Dr. Ahmad on Rhinoplasty in Elevate Magazine

Dr. Ahmad is featured in the latest issue of Elevate Magazine, Canada’s cosmetic enhancement authority that has provided coverage on anti-aging, wellness, and enhancement for over 10 years. The feature, 4 Common Plastic Surgery Myths Debunked, “sifts through the junk for the facts and truths about cosmetic enhancement.”

As the Director of Research and Education at The Plastic Surgery Clinic, Dr. Ahmad is committed to developing research in order to further the art and science of plastic surgery, continuing to improve the care that we provide for our patients. Further to that goal, he is similarly invested in improving patient knowledge and understanding of cosmetic medicine with the belief that an informed patient is an empowered patient.

The abundance of information currently available online for patients allows for an unprecedented number of resources for prospective patients, which is an important and powerful tool. At the same time, some of this information can confuse, mislead and deter patients from perfectly safe and effective procedures. Dr. Ahmad hopes that contributions to features like this one will help to clear up some of the popular misunderstandings surrounding plastic surgery.

In this feature, Dr. Ahmad addresses a common misconception about rhinoplasty—specifically that nose surgery usually takes more than one procedure and that patients are frequently required to return to their surgeon for corrections. The truth is, revision rates for rhinoplasty vary greatly, although one study placed the typical revision rate at less than 10% of all patients. As Dr. Ahmad explains, there are two important considerations for nose surgery patients that can significantly reduce the chances that a revision surgery will be necessary.

“The first is the surgeon’s experience,” he explains in the article. “What type of training do they have? How many surgeries have they performed? And do they perform revision rhinoplasty?” Following this concern, the second important factor is to make sure that the patient and the surgeon have a similar point of view in terms of their aesthetic goals for the patient’s nose. It’s helpful if both patient and surgeon share common ground on what they think makes an attractive nose and that both share the same understanding of the goals for nose surgery. As Dr. Ahmad explains, one way to help achieve this is during the consultation process. By looking at a wide range of the surgeon’s before and after photos and by having a very open and honest conversation about the prospective surgery, a patient can determine if they are on the same page and also get a good sense of their doctor’s aesthetic sensibility.

Dr. Ahmad on Rhinoplasty

As a practitioner of both primary and revision rhinoplasty, Dr. Ahmad has an extensive level of experience with nasal surgery. If you’re considering rhinoplasty or any other cosmetic surgery procedures and have lingering questions, call us toll free at 1-866-803-6415 or fill out the request for information at the bottom of this page to book a free consultation with him today.


The Big Trends in Fillers and Injectables for 2016

trends in fillers and injectablesIf there are three words that could sum up trends for fillers and injectables over the past few months, they would be quite obvious to anyone involved in aesthetic medicine: Kylie Jenner’s lips. As with any number of current body and beauty obsessions, the Kardashian family still dominates the public imagination. And while lips were big this year, they weren’t the only trend for injection treatments. Looking ahead to the new year, what non-surgical treatments are we performing at The Plastic Surgery Clinic that we can expect to continue grow in popularity?

Augmented Lips Will Continue to be Big

To be fair, this isn’t a trend that came out of nowhere. Long before patients were bringing photos of Kylie Jenner in to consultations, they were talking about Angelina Jolie’s lips as a source of inspiration. Lip augmentation will always be popular because there are a number of different ways it can be achieved, whether you want a subtle enhancement or a noticeable increase in volume. The formulas used in fillers continue to be improved by manufacturers, which makes them easier to use, more comfortable for patients, and creates a visually pleasing result. This allows advanced injectors to develop new and better injection techniques for great-looking natural results.

To see the full spectrum of these results in the real world, head over to our RN Jenny’s Instagram profile. She frequently updates with real before and after photos of all kinds of non-surgical procedures, fillers and injectables being one of her areas of expertise.

Injection Treatments for Wrinkles: Not Just for Women

While many people assume that skin rejuvenation treatments are only sought out by women, the truth is, the aging process is not gender-specific. Every year we’re seeing more and more men coming in for consultations and injectables (sometimes jokingly referred to as “Brotox”) are no exception. What’s great about these wrinkle-smoothing treatments is that an experienced injector knows how to target and relax specific muscles in the face to create a refreshed, rejuvenated result and they know how to customize a treatment to keep it looking masculine and natural for a male patient.

If current trends continue, these types of treatments will become even more popular with men this year. And really, it makes sense. So many people spend countless hours working out each week to look and feel their best. It’s only natural they would want to put their best face forward as well.

Injectables and Fillers—Not Just for Wrinkles

Another big trend in injectables has to do with their impressive versatility. While they’re most commonly known for helping to smooth out the look of wrinkles and for increasing volume in targeted areas of the face, these injections can actually be used in a number of different ways to achieve all kinds of different results.

For example, injections that target muscle activity—usually used to reduce the appearance of crow’s feet and lines around the forehead and eyes—can also be injected into specific forehead muscles to create a subtle non-surgical brow lift. We also use a similar strategy for patients who want to correct what’s known as a “gummy smile” where the top lip reveals more of the gum line when smiling than the patient desires. By injecting the precise lip muscle that controls this movement, we can create a really natural result. There are even non-cosmetic applications for these treatments, such as reducing excessive sweat and alleviating chronic migraines, and it’s likely injectors everywhere will continue to see an incline in the number of these patients.

Beyond lip augmentation and anti-aging, fillers similarly offer a number of possibilities. Our own Dr. Ahmad has done extensive research on the use of soft tissue fillers for rhinoplasty, otherwise known as non-surgical nose job, which is ideal for patients who want to make subtle changes to the shape of their nose without surgery. We’ve also been seeing an increase in the number of patients interested in fillers to treat bags underneath the eyes. In many cases, skin around the eyes becomes more lax with age, making the small pockets of fat beneath the eye more pronounced. Fillers can increase the volume of surrounding tissues so that eye bags become less pronounced.

Dr. Lista on CoolSculpting in the Toronto Star

Toronto CoolSculptingThe Toronto Star recently published a feature with Dr. Lista all about CoolSculpting. They wanted to know: why are so many men are attracted to this non-surgical fat freezing procedure?

The article’s author Robert Cribb (pictured here with The Plastic Surgery Clinic RN Jenny and our actual CoolSculpting patient, Josh, at our Toronto clinic) explains that men everywhere have been looking to find the right balance in the pursuit of six pack abs and a six pack of beer among friends. One common thing we hear from both male and female CoolSculpting patients is that they’ve tried everything. They’ve stuck to healthy diets, worked out regularly, and managed to maintain an overall weight that they’re happy with. But still, not matter how hard they try, they find they have those unwanted, stubborn pockets of fat around their midsection, back, or thighs. No matter how hard they try to follow the strictest lifestyle parameters, it just won’t go away.

That’s where revolutionary CoolSculpting comes in. Developed by scientists at Harvard, this groundbreaking treatment uses the science of cold to eliminate fat cells for good. Our patients love it because there’s no surgery and no downtime required. For one hour, consistent cold temperatures are applied by the CoolSculpting applicator to the targeted areas of unwanted fat. Because fat freezes at higher temperatures than water, only fat cells are killed while the surrounding tissues are left unharmed. Over the three months that follow a CoolSculpting treatment, the body naturally processes and eliminates these dead cells, eventually revealing a more trim and contoured silhouette.

As Dr. Lista explains in the article, half of the patients who visit The Plastic Surgery Clinic for CoolSculpting appointments are men who are usually targeting stubborn fat around the love handles, abdominal, and back areas. This even gender split is not something Dr. Lista sees in any other cosmetic or surgical procedure performed at the clinic. “Men are kind of chicken so they don’t like have to have surgery,” he says. “This is something you can do on your lunch break.”

Read the full article here to find out more and learn more about the reasons our patient Josh chose CoolSculpting treatments.

Watch the Toronto Star video feature:

Josh’s before and after:
CoolSculpting before and after photo


Is Giving Plastic Surgery as a Christmas Gift a Good Idea?

Plastic Surgery for Christmas GiftWith all the 10º weather we’ve been experiencing in Toronto this week, it can be difficult to remember that it’s the month of December and Christmas is only 10 days away. Maybe you’ve finished your gift shopping, or maybe you’re still trying to think of what to get for the person who has everything. One particular topic of conversation comes up a lot for us around this time of year—is it a good idea to give someone plastic surgery as a holiday gift?

Well, that can be a complicated question, although it doesn’t have to be. If you’re making a big assumption without having a conversation first, you could be setting yourself up for a very memorable Christmas, and not in a good way. If you have no idea if it’s something your loved one, family member, or friend really wants for themselves, it’s a pretty awkward hint to give them. You might rightly end up with a lump of coal in your stocking in return.

That being said, it seems like popular attitudes about cosmetic surgery and non-surgical treatments are changing all the time. Tom Seery, the founder and CEO of realself.com (essentially the top consumer website for patients considering plastic surgery) recently explained that people have become more comfortable talking about the cosmetic procedures they’re interested in since cosmetic medicine has become so much more mainstream than it once was. Since the year 2000, these procedures have grown in popularity by an impressive 104%. The result? More and more people are having that first step conversation, and more are feeling comfortable asking Santa for surgery this Christmas.

It’s not uncommon for us to receive inquiries about gifting procedures and gift cards. In many of those cases, we’re hearing from romantic partners who want to help contribute to overall costs. A survey of RealSelf community members found that, of those who had gotten some kind of a procedure as a gift, 75% received it from their partner or spouse.

One great way to go about gifting plastic surgery that benefits everyone involved is to give the gift to a loved one or friend who’s already had a consultation and made the decision on their own terms. First of all, that eliminates any risk that you’ll be offending them. Second of all, for a plastic surgeon, the consultation process is an essential step in determining if a patient is a good candidate for the procedure they want. It’s really important to ascertain if a prospective patient has reasonable expectations and is not being affected by any external pressure.

It’s the same reason why consultations at The Plastic Surgery Clinic are always free—we never want someone to come in and feel like they’re carrying the weight of a financial burden before they even get to ask questions about the procedure. You should always be entitled to make the best decision for your health, your body, and your lifestyle without any added stress. 


What is the Difference Between Breast Implant Incisions?

As you might have noticed if you’ve read any of my other blog posts on the topic, breast augmentation is never a one-size-fits-all procedure. At The Plastic Surgery Clinic, our goal is to achieve the best looking and safest results possible for each of our patients. This means we totally customize every operation to each individual patient. So when I have a patient come in for a free consultation to talk about breast augmentation, we always have a lot to discuss. One particularly significant topic of conversation is incision placement. It’s a really important question: what are your options for breast implant incisions?

incision placement for breast augmentationThere are four main areas of the body where your breast implant incisions can be placed. The small incisions, which are usually only about an inch in size, can be placed around the lower edge of the areola (the periareolar incision), under the crease of the breast (the inframammary incision), hidden in the armpit (the transaxillary incision), or even hidden in the belly button (the transumbilical incision).

Periareolar Incision – This type of incision is made at lower edge of the pinkish or brownish skin surrounding your nipple. Although this placement might be the most visible or “out in the open” of all of your options, the scar can often be easily camouflaged since it’s located at the border of your naturally pigmented areola. Because saline breast implants are inserted into the body empty and filled with saline once they’ve been properly placed, there’s usually no reason why they can’t be inserted using this technique. However, silicone or cohesive gel breast implants are inserted already filled and so they tend to require a slightly larger incision. If you have chosen a cohesive gel implant the size of your areola might affect whether or not you feel this incision is right for you.

Inframammary Incision – If you think about where the underwire sits when you wear a bra, this is where an inframammary incision is typically placed. It’s positioned at or slightly above where the bottommost part of your breast meets your ribcage. An incision at the crease of the breast usually works best for women who have more breast tissue to begin with—a smaller breast with tighter tissue and without a deeper fold will not hide the scar well.

Transaxillary Incision – Placing the incision in the armpit can be ideal if you don’t want any scars on your breasts themselves. Some people refer to this as “scarless breast augmentation” but, in reality, you will still have a small scar that resembles a wrinkle in your underarm skin. Some surgeons prefer not to insert a cohesive gel silicone implant through this type of incision, but at The Plastic Surgery Clinic we have the expertise and the tools to do so safely and effectively. We use the Keller Funnel™ implant device in order to insert silicone implants through very small incisions, including in the armpit. If you have smaller nipples or less breast tissue to begin with, this incision could be a good option for you.

Transumbilical Incision – There is one strict limitation with an incision hidden in the navel, and that’s that it can only be used with a saline implant. This type of incision offers a bit less precision than the others and so it requires a highly skilled and experienced surgeon. In the very rare case that a secondary surgery is necessary to address a complication, one of the more traditional incision sites is usually required. The biggest advantage is that the scar is very well-hidden.

No matter where your breast implant incisions are placed, we will do everything possible to ensure that you’re left with the smallest scar possible. In the weeks immediately following your operation, you might not like the appearance of your breast implant incisions. This is a totally normal phenomenon, and as your body heals, your scars will continue to flatten out and fade in colour. Many patients report that after a period of six months, their scars are practically unnoticeable. When we discuss your goals and the result you want to achieve with breast augmentation, we’ll talk at length about the benefits and drawbacks of each type of incision for your unique procedure. When all is said and done, you always have the final say on where your incisions will be placed.