Thursday, January 6, 2011

Tips For Medical Tourists

Last year I have been helping over a thousand enquiries regarding medical procedures here in Malaysia.
In a great many cases, the patient is extremely well informed regarding what their procedure involves, the different techniques available, their preferred medical centre and even their surgeon of choice!
Others I feel, are looking at phrase, "Medical Tourism" the wrong way round.

Medical Tourism is not a case of, sun, sea, sand and shopping, and, oh yes, fitting in a quick hip replacement while you're at it! You can't have a liposuction in the morning and expect to be lying on the beach in the afternoon. "I'm flying in from Europe next Thursday, can you arrange for me to have my operation on the Friday morning, as I'll be flying back to Europe that night"
Apart from the fact that you are going to be in a certain amount of pain, the risk of infection is extremely high. All surgical procedures are serious. Sitting in a plane for 10 hours with hundreds of other people immediately after operation is not a good idea. Even relatively simple, non invasive cosmetic treatments such as Fraxel, can leave the patient with varying degrees of soreness where exposure to the sun should definitely be avoided.

Here in Malaysia we have fine surgeons, world-class facilities, sophisticated shopping, magnificent beaches and wonderful weather. To take full advantage of all these, the medical tourist should remember that they are here forst and foremost for medical treatment. Recuperation on the beach comes later.

Monday, October 18, 2010

MEDITOUR MALAYSIA: What You Need To Kow About Breast Augmentation

MEDITOUR MALAYSIA: What You Need To Kow About Breast Augmentation: "Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breas..."

What You Need To Kow About Breast Augmentation

Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast for a number of reasons:
• To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
• To correct a reduction volume after pregnancy.
• To balance a difference in breast size.
• As a reconstructive technique following breast surgery.

THE PROCEDURE
By inserting an implant behind each breast, surgeons are able to increase a woman’s bust line by one or more bra cup sizes. If you’re considering breast augmentation, this will give you a basic understanding of the procedure—when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstance. Please ask your surgeon if there is anything you don’t understand about the procedure.

ARE YOU THE BEST CANDIDATE FOR BREAST AUGMENTATION
Breast augmentation can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause either people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you’re physically healthy and realistic in your expectations, you may be a good candidate.

TYPES OF IMPLANTS
A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline.

ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK
Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure.
• The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or “scoring” of the scar tissue, or perhaps removal or replacement of the implant.
• As with any surgical procedure, excessive bleeding following the operation may cause swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.
• A small percentage of women develop an infection around an implant. This may occur at any time, but is most often seen within a week after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.
• Some women report that their nipples become oversensitive, undersensitive, or even numb. You may also notice small patches of numbness near your incisions. These type symptoms usually disappear within time, but may be permanent in some patients.
• There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by your doctor.
• Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be harmlessly absorbed by the body. If a break occurs in a gel-filled implant, however, one or two things may occur. If the shell breaks but the scar capsule around the implant does not, you may not detect any change. If the scar also breaks or tears, especially following extreme pressure, silicone gel may move into surrounding tissue. The gel may collect in the breast and cause a new scar to form around it, it may migrate to another area of the body. There may be a change in the shape or firmness of the breast. Both types of breaks may require a second operation and replacement of the leaking implant. In some cases, it may not be possible to remove all of the silicone gel in the breast tissue if a rupture should occur.
• A few women with breast implants have reported symptoms similar to diseases of the immune system, such as scleroderma and other arthritis-like conditions. These symptoms may include joint pain or swelling, fever, fatigue, or breast pain. So far, research has found no clear link between silicone breast implants and the symptoms of what doctors refer to as “connective-tissue disorders.

While there is no evidence that breast implants causes breast cancer, they may change the way mammography is done to detect cancer. When you request a routine mammogram, be sure to go to a radiology centre where technicians are experienced in the special techniques required to get a reliable x-ray of a breast with an implant. Additional views will be required. Ultrasound examinations may be of benefit in some women with implants to detect breast lumps or evaluate the implant. While the majority of women do not experience these complications, you should discuss each of them with your physician to make sure you understand the risks and consequences of breast augmentation.

PLANNING YOUR SURGERY
In your initial consultation, your surgeon will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift. Be sure to discuss your expectations frankly with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask your surgeon for a copy of the manufacturer’s insert that comes with the implant he or she will use—just so you are fully informed about it. And, be sure to tell your surgeon if you smoke, and if you’re taking any medications, vitamins, or other drugs. Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.

PREPARING FOR YOUR SURGERY
Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medication. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.

WHERE YOUR SURGERY WILL BE PERFORMED
Your surgeon may prefer to perform the operation in an office facility. A freestanding surgery centre, or a hospital outpatient facility. Occasionally, the surgery may be done as an inpatient in a hospital, in which case you can plan on staying for a day or two.

TYPE OF ANESTHESIA
Breast augmentation can be performed with a general anesthesia, so you’ll sleep through the entire operation. Some surgeons may use a local anesthesia, combines with a sedative to make you drowsy, so you’ll be relaxed but awake, and feel some discomfort.

THE SURGERY
The method of inserting and positioning your implant will depend on your anatomy and your surgeon’s recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Every effort will be made to ensure that the incision is placed so resulting scars will be as inconspicuous as possible. Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, wither directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples.

Some surgeons believe that putting the implants behind your chest muscle may reduce the potential for capsular contracture. Drainage tubes may be used for several days following the surgery. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue.

The surgery usually takes one to two hours to complete. Stitches are used to close the incision, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing.

AFTER YOUR SURGERY
You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48mhours. Most of your discomfort can be controlled by medication prescribed by your doctor. Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by your surgeon. You may also experience a burning sensation in you nipples for about two weeks, but this will subside as bruising fades. The swelling in your breasts may take three to five weeks to disappear.

GETTING BACK TO NORMAL
You should be able to return to work within a few days, depending on the level of activity required fro your job. Follow your surgeon’s advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery. Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear widen. After several months, your scars will begin to fade, although they will never disappear completely.

Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier.

YOUR NEW LOOK
For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.

Regular examination by your plastic surgeon and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.

Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you’ve met your goals, then your surgery is a success.

Thursday, July 8, 2010

Are You Too Old For Cosmetic Surgery?

Age could be a factor in whether your surgeon thinks you are a suitable candidate. Your age may greatly up the risk and make the outcome less successful. Although all individuals vary – generally the older you are the more risks you can expect from cosmetic surgery. It’s unlikely to be simple age discrimination that makes your doctor turn you down for cosmetic surgery – the decision is bound to be made on a medical basis.

Your cosmetic surgeon will know that many men and women over the age of fifty have physical conditions which put up a red flag as far as surgery is concerned.

High blood pressure is one – or the early signs of heart disease another. You may have an underlying medical condition that your surgeon knows makes cosmetic surgery more dangerous and less likely to succeed.

It doesn’t mean that you will automatically be considered high risk if you are well past middle age. Aging doesn’t necessarily mean poor health but we all know that as we get older our body changes and we are more likely to suffer from certain conditions.

What matters most for the safety of any surgical procedure is how healthy you are overall. Plastic surgery is a big challenge to your body and your cosmetic surgeon needs to assess this before agreeing to take you as a patient.

For this reason if you’re over 50 you are going to be assessed more thoroughly than someone in their 30’s or 40’s. Your surgeon will look at your detailed medical history – you’ll have a full physical examination and lab tests. Whatever you do – don’t try to cheat. Tell your physician the full facts about your state of health and disclose all pre-existing medical conditions.

Cosmetic surgery isn’t necessarily out for women well into their 50’s and 60’s – lots of women do it. But there are other age related issues you should consider even if you do emerge from the pre-op evaluation as fit and healthy.

Recovery time over 50 will be longer and may involve more discomfort as the rate of healing slows with age. For some cosmetic procedures skin elasticity will be an issue. If you have liposuction skin may sag after the excess fat has been removed and you may need further corrective surgery.

Cell renewal rate slows with age and you have to bear in mind that – whatever cosmetic surgery procedure you have done – it’s not likely to last as long as it would have done when you were younger.

You may be ready for cosmetic surgery in your 50’s – but what about your 60’s and beyond?

It’s in your interests to take all these things into account before deciding to go for cosmetic surgery. Above all – If you consult a board certified cosmetic surgeon and you don’t get medical clearance to have surgery – accept it. Trying to find second and third opinions to make your case may put your health and life at risk.

If you’re starting cosmetic surgery later in life – ask yourself how long you’re going to go on for. After all at some point – we all have to accept the inevitable!

Tuesday, June 22, 2010

How To Regain Your Youthful Body Contour


Excess weight and obesity have become a significant healthcare issue affecting millions of people worldwide. If you are currently carrying extra weight you can increase your risk of developing chronic diseases or conditions such as stroke, heart disease, diabetes, cancer and sleep apnea and It can also affect you emotionally.

Regain Your Youthful Body Contour
Loose the excessive weight gradually. According to research if individuals can succeed at maintaining their weight loss for at least two years, they can reduce their risk of subsequent regain by nearly forty cent.  Thus, if you want to lose weight and successfully keep the weight off, aim for long-term! Drastic weight loss over a short period of time (eg. 10-20 kg over 2 weeks) as promised by some quick-fix weight loss programmes is unlikely to be sustained over time. Large weight losses in a short time are usually followed by larger weight gain.
Different body sculpting treatments as well as approved medication can work together in synergy to make that perfect body achievable for every patient without the pain of surgery.

Stubborn Fat
Localized fat deposits are areas where fat is accumulated and does not disappear with diet and exercise.  They are found at the face, jowl, neck, arm, abdomen, back, thigh and hip areas.  They can be aggravated by the aging process, hormonal changes, poor dietary habits, lack of exercise and slow metabolism conditions.
There are several technology such as MesotherapyMicro-current therapy, Radio Frequency, etc, to achieve good results. However, regular exercise and healthy lifestyle will still be the fundamental of any weight management program. 

Tuesday, April 20, 2010

Give Disfiguring Scars A Permanent Holiday

Scars whether the result of an accident, surgery, a burn, or acne once formed will be permanent however it can be made less visible by plastic surgery.

Treatment of acne scars and surgical scars requires both the removal of damaged skin and the production of new collagen to improve the area’s tone and texture. Traditional approaches—such as deep chemical peeling, conventional lasers, topical agents and abrasion therapies—usually achieve only moderate results or, worse, they destroy a lot of healthy tissue along with the scar. In addition, these treatments often require extensive recovery time.

Unlike other procedures, Fraxel Laser treatment removes damaged skin on the surface and reaches deep into the skin to stimulate collagen remodeling. In this way, Fraxel treatment improves the elasticity, texture and tone of your damaged skin while keeping your healthy tissue intact—which minimizes any discomfort or downtime.

Contact MediTourMalaysia to arrange for an advance treatment of accident, surgical and acne scars in Malaysia.