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Aesthetic Surgery

Aesthetic surgery is both a physical and emotional journey and we will guide you through both.  Aesthetic surgery can make a powerful positive change in your life and we strive to make you satisfied.  On average patients have been considering seeing a Specialist Plastic & Reconstructive Surgeon for 10 years prior to their first aesthetic consultation.

We understand you are taking a big leap of faith and we don’t make any judgements about your personal aims.  We commit to being honest and realistic about what surgery can achieve and what it cannot.

We encourage you to have good support systems in place and to develop the ability to tolerate the imperfections that can occur with surgery.  We work
closely with our Psychologist colleagues to prepare you for surgery and to recover afterwards.

Procedures include:

Breast Surgery

What is the operation?

Nipple asymmetry may be corrected with a small skin or areola excision.  Breast asymmetry in volume may require either a differential augmentation (if increased volume is required), or breast reduction (if a smaller volume is required).

What are the main body concerns it helps to improve?

  • nipple/ areola asymmetry
  • breast volume asymmetry

What is involved?

  • nipple/areola correction – day surgery
  • breast implants/ reduction – see relevant section

For more information click here

What is the operation?

The insertion of breast implants usually under the pectoralis major muscle via an incision in the lower breast fold (IMF).

What are the main body concerns it helps to improve?

  • congenital – small breasts
  • deflation post breastfeeding

What is involved?

  • 2-hour operation
  • overnight stay in hospital
  • 6 weeks in a supportive bra with activity restrictions
  • annual surgical review for the life of the implants
  • most breast implants require revision surgery within 10-15 years

For more information click here or to watch a video click here

What is the operation?

Removal of breast implants via an IMF incision.  If there is no capsular contracture there is potentially no need for a partial capsulectomy.

What are the main body concerns it helps to improve?

  • problems with implants eg capsular contracture or rupture
  • concerns about Breast Implant Illness (BII) or Anaplastic Large Cell Lymphoma (ALCL)

What is involved?

  • capsulotomy via an IMF incision – 1-hour operation
    • day surgery
  • total capsulectomy for ALCL or BII
    • overnight stay in hospital (potentially longer)
    • drains inserted
  • The only medical indication for total capsulectomy is for ALCL. A total capsulectomy is more painful and has a higher risk of bleeding than simply removing the implants via a capsulotomy.
  • Breasts will appear deflated and ptotic (droopy) once the breast implants are removed. A mastopexy may be required to address this.

What is the operation?

The removal of breast implants and replacement with new ones.  These may be in the same plane (under the muscle), or a different plane.  Depending on the reason for revision surgery, at least half the breast implant capsule is removed (partial capsulectomy).

What are the main body concerns it helps to improve? 

  • asymmetry
  • capsular contracture (implants become tight, distorted, and potentially painful)

What is involved?

  • 2-3-hour operation
  • overnight stay in hospital
  • may require drains
  • 6-weeks in a supportive bra with activity restrictions
  • annual surgical review for the life of the implants
  • most breast implants require revision surgery within 10-15 years

What is the operation?

An operation to lift the nipple and breast to a more youthful position.  The breast volume does not change.

What are the main body concerns it helps to improve? 

  • nipple ptosis
  • breast ptosis (droopy breasts)

What is involved?

  • 1-2 hour operation
  • day surgery
  • 6-weeks in a supportive bra with activity restrictions

For more information on a breast lift click here, or to watch a video click here

For more information on a breast lift with implants click here, or to watch a video click here

What is the operation?

Removal of part of the breast gland, preserving the nipple and areola.

What are the main body concerns it helps to improve?

  • neck pain and back pain
  • shoulder grooving
  • intertrigo (rashes under the breast fold)

What is involved?

  • 2-hour operation
  • overnight stay
  • 6-weeks in a supportive bra with activity restrictions

For more information click here or to watch a video click here

What is the operation?

Liposuction of fat from an area of fat excess eg abdomen or outer thighs.  The fat is processed and injected to add volume to the breasts.

What are the main body concerns it helps to improve?

  • breast contour irregularities eg after breast surgery
  • to increase breast volume in specific areas eg cleavage
  • It is difficult and unreliable to enlarge the whole breast with fat grafting alone
  • Successful fat grafting is permanent. However, the proportion of fat that survives in the new location varies between patients and is unpredictable.

What is involved? 

  • 1-hour operation
  • day surgery
  • activity restrictions 1-2 weeks

What is it?

Males develop persistent breast tissue.

What is the operation?

Liposuction or direct excision of breast tissue, preserving the nipple and skin.

What are the main body concerns it helps to improve?

  • create a more masculine chest contour

What is involved?

  • 1-2-hour operation
  • day surgery
  • 6-weeks in a compression garment with activity restrictions

For more information click here or to watch a video here

What is it?

A congenital abnormality of breast development.  There is a constricting ring of tissue causing the breast shape and areola to be distorted.

What is the operation?

The constricting tissue needs to be released.  In addition, the prominent areola may need to be reduced and commonly breast volume requires augmentation with breast implants.

What are the main body concerns it helps to improve?

  • abnormal breast shape (pointy instead of round)
  • prominent large areola

What is involved?

  • 2-3 hour operation
  • overnight stay in hospital
  • 6-weeks in a supportive bra with activity restrictions
  • annual surgical review for the life of the implants
  • most breast implants require revision surgery within 10-15 years

Body Surgery

What is the operation?

The removal of excess skin from the lower abdomen.

What are the main body concerns it helps to improve?

  • loose abdominal skin rolls
  • intertrigo (rash under the skin rolls)
  • loss of waist definition
  • It is a good operation to treat excess skin, but it does not treat excess fat. Weight loss is more powerful than surgery for excess fat.  The best candidates are in a healthy weight range BMI 20-25.

What is involved? 

  • 2-3 hour operation
  • 4-day stay in hospital
  • 1 drain
  • 6-weeks in a compression garment and binder with activity restrictions

For more information click here or to watch a video click here

What is the operation?

The removal of excess skin from the lower abdomen and lower back.

What are the main body concerns it helps to improve?

  • loose abdominal skin rolls
  • intertrigo (rash under the skin rolls)
  • loss of waist definition
  • loose back rolls
  • sagging buttocks

What is involved?

  • 3-4 hour operation
  • 4-day stay in hospital
  • 1 drain
  • 6-weeks in a compression garment and binder with activity restrictions 

For more information click here

What is the operation?

The removal of excess skin from the inner arm.

What are the main body concerns it helps to improve?

  • loose arm skin rolls
  • poor arm definition

What is involved? 

  • 5 hour operation
  • day surgery
  • 6-weeks in a compression garment with activity restrictions

For more information click here

What is the operation?

The removal of subcutaneous and deep fat via small incisions and a liposuction cannula.

What are the main body concerns it helps to improve?

  • localised areas of excess fat
  • liposuction does not improve cellulite

What is involved?

  • 1-2 hour operation
  • day surgery
  • 6-weeks in a compression garment with activity restrictions

For more information click here or to watch a video click here

What is the operation?

The removal of excess skin from the medial thigh leaving either a groin scar or a vertical scar.

What are the main body concerns it helps to improve?

  • loose medial thigh skin
  • loss of thigh definition

What is involved?

  • 2 hour operation
  • day surgery
  • 6-weeks in a compression garment with activity restrictions

For more information click here

Face Surgery

What is the operation?

Removal of excess skin and fat from the upper eyelids.

What are the main body concerns it helps to improve? 

  • tired appearance
  • excess skin (in severe cases can obstruct vision)
  • excess fat

What is involved? 

  • 30 minute operation
  • day surgery

For more information click here or to watch a video click here

What is the operation?

Removal of excess skin and fat from the lower eyelids.

What are the main body concerns it helps to improve?

  • tired appearance
  • dark shadows beneath the eyes
  • excess skin
  • excess fat
  • often combined with fat grafting to blend the lid-cheek junction and improve the tear trough shadow

What is involved?

  • 1.5 hour operation
  • day surgery
  • recovery is slower than after upper eyelid blepharoplasty. A tearing swollen eyelid margin is common for the first 2-3 weeks

For more information click here or watch a video click here

What is the operation?

Elevation of the lateral brow via either a hidden hairline incision in the temple or a direct incision above the eyebrow.

What are the main body concerns it helps to improve?

  • sagging brow
  • lateral “hooding” – upper eyelid skin crease extending onto the face

What is involved?

  • 1.5 hour operation
  • day surgery

To watch a video click here

What is the operation?

The tightening of lax fascia (SMAS) deep to the skin via an incision in front of the ear.  Facial ageing is a combination of increased SMAS laxity and loss of volume from the upper face (lid-cheek junction), and increased volume in the lower face (jowls and jawline).

What are the main body concerns it helps to improve? 

  • jowls
  • loss of jaw definition
  • deep nasolabial folds
  • a facelift addresses one component of facial ageing and is often combined with fat grafting for a more powerful effect.

What is involved?

  • 4-hour operation
  • overnight stay in hospital
  • 2 drains
  • 1-week in a compression garment

For more information click here or to watch a video click here

What is the operation?

Liposuction of fat from an area of fat excess eg abdomen or outer thighs.  The fat is processed and injected to add volume to specific areas of the face eg the lid-cheek junction or nasolabial folds.

What are the main body concerns it helps to improve?

  • loss of upper cheek volume
  • improves the contour between the lower eyelid and cheek
  • fills out the nasolabial groove
  • camouflages the jowls
  • often combined with a facelift or lower eyelid blepharoplasty
  • compared to hyaluronic acid filler, a fat graft is permanent. However, the proportion of fat that survives in the new location varies between patients and is unpredictable.

What is involved? 

  • 1-hour operation
  • day surgery
  • activity restrictions 1-2 weeks
What is the operation?

The tightening of lax fascia (SMAS) deep to the skin via incisions under the chin and behind the ear.  Lax or divergent muscles at the front of the neck are also treated.

What are the main body concerns it helps to improve?

  • loose neck skin rolls
  • muscle bands that appear dynamically or at rest
  • loss of neck contour
  • defines the jaw neck junction

What is involved? 

  • 3-4 hour operation
  • overnight stay in hospital
  • 2 drains
  • 1-week in a compression garment

For more information click here

What is the operation?

Correcting an underfolded prominent ear, setting it back closer to the head.

What are the main body concerns it helps to improve?

  • prominent ears
  • asymmetry

What is involved? 

  • 2-hour operation
  • day surgery
  • head bandage for 1-week
  • head band at night for 3-months

For more information click here

What is the operation?

Modification of the underlying cartilage and bone that creates a framework for the nose.  Cartilage grafts from the nasal septum or rib or from a commercial product are commonly used, particularly to treat nasal obstruction.

What are the main body concerns it helps to improve?

  • nasal obstruction
  • cosmetic appearance

What is involved?

  • 3-4 hour operation
  • day surgery or overnight stay
  • external and internal splints for 10 days
  • breathing is worse after rhinoplasty for some weeks due to internal swelling and secretions

For more information click here or to watch a video click here

Start your journey.

Each patient’s journey is unique. Please contact us to see how we can help you.

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