Male hair loss due to androgenetic alopecia follows a typical pattern and the first signs are a receding hairline and thinning on the top or vertex of the head, known as the crown. In more advanced stages of hair loss, the receding hairline may connect with balding at the crown, creating a horseshoe-shaped ring of hair on the side and back of the scalp.

While Follicular Unit Extraction (FUE) has proven effective in addressing receding hairlines and balding at the front of the scalp, questions linger about its efficacy on the challenging terrain of the crown.

Understanding FUE

FUE, a minimally invasive hair restoration technique, involves harvesting individual hair follicles from the donor area (typically at the back of the scalp) and transplanting them to the recipient area. The process is meticulous, requiring precision to ensure natural-looking results. As the crown presents its own set of challenges, it’s essential to assess whether FUE is up to the task.

Challenges of crown restoration

The crown, or vertex, poses unique challenges for hair transplantation. Its circular pattern and the whorl of hair growth make it crucial to maintain a natural aesthetic. Additionally, the crown often experiences thinning and may have a limited donor hair supply. These factors raise the question: Can FUE effectively tackle these challenges and deliver satisfactory results on the crown?

Efficacy of FUE on the crown

Precise and natural results: FUE’s precision makes it suitable for addressing the intricacies of the crown. The ability to harvest individual follicles allows for careful consideration of the hair’s angle, direction, and density, resulting in a more natural appearance.

Limited donor supply: While the donor supply at the back of the scalp is more limited than other areas, advancements in FUE technology and surgical techniques have expanded the possibilities. Surgeons can strategically extract grafts, ensuring the preservation of the donor area’s aesthetic and preventing overharvesting.

Whorl patterns: The whorl patterns in the crown require a surgeon’s skill to mimic natural hair growth. FUE, with its precision in graft placement, allows for the recreation of these patterns, enhancing the overall aesthetic of the transplanted hair.

Choosing a skilled and experienced surgeon is paramount. A surgeon’s ability to design a natural hairline, navigate the whorl patterns, and optimise donor hair distribution greatly influences the success of the procedure.

Mr Michael Mouzakis is a highly experienced hair restoration surgeon, offers the most advanced techniques, has performed over 1,600 procedures, and was awarded finalist of the Hair Restoration Practitioner of the Year category in the Aesthetic Medicine Awards 2022.

Realistic expectations are also crucial. While FUE can significantly improve the appearance of the crown, achieving a perfect match with the original density may be challenging. Patients should understand that multiple sessions may be necessary for optimal results. Age is also a factor and younger patients may need to wait until the hair loss pattern is more established before transplanting the crown.

To find out if you’re suitable for crown restoration, call 02033 256 533 or email to arrange a consultation with Mr Michael Mouzakis.

Whether you are suitable for Vaser Hi-Def, a cutting-edge liposuction technique designed to sculpt and define the body, depends on several factors, including your overall health, expectations, and individual body characteristics.

Vaser Hi-Def is not a one-size-fits-all solution, and during your consultation with leading London body sculpting expert Dr Mooz he will assess your suitability and advise you on the benefits and drawbacks of Vaser Hi-Def. He can also advise you on traditional Vaser, MicroLipo, or liposuction techniques.

What is the difference between Vaser and Vaser Hi-Def?

Like traditional lipo, Vaser liposuction removes unwanted fat from specific body areas. The difference is that Vaser technology delivers high-frequency ultrasound waves which vibrate the fat cells loose from their connective tissues before a cannula removes them. This improves the process, with more precisely sculpted results and less trauma and downtime.

During Vaser Hi-Def, Dr Mooz can position the ultrasound cannula as close to the muscle fibres as possible, sculpting the musculature’s natural contours and grooves.

What factors determine your suitability for Vaser Hi-Def?

Health assessment: One of the most critical considerations when determining suitability for Vaser Hi-Def is your overall health. You should be in good general health, without uncontrolled medical conditions, to ensure a safe and successful procedure.

  • Body Mass Index (BMI): Your body mass index is a critical factor in determining if you are suitable for Vaser Hi-Def. No Vaser procedure is intended for weight loss, but candidates for Vaser Hi-Def should be at their ideal body weight and with good underlying musculature but wish to achieve further definition that they cannot achieve with diet and exercise alone.
  • Realistic expectations: It’s crucial to have realistic expectations about the outcome of Vaser Hi-Def. While the procedure can produce impressive results regarding body contouring and muscle definition, it may not achieve perfection. Discussing your goals and expectations with Dr Mooz is essential to ensure your suitability for this procedure.
  • Localised fat deposits: Vaser Hi-Def is most suitable for individuals with localised areas of fat that are resistant to diet and exercise. It can effectively target these problem areas, such as the abdomen, flanks, thighs, or arms, to create a more sculpted appearance.
  • Skin elasticity: The elasticity of your skin is another critical factor. Your skin should have enough elasticity to adapt to the new contours created by Vaser Hi-Def. Individuals with loose or sagging skin may require additional procedures, such as a tummy tuck or arm lift, to achieve their desired results.
  • Age: Age is a consideration, but it’s not a strict determinant of suitability. Older patients can undergo Vaser Hi-Def successfully, but the quality and elasticity of their skin may affect the results. Younger individuals often have better skin elasticity, which can lead to more dramatic outcomes.
  • Commitment to post-operative care: This is also critical in determining whether you’re suitable for Vaser Hi-Def. To achieve and maintain the desired results from Vaser Hi-Def, you must adhere to a strict healthy lifestyle, including a balanced diet and regular exercise, to ensure the longevity of your sculpted appearance.
  • In summary, your suitability for Vaser Hi-Def depends on various factors, including your health, expectations, body characteristics, and commitment to the process. It’s not a solution for weight loss but rather a technique designed to sculpt and define the body. To determine if this procedure is correct for you, a consultation with an experienced surgeon is a must, as they can guide you to the appropriate procedure.

Dr Mooz is one of the few UK surgeons who have completed the Total Definer Masterclass under Dr Alfredo Hoyos, a world leader in body contouring surgery and high defintion lipo. This unique training opportunity allowed Dr Mooz to hone his skills further and learn from the plastic surgeon who created Vaser High Definition Liposculpture and is considered a true artist, able to create beautiful, contoured bodies.

Get in touch to book a consultation to discuss your suitability for Vaser Hi-Def.

The menopause may be a natural stage of ageing, but that doesn’t make this time of transition less challenging for women experiencing the whole host of physical and psychological changes caused by fluctuating hormone levels.

Around the time of menopause, many females experience physical symptoms such as hot flashes, night sweats, vaginal dryness, and a reduced sex drive. It can also lead to anxiety, changes in mood, and a reduced sex drive.

There are an acknowledged 34 symptoms associated with the menopause, and are grouped as vasomotor, psychological, urogenital, and physical changes. The latter includes headaches, joint pain, insomnia, and weight gain.

Why do women gain weight during menopause?

Recent research suggests that the menopause doesn’t directly cause weight gain but instead causes a shift in fat distribution, and post-menopausal women are likely to accumulate abdominal fat.

Published in the American Journal of Obstetrics and Gynecology, it found that post-menopausal women experienced increased abdominal fat, and a corresponding decrease in leg circumference, suggesting fat cells move from other parts of the body to the waistline.

Often called the ‘fat reshuffle’, liposuction is particularly effective at eradicating stubborn fat deposits on the abdomen.

Rather than blaming your oestrogen levels, age and lifestyle are the main culprits of any general weight gain. Ageing is associated with a slowing down of your metabolism, explaining the phrase that you must ‘run to stay in place’. With our bodies burning fewer calories, it follows that we have to eat less and move more, but our activity levels typically decrease in our 50s onwards, so muscle mass declines and stubborn fat deposits accumulate.

A common menopausal symptom is insomnia, and our sleep patterns are directly linked to weight gain. Leptin is the hormone that tells you when you’re full, and when the body is sleep deprived, it produces less leptin. Furthermore, lack of energy the next day is typically combatted with excess consumption of caffeine, sugar and fatty foods and less desire to exercise.

Tummy liposuction for menopausal weight gain

Tummy liposuction is a highly effective solution to stubborn fat deposits on the stomach. During the procedure, Mr Michael Mouzakis will make tiny incisions in the treatment area before removing excess fat tissue with a cannula, a specially designed suction device. The stomach will immediately look flatter and more contoured.

To find out if you’re suitable for tummy liposuction, call 02033 256 533 or email to arrange a consultation with Mr Michael Mouzakis on Harley Street.

Gynecomastia or the appearance of man boobs is a very common, highly distressing condition that is thought to affect over 30% of adult males in the UK. The true number of sufferers may be much higher as many men are either too embarrassed to seek help or are unaware that there are treatment options out there.

In the most recent figures released by one of the UK’s leading cosmetic surgery associations, chest reduction was up 158% and liposuction was up 150% on the previous year’s figures, as more and more men realise that there is a solution.

Surgical male breast reduction, liposuction or a combination of these two procedures are highly effective treatment options and the ideal procedure depends on the underlying cause and the severity of the condition.

What has caused my gynecomastia?

All men have a small amount of breast tissue behind their nipples and true gynecomastia is a medical term for the enlargement of this glandular tissue. It is caused by an imbalance in testosterone and oestrogen levels, and genetics, age and hormonal fluctuations can all factor. Certain prescribed medications, anabolic steroids and underlying medical conditions can also stimulate overdevelopment of breast tissue in the male chest.

What is pseudogynecomastia?

Pseudogynecomastia, also known as false gynecomastia, results from excess fatty tissue on the chest wall that mimics the appearance of the female breast. A healthy diet and targeted exercise routine can sometimes help but often these stubborn fatty deposits remain, and the skin can often become stretched.

What is the most effective treatment for gynecomastia?

The first step is a comprehensive, unhurried consultation in which Mr Michael Mouzakis will carefully assess you physically to determine the underlying cause.

If there is an excess of glandular breast tissue, a surgical excision like a female breast reduction or mastopexy may be required. Overly stretched skin with poor elasticity may need to be removed surgically also.

Psuedogynecomastia responds very well to liposuction. Small incisions are made where they will be unnoticeable when fully healed. A thin cannula is then inserted to remove the excess fat and sculpt the chest contours.

Mr Michael Mouzakis offers traditional liposuction for gynecomastia, MicroLipo and Vaser Lipo. At your consultation he will also advise you on which approach is best suited to achieve the outcome you’re hoping for.

We all have areas of our body that we’re less than happy with, even if we’re committed to a healthy and fit lifestyle. Body contouring or body sculpting aims to reshape the body and remove stubborn fat deposits that are resistant to diet and exercise.

We’re all born with a finite number of fat cells that expand and contract depending on how carefully we watch what we eat or how hard we work out. However, genetics and the ageing process can also determine if we have a particular body concern, such as a double chin, muffin top, stomach pouch, bingo wings, or saddlebags.

Now, there are many options for tackling these problem areas, so if you’re considering body contouring, here are some of the questions you should ask.

Which body contouring procedure is right for me?

The best body contouring procedure depends on your current body shape and type and what you hope to achieve. During your consultation with body sculpting expert Mr Michael Mouzakis, you will have a physical assessment and a clear discussion of your concerns and goals so he can advise you on the appropriate body contouring procedure.

If you have small pockets of fat and good skin elasticity, then MicroLipo may be the answer. Larger volumes of fat may respond better to Vaser, which also induces a degree of skin tightening. For slim and toned patients wanting to reveal a more defined physique, Vaser Hi-Def can sculpt around the underlying musculature.

However, if you have very poor skin elasticity or stretched abdominal muscles, a surgical procedure such as a tummy tuck will be the best option, as excess skin can be removed and the abdominal muscles tightened.

Am I a good candidate for body contouring?

The ideal candidate has positive, realistic goals and is fit and well. It is essential to realise that body contouring is not a weight loss procedure, and they should ideally also be within 15 and 20% of their goal weight to get the best results.

Smoking can delay healing and contributes to poor skin elasticity, so the ideal body contouring patient is a non-smoker.

Am I ready to commit to looking after my results?

Although the fat cells removed during your body contouring procedure cannot grow back, it is possible to undermine your results by putting on weight. This means putting more weight on elsewhere or further expanding the remaining fat cells in the treatment area.

Committing to a healthy diet and exercise routine before your body contouring procedure means you are in the best possible shape for surgery. Still, it also means you are more likely to maintain your results post-procedure. Vaser Hi-Def requires strict adherence to weight maintenance.

When will I see the results of my body contouring procedure?

You can expect to see an immediate difference in your body shape, but some swelling can last up to six months before it fully subsides, and you can appreciate your final result.

Are there risks involved?

Vaser lipo and MicroLipo are typically safe and well-tolerated procedures, but there are also potential risks that you should be aware of before deciding to proceed.

These include bruising, pain, infection, skin discolouration, bleeding and asymmetry. Scars are typically minimal and are usually positioned where they will not be visible when healed.

More questions on body contouring? Call 02033 256 533 or email to book a consultation with Mr Michael Mouzakis.

Excess fat under the chin is a common cause for concern and many patients ask us what treatments get rid of a double chin.

What causes double chin fullness?

For most of us, a double chin is the result of fat accumulating under the chin, known as submental fat. This excess fat is typically very resistant to diet and exercise and many slim and toned men and women feel that they look overweight as there is a lack of definition in the lower face and neck. Patients often say that they feel it makes them look older also. Genetic factors can play a role in where fat accumulates.

Skin laxity can also contribute to this lack of definition. As we age, collagen and elasticity production slow down which causes skin to sag and folds to form. As the lower face loses elasticity, this can often give the appearance of a double chin. Lifestyle factors such as smoking, poor diet and sun exposure can all accelerate this skin ageing.

Even your smartphone addiction could be contributing to double chin fullness. US scientists recently revealed that tipping your head forward at a 45-degree angle for hours and hours a day put an extreme amount of pressure on your neck, resulting in muscle stiffness, joint inflammation, pinched nerves, arthritis, herniated discs, as well as the increased likelihood of necklace lines and a double chin as a result of poor posture.

How to lose double chin fat?

There are many non-surgical treatments that claim to eradicate double chin fat. Different techniques are used to kill the fat cells before they are eliminated from the body through the lymphatic system. These treatments include fat dissolving injections, such as Kybella which is composed of a synthetic form of deoxycholic acid. This is a bile acid which naturally destroys fat cells.

Other treatments use extreme temperatures to kill off the fat cells, such as cryolipolysis. Scientists discovered that fat cells were destroyed when frozen with minimal damage to the surrounding tissue.

However, for a permanent and immediate removal of stubborn fat deposits on the face and body, double chin lipo is the most effective method. Mr Michael Mouzakis offers both MicroLipo and Vaser Liposuction for treating submental fat.

During a MicroLipo procedure, a solution of saline, adrenaline and local anaesthetic is injected into the treatment area to minimise discomfort and make removal of the fat cells easier. Small incisions are made and a microcannula is inserted to gently remove the fatty tissue. A more refined contour to the neck, jaw and chin instantly emerges although it can take a few weeks and months before all swelling subsides.

Vaser stands for Vibration Amplification of Sound Energy at Resonance, and it uses ultrasound waves to liquefy the fat cells which makes them easier to extract. This makes it very gentle and minimally invasive so suitable for double chin lipo. The ultrasound energy also induces a small amount of skin retraction which can further improve the results.

To find out which treatment for double chin fullness you are best suited for, call 02033 256 533 to arrange a consultation with body sculpting expert Mr Michael Mouzakis.

Distressed that your lower body is out of proportion to your upper body? Frustrated that however carefully you eat or how much you exercise, it never seems to make a difference to the size of your thighs or calves? Experiencing heavy, aching or even painful legs that are sensitive to the touch or easily bruise?

You are likely to be suffering from lipoedema, or lipedema in the US, which is a very common condition afflicting mainly women, although most sufferers are misdiagnosed or told to just lose weight. Sadly, this disorder of the adipose or fatty tissue, is resistant to diet or exercise.

This leaves many women embarrassed by the aesthetic appearance of their legs and experiencing pain and a lack of mobility that affects quality of life and prevents them enjoying many normal activities.

What stage lipoedema do I have?

Lipoedema almost exclusively affects women and typically presents during periods of hormonal fluctuation such as puberty, pregnancy or the menopause. It is a progressive condition so it will typically worsen over time.

The European Lymphology Society (ELS) has categorised 5 types of lipoedema, based the distribution of abnormal fat and, as a progressive condition, patients often find it typically worsens over time.

  • Type I: an abnormal increase in fatty tissue on the buttocks and hips, often described as saddle bags.
  • Type II: the lipoedema extends as far down as the knees and there is usually a formation of folds of fat around the inner side of the knee.
  • Type III: patients find abnormal fat deposits extend all the way from the hips to the ankles.
  • Type IV: both the arms and legs are affected.
  • Type V: patients suffers from Lipo-lymphedema which is when the excess fat tissue puts too much pressure on the lymphatic system and this means an excess of congested fluid in the afflicted limbs.

However, research indicates that early intervention can halt the progression of this condition.

Which lipoedema liposuction treatment is most effective?

Non-surgical therapies are not able to reduce the bulk of the affected limbs but can manage the associated symptoms. They are also not likely to slow down the progression of lipoedema. They include compression garments and manual lymphatic drainage (MLD) that gently stimulates lymphatic flow and thereby relieving any swelling or discomfort.

The only treatment that is able to reduce volume in the lower body or arms is liposuction. Dr Mooz uses Vaser and MicroLipo over traditional liposuction to treat lipoedema with highly effective results and less damage to the surrounding tissue.

First, a tumescent solution, composed of saline, local anaesthetic and adrenaline is injected into the target area which helps to dislodge the fat cells. During a MicroLipo procedure, Dr Mooz will use a specially designed microcannula to emulsify the fatty tissue before it is suctioned out. This means that although smaller amounts of fat can be addressed in one session, Dr Mooz will be able to remove the fat in a slower, more precise approach that results in a smoother finish and a quicker recover.

Vaser stands for Vibration Amplification of Sound Energy at Resonance and uses ultrasound waves to break up and liquefy the fat cells, so they are even easier to remove. Larger amounts of fatty tissue can be removed than through MicroLipo. Both procedures can be repeated safely.

For more advice on which type of liposuction is best for treating lipoedema, call 02033 256 533 to arrange a consultation with Dr Mooz.

Liposuction consistently remains in the top five most popular cosmetic surgery procedures for both men and women as it’s often the only solution to fat deposits that are resistant to diet and exercise.

Vaser stands for Vibration Amplification of Sound Energy at Resonance and is a form of ultrasound-assisted liposuction that liquefies the fat cells before they are removed. It has emerged in recent years as a technologically advanced improvement on traditional liposuction and in our latest post we review the Vaser liposuction pros and cons.

Pro: Less invasive

Liposuction is an umbrella term and varies depending on the technique or device used to remove fat. Alongside ultrasound-assisted liposuction, is tumescent liposuction, laser-assisted liposuction (LAL) and power-assisted liposuction (PAL).

Traditional liposuction relies on the back-and-forth motion of the cannula to dislodge the fat cells before they are removed with suction and can cause significant trauma to the body.

Con: You may need lymphatic drainage to reduce swelling

After Vaser, the body responds by producing a cushion of fluid to protect the treated area. Dr Mooz will advise you to wear a compression garment after your procedure to reduce this swelling, but if the lymphatic system becomes overwhelmed with the excess swelling, you may be advised to undergo lymphatic drainage to prevent hard pockets developing.

Pros: Shorter downtime

During a Vaser procedure, probes are inserted that resonate at a high ultrasound frequency. This process ‘shakes’ loose the fat cells before it is removed by suction. As there is less damage to the surrounding tissues, there is usually a shorter recovery process than after traditional liposuction. Most patients are able to return home immediately after and experience less pain, bleeding and bruising.

Pro: Can be performed under local anaesthetic

Some patients are reluctant to undergo a general anaesthetic and it is possible to perform Vaser under local anaesthetic combined with sedation.

Con: Can’t remove as much fat as traditional liposuction

For patients with significant amounts of fat to remove, traditional liposuction might be better as you can typically remove more fat cells in one session than with Vaser.

Pro: Vaser equals better body sculpting

As the fat cells are dislodged before they are gently removed, it’s possible for Vaser surgeons to work more closely around targeted muscle groups, meaning more muscle definition. Vaser is also clinically proven to offer 53% more skin retraction than conventional liposuction, making it the ideal body contouring procedure.

To ask more questions about Vaser liposction, call 0203 3256 533 to arrange a consultation with body sculpting expert Dr Mooz.

Bothered about a double chin or unhappy with lack of thigh gap? Most of us have at least one area of the body that we’re less that satisfied with, however careful we are about what we eat or how much we work out.

Liposuction is one of the UK’s most popular cosmetic surgery procedures for both men and women as it is a highly effective method of eliminating unwanted fat and enhancing the physique. MicroLipo is an advanced liposuction technique performed by London body sculpting expert Mr Michael Mouzakis.

Benefits of MicroLipo:

#1 Less damage, less downtime

 Micro-cannula liposuction or MicroLipo gets its name from the size of the cannulas that are used to emulsify and remove the fat. In traditional liposuction, the cannulas are usually larger than 6 millimetres whereas in MicroLipo the cannula ranges from the smallest of which is just 0.9mm wide and the largest of which is 3mm. As a result, there is less damage to the surrounding tissue, so less bruising and swelling. 

#2 Minimal or no blood loss

 Tumescent liposuction involves injecting a solution of saline mixed with local anaesthetic and adrenaline which shrinks the blood vessels. There is minimal risk of excessive bleeding after MicroLipo.

#3 Performed under local anaesthetic

MicroLipo is performed under local anaesthetic so the risks and recovery associated with a general anaesthetic are eliminated.

#4 Can be repeated

Up to 3.5 litres of fat can be removed in one session and multiple areas can be treated at the same time. However, it is very safe to have a repeat session if further body sculpting is required.

#5 Smooth contours

MicroLipo’s tiny cannula means Mr Michael Mouzakis has full control over the procedure and there is minimal chance of too much fat being removed which can result in a rippling effect. The slow, controlled MicroLipo technique produces a smoother result.

#6 Suitable for small body areas

MicroLipo is particularly effective for targeting smaller body areas such as under the chin, along the neck, the back of the arms and the knees.

#7 Fantastic treatment for Lipoedema

One of the key benefits of MicroLipo is that it is particularly effective at treating Lipoedma as the size of the cannula means it cause less damage to the lymphatic drainage system.

To discover more of the benefits of MicroLipo, call 02033 256 533 or email to arrange a consultation with Mr Michael Mouzakis.

Male pattern baldness is a progressive condition, so the amount of hair loss will only increase with age. By age 30, it’s thought that 25% of men will experience noticeable hair loss. By 50, this has increased to 50% and by age 60, over two-thirds of men will be experiencing thinning and loss of density often combined with a receding hairline or growing bald patch.

As androgenetic alopecia is linked to your age as well as genetics, it’s no surprise that most men who are experiencing noticeable hair loss have also seen a proliferation of grey or white hairs as 50% of the population has about 50% of grey hair by age 50, according to dermatologists.

So, can you have a FUE hair transplant when your hair has started to go grey or white?

Hair transplant on white hair White Hair Transplant

One misconception about grey or white hair is that it’s no longer ‘healthy’. The principles of FUE hair transplantation is you’re taking healthy, viable hair follicles from the donor area and transplanting them to an area where they are able to graft successfully and start producing new hairs.

We get our hair colour – along with our skin, nail, lip, and eye colour – from specialised cells called melanocytes which produce a pigment known as melanin. It’s thought that follicular melanocytes are far more susceptible to oxidative stress and therefore stop producing melanin at a much quicker rate than melanocytes situated in the iris for example.

When this melanin production slows down, our hair begins to lose its colour, becoming grey or white when there is complete absence of pigmentation in the hair. However, this lack of pigment does not affect the viability of this hair follicles and they can be successfully grafted.

Careful planning is essential when performing a grey or white hair transplant and Mr Michael Mouzakis not only takes into account your hair growth patterns to ensure the grafted follicular units match in terms of angle and placement, but he will also factor in the colour pattern of greying hair when transplanting follicular units.

Call 0207 411 9858 to book a consultation with Mr Michael Mouzakis and find out if you’re suitable for a hair transplant.