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Dr. Ahmed Salman

Dr. Ahmed Salman

Dr. Ahmed studied pre-med in Texas, before coming to Ireland. He studied medicine at UCD in Dublin and graduated from with an honours in surgery. You could say it runs in the family. His mum is a paediatrician and his sister an onco-plastic breast surgeon. 

In the USA he trained under the renowned Dr. Michael E. DeBakey in Cardiothoracic Surgery at the Methodist Hospital in Houston. He then went to Australia to receive further training in Breast Surgery and returned to Texas to complete specialist training in the John Tebbett technique for Breast surgery.  In 2005 Dr. Salman established Park West Clinic, a specialised day surgery centre and the first of its kind in Ireland. It encompasses state of the art operating facilities and is accredited by CHKS. Dr. Salman has performed over 5000 Aesthetic surgery procedures. He was the first cosmetic surgeon to introduce the Biodynamic Breast augmentation system to Ireland, and the first to use it in Ireland and the UK. He has a special interest in the Internal Mastopexy Technique and has vast experience in the area of laser aesthetics and Tumescent liposuction.

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Question: What brand of botox-type treatment do you use for lines and wrinkles and why?

I use Botox, but I have also used Dysport in the past. There is no specific reason as both do the same job (both are Type A toxin), but as all people ask for Botox, it would not be proper order to use Dysport without telling them. I do use type B toxin (NeuroBloc) in resistant patients. It’s rare enough to build up a resistance, and with newer formulations, this is even less common, however in those cases I will switch, once discussing it with my patient. 

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Question: Why does Botox from a plastic surgeon differ from that of a nurse or supervised beautician?

Well first and foremost, it is illegal to administer Botox treatment in Ireland if you are not a registered Doctor or Dentist. In the UK you must be either a Doctor, Dentist or a nurse practitioner. Experienced surgeons or doctors, will know how to tailor the treatment to your face and needs.

An understanding of facial musculature is very beneficial when looking at the possible results from injectibles. For example, with very minimal usage of Botox to the temples, it is possible to relax and ‘lift’ the eyes, reducing the appearance of tiredness. However, that requires an understanding of the way the tiny muscles around the eyes function. There is a much more detailed level of knowledge required for surgical procedure, and of course this will add to the value of the practitioner and the end result of the treatment. 

Every patient is entirely unique.  My job isn’t to make you ‘line free’ but to help you look the best possible version of yourself. People should compliment you on how well you look rather than ask you “Oh have you had something done??”

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Question: Do people in their 20’s really need Botox?

Botox is used to enhance the appearance of the face. If you have an extremely deep frown line and you look angry they Botox will fix it, even if you are as young as 20. It’s not a ‘need’ in response to the signs of ageing, more a desire to look a little bit better – akin, to my mind, to getting braces or wearing makeup!

The issue is when the lines are left too long then they become resting line and they are much harder to erase. There is a school of thought that early prevention if better that looking for a cure. This can apply in this case, not to all, but certainly to many people.

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Question: How do you avoid the ‘frozen forehead’ look?

Answer: I make a careful assessment of each patient’s facial features. I then tailor the amount used, and the location of each injection to ensure you get the look you want, without that ‘heavy’ frozen look. If you remove the ability to look surprised, or to let your face enjoy a smile, then you’re not doing your patient any favours, even if you eradicate a large amount of wrinkles. After a certain point, some patients may want to consider using fillers to help soften out very deep wrinkles. There are also some other treatments they could consider, like blepharoplasty (eye bag removal) or a brow lift. 

 

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Question: How often should I go for Botox?

Answer: This varies from patient to patient, but I would recommend at least three months between visits, to avoid becoming resistant. You will find also that as you continue your use of botox, that you may need less, and may need to come less often, as the muscles used for frowning are used less. It’s important to listen to the body, and respond accordingly. Be flexible, and remember, less is more! 

 

If you would like to ask Dr. Salman a question about Botox, you can contact him at Auralia Clinic, Dublin. 

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