضى الدكتور فيليب شوت، جراح التجميل في باريس. توصيات وملاحظات عملاء الدكتور فيليب شوت.

الصور ومقاطع الفيديو قبل وبعد عمليات التجميل الأنف، تجميل الأنف، شد الوجه والرقبة. شفط الدهون من الفخذين والبطن والأرداف. تكبير الأرداف ونقل الدهون الثدي.

موقع، موقع على الانترنت الدكتور فيليب شوت. الإملاء باللغة الفرنسية هو دكتوراة فيليب Chout. الدكتور فيليب شوت هو طبيب وجراح التجميل في باريس.

الدكتور فيليب شوت هو أيضا طبيب متخصص في الطب التجميلي، وقال انه يمارس حقن توكسين البوتولينوم، البوتوكس وحقن حمض الهيالورونيك لإزالة التجاعيد أو تكبير الشفتين الطبيعي.

الدكتور فيليب شوت هو متخصص الجراح الشهير لعلاج تشوهات الوجه، المتخصص في جراحة تجميل الوجه.

الطبيب فيليب شوت (الدكتور فيليب Chout) خلق مفهوم التصميم الجمال في الجمع بين عمل واحد عدة عمليات لتجميل الوجه، مثل تجميل الأنف وتكبير الذقن، رفع البضائع صغير، وأحيانا نقل شحم.

الدكتور فيليب شوت ممارسة العمليات والجراحات التالية.

تجميل الأنف وعمليات الأنف، جراحة الأنف التجميلية جراحات تجميل الانف. عملية شد وجه لتجديد شباب الوجه والرقبة. رفع عنق الوجه. رفع رفع الزمانية وأمامي لرفع عيون وعظام الخد.

جراحة التجميل أن ينحل صورة ظلية وإزالة الدهون. شفط الدهون، شفط الدهون، ونقل الدهون. تكبير الأرداف مع نقل الدهون. تكبير الثدي مع الدهون. تكبير الثدي يزرع سنويا سيليكون الثدي. اعادة بناء الثدي، تصغير الثدي.

البطن، والحد من البطن لإصلاح المعدة عند تلف بعد الحمل.

الدكتور فيليب شوت جراح التجميل الجمالية، ومشاهدة أشرطة الفيديو قبل النتائج بعد العمليات. رأي المرضى الدكتور سكوت.

 صور قبل وبعد عملية تجميل الأنف جراحة الأنف التجميلية الدكتور فيليب شوت. إشعار المريض راض جدا عن النتيجة صور قبل وبعد عملية تجميل الأنف جراحة الأنف التجميلية الدكتور فيليب شوت. إشعار المريض راض جدا عن النتيجة

دكتور فيليب شوت طبيب على الانترنت

صور قبل وبعد عملية تجميل الأنف جراحة الأنف التجميلية الدكتور فيليب شوت. إشعار المريض راض جدا عن النتيجة

Please Visit Dr. Philippe Chout Instagram to keep updated : drphilippechout . .يرجى زيارة بلدي الانستقرام الدكتور فيليب شوت

INFORMATION PAGES ABOUT COSMETIC MEDICINE TREATMENTS.

INFORMATION PAGES ABOUT BOTOX AND HYALURONIC ACID .

BOTOX IS A WELL KNOWN VERY EFFICIENT TREATMENT FOR AGING AND LINE.
Botulism toxin injections into the muscles


of the forehead, between the eyebrows or in the crow’s-feet, deactivate facial expression in these areas and temporarily reduce the appearance of lines and wrinkles. The active ingredient of Botox or Dysport or Azzalure ( which are registered trademarks)< is tha same :Clostridium botulinum type A haemagglutinin (and it also contains albumin and lactose).

Botox Tm is administered with a very thin needle after a local anaesthetic cream is applied. The injections are almost painless, and the results are noticeable one week later. After three months the product will need to be re-administered; but following several courses the effects may last longer than six months, sometimes nine months. The doses of injected Botox TM are very weak, thus there are usually no adverse side effects related to botulism toxin activity. An allergic reaction to the product is unlikely, and the risk of skin infection is also negligible. However, the eyebrows may become slightly more arched if the forehead is treated, but this is an initial reaction, which will soon subside. Botox relaxes the muscles, therefore sensation is still perceptible, it is only the muscle movements that will be reduced.


Hyaluronic acide is a very effective and safe filler to treat volume loss.Doctor Chout would rather recommend : Hyaluronic acid injections or Fat transfer!

Hyaluronic acid has got various commercial names of Restylane tm, Perlane tm, Juvederm tm... This hyaluronic acid gel works by temporarily adding volume to facial tissue to restore a smoother appearance to the face. The effect of this hyaluronic acid gel can last for about 6 months. In a clinical study, most patients needed one injection of this hyaluronic acid gel to achieve the optimal benefits of wrinkle smoothing; about one-third of patients needed more than one injection of this hyaluronic acid gel to get a satisfactory result. The possible complication are very rare: bruising, moderate transcient swelling, allergy, skin necrosis, or superficial infection requiring a treatement fainting, headeache, nauseating are very rare. In all the cases it is recommended not to take aspirin, anti inflammatory drugs or vitamine E in the 5 days prior to and after the injections.

DR. PHILIPPE CHOUT INFORMATION PAGES ABOUT FACIAL PLASTIC COSMETIC SURGERY : RHINO , FACELIFT etc...

INFORMATION PAGES ABOUT RHINOPLASTY NOSE RESHAPING SURGERY


RHINOPLASTY Aesthetic surgery of the nose

Rhinoplasty is the well-known surgical operation that deals with either modifying the exterior shape of the nose and/or correcting a deviation of the nasal septum, which causes breathing discomfort (rhinoseptoplasty). It is possible to change the shape of the nose without changing the respiratory function and reciprocally. In the western people the rhinoplasty aim is to reduce the size of the nose, in the eastern and African nose it’s a reduction on the front view and sometimes and increase of the height of the nose bridge.

What are the most Common reasons for people wanting nose operations? Cosmetic reasons.

Most people who dislike their nose have concerns about the bridge or the tip, or nostrils or columella (below the tip). At the bridge, or dorsum, people often complain about having a hump. Meanwhile, people who want to change the tip often see this part of the nose as being too wide, round, blobby, beaked or lacking in definition. Some people also dislike the length of their nose.

Medical reasons Other patients may opt for a rhinoplasty

because of an injury to the nose, whereby the nose may be broken or bent following an accident of some kind. Others may have functional breathing problems relating to the nasal airways. In these cases, surgical interventions would be considered reconstructive, whereas for the majority of nose operations the surgery is classed as cosmetic. In Doctor Chout’s practice anyway, the operations are always done without any involvement of national insurance or any sort of private insurance, and are paid in full by the patients only.

Rhinoseptoplasty= septo-rhinoplasty The septum is the cartilage

« wall l» that separate the two sides of the nose. This « wall » may be deviated, inclined thus making the airway less permeable to the air, on one or both sides.

While performing a rhinoplasty involving the anterior part of the nose and septum, the surgeon may have to perform a septoplasty as well. The sum of these two procedures done together is called a rhinoseptoplaty.The cost of this double procedure is higher than the cost of a simple rhinoplasty.

Nose operations such as rhinoseptoplasty are most commonly carried out to: 1. Alter the hump at the bridge of the nose 2. Reshape the tip of the nose, changing its shape and /or position 3. Alter the length of the nose
 4. Alter the width of the nose
 5. Alter the width of the nostrils, the heights of its insertion reduce the alar base 6. Restructure and reposition the nose after an injury 
 7. Open up the nasal airways to help breathing, modify the septum’s position (septoplasty)

Doctor Philippe Chout prefers the close rhionplasty (scar-less technique),

this technique is more difficult than the open technique and require more skills and self-confidence from the surgeon. You will have no incision and no scar on your columella. I will make cuts inside your nostrils to reach the bone and cartilage. Partially removing and re-shaping the bone and the cartilage will then create the shape of your nose. The skin over your nose is left untouched and due to its elasticity, can shrink down to the new shape. Making the nose smaller and narrower may mean it is also necessary to make your nostrils smaller. This is done by making further cuts in the skin of the nostrils located at its threshold, which leave fine scars on each side. Your surgeon will advise you whether you may need this procedure.

Augmentation Rhinoplasty (rare)

Your surgeon will make a cut inside or between your nostrils and re-shape the bone. Additional bone or cartilage may be needed to build up the nose. Bone may be taken from: your hip, a rib; this is called a bone graft. If cartilage is used it may be taken from: your own ears spare cartilage inside your nose, sometimes artificial implants are used in Asian people. The skin over your nose will probably not need to be cut as it stretches over the new shape. After reduction or augmentation rhinoplasty, the cuts inside or between your nostrils will be closed up with dissolvable stitches. Your nose may be filled with surgical packing to help control any bleeding. You may also have small pieces of soft plastic inside your nose to prevent scar tissue from forming.

Revision rhinoplasty - The primary rhinoplasty is already the most difficult procedure of all cosmetic surgery procedures.

The probability to need a minor touch up, called retouching, and performed under local anaesthesia, as a day case is around 10% even in the best hands. Agreeing to undergo a rhinoplasty means accepting this possibility. This may involve a scar revision, removal of some fibrous tissue simple filing of the bone. - The revision of a rhinoplasty (secondary rhinoplasty), is different. This procedure under general anaesthesia is required when all the shape of the nose is wrong despite a primary rhinoplasty, and requires osteotomy revision and an important alteration of the bone and cartilage shape, amount or position. This is obviously even more difficult than a primary rhinoplasty.
FACELIFT. FACE AND NECK LIFT, FOREHAEAD AND BROW LIFT.

FACE & NECK LIFT

Before the Operation The purpose of the facelift is rejuvenation by the reduction of lower face and neck sagging (ptosis) of jowls and loose lower cheeks and neck that is commonplace from about 40/50 years of age. This procedure can be performed under intravenous sedation plus local anaesthetic ( day case) or under general anaesthesia, one or to nights stay in the hospital. It is advisable to make the appropriate diet changes such as stop smoking , no alcohol drinking for a month, balanced weight, hormonal status appraisal

The principle of a face and neck lift operation

is to make incisions in front of and behind the ears ending in the hair-bearing scalp and to detach the skin, and in some cases also the underlying skin muscles, and stretch them to restore some tone to a sometimes prematurely sagging face. Face lifting improves the jowls, cheeks, deepened nasolabial folds, neck folds and turkey’s neck. Facial ageing being sometimes premature, this operation is sometimes performed around forty years old, although most often around fifty or in the following decade.
The Facelift treats a sagging neck and jawline and fat excess, but do not change the actual quality of the skin itself that may require additional specific treatment, if appropriate. A midface lift will address the sagging cheeks and brow. The facelift will have no effect on the lower neck wrinkles, on crow’s-feet or forehead lines, on bulging lower eyelids, nor on smaller wrinkles around the mouth, which can benefit from other specific treatments that would be charged separately. A skin resurfacing treatment such as a face peel is often needed as ell. It will be charged separately. Incisions are made into the hair-bearing scalp above and in front of the ear; in the pre-auricular area; behind the ear and then back into the hairline. Sometimes a small incision is made under the chin. Drains may be placed on each side of the face, under the detached skin for one day. A moderately compressive dressing is applied which will be left in place for 48 hours. Sutures are removed on the 5th day and scalp clips on the 10th day approximately. Work can be resumed in light cases after three weeks, depending on public exposure at work, and on your requirements.



INFORMATION PAGES ABOUT BODY PLASTIC COSMETIC SURGERY

< TUMMY TUCK, ABDOMINOPLASTY DERMOLIPECTOMIES


ABDOMNINOPLASTY (TUMMY TUCK)/ THIGH LIFT / ARM LIFT IN GENERAL

When there exists an excess of skin, in addition to an excess of fatty tissue – for example on the abdomen or thighs – a simultaneous resection of the loose and wrinkly skin and of the fatty tissue may be detachment, and post-operative follow-up is not as simple as after liposuction. Either half of the skin unit below the belly button is removed (thin women) or the whole unit is removed with a larger undermining, a larger scar, some work on the deep muscles as well, more pain, a longer recovery. It means that a large incision will be done from one hips to the other and will leave a permanent scar and a permanent numbness above the scar. All the possible complications of the lipo can be seen after that procedure and are even more frequent. Complications of abdominal dermolipectomy can include haemorrhaging protracted lymphorrhagia, seroma, leakage of lymph, poor scarring, infection, Scar disunion, delayed healing making repeated dressing by nurses necessary, deep vein thrombosis, thrombophlebitis with a risk of pulmonary embolism and cardiovascular failure. There is always an inflammatory period for the scar between the 1st and the 4th months, during which unpredictably pigmentation of the scar may occur. The final scar is most often thin but may become red , elevated, and noticeable. The loss of sensitivity above the scar area is usual. It is not a complication but an unavoidable consequence of a large skin removal. Dermolipectomy of the large women will require at least four weeks of absence from work and recovery. A retouching maybe required to improve the final appearance of the scar and skin. The signature below indicates that the patient has read and consented to the information given on this page and the preceding pages, has accepted all the conditions stated above and all risks and precautions and is aware of and accepts the limitation of results.

This fact sheet is for people who are considering having an abdominoplasty (tummy tuck) operation. Abdominoplasty, commonly called a "tummy tuck", is an operation to remove excess fat and skin from the abdomen = dermolipectomy.


The surgeon may also tighten the tummy muscles. The aim is to produce a tighter, flatter stomach and waist and it may partially reduce the appearance of stretch marks. The Tummy tuck procedure does not include a liposuction but this can be combined with the tummy tuck operation, either of the abdomen alone or of a different or multiple areas. In such a case the cost of each other will be added.

Why have a tummy tuck? Typically you need a tummy tuck when an excess of skin with bulges and rippling is visible or obvious when you seat down. The reasons why someone may choose to have a tummy tuck include having excess skin, stretch marks or loose abdominal muscles which may happen after: -Losing a lot of weight through dieting and exercise - Pregnancy - Successful gastric surgery to treat obesity A tummy tuck is not a treatment for weight control and is not a substitute for regular physical activity and a healthy balanced diet.

What are the alternatives? For some people, an alternative is liposuction (or liposculpture), where fat is sucked out through small holes in the skin, but if the skin is very loose it will remain loose and rippling. The liposuction alone is therefore not a real alternative but is rather a treatment for the less unfortunate if the skin is of a good quality, without stretch marks or looseness. For more information, please see the separate fact sheet on Liposuction. Many creams, diet supplements and beauty treatments claim to reduce stubborn areas of fat and even cellulite. However, there is no scientific proof that they work.

lIPOSUCTION . LIPOSCULPTURE. FAT TRANSFER LIPO-FILLING. BREAST AUGMENTATION WITH FAT. TUMMY TUCK. MOMMY MAKEOVER .

LIPOSUCTION / LIPOSCULPTURE Liposuction is a procedure to treat excess adipose tissue

,

i.e., the deep, thick deposits of fat forming a thick subcutaneous layer that modify the body outline, such as for example on hips, abdomen or thighs “jodhpur thighs “. It cannot treat or eliminate alone the dimples of cellulite the “ peau d’orange” aspect (pigskin oedema) of the skin, which corresponds to real cellulites, neither the stretch marks nor rippling skin. Best results are obtained on rather slim women who are embarrassed by two or three moderate localised stubborn fat deposits, particularly when her weight is stabilized or after she has lost 2 – 3kgs. Liposuction does not give good results when important dietary problems exist, and is not a treatment for obesity or bulimia of which treatment is a drastic change in nutrition habits. If the excess of fat is fairly moderate and localised to one area, surgery is performed under local anaesthesia after the patient has been given oral sedatives. In this case, the patient enters the clinic early in the afternoon and leaves three hours after surgery. In case of larger fat deposits general anaesthesia or epidural block is preferred and will require 24 – 48 hours hospitalisation. Pre and post-operative pictures of the patient’s body contours in varied position are always taken. Before surgery, during the consultations the surgeon will appraise the fat layer thickness by palpation, and draws on your body a series of guidelines around the areas to be reduced (pre-op marking), as evidenced by touching and observation f the naked body parts in various lights and position, and marks the position of short incisions, which average 7 mm. Some pictures will be taken. The tumescent technique principle of the surgical procedure is to infiltrate the fat layers in order to magnify them with adrenaline plus saline (tumescent technique) and suck subcutaneous fat through multiple thin tunnels made by the suction tubes and vacuum. The thinner the canula tubes, the more uniform the result. It is advisable to use number 2 and 3 canulas with inner diameter of respectively 2 and 3 mm. After surgery, the skin rewrapped itself to the new underlying volume, results being obviously better on a young and elastic skin. An older or slackened skin, as can be seen after thirty five may require further surgery to smooth out the skin by cutaneous resection, under tension; this is called dermolipectomy. After liposuction surgery, postoperative swelling and bruising masks the final results for six weeks. Do not expect to look any thinner before 6 weeks! The patient must wear a tight girdle (day and night) for 4 weeks, in order to compress he operated areas and to eliminate the oedema. You may buy this compression garment . Results become visible after 60 days and totally achieved after 6 month depending on the treated areas. Obviously result can be discussed only if the patient did not put any weight back on due to improper food regimen. If the patient put weight back on due to improper food regimen (final weight above the initial weight minus the weight of fat removed) then no comment or claim is receivable. No retouching is due to the patient either unless her final weight is appropriate. Bruising and swelling, soreness or pain (ecchymosed, and oedema) are normal and usual after this type of surgery they will stay during a few weeks. The swelling will hide the results during four weeks. The final result is appraised only after three months. Oral prescription of arnica and local applications of Arnica help accelerate bruising desorption. Massaging with almond oil after one month is also very helpful. Painkillers are administered over the first few days to reduce pain and discomfort. The patient can usually resume work after a week and training (gym) after three weeks. This operation is one of the most frequently performed. Complications are rare, such as bleeding, lymphorrhagia, lymph oedema, liquid oozing, haemorrhaging, anaemia, transfusion, infections, abscess, MRSA, scar contracture, or hypertrophic scars. An asymmetry, and surface irregularities such as some bulges, dents, rippling or hollow or waves are possible if poor skin quality, most often after thirty years old. One must also remember other possible complications: cardiovascular complications, respiratory or immunologic, related to the used medications, are extremely rarely lethal or invalidating with anesthesia, they can evolve unto themselves.

FAT TRANSFER/Lipo-filling in general

This is the most important surgical innovation in the last ten years. Fat can be used as natural filler. When the technique is good , it can last up to 7 to 10 years. Fat removed by liposuction can be processed purified, filtered by centrifugation and used to fill in a hollow cavity in the buttocks ( buttocks augmentation or in the face. Fat transfer to the face can help to reduce the appearance of nasolabial folds, increase cheekbone area volume, improve hollowed under eyes area (tear through) increase or smooth chin projection and therefore create a more chiselled look (model look). For a limited area, this procedure can be performed under local anaesthetic plus a light sedation as a day case.

Fat can also help to increase the volume and height of the buttock when injected in, or below the muscle. This operation is called a Buttock Lift. The quality of the result is limited though by the amount and quality of the fat that the Surgeon will harvest. In order to get a visible buttock improvement the amount of fat transferred must be at least 200 cc). In order to have 200cc to inject after processing, the Doctor must harvest 800 to 1000 cc in the first place.

Re-injection is made through a small incision, or without incisions just with a needle. This allograft is called lipofilling. As only 75 % to 80% of the injected fat remains in place permanently (in the best case scenario), the defect must be over-corrected by 10-20 % if enough fat tissue is available. Otherwise an additional lipofilling procedure will be required later at the patient’s expenses. After the fat transfer :On the other hand, postoperative oedema, which is often spectacular for about two months, will temporarily mask results, due to transitory local swelling. One must be patient and realise that 10-15% of the injected volume will eventually disappear. The good side is that “what will stay after three months will stay permanently”. The patient must be aware of this usual delayed evolution, and must inform the partner and relatives as well as take the appropriate work arrangements. Otherwise results are often long lasting between five and ten years. The fat do not migrate: it will stay where it was injected. The desorption is local. Complications are very rare, such as failure of the graft with total disappearance of the injected volume, asymmetry, lymphorrhagia, swelling, granuloma with visible dent or elevation, infection, swelling for several months, protracted oedema, scar. One must also remember the possible complications of liposuction and anaesthesia. To sum up, lipo-filling is an elegant and natural way to fill up unwanted, poorly aesthetic hollow cavities or other lack of volume. Results are appraised after the 3rd month, because swelling may occur initially at the injection site. The social appearance is usually possible as early as one week after the operation. The volume gained that will stay after three months will stay permanently.

FACIAL FAT TRANSFER IN PARTICULAR

Besides wrinkling and gravity, volume loss to the face has become increasingly recognized as an important component to the aging process, which can be restored with either office-based fillers or facial fat grafting. Fat grafting, through a gentle hand-harvesting method, purification process, and micro-droplet injection technique, has shown to improve durability compared with older techniques that could compromise transplanted fat longevity.

A metaphor can help people understand the role of fat grafting: when we are young we are a full, ripe grape and as we become older we deflate into a shrinked raisin. The question then is why should we cut and pull the raisin into a pea, when we should think about re-inflating it back into a grape. Clearly, fat grafting is not a treatment for all aging, just the part that involves loss of volume. Volume loss is particularly more pronounced around the eyes, cheeks, and jaw line, chin where fat grafting can play the greatest role in creating a balanced and comprehensive rejuvenation strategy for the face that may include blepharoplasty (cosmetic eyelid surgery) and/or a facelift. Fat grafting involves removing fat from one’s own abdomen or thighs or hips to put into certain regions of the face that start to lose fat. Only tiny amounts of fat are removed so this should not be equated with liposuction. Using blunt cannula (which are 1 mm hollow tubes with a blunt end and a small hole through which the fat comes out) or a Blunt needle the fat is injected as little droplets throughout the areas of facial hollowness. By using this micro droplet technique, grafted fat has a much higher blood supply so that survival is improved and the results are smoother given how small each individual fat parcel is. Many women actually like the shape of their face better in their early 30s because they have lost a lot of their baby fat and start to have more of a triangular heart shaped face. As one continues to age the loss of fat in the eyes, cheeks and jaw line, including some weight gain in the lower face, neck, and jowls starts to create a square look or even worse and inverted triangle invert the triangle so that the base of the triangle is now at the bottom of the face. Conceptually, the goal of facial fat grafting is to invert the triangle so that the heart shaped face of youth returns. Volume restoration for the face also adds more light to the face, which in turn can make the skin look more radiant. Adding fat back to the face can even begin to help the skin texture and tone through what is thought to be a stem-cell response that the skin undergoes over areas of transplanted fat. This phenomenon is only speculated and is not conclusive but can be evident towards a year following fat grafting. Fat grafting appeals to many prospective patients, as it is minimally invasive and does not require any traditional facial incisions. With a global perspective on the aging process, fat grafting has assumed a more prominent role in our ability to combat the signs of aging. Complications are very rare, such as failure of the graft with total disappearance of the injected volume, asymmetry, lymphorrhagia, swelling, granuloma with visible dent, infection, protracted oedema, scar. One must also remember the possible complications of liposuction and anaesthesia.

Review Dr. Chout Breast plastic surgery.>

Review Dr Philppe Chout breast surgery : Breast augmentations or reductions, mastopexy, fat tranfser .

BREAST AUGMENTATION Why have a breast enlargement operation

The reasons why you may choose to enlarge your breasts include: feeling that your breasts are too small .Loss of breast volume after pregnancy (although enlargement will not lift them.
Before the Operation The implants that are nowadays authorized have an envelope of silicone; it does contain silicon gel or physiologic serum. When they are filled with physiologic serum, they contain salt water. This liquid does not present any danger to the organism but it consistence when touching is often not that of a natural breast. The silicone filled implants have a smoother consistence and less folds but the risk in rare case of silicone leak is local granuloma or rare inflammation away from the implant.
The harmlessness of the mammary implants, at a cancer point of view, is proven, they do not provoke cancer and do not bother the normal surveillance of the breast. There is no association between silicone breast implants and connective tissue diseases. (Harvard Brigham’s Hospital survey on 87 000 women –1995)

The placement of the mammary implants does not contradict either pregnancy or breast-feeding, but pregnancy and breast-feeding always alter the shape of the breast. Breast-feeding is possible after the placement of the mammary prosthesis due to the fact that they are placed behind the mammary gland and do not interfere with lactation.

The prosthesis needs to be changed after fifteen years (15 years in the best case scenario for silicone filled implants by the maker Mc Ghan or Eurosilicone), ten years for saline. Therefore the patient understand and agree that she will need later other operations of her breast, at her expenses. Can the breast implant leak?

There is a difference between a broken implant with an obvious leak, and very discrete barely invisible leakage. Breast implants leak in less than 10 percent of women and this usually starts six or more months after surgery. The breast implant often has to be removed. The contents of the implant can either leak slowly nearly invisible through the coating, or suddenly if the implant breaks open. This can lead to pain and an abnormally hard feel to the implant in the breast. The body naturally forms a fibrous capsule around the implant, which helps to contain the contents of the implant. The newer designs of breast implants have features to reduce the likelihood of the implant leaking or breaking. There have been concerns that leaking breast implants may be linked to serious health problems such as cancer but there is no conclusive evidence to support this. Mammary prosthesis are foreign bodies to the organism, their presence can create a fibrosis reaction around the implant, resulting in the formation of a shell = capsular contracture= encapsulation. The breast becomes harder, higher and round and even sometimes painful. If this eventual shell is of importance and resists medical treatment (external squeezing), an intervention to remove the shell could be necessary at the patients’ expenses (less than 10 % of the cases). The prosthesis could be placed by way of the axillaries (armpit), by way of the areola, or by way of the crease underneath of the breast according to the surgeon’s choice. The final volume of the breast and the letter of the bra are variable between different brands of bra. The Surgeon will only place the implant that you will have chosen, and is not therefore responsible for the final size of the bra. The breast being involved in the couple’s intimacy, it seems imperative that you obtain the approval of your partner before the intervention, and deliver him the information you have received. Photographs will be taken before and after the intervention. The Surgeon will take into consideration your natural asymmetry while performing the operation, but perfect symmetry is not guaranteed. A mammography seems necessary if you are over 35 years old (to be prescribed by your GP). Will the implant affect mammography? Breast implants interfere with mammography, a low-dose X-ray of the breast tissue used to detect cancer.3 You should let the radiographer or nurse know that you have implants as special X-ray views can be taken to minimise this interference.

The breast augmentation operation by dr Philippe Chout

The intervention is brief; it lasts about one and a half hours. The operation will take place under a general anaesthesia. A pre-operative consultation with an anaesthesiologist will take place before the operation. This doctor will be responsible of all the medical aspects of your operation. You won’t breathe spontaneously during the operation, but through a machine. Some biological blood test will be prescribed before operation. Do not take aspirin or any medication containing aspirin within the eight days that precede the operation and that follow the hospitalization, due to the fact that this form of medication increases the risks of haemorrhaging. All anti-inflammatory drugs will be also avoided pre and post operatively. The duration of hospitalization is normally 24 hours; it could be longer depending on the secretion in the drains. Professional activity can be continued generally on the eighth day if it is office work. The cut will be closed with stitches. If these are not dissolvable, they will be removed about a week after surgery. Bandages or dressings will be applied over the operation area. Illustration showing the position of breast implants What to expect after the operation You will be given painkillers to help relieve any discomfort as the anaesthetic wears off. Before you go home your nurse will give you advice about caring for your breasts, hygiene and bathing. You cannot take a bath for three weeks but you must shower daily. He or she will also give you advice about wearing a special supportive bra in the days after the operation. The post-operative consultations (7th and 14th days, 30 days, 60, 180, 360 days) must be attended by the patient and she should adheres to the surgical prescriptions and the placement of an elastic constraint that adjusts the position of the prosthesis and keeps it in place with the support of a particular kind of bra. The position of the implant and therefore the shape of the breast is controlled by the bandage in the first weeks following the intervention, hence the necessity to come to all consultations. 2

Doctorphilippe Chout advice and recommendation>

The final cosmetic result is limited by the amount and quality of previous skin and breast tissue, but also their relative symmetry... After operation you will initially have a compressive dressing that should stay untouched for approximately one week. When it will be taken off, you’ll take a shower every day, rinse, dry and apply antiseptic solution and cover with a sterile dressing. The pains that the intervention may cause, disappear after a couple of week thanks to pain killers and myorelaxants. The first two weeks, a tense sensation and a discomfort during normal movement of the arms are usual.Bruising swelling and the crackling underneath the skin are normal and will decrease in eight days. It is usually possible to return to work after the 8th day. Sexual intercourse will be avoided for three weeks. You must avoid the loss of large amounts of weight, in order to avoid making the implant visible and perceivable. Sometimes one can see perceptible folds or ripples under the skin (less folds with silicone filled implants) this is a possible inconvenience in case of skinny body or very small breast and fat tissue on the chest. Deciding on treatment It's important not to rush into the decision to have any cosmetic operation. And it's sensible to discuss the options with your GP. Breast enlargement is a commonly performed and generally safe operation. For most women who want the operation, the benefits in terms of improved appearance outweigh the risks. However, if you are deciding whether or not to have this procedure you need to be aware of the possible side effects and the risk of complications. Side effects are the unwanted but usually temporary effects of a successful procedure. An example is feeling sick after the general anaesthetic. Anyone having a breast enlargement can also expect: • pain, swelling, tenderness and bruising for at least a few days • a burning sensation in the nipples for a few weeks, but this should go away as you heal Complications are unexpected problems that can occur during or after the procedure. Most people are not affected. The main complications of any operation are bleeding (haemorrhaging) during or soon after the procedure, infection septicaemia and an abnormal reaction to the anaesthetic. Specific complications of breast enlargement include those listed below. • You may get an infection in the breast. If this happens, the implant may need to be temporarily removed to allow the infection to be completely treated. • Abnormal scar tissue can form around the pocket in which the implant sits. This may squeeze the implant and cause firm, painful breasts. This is known as capsular contracture. If the breast goes hard, further surgery may be required. • There is usually a temporary difference in skin and nipple sensation following breast enlargement but this can be permanent. Complications in this surgery are rare but may require returning to theatre: Haematoma and infection, skin necrosis, localized permanent loss of sensitivity, chronic pain - Some leakage of liquids like lymph around the implant or leaking of the silicone from the implant is a rare event, they causes the replacement of the implants. Skin necrosis, stitches rejection, wound disunion, re- opening of the wound, poor scarring, and keloid scar, double bubble. implant displacement. Implant moving while the pectoralis muscles are contracting, is more a side effect than a proper complication. A shell (capsular contracture) if important can lead to a second operation. A shell can occur is approximately 10% of cases. Then the breast becomes harder, assymetrical rounder and higher. Sometimes it can become painful or inflamed. With or without a capsular contracture, some fluid can build up around the implant. This is called a seroma and may require further surgery to remove. There may be a difference in size and shape between the two breasts, possibly caused by your previous natural differences that are highlighted by the surgery. Capsular contracture, seroma or late infections are not due to a faulty surgery but to an abnormal and unpredictable reaction of the patient’s body toward the implant, which is a foreign body. A patient who undergo a breast augmentation must be able to face financially and psychologically potential further operations at her own expenses and responsibility. Remember also cardiovascular complications like cardiac failure or cardiac arrest, neurological complications like strokes tetraplegia, respiratory like pulmonary embolism or immunoallergic like anaphylactic schock, septicemia are sometimes lethal or invalidating with anaesthesia, or surgery, they can evolve unto themselves.

Augmented Mastopexy (Breast Augmentation + Mastopexy) . Review information given by Dr. Philippe Chout.

A particular case is that of a woman that presents, on one hand an insufficient volume of breast tissue and on the other hand a skin excess leading to a sagging breast (more than 22 cm between sternal notch and centre of the nipple). The only placement of an implant will not correct the falling and sagging aspect of the breast. It would just create big sagging breast. A re-draping of the skin by peri-areolar concentration, or preferably with an anchor shape T inversed scar, could be necessary right away or at a later date. This is an additional procedure that will be charged separately.

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Review Dr. Philippe Chout board-certified plastic surgeon contact detail in Paris, and more information.

Dr. Chout has a private office 21 avenue George V, 75008 Paris. The Practiceand the surgery Centre for operaiton are in Paris lavish 8th arrondissement.Operations shall take place in Paris Clinic, located in world reknown Champs Elysées avenue. The Clinic and the private Office are now in the same district.Doctor Chout give the patients advices and recommendations about aesthetic medicine and cosmetic surgery procedures during the consultations. Doctor Philppe Chout was trained in France by the best plastic surgeons during his 5 years residency in Paris from 1989 to 1996. He is on the specialiste register with the General Coucil in France and in Switzerland. Dr. Chout then settled as a private consultant currently working now Paris continuously for sixteen years, and in Geneva. Doctor Philipe Chout used to work in London from 2001 until 2015. Dr. Philippe Chout now lives in France and works in Paris. If you are contemplating cosmetic surgery you certainly would like to know what to consider about cosmetic surgery procedures, the advantages and disavantages.

If you are contemplating cosmetic aesthetic surgery you need to review info about the risks, the cost and prices.

At home, before the consultation you need to research and benefit from the written information given here by Dr. Philippe Chout, plastic surgeon.

Reading recent informations is required because many new valuable techniques are up and coming. Dr Philippe Chout facial aesthetic surgery expert reviews the out of fashion procedures. The Physician will tell the news about recent and modern cosmetic surgery procedures.
It is also advisable to watch before after videos and photos. Pictures are a convenient manner for patients to get news, information and review. Patients will share the experiences of previous Doctor Philippe Chout’’s clients. It is a convenient manner to get the insiders knowledge of the evaluation of services by previous clients and customers. You will take your time at home before and after consultations to read the the pros and cons of each aesthetic surgery procedure, and compare with non-invasive treatments available. It is worth it to compare medicine and surgery and find out the most effective and value for money. The patient will pan the cost and evaluation of services.

Mr. Philip Chout will be pleased to help !

Mister Philippe Chout with a 20 years experience as acometic surgeon will give you his expert opinions and advices about each operations and techniques. Dr. Chout shall show you explain in videos the other patient’s experiences before after cosmetic surgery journey and reviews about the latest cosmetic surgery techniques.
During your consultations, Doctor Philippe Chout will explain the usual post-op steps of the recovery, that is to say time-off work, bruising, swelling, and check if something in the result is gone wrong and need a retouching. Most of the patients are very satisfied.
In the unlikely case the patient would not be satisfied Doctor CHout shall tell you his revisions policy. In the consultation room, after an appraisal of each patients, and there specific needs, Dr. Philippe Chout will deliver a price estimate and evaluation of services. The more reliable technique and the best quality clinic venues will be selected. The cost estimate will help you to plan the money side of your journey. All the expenses and costs will be detailed on a Price estimate document. There are special financing options. Health check evalautions will always be necesary before the surgery. The patient shall meet a consultant anesthesiologist, get information about the anaesthesia methods and get a blood test as well as cardiologist checks. Dr. Philippe Chout will make sur that the patient is satisfied, by regular evaluation of services, and retouching if required. Dr Chout is protect by being insured for malpractice.


MORE REVIEWS, MORE ADVICES AND RECOMMENDATIONS ABOUT DR PHILIPPE CHOUT SERVICES COSMETIC SURGEON.

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Doctor Philippe Chout reviews, recommmendation and advices.

Doctor Philippe Chout reviews the most recent and effective cosmetic surgery procedures. Facelift, neck lift, brow lift, blepharoplasty, rhinoplasty, nose reshaping surgery. Doctor. Chout board-qualified plastic surgeon reviews liposuction, fat transfer, breast augmentation.

ANAESTHESIA TYPES FOR COSMETIC SURGERY

REVIEW INFORMATION ABOUT DOCTOR PHILIPPE CHOUT.

Review Dr. Philippe Chout board-certified plastic surgeon contact detail in Paris, and more information.

Dr. Chout has a private office 21 avenue George V, 75008 Paris. The Practiceand the surgery Centre for operaiton are in Paris lavish 8th arrondissement.Operations shall take place in Paris Clinic, located in world reknown Champs Elysées avenue. The Clinic and the private Office are now in the same district.Doctor Chout give the patients advices and recommendations about aesthetic medicine and cosmetic surgery procedures during the consultations. Doctor Philppe Chout was trained in France by the best plastic surgeons during his 5 years residency in Paris from 1989 to 1996. He is on the specialiste register with the General Coucil in France and in Switzerland. Dr. Chout then settled as a private consultant currently working now Paris continuously for sixteen years, and in Geneva. Doctor Philipe Chout used to work in London from 2001 until 2015. Dr. Philippe Chout now lives in France and works in Paris.

If you are contemplating cosmetic surgery you certainly would like to know what to consider about cosmetic surgery procedures, the advantages and disavantages.

If you are contemplating cosmetic aesthetic surgery you need to review info about the risks, the cost and prices.

At home, before the consultation you need to research and benefit from the written information given here by Dr. Philippe Chout, plastic surgoen. Reading recent informations is required because many new valuable techniques are up and coming. Dr Philippe Chout facial aesthetic surgery expert reviews the out of fashion procedures. The Physician will tell the news about recent and modern cosmetic surgery procedures.
It is also advisable to watch before after videos and photos. Pictures are a convenient manner for patients to get news, information and review. Patients will share the experiences of previous Doctor Philippe Chout’’s clients. It is a convenient manner to get the insiders knowledge of the evaluation of services by previous clients and customers. You will take your time at home before and after consultations to read the the pros and cons of each aesthetic surgery procedure, and compare with non-invasive treatments available. It is worth it to compare medicine and surgery and find out the most effective and value for money. The patient will pan the cost and evaluation of services.

Mr. Philip Chout will be pleased to provide help you for evaluation of his services. Mister Philippe Chout with a 20 years experience as acometic surgeon will give you his expert opinions and advices about each operations and techniques. Dr. Chout shall show you explain in videos the other patient’s experiences before after cosmetic surgery journey and reviews about the latest cosmetic surgery techniques.
During your consultations, Doctor Philippe Chout will explain the usual post-op steps of the recovery, that is to say time-off work, bruising, swelling, and check if something in the result is gone wrong and need a retouching. Most of the patients are very satisfied.In the unlikely case the patient would not be satisfied Doctor Chout shall tell you his revisions policy. In the consultation room, after an appraisal of each patients, and there specific needs, Dr. Philippe Chout will deliver a price estimate and evaluation of services. The more reliable technique and the best quality clinic venues will be selected. The cost estimate will help you to plan the money side of your journey. All the expenses and costs will be detailed on a Price estimate document. There are special financing options. Health check evalautions will always be necesary before the surgery. The patient shall meet a consultant anesthesiologist, get information about the anaesthesia methods and get a blood test as well as cardiologist checks. Dr. Philippe Chout will make sur that the patient is satisfied, by regular evaluation of services, and retouching if required. Dr Chout is protect by being insured for malpractice.

READ MORE ABOUT REVIEW DR CHOUT.READ MORE INFORMATION ABOUT DR PHILIPPE CHOUT REVIEWS.

Read more informations about Mister Chout medical doctor. Dr Phlip Chout cosmetic surgeon is a specialist of rhinoplasty, nose reshaping surgery, liposuction, lipofilling fat transfer, breast implants, breast augmentation, facelift, neck lift, brow lift, Botox, dermal fillers hyaluronic acid.

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Informations sur les interventions de chirurgie esthétique à Paris.

Formé en France par les meilleurs Chirurgiens esthétiques plasticiens, Le Docteur Philippe Chout est un ancien Interne des Hopitaux de Paris.

Dr. Chout a obtenu le diplôme D.E.S donnant la qualification en Chrirugie plastique réparatrice et esthétique en 1996. Il a été ensuite Chef de clinique des Assistant des Hopitaux pandant deux années, dans le service de Chirurgie Maxillo-faciale réparatrice à l'Hôpital Ambroise Paré à Boulogne (92).


Le Dr. Philippe Chout est spécialiste de la Chirurgie esthétique d'embellissement du visage, des rhinoplasties, de la profiloplastie. IL est également spécialiste du rajeunissement du visage et cou par les liffting cervico-facial , lifting frontal , lifting temporal des pommettes, et mini-liftings.

3 avis Dr. Philippe Chout>

Chirurgie d'Embellissement du visage, de la rhinoplastie, chirurgie esthétique du menton profiloplastie, rajeunissement par lifting du visage et du cou, blépharoplastie des paupièress, sont des interventions de chirurgie esthétique du visage. Les interventions de chirurgie esthétique du coprs sont La lipoaspiration, la iposuccion, 'augmentation mammaire, la chirurgie esthétique du ventre, de la poitrine, du visage font partie de la chirurgie esthétique et non de la chirurgie plastique réparatrice.Les informations importantes sur les opérations et interventions de chirurgie esthétique, le prix et les tarifs des opérations, le déroulement, les complications possibles et les risques.. Un guide pour avoir l'avis du Docteur Philippe Chout, Chirurgien esthétique plasticien sur les interventions de chirurgie esthétique à Paris en France et à Genève en Suisse.

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