Laser Treatments

• Affirm™ Laser
• CoolTouch™
• Laser Facial Vein Removal
• Laser Hair Removal
• Laser Leg Vein Removal
• Laser Pigment Removal
• Laser Tatoo Removal
• Photorejuvenation VascuLight

Liposuction Types

• Facial Liposuction
• gynecomastia
• Laser Assisted
• Lipoabdominoplasty
• Mesotherapy
• Smart Lipo
• Tumescent Liposuction
• Ultrasound Assisted Lipo
• Vaser Liposuction

Procedures

• Acne
• Botox®
• Botox®-Cosmetic
• Hyperhidrosis-Treatment
• Chemical Peels
• Melasma
• Cosmelan Peel
• Obagi Blue Peel
• Eye Lid Surgery
• Fillers
• Lip Augmentation
• Marionette Lines
• Hair Transplant
• Hand Rejuvenation
• Microdermabrasion
• Otoplasty
• Portrait Facial Rejuvenation
• S-lift Mini-facelift
• Scar Treatment

Laser Vein Removal Treatment: spider, varicose , and sclerotherapy.

Varicose veins:

Healthy veins return blood to the heart and lungs so it can be re-oxygenated. A system of valves makes this happen by allowing the blood to flow in only one direction. When valves fail or leak, blood flows backward under the force of gravity and distends the veins. This backward flow, called “reflux,” causes blood to pool in the veins, resulting in varicose veins.

Ignoring the situation can result in symptoms such as pain, fatigue, itching, burning, swelling, cramping and throbbing. People who suffer from these symptoms instinctively lie down and elevate their legs to reduce the pooling of blood and relieve their discomfort. However, over time, these symptoms will intensify, and quite often, a person’s varicose veins will become large and “ropelike.” Overly distended varicose veins, especially near the ankle, can rupture and cause profuse hemorrhaging. Some legs can even deteriorate with swelling and dermatitis, which can lead to leg ulcers.

Spider veins:

Spider veins appear to be hormonally induced and can be associated with pregnancy and menstruation. Although spider veins are not usually symptomatic, the feeder veins deeper in the skin can cause discomfort. Many women have a combination of both varicose and spider veins. While they may seek treatment for cosmetic improvement, most female patients seek relief from pain.

Spider veins grow from “reticular” veins, also known as “feeder” veins. These feeders exist in a dense network, and are usually a bit deeper in the skin. They form a network of blue or green veins, sometimes giving a marbled appearance to the skin. They might even be difficult to see in some women because they are a little too deep in the skin. But they’re present nonetheless and must be eradicated in order to get the best results possible, while reducing the chance of recurrence. Many women, not knowing the proliferative nature of spider veins, don’t want them treated. These women figure as long as the veins aren’t too ugly, they can avoid treatment and save money. But in reality, when left untreated, spider veins provide a platform for the growth of additional spider veins.

Treatment options: Sclerotherapy versus Laser

We not only treat the unsightly surface spider veins, but also the feeders that actually “feed” them. Treating the feeders treats the source of the problem. This allows us to greatly improve our already sound, long-term results. This procedure is performed in our office and takes less than an hour.

Sclerotherapy is the process of eliminating varicose veins and telangiectasias (“spider-veins”) by injecting a solution (sclerosing agent) into the veins, and thereby dissolving
them.

Laser Vein Treatment: The laser beam passes through the skin and penetrates the targeted vessel. The laser energy heats up and coagulates blood inside the vessel. These vessels later dissolve within the body. You may experience a stinging sensation during the treatment, which resolves immediately after the treatment is over.

During Treatment	Shortly After Treatment	In The Weeks After Treatment

Is sclerotherapy for me?
A majority of people who receive sclerotherapy are cleared of their small varicosities, or
see a large improvement. Approximately 10% of patients have fair to poor results, meaning the veins have not disappeared after 6 treatments. Very rarely, the veins can become worse after treatment or new veins may develop. You are a candidate for sclerotherapy if you have spider veins, reticular varicosities, recurrence of varicosities, are advanced in age, or any combination of these.  During your consultation Dr. El-Attar will determine the best plan for you.

Contraindications for sclerotherapy: Pregnancy, patients who are bed-ridden or experience decreased mobility, diabetic patients, obesity, history of deep vein thrombosis, allergies to sclerosing agents, and hypercoagutable states (Lupus, etc.).

How many treatments are required?
The number of treatments is dependent upon a.) the extent of the varicosities and b. ) the patient’s agreement to follow post-treatment instructions. One to six treatments may be necessary, and the average is usually three to four.

What are the most common side effects?
Itching — This depends on the type of solution used. You may feel itching along the route of the vein, normally lasting 1-2 days after treatment.
Telangiectatic making (hyperpigmentation) — This occurs in approximately 10-30% of patients. You may notice a slight discoloration of brown streaks along the veins after treatment. Rarely, the darkening of the vein may last 4-12 months. It will usually not keep you from continuing treatment. Spontaneous resolution of the hyperpigmentation occurs in 70% of patients at 6 months, and in 99% of patients within 1 year.
Sloughing and ulceration — This type of reaction may occur at the injection site. It looks like a small blister and heals slowly. If the blister opens, or if it is not well taken care of, it may turn into an ulceration. A scar may develop, but it should return to normal color when the healing process is completed.
Allergic reactions — These reactions are extremely rare, but may occur if you are allergic to the sclerosing agent used. You may also experience an allergic reaction to the material in the compression stockings (Spandex and Lycra), however this is also rare.
Pain — You may experience mild to moderate pain at the injection site, with some possible bruising. The veins may be tender after the treatment, and an uncomfortable sensation may run along the route of the vein. This is temporary, usually lasting days.

What are the other side effects?
You may feel burning during the injection of the solution. Sometimes new tiny blood vessels develop after treatment, but this is usually temporary. Transient phlebitis-type reactions (swelling of the veins that may cause your ankles to swell), temporary wheels or blebs (similar to hives), and wound infection, poor healing or scarring may also occur. If an arteriole is injected it may lead to arterial embolism and/or pedal gangrene.

Phlebitis is a rare complication, occurring in approximately 1 out of every 1000 patients. If usually happens in the treatment of veins 3-4mm in diameter or greater. The dangers of phlebitis include: possible pulmonary embolus (blood clot to the lungs that could result in death), and post-phlebitis syndrome (when the blood is not carried out of the legs). This may result in permanent swelling of the legs.

Ayman El Attar, MD, FASLMS, FAAFP, AAACS: is the founder of Derma Laser Centers of New Jersey established five years ago in Mercerville, New Jersey in October 2002. Now in 2007 Derma Laser Centers has four locations across the State of New Jersey, with sister practices in San Diego, and Beverly Hills, California.

He is a board certified physician and surgeon who is dedicated to the art and science of Cosmetic and Laser Surgery. He graduated from Alexandria Medical School with honors in 1987. He completed residencies in both General Surgery and Family Medicine, and obtained a Masters Degree of Surgery in 1992. He was an assistant lecturer of Surgery at Alexandria University, and a visiting instructor of Surgery at the Medical College of Ohio. He then finalized his Ph.D. thesis in 1998.

He has several publications in the most reputable medical and surgical journals. He lectures both nationally and internationally, patients as well as physicians about recent advances in Laser and Cosmetic Surgery. Dr. El-Attar had several newspaper articles including the Times, Especialito, and Mercer County Woman Magazine. He was a TV guest on Channel 8 and 10 Cable TV in New Jersey several times. He was a radio guest on Wall Street Good morning America XM Satellite Radio, and The New York 92.3 FM Station.

In 2007 Dr. El-Attar continues to devote his expertise to guide his team to provide to the patients the most elite and comprehensive services. Derma Laser Centers of New Jersey utilizies the most cutting- edge technology available in the field of hair restoration, laser, and cosmetic surgery.

Dr. El-Attar is an active member of the following professional organizations:

* Fellow American Society of Laser Medicine & Surgery
* Faculty of the American Academy of Cosmetic Surgery
* Faculty of the American Society of Aesthetic medicine
* Member of International Society of Hair Restoration
* Member of International Society of Dermatology
* Member American Medical Association
* Member Canadian Academy of Aesthetic Medicine
* Member American College of Phlebology
* Fellow American Academy of Family Physicians
* Member New Jersey Chamber of Commerce
* Member Better Business Bureau
* Member New Jersey Business Association
* Member of International Society of Dermatology

- Awards:
- Resident teacher award from the Society of Teachers of Family Medicine. June 2002
- Physician’s Recognition Award. American Medical Association. July 2002
- Physician’s Recognition Award. American Medical Association. July 2003- July 2006
- National Registers’ Who’s Who in Executive and Professionals. New York. USA 2005-2006
- National Register Who’s Who Kiplings Registry in Executive and professionals, 2008-2009

Workshops & Conferences:

* Laserscope Aesthetic Laser Workshop. Washington,DC, USA. August, 24 2002.
* MedCosmetic Conference. Embassy Suite Hotel. Philadelphia, PA, USA. April, 26 2003
* Comprehensive Training Workshop. Cynosure. New York City, NY, USA June, 14, 2003
* Aesthetic & Anti-aging Medicine Conference. University of British Columbia. . British Columbia, Canada. January 3-10, 2004.
* AACS Annual Meeting. January 27-30, 2005 San Diego, California, USA.
* Sybaritic SkinSpa Solution Training course.Seattle, WA USA. September 17-19, 2005
* Advances in Facial Cosmetic Surgery. The Ellman Institute. New York,USA. December, 10, 2005
* Obagi Course on skin aesthetics. Philadelphia, PA, USA April, 27 2006.
* Hair restoration Workshop, Wednesday January 24, 2007. at the Arizona Biltmore Resort & Spa in Phoenix.. Arizona, USA
* AACS Annual Meeting. January 25-28, at the Arizona Biltmore Resort & Spa in Phoenix
* Orlando Live Surgery Workshop. Orlando, Florida USA. March 7-10, 2007. Royal Pacific Resort
* Liposuction from A-Z.June 9-10, 2007. Manhattan, NYC. Dr.Bruce Katz.
* A Dermatological Conversation on Fractional Resurfacing Technology. The Pyramid Club, Philadelphia, PA, USA. June 20, 2007
* Cynosure Training on Smartlipo Laser lipolysis. John Decarato, MD. August 8, 2007
* Cynosure Training on Smartlipo Laser lipolysis. Amy Rourke, RN. Mercerville, New Jersey, August, 11 2007
* 24th Annual Scientific Meeting of The American Academy of Cosmetic Surgery. The Art of Perfection. Orlando, FL, USA January 17-20, 2008
* The Art of Liposuction Surgery Workshop. The American Academy of Cosmetic Surgery. Orlando, FL, USA January 17-20, 2008
* 28th Annual Conference. American Society of Laser Medicine and Surgery, Gaylord palms Resort & Convention Center, Kissimmee, Florida USA. April 4-6, 2008

Publications& Articles:

* Heterotopic peripancreatic spleens presenting as peripancreatic tumors of the body and tail of the pancreas: case report. El-Attar AF, Howard JM. Journal of Hepato-Biliary-Pancreatic Surgery 1996; 3(2): 178-180.
* Delayed gastric emptying of solid food in pancreatic cancer.(Abstract) EL-Attar AF, Merrick HW, Howard JM. Journal of Hepato- Biliary-Pancreatic Surgery 1996; (Supplement 2): 126.
* Carcinoid tumors of the pancreas: Status report based on two cases and review of the world’s literature. Mao C, El-Attar AF, Domenico DR,Kim K, Howard JM.. International Journal of Pancreatology, 1998, 23 (2) : 153-164, April 1998.
* Pseudomyxoma peritonei: Sudden cardiac death complicating postoperative intra-peritoneal treatment with 5-fluorouracil: case report. EL-Attar AF, Skeel RT, Howard JM. Digestive Surgery 1999.
* Mucinous adenocarcinoma of the pancreas. El-Attar AF, Berkelhammer C. submitted for Gastrointestinal endoscopy 2002.
* Princeton Online Community Website. Holiday Season Resolutions for Cosmetic Surgery.11/02/2005
* PR press release. Derma Laser Centers Medi-Spa Expands Services to Become One of the Best Equipped Laser Centers in the State of New Jersey.1-25-2005.
* Pseudo-folliculitis Barbae. Poster presentation at the25th Annual Conference. American Society of Laser Medicine and Surgery, Orlando, Florida USA March 29- April 4, 2005
* United States PR Log.Org. 2007-06-05 10:21:08, 12 views – L.A. Managment Company
www.hairdocnj.com is the new informational website for Dr. Ayman El Attar, a well respected Cosmetic and Laser Surgeon in New Jersey. Hair Transplantation and Medical Hair Restoration treatments are now available in 3 offices in NJ.
* Derma Laser Centers introduces state-of-the art SmartLipo™ US1 Newspaper Health Guide 2007
* Abstract submitted to the AACS Meeting 2009. Tumescent in-office Power Assisted Laser Lipolysis (TOPAL): A Prospective Clinical Study of 500 Consecutive Procedures
* Abstract submitted to the AACS Meeting 2009.Treatment of Dermatosis Papulosis Nigra using KTP 532 nm Laser in Skin Types IV, V and VI

Presentations & Media:

El-Attar AF, Azzam ZA, Mekky FA, EL-Assi. H: The role of surgery in treatment of chronic acalculous cholecystitis. Dissertation for the Master Degree in Surgery, March 1992.

El-Attar AF. Cell kinetics and Oncogenes, a basic knowledge for Oncology surgeons. Workshop on basic Oncology. The 13 th Annual Meeting of the Egyptian Society of Surgeons. September 28-30 th, Alexandria, Egypt.

EL-Attar AF,Howard JM. Delayed gastric emptying in pancreatic cancer. Poster presentation in the Second World Congress of the International Hepatobiliary-Pancreato- Biliary Association, Italy. June 5 th, 1996.

Mao C, El-Attar AF, Howard JM Carcinoid tumors of the pancreas. Poster presentation in the Second World Congress of the International Hepatobiliary- Pancreato-Biliary Association, Italy. June 5 th, 1996.

National Youth Leadership Forum, Chicago, IL 6-27-2000. Lectures on preparing for medical school and residency.

Suturing workshop. The future of Family Medicine. Fifth Annual UMDNJ Student Conference on Family Medicine. New Jersey Medical School, March 2, 2002

Skin cancer Screening Program, Lawrenceville Community Center April,10, 2003

Skin the Largest organ in the body. Mini-Med School Program. Robert Wood Johnson Wellness Center. October 2004

Recent Advances in Aesthetic medicine Conference Centers, Mercer Conference Center, 2004

Erbium Resurfacing, Lecutrer Marriott Times Square , NYC, USA 2004

Mesotherapy. Robert Wood Johnson Wellness Center , Hamilton, NJ, USA December 2004

Erbium Resurfacing, Lecutrer Seattle , WA, USA. September 17-19, 2005

Recent Advances in Aesthetic Medicine. MCCC, Hamilton NJ, March 18, 2005

TV appearance Channel Patriot Channel 8. Community Corner. 2005. Recent trends in Cosmetic Surgery

WJS This Morning XM Radio Interview: Cosmetic Surgery in Men. March-2006

TV Interview: New Jersey News Channel 12. New Jersey, USA April-2006

National Egyptian TV. July 2007. Laser Liposuction The new trend.

Al Akhbar Egyptian Newspaper. Hair Transplantation in August 2007.

Derma Laser Centers introduces state-of-the art SmartLipo™ US1 Newspaper Health Guide 2007

Communtiy Service:

* Skin cancer Screening Program, Lawrenceville Community Center April,10, 2003
* Skin cancer Screening Program. The Wellness Center. Robert Wood Johnson University Hospital at Hamilton. September 2003.April, 21, 2004

Doctors’ Preceptorships And Training:

* Cheryl Graber, MD. Aesthetic Surgery. 2006.
* Ayman Shahine, MD, FACS, FICS. Liposuction and Laser Surgery. 2007-2008.
* Richard Schlomer, MD, FACS. Portrait Plasma Resurfacing. April 2008
* Maher Nana, MD. Liposuction and Laser Surgery. 2007-2008.
* Neil Goodman, MD, FACS. Laser liposuction, 2008
* Nader Shehata, MD. Laser Liposuction and Laser Aesthetic Surgery. 2008.

After completing her medical degree at George-August University, Dr. Schrader fulfilled her internship requirements at New York Medical College/St. Vincents in New York. She finished her residency in Otolaryngology Head Neck Surgery at Temple in Philadelphia. She followed that with her fellowship in Facial Plastic Reconstructive Surgery at Glasgold Group in Highland Park, NJ. She is certified by the American Board of Otolaryngology Head and Neck Surgery. She has co-authored numerous publications and won awards for research.

EDUCATION INSTITUTION DATE
Fellowship Glasgold Group – Highland Park, NJ Facial Plastic and Reconstructive Surgery 2005 – 2006
Residency
Temple University Philadelphia, PA Otolaryngology and Head and Neck Surgery 2001 – 2005
Internship
New York Medical College/St. Vincents New York, NY General Surgery 2000 – 2001
George-August University Goettingen, Germany Degree – MD 1992 – 1998

Presentations:

* Thymic Carcinoma in the Neck. Schrader N., Ni K and Kelley DJ. Eastern Section of the Triological Society, NYC, NY. 01/03

* Fetal Rhabdomyoma in the Larynx. Schrader N. and Soliman A. ABEA, COSM, Scottsdale, AZ 05/04

* Salivary Pepsin as a Marker for LPR. Schrader N. and Soliman A. ABEA, COSM, Scottsdale, AZ 05/04

* Temporary Vocal Cord Motion Impairment with Vagal Nerve Stimulation. Schrader N., Jacobson M. and Soliman A. ABEA, COSM, Boca Raton, Fl 05/05

Board Certification:
American Board of Otolaryngology & Head and Neck Surgery

Medical Licensure:
State of Pennsylvania
State of New Jersey

Professional Societies:
American Academy of Otolaryngology – Head and Neck Surgery
American Academy of Otolaryngic Allergy
American Academy of Facial Plastic and Reconstructive Surgery

Awards:
Resident Research Award -and Travel Grant (Eastern Section of the Triological Society – 2003)
Post Doctoral Thesis in IL-4 Receptor activity, George- August-University, Goettingen, Germany – Summa Cum Laude

LANGUAGES:
French
English
German

Publications & Oral Presentations:

* Soluble Human Interleukin-4 Receptor is Produced by Activated T cells under the Control of Metalloproteinases.” Jung T., Schrader N., Hellwig M., Enssle KH and Neumann C. Int Arch of Allergy Immunol 1999, May; 119 (1): 23-30

* Mapping of Brainstem Neuronal Circuitry Active During Swallowing. Amirali A., Tsai G., Schrader Weisz D., Sanders I. ABEA, COSM, Orlando, FL 05/00 Broyles-Maloney Award

* Mapping of Brainstem Neuronal Circuitry Active During Swallowing. Amirali A., Tsai G., Schrader Weisz D., Sanders I. ABEA, COSM, Orlando, FL 05/00 Broyles-Maloney Award

* Mapping of Motorneurons of the Genioglossus Horizontal Compartment. Schrader N. and Sanders I. Annual Meeting of the American Academy of Otolaryngology & H/NS, Washington DC 09/00

* Fungal Otitis Externa- Its Association with Fluoroquinolone Eardrops. Schrader N. and Isaacson G. Pediatrics 2003;111(5),1123

* Prevalence of Resistant Pathogens after Ototopical Quinolone Use. Schrader N. and Isaacson G. Eastern Section of the Triological Society, NYC, NY 01/03 Resident Research Award and Travel Grant Award

* Benign Paroxysmal Positional Vertigo Following Stapedotomy. Schrader N. and Hanson MB. Annual Meeting of the American Academy of Otolaryngology & H/NS, NYC, NY 09/04

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