Breast Augmentation Part 4 of 4: The Facility

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Your safety is of paramount importance when undergoing breast augmentation. Always have your surgery in an accredited hospital or day surgery facility. If you are young and healthy, then a day surgery facility is fine. If you are older and have health problems, then a hospital would be a beer place to have the procedure performed because of the availability and back-up of an intensive care and other highly specialised health staff.

Accredited means that the surgical facility has passed a set of rigorous examinations to assure that the equipment and procedures meet standards for optimal safety. The hospital or day surgery facility should be fully accredited by the Australian Council on Healthcare Standards (ACHS) or a set of ISO standards that provide the highest standards of service. Patient health, safety and comfort should be the surgical facilities main concerns and they should continually monitor and evaluate their performance to achieve this outcome. Another requirement of accreditation is to assure that personnel are trained, experienced and skilled health care professionals and procedures and equipment are in place to deal with any emergency from a power outage to cardiac arrest.

Sometimes it’s reassuring to visit the accredited facility yourself. If you’re not comfortable with a surgical facility, don’t have the breast augmentation surgery there. What you want to see is modern, comfortable surroundings and caring and warm personnel. The operating room should appear state-of-the-art, spotlessly clean and equipped with the most up-to-date equipment. The recovery area should be immediately adjacent to the operating rooms. Some surgical facilities provide overnight accommodations with one-on-one nursing care especially for patients who need overnight care for more extensive procedures.

The following checklist should help you “tie things up” when organising your breast augmentation:

  1. Check date of surgery and pay scheduling deposit if required
  2. Review surgeon’s financial policies and policies for refunds
  3. Sign informed consent and operative consent forms for breast augmentation
  4. Schedule laboratory tests and mammography/ultrasound if required
  5. Review medications to avoid and ones to take before surgery
  6. Review post-operative instructions the night before surgery
  7. On the day of surgery wear comfortable clothes, get someone to drive you home and be with you overnight, wear no make-up, and leave your jewellery and valuables at home

 

Question: What things do you consider important in the surgical facility when having a breast augmentation? You can leave a comment below.

Arm Lift: The Beauty of Brachioplasty

For those patients that have what is colloquially known as ‘bat wings,’ undergoing an arm lift is probably the best way to get rid of it. These so called ‘bat wings’ are nothing more than loose excess skin that jiggles back and forth when the arms move. The cause can be one of two things. The first one is age. As we get older our skin tends to lose its elasticity. Secondly, we also tend to lose some body volume. When you combine the two you get excess skin that doesn’t contract as the underlying volume of tissue disappears. As a result you get flabby loose skin that many find to be unsightly.

The cosmetic procedure known as an arm lift, officially known as a brachioplasty, removes the loose excess skin.  Liposuction (CoolSculpting can be used as well depending on the surgeon’s opinion) may also be performed in conjunction with the brachioplasty to assist in removing stubborn fat, resulting in a more refined arm contour. Once the excess hanging skin is removed, the arm is sutured tightly leaving a firm arm devoid of any flabbiness.

Arm Lift in Sydney

Types of Arm Lifts

There are a number of different procedures when it comes to arm lifts. The type of procedure performed depends on the patient themselves. This is because every person has varying degrees of skin laxity and flab in the arms which means they may not all need the same type of procedure. It also depends on what they like and the results that they are looking for.

  • Elbow to Axilla – In this procedure an incision is made from the fold of the elbow to the axilla or armpit. Liposuction is often used in conjunction with this procedure. The liposuction is used to remove stubborn deposits of fat that give the arm a better final contour. This is a widely common procedure chosen by many patients. 
  • Mini Arm Lift – This procedure is for those who have excess skin mostly in the upper portion of the arm. It is also for those who don’t want  a lot of scarring which can happen in the procedure above. Here, the incision is made under the armpit only. 
  • Arm and Axillary Lift – For those who have too much excess skin in the upper arm and armpits this procedure is for you. This procedure gets rid of the sagging skin from the upper arm and from the armpit as well. The incisions are usually done in two places – the upper arm and under the armpit onto the chest. 
  • Elbow Lifts – This procedure is just what is says: a lifting of the elbow portion of the arm. Some people will have loose and sagging skin over their elbows. This procedure is targeted just for that portion of the arm.
  • Liposuction – If you still have elastic skin then you may not need to have a lift at all. For patients like this, liposuction may just be the solution. With liposuction the incisions are not that dramatic (only 3-4mm long) which means scarring is kept to a minimum.

The Right Candidate

Typically a likely arm lift candidate is one that has lost a lot of body weight. This means that they have lost a lot of body volume that resulted in the excess skin that was not able to adapt quickly to the loss of volume underneath it. It is highly recommended that you be at your target weight before the operation. If you are still in the process of losing weight you should wait until you hit that weight plateau in order to get a good final result from the arm lift. There’s a good reason for this. If you have the procedure and still lose the weight you may find that your arm will still have flabbiness in it even after the operation. That’s because since you still had weight to lose the skin is still stretched out resulting in the extra, loose skin.

It is a good idea to consult with a plastic surgeon when you want to have this cosmetic procedure done. This way the procedure can be explained to you including what you can expect, how your recovery will be and the risks that are involved. For further information call us on 13000DRTIM or email us on info@drtim.com.au.

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Patients usually take at least 3-4 weeks off from work following a body lift. I encourage patients to ambulate shortly after surgery. They may resume full exercise approximately 6 weeks following surgery.

To learn more about body lifts, request a consultation by contacting us at 13000DRTIM or emailing us at info@drtim.com.au 

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Breast reduction surgery patients are among the happiest of all plastic surgery patients because they both look better and feel better following surgery. When women have large, burdensome breasts, they frequently suffer from a condition called symptomatic macromastia. Symptomatic macromastia is considered to be a medical problem that may include the following symptoms:

  1. Pain in the neck, shoulders, breasts, and upper or lower back
  2. Bra strap indentations
  3. Rashes underneath the breasts
  4. Finger or hand numbness
  5. Difficultly exercising, fitting into clothing or examining the breasts

To learn more about breast reduction, request a consultation by contacting us at 13000DRTIM or emailing us at info@drtim.com.au 

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One of the amazing things about recovering from breast reduction surgery is how quickly patients experience relief from their symptoms. The morning after surgery many patients already feel symptomatic relief, even though their recovery has just begun. Many comment that they even breathe easier when they no longer have so much weight on their chests.

Recovery from a breast reduction tends to be quick because it does not involve the underlying muscles, bones or internal organs. Most women will need:

  1. A few days to recover before returning to work
  2. A month for the incisions to heal before resuming exercise
  3. A year to 18 months for the scars to fade to a subtle colour

To learn more about breast reduction, request a consultation by contacting us at 13000DRTIM or emailing us at info@drtim.com.au 

What’s wrong with sharing cosmetic surgery information?

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I am always wary of people who do not want their partners to know they are having or about to undergo cosmetic surgery. There are a number of reasons for this:

  1. I do not want to be held responsible if the partner finds out and an argument ensues.
  2. Relationships should be built on trust and respect for each other, and that usually implies having an open and honest dialogue between two grown-up individuals.

I encourage patients and clients to bring their partners in during the consultation so that he or she can understand what options are available for cosmetic surgery, including their benefits and trade-offs so that we can arrive at a reasonable informed consent. I do not want to be the last person to find out that what should have been spent on a child’s education was placed in my hands and then the partner gets annoyed or whatever.

Ever thought what it would be like if you were discovered with an unexpected bruise or swelling? How would you explain that? Will you carry a guilty conscience if you didn’t tell your partner? I simply want every patient or client to know that I support cosmetic surgery or non-surgical procedures for enhancing people’s looks but I encourage an open and sharing relationship with one’s significant other about such things. After all, we are grown-up individuals and should not withhold information from a person that probably should know what we are doing. If you have questions, please bring them up with your plastic surgeon during the consultation.

In the end, the decision to tell your partner, friends or family is a very personal one that largely depends on you and your relationships. For most of our patients, we find the question of telling their partners, friends or family is very simple and they find that the added support helps in making the entire process easier. Occasionally, however we have some patients who feel that they have a partner, family or friends who simply will not accept their decision to proceed with surgery. Occasionally, these patients want to remove some family-defining characteristic, such as a nasal hump that they feel their family would want them to keep. For other patients, especially those who are still in school, we will wait to have surgery over the winter or summer break so that changes are not quite so obvious to classmates.

Overall, however we have found that the social stigma that used to be associated with cosmetic surgery is no longer really an issue and, in general, when our patients discuss their reasons for wantng to pursue surgery, their partners, families and friends are generally much more supportive throughout the process than you may otherwise expect. In those cases, when our patients are from out of town or when they do not have support, it is important to have a comprehensive team and program to help take care of all your postoperative needs and to make you feel comfortable every step of the way.

Ultimately, the choice to have surgery should be yours alone. So, you can consider what others will think, but you should do what will make you most happy. Often, involving loved ones can make for a very positive experience. More information is available on our website www.drtim.com.au , including descriptions of cosmetic surgery and non-surgical procedures. You can also email us for more information at info@drtim.com.au or call us on 13000DRTIM.

 

Question: Do you think your partner, family or friends can be supportive of cosmetic surgery or it doesn’t really matter because the choice is yours? You can leave a comment below.

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A Mommy Makeover may be performed in one or more stages. Age, health, needs and desires are all considered carefully when formulating a plan for each patient. Many patients choose to do more than one procedure at a time.

The abdomen tends to experience the greatest change following pregnancy with stretch marks, loose skin and lower abdominal fat being the most common complaints. The abdominal muscles may also be stretched to the point that they remain separated in the midline, accentuating the patient’s lower abdominal bulge. To treat these problems, an abdominoplasty (tummy tuck) can be performed where excess skin and fat is removed from the abdomen and the muscles tightened.

After having children, fat tends to redistribute to new areas on the body where it may be unwanted. This is frequently true even if women are successful at losing their baby weight. Most often, bulges of fat accumulate around the waist and on the thighs. On these areas, liposuction is frequently performed as part of a Mommy Makeover. My preferred technique is power-assisted liposuction (PAL), the safest and most effective way to remove fat from these areas.

The breasts also go through dramatic changes with pregnancy and breastfeeding. Patient concerns about their breasts vary greatly, but the most common breast procedures I perform as part of a Mommy Makeover include:

  1. Breast augmentation
  2. Breast augmentation and lift (Augmentation Mastopexy)
  3. Breast lift
  4. Breast reduction

To learn more about abdominoplasty (tummy tuck), request a consultation by contacting us at 13000DRTIM or emailing us at info@drtim.com.au 

The Facts on Male Breast Reduction

Enlarged male breasts (also called gynaecomastia) are the butt of many jokes, which explains why people suffering from this condition often feel embarrassed, humiliated, and insecure about their bodies. Understandably, many men suffering from this condition often have a lower self-esteem and some will not be caught dead without their shirts on. Male breast reduction surgery will help you get a flatter chest that most men can only dream of having.

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What Causes Enlarged Male Breasts?

Gynaecomastia is usually the result of excessive fat tissue in the chest area, which results in the appearance of a man having breasts. Loose skin can also result in this condition. Consequently, surgery is performed depending on whether excess fat tissue is the problem or the loose skin is the cause breast-like appearances. Fat tissue in the chest area can be due to excess body fat, hormonal imbalances, diet problems, or the use of certain kinds of drugs (marijuana and steroids being the most common). When the enlarged breasts are the result of loose hanging skin, it is usually because the individual has lost a considerable amounts of weight.

 

What Techniques are used for Male Breast Reduction?

The good thing about male breast reduction surgery is that it is a minimally invasive form of surgery. Below are a couple of surgical techniques used to ensure that you get a flatter chest:

  1. Liposuction: This is an effective technique for men who have relatively good skin elasticity. In this case, a small incision is made and the excess fat is removed using a cannula (a small hollow surgical tube). After this procedure, the chest assumes a normal masculine appearance without the need for further surgical intervention.
  2. Breast Tissue Removal: This procedure may be necessary in more severe cases of gynaecoamastia. Breast tissue removal can also be used in addition to liposuction, when removal of excess fat using a cannula does not suffice. However, this technique may also be used on its own.
  3. Skin Removal: Skin removal may be necessary in cases where there has been a massive weight loss prior to surgery. Skin removal can also be accompanied by breast tissue removal or liposuction.

 

Who Can Undergo Breast Reduction Surgery?

Generally, if you are a healthy man of any age, you can benefit from a male breast reduction surgery if you suffer from enlarged male breasts. Ideal candidates are those with elastic skin that will naturally reshape itself after the excessive fat or breast tissue is removed.

 

How Long Does Recovery Take?

Recovery from male breast reduction surgery takes about a week, although you will be discharged from the hospital on the day of surgery. The surgery is performed under general anaesthesia. Slight discomfort and pain is normal after the surgery. However, this can be managed using some pain medications. A chest garment is usually worn afterwards for up to six weeks to aid in reducing swelling and developing a collection (seroma or haematoma).

 

What are the Possible Risks of Male Breast Reduction Surgery?

Most risks associated with this surgery are usually very rare. Nevertheless, they are easily manageable and include bleeding, seroma, haematoma and infection. Proper post-operative care can effectively handle these problems if they do occur.

 

There is no reason to go through life suffering the embarrassment of enlarged male breasts. A simple male breast reduction surgery can help you achieve a flatter but muscular look that makes you look forward to removing your shirt the next time you are on the beach having some fun. This procedure poses few risks and you are usually back to your normal routine in just a couple of days.

 

Question: What is the most difficult thing you experience with having enlarged male breasts? You can leave a comment below.

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The position and size of the areola are important considerations when evaluating a patient for a breast reduction. Typically it’s necessary to raise the nipple to a more youthful position. Often the areola is made smaller to achieve optimal proportions with the newly tight and perky breast.

To learn more about breast reduction, request a consultation by contacting us at 13000DRTIM or emailing us at info@drtim.com.au 

Mommy Makeover: Combined Surgical Procedures for Today’s Moms

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After multiple pregnancies and breastfeeding, many women find it impossible for diet and exercise alone to restore their figures. Fortunately, mothers with permanently altered figures find that a Mommy Makeover is an excellent solution. The Mommy Makeover is a term for the group of cosmetic procedures that many mothers seek following pregnancy. These include the following:

  • Tummy Tuck
  • Liposuction
  • Breast Augmentation
  • Facial surgery

There are multiple variations of the Mommy Makeover, of course, and a plan must be individualised for each patient depending on their needs. Many women will not need or desire all of these procedures. Each patient determines what her personal Mommy Makeover will involve after we discuss her concerns and options in a thorough consultation.Combined Surgical Procedures

A Mommy Makeover may be performed in one or more phases. The patient’s age, health, needs and other emotional considerations. desires are all considered carefully when a plan is constructed for each patient. The majority of patients choose to do more than one procedure at a time.

Tummy Tuck

The abdomen tends to change appearance following pregnancy with stretch marks, loose skin and lower abdominal fat. The abdominal muscles may also be stretched to the point that they remain separated in the midline, accentuating the patient’s lower abdominal bulge. To treat these problems, a tummy tuck may be performed where the excess skin and fat is removed from the abdomen and the muscles are tightened.

Liposuction

After having children, fat tends to redistribute in many unwanted areas of the body. This is often true even for women who were successful at losing their baby weight. Most often, bulges of fat accumulate around the waist and on the thighs. On these areas, liposuction is frequently performed as part of a Mommy Makeover. A preferred technique is power-assisted liposuction, the safest and most effective way to remove fat from these areas.

Breast Surgery

The breasts go through dramatic changes with pregnancy and breastfeeding.  The most common breast procedures performed as part of a Mommy Makeover are:

A Mommy Makeover refers to the common group of procedures that many mothers seek after they decide not to have any more children. Many times, the operation is performed at once, but other moms prefer to do the procedures over time. In either case, it gives many mothers comfort to know that the changes they see in their bodies following pregnancy may be improved dramatically by a skilled plastic surgeon.

To learn more about what a Mommy Makeover can do for you, request a consultation online or call our Sydney clinic at 13000DRTIM.