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Damascus is the capital of Syria; it is also an important hub for science, culture, politics, art, and commercial activities. The city is also known to be oldest city in the world that has been inhabited continuously. The country has state hospitals in every province but most of the good hospitals are concentrated in the capital Damascus. The treatment at government hospitals is almost free and the fee charged by private hospitals is also regulated by the government.
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The New Medical Center is one the prime healthcare centre in Damascus. The hospital was set up in the year 1991 and has facilities and knowhow for almost all medical and surgical practices. It is outfitted with highly advanced infrastructure and the team at the hospital is well trained. The hospital is equipped to conduct pediatric surgery, plastic surgery, general surgery and kidney transplants. The address for this hospital is Misat sq. Bernia Street, P.O.Box 7465.
The Dr. Shami-Attar-Bdeir-Medical Care Center was established by the Attar Group in 1981. The MCC provides excellent medical care to its patients and is equipped with latest medical technology and a well trained staff. Surgeries in the fields of obstetrics, gynecology, ENT, ophthalmology and neurology apart from plastic surgery and general surgery are carried out at the hospital regularly. The hospital has advanced scanning systems and a modern Intensive Care Unit. The hospital carries out open heart surgeries and the hospital has a 100 bed capacity.
The Italian hospital in Damascus was built in 1936. It is one of the important healthcare facilities in the city. Through the years the hospital has come to be known as a modern hospital that provides good services at treatment to its patients. The hospital is located at Tilyani and the contact numbers are 332-9404; 332-6030/1.
The Al-Asadi Hospital located in Mazzeh, Western Villas Damascus specializes in heart surgery and Bridi Clinic at Rawda Street, near Arnous Square has facilities for both medical and dental ailments. The contact number is 3338210.
Medical Clinic is located on Youth City Street, Building 27, East Villas, Mezzeh Damascus 7937; the contact person in this clinic is Dr Al-Hussein Saied Moshaaoeh. The clinic offers treatment for general medicine related issues.
International Medical & Digestive Clinic found on Salhia Street, Cinema Amir Building is run by Dr M Jaber is and provides treatment for digestive and other stomach related illnesses.
Apart from the hospitals listed above there are some well known doctors in Damascus that can be contacted depending on the nature of the problem. Dr. Moufid Jokhadar is a famous cardiologist and is contact number is 331-2766/ 333-2337. Dr. Anan Haffar is a pediatrician and his address is Jisr Al Abyed, Damascus; phone numbers are 333-4283/371-2822. For obstetrics and gynecological issues you could contact Dr. Ahmad Dahman at 70, Mazraa Malek, Al Fadel Street.
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Cosmetic Surgery Before And After - Slap Lesion corporeal Therapy treatment Before and After surgical operation
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Slap is short for first-rate Labrum from former to Posterior, or from front to back. The labrum is the rim of cartilage found in the shoulder socket. An injury or tear to this part of the body is a Slap lesion, which typically results from overuse, trauma and accidents such as falling onto your outstretched hand.
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What are the symptoms of a Slap lesion?
A person with a Slap lesion or injury has shoulder pain, which becomes worse with throwing activities or when reaching overhead. The person may also sense some pain and soreness in the shoulder front when bending the elbow or turning the wrist. The person's shoulder may also click or snap with movement and may feel like being dislocated. Pathology of this injury involves a corporeal test of the shoulder and a disagreement Mri scan.
What are the treatments for Slap lesion?
Most cases of Slap injuries retort well to non-invasive or non-surgical treatment so this would be the first option for any patient. After your injury, your physician would first advise some rest to help ease symptoms. Your physician may also prescription medication to alleviate inflammation and pain.
Next, you will have to undergo a Slap lesion corporeal therapy, which mostly involves stretching and muscle strengthening exercises targeting the muscles around the rotator cuff and scapula. It is also foremost at this point to limit or make adjustments in the action that caused the injury, which could be a sport or work-related activity.
Cold therapy is also a part of Slap lesion corporeal therapy. Therapists make use of ice packs or ice massage to cut pain and swelling by applying these agents four to six times in an hour for three hours. Therapists may also apply ice if pain or any other symptoms worsen after an activity.
Certain patients, especially athletes, who play sports or do activities that involve a lot of throwing may continue to sense pain despite undergoing permissible Slap lesion corporeal therapy program. When symptoms do not go away after 6 weeks of conservative treatment or Slap lesion corporeal therapy, your physician will then advise surgery to treat your shoulder. In surgery, the physician may take off torn cartilages or attach them back in place.
After surgery, you will need unblemished bed rest and you must avoid activities enchanting the treated area. After a duration of rest, your physician may then advise Slap lesion corporeal therapy to help you restore your shoulder's vigor and full range of motion.
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Plastic Surgery Before And After Pics - treatment of Dark Circles Under the Eyes
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Effective rehabilitation for extraction of dark circles under the eyes must be directed at the basic cause of the dark circles. Millions of habitancy complain of dark circles under the eyes but the basic cause of the dark circles varies greatly. Treatments for dark circles that do not spoton the basic cause of the dark circle do not work. There is an staggering array of treatments for dark circles together with cucumber slices, tea bags, vanishing creams, bleaching creams, lasers, surgery, more sleep, avoid Tv and computer, drink 2 liters of water a day etc, yet few of these regimens seem to be directed at the basic cause of the dark circles under the eyes.
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How is treatment of Dark Circles Under the Eyes
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To good understand the rehabilitation of dark circles under the eyes I will discuss the various types of dark circles under the eyes that I encounter in my plastic surgical operation custom and my insight of the cause of the dark circles, and what I feel is the most effective rehabilitation to take off the dark circles under the eyes.
Understand that the eyelid skin appears darker than the surrounding facial skin in all people-this is the general condition and is caused by shadows created by the overhanging brow and the fact that the eyelid skin is much thinner than the surrounding facial skin. Below I am talking about exaggerated dark circles under the eyes that cause habitancy to be unhappy with their appearance.
Causes of Dark Circles under the Eyes
Thin Eyelid Skin
The eyelid skin is the thinnest in the body and many habitancy with dark circles under the eyes have highly thin skin on their eyelids and around the eyes. This thin skin is an inherited trait. The dark circles under the eyes are caused by the fact that the purple color of the basic eyelid muscle shows straight through the thin skin and creates a bluish or purple color. The color is darkest near the nose and on the lower eyelid near the nose.
Treatment of dark circles under the eyes caused by thin skin is very difficult because it is very difficult to make your inherited skin thicker. Cover up make up like Jayne Iredale Eye Cover, Dermablend, and Covermark are very helpful and my first recommendation. Frequent microdermabrasion and Retin A cream over a long period of time will build new collagen in the skin will thicken the skin and contribute some improvement.
There are new lasers on the horizon which are very effective at stimulating new growth of collagen in the skin and these new technologies may prove very beneficial. Be sure to sign up for my free newsletter to be informed when these new technologies are available.
The Arcus Deformity discussed below creates a very severe dark circle in habitancy with thin eyelid skin and correction of the Arcus deformity with Arcus release and fat grafting can be very helpful rehabilitation for dark circles under the eye in these individuals.
Prominent Eyelid Blood vessels and Veins
Everyone has veins and blood vessels called capillaries in their eyelid skin. In many habitancy any way the veins are very leading and the blood vessels add to the dark color of the eyelid.
To diagnose this cause of dark circles look in a mirror with bright light on your face and gently pull the skin of the lower eyelid tight. You will see many tiny branching red and blue lines which record blood vessels.
You need blood vessels and veins to keep your eyelid healthy and alive. any way when there is an plenty of smaller vessels which originate a bluish or purplish hue to the lower eyelid some new Ipl (Intense Pulsed Light) or laser therapies can be used to treat dark circles under the eyes in habitancy with an excess of small capillaries and blood vessels. The very large veins cannot be treated.
Laser blood vessel rehabilitation is a serious and potentially hazardous rehabilitation for dark circles under the eyes and must be performed by a doctor who is experienced in the use of lasers and Ipl. Most importantly the eye must be protected by placing a shield over the eye during rehabilitation so that the laser or Ipl light cannot hit the eye. The laser and Ipl light can damage the retina and destroy vision if the beams hit the unprotected eye.
Pigmentation of the Eyelids
Hyper pigmentation, too much pigment in the skin of the eyelid is a very base cause of dark circles under the eyes. rehabilitation of dark circles under the eyes caused by hyper pigmentation is very effective, but the pigment oftentimes returns after sun exposure.
Hyper pigmentation of the lower eyelids occurs because of sun exposure and arresting with sun block, sun glasses, and a hat are the most leading first rehabilitation for this type of dark circles under the eyes.
The rehabilitation of hyper pigmentation begins with bleaching creams such as a combination of Retin A and 4% Hydroquinone, Obagi Blender 5, Epiquin or other designate bleaching cream combined with microdermabrasion.
After the above treatments have lessened the pigmentation causing the dark circles under the eyes, if important I proceed to Ipl (Intense Pulsed Light) treatments. These treatments do effectively take off pigment causing the dark circle but again feel and eye security are very important to prevent eye injury.
Hollow Eyes
Many habitancy have a deep hollow under the lower eyelid which creates a dark shadow under the eyelid which habitancy call dark circles under the eyes.
This deep hollow under the lower eyelid is caused by an inherited deficiency of fat and or bone and rehabilitation of this type of dark circle under the eye requires surgery.
The hollow eye occurs more ordinarily in habitancy from Central Asia and the Middle East but it unmistakably occurs in all races and from habitancy in all regions of the world.
To treat dark circles under the eyes in habitancy who have hollow eyes I do a laser procedure called an Arcus Marginalis release and fat grafting. The Arcus Marginalis is a buildings which tethers the lower eyelid to the bone and creates a dark circle when the eyelid skin above the dark circle falls over the dark circle creating a shadow. Releasing the Arcus Marginalis releases the eyelid skin and eliminates the crease or dark circle.
I then transplant fat to fill the hollow in the bone and plump the dark circle and spoton the hollow eye appearance.
Usually, to treat the dark circle under the eyes caused by the hollow eye I have to take fat from around the belly button on the abdomen to have adequate fat to adequately fill the hollow eye deformity. The incision to take off the fat is well secret down inside the belly button and is ordinarily not visible.
Treatment of dark circles under the eyes caused by the hollow eye ordinarily takes me 45 minutes to an hour, can be done with you asleep or awake, and rescue is ordinarily 10 days. Patients do not complain of pain afterwards. The main rescue is waiting for bruising to go away and blurred vision from eye ointment that I have you use for the first week or two. Most importantly after this rehabilitation you need to be calm, rest and not exert yourself. Working out or heavy lifting can raise your blood pressure and cause bleeding. Although you will be up and around the first few days with sunglasses to cover your bruising, I do not want you to rehearsal or lift heavy objects for at least 2 weeks.
The Arcus Deformity-the True dark Circle under the Eye
The most base cause of dark circles under the eyes in patients who seek rehabilitation of dark circles under the eyes in my plastic surgical operation custom is the Arcus Deformity.
The Arcus Deformity is a dark crescent shaped circle or depression which occurs under the lower eyelid beginning beside the nose in the angle of the eye and running out toward the side of the face and curving upward towards the covering angle of the eye.
The Arcus Deformity is caused by the fact that a small buildings under the lower eyelid called the Arcus Marginalis is attached to the bone of the eye socket and also attached to the lower eyelid from underneath. This attachment tethers or holds the eyelid close to the bone of the eye socket while the rest of the lower eyelid is loose and free to move. The general fat which is under the eyeball pushes out against the lower eyelid which creates a graphic bulge on the lower eyelid. You can see this by end one eye and gently pressing on the closed eye. With your other eye you will see the bulging of the fat against the closed lower eyelid on the other side.
The eyelid skin that is tethered by the Arcus Marginalis cannot move or bulge, and as the fat bulges the lower eyelid above the Arcus Marginalis it creates a shadow or dark circle under the eyelid where the Arcus Marginalis is attached to the lower eyelid skin. This is the true dark circle under the eyes.
As we age and our eyelid skin becomes loose or lax, the eyelid skin also falls or sags over the depression caused by the Arcus deformity and the dark circle gets worse. With aging and excess protrusion of fat against the lower eyelid the Arcus deformity can become quite pronounced.
The Arcus Deformity is the true dark circle under the eye and I use the term Arcus Deformity to differentiate it from the Tear Trough Deformity which is different. The Tear Trough Deformity starts near the angle of the eye in the same location as the Arcus Deformity but the Tear Trough Deformity runs down into the cheek rather than up toward the covering angle of the eye.
The Tear Trough Deformity is a sign of industrialized facial aging and is caused by the sagging or descent of the cheek into the middle of the face which occurs with facial aging in your 50's and 60's. Tears run down the cheek and out the side of the face straight through the Tear Trough instead of straight down the cheek as they do in a child.
By distinction the Arcus Deformity occurs in much younger patients together with children. Most habitancy seeking rehabilitation for dark circles under the eyes in my plastic surgical operation custom are in their 20's and 30's. Doctors often misdiagnose the Arcus Deformity as the Tear Trough Deformity which is a major qoute if a Tear Trough Implant is used to treat the dark circle. The Tear Trough Implant is designed to plump or spoton the depression in the cheek out toward the side of the face, and in my feel the Tear Trough Implant cannot adequately spoton the dark circle under the eye where it is deepest, near the angle of the lower eyelid near the nose.
The rehabilitation for dark circles under the eyes caused by the Arcus Deformity must include release of the Arcus Marginalis and fat repositioning or fat grafting to plump the area of the dark circle.
The former plastic surgical operation rehabilitation for eyelid rejuvenation called the blepharoplasty, during which fat is removed, can unmistakably make dark circles under the eyes worse and originate a hollowed eye appearance.
Treatment of dark circles under the eyes that are caused by the Arcus deformity requires a contemporary blepharoplasty coming which includes release of the Arcus Marginalis and fat repositioning or fat grafting.
I use a very definite rehabilitation for dark circles under the eyes called the transconjunctival blepharoplasty with Arcus release and fat grafting. This rehabilitation is done straight through a tiny incision on the inside of the eyelid called a transconjunctival incision because it goes straight through the conjunctiva, the pink tissue on the inside of the lower eyelid. I also use the laser to make this incision.
The benefits of the laser transconjunctival incision are:
1. No graphic scar or incision on the covering of the eyelid
2. No turn in the shape of the lower eyelid-the former scalpel blepharoplasty straight through an external incision ordinarily weakens the lower eyelid and causes a sad eyed look
3. Less bleeding during surgery
4. Less bruising after surgery
5. Quicker recovery
My results following rehabilitation of dark circles under the eyes with the laser transconjunctival blepharoplasty with Arcus Marginalis release and fat grafting have been very successful. Most patients have recovered within a week and many who do not bruise are comfortable being seen with make up after 5 days.
Summary- rehabilitation of Dark Circles under the Eyes
To summarize, effective rehabilitation of dark circles under the eyes requires that you spoton the qoute that is causing the dark circle under the eye. To accomplish this you must understand what type of dark circle under the eye you have and what is causing it. The following is a summary table:
Thin eyelid skin-Retin A, microdermabrasion, laser?
Prominent Eyelid Blood Vessels-Ipl, Laser
Pigmentation of the Eyelid-Bleaching creams, Ipl, laser, Microdermabrasion
Hollow Eyes-Arcus Marginalis release and fat Grafting
Arcus deformity-Transconjunctival laser Blepharoplasty with Arcus release and fat grafting or repositioning
Treatment of dark circles under the eyes is possible; the key is insight the basic cause of your dark circles. With allowable prognosis and rehabilitation of dark circles under the eyes caused by the Arcus deformity beautiful results can be achieved with the transconjunctival Arcus release and fat grafting.
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Board Of Plastic Surgeons - Buffalo Hump Deformity - Plastic Surgery Treatment
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One of the manifestations of the lipodystrophy syndrome is the Buffalo Hump deformity. While it occurs mostly in patients with HIV on antiviral medications, it can also be associated with chronic steroid use, such as in asthma patients. Occurring in both men and women, its predominant feature is the fat accumulation at the back of the neck and upper back. Fat accumulation can extend around the neck to the jawline and even around the ears. While unsightly, it also causes functional issues such as neck stiffness and pain and difficulty with the fitting of clothes around the neck.
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Why this fat accumulation occurs is not precisely known, but it is a thickening of the subcutaneous fat layer between the skin and the underlying muscle or bone. This fat is unique in that it is very fibrous in quality, meaning it is a mixture of fat and scar tissue that makes it more difficult to remove than many other fat sites in the body.
Liposuction is the preferred method in many cases for removal of the buffalo hump as the scarring is minimal which is an important consideration around the neck and face. Liposuction avoids the need for a long incision on the neck and upper back, has a lower risk of postoperative fluid collections, and does not require the use of drains. This fat is surprisingly gritty and tough to remove and traditional liposuction methods can be quite disappointing. Or at the least, requires a lot of work to get much out. For these reasons, ultrasonic liposuction is my preferred technique. This does better than traditional cannula methods in this type of fat. I have not yet used laser liposuction methods but I would expect them to be effective, but am unsure if they would be more effective than an ultrasonic method.
Ultrasonic liposuction can provide significant improvement but can not get all of the excessive fatty tissue. Expect improvement but not a complete cure of the problem. No long-term studies have ever been done that can substantiate how permanent the results from liposuction reduction of the buffalo hump are.
Fat around the front part of neck up into the face can be part of the buffalo hump or can also occur in Madelung's disease. Open excisions of fatty tissue around the face, jawline, and ears works better than liposuction in my experience. The facial areas and front part of the neck are more difficult to treat with liposuction and usually less satisfying. Unlike liposuction, however, open excisions are associated with postoperative fluid collections (seromas) and the use of drains is needed. Open excision is done through a facelift type approach, placing the scars in the most favorable location.
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Best Plastic Surgeons In Mobile Al - All About Treatment For Osteoarthritis Options
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Osteoarthritis does not have a cure but there are a number of different ways to keep the pain to a minimum and enable joint movement. A treatment for osteoarthritis can be divided into four different categories. These categories are medication, therapy, surgery and lifestyle changes.
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Before we can properly look at the treatment for osteoarthritis we should know a bit about the condition. This condition is a type of arthritis which will cause an eventual breakdown of cartilage located between the joints. The places commonly affected by this would be the spine, hands, feet, knees and hips.
When osteoarthritis has no known cause then it is called primary osteoarthritis. Primary osteoarthritis can be linked to age. As we age the water content in the cartilage becomes greater and this will cause the cartilage to degenerate. The pain and inflammation experienced with this is due to the friction present when the bones rub against each other. This happens because there is nothing between them when the cartilage is gone.
Knowing a bit about the condition will help us to understand the treatments a bit more. Medication can be used for a number of things. Acetaminophen is often given to people with this condition to help alleviate the pain. To reduce any inflammation people will often take Nonsteroidal anti-inflammatory drugs or NSAID's. Tramadol can only be taken with a prescription and is an analgesic. The use of cortisone shots will also help with the pain and can only be administered by a doctor.
There are many different types of therapy that one can undergo to help not only with joint mobility but also pain. Physical therapy is something that is conducted on a person to person basis and will help the movement of your joints. Occupational therapy will help you to find different way to stop putting stress on your joint during the day. There are centers that will have classes for people who suffer from chronic pain. Going to these classes will help you to find ways to deal with the pain of osteoarthritis.
There are a number of procedures and surgeries that can be done to help people with this condition. A procedure called Viscosupplementation is when hyaluronic acid derivatives are injected into the knee to create a cushion. Joint replacement is also something that can be looked at. When this surgery is done the surgeon will remove the damaged surface of the joint and replace it with metal and plastic devices. The surgical realignment of bone can also help alleviate pain. Fusing bones will also help with pain and increase stability but will cause the joint to have no flexibility.
For people who do not want to undergo any surgical procedures there are lifestyle changes that can help. Rest can help inflamed joints. You can also try exercise when you feel up to it done with your doctor's approval. The stress on joints can be added to by weight so maybe losing a bit of weight will help.
A good treatment for osteoarthritis comes in a number of different forms. You should try and find the one that will work the best for you.
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