Dr. Joe Baroud

🛌 Does staying in bed 𝘼𝙛𝙩𝙚𝙧 𝙎𝙪𝙧𝙜𝙚𝙧𝙮 improve your healing?

The answer is the 𝙚𝙭𝙖𝙘𝙩 𝙤𝙥𝙥𝙤𝙨𝙞𝙩𝙚.

Moving around the house 𝙚𝙫𝙚𝙧𝙮 𝙝𝙖𝙡𝙛 𝙝𝙤𝙪𝙧🚶‍♀️🚶‍♂️and 𝙖𝙫𝙤𝙞𝙙𝙞𝙣𝙜 𝙡𝙤𝙣𝙜 𝙨𝙩𝙖𝙮𝙨 in bed 𝙞𝙢𝙥𝙧𝙤𝙫𝙚𝙨 𝙗𝙡𝙤𝙤𝙙 𝙘𝙞𝙧𝙘𝙪𝙡𝙖𝙩𝙞𝙤𝙣 𝙖𝙣𝙙 𝙡𝙪𝙣𝙜 𝙛𝙪𝙣𝙘𝙩𝙞𝙤𝙣 which are the most important factors in healing during the first days after surgery.

Long stays in bed without moving may also 𝙞𝙣𝙘𝙧𝙚𝙖𝙨𝙚 𝙩𝙝𝙚 𝙘𝙝𝙖𝙣𝙘𝙚𝙨 𝙤𝙛 𝙗𝙡𝙤𝙤𝙙 𝙘𝙡𝙤𝙩𝙨, especially for people who are overweight, smokers or have clotting issues in the family.

The best way to maintain/improve gynecomastia surgery results is by upper body training.

The best time to resume training is usually after 10 to 14 days from the procedure (starting light and progressively increasing).

As a rule of thumb, if there is pain with the exercise, don't do it (this applies to all cosmetic procedures and exercise)

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70% of people who break their nose do not need future plastic surgery.
According to statistics, even if the bone is displaced, patients will be satisfied with the nose healing after it is put back in place (reduction).
Reduction can be done within the first 7 to 10 days after the injury, but better to be done earlier (same day/next day)
It is important to know that any cosmetic surgery after a broken nose can not be done before 6 to 8 months after the injury, before healing is complete

At least 1/4 men in our region have "Man b***s" (Gynecomastia), and its psychological impact is dramatic most of the time (social embarrassment, self confidence, restriction in social activities, lack of motivation for sports restriction in clothing options...).

Gynecomastia does not mean that someone has extra fat in the breast from being overweight. It is caused by additional breast tissue (glands) and the reasons are many (overweight during puberty, anabolic steroid use, intake of certain medications, canabinoid overuse...)

Doing exercise or losing weight does not get rid of gynecomastia and surgery is the only solution.

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The risk that Botox moves to other areas of the face is minimal when regular activity is performed.
So unless you are bending forward repeatedly or for substantial periods of time (for example yoga moves) straight after having Botox, you will be fine.
NB: Heavy exercise is not recommended on the same day of Botox

Nose base (or Alar) reduction is to decrease the size of the nostrils.

This procedure has to be designed with high precision, to make sure the scar location and direction is exactly in the folds of the nose, and to make the nostrils as symmetric as possible.

It is not hard to get a bad result with this procedure, so definitely ask more than one opinion before going for it.

"Where love reigns, the impossible can be attained"

Is it possible to get surgical-grade skin tightening without surgery?
With medium amount of extra skin, definitely yes.
The radio frequency minimally invasive technology can heat the inner side of the skin to reach temperatures of up to 42 degrees. This causes the skin to shrink without burning and can achieve a very impressive amount of face and neck skin tightening without surgery.
The procedure is performed under local anesthesia in one session of 30 minutes and the results last as long as 5 to 7 years.

The location of the breast reconstruction scar is important...
But it is not as important as treating the cancer and getting rid of it.
This is why it is best for the plastic surgeon to be cooperating with the breast surgeon from day 1 to make sure the scar location will get the best cosmetic and cure outcomes combined.

Breast reconstruction after expanding the skin with a balloon (tissue expander)

This is the result of the second (out of 4) procedures for this patient's breast.

The first procedure (balloon under the muscle) immediately at the time of breast removal (mastectomy). Then weekly visits to inflate the balloon to the desired size.

Most breast reconstruction journeys require something between 2 and 4 procedures to reach the best results.

The road is always a challenge, but at the end, victory is sweet.

Breast cancer is very common in women and 12% will get it in their lifetime, even without any family history.

Don't be afraid of mammograms, they are a 1 way ticket to complete the cure and continuing a healthy life, so don't miss.this opportunity.

Remember, breast cancer is not something to be scared of, yearly screening will detect it early and save your life.

Some empty spaces just need to be filled...

Her emotions before this procedure:
There is something about my eyes that is bothering me. I don't know what it is.
Botox is not giving the effect I want, maybe you should lift my eyebrows?

Her emotions after this procedure:
Wow, why didn't I know about this before!?

My emotions for this procedure:
Above the eye is a very sensitive area, only a certified plastic surgeon or oculoplastic surgeon should do it. Only absorbable fillers (hyaluronic acid)

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Gynecomastia is man b***s⁣
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It looks like a small detail, but for those who have it, it's a major issue...⁣
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A large number of men suffer from gynecomastia, and I can testify to the impact it has on self esteem, body image and limitation of lifestyle.⁣
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Unfortunately, surgery is the only solution for gynecomastia as the breast gland will never go away with diet and exercise.⁣
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The last 12 days of my life were one of the heaviest. More than 100 patients and 100 stories. Each one repeating the explosion's disaster in my mind. Absorbing all this mental trauma was tiring. But with the help of all the positive energy I've been getting from the people around me and the satisfaction of having this positive impact on the lives of the injured, I'm able to continue.
Thank you for all your support

In the darkness of this chaos, I am offering my plastic and reconstructive surgery experience to all those suffering from major injuries to the face or face burns.

Please inform me about cases that are severe or did not get the chance of proper medical care.

It is obvious that our system is paralysed and has no capability to protect, nor help us, and it is only by small personal efforts that we will be able to pass this.

My heart is shattered, but it will not stop beating. Together we stand stronger.

A nose got hit and is bleeding...⁣
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The best way to control nosebleed is by pressing on the soft part of the nose (cartilage) and not the bone, and by leaning forward and not backwards. ⁣
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The exact opposite of what most people do.⁣
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Applying pressure at the soft (cartilage) part of the nose for 5 consecutive minutes without any sneak peaks (to check if it stopped) will stop 90% of nose bleeds (10% will need another round). ⁣
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NB: All people on blood thinning medications require more time to stop bleeding and MUST be seen by a doctor after a head/face injury, to make sure there is no bleeding in dangerous areas (brain).⁣
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@ Qubic Center

One of the things that exercise does NOT benefit is the extra skin.

For people who lost a small amount of weight, the extra skin will probably shrink back by itself.However, those who have lost a lot of weight (>30kg), or had extra skin for a long time (>2years), this skin is not going anywhere.

For big amounts of extra skin, surgery is the best option.

For medium amounts of extra skin or when surgery is not an option, skin tightening by internal radio frequency heating can be very effective and practical.

Good news for a Monday...

Women aged 18 to 35 do not benefit from wearing a bra.

Phenomenon:
Over 15 years of measuring breasts and ni***es show that women who do not wear bras have firmer and more lifted breasts compared to those who wear bras.
On average, there is a 7mm/year lifting effect to those who give up bra use.

Reason:
Continuous bra use makes the ligaments that support the breast weaker and not able to hold it against gravity.

Exceptions:
Women who might not benefit from bra abandonment: >45 year old; overweight; very large breasts; >2 children; previous breast surgery.

Special note:
Sports bras during exercise are very important for breast stability and ligament protection and should always be used.

Some people think it's a magic button...⁣
However, the reality is that liposuction's final result is a 50:50 effort between doctor and patient. If one of them fails to do a good job, it will not be great!⁣
A stable weight before surgery, a healthy diet after surgery and making sports a lifestyle are the main ingredients for liposuction success...⁣
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Myth⁣
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After facial fillers (with hyaluronic acid) the product is introduced into the desired position and then for a few seconds it can be molded to the final position. It is not possible for hyaluronic acid fillers to move during sleep not even the same day of the procedure.⁣
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Pressure on the pillow with the face is not enough to move the filler material so one can sleep in any position.⁣
A good tip is to sleep with the head elevated (2 pillows) the first day so there will be no swelling the morning after.⁣
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When belt fat removal is a start button.
This patient had lost all motivation for exercise because of the stubborn belt fat she had been trying to remove for years. So she gave up the fight for this lost cause.
All she really needed was a jumpstart to get back on track, full motivation.
That's what belt fat removal did to her.

A strong nose trauma can be shocking and painful, so many will worry about having a broken nose (especially those who have had a nose job).
In such situations, panic and fear will make them seek emergency medical attention (most of the times not needed).

The nose is not broken if none of the alarming signs is present:
🔹Bleeding
🔹Change in nose shape (deviation)
🔹Blocked sensation (one or both sides)
🔹Skin cuts

In this case, all there is to do is to control the future swelling: Tape the entire nose with "Steri-strips" or paper-tape (keep for 4 to 7 days), apply ice (helps the 1st 6 hours), keep the head elevated at all times after the trauma and make sure to sleep with 2-3 pillows to avoid swelling the next morning.

Many mix up between Botox and fillers...⁣
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Is it Botox that makes the lips bigger? Not really.⁣
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Usually fillers to the lips make them appear bigger and more plump. ⁣
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Botox treatment to the lip area is generally to decrease gummy smile (relax the muscles above the lip) and in some cases to turn the lips out when they are extremely turned inwards (relax the lip muscle itself)⁣
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There are no strict rules for Botox after care.⁣
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So it is more useful to understand the logic behind the instructions than to follow them blindly.⁣
Immediate care:⁣
(Avoid high blood flow to the face) ⁣
Lying Down/bending for long periods of time (once or twice is fine)⁣
Yoga/Inverted positions ⁣
Heavy Sports ⁣
Hot shower/ Solarium⁣
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Later care: ⁣
(Avoid Botox resistance)⁣
Do not delay retouch more than 2 weeks (best at 1 week)⁣
Wait at least 6 months before re-dosing (Before this time Botox effect is still there)⁣
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NB: The face does not get used to Botox and it is not necessary to re-dose once started. Stopping it will not have any negative consequences on the face.⁣
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Is it true that people with red hair need more local anesthesia?⁣⁣
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True⁣⁣
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Redheads have a special gene that makes them more sensitive to pain and need more local anesthesia.⁣⁣
"This is why many redheads have a fear of the dentist" says the American Dentistry Association.⁣⁣
However, with general anesthesia, it is a different story. ⁣⁣
Studies clearly show that there is no increase general anesthesia requirement for redheads. ⁣⁣
Mystery solved!⁣
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@ Qubic Center

Can extra skin shrink by itself?⁣
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Extra skin will never resolve by itself after massive weight loss (>40 kgs), even with a perfect diet and a lot of exercise.⁣
In this case, surgery was the only option to remodel this lady's shape to the way it deserves to be.⁣
Once again, a happy patient with an improved lifestyle (diet, exercise, mood, motivation) after surgery.

What happens the first few months after liposuction is amazing.

The body consumes almost 30% more calories (higher metabolism) to heal and reorganize itself.

If one uses this phenomenon to their advantage, they will definitely get better results and probably exceed their own expectations.

Diet:
Increase proteins and vegetables; cut down on carbohydrates, fats, sugar and salt.
Maintain a 12 to 16 hour fasting period between dinner and breakfast.

Exercise:
As soon as movement is comfortable (a few days after surgery) resume light exercise and progress further. This will speed recovery, and burn more fat in the process.

Hydration:
Drink a good amount of water (2.2L/70kg) to get rid of body waste products
Compression garments: To contain and resolve the swelling.
To allow for more comfortable movement. To restrict the tummy and eat less.