Breast Augmentation Part 4 of 4: The Surgical Facility

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 better place to have the procedure performed because of the availability and back-up of an intensive care unit and other highly specialised healthcare professionals.

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 these outcomes. Another requirement of accreditation is to assure that personnel is trained, experienced, and skilled healthcare 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 and comfortable surroundings, as well as 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 the 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

How Do You Repair Torn Earlobes?

The earlobes are the lowest part of the ears made of skin and a small amount of fatty tissue in between. There are large variations in size, form, and shape. The earlobes serve women (and men) as popular locations for placing jewellery. Often, the earlobes are pierced to fit various forms of ear ornaments ranging from studs to earrings which can occasionally set them up for trouble.

Excessive weight or trauma can easily overcome the strength of the earlobe tissues leading to a tear, which if complete, results in a split ear. Some people with rather thin earlobes who favour wearing heavy earrings, experience a gradual elongation of the ear-piercing tract such that it becomes slit-like and often too large. Another problem is that the earlobes can be torn by accidental trauma. This split may be unattractive and renders the earlobe unusable for most jewellery. Sometimes, clip-on earrings can still be fitted and are used to camouflage the earlobe tear.

The repair of torn earlobes is relatively simple. The procedure is routinely performed in the office under local anaesthesia with an optional sedative. After planning and marking, a small amount of lignocaine numbing solution is deposited. I favour a three-layer repair done under loupe magnification. But it is very important to remove the damaged ear-piercing tract or to trim the edges of the split if the earlobe has been torn through completely.

Then the three-layer closure consists of closing the outer layer of skin, the fatty tissue between the two layers of the skin and finally the skin in the back of the earlobe. Typically, the surgeon must take great pains to avoid any notching at the bottom of the earlobe. The fine sutures on the skin are usually removed within 7 days. Small amounts of antibiotic ointment are applied at home for a few days ensuring cleanliness. The healed earlobe has usually a barely visible pencil-fine straight or zigzag scar line.

People often ask if the ears can be pierced again. They can but typically you should wait three months after the earlobe has been repaired. Preferably piercing should not be done within the scar, as this can stretch and inevitably result in another clot.

Thanks for reading!

Dr. Tim – Sydney Cosmetic Plastic Surgeon

www.cosmeticculture.com.au
www.drtim.com.au

How Can a Brow Lift Benefit You?

Appearance is everything these days and unfortunately, the ageing process is something we all must inevitably suffer whether we like it or not. There is still hope, however, for those of us who suffer from droopy eyebrows, sagging skin or deep furrows on the forehead, in the form of a brow lift.

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If you’ve had enough of those tired and weary eyes staring back at you in the mirror each morning, a brow lift is a simple procedure that can turn back the years and restore the youthful vigour you once possessed. It’s common knowledge that when you look great, you feel great and your plastic surgeon can offer you two different brow lift techniques to reinvigorate your face.

 

Brow Lift Benefits

A brow lift has many clear benefits for patients choosing this procedure. Apart from improving your overall facial appearance, making you look more awake and less stressed, this procedure will give you an immediate confidence boost to aid you in social and work settings. When this procedure is carried out by a skilled and experienced plastic surgeon, the benefits are increased and you’ll see an improvement in regards to:

  1. Brow height, meaning you appear more alert and vital.
  2. The frown lines between the eyebrows which will lessen with the lifting of the forehead.
  3. Sagging brows which will be re-positioned to reduce the severity of the drooping over the eyelids.
  4. Forehead and nose-bridge creases. These will be reduced as the forehead is lifted.
  5. Shape of brows for women. A brow lift can give women a more aesthetically pleasing arched brow shape.
  6. Tired or irritated appearance, which will make you look more approachable and friendly.

Brow Lift Procedures

There are generally two types of brow lift procedures: The traditional brow lift and the minimal incision brow lift. The type of brow lift procedure you choose depends on the severity of your symptoms.

Traditional Brow lift

The traditional brow lift is generally more suited to patients with excess skin hanging over the upper eyelids, making your brows droop and giving you an unfriendly, angry appearance. Also known as a “temporal brow lift,” this procedure is for patients who wish to raise the outer 2/3 of the brow line. The  brow line can be raised by making a 4cm incision in the temporal region of the scalp, before removing excess skin from the scalp and lifting the brow line to give you a friendly and bright eyed appearance. The advantages of the traditional brow lift are:

  1. The forehead or brow can be lifted higher for more severe cases.
  2. The skin is more easily mobilised.

Minimal Brow Lift

Aside from the obvious benefit of reduced and inconspicuous scarring, the minimal brow lift also minimises the loss of sensation around the site of the incisions. In general, the minimal brow lift is considered more suited to younger patients as this procedure does not involve the removal of excess skin. The incisions are also much smaller than those in the traditional brow lift and are skilfully concealed within the hairline. Whilst the traditional brow lift is rarely used today due to the extensiveness of the incisions, the minimal brow lift is becoming more popular because of the following advantages:

  1. Less visible scarring
  2. Less elevation of the hairline
  3. Less numbness around the incision site
  4. Minimal hair loss
  5. Less invasive
  6. Shorter recovery times
  7. Very little bleeding

Are You a Brow Lift Candidate?

If you are fed up of looking tired and stressed out, and friends have commented on how much older you look these days, it may be the right time to opt for a brow lift. On occasion, low brows are hereditary and because of this, plastic surgeons carry out this procedure on patients younger than 30 years-old.

Recovery Time for Brow Lift Surgery

In the early stages after surgery, you may experience some mild discomfort but nothing that cannot be easily allayed with mild pain medication for up to several days after surgery. Day three is usually when bruising and swelling is at its worst and within two weeks you should be able to fully appreciate the results of the procedure.

Are there Any Risks Involved?

The risks for the brow lift procedure are minimal at worst. You may experience some bleeding or infection and in very rare cases, nerve damage or hair changes but with a skilled and trusted plastic surgeon, the risks are negligible.

If you’ve had enough of looking overworked and unapproachable, it might be time for you to seek out a professional plastic surgeon to carry out a brow lift procedure and restore your youthful gaze.

Question: What is the most annoying feature of having sagging brows? You can leave a comment below.

Look Younger for 2019!

 

These are my top 10 hints for looking good next year:

  1. Eat well. Preferably, eat smaller meals as the day goes by and eat frequently. Make it a habit not to eat after 9 pm.
  2. Exercise regularly. Remember: ”healthy body, healthy mind!”
  3. Keep your weight stable and within normal limits. Being overweight can predispose you to certain cancers and diabetes, not to mention, heart attacks, strokes and leg ulcers.
  4. Get your general practitioner to do a physical examination and if necessary, run some basic blood tests.
  5. Avoid the 4”S”: sun, stress, smoking and sleepless nights. These can hasten your aging!
  6. Think skin rejuvenation i.e.; microdermabrasion, peels and laser skin tightening. These will give your skin a definite glow!
  7. Start getting anti-wrinkle injections to iron-out those wrinkles that make you a more youthful appearance!
  8. Use fillers to pump-up that lost volume in the cheeks etc. As we age, the fat melts away in certain pockets in the face as does the underlying bony platform. The end result is excess skin that combines with gravity to make it sag. This effect can be countered by using either synthetic fillers or fat injections.
  9. Think minimal scar surgery to rejuvenate the face e.g. a neck lift or remove those bags under the eyes.
  10. Think about a surgical rejuvenation of the upper eyelids and brows by giving them a lift. The eyes and brows are often the first signs of aging in a woman and they usually start to sag in their early 40s.  Remember, ”the eyes are the windows of your soul” and may tell us a lot about your self-esteem and body image.

Thanks for reading!

Dr. Tim – Sydney Cosmetic Plastic Surgeon

www.cosmeticculture.com.au
www.drtim.com.au

VECTRA® 3D Imaging Can Simulate Cosmetic Procedures

Here is an update from CosmeticCulture SkinSpa & Laser Clinics  about the recent advances in three dimensional (3D) photography combined with revolutionary new software allow prospective patients to preview what they will look like after a breast augmentation, facial procedures, and more…

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New technology allows patients to preview how they will look with cosmetic procedures

Both the VECTRA® 3D camera and Sculptor software were developed by Canfield Imaging Systems of Fairfield, NJ, the world’s leading provider of medical photography systems. The process starts with a VECTRA® 3D session which produces a three-dimensional photograph of the patient. Then, using Sculptor software, the surgeon is able to simulate the expected results of a variety of cosmetic procedures.

What Is a Mummy Makeover?

Many of today’s mums don’t feel they should sacrifice the way they look just because they’ve had children. After multiple pregnancies and breastfeeding, many women find it impossible for diet and exercise alone to restore their figures. These women usually want their tummies and breasts back the way they looked before pregnancy.

These so-called “Mummy Makeovers” are usually performed on women in their 30s or early 40s. There are multiple variations of the Mummy Makeover, of course, and I individualise the plan for each patient depending on their needs. Many women will not need or desire all of these procedures. Each patient determines what her personal Mummy Makeover will involve after we discuss her concerns and options in a thorough consultation.

A Mummy Makeover may be performed in one or more stages. Age, health, needs, and desires are all considered carefully when I formulate a plan for each patient. The majority of my patients choose to do more than one procedure at a time. I’ve had a great deal of experience performing these combined surgeries over the past decade. We take many steps to assure both minimal pain and maximum safety during our procedures:

  1. TUMMY TUCK: The tummy tends to experience the greatest change following pregnancy with stretch marks, loose skin and lower tummy fat being the most common complaints. The tummy muscles may also be stretched to the point that they remain separated in the midline, accentuating the patient’s lower tummy bulge. To treat these problems, I perform a tummy tuck where I remove the excess skin and fat from the tummy and tighten the muscles. Whenever we do a tummy tuck as part of the Mummy Makeover, we perform liposuction and pay special on to the belly button to help create a nice looking midriff.
  2. LIPOSUCTION: 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 accumulated around the waist and on the thighs. On these areas, I frequently perform liposuction as part of a Mummy Makeover.
  3. BREAST SURGERY: The breasts 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 Mummy Makeover include:

Many of our patients for the Mummy Makeover travel from places outside of Sydney. Our staff can help with the planning of these sorts of trips through our CosmeticCulture Makeover Vacation Program, which makes travel for cosmetic surgery quite easy. More information is available on our website www.cosmeticculture.com.au, including descriptions of tummy tuck and breast augmentation or breast lifts as well as liposuction. You can also email us for more information at info@drtim.com.au or call us at 13000DRTIM.

Question:  Which parts of your post-childbirth body would you like to change with a Mummy Makeover? You can leave a comment below.

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During each breast augmentation operation, a long-acting local anaesthetic is placed around the implant so that patients will feel only minimal discomfort following surgery. Most of my breast augmentation patients take only a few days off from work to recover whilst others take up to a week. Patients may ease back into their normal exercise routine beginning several weeks after surgery.

 

To learn more about breast augmentations, 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 

Eyelid surgery for a more youthful look

Eyelid surgery is an operation that can dramatically improve a patient’s appearance within a relatively short recovery time. Droopy eyelids is one of the major reasons why some people often consider eyelid surgery (blepharoplasty) to get rid of excess eyelid skin for a youthful appearance. In other cases, eyelid surgery helps in improving ones vision by offering a field of view that is less obstructed after the removal of excess skin.

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How is eyelid surgery performed?

Eyelid surgery can be performed on your upper eyelids, lower eyelids or both. The plastic surgeon will carry out pre-operative evaluation on factors such as your facial muscles around the eyes, the symmetry or droopiness of your eyebrows and underlying bone structure. After the evaluation your plastic surgeon will be able to determine the amount of skin and/or fat to get rid of. Some points to consider:

  • your plastic surgeon will make accurate markings to show where the excess tissues will be removed on your lower and upper eyelids.
  • On your upper eyelid, they will make a surgical slit concealed in the natural fold of the upper eyelid.
  • In the lower eyelid, the surgical slit will be concealed below your lower eyelashes. When unwanted fat only is being removed, the slit can be made inside the lower eyelid which is referred to as a transconjunctival incision. Laser resurfacing may at times be used together with this method so as to make the lower eyelid skin tighter.
  • The plastic surgeon will also get rid of excess tissue through these slits.
  • At times, fat may need to be redistributed in the lower lids to completely remove bulges or puffiness. Other changes may be made so as to correct special problems such as muscle laxity.
  • The scars are generally inconspicuous after healing.
  • For patients who have dry eyes, very little amounts of tissue are removed to avoid exposing more of the eye to the air which may worsen the symptoms.

When to consider eyelid surgery

  1. If you have too much skin hanging or covering the upper eyelids natural folds.
  2. If loose skin hangs down from the upper eyelids over the eyelashes.
  3. If the under of your eyes has deep grooves and bulges.
  4. If both your upper and lower eyelids look puffy, making your eyes appear aged and tired.

Many people who consider blepharoplasty also consider facelift, wrinkle smoothers, brow lift and dermal fillers for a complete facial rejuvenation look.

What will my eyelid scars look like?

  1. Upper eyelid surgery: The plastic surgeon will mark the natural lines and creases of the lids and keep the incisions as concealed as possible along the natural folds. Thin sutures will be used in closing up the incisions hence making the scars visibility minimal.
  2. Lower eyelid surgery: In the traditional blepharoplasty, the doctor will make the slit in a hidden side along the lash line and smile creases of the lower lid. In the transconjunctival approach, the doctor amends the eyelid puffiness that results due to excess fat by making a cut inside the lower eyelid. This technique doesn’t need an external slit but it cannot be used in the removal of extra skin.

Recovery

This is one of the fast healing surgeries that I undertake. However, it is important that you adhere to all the postoperative procedures that are given. This will include instructions about iced eye pads, bandages and taking of antibiotics if prescribed. I will also offer detailed instructions about the normal symptoms and any signs of complications. The amount of recovery also varies among people so it’s good to be patient and not rush things.

Risks

Fortunately, eyelid surgery has very minimal complications. Thousands of people undergo successful blepharoplasty and are happy with their transformation. However, all surgical procedures come with some degree of risk. Some of the complications may be watery eyes, infection and bleeding, allergic reactions, sensation changes, asymmetrical scarring and haematoma.

Question: What is the most troublesome thing you find with droopy eyelids? You can leave a comment below.

Download FREE Mommy Makeover Guide now!

Are you frustrated with unwanted, loose, stretched skin following pregnancy?  Tummy muscles that have lost their tone causing you to have a round belly? Sagging breasts that have lost their volume and shape?AUGMENTATION MASTOPEXY ABDOMINOPLASTY IMAGE.001Mothers dedicate a great deal of themselves to their families. It starts with the pregnancy, where the mother’s body changes dramatically. Finally, there comes a time when mothers feel they’re able to address their own needs. 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. A Mommy Makeover refers to the common group of procedures (like abdominoplasty and breast lift) that many mothers seek after they are finished having children. Many times, the operation is performed in one stage, but other moms will 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.

I’ve just put together a step-by-step guide called the “Mommy Makeover: Get Your Pre-baby Body Back! To learn how to remove unwanted abdominal skin and tone your tummy muscles, make your breasts perky and youthful again, download this PDF file now!

Fill out the details below to learn more:


To learn more about what a Mommy Makeover can do for you, request a consultation with DrTim by calling us at 13000DRTIM .