Dr Ayham Al-Ayoubi condemns the decision of private clinics not to replace PIP implants free of charge

As the scandal surrounding substandard PIP implants continues to unfold, it has recently come to light that some of Britain’s largest cosmetic surgery clinics, have taken the decision not to replace PIP implants free of charge. Even more damningly, many stand accused of trying to ‘fob off’ women by discouraging them from coming in for checks on the substandard implants and saying that women may need to wait for up to a month before they will learn whether or not they have PIP implants. Dr Ayham Al-Ayoubi of The London Medical and Aesthetic Clinic at 1 Harley Street points out that ‘It is hugely unethical that some of the country’s largest clinics will not remove these implants; I am also surprised that such large organisations seem to be unsure of what products were used for which patients’.

It also seems that some private clinics have been misrepresenting advice given by MHRA. The Times reported this weekend that one clinic’s ‘PIP enquiry script’ advises call handlers to tell women that ‘The MHRA’s current advice is that if you are not experiencing any changes in your breasts then not to worry and only patients that think that their implants have ruptured ought to seek advice from their surgeon. What this means is that there is no need for a scan or for you to remove your implants unless you are showing clear signs of rupture.’ The enquiry script goes on to say: ‘Please do not advise all PIP enquiry patients to have a scan; this is not necessary and is not the guidance which has been given by either the Department of Health or the MHRA’.

Doctor Ayham Al-Ayoubi says that the above recommendations one clinic is currently issuing to patients are ‘simply wrong’. Dr Ayham Al-Ayoubi goes on to say ‘it is shocking that this clinic is misrepresenting the Government’s advice in this way, the way in which they have selectively quoted the MHRA is extremely misleading for patients. Currently, it seems that this clinic is not acting in its patient’s best interests’. Dr Ayham Al-Ayoubi goes on to say that ‘It is essential that any woman who is concerned about PIP implants attends a consultation with her surgeon to determine whether or not she needs a scan. If it is decided that a scan is needed the woman should then be offered one. This is the way in which the NHS is handling its own patients who have had PIP implants and private clinics should certainly be offering the same service to their own patients.’

Dr Ayham Al-Ayoubi says that ‘it is important to bear in mind that the clinics which are refusing to remove PIP implants are by no means representative of the ethics of the industry as a whole. At The London Medical and Aesthetic Clinic we would most certainly offer correct advice to concerned women, as well as removing the implants as quickly as possible and free of charge.’ Currently eight UK clinics have committed to removing and replacing PIP implants free of charge, while others have refused to do so. Dr Ayham Al-Ayoubi is also shocked that private clinics are putting further strain on the NHS, which will provide scans and remove implants if private clinics refuse to do so. Dr Ayham Al-Ayoubi says that ‘it is wholly unfair that the NHS must care for private sector patients because some clinics have abandoned their duty of care towards their patients. At the London Medical and Aesthetic Clinic at number one Harley Street we take our duty of care towards our patients extremely seriously and would certainly not allow the NHS to clear up this mess’.

Some clinics have attempted to justify their decisions by pointing out that that replacing all PIP implants would cost over £40 million and that these sorts of costs would bankrupt clinics. However, Dr Ayham Al-Ayoubi says that ‘this justification is simply not acceptable. The CEOs of these clinics are businessmen not Doctors; however they ought to appreciate that as Surgeons it is essential that we consider the welfare of our patients before profits. These clinics have profited significantly from the breast augmentations they have performed and PIP implants have improved their already wide profit margins due to the fact that they are cheaper than other implants on the market. Patients are now left waiting anxiously and confused by conflicting advice, which is simply unacceptable and certainly not what I would consider to be the correct way in which to practice medicine. At the London Medical and Aesthetic Clinic, if something were to go wrong we would take immediate responsibility and correct the problem no matter what the cost, because that is the ethical way in which we choose to operate our clinic.’

Dr Ayham Al-Ayoubi provides a few answers to the most frequently asked questions about PIP implants

Who are PIP?
PIP (Poly Implants Prostheses) was a company operating out
of France from 1996 which was licensed to make breast implants from medical
silicone.

What is wrong with their implants?
Problems were found with PIP implants as early as 2000 when
eleven deviations of ‘good manufacturing practices’ were discovered at their
factory. At this time PIP recalled all of its hydrogel implants which were withdrawn from the market. However the real problem began in 2001 when PIP began using industrial silicone in their implants and dispensed with the protective shell, which meant that the implants were far more likely to rupture.

What should I do if I think I have had PIP implants?
The French government are currently advising all women who have had PIP implants to have them removed and women in the UK are advised to contact that clinic or hospital who performed their breast augmentation procedure.

What side effects or symptoms am I likely to have?
If your implants have ruptured you are likely to experience hardening of the breast tissue and you are likely to feel lumps of silicone in the arm pit. Many women also experience pain in their breasts, usually a dull ache or burning pain in one or both
breasts. This pain is due to the irritant nature of the industrial grade silicone.

Can PIP implants cause cancer?
The Medicines and Healthcare products Regulatory Agency is
satisfied that PIP implants do not cause cancer, going as far as saying ‘there
is no evidence of an association’ (between cancer and PIP implants).

I have breastfed my child with PIP implants, is the likely to have caused my child any harm?
The Medicines and Healthcare products Regulatory Agency have
looked into this issue in depth and have concluded that PIP implants do not harm babies.

Did my surgeon know that these implants were substandard?
Absolutely not. The implants were quality marked for sale in Europe because PIP began manufacturing them using medical grade silicone, so you can rest assured that your surgeon used them in good faith.

How to stop snoring? Daily Mail interviewed Dr Ayham Al-Ayoubi

Every night millions of Britons are engaged — often obliviously — in a snoring chorus of rumbles, rasps and grunts while

their suffering partners lie awake beside them. A recent study found many of us lose the equivalent of three weeks sleep every year because of our other halves' snoring.

Dr Ayham Al-Ayoubi says: "It's a widely under-reported problem that can have a significant impact on people's well-being and relationships," A recent study found many of us lose the equivalent of three weeks' sleep every year because of our other halves' snoring "I have seen two people who said they would have to cancel their engagement if their partners' snoring

couldn't be fixed."

Dr Ayham Al-Ayoubi says: "In the majority of cases, simple lifestyle changes can have a big impact," Sometimes, however, the problem may require surgery.There are potential risks to the snorer's health, too, as certain types of snoring make you prone to high blood pressure, diabetes and even stroke. An estimated three million Britons snore regularly. The causes range from allergies to a late-night tipple and being overweight. Pinpointing the root of the problem is key to finding the right treatment. So how can you — or your long-suffering partner — work out what's behind your snoring?

Dr Ayham Al-Ayoubi reveals the different types of snoring, and how to tackle them...

NASAL SNORER

Dr Ayham Al-Ayoubi says: The classic 'snore' — a low-frequency fluttering or rumbling noise. "It sounds like someone doing an impersonation of someone snoring, or Darth Vader,"

THE CAUSE: If your nasal passages are partially blocked, more air is forced through the mouth while you sleep. This extra pressure causes the soft and dangling tissue of the throat to collapse. When it's collapsed, the soft tissue vibrates as air rushes past it, emitting the characteristic snoring sound. A common cause is an allergy or sinus infection which causes inflammation and swelling of the lining tissues.

Deformities of the nose such as a deviated septum (where the wall of cartilage that separates one nostril from the other is crooked) or nasal polyps (fleshy, non-cancerous growths) can also cause obstruction and sleep problems.

TAKE THE TEST: Stand in front of a mirror, holding one nostril closed and breathe in. If the open nostril tends to collapse, try propping it open by holding the outer rim with the clean end of a matchstick. Now, with your mouth closed, try breathing in through your nose — if breathing is easier with the nostril propped open, you could be a nasal snorer.

Allergies can be seasonal, such as hay-fever. However, if your nose is blocked all year round, this suggests a structural problem with the nose rather than an allergy. Other symptoms to look for include a dry mouth, bad breath or headaches caused by dehydration.

Dr Ayham Al-Ayoubi explains : The saliva dries in the open mouth as the air rushes to the back of the throat. Without saliva, the bacteria that cause bad breath can flourish. "If you snore and you need to constantly sip a glass of water by your bedside through the night, some form of nasal obstruction could be to blame."

WHAT YOU CAN DO: Breathe Right nasal dilator strips— special plasters you put on the outside of the nose which stretch the nostrils open — can provide extra external support to improve airflow, explains Dr Ayham Al-Ayoubi. "In extreme cases we can perform surgery to insert small rods, or silver rings, which keep the airways open," he says. If you have a deviated septum, an operation to straighten it, known as a septoplasty, is also possible.

Dr Ayahm Al-Ayoubi Adds:Polyps can be surgically removed with total resolution of the snoring. If you think allergies may be to blame, ask your GP for testing. "Using a mattress cover and man-made fibres for duvets and pillows can eliminate dust and house mites, a common cause of nasal congestion, and using nasal steroid sprays for a minimum of two months can help,".

TONGUE SNORER

Drinking alcohol just before bed can exacerbate the problem of tongue snoring by relaxing the muscles that support the tongue

SOUNDS LIKE: A high-pitched snore that comes in fits and starts, and stops when you roll on your side.

"The sound made by a tongue-based snorer is often higher pitched as it's more focused on the denser tongue muscle rather than the flappy palate," says Dr Ayham Al-Ayoubi. “It also tends to be in shorter bursts rather than the continuous flapping vibration of the soft tissue in the throat."

THE CAUSE: Roughly 30-50 per cent of snorers are tongue-based snorers,' says Dr Ayham Al-Ayoubi."Here, the tongue is in the wrong position, blocking the air flow through to the throat — perhaps as a result of a small lower jaw; or else the supporting muscles are too relaxed, allowing the tongue to fall back when you lie down, or you could simply have an overly-large tongue."

Drinking alcohol just before bed, sleeping pills and other medication such as antihistamines can exacerbate the problem by relaxing the muscles that support the tongue. Men in particular suffer from tongue-based snoring because they tend to put on weight around the neck, explains Dr Ayham Al-Ayoubi, and this can cause “a build-up of fatty tissue around the base of the tongue, constricting the airways".

TAKE THE TEST: Stick your tongue out as far as it will go and grip it between your teeth, says Dr Ayham Al-Ayoubi. Now try to make a snoring noise. If the snoring noise is reduced with your tongue in this forward position, then you are probably what is known as a "tongue-base snorer".

WHAT YOU CAN DO: If your tongue is falling too far back, a bespoke mandibular advancement device (MAD) has been shown to be effective in the majority of users, says Dr Ayham Al-Ayoubi.

This is in effect a plastic mouth guard that pulls the lower jaw and in turn, the tongue forward to open the airways. A low-tech solution to prevent the tongue falling into the back of the throat is sewing a tennis ball into the back of your pyjamas. “This simply prevents you sleeping on your back," he says.

Losing weight and avoiding night-caps and smoking (which irritates the throat and nasal linings) are also important.

MOUTH SNORER

Mouth snorer: Low-frequency rumbling, similar to nasal snoring

SOUNDS LIKE: Low-frequency rumbling, similar to nasal snoring. You snore whether on your side or back.

THE CAUSE: One of the most common causes of snoring is breathing through the mouth. This causes the soft tissues of the palate or the uvula (the dangling tissue in the back of the mouth) to bump against each other and vibrate, triggering the snore. This is known as “palatal" snoring.

TAKE THE TEST: Open your mouth and make a snoring noise, says Dr Ayham Al-Ayoubi. Now close your mouth and try to make the same noise. If you can only snore with your mouth open then you are a “mouth breather". You could also look at the soft tissue towards the back and top of the mouth. "There should be an open passageway for air to travel through — if the tonsils are clearly visible, or if the palate hangs down, this could well point towards mouth snoring — it's like a sheet flapping in the wind."

WHAT YOU CAN DO: Maintaining a healthy body mass index, limiting alcohol intake and stopping smoking can all help prevent palatal snoring by tightening the neck muscles and pulling up any soft tissue responsible for the noisy vibrations.

Dr Ayham Al-Ayoubi says :"The surgical solution I advocate in this situation is pillar implants that support the palate," These plastic rods are inserted into the soft, floppy part of the palate in a 15-minute procedure.

A NICE study three years ago found 67 per cent of cases had a reduction of at least 50 per cent in their snoring compared with none in the placebo patients. Other surgical options include trimming the uvula using laser or electrical forceps, or radiowaves to scar and so stiffen the tissue in the palate.

SLEEP APNOEA

SOUNDS LIKE: A crescendo of loud snoring followed by silence lasting from a few seconds up to 20, and then coughing, gasping or spluttering (your partner will describe it as if you are choking or gasping for air).

THE CAUSE: Obstructive sleep apnoea, which occurs as a result of narrowing of the airways. An estimated 4 per cent of men and 2 per cent of women are affected. During sleep, airway muscles relax too much and, as a result, tissue blocks the passage of air.

Partial blockage results in snoring, but in a total blockage — apnoea — the patient can stop breathing for up to 20 seconds at a time. When air is completely cut off, the brain sends an emergency signal, causing the airway muscles to contract. This reopens the airway, allowing the sufferer to take in a big gulp of air. The whole process is repeated, sometimes hundreds of times a night."In most cases, the sufferer has no recollection of the events, but will wake up feeling exhausted," says Ayham Al-Ayoubi, Ear, Nose and Throat surgeon at Barnet and Chase Farm Hospitals NHS Trust and North Middlesex University Hospital.Left untreated, sleep apnoea can increase the risk of high blood pressure, stroke and diabetes.

TAKE THE TEST: This is the same test as for mouth snoring, says Dr Ayham Al-Ayoubi, but the determining symptom of sleep apnoea is daytime exhaustion."Sufferers regularly find it impossible to stay awake while seated, especially driving, wake up feeling exhausted and often put on weight as they eat sugary snacks to temporarily boost concentration and energy levels," says Mr Al-Ayoubi.

WHAT YOU CAN DO: "One of the most effective therapies is continuous positive airway pressure (CPAP), a mask worn at night where air is pumped continuously to keep the airways open,"

Dr Ayham Al-Ayoubi.Says: "However, a large number of sufferers find a CPAP intrusive or invasive and many don't continue with it." Surgery to remove the excess floppy tissue can help, but less drastic measures include losing weight and eliminating other lifestyle factors such as drinking or smoking.

Senior Plastic Surgeons warn over 'Stem-Cell' Breast Surgery !

BBC news revealed that senior plastic Surgeons have issued a warning about a breast enlargement procedure offered by private clinics here in the UK. In a warning which came at their annual conference, The British Association of Aesthetic Plastic Surgeons (BAAPS) suggests that ‘stem-cell breast augmentations’ are unproven and ought not to be offered commercially.

However, a private clinic on London has said that they are ‘confident’ in the safety of the treatment. Stem cell breast augmentation procedures involve using fat harvested from the patient's stomach or thighs via liposuction and using it to build up the breast. Prior to transplantation, around half of the fat is processed to enrich the stem-cell content - naturally occurring regenerative cells found within the fat, in the hope that this enrichment process can improve the prospects for the fat graft.

The same technology is being used in reconstructive surgery where "cell-enriched fat grafting" is now being offered in several centres around the world to reconstruct breasts following cancer surgery. Trials are currently under way at NHS centres in London, Glasgow, Swansea, Norwich and North Tyneside.

Two private London clinics have been advertising stem-cell breast augmentations for some time. The latter says they will have treated some 200 patients by the end of this year. In a statement, one of these clinics said the views of BAAPS were welcome, but insisted the surgery was safe and every precaution was taken.

The BAAPS warning came the same week new clinical data on cell-enriched fat grafting was presented to a conference in Nottingham. The trial involved around 70 patients in seven centres in four countries. The data is yet to undergo peer review and was sponsored by Cytori Therapeutics, the US makers of a machine which can enrich the fat.

A Surgeon who took part in the trial reported that the procedure ‘appears to be effective in cancer patients in terms of filling in defects in the breast and in improving the appearance and feel of the breast. Nor were there any serious side-effects or recurrence of breast cancer to date. Traditional fat-grafting (in breast reconstructive surgery) does not work terribly well because there is not enough circulation to support the survival of the fat graft, we know if we augment the fat graft with the naturally occurring regenerative cells in fat tissues we can improve the circulation around the fat graft and the survival of the fat graft."

BAAPS argues that research which is unproven has been ‘hijacked’ be the commercial sector, which, as Dr Ayham Al-Ayoubi pointed out is ‘a dreadful thought, particularly if the procedure is being administered by inadequately trained practitioners.’

Dr Ayham Al-Ayoubi, speaking from the London Medical and Aesthetic Clinic at 1 Harley Street, commented: “ My view is that we must make sure that any treatment used should be safe in the long term. As Surgeons, it is our responsibility to protect the long term health and well- being of our patients above everything else. ’ever, BAAPS believes that the level of clinical testing that

has been carried out so far has not been sufficient and that further testing needs to be done to establish its safety before it is used commercially on healthy women.

However, the majority of surgeons say that longer-term results are needed, at least five to10 years of data before the technique could be deemed safe for use in cosmetic surgery, as there is still not enough long-term outcome data to suggest that the surgery is safe in the sense that it does not encourage the cancer to come back or a new breast cancer to develop.

Dr Ayham Al-Ayoubi explains : Stem cells are now being used for Breast Augmentation . The procedure is gaining in popularity in Japan and is being introduced in Great Britain. The procedure involves removing fat from the abdomen (fat is rich in stem cells) and using a machine to concentrate the stem cells prior to injecting it into the breasts. It’s estimated that women can achieve a cup size enhancement to their breast size.

First of all, it is extremely important for physicians to be sure

that stem cell breast augmentation does not increase the risk of breast cancer, delay or interfere with the diagnosis of breast cancer, or worsen the prognosis of breast cancer if it is diagnosed.

Second, many surgeons are performing fat grafting to the breast, which is the closest thing we currently have to stem cell breast enhancement. The big difference between the two is that generic fat grafting to the breast doesn’t have as high a concentration of stem cells, but the stem cells are still present. One of the controversies surrounding fat grafting to the breast revolves around possible mammographic changes that can occur with the surgery.

Dr Ayham Al-Ayoubi explains: Any patient who is considering stem cells breast enhancement surgery should see a Plastic Surgeon who has experience with both Implant based and Stem Cell Breast Augmentation. Furthermore, Stem Cell Breast Augmentation and Stem Cell Facelift patients who want the best results, who want a balanced and unbiased consultation, and who want to see a surgeon who has completed a Plastic Surgery training program.

Dr Ayham Al-Ayoubi Comments on Chelsee Healey’s Breast Augmentation Regrets

Dr Ayham Al-Ayoubi was asked for his comments on Strictly Come Dancing Star Chelsee Healey’s admission that she regrets undergoing a breast augmentation procedure which took her breasts from a C cup to a DD cup, at only nineteen years of age.

The actress says that at nineteen, she was plagued by insecurities regarding her figure and decided that a breast enlargement procedure was the only way to improve her body image

Dr Ayham Al-Ayoubi has said that ‘At the London Medical and Aesthetic Clinic we would always advise very young patients to wait a few years before undergoing an invasive procedure. Young girls often feel very self- conscious about their bodies, however, they often gain confidence as they get older and decide that they don’t wish to undergo a surgical procedure after all. At the London Medical and Aesthetic Clinic we are very aware that very young patients are often unaware of the negative aspects of invasive surgery, such as scarring and downtime along with the risk that any surgery involving a general anaesthetic carries. Often, when the risks are explained, teenagers are too fixated on the idea of changing their bodies to properly weigh up the pros and cons to reach a considered decision.’

Dr Ayham Al-Ayoubi also points out that ‘even in their late teens, girls’ bodies are still changing. Growth charts indicate that girls tend to gain weight between the ages of eighteen and twenty one, which often means that they will change their mind about breast enhancement surgery. If a young girl attended a consultation at the London Medical and Aesthetic clinic at 1 Harley Street, we would strongly advise against invasive surgery at such a young age. However, if we felt that a girl’s issues with her breasts were having a negative impact on her life, or there is a very noticeable difference in the sizes of the breasts, we would suggest treatment using Macrolane.

Macrolane is a dermal filler which can be injected directly into the breast, and has a plumping effect, making the breast appear larger and fuller in the same way as an implant, though without the scarring or general anaesthetic. The other advantage of Macrolane is that it will only last for twelve to eighteen months, so if a young girl changes her mind, or her body changes naturally the Macrolane will be broken down and absorbed by the body and she is able to choose not to
have the procedure repeated.’










Dr Ayham Al-Ayoubi from London \medical and Aesthetic clinic,1 Harley street was not surprised to learn that over 40% of girls over the age of fourteen have expressed a desire to undergo cosmetic surgery. He says that ‘there are some procedures which can bring real benefits to younger patients, such as correcting prominent ears or noses. However, invasive procedures performed purely for cosmetic enhancement are not generally appropriate treatments for teenage girls’.

Dr Ayham Al-Ayoubi stresses that any young girls who are thinking of having cosmetic procedures must ensure that they visit a reputable surgeon for a consultation. He also cautions that the vast majority of responsible cosmetic surgeons are very likely to urge girls under the age of twenty one to wait a few years before undergoing invasive surgical procedures, this is to ensure that patients do not find themselves in the same position as Chelsee Healey when they are a few years older.

Dr Ayham Al-Ayoubi running a master class on his advanced techniques in ANTIES dermal filler at The Royal Society of Medicine . London, UK

Dr Ayham Al-Ayoubi was invited to lecture and to run a Master class in Anties dermal filler and to demonstrated techniques for facial re-contouring using magic needle blunt cannulae and the Anteis injection system.














Dr Ayham Al-Ayoubi is delighted to offer treatment using Anteis products and delivery system in his London Medical and Aesthetic Clinic (1 Harley Street, London), his considerable experience and expertise of the products meant that he was invited deliver a lecture and workshop on the Anteis injection system with magic needle for cheek filling and face sculpting.














Dr Ayham Al-Ayoubi also talked about Modelis, manufactured by Anteis in Switzerland. Modelis is a monophasic, polydensified HA gel which is specifically designed for deep dermal filling and has been formulated to ensure that it stays where it has been placed without migration. Modelis is manufactured using Anteis dynamic cross linking technology, and its long lasting effect has been created by Hybrid Plastic Matrix (HPM). Because the Anteis injection system uses a cannulae, bruising is reduced, there is less trauma and downtime is significantly reduced, which allows the client to quickly return to his or her normal routine. The Anteis system means that the practitioner does not need to focus on plunger pressure or syringe graduations, and is therefore able to focus completely on the patient.














Dr Ayham Al-Ayoubi shared his experience of Anteis and finally answered the questions of the lecture’s attendees. Other lecture topics included the use of the eMatrix system, an innovative system from Syneron-Candela which is now being used to treat stretch marks. The fractional radio-frequency technology was traditionally used to rejuvenate and tighten lax skin and the latest studies are now showing that the system can have a significant improvement on stretch marks.














Dr Ayham Al-Ayoubi colleague’s, Mr Alex Karidis delivered a lecture on Velashape II, a system with 20% more power, making treatments even easier to perform and more effective. The lecture introduced this exciting new system and discussed the ways in which VelaShape can be used to assist patients after a liposuction procedure. There was also a lecture on Body and facial fat reduction suing ultrasound and radiofrequency, which discussed the combination of pixelated radiofrequency and cold-hot ultrasound and its effect on cellulite and non-invasive body sculpting techniques.














Dr Ayham Al-Ayoubi also attended many very interesting lectures delivered by his colleagues as well as delivering his own lectures, on 5th and 6th November at BODY 2011, below are a few of the lectures he attended:The many different non-surgical and surgical options for body contouring, The London Medical and Aesthetic Clinic at 1 Harley Street is currently one of the country’s leading clinics in non-surgical options for body contouring, therefore this presentation was of particular interest.

Dr Ayham Al-Ayoubi, who is very keen to ensure that his practice remains one of the most advanced in terms of technology and methods.Talks on the latest equipment for laser hair & laser tattoo removal, this lecture discussed the very latest laser technology and ways in which the classic laser can be modified for even more effective use. The talk also covered the recent advances in the methods used for the laser removal of tattoos.Presentations on four separate approaches to treatment of stretch marks, there are now many treatments available for stretch marks at the London Medical and Aesthetic Clinic, Dr Ayham Al-Ayoubi attended this lecture to ensure that his clinic offers the most effective treatments possible to his patients.













Dr Ayham Al-Ayoubi has recently seen a big increase in patients requesting this procedure at the London Medical and Aesthetic Clinic at 1, Harley Street. He was therefore very interested in learning about advances that have been made in the treatment to ensure that he is able to offer his patients the very best treatment available.

The use of Macrolane for buttock augmentation: Dr Ayham Al-Ayoubi has had much success using Macrolane on patients in the London Medical and Aesthetic Clinic and was therefore very interested to attend this talk on the product.













Dr Ayham Al-Ayoubi was also honoured to attend an evening with Professor Marco Gasparotti, a world famous plastic surgeon who pioneered the concept of superficial liposculpture in 1992 and became the first person to receive the American Academy of Cosmetic Surgery’s ‘Excellence in Cosmetic Surgery ward’ consecutively in 2001 and 2002.

BODY 2011 was an excellent event at which the country’s leading cosmetic Practitioners could learn from one another and see new techniques and technology on display.

Dr Ayham Al-Ayoubi’s attendance at BODY 2011 has ensured that the very latest technology and techniques will continue to be available to patients at the London Medical and Aesthetic Clinic at 1, Harley Street. At the London Medical and Aesthetic Clinic, situated at 1 Harley Street, we pride ourselves on our ability to offer the very latest and most effective treatments using cutting edge laser technology. With this in mind, we were delighted that Dr Ayham Al-Ayoubi was invited to lecture at the annual BODY conference for 2011, which took place on the 5th and 6th of November at The Royal Society of Medicine in central London.













Dr Ayham Al-Ayoubi as one of the UK’s laser surgeons, as well as pioneering Smartlipo in the UK and inventor of Laser Assisted Liposuction was one of the speakers invited to take part in a panel discussion entitled Competence Vs Qualifications: Who should perform liposuction? The lively discussion debated the suitability of consultant plastic surgeons, non-NHS cosmetic surgeons, general surgeons, dermatologists and general practitioners with a special interest in aesthetic medicine to perform liposuction procedures. Other topics covered included the pros and cons of clinic vs hospital setting for the performance of liposuction procedures, and answering the question of whether or not an anaesthetic consultant is required for a liposuction procedure.

Dr Ayham Al-Ayoubi’s extensive experience and expertise in the area of laser assisted liposuction meant that he was well placed to contribute to what was a very successful and constructive discussion.

BODY 2011 was the largest conference this year, devoted to the surgical and non-surgical body aesthetics centre of the cosmetics market, with over 45 lectures the BODY conference was a great opportunity for attendees to increase their knowledge and learn from one another’s expertise, ensuring that the very latest treatments are available to our patients at the London Medical and Aesthetic Clinic at 1 Harley Street.The annual BODY conference provided a broad scientific agenda and provided speakers who are leaders in their respective fields from all over the world.














Dr Ayham Al-Ayoubi also had the opportunity to visit the exhibitions and workshops of a wide range of suppliers and distributors, meaning that the London Medical and Aesthetic Clinic at 1 Harley Street is kept completely up to date with the most advanced technology available.

Dr Ayham Al-Ayoubi a guest Surgeon speaker on the panel discussion: Who should perform liposuction? at The Royal Society of Medicine, London.

At the London Medical and Aesthetic Clinic, situated at 1 Harley Street, we pride ourselves on our ability to offer the very latest and most effective treatments using cutting edge laser technology. With this in mind, we were delighted that Dr Ayham Al-Ayoubi was invited to lecture at the annual BODY conference for 2011, which took place on the 5th and 6th of November at The Royal Society of Medicine in central London.

Dr Ayham Al-Ayoubi as one of the UK’s leading laser surgeons, as well as pioneering Smartlipo in the UK and inventor of Laser Assisted Liposuction was one of the speakers invited to take part in a panel discussion entitled Competence Vs Qualifications: Who should perform liposuction? The lively discussion debated the suitability of consultant plastic surgeons, non-NHS cosmetic surgeons, general surgeons, dermatologists and general practitioners with a special interest in aesthetic medicine to perform liposuction procedures. Other topics covered included the pros and cons of clinic vs hospital setting for the performance of liposuction procedures, and answering the question of whether or not an anaesthetic consultant is required for a liposuction procedure.













Dr Ayham Al-Ayoubi’s extensive experience and expertise in the area of laser assisted liposuction meant that he was well placed to contribute to what was a very successful and constructive discussion.

BODY 2011 was the largest conference this year, devoted to the surgical and non-surgical body aesthetics centre of the cosmetics market, with over 45 lectures the BODY conference was a great opportunity for attendees to increase their knowledge and learn from one another’s expertise, ensuring that the very latest treatments are available to our patients at the London Medical and Aesthetic Clinic at 1 Harley Street













Dr Ayham Al-Ayoubi at the annual BODY conference which provided a broad scientific agenda and provided speakers who are leaders in their respective fields from all over the world.Dr Ayham Al-Ayoubi also had the opportunity to visit the exhibitions and workshops of a wide range of suppliers and distributors, meaning that the London Medical and Aesthetic Clinic at 1 Harley Street is kept completely up to date with the most advanced technology available.














Dr Ayham Al-Ayoubi is delighted to offer treatment using Anteis products and delivery system in his London Medical and Aesthetic Clinic (1 Harley Street, London), his considerable experience and expertise of the products meant that he was invited deliver a lecture and workshop on the Anteis injection system with magic needle for cheek filling and face sculpting. In his workshop Dr Ayham Al-Ayoubi demonstrated techniques for facial re-contouring using magic needle blunt cannulae and the Anteis injection system.













Dr Ayham Al-Ayoubi also talked about Modelis, manufactured by Anteis in Switzerland. Modelis is a monophasic, polydensified HA gel which is specifically designed for deep dermal filling and has been formulated to ensure that it stays where it has been placed without migration. Modelis is manufactured using Anteis dynamic cross linking technology, and its long lasting effect has been created by Hybrid Plastic Matrix (HPM). Because the Anteis injection system uses a cannulae, bruising is reduced, there is less trauma and downtime is significantly reduced, which allows the client to quickly return to his or her normal routine. The Anteis system means that the practitioner does not need to focus on plunger pressure or syringe graduations, and is therefore able to focus completely on the patient.













Dr Ayham Al-Ayoubi shared his experience of Anteis and finally answered the questions of the lecture’s attendees. Other lecture topics included the use of the eMatrix system, an innovative system from Syneron-Candela which is now being used to treat stretch marks. The fractional radio-frequency technology was traditionally used to rejuvenate and tighten lax skin and the latest studies are now showing that the system can have a significant improvement on stretch marks.













Dr Ayham Al-Ayoubi colleague’s, Mr Alex Karidis delivered a lecture on Velashape II, a system with 20% more power, making treatments even easier to perform and more effective. The lecture introduced this exciting new system and discussed the ways in which VelaShape can be used to assist patients after a liposuction procedure. There was also a lecture on Body and facial fat reduction suing ultrasound and radiofrequency, which discussed the combination of pixelated radiofrequency and cold-hot ultrasound and its effect on cellulite and non-invasive body sculpting techniques.













Dr Ayham Al-Ayoubi also attended many very interesting lectures delivered by his colleagues as well as delivering his own lectures, on 5th and 6th November at BODY 2011, below are a few of the lectures he attended:
The many different non-surgical and surgical options for body contouring, The London Medical and Aesthetic Clinic at 1 Harley Street is currently one of the country’s leading clinics in non-surgical options for body contouring, therefore this presentation was of particular interest to Dr Ayham Al-Ayoubi, who is very keen to ensure that his practice remains one of the most advanced in terms of technology and methods.













Dr Ayham Al-Ayoubi talks on the latest equipment for laser hair & laser tattoo removal, this lecture discussed the very latest laser technology and ways in which the classic laser can be modified for even more effective use. The talk also covered the recent advances in the methods used for the laser removal of tattoos.
Presentations on four separate approaches to treatment of stretch marks, there are now many treatments available for stretch marks at the London Medical and Aesthetic Clinic, Dr Ayham Al-Ayoubi attended this lecture to ensure that his clinic offers the most effective treatments possible to his patients.













Dr Ayham Al-Ayoubi has recently seen a big increase in patients requesting this procedure at the London Medical and Aesthetic Clinic at 1, Harley Street. He was therefore very interested in learning about advances that have been made in the treatment to ensure that he is able to offer his patients the very best treatment available.













Dr Ayham Al-Ayoubi has had much success using Macrolane on patients in the London Medical and Aesthetic Clinic and was therefore very interested to attend this talk on the product.












Dr Ayham Al-Ayoubi was also honoured to attend an evening with Professor Marco Gasparotti, a world famous plastic surgeon who pioneered the concept of superficial liposculpture in 1992 and became the first person to receive the American Academy of Cosmetic Surgery’s ‘Excellence in Cosmetic Surgery ward’ consecutively in 2001 and 2002.BODY 2011 was an excellent event at which the country’s leading cosmetic Practitioners could learn from one another and see new techniques and technology on display. Dr Ayham Al-Ayoubi’s attendance at BODY 2011 has ensured that the very latest technology and techniques will continue to be available to patients at the London Medical and Aesthetic Clinic at 1, Harley Street.