“ Barrie’s First Cosmetic Surgery Centre”

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Dr. Guirguis

Why You Want To Meet Dr. Guirguis

Dr. Emad Guirguis is a general surgeon who is certified by the College of Physicians and Surgeons of Ontario to perform cosmetic surgery, after having completed a comprehensive cosmetic surgery certification process. As a general surgeon with specialization in cosmetic surgery, Dr. Guirguis has extensive knowledge of both external and internal human anatomy. He routinely performs complex surgery, including those that arise from complications related to previous cosmetic surgical procedures, applying advanced and superior techniques to achieve the results with which you can be highly satisfied. Dr. Guirguis does not operate "blind" during surgery, dramatically decreasing the risk of complications and improving your rate of recovery.

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Why do drains after surgery increase complications?
The placement of drains after a cosmetic surgical procedure is common. These drains are basically tubes attached inside your body that extend outward, allowing for excess fluids (ie serous fluid and blood) to be eliminated from the body to reduce swelling. However, numerous medical studies have shown that drains can increase the rate of complications and prolong the recovery process for a number of reasons:

1. There is a higher rate of infection because harmful bacteria can enter the incision more easily. The longer the drains are in place, the higher chance an infection will occur even if antibiotics are prescribed.
2. A more noticeable scar may result because the incision is open for longer.
3. Your recovery tends to be longer because it relies on the drain to function properly (and, yes, sometimes they do malfunction!). This also involves you emptying the contents of the drain, and recording the amounts for your surgeon. Higher amounts of fluids may indicate infection or seroma, a more serious complication that indicates the presence of an abnormally large pocket of trapped fluid.

It is standard practice for surgeons to make incisions inside the body without first seeing where to place them, in the hopes that nothing gets accidentally cut or punctured. Excessive, unnecessary bleeding is typical, so much so that drains may be needed to eliminate the blood. To ease bleeding, surgeons then rely on drains as well as the pressure from the implants (in the case of breast augmentation) and dressings. In addition, drains are also necessary to eliminate fluids that collect in empty pockets where tissues are not sealed firmly. This is very common in abdominoplasty, aka tummy tucks. Wouldn't it be better if you didn't need drains in the first place?

As a general surgeon, Dr. Guirguis understands the complications that can arise from using drains. For this reason, he seals all tissues firmly during surgery, eliminating any spaces inside the body where fluids could collect and contribute to excessive swelling and seroma collection. This makes drains totally unnecessary.

In addition, Dr. Guirguis believes that operating "blind" causes trauma to the patient that can be totally avoided by simply using a fiberoptic headlight, which he wears throughout the surgery so that he can see exactly where every incision he makes is located inside the patient's body. As a result, the risk of accidentally puncturing vessels or internal organs is exponentially decreased, and he is able to avoid cutting any vessels that could contribute to unnecessary bleeding. His patients never require the use of drains, during or after their surgery.
Do you make these 4 BOTOX® mistakes?
1. You ask for too much because you want to really get rid of those wrinkles.
Too much BOTOX® can make you look frozen, surprised, or prevent you from making certain facial expressions. It can also cause your eyelids to droop or accentuate the bags under your eyes. The purpose of treatement is to give you a refreshed appearance that appears natural. Therefore, you shouldn't aim to get rid of every little wrinkle, as it may look abnormal. A few traces will certainly make you better, but not like a different person.You want to look your best.

2. You ask for too little, because you don't want to look frozen or are being frugal.
Why bother going forward with treatment if you just want a tiny bit that may not improve how you look? It's best to talk to your injector and find out how much they think is suitable to achieve what you want. You know that too much will make you look weird, but the amount your properly trained, knowledeable and experienced injector recommends is based on their expertise as a medical professional. That's why it's important to choose an injector that you can trust, supported by the right credentials.

3. You price shop.
BOTOX® is a medical treatment. Don't go for the cheapest just because you don't want to spend so much. Ask yourself this: why are they selling it for so much less than other places? You probably won't know the answer to that question. Every medical clinic and injector purchases BOTOX® for the same price from Allergan (the manufacturer), so what is being decreased or cut so that they can sell it for less? Remember: if they aren't getting enough patients to use their supply and are trying to sell it off for a cheaper price, then you probably won't be getting a fresh product.

4. You think that BOTOX® will smooth away your wrinkles entirely.
It's not unusual to assume you won't have any more wrinkles in the area you have treated, but don't expect every single wrinkle to disappear. Some wrinkles need more than BOTOX® as they may be permanently etched in your skin. These "static" wrinkles cannot be targeted with BOTOX® and require injectable fillers to smooth them out. During the consultation, you'll find out if your unwanted wrinkles can be addressed and to what extent.

Memberships and Qualifications held by Dr. Guirguis

Dr. Emad M. Guirguis is recognized by the Royal College of Physicians and Surgeons as a general surgeon, with additional recognition as a cosmetic surgeon. He is certified by the College of Physicians and Surgeons of Ontario to perform cosmetic surgery, after completing a comprehensive cosmetic surgery certification process. Dr. Guirguis is also a member of the Canadian Association of General Surgeons. Dr. Guirguis currently has hospital privileges at Stevenson Memorial Hospital. Read more about Dr. Guirguis.