Body Dimorphic Disorder (BDD): what is it?
BDD is a psychiatric disorder with different severities and a broad spectrum of presentations. The diagnosis criteria to BDD are:
i. Preoccupation with a imaginary defect or disproportional extreme concern with a slightly defect in appearance
ii. Significant distress or impairment in social, occupational or other areas of functioning, resulting from the appearance preoccupation.
iii. The preoccupation is no due to other psychiatric disorders (e.g. eating disorders)
The treatment depends on the severity of the disorder.
BDD is included in a group of psychiatric disorder called “somotoform disorders”. However this is controversial, and many experts consider it as a obsessive-compulsive disorder.
What are the signs and symptoms, who is this more prevalent in,males or females and around what age does it begin exhibiting?
Is this triggered by something in the environment or some kind of media influence
What is the link between BDD and plastic surgery addiction?
How common is this?
How can you tell if a patent is addicted to plastic surgery?
How ethical is it for the doctor to keep performing surgery on a patient such as this?
Do you have any anonymous case study you are able to share with us?
How do you, as the doctor, convince the patient that the procedure they are requesting (in the case of addiction) is not necessary? Do you turn the person away?
Are there some celebrities who you feel are visibly addicted to plastic surgery? Who?
What role do media play in all of this in your opinion?
What are the most addictive kinds of procedures in your opinion?
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A breast lift is intended to correct a ptotic breast, independently of the volume correction. In ptotic breasts the nipple position is at the level of the inframamary fold or lower. In light to moderate cases it can be accomplish only by adding volume as this will give one to two centimetres lift. In the other ones we have also to take skin out, in order to get the desire lift.
Breast augmentation is intended to add volume. It is related to size, not to the nipple position. In most cases, alone, it cannot correct a ptotic breast.
In some cases we just have to combine both procedures. We called it a “mastopexy with an implant”
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Chegei ao Dubai há uma ano!!
Cerca de 6 meses após ter "aterrado" dei uma entrevista à revista New You, em que discutimos alguns temas recorrentes na cirurgia plastica e cosmetica e mais alguns assuntos de ordem mais pessoal que tenho todo o gosto em partilhar convosco. Apresento aqui um resumo.
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I arrived in Dubai one year ago!
Almost 6 months after, gave an interview to the magazine New You. We discussed some recurrent themes in plastic and cosmetic surgery, plus some more personal matters that gladly want to share with you.
Look forward to yesterday...
A landmark in Dubai’s burgeoning anti ageing medicine sphere; Aesthetica Clinic is committed to introducing the latest in minimally invasive techniques without compromising on the practice of evidence based medicine. Under the guidance of its founder, Dr. Maria Angelo-Khattar, a veritable pioneer in this field, the clinic ensures reliable treatment choices in rejuvenation and the enhancement of beauty.
Meet the Aesthetica Team
Dr. Francisco Falcão de Melo is a plastic surgeon with his areas of interest embracing plastic, reconstructive and aesthetic surgery in addition to head and neck, breast, body contouring, oncology, chronic wounds as well as hand surgery.
An eminent addition to Dubai’s plastic surgery fraternity, Dr. Falcão de Melo has attended over one hundred conventions and courses on plastic, reconstructive and aesthetic surgery, microsurgery, burn care and hand surgery and has published numerous papers in his field.
What age is appropriate to consider a face lift?
Cosmetic surgery should be approached like any surgical issue and performed when there is a relevant problem that cannot be solved with a less invasive solution. Also it is important to note that one should not look to cosmetic surgery as preventive, because it cannot prevent in this instance, facial ageing.
We have different treatment solutions for this specific problem, and they should be offered according to the diagnosis given by the doctor. The difference to other medical or surgical treatments is that the cosmetic surgery is an option so if the patient decides not to do it, there is no health prejudice.
A face lift is addressed to correct the facial and neck's sagging skin, skin folds and wrinkles and also the loss and shift of volume that occurs with time. Therefore (a face lift should be consider) in their mid to late forties , because before the skin is usually supple and voluminous and is not an issue in the majority of women and men. I stress the importance of having a consultation because there is no set time frame, it all depends on each individual case, and of course lifestyle habits. The most important factors that speed the ageing process are the unprotected sun exposure and smoking and this can be changed or controlled by you.
What book are you reading?
I usually have a couple on the go. Now I’m enjoying The Power of Habit, by Charles Duhigg which is a fascinating exploration of our pathologically habitual society. People smoke, incessantly check their smart phones or chronically choose bad partners. Duhigg digs into why we are this way, and how we can change, both as individuals and institutionally. Essentially his thesis is simple yet powerful: confront the root drivers of our behavior, accept them as intractable, and then channel those same cravings into productive patterns.
I also have Winter of the World by Ken Follett on my bedside table. It’s the second in his massive Century Trilogy, a full 960 pages long. The good news is that it’s quintessential Follett. The delight remains in the details.
It may be an intimidating read due to its length and it’s taking me more than a few cool winter nights to finish, but it's a good investment in time. Reading is an all consuming passion of mine.
What is playing on your iPod?
John Mayer Where the Light Is Live, it captures this rock genius where fans love him most: live on stage. The sounds are hauntingly beautiful, once you hear it once, it stays with you forever.
Do you have a favourite website or blog?
I regularly check news websites such as CNN.com, Eurosport and the Portuguese Press.
Most challenging New Year’s resolution?
Taking my cue from Duhigg’s bestseller, it has to be substituting some of my habits by healthier ones.
Tenho recebido algumas questões sobre a "barriguita" que sobra após a gravidez. Vou tentar responder a todas, pois os problemas colocados são na sua essência os mesmos.
É natural que após a gravidez fique como sequela uma maior protusão do abdómen abaixo do umbigo. Tal resulta de essencialmente de 4 factores:
Boa tarde senhor Dr. Francisco Falcão Melo
Preciso da sua ajuda!!!
Tenho uma filha com 12 anos, que com 8 anos foi mordida no lábio superior por um cão. A parte do lábio onde faz o V caiu e teve de ser reconstruído. Na altura o que o cirurgião plástico receitou para ela pôr no lábio foi o Gentocil, que só passado algum tempo é que vi que era uma pomada oftálmica. Continuei a pôr, porque acreditei no que a médica tinha receitado.
Foi vista posteriormente no Hospital de Egas Moniz por um cirurgião, que disse que o lábio não estava mal mas que tinha feito clóide.
Disse que se podia fazer uma reconstrução, mas ela mal saímos do consultório disse logo que não.
Desde então tenho comprado imensos cremes, insisto para que ela ponha todos os dias, pelo menos à noite, que faça uma massagem de pelo menos 3 a 5 minutos. O que é facto é que ela põe, mas devido à idade por vezes esquece-se.
O meu pedido para consigo, vai no sentido de me aconselhar algum creme que seja milagroso e também o que devo de fazer para que o lábio dela fique com um aspecto ainda melhor. Durante o verão desde que aconteceu este episódio, que põe sempre protector com factor 50+ e eu ando sempre à procura de um creme que lhe faça desaparecer quase que por completo a maldita cicatriz.
Ajude - me por favor
Muito obrigada e espero ansiosamente a sua resposta
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Your eyes are the focal point of your face and puffy bags and excess skin under them could make you look tired and worn. Today, however, there is a surgical technique designed specifically for the removal of that "tired" look that can change your physical appearance by playing a vital positive role in facial harmony and your emotional perspective. Dr. Francisco de Melo Consulting Plastic Surgeon at Aesthetica Clinic conducts eye lid surgery, also known as blepharoplasty, to rejuvenate patients' upper eyelids, lower eyelids or both.
Desde já agradeço a atenção dada a este meu pedido de informações. Desde adolescente que possuo alguma gordura localizada nas ancas e coxas, é sempre muito difícil encontrar calças que me sirvam dada a grande disparidade de medidas, pois tenho a cintura muito fina mas as ancas largas e joelhos grossos. Relativamente as ancas largas, não sinto qualquer desconforto porém no que diz respeito aos joelhos confesso que me causam incómodo e tristeza. Tenho vergonha em usar vestidos ou saias, pois é mais evidente este meu problema. O facto de ter os tornozelos finos e a perna começar a engrossar nos joelhos faz com que estes quase se unam e a perna evidencie gordura na face interna da coxa. Gostaria de saber o que fazer para melhorar esta condição e quais os custos dessa intervenção.
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