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Cosmetic Surgical Procedure - Techniques
Breast Augmentation
The procedure is performed under general anaesthetic, after carefully marking pre-operatively to ascertain the exact size, shape and position of the cavity for the implant. The incision is made peri-areolar (i.e. in the lower half of the area around the nipple). This leaves a hairline scar. Generally a pre-pectoral pocket (i.e. in front of the muscle) is created, unless the patient is extremely thin. A pre-pectoral pocket allows for better projection of the breast and prevents the complication of muscle contracture over the implant. Silicone implants are generally used (unless the patient specifies a saline filled implant) as they feel softer and more natural. A small tube drain is left in overnight to prevent blood accumulating in the cavity. Post-operatively the patient massages the breast to keep the cavity as large as possible.
Hospital stay – 2 night
Recovery – 8 days
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The procedure is performed under general anaesthetic, after carefully marking pre-operatively to ascertain the exact size, shape and position of the cavity for the implant. The incision is made peri-areolar (i.e. in the lower half of the area around the nipple). This leaves a hairline scar. Generally a pre-pectoral pocket (i.e. in front of the muscle) is created, unless the patient is extremely thin. A pre-pectoral pocket allows for better projection of the breast and prevents the complication of muscle contracture over the implant. Silicone implants are generally used (unless the patient specifies a saline filled implant) as they feel softer and more natural. A small tube drain is left in overnight to prevent blood accumulating in the cavity. Post-operatively the patient massages the breast to keep the cavity as large as possible.
Hospital stay – 2 night
Recovery – 8 days
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Breast Lift Surgery
This is either performed through a peri-areola scar (i.e. around the circumference of the areola), or in worse cases is performed using a keyhole incision - with the resultant scar around the areola and a very small and insignificant scar in the inframammary fold. A vertical scar joins these 2 scars. All sutures are absorbable and do not need to be removed. Post-operatively the patient has to wear a bra for 4 weeks day and night.
Hospital stay – 3 nights
Recovery – 10 days
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This is either performed through a peri-areola scar (i.e. around the circumference of the areola), or in worse cases is performed using a keyhole incision - with the resultant scar around the areola and a very small and insignificant scar in the inframammary fold. A vertical scar joins these 2 scars. All sutures are absorbable and do not need to be removed. Post-operatively the patient has to wear a bra for 4 weeks day and night.
Hospital stay – 3 nights
Recovery – 10 days
Click for more detail Breast Reduction
Breast Reduction is performed under general anaesthetic, after careful pre-operative marking with the patient standing. Generally a supero-medial pedicle is performed - especially in larger breasts. The breasts are taped for six weeks post operatively to reduce tension on the scars and to obtain a narrow scar. The patient is instructed on how to tape the breasts herself for the period. A bra is worn continuously for two weeks, day and night, and then during the day for the next four weeks. All sutures are absorbable.
Hospital stay – 3 nights
Recovery – 10 days
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Breast Reduction is performed under general anaesthetic, after careful pre-operative marking with the patient standing. Generally a supero-medial pedicle is performed - especially in larger breasts. The breasts are taped for six weeks post operatively to reduce tension on the scars and to obtain a narrow scar. The patient is instructed on how to tape the breasts herself for the period. A bra is worn continuously for two weeks, day and night, and then during the day for the next four weeks. All sutures are absorbable.
Hospital stay – 3 nights
Recovery – 10 days
Click for more detail Liposuction
Liposuction is a body contouring procedure, not a weight reduction procedure. The procedure is performed under general anaesthetic with a super-wet technique - large volumes of fluid containing adrenaline (epinephrine) and lidocaine are initially infiltrated before the procedure.
This is done to cut down on post operative bruising and to assist in the aspiration to the fat. Pressure garments are used post operatively to compress the area to prevent swelling and bruising and smooth out theaspirated area. Pressure garments are used continuously (day and night) for the first ten days, and up to six weeks afterwards.
Hospital stay – 2 night
Recovery – 10 days
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Liposuction is a body contouring procedure, not a weight reduction procedure. The procedure is performed under general anaesthetic with a super-wet technique - large volumes of fluid containing adrenaline (epinephrine) and lidocaine are initially infiltrated before the procedure.
This is done to cut down on post operative bruising and to assist in the aspiration to the fat. Pressure garments are used post operatively to compress the area to prevent swelling and bruising and smooth out theaspirated area. Pressure garments are used continuously (day and night) for the first ten days, and up to six weeks afterwards.
Hospital stay – 2 night
Recovery – 10 days
Click for more detail Abdominoplasty - Tummy Tuck
Different techniques are used, depending on the problem. If a small area of excess fat is found in the anterior abdominal wall, with no loose skin, liposuction is performed (see liposuction). If a small excess of skin is the problem a mini tummy tuck is performed, with or without liposuction. Lastly, a full tummy tuck involves a larger scar - which is made as a high-cut (in a natural line inside the pelvic bones). The umbilicus is repositioned after the excess skin has been removed.
Hospital stay – 3 nights
Recovery – 12 days
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Different techniques are used, depending on the problem. If a small area of excess fat is found in the anterior abdominal wall, with no loose skin, liposuction is performed (see liposuction). If a small excess of skin is the problem a mini tummy tuck is performed, with or without liposuction. Lastly, a full tummy tuck involves a larger scar - which is made as a high-cut (in a natural line inside the pelvic bones). The umbilicus is repositioned after the excess skin has been removed.
Hospital stay – 3 nights
Recovery – 12 days
Click for more detail Rhinoplasty (Nose surgery)
Correction of nasal tip, dorsal lump and broadness of nose is performed under general anaesthetic. Working through the nostril, the closed technique is usually performed. The open technique is reserved for a very difficult nasal tip correction. A splint is applied (which remains for seven days) and plugs are inserted overnight. As an in-fracture is performed bruising around the eyes is experienced in varying degrees.
Hospital stay – 2 night
Recovery – 8 days
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Correction of nasal tip, dorsal lump and broadness of nose is performed under general anaesthetic. Working through the nostril, the closed technique is usually performed. The open technique is reserved for a very difficult nasal tip correction. A splint is applied (which remains for seven days) and plugs are inserted overnight. As an in-fracture is performed bruising around the eyes is experienced in varying degrees.
Hospital stay – 2 night
Recovery – 8 days
Click for more detail Eyelid Surgery - Blepharoplasty
Eyelid Surgery may involve the upper or lower eyelids, or both. The procedure in perfomed under deep sedation by an anaesthesiologist and local anaesthetic. Upper eyelid excess skin and fat is removed, as well as muscle strip if necessary. The resultant scar is a fine line which falls into the natural crease. Lower eyelid surgery can be performed as a direct surgical approach, with an incision just below the lower eyelashes (in the natural crease) to excise excess bags of fat and excess skin. Transconjunctival removal of fat bags and laser resurfacing (to tighten skin and remove fine wrinkles) is also performed.
Hospital stay – 1 night
Recovery – 5 days
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Eyelid Surgery may involve the upper or lower eyelids, or both. The procedure in perfomed under deep sedation by an anaesthesiologist and local anaesthetic. Upper eyelid excess skin and fat is removed, as well as muscle strip if necessary. The resultant scar is a fine line which falls into the natural crease. Lower eyelid surgery can be performed as a direct surgical approach, with an incision just below the lower eyelashes (in the natural crease) to excise excess bags of fat and excess skin. Transconjunctival removal of fat bags and laser resurfacing (to tighten skin and remove fine wrinkles) is also performed.
Hospital stay – 1 night
Recovery – 5 days
Click for more detail Brow Lift- Forehead
This is performed through three 1,5cm incisions in the hair-bearing scalp, utilizing an endoscopic technique. The brow lift can be performed under local anesthesia with sedation or combined with a facelift operation under sedation or general anesthesia. The muscles responsible for the over active frown expression are avulsed and the brow is lifted to maintain a natural aesthetic appearance, avoiding a surprised look. Stitches are removed post-operatively.
Hospital stay – 2 night
Recovery – 10 days
This is performed through three 1,5cm incisions in the hair-bearing scalp, utilizing an endoscopic technique. The brow lift can be performed under local anesthesia with sedation or combined with a facelift operation under sedation or general anesthesia. The muscles responsible for the over active frown expression are avulsed and the brow is lifted to maintain a natural aesthetic appearance, avoiding a surprised look. Stitches are removed post-operatively.
Hospital stay – 2 night
Recovery – 10 days
Cheek Augmentation - Malar
The Cheek Augmentation procedures are either performed on their own, via an incision in the mouth, or placed via a facelift incision. The malar prosthese are customized according to the exact aesthetic appearance that is desired. If performed as a procedure on its own the patient is receives local anesthesia and returns home the same day. Cheeck Augmentation highlights the prominence of the cheekbones and can aid in attaining a youthful look for the aging face.
The Cheek Augmentation procedures are either performed on their own, via an incision in the mouth, or placed via a facelift incision. The malar prosthese are customized according to the exact aesthetic appearance that is desired. If performed as a procedure on its own the patient is receives local anesthesia and returns home the same day. Cheeck Augmentation highlights the prominence of the cheekbones and can aid in attaining a youthful look for the aging face.
Chin Augmentation
This is performed via an incision beneath the chin - in preference to an oral incision, which has an increased incidence of infection. A pre-formed implant (depending on the exact deformity to be corrected) is placed beneath the periosteum directly onto the mandible. The area is closed with an absorbable suture. The procedure can be perfomed on an outpatient basis under local anesthesia. Recovery is rapid.
Hospital stay – 1 night
Recovery – 5 days
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This is performed via an incision beneath the chin - in preference to an oral incision, which has an increased incidence of infection. A pre-formed implant (depending on the exact deformity to be corrected) is placed beneath the periosteum directly onto the mandible. The area is closed with an absorbable suture. The procedure can be perfomed on an outpatient basis under local anesthesia. Recovery is rapid.
Hospital stay – 1 night
Recovery – 5 days
Click for more detail Ear Surgery - Otoplasty
Ear Surgery can be performed under local anesthesia with sedation or general anesthesia - according to the needs of the patient. The poorly formed ante-helical fold is abraded with a small instrument. Sutures are placed in strategic positions to reform the natural soft curve of the anti-helical fold. Absorbable sutures are used on the skin so they do not have to be removed. The patient wears a bandage for five days post-operatively. After five days the patient is requested to wear a bandage at night only for a period of three weeks.
Hospital stay – 1 night
Recovery – 7 days
Ear Surgery can be performed under local anesthesia with sedation or general anesthesia - according to the needs of the patient. The poorly formed ante-helical fold is abraded with a small instrument. Sutures are placed in strategic positions to reform the natural soft curve of the anti-helical fold. Absorbable sutures are used on the skin so they do not have to be removed. The patient wears a bandage for five days post-operatively. After five days the patient is requested to wear a bandage at night only for a period of three weeks.
Hospital stay – 1 night
Recovery – 7 days
Lip Augmentation
The filling out of the upper and lower lip has disappointingly short-term results with fat injection and collagen. However, the dermo-fat graft (i.e. a graft of the dermis with an underlying cuff of fat) has been excellent. The dermis and fat is harvested from the patient, usually from an existing scarred area such as an appendix or Caesarean Section scar. The graft is prepared, shaped and placed on top of the muscle underneath the lining of the lip through a small incision inside the mouth. This procedure is performed under local anesthesia or often as part of a facial rejuvenation procedure. The lip swells for a period of 5 - 7 days, but thereafter returns to a natural and youthful appearance.
Hospital stay – 1 night
Recovery – 1 day
The filling out of the upper and lower lip has disappointingly short-term results with fat injection and collagen. However, the dermo-fat graft (i.e. a graft of the dermis with an underlying cuff of fat) has been excellent. The dermis and fat is harvested from the patient, usually from an existing scarred area such as an appendix or Caesarean Section scar. The graft is prepared, shaped and placed on top of the muscle underneath the lining of the lip through a small incision inside the mouth. This procedure is performed under local anesthesia or often as part of a facial rejuvenation procedure. The lip swells for a period of 5 - 7 days, but thereafter returns to a natural and youthful appearance.
Hospital stay – 1 night
Recovery – 1 day
Hair Transplant
Hair loss is primarily caused by a combination of aging, a change in hormones, and a family history of baldness. As a rule, the earlier hair loss begins, the more severe the baldness will become.
If you and your doctor have determined that hair transplants are the best option for you, you can feel comfortable knowing that board-certified plastic surgeons have been successfully performing this type of procedure for more than thirty years.
Hospital stay – day hospital 12h
Recovery – 1 day
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Hair loss is primarily caused by a combination of aging, a change in hormones, and a family history of baldness. As a rule, the earlier hair loss begins, the more severe the baldness will become.
If you and your doctor have determined that hair transplants are the best option for you, you can feel comfortable knowing that board-certified plastic surgeons have been successfully performing this type of procedure for more than thirty years.
Hospital stay – day hospital 12h
Recovery – 1 day
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