Frequently Asked Question
Questions and Answers
  • ENT +

    What is rhinoplasty?

    Rhinoplasty, or cosmetic nasal surgery, is also referred to as a nose job, and it is a plastic surgery procedure that improves the shape and size of the nose. The procedure can remove a hump, change the shape of the nasal tip, and straighten the nose. Occasionally, the size and shape of the nostrils can be changed. The goal of the rhinoplasty surgery is often to achieve better harmony between the nose and the other facial features and, often times; even the slightest alteration can greatly improve a patient’s appearance.

    What happens during a consultation for rhinoplasty?

    Dr. Khalid will personally meet with you during the consultation. He will examine and evaluate you. He will then show you his idea and how the situation will be. This explanation will include what surgical technique he will use, where the surgery will be performed, what type of anesthesia, and a step-by-step explanation of what the recovery will be like. You will then meet with the patient care coordinator, who will explain the scheduling details and the cost.

    Should I expect to experience much pain with my rhinoplasty procedure?

    Most patients that undergo the rhinoplasty procedure experience no pain only  a mild pressure above the nose for about two hours after the procedure. From there on after, the patients do not experience any pain.

    How soon after rhinoplasty surgery will I be able to return to work?

    Patients are generally able to return to work about one week after the rhinoplasty procedure.

    How soon after rhinoplasty surgery are the stitches removed?

    If the rhinoplasty was performed via an open approach, the stitches will be removed on 5-7 days.

    What are the risks or complications that can occur with rhinoplasty?

    As with all types of surgery, there are potential risks or complications associated with rhinoplasty surgery and these may include bleeding, infection, and cosmetic imperfection. We insure a continual follow up of the patient from Dr.Khalid and his Team .

    Does insurance cover the cost of rhinoplasty?

    In general most of plastic surgeries are not covered by insurance.

    Pre-Operation

    1. Rhinoplasty is a day case surgery, from 4 to 6 hours
    2. Patient does not need to stay at the hospital more than 6 hours after the surgery.
    3. Patient must have acceptable blood test results and anesthesia approval.
    4. Patient must not be pregnant.
    5. Patient must stop using Roaccutane pills 2 months before the surgery.
    6. Patient must stop using any medication before the surgery like aspirin.
    7. Having monthly period does not effect.
    8. Having braces does not effect.
    9. Patient must remove any jewelry, piercing or nail polish on the surgery day.
    10. Patient must fast 6 hours before the surgery.

     

    Post-operation

    1. The patient better rest for 1 week after the surgery.
    2. It is better to sleep on high pillows.
    3. Patient must avoid water to reach the nose.
    4. The patient will have a splint for 2 weeks after the surgery.
    5. Patient must use prescribed medication only.
    6. Patient must use tapes for 2 months starting from the 3nd week after the surgery.
    7. Patient can resume (sports, swimming, tanning, laser hair removal, facial treatments, fillers and sunglasses) after 2 months of the surgery but no strong exercises.
    8. The patient can travel after 2 weeks of the surgery.
    9. The best result will appear after 6-12 months according to the skin type , patient will have a regular follow up with our center the whole year for any inquires.

     

    At what point would my child benefit from a tonsillectomy and adenoidectomy?

    Surgical removal of the tonsils and adenoids in children is performed for two primary reasons: recurrent tonsil/adenoid infections and snoring with associated sleep apnea. 

    Tonsil infections:
    As a general guideline, a tonsillectomy is recommended in patients with four tonsil infections in one year, as the bacteria will be endemic inside the tonsil.
    Sleep apnea:
    Enlargement of tonsil and adenoid tissue in children is the main course of airway Obst (Apnea). Children with sleep apnea typically are mouth breathers who snore loudly and can be heard to stop breathing or make gasping noises during sleep. Sleep apnea results in fragmented sleep that can lead to daytime fatigue or hyperactivity, failure to thrive, difficulties in concentrating, and occasional problems with bedwetting.

    Surgical procedure:
    Tonsils and adenoids are removed through the mouth with no external scars. In most children, this is outpatient surgery. 

    What can be done about my snoring?

    Snoring is a common problem that may occur alone or in combination with obstructive sleep apnea.

    Primary snoring:
    Snoring typically is caused by vibration of tissues within the Oropharynx . Nasal obstruction can be another cause. In mild snoring, these measures may help: losing weight, sleeping on your side rather than your back, avoiding sedatives and alcohol. Surgery can reduce the size of the soft tissue of uvula and palate, and also relieve nasal obstruction.. Office turbinate surgery may also help snoring by improving nasal breathing.

    Obstructive Sleep Apnea:
    Obstructive apnea is a cessation of breathing that last ten seconds or more. Repeated episodes can significantly disrupt sleep. Manifestations of sleep apnea include snoring, restless sleep, and daytime fatigue. Many advances have been made in treatment of sleep apnea. 

     

     

     

  • Dermatology & Skin Care +

    How long does it take for Botox to work? 

    Typical onset of Botox is between 24 and 72 hours, although some patients may require up to 5 days to see a result. The maximal effect of Botox occurs at about 10 days after treatment. 

     

     

     

    I Didn't Know I Was Pregnant and I Had Botox 

    Although it is recommended that Botox cosmetic be avoided during pregnancy and when a woman is breast feeding it is unlikely to affect your baby. Injection for cosmetic purposes is unlikely to have effects in other parts of the body.  

     

    How Often Can We Use Botox? 

      Actually, the results of BOTOX injections tend to last longer for patients who have already had several treatments. Getting BOTOX injections every 4 to 6 months is recommended for maintaining results.  

     

     

    Is the fraxel laser good for under eye wrinkles?

    Depending on the depth of your wrinkles, fraxel would be appropriate.it will also stimulate collagen production, which improves the quality of your skin. You may also need some fillers, and possibly some Botox to prevent further wrinkling. also it may take multiple sessions to obtain your desired results. However, there is no downtime after treatment, allowing you to return to daily activities immediately.

     

    How Long Do the Results of an Ultherapy Procedure Last?

    The results of Ultherapy vary from one patient to the other. It depends on many factors, such as patient's age, skin condition, previous skin tightening treatment, skincare, lifestyle, intake of supplements, or concurrent treatment to stimulate more collagen.  The effect of Ultherapy should lasts one to two years. However I recommend repeating Ultherapy every 6 to 24 months. When the patients return for Ultherapy within one year, they usually see more skin tightening results from additional treatment.

     

     

    Does Shaving Make Your Hair Grow Back Thicker and Faster?

    This is a BIG myth & it is very difficult to make almost every patient to understand that there is no relation of shaving with increased growth/ or increased thickness of hair.

    No matter, we shave or trim hair, it does not have any effect on its root deep inside the skin & the genetics which define the hair growth & hair thickness.

    It is just a feeling that after shaving, base of the hair feels like more strong & broad for the short time but it is of same size & thickness as before.

    Shaving is important before LASER as it helps to decrease chances of burning of skin.

     

    Will Acne Return if I Stop Taking Accutane?

    nearly 1/2 of patients do not have any significant return of acne after a proper course of Isotretinoin (Accutane).  The other 50% of patients eventually have some acne return, but rarely to the degree they had before.  About  1:20 patients eventually require another course of treatment.

    To insure best results, a dosage goal of between 120-150mg/kg, given over 5-6 months, is most effective. 

     

     

    Is MiraDry Really a Safe Treatment for Hyperhidrosis?

    miraDry has been performed on over 50,000 people.  It uses microwave energy to kill the sweat glands and odor glands in the underarm.  It is FDA-cleared for permanent reduction of sweating.  It does not injure the nerves or lymph nodes in the underarm.  

    There are about 2-3 million sweat glands on the body and only about 2% of those are found in the underarm.  Therefore, killing the sweat glands with miraDry does not affect the body's ability to regulate its heat and cool off by sweating

     

     

  • OT +

    SURGERY –SAME DAY

    Pre-Surgery Instructions for Patients 

    Anesthesia Evaluation (AE) Office-9th Floor

    IMPORTANT: Your surgery could be cancelled if the following steps are not followed:

    STEP 1: One Week Before Surgery

    ·         If you are taking coumadin, aspirin or any blood thinning medications check with your surgeon/prescribing physician to confirm if these meds should be taken or discontinued before surgery.

    ·         Make sure that all medical, cardiac clearances, labs, and EKG were requested by your surgeon and are completed and sent to your surgeon’s office.

    ·         Stop use of NSAID’s (Ibuprofen, Motrin, Aleve, Naprosyn, Advil) celebrex, fish oil, 5-7 days before surgery.

     

    STEP 2: 24 Hours Before Surgery

    ·         If there is any change in your scheduled surgery time ,a member of the Anesthesia Evaluation (AE) Team will contact you. Please check your WHATSAPP.

    ·         If you have a fever, cold or flu, notify your surgeon immediately to determine if your surgery needs to be rescheduled.

     

    STEP 3: Midnight Before Surgery

    ·         No food

    ·         No beverages

    ·         No chewing gum, mints or candy

    ·         If on insulin check with your primary care provider for evening dosage

    ·         Nail polish is acceptable

    ·         No smoking

    ·         Do not apply skin lotions, powders

    ·         Shower or bath prior to your surgery

     

    STEP 4: Appropriate Attire

    ·         Wear comfortable, loose fitting clothing and shoes

    ·         Do not wear:

    ·         Contact lenses

    ·         Hair accessories

    ·         Any Jewelry (including wedding ring)

    ·         Remove all body piercings or replace with plastic body piercing retainers

    ·         Dentures may be required to be removed prior to surgery

     

    STEP 7: Arriving at CMC

    ·         An anesthesiologist will explain his/her role and answer any questions you may have concerning your anesthesia.

    ·         Your surgeon will mark the surgical site and answer any questions before the procedure.

    ·         You will meet other members of the surgical team before going to the operating room.

    ·         The type of surgery and your response to anesthesia will determine the length of stay.

     

    STEP 8: Going Home

    ·         You must have a driver who will accept responsibility for your well-being. This person must be present prior to discharge to review all of your restrictions/instructions with your nurse. You will not be able to take a taxi/car service home without having a friend/family member accompany you.

    ·         For your safety, it is recommended that you have someone stay with you at home for 24 hours after surgery.

     

    ·         After 8 p.m In case of emergency Please Contact The Salam Hospital

  • Plastic Surgery +

    Can I have my surgeries combined?

    There are many advantages for combining your plastic surgeries. One big advantage is the saving of money, time and recovery downtime.

    We offer a discount on any second or third procedure done at the same time as the first procedure. Your Operation fees and anesthetist fees will also be less if you combine your procedures.

    Many significant weight loss patients could have combined operations, like Rhinoplasty and Breast augmentation.

    One of our advantages in having a team of specialist plastic surgeons is that they can work together at the same time to perform different plastic surgery procedures. For example, you could have face, body and breast work done in combination. This speeds up the operation, lowering risk, reducing your time under general anesthetic and gets a better outcome.

    I thought silicone breast implants were in danger of leaking, so why are they still used?

     These implants are no longer made of liquid silicone in a sac. If you cut them in half, they are gel-like (think Turkish Delight) and therefore cannot puncture, explode or leak into the body area.

     How long should I wait after finishing breastfeeding before having Breast Surgery?

     We recommend waiting several months after you’ve finished breastfeeding your last child before having breast surgery – typically a minimum of three months after breastfeeding finishes.

     Will my breast surgery affect breastfeeding later in life?

    This depends on the type of surgery and the technique used by a surgeon. For breast augmentation, breastfeeding will be less efficient in women who had an incision around nipple than those had the incision under the breast but both will retain the ability to breastfeed. For breast reduction, this will depend on the amount of excised breast and the technique used to preserve nipple blood supply. Our surgeons will describe the different techniques and their influence on breastfeeding

     How many nights should I spend in hospital?

     Your stay in the hospital depends on how quickly you can recover which varies from patient to patient. 

    • For breast augmentation patients, we recommend same day in hospital
    • For breast reduction patients we advise a 1-night stay
    • For Abdominoplasty patients we advise a 1 to 2 nights

     At the time of your consultation, your surgeon will discuss the length of your hospital stay and explain why a longer stay may be required for certain procedures or patients.

     What are the possible side effects, complications, and risks of the surgery?

     All our surgeons are experienced plastic surgeons and will explain in detail ALL the risks and complications related to your surgery. You will be fully informed and consented prior to undertaking any surgery.

     When can I start exercising after my procedure?

     We encourage leisurely walking and light duties following your procedure. At the time of your consultation, we will discuss the type of exercise that you would like to do and how soon you can return to the activity.

     How much time will I need to be off work after surgery?

     Each patient is different so your time off work will vary due to your speed of recovery, your level of bruising and pain and also on the type of work that you do.

     Smokers and obese patients generally take longer to recover and have a poorer final result.

     

    • For breast augmentation patients we recommend 1-2 weeks off work
    • For breast reduction, we suggest 1-2 weeks off work
    • For abdominoplasty or major body surgery around 3-4 weeks off work.
    • For nose and facial surgeries, depending on your swelling and bruising, your “social downtime” can be around 2-3 weeks

     

    Your time off work really depends on the activity level in the type of work you do – for breast surgeries this can be 2 weeks for an office/desk job, 3 weeks for an ‘on your feet’ shop job or 4+ weeks for an active job.

    It is often up to you to decide when you are ready to return to work.

    I have had a face-lift, but now my hands don't match. What can I do?

     Weathered hands with signs of liver spots can be improved with laser treatment or the more drastic chemical peeling.protruding veins can be surgically removed or disguised with fat injections - the fat is taken from elsewhere in your body.

     If I have fat removed through liposuction, will it reappear elsewhere?

     Liposuction completely removes fat cells from a specific area of the body. However, if you gain weight, fat cells in other parts of your body will expand. This means areas that are not normally fat, such as your wrists, may gain weight.

     After repeated Botox injections, will facial muscles ever lose the ability to frown?

     No. You may need less Botox over the years, but if you stop having injections, frown lines will return.

     

     

     

     

     

  • Urology +

    What is urology?

    Urology is a medical specialty focused on conditions and diseases of the genito-urinary tract in men, women, and children. Urology is also concerned with disorders of the male reproductive system.

    What can I do to maintain good urologic health?

    Generally, the best way to avoid urological problems is to maintain good overall health habits such as exercising regularly, maintaining a healthy weight, and avoiding tobacco, excessive alcohol and caffeine and diuretics (food or substances that remove water from the body).

    How many times a day does a healthy person urinate?

    Urination frequency varies widely according to a number of factors, although for most healthy people going four to eight times a day is typical. More frequent urination or waking up at night to go to the bathroom might mean either a health problem or simply that you’re drinking too much at bedtime.

    Are urination problems more of a problem for women than men?

    Not necessarily, although urinary incontinence occurs about twice as often in females than males. Pregnancy, childbirth, menopause and female anatomy account for the difference. But of the approximately 12 million sufferers in the United States, about one-third are men. Male incontinence is often associated with prostate problems or treatments.

    What increases women’s risk of incontinence?

    Often it’s a combination of factors, such as having given birth multiple times, age, obesity, and smoking. Other factors include a history of having given vaginal birth, having had a hysterectomy, a post-menopause drop in estrogen, chronic bladder infections, diabetes, Parkinson’s disease, Alzheimer’s disease, multiple sclerosis, stroke and spinal cord injury. While age can be a contributor, no one should accept incontinence as an inevitability of growing older.

    What increases the risk of incontinence for men?

    For men, incontinence may be related to a number of health conditions or medical treatments. It can also be caused by lifestyle or family history. Most men have decreased bladder capacity as they age, naturally increasing the risk of incontinence to some degree. Other contributors can be smoking, obesity, a high consumption of alcohol and caffeinated and carbonated drinks and injury to the bladder. In addition, just as in women, neurological conditions such as Parkinson’s or Alzheimer’s disease can play a role.

    When should I see a doctor for incontinence?

    Generally, it’s a good idea to call your doctor or schedule an appointment if you have a sudden onset of incontinence or if you’re having enough accidents that you need to either wear a pad for urine absorption or if incontinence is interfering with your lifestyle.

    What causes the formation of kidney stones?

    A change in the normal balance of water salts, mineral and other components in urine creates a process known as urolithiasis in which solid mineral particles cluster in the kidneys. There are different types of stones, including calcium oxalate, uric acid, ammonic magnesium, and cysteine.

    Are there genetic factors in the tendency to get kidney stones?

    Yes, such a tendency may be inherited. If others in your family have had them, you may be more prone to them, too.

    How do I avoid kidney stones?

    Drink lots of water with freshly squeezed lemon juice. Lemon juice contains citric acid, which not only inhibits stone formation but also breaks up small stones just beginning to form. Generally, the more citric acid in your urine, the more protected you are against forming new kidney stones. The most common cause of stones is an insufficient daily water intake. The goal should be to drink enough to keep your urine clear – about eight to ten glasses per day. In addition, studies have indicated that staying physically fit and keeping your weight in check can help as well.

    Can diet be a factor in the formation of stones?

    Yes, levels of calcium, protein, sodium, vitamins C and D, and oxalate-rich foods (dark vegetables, chocolate, nuts, cranberries and coffee and tea, for example) can increase the chances of stones. In general, it’s a good idea to eat less salt and talk to a doctor or dietitian about how much calcium you need daily. If you have had an oxalate kidney stone, you should probably consume fewer oxalate-rich foods. In addition to the ones above, others include spinach, colas, peanuts, beets, rhubarb, berries, beans, tofu, oranges, sweet potatoes and draft beer.

    What are other factors?

    Certain groups of people are more prone to stones, and some medical conditions can be contributors. Men in their 30s, 40s and 50s are mostly likely to get stones, and postmenopausal women and women who have had their ovaries removed are at a higher risk than normal. Other contributors include frequent urinary tract infections (UTI), insulin resistance, cystic fibrosis, gout, inflammatory bowel disease, gastric bypass surgery, hyperparathyroidism, high blood pressure, and bladder problems resulting from spinal injuries.

    What causes prostate cancer?

    No one knows for certain. About one in ten men inherit the tendency toward prostate cancer, although no one has identified a “prostate cancer gene”. Men with a father or brother with prostate cancer diagnosed prior to age 64 have three times greater risk than men in general. Men in this category should begin screening at age 40. In addition, there are links between diets rich in saturated fats and an increased incidence of prostate cancer, but this evidence is not conclusive.

    If I live long enough, is it all but certain I will get prostate cancer?

    No, although after skin cancer, prostate cancer is the most common kind of cancer in American men. It does tend to strike later in life – more than three-quarters of cases are diagnosed in men older than 65.

    What can I do to lower my chances of prostate cancer?

    Scientists have found no known cause for prostate cancer. Nonetheless, common sense says to maintain good dietary and exercise habits, which in turn keep weight down. Eating lots of fresh fruits and vegetables and limiting the number of calories from saturated fats is always a good idea for minimizing all health risks. Some studies have suggested that prostate cancer risk may be reduced by consuming zinc, soy, and lycopene. Peanuts are a good source of selenium, and cooked tomatoes are an easily consumed source of lycopene.

    What are the symptoms of prostate cancer?

    One reason that screening for prostate cancer is so important as a man ages is that localized and curable prostate cancer has no symptoms. A decrease in the force of the urinary stream or other voiding issues is most likely due to BPH than prostate cancer. For men with localized prostate cancer and some urination problems, the explanation is that BPH is occurring coincidentally with the prostate cancer.Men with advanced prostate cancer, however, may have similar symptoms as men with BPH, including blood in the urine, painful urination, and a decreased urinary flow. Fortunately, with todays emphasis on screening and early detection, more than nine in ten prostate cancers are found in potentially curable stages.