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Hattat Hospital plays a key role in sexual dysfunction through our strategic partnership with European Sexual Health Alliance, as the co-founder and president of this non profit organisation. ESHA is situated in more than 12 European countries to facilitate counselling, networking and treatment services for patients with sexual dysfunction and their partners.

About ESHA

• Partner's illness
• Occupational stress/financial stress/shift work
• Family problems/elderly relatives/bereavement/children
• Guilt/Sexual orientation
• Lack of experience/opportunity
• Poor housing/overcrowding
• Performance anxiety/fear of failure/expectations
• Lack of sexual/interpersonal skills

The best candidates for abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won't respond to diet or exercise.

The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved.

Patients who intend to lose a lot of weight should postpone the surgery. Also, women who plan future pregnancies should wait, as vertical muscles in the abdomen that are tightened during surgery can separate again during pregnancy.

If you have scarring from previous abdominal surgery, your doctor may recommend against abdominoplasty or may caution you that scars could be unusually prominent.

Abdominoplasty can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

Thousands of abdominoplasties are performed successfully each year. When done by a qualified plastic surgeon who is trained in body contouring, the results are generally quite positive. Nevertheless, there are always risks associated with surgery and specific complications associated with this procedure.

Smokers should be advised to stop, as smoking may increase the risk of complications and delay healing. You can reduce your risk of complications by closely following your surgeon's instructions before and after the surgery, especially with regard to when and how you should resume physical activity.

In your initial consultation, your surgeon will evaluate your health, determine the extent of fat deposits in your abdominal region, and carefully assess your skin tone. Be sure to tell your surgeon if you smoke, and if you're taking any medications, vitamins, or other drugs.

If, for example, your fat deposits are limited to the area below the navel, you may require a less complex procedure called a partial abdominoplasty, also know as a mini-tummy tuck, which can often be performed on an outpatient basis. You may, on the other hand, benefit more from partial or complete abdominoplasty done in conjunction with liposuction to remove fat deposits from the hips, for a better body contour. Or maybe liposuction alone would create the best result.

Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins, and medications.

If you smoke, plan to quit at least one to two weeks before your surgery and not to resume for at least two weeks after your surgery. Avoid overexposure to the sun before surgery, especially to your abdomen, and do not go on a stringent diet, as both can inhibit your ability to heal.

Whether your surgery is done on an outpatient or inpatient basis, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two after you leave the hospital, if needed.

Some surgeons perform both partial and complete abdominoplasties in an outpatient surgical center. Many surgeons prefer the hospital, where their patients can stay for one or two days.
Complete abdominoplasty usually takes two to five hours, depending on the extent of work required. Partial abdominoplasty may take an hour or two.

Most commonly, the surgeon will make a long incision from hipbone to hipbone, just above the pubic area. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stitched.

For the first few days, your abdomen will probably be swollen and you're likely to feel some pain and discomfort which can be controlled by medication. Depending on the extent of the surgery, you may be released within a few hours or you may have to remain hospitalized for one to two days.

Your doctor will give you instructions for showering and changing your dressings. And though you may not be able to stand straight at first, you should start walking as soon as possible.

Surface stitches will be removed in five to seven days, and deeper sutures, with ends that protrude through the skin, will come out in two to three weeks. The dressing on your incision may be replaced by a support garment.

It may take you weeks or months to feel like your old self again Exercise will help you heal better. Even people who have never exercised before should begin an exercise program to reduce swelling, lower the chance of blood clots, and tone muscles. Vigorous exercise, however, should be avoided until you can do it comfortably.

Your scars may actually appear to worsen during the first three to six months as they heal, but this is normal. Expect it to take nine months to a year before your scars flatten out and lighten in color. While they'll never disappear completely, abdominal scars will not show under most clothing, even under bathing suits.

Abdominoplasty, whether partial or complete, produces excellent results for patients with weakened abdominal muscles or excess skin. And in most cases, the results are long lasting, if you follow a balanced diet and exercise regularly.

If you're realistic in your expectations and prepared for the consequences of a permanent scar and a lengthy recovery period, abdominoplasty may be just the answer for you.

Also known as mastopexy, a breast lift raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.

A woman’s breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from pregnancy, breastfeeding, weight fluctuations, aging, gravity and heredity.

Also known as mastopexy, a breast lift raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.

Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted.

A breast lift is a good option for you if you: are physically healthy and maintain a stable weight, have realistic expectations, are bothered by the feeling that your breasts sag, have lost shape and volume, your nipples and areolas point downward, your breasts have a flatter, elongated shape or are pendulous, when unsupported, your nipples fall below the breast crease, you have stretched skin and enlarged areolas or one breast is lower than the other.

Your surgeon may evaluate your general health status and any pre-existing health conditions or risk factors examine your breasts, and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas.

Prior to surgery, you may be asked to get a baseline mammogram before surgery stop smoking well in advance of surgery, avoid taking aspirin, anti-inflammatory drugs and herbal supplements.

Breast lift surgery may be performed in an outpatient surgical center, or a hospital. If your breast lift is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.

Your breast lift surgery can be achieved through a variety of incision patterns and techniques. The appropriate technique for you will be determined based on:breast size and shape, position of your areolas, the degree of breast sagging, skin quality and elasticity as well as the amount of extra skin.

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

There are three common incision patterns: around the areola, around the areola and vertically down from the areola to the breast crease and around the areola, vertically down from the breast crease and horizontally along the breast crease.

After your breasts are reshaped and excess skin is removed, the remaining skin is tightened as the incisions are closed.

Some incision lines resulting from breast lift are concealed in the natural breast contours; however, others are visible on the breast surface. Incision lines are permanent, but in most cases will fade and significantly improve over time.

The results of your breast lift surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade.

Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for breasts which have been restored to a more youthful and uplifted position.

The decision to have breast lift surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

Breast lift surgery does not normally interfere with pregnancy, but if you are planning to have a baby, your breast skin may stretch and offset the results of mastopexy and you may have more difficulty breastfeeding after this operation.

After your breast lift procedure is completed, dressings or bandages will be applied to the incisions. You’ll need to wear an elastic bandage or support bra to minimize swelling and support your breasts as they heal.

The final results of your breast lift will appear over the next few months as breast shape and position continue to settle. Incision lines are permanent, but will continue to fade over time.

The results of your breast lift surgery will be long-lasting. Over time, your breasts can continue to change due to aging and gravity.

This drug has been used medically for over two decades to provide relief from muscle spasms; this substance causes a temporary relaxation of the muscles into which it is injected.

Botox is made from the bacterium Clostridium botulinum. When the muscles are paralyzed, the creation of more wrinkles is prevented. The overall effect is a smoother, more serene, more youthful appearance. It's like having a "brow lift" without invasive surgery.

The most commonly treated areas are the foreheads, around the eyes and between the eyebrows. With Botox injections, crow's feet can be softened; the furrow between the brows can be diminished and forehead wrinkles can be lessened. Botox is also used for treating wrinkles in the neck and the lift of  brows, which droop in time. However, its most important characteristics is probably its ability to fully cease the aging in the upper part of the face with longer effects in time.

A very small amount of the diluted drug is injected directly into the muscle in the desired treatment area. The procedure is very quick and is performed while you are sitting upright in the treatment room. It is important to remain in an upright position for one to two hours after the treatment so the Botox injection will remain in place in the treated area.

Some people experience stinging while Botox is being injected, but there is rarely any pain following treatment. The application of anesthetic creams to the areas before treatment will decrease the discomfort associated with the injections.

For most people the results last three to six months. Facial muscles that are larger (such as in men) or which are used a lot by facially "expressive" patients may require treatments more frequently. Often the facial muscles become "trained" to not move as much so that, over time, less Botox is needed to keep the facial lines relaxed. As a basic rule, the applications should be made per four months initially, and at each six months following one year.

Since the effects of Botox injections are not permanent, significant side effects are rare. Bruising or redness at the injection sites can occur, and headaches are not uncommon. Pregnant or breastfeeding women should wait to be treated. Anyone with a neuromuscular or bleeding disorder or those with skin disease in the treatment area are not candidates for Botox injections.

Avoid aspirin, aspirin-containing products and non-steroidal anti-inflammatory agents for one week prior to treatment, as these may increase chance of bleeding and or bruising. Avoid alcohol for one day prior to treatment. After Botox injection remain in an upright position for two to three hours.

Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman's breast for a number of reasons: to enhance the body contour of a woman who, for personal reasons, feels her breast size is too small. To correct a reduction in breast volume after pregnancy. To balance a difference in breast size. As a reconstructive technique following breast surgery.

The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate.

A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline.

Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure.
The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or "scoring" of the scar tissue, or perhaps removal or replacement of the implant.

There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse.
In your initial consultation, your surgeon will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift.

You may want to ask your surgeon for a copy of the manufacturer's insert that comes with the implant, just so you are fully informed about it.

Breast augmentation operations are generally done under general anesthesia. Occasionally, the surgery may be done as an inpatient in a hospital, in which case you can plan on staying for a day or two.

Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.

While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.

The method of inserting and positioning your implant will depend on your anatomy and your surgeon's recommendation. The incision can be made either in the crease where the breast meets the chest or around the areola (the dark skin surrounding the nipple)..

Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Some surgeons believe that putting the implants behind your chest muscle may reduce the potential for capsular contracture.

Drainage tubes may be used for several days following the surgery. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue.

Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue.

You'll want to discuss the pros and cons of these alternatives with your doctor before surgery to make sure you fully understand the implications of the procedure.

The surgery usually takes one to two hours to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing.

You're likely to feel tired and sore for a few days following your surgery, but you'll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor.

Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by your surgeon. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades.
Your stitches will come out in a week to 10 days. You should be able to return to work within a few days, depending on the level of activity required for your job.

Follow your surgeon's advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely.

For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.

Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you've met your goals, then your surgery is a success.