“Over the past few years, the specialty has evolved not only from a scientific point of view, but also in quality with the demand for increasingly better results. This change reflects the greater exposure of patients to digital media. Today we have several new technologies available, such as Vaser and Rennuvion, used in body contouring surgery for example. It is always good to point out that before any surgery, expectations have to be aligned. The patient has to understand the existing limitations in his case. It is very common that patients research on the internet creating hope for easy or impossible solutions. It is up to the surgeon during the consultation to clarify these issues,” says Mattos

Plastic surgery has always been a technique-and technology – driven surgical discipline, given that there is no regional anatomic focus.There has been are mark able evolution in technique over the last 25 year swith an inc reased under s tanding of anatomy leading to a whole host of new and more reliable flaps, which has transformed reconstructive surgery, breast reconstruction being one notable example. The development and maturation of microsurgery has led to the full fruition of anatomic principles. With better understanding of blood supply to the skin, fascia, muscle and bone, many traditional reconstructive procedures are constantly being superseded by the new, ingenious use of various tissue flaps.

The global plastic surgery market is likely to gain traction from the ever – increasing number of patients undergoing procedures, such as chin augmentation, breast reduction, and breast augmentation.

The American Society for Aesthetic Plastic Surgery (ASAPS) declared that in 2018, breast reduction (18%) and chin augmentation (20%) were two of the most popular surgical procedures in the US.

This information is given by Fortune Business Insights

Though known to be a medical specialty dealing with corrections of defects, improvements in appearance and restoration of lost function.

The örst recorded account of reconstructive plastic surgery was found in ancient Indian Sanskrit texts, which described reconstructive surgeries of the nose and ears.

The global plastic surgery market is likely to gain traction from the ever-increasing number of patients undergoing procedures, such as chin augmentation, breast reduction, and breast augmentation. The American Society for Aesthetic Plastic Surgery (ASAPS) declared that in 2018, breast reduction (18%) and chin augmentation (20%) were two of the most popular surgical procedures in the US. This information is given by Fortune Business Insights™ in a recent report. The report further states that the plastic surgery market size was $50.67 billion in 2018 and is projected to reach $66.96 billion by 2026, exhibiting a CAGR of 3.6% during the forecast period.

Ayesha Rashid met with Dr. Andre Mattos, from Dynasty Clinic who tells us in detail how technology is ransforming the plastic surgery industry?

How has Plastic Surgery evolved over the years?

The name ‘plastic’ derives from the Greek, ‘plastikos’, which means to mold, to model. As, initially, techniques were used to remove tissue from a part of the body to restore the functions of organs and other tissues, and with an exclusively reparative purpose. Cosmetic surgery is referred to as the evolution of reconstructive plastic surgery. Once they realized that they could manipulate tissues to heal devastating wounds and restore a ‘normal’ appearance, plastic surgeons began manipulating tissues in ‘normal’ people to seek a better appearance, thus creating aesthetic plastic surgery.

Over the past few years, the specialty has evolved not only from a scientifific point of view, but also in quality with the demand for increasingly better results. This change reflflects the greater exposure of patients to digital media.

Today we have several new technologies available, such as Vaser and Rennuvion, used in body contouring surgery for example. It is always good to point out that before any surgery, expectations have to be aligned. The patient has to understand the existing limitations in his case. It is very common that patients research on the internet creating hope for easy or impossible solutions.

It is up to the surgeon during the consultation to clarify these issues.

The evolution was also due to the globalization of economies. Today we can easily move around the globe. Likewise trends are spreading. The desire to have bigger, more deöned lips common in Dubai quickly arrives in other countries. And other trends are brought to Dubai.

The pandemic has also brought great changes with the popularization of digital consultations. Today it is very common for me to consult someone at my Clinic in Brazil and operate this patient in Dubai.

The safety of procedures has also taken a leap in recent years with new drugs and equipment used in Anesthesiology.

Regarding non-invasive outpatient procedures, the evolution is amazing.

While we are talking here a new öller or a new toxin is being developed.

Can you elaborate about the surgeries which are in demand in Dubai currently?

Dubai is an icredible city! With so many nationalities living in harmony, we have patients for all procedures. Undoubtedly, body contour is always on the rise. HD liposuction the most wanted at the moment is very much in demand, but it is not for any patient. There are precise indications, which, when followed, bring spectacular results.

The pandemic has also brought changes in this reg a The use of a mask made the look more evident, with an increase in eyelid surgeries. In addition, people began to perceive themselves more with so many video conferences. This brought a boom in facial surgery. Rhinoplasties are also being requested more because of this exposure.

In addition, the Emirates, as I said, are home to so many difffferent ethnic groups making popular difffferent types of procedures.

The social pressure to get out of the pandemic as a better version of yourself seems to have resulted in stigma for those who have not used the time for self-improvement. With messages of improvement expanded on social media on how to stay in shape, stay productive some people have taken more drastic measures to keep pace. That is why we are seeing such a rise in plastic surgery.

Breast surgery is always very much demanded, either to decrease or increase it. The use of breast implants is popular around the world, improving the self- esteem of many women.

We cannot forget to speak of the great demand for surgery by men. In the recent past, they accounted for perhaps 10% of surgeries. Today 40% of my patients in Dubai are men.

The WHO establishes that the concept of health is organic and psychological well-being. Plastic surgery helps to achieve this balance.

Where does Dynasty Clinic stands out from the others in providing these services?

Our Clinic seeks excellence in everything it does and it could not be difffferent in plastic surgery. In addition we have a team behind so that the patient’s experience is the best. New facilities, dedicated staffff and everything for the patient’s health. Not only in plastic surgery, quality dentistry and physiotherapy as well. Without false modesty, the best in Dubai.

Dynasty Clinic is a unique and complete skin, hair care and Physiotherapy clinic located at Jumairah area in Dubai. Everyone desires beautiful skin, irrespective of age and gender. And, we at Dynasty Clinic understand this aspiration of having flawless beauty. Today in this fast developing world one can see the drastic changes in the very looks of men and women.

What is the cost involved in these surgeries?

Knowing how much plastic surgery costs is one of the main concerns for patients looking for clinics and professionals to perform procedures such as silicone implants, abdominoplasty or rhinoplasty, to name a few. The price of plastic surgery, however, should not be the main criterion for making this decision, after all, your satisfaction is worth much more than the amount that will be invested in the procedure.

When you think about health, price must be secondary. The costs may vary between patients, being submitted to the same surgery, since difficulty varies between cases.

The hospital cost also varies depending on the hospital chosen. Consultation is essential to elaborate this.

Can you please comment on the popularity of plastic surgery in the coming years?

There is a discussion nowadays, mainly among younger professionals, about the diffiffifficulty of the plastic surgery market. Other specialties are taking over areas of the specialty, mainly cosmetic surgery. Regulatory bodies have the role of bringing responsibility to each professional who performs treatments without training or technical conditions.

I have a few observations about this. First about the new culture of training, teaching and learning, which has undergone changes with the arrival of the internet. Today, all in real time, people are beginning to feel that they do not need time to mature and build a learning curve.

Everything comes with a certain time, it is not automatic like the internet. Knowledge is difffferent from experience and understanding. Dexterity and skill improves over time.

This new perspective of formation distorts the specialties themselves. Many professionals have no experience, not even in the specialty in which they graduated, but they are already able to perform procedures in another specialty. We can say that many plastic surgeons also get involved in other areas.

I understand that over time plastic surgery will not lose its space, but it will remain as it always has been, a resource for other specialties, when they understand that they are unable to solve the problem. What will happen is the number of patients with undesirable results will increase, as a greater number of untrained professionals will get their hands on the specialty. The truth is that we  will have a greater number of revisions. We already see several patients looking for plastic surgeons in order to solve sequels left by other specialists.

Those who will stay are the professionals who have their feet on the ground and the view that the specialty has always been like this. I don’t believe that this will change. After all what matters is the background of the surgeon. I am in this area for 25 years. A long time no?

Does your plastic surgery involve tissue engineering? Tell us about that?

We can use some matrices for breast reconstruction for example. And more recently new studies are on the way. The recent discovery that adult tissues have stem cells capable of pluripotential uses initiated a series of researches. Plastic surgery recently aroused interest in the subject, and

participates in stem cell research from the moment that adipose tissue and skin have become sources of obtaining and difffferentiating stem cells, opening new perspectives of treatment for congenital and acquired deformities, with a reparative purpose or aesthetics. The future will bring more options for sure.

Do you use computer assisted imaging? If so, does it provide bigger and better results to your patients?

With the advancement of technology, we have a state-of-the-art 3D scanning and simulation system.

It is the alignment of the customer’s needs with the worldwide design and the latest 3D image capture and computing technologies. The result is a functional art that brings the best of high technology to daily practice,

facilitating the client’s choice. This lessens patients’ anxiety and fears. The problem is that frustrations might increase since it is not always possible to reproduce in vivo exactly what is seen in the computer.

The 3D imaging should be used carefully. It is necessary to explain the patients about the limits of each procedure.

In your opinion what could be the future of plastic surgery in terms of technology? How much will it evolve in the future?

Technological advancements are fundamental for all sectors of society, including in the areas of health and plastic surgery. Recently, several news reports have shown the positive impact of new tools and resources in the search for better quality of life and health of people, such as the use of 3D printers in reconstructive plastic surgery. Another novelty promises to positively impact the specialty: robotic surgery.

Technology is still too expensive to be accessible to the general public. In Brazil there are about 12 robotics equipment, but none of them are used for plastic surgery. The number should increase as usage improves and consolidates.

A natural doubt when dealing with the subject is the possible replacement of plastic surgeons by machines when carrying out procedures. This scenario is unlikely to come true. Despite the name robotics, there is no artifificial intelligence commanding the robot. In this case, it is just the extension of the specialist’s arm.

The operator is the plastic surgeon and not the robot, which is actually a high-tech surgery machine. The surgeon initiates the surgery by conventional methods and installs the robot’s arms in the surgical öeld and then sits on the console and directs and commands all movements. The robot has no autonomy of movement or creativity. It is the surgeon with his experience and art who performs the surgery