AUSTRALIAN
ISSUE 5/ 2014
No longer reserved for the rich and famous
$9.95 AUD
personal case studies TA K E C H A R G E A N D
M A K E
T H E
SKIN CANCER Be Safe This Summer
YOU WANT!
The ENTRY #1
SURGI CAL D E CI SIO N S
LOVE THE SKIN YOU’RE IN REPAIR & REBUILD
A
of BEAUTY As a plastic surgeon, I love performing surgery and I love being in the operating theatre. I love seeing the physical transformation that occurs virtually instantaneously in the operating room. Whether it be the change from a tummy tuck, where the overhang of excess skin and fat and bulging abdominal wall muscles are corrected. The creation of a flatter and taut tummy with a newly defined waistline. The transformation that can occur when a large prominent nose with a bump and a hanging tip is refined to a more feminine nose that is more proportionate to the face. I love being able to make a tangible difference to people’s lives through performing plastic and cosmetic surgery. However, I also enjoy my time outside the operating theatre when I am consulting from my rooms. It is in the rooms where I get the privilege of meeting people from all different walks of life and being able to share some of their most personal and intimate details about themselves, their insecurities and their bodies. The trust and confidence that patients and their loved ones place in me is something that means a lot to me, and which I try to return by doing the very best that I can do to help them achieve the results that they are after. I believe that the majority of people don’t actually want the popular ‘anti-ageing’
treatments. Seriously, who wants to look 21 again? I also don’t think they want to be rejuvenated like something worn and tired that has lost its vitality. I truly believe that most of us want to be more beautiful – we want to be the best version of ourselves for the stage of life we are at, and I believe that there are many ways to achieve this – not just through cosmetic surgery alone. Of course in some instances like breast reduction and reduction rhinoplasty for example, there are no nonsurgical alternatives to achieve the desired results that surgery can accomplish. However, in so many other areas of cosmetic enhancement, there are many non-surgical options available, and the choice of which pathway to choose to reach the desired endpoint will involve considerations such as desired results, downtime, cost and risks. This is why I offer my patients a range of choices and we spend a lot of time discussing the predictability, what is involved, the downtime and costs of each procedure, because ultimately I want to help people look their best, using the knowledge, skills and technology available today. And I encourage all my patients to consider their options.
If it is a facelift they are adamant they want and are a good candidate for it, then that’s what we do, but if it is flawless skin and subtle facial enhancement they are seeking, then we can achieve that with Fraxel and HydraFacial treatments, brow shaping, makeup tricks and maybe some fillers or Thermage. If better cleavage and enhanced breast volume is requested, then breast augmentation +/- a lift may be the only option available outside a push up bra. But if body contouring is requested to create more proportion and reduce fat in problem areas, then we can offer Liposuction or Liposonix (nonsurgical fat reduction) – both potentially achieving great results but with different predictabilities, costs and risks. As a female plastic surgeon, I understand how important it is to look and feel our best, and it is my vision to help as many people as possible to be their own beautiful version of themselves.
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After completing his medical degree at the University of Sydney, Dr Richard Sackelariou then trained in general surgery, followed by advanced training in Plastic & Reconstructive Surgery. He also undertook training in Cosmetic Surgery in Paris at the Clinique Turin. He is a fellow of the Royal Australasian College of Surgeons (FRACS) and a fellow of the Royal College of Surgeons (FRCS England). He also is a member of the Australian Society of Plastic Surgeons (ASPS) and the Australian Society of Aesthetic Plastic Surgeons (ASAPS).
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NipTuck Magazine Disclaimer NipTuck Magazine is produced and published by Nip & Tuck Magazine Pty Ltd. With exception of provided material, reproduction in whole or part is not permitted without the written consent of the publishers. All reasonable efforts have been made to trace copywriting holders. NipTuck magazine (Nip & Tuck magazine Pty Ltd) may be a distributor of the content supplied by third parties. Any opinions, advice, statements, services, offers or other information or content made available by third parties are those of the respective author(s), and Nip & Tuck magazine Pty Ltd is not responsible for any material published by third parties. Nip & Tuck magazine Pty Ltd cannot and does not endorse in any way, nor does it vouch for, the accuracy or usefulness of such material. Furthermore, Nip & Tuck magazine Pty Ltd expressly disclaims any liability associated with material contributed by third parties. All readers are advised to seek medical advice from a doctor if considering any cosmetic procedure. NipTuck magazine does not purport to be a substitute for medical advice. Publishers, contributors and authors do not accept any liability whatsoever in respect to an action taken by a reader in reliance on the recommendations set out in this magazine. Models depicted may not necessarily have received treatment described in this magazine. All advertisers and Nip & Tuck Magazine Pty Ltd follow and uphold the advertising policies set out by the Australian Competition and Consumer Commission (www.accc.gov.au), the Therapeutic Goods Administration (www.tga. gov.au) and individual state medical boards. All reasonable effort is made by Nip & Tuck Magazine Pty Ltd to ensure that all advertisements accepted for publication follow these guidelines. Copies of these guidelines are available from these agencies on their websites. All NipTuck Magazine advertisers assume sole responsibility and liability for statements contained in their editorial copy and advertising copy and hold harmless and indemnify Nip & Tuck Magazine Pty Ltd and its offices, Directors and employees from and against all liability, loss, claim, damages, cost or expenses arising out of matter contained in their editorial or advertising. Advertisers accept these terms and responsibilities when signing an advertising contract with Nip & Tuck Magazine Pty Ltd.
WELCOME TO 2014 AND A HAPPY NEW YEAR TO ALL OF OUR READERS! WE HOPE YOU ALL HAD A WONDERFUL HOLIDAY SEASON, FILLED WITH LOVE, LAUGHTER AND HOPEFULLY SOME REST AND RELAXATION. WE ARE THRILLED TO BE BACK ON THE SHELVES THIS MONTH AND THIS ISSUE, OUR 5th, MAY WELL BE OUR BEST YET. WE ARE PRIVILEGED TO SHARE WITH YOU THE STORIES OF PEOPLE WHO HAVE FACED DIFFICULT PERSONAL CHALLENGES. SHARING SUCH PRIVATE STORIES TAKES COURAGE AND AFTER WHAT MANY OF THEM HAVE BEEN THROUGH, IT’S EASY TO SEE HOW THEY BECAME AN INSPIRATION TO OTHERS.
By presenting these stories and providing expert medical opinion on the procedures featured, we hope we can assist our readers to identify what is available to them, and contribute to their personal transformation goals. The Issue is designed to pave the way for all of us to take charge and make the changes we may want to see in ourselves. We have said this in every issue, and we will continue to say it. The quality of surgeons we have in Australia and the vast range of procedures they offer is second to none. We speak to patients and never tire of hearing how amazing their surgeon was, how he or she changed their life, and how that patient will never forget their surgeons empathy, kindness and understanding during their most challenging times. If you have been thinking about a particular procedure for yourself, you do not need to commit. The first step is research – check it out, make a call. These professionals are ready to help and will discuss your issues and any concerns with you. We are proud to introduce in this issue, The Vagina Diaries. The vagina is not a common discussion topic, and in fact, is almost a taboo subject for some. The focus of this segment is designed
to reduce the shame and anxiety many women live with everyday, by sharing intimate stories and providing insights into the procedures available. Women do not have to deal with ‘any’ issue in silence. We would like to sincerely thank Cancer Council Australia, Ovarian Cancer Australia, Peter MacCallum Cancer Centre and the Australasian Academy for Facial Plastic Surgery for their generous support and contribution to this issue. A special thank you goes to the patients who bravely shared their stories with us this issue. Without you, we would not have a magazine, and without you, others would not hear of your courage and life changing experiences and determine to forge new lives for themselves. So to Alex, Angie, Asanka, Garry, Jayde, Justine, Lesley, Lindy, Lorraine, Rachel, Samantha, Sophie, Vince and our very brave Labioplasty patient, our heartfelt THANK YOU. Really. And as always, to the NipTuck team, thank you for your dedication and hard work. You are truly valued.
Elli Vukasovic
PUBLISHING DIRECTOR
AUSTRALIAN
ISSUE 5/ 2014
No longer reserved for the rich and famous
$9.95 AUD
personal case studies TA K E C H A R G E A N D
M A K E
T H E
SKIN CANCER Be Safe This Summer
YOU WANT!
elli@niptuckmagazine.com Mobile: 0450 901 773
The ENTRY #1
S URG I CA L DE CI S I ONS
leasel@niptuckmagazine.com Mobile: 0424 153 240
LOVE THE SKIN YOU’RE IN REPAIR & REBUILD
www.niptuckmagazine.com COVER PHOTO: MILQUE Photography
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S E C T I O N S
68 90 110 122 134
ACT / NSW WA VIC SA QLD
Cover Story
Rique Sharman Page 18
Photo: MILQUE Photography
Actual breast augmentation patient of Dr Miroshnik
DR MICHAEL MIROSHNIK
Breast Augmentation Specialist MBBS, FRACS (Plast.) Plastic & Cosmetic Surgeon
www.drmiroshnik.com.au
T: (02) 9389 8108 or 1300 88 90 50 More information on page 152 (NSW Section)
the
s p e c i a li s t s
DR PHIL RICHARDSON
DR MISAGH HABIBI
DR PETER CALLAN
DR KIM TAYLOR
DR RICHARD SACKELARIOU
DR HOWARD WEBSTER
DR DEAN TROTTER
DR RICHARD BLOOM
With us from our very first issue, Melinda Barlow has written many of our feature articles, and countless editorials for our surgeons and specialists. She has a Bachelor of Health Science and is pleased to be able to apply this knowledge to her work for us here at Nip Tuck Magazine. Being a freelance writer is her dream realised as she has a love for words and their possibilities. Her work is informed by her travels, her Australian upbringing, and her interest in capturing people’s stories and telling them with dignity and respect. Talking to surgeons and learning about the work they do, as well as listening to patients and discovering how people’s lives can be transformed through illness, injury or surgery, is the thing she is most interested in. Dividing her time between Australia and Europe, she skillfully manages her freelance career across time zones and publications and after 5 issues has had the joy of meeting many of our contributors, surgeons, specialists and their patients, and continues to be inspired by them. She is a hardworking part of our team and we are very lucky to have her here at Nip Tuck.
DR ROBERT PAUL
DR PAUL QUINN
the
be s t s i n t he i r fi e ld s DR ALASTAIR TAYLOR
RS
DR MICHAEL MIROSHNIK
IB
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DR IAN TIMMS
DR DAVID MORGAN
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DR OSEKA ONUMA
C
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DR MARK DUNCAN-SMITH DR ARGIE XAFTELLIS
DR PETER WIDDOWSON
DR ANH NGUYEN
DR ASH SANKARAYYA
DR MARK EDINBURG DR ANNEMAREE COLE
DR YUGESH CAPLASH
SHARYN YELLAND
the
ex per ts MELINDA BARLOW
DR JOHN NEWTON
SHERYNA WILSON
DAVID GINGES
DR EUGENE HOLLENBACH DR EWAN MACAULAY
DR GEORGE MARCELLS
KRISTINA KYRIACOU
DR STEVE WATSON
INGE DRUCKER
the
c on t r i but or s
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y a w RUN Y T U BEA
Photo: Catie
FOR LIFE T I F N A SHARM on Runner
R I Q U ETrainee Nurse | Model | Marath
e.com Photo: leoph otography@ m
Q. You obviously have a busy life, being a trainee nurse, model and marathon runner. How do you manage to sustain a suitable health and beauty routine? Ever since I was a small child I have been heavily involved in sport. I was very competitive in surf lifesaving and netball and had to be very self disciplined to achieve my goals. I have carried that discipline into adulthood and with prioritising and good time management, I don’t find it too difficult to get everything done. Getting into a good routine helps too. Q. You’re obviously very fit. What led you to take up running as a competitive sport? I’ve always run as part of my fitness training. I began doing 2 km and 10 km soft sand runs in the sport of surf lifesaving and loved that, so taking up competitive running just seemed a natural progression. My trainer Neil Russell (ATLETA fitness) also thought I had some talent in this area so he has encouraged me to take it further. Being fit is so important to my wellbeing, both mentally and feeling good about myself physically. But at the end of the day, as important as fitness is, you have to love what you do. If it makes you happy it’s not a chore.
Q. A lot of people are turning to cosmeceuticals and non-surgical treatments now as an alternative to surgical enhancements. What are your thoughts on these products and procedures? I’m all for people doing what makes them feel better about themselves. As long as the treatments are safe and you’re realistic with your expectations I don’t see a problem. I think some people get into trouble when they get carried away and go too far with fillers etc.
Q. Competing in marathons obviously requires a lot of running in all types of weather conditions. Do you find this takes a toll on your skin? Yes it really can take its toll on your skin. I love to do most of my training outdoors, so I really have to be organised and prepared to avoid what the weather can do. Particularly in summer, getting burnt or too dehydrated is very common under the Australian sun. Even if its overcast I try to wear a hat and sunscreen at all times.
Q. We all have different strategies we use to help us ‘embrace ageing’. Do you think there is a place for surgical enhancement? I definitely think there’s a place for surgical enhancement. It’s every woman’s personal choice and definitely an individual thing. But I would encourage anyone thinking of doing this to do it for themselves and be realistic in what they would like to achieve. I also think getting fit and healthy is a good place to start because it gives you a good base level of self esteem to start with and that can help you make good choices.
Q. Can you tell us what your skin care routine consists of? When looking after my skin my go to routine consists of using the Elixxir skin care range daily. I love that it protects and rejuvenates my skin whilst being all natural and organic. I also swear by Ella Bache foundation sunscreen. As well as being a sunscreen it doubles as my foundation.
Q. Do you think you would ever be interested in entering the field of plastic surgery or cosmetic nursing? I’m not too sure where my nursing will take me at the moment, but the field of cosmetic nursing does interest me. If I do take that path, I would like to learn the skills necessary to be able to positively contribute and make women feel more confident, educated and assured with the choices they are making.
Q. Being part of the modelling industry, do you feel pressure to look a certain way? When I began modelling, I definitely felt the pressure to fit a certain mould, but coming from a background of sport, in particular surf lifesaving, I always appreciated the need to fuel my body for performance. I do try to eat a healthy and balanced diet when possible but I love my treats of course (hot chips are my weakness). I think like most girls and women, you have good and bad days with your body, and it’s all about making the choices that make you feel best.
Q. What is your top tip for young active women to help maintain a healthy lifestyle? If there is one tip I could give, it would be to set goals. Pick something that will challenge and motivate you. Get a friend and enter a fun run, an ocean swim or even a marathon. Once you have set a goal, you have something to work towards and keep you on a healthy path. And honestly there is nothing better than the feeling you get when you achieve your goal and long after its finished, you may even want to do another.
T S O M THE WRITTEN BY MELINDA BARLOW WITH SPECIALIST CONTRIBUTIONS FROM CANCER COUNCIL AUSTRALIA, PETER MACCALLUM CANCER CENTRE AND DR YUGESH CAPLASH
AS AUSTRALIANS, MOST OF US HAVE GROWN UP WITH SUN SMART EDUCATION, YET STILL THE MESSAGE DOES NOT SINK IN FOR EVERYONE. EVERY SUMMER WEEKEND, THOUSANDS OF AUSTRALIANS CONTINUE TO GET SUNBURNT, PUTTING THEMSELVES AT RISK OF SKIN CANCER. BRUSH UP ON THE LATEST FACTS AND PREPARE YOURSELF FOR A HEALTHY AND SAFE SUMMER. 20 NIPTUCK Magazine
We are a nation that loves fun in the sun, and ironically this can be a deadly activity. Yet still thousands of us spend countless hours basking on our beaches every year. As our skin slowly drinks in UV radiation and our cells respond with a variety of gradual changes, we remain oblivious, never believing that we may be one of the tens of thousands of people who will be diagnosed in Australia over the next three years with melanoma1, or one of the 2000 or more people who die from it each year.2 Dr David Speakman: Chief Medical Officer and surgeon at Melbourne’s Peter MacCallum Cancer Centre says, while a mole may appear innocent, what lies beneath a melanoma can be truly frightening. “Melanoma is one of the fastest-developing cancers, with tumour cells mutating, growing and spreading at a rate up to 20 times faster than common cancers such as breast and prostate. It is so important we carefully monitor our skin to look for discolouration and change in the shape and size of blemishes and, just as importantly, we must do all we can to limit our exposure to UV radiation, especially in summer.” 1 http://www.cancer.org.au/news/blog/prevention/when-it-comes-to-skin-cancerearly-detection-is-the-key.html, Dr Patricia Lowe, 19 Nov 2013 2 http://www.cancer.org.au/about-cancer/types-of-cancer/skin-cancer.html Sourced Nov 29th 2013.
NIPTUCK Magazine
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CONTINUED FROM PREVIOUS PAGE
MESSAGE FROM Plastic & Reconstructive Surgeon DR YUGESH CAPLASH DR CAPLASH SEES A LOT OF PATIENTS WHO HAVE EXPERIENCED LOSS OF FACIAL TISSUE DUE TO CANCER. After sections of the face have been removed, then the facial jigsaw puzzle begins. “I rebuild those lost anatomical components with tissue from other parts of the body and reconstruct the affected area so they can go back to looking and feeling like themselves again.” People can lose large portions of their facial features – cheeks, lips, noses and so on – after cancer removal. The key to rebuilding is to match the right tissue with the missing section of face so there is a blended effect in the repaired area. Creating the tissue building blocks involves sourcing skin, soft tissue and bone from another part of the body with a blood supply – such as the tummy or the leg. “I then reconnect the blood supply and shape the tissue taken from another area to look more like it’s an inherent part of the face” explains Dr Caplash. “For example tissue from the forehead might be used to repair the nose or tissue from the tummy or leg can rebuild sections of cheek and jaw that may have been lost or removed. I build up the section of cheek then thin and define it to improve it and make sure it matches the other side. However, there are limitations to our reconstructive abilities due to the complex nature of reconstruction. in some cases a face transplant may be the only solution.
CANCER OF THE NOSE
22 NIPTUCK Magazine
Recent findings have revealed that our attention needs to be turned firmly toward the men in the room. Men over 45 are not only the most at risk3, but they are also the least likely to use sunscreen4. To generalize a little – many have a greater exposure to UV than women due to their often religious devotion to outdoor sporting passions and pursuits. It’s well known that many more men are engaged in sport and recreation activities than women, across a wider range of outdoor activities. Australia’s intense heat can often delude us into thinking that if we can’t feel it burning our skin, we are not at risk. Decades of advertising has focused on our need for caution on the nation’s playground; the beach, but recent studies have found that sporting events rival the beach, the lakes and rivers as high sunburn risk locations5. Australians love the great outdoors but every time we step out into the sun we need to be sun smart. Many hours are spent on the football field, the cricket pitch, the hockey ground, the tennis court, and more and whether they are players or spectators, only 29% of men are using sunscreen, compared to 45% of women6. Either way, still less than half of each gender is playing it safe. The Australian Institute of Health & Welfare’s Cancer Incidence Projections (2011-2020), state that over the next three years – from 2014 to 2016 - there will be 40 people a day told they have melanoma, and almost two out of three of them will be men. This means around 44,000 Australians will be diagnosed with melanoma in the next three years. Chair of Cancer Council Australia’s Skin Cancer Committee, Louise Baldwin puts these figures into perspective. “That number of people - 44,000 - is more than a full capacity crowd at the Gabba. The figures are startling.” With one of the highest incidences of melanoma in the world, Australia still has a lot of work to do. Many of the surgeons featured in this and previous issues of Nip Tuck magazine spend considerable amounts of time patching up those who have had moles excised, or tumours removed due to skin cancer. It is not a part of their practice they relish, but certainly a necessary part of the process for many cancer survivors. As whole cheeks are removed, large chunks of nose eaten away and suffering continues through traumatic and challenging treatment cycles and surgeries, it is always hindsight we long for. 3 http://www.cancer.org.au/news/blog/prevention/when-it-comes-to-skin-cancer-early-detection-is-the-key.html, Dr Patricia Lowe, 19 Nov 2013 4 Maria Celia B. Hughes, Gail M. Williams, Peter Baker, Adèle C. Green; Sunscreen and Prevention of Skin Aging A Randomized Trial. Annals of Internal Medicine. 2013 Jun;158(11):781-790. 5 Volkov A, Dobbinson SJ. 2010–11 National Sun Protection Survey Report 2. Australians’ sun protective behaviours and sunburn incidence on summer weekends, 2010–11 and comparison with 2003–04 and 2006-07 (unpublished). Centre for Behavioural Research in Cancer, Cancer Council Victoria:Melbourne, Australia, October 2011. 6 Maria Celia B. Hughes, Gail M. Williams, Peter Baker, Adèle C. Green; Sunscreen and Prevention of Skin Aging A Randomized Trial. Annals of Internal Medicine. 2013 Jun;158(11):781-790.
ABCD MELANOMA SUPPLIED BY CANCER COUNCIL AUSTRALIA. FOR MORE INFORMATION VISIT WWW.CANCER.ORG.AU/ABCD
THE FACES OF SKIN CANCER: IT COULD HAPPEN TO YOU TOO GARRY CALLAGHAN
A IS FOR ASYMMETRY Look for spots that lack symmetry. That is, if a line was drawn through the middle, the two sides would not match up.
First diagnosed: Sept 2011 Progression of disease: Mole discovered late 2011 was a malignant melanoma, which was surgically removed along with surrounding tissue. Current status: Ultrasounds every 3 months, six monthly checks.
SAMANTHA O’NEILL
B IS FOR BORDER A spot with a spreading or irregular edge (notched).
C IS FOR COLOUR Blotchy spots with a number of colours such as black, blue, red, white and/or grey.
D IS FOR DIAMETER
First diagnosed: age 23 Progression of disease: Diagnosed December 2011 with stage 2 melanoma. Surgery January 2012. Lymph node mapping identified three nodes potentially affected. Lymph nodes in left leg removed and tested clear. Current status: Currently living with lymphedema as a result of lymph node removal in her 20’s.
VINCE KELLY First diagnosed: age 35 Progression of disease: 8 surgeries, arterial blockage by skin cancer resulting in series of 9 strokes and subsequent mini strokes, 12 dermatologist visits annually, numerous skin grafts. Current status: First melanoma diagnosed last year. Currently undergoing cancer treatment.
Look for spots that are getting bigger. NIPTUCK Magazine
23
Skin T H E
you’re in
WR ITTE N B Y:
Kristina kyr i a c o u Resident NipTuck Beauty Columnist To contact Kristina, please email kyriacou.kristina@gmail.com or find her on YouTube, where she discusses the latest in products, trends and beauty treatments
SMILE YOUR WAY TO
Dr Misagh Habibi
What this basic human behaviour does for your health and wellbeing will definitely surprise you. Perth Implant & Reconstructive Dental Surgeon Dr Misagh Habibi examines the power of the human smile.
SMILE YOUR WAY TO
Smiling is the most natural of human behaviours. A smile is universal currency. It is a basic biologically consistent human expression, regardless of culture, age or background. Contrary to some grandparents’ insistence that the newborn baby is only experiencing ‘wind’, many of us have experienced the miracle of a 2 week old infant’s smile at loving cues and sounds from their parents. Research has proven that we are pretty much born to smile. 3-D womb ultrasounds have shown that we even smile in the womb in response to human voice. It’s in our programming well before any other basic human behaviour – but why? What role is this most basic of all human expressions destined to play in our lives?
SMILING FOR HEALTH One 30 year study out of Berkeley (University of California) looked at the smiles of students in an old yearbook, and compared it to their eventual wellbeing and success. Those with the widest yearbook smile ranked highest in wellbeing and general happiness scores, fulfilling and lasting marriages. They were also more inspirational to other people. Another university research project (Wayne State 2010) looked at a deck of professional baseball players’ trading cards from 1952. They found that the players who had flashed a beaming smile for their photo lived an average of 79.9 years, and those who hadn’t lived an average of 72.9 years! So there is obviously more to the smile than meets the eye. Research about its impact reveals some surprising and far reaching results. Good old Charlie Darwin could have told you this. As well as his dissertation on The Origin of the Species, he also
developed the Facial Feedback Response Theory, suggesting that smiling makes us feel better, rather than us smiling merely as a result of feeling good. Functional MRI studies out of Germany (Echnische Universitat 2009) have also shown that facial feedback by imitating a smile actually makes our brain cells process emotional content in a way that activates happiness. Subjects that were injected with Botox to suppress their ability to smile were unable to activate happiness feelings like those who were able to smile. Chocoholics: Beware of underestimating the power of the smile. British researchers have used electromagnetic brain scanners and heart rate monitors to find that smiling stimulates our brain’s reward and pleasure mechanisms at mood-boosting value equal to up to 2,000 that of chocolate! Smiling reduces stress hormone levels, increases mood enhancing hormone levels and lowers blood pressure.
SMILE YOUR WAY TO
SMILE ATTRACTIVENESS Studies show that the first thing people notice about you is your smile, and that it can make a profound impression. Studies show that when meeting someone, we can form surprisingly lasting impressions about their intelligence, success, confidence, competence, physical fitness, professionalism, their salary and lifestyle in as little as seven seconds. In forming this first impression, the smile and body language have been shown to have a much more profound impact than the content of what a person says or how they sound. A team from Radboud University Medical Centre in the Netherlands found that smile attractiveness has a penetrating psychosocial impact – affecting both how a person is judged and also how they judge themselves. Then it should come as no surprise that poll results have shown that an unattractive smile can hurt a person’s chances for career success (74%), that an attractive smile makes a person more appealing to the opposite sex (96%) and that a smile is an important social asset (99.7%). VALUE OF THE SMILE In the same British study, a smile was found to be potentially as stimulating as receiving up to £16,000 in cash. Who knew that a smile was worth $25,000? So how much should you smile? A third of us smile more than 20 times a day, and less than 14% of us smile less than 5 times a day. Kids can smile as much
as 400 times a day - and we wonder how they can soak things up and live so care free. There’s something to be said for keeping our child like sense of optimism and joy through the challenges of life. It’s proven to do us a world of good. And we know it’s contagious. Swedish studies (Uppsala University 2002, 2012) showed that another person’s smile suppresses our own ability to control our facial muscles, encouraging us to smile. We have trouble frowning if we see someone smile. So surrounding ourselves with smiling people also does us a whole lot of good. THE TAKE-AWAY MESSAGE: SMILE MORE! In a world obsessed with the latest diet, pill, procedure or fitness fad to encourage health, attractiveness, happiness, wellbeing and long life, the humble smile seems to be the original and the best panacea. When you smile it makes you happier and healthier, and it has the same effect on those who cross your path – partners, friends and strangers. And as you do this, your own neurological and emotional patterns change for the better so that before you know it, you’re all smiles.
So keep that smile healthy and active. But if you are hiding it because it could use an overhaul, seek the advice of a reputable and skilled dentist.
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W
omen go through a multitude of changes throughout their lifetime, and one part of the body that really starts a conversation is the breast. Too big, too small, too flat, too pointy, too saggy, big nipples, small nipples, too far apart, one’s bigger than the other – it’s a continuing dialogue. It seems the perfect breast is an elusive thing for many of us.
However while most women just live with their imperfections, for many wanting to live a ‘normal’ life, there is little choice but to make some decisions about surgical interventions. Breast surgery is about more than just ‘boob jobs’ to increase cup size so you can wear gorgeous lingerie. Women who have breastfed children often end up with two, three or four cup sizes difference between each breast. Floppy, droopy breasts can also be an issue for women of all ages who have undergone dramatic weight loss. They now have a whole new body and a great new sense of self, but often are ashamed of the excess skin left behind. So after months and months of hard work, find themselves venturing into the world of body contouring surgery, which more often than not requires breast augmentation.
If you are going through any of these experiences right now, and not sure what to do first, we have put together a handy summary of the process and the things you need to consider where breast reconstructions and augmentations are concerned.
1
. CHOOSE YOUR SURGEON The first and most important thing you will do is choose your surgeon. It’s crucial that you feel comfortable with whoever you choose, and that you feel like they really understand your expectations. A good surgeon will also be strong enough to gently tell you when your goals are unrealistic and why, then guide you to the right choices, ultimately ensuring you are informed enough to make sensible decisions yourself.
2
. DO YOUR RESEARCH Once you have the surgeon, the work begins. It helps for you to have done some research first – know what training your surgeon should have had, get a sense of the results you are looking for, and be informed about whether there are any risks involved for you. The first consultation you have with your surgeon will be very comprehensive so the better informed you are, the less overwhelming it will be.
3
. BOOK A FIRST CONSULTATION In the consultation, usually the surgeon will take a full case history, and do a thorough examination, including taking measurements of the various anatomical landmarks of your chest. They will assess the existing breast tissue, check for lumps, scars, and abnormalities, and assess the current size and positioning of the nipples. Next they will discuss your ideas, and try to get a good sense of your expectations. A good surgeon will advise you on the best size and shape of breast for your frame; many even have 3D imaging software and can show you how different sizes will look on your body. Try to maintain a sense of scale when choosing breast size and make sure that your selection will result in a shape that will be in proportion with the rest of your body.
4
. CHOOSE YOUR IMPLANTS Choosing what you want your new breasts to look like means taking a number of things into consideration. Your surgeon will lead this discussion and you should not be afraid to ask questions. In this part of the consultation you will make decisions about how the implant will be placed, and therefore where the incisions will be made. This is also when you will discuss what kind of implant you would like. Depending on the implant type, incisions can be made under the breast, around the nipple and in the armpit. Implants are then placed under muscle and existing breast tissue, above the
muscle or a combination of both. Decisions about placement will be based on your body type, your existing shape and what breast tissue is available. The positioning is important as it determines how the finished breast will look, once the implant is in place. This is an example of when the 3D imaging options are useful so patients can see what the results will be, rather than just imagine. Implants are made of a variety of materials and come in a range of shapes, and textures. These features all dictate how the implant will sit and last over time, as well as how it will behave in the event of injury or impact. Implants are filled with saline or silicone. The main distinctions between them are the way they feel and that silicone implants can come with a textured external surface. Implants can be teardrop shaped to mimic the natural breast shape, or round to give more fullness to the upper breast. They also come in different profiles – moderate, moderate plus, or high profile which is a measure of how much the finished breast will project from the chest wall when the implant is in position. The implant you choose will determine the final result – so choose wisely and listen to the pros and cons that your surgeon will go through with you.
5
. KNOW THE PROCESS: RISKS, PROCEDURE AND RECOVERY
Finally you should understand the logistics of your surgery – how long will you stay in hospital for? Will there be much pain? How long is recovery immediately after surgery, and how many weeks later will you be able to fully resume normal activities? Make sure you ask questions about all the possible risks and be sure to tell your surgeon everything he needs to know about your medical history.
6
. GO SHOPPING! Your surgeon should have your satisfaction as his primary concern and be advising you on the best approach that tailors the surgery to your individual body shape and needs. It is your body and you need to live with the results, so don’t rush into anything you don’t feel happy about, change surgeons if you need to, and make sure that you understand what is about to happen in advance. Then get ready to go shopping and enjoy your new shape!
NIPTUCK Magazine
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CONTINUED FROM PREVIOUS PAGE
BREAST AUGMENTATION After breast augmentation surgery by Dr Miroshnik
SHAPES
TEARDROP (ANATOMICAL) IMPLANTS • More volume at the bottom • Mimic the breast’s natural slope • May shift or rotate, distorting the appearance of the breast
DR MICHAEL MIROSHNIK PLASTIC & COSMETIC SURGEON MBBS, FRACS (PLAST.)
ROUND IMPLANTS • More volume in the upper breast • Provide more fullness and cleavage and won’t rotate. • Most widely used in Australian surgery
FILLINGS
Placement of an implant above the muscle is better for curvier, fleshier patients.
Pre-filled silicone implant • Cohesive gel with a strong bond • Prevents the silicone from migrating through the body in the rare event the implant leaks or ruptures • Comes with outer shell – smooth or textured • There are two types of “shells” available for these implants: smooth and textured. Texturing is designed to maintain proper implant positioning and to minimize the risk of capsular contracture (hardening of tissue around an implant, which the body perceives as a foreign object). The surgical community has differing opinions on the relative benefits of the smooth and textured varieties. Discuss these with your surgeon. Saline implants are silicone shells that are filled with saline (salt water) at the time of surgery, and so smaller incisions are required than with pre-filled silicone implants. The volume of the implants can also be increased at a later date through a valve.
PROFILES
Moderate-profile implants give just that; a moderate amount of projection so they won’t “stick out” of your chest so much. They are good for wide chests. Moderate-plus implants are ideal for smaller chests as they are slightly tapered and won’t create excessive width on the side.
Mentor Silicone MemoryGel Siltex Implant photo courtesy of Mentor
PLACEMENT SITES
Sub-glandular breast augmentation is where the implant is placed just below the breast tissue or over under the pectoralis muscle of the chest. This method is often used in women who are quite thin and lacking in breast tissue. This tends to soften the edge of the implant so it is not obvious.
After breast augmentation and lift surgery by Dr Miroshnik
PHOTOS COURTESY OF:
give too much projection for the individual patient, they can look fake.
High-profile implants are narrower, with a smaller base than the others so as to create more projection and fullness and, thus, cleavage. A disadvantage is that is they
Dual plane placement is a combination of the two. Some of the implant is placed under the breast, and some under the pectoralis muscle. It is a modern take on implant placement and is used in a variety of settings. One advantage of this technique is that positioning the upper portion of the implant under the muscle helps to hide the obvious “step” at the top of the implant, especially in a woman with thin tissue coverage, while positioning the lower portion under the glandular tissue of the breast helps take up any breast laxity or sag.
INCISION SITES
Most commonly, world over, breast implants are inserted through the inframammary fold, the natural crease under the breast. An incision of 3-5cm is made and the scar remains hidden under the breast. A periareolar incision is made half way around the nipple. The resulting scar may be virtually undetectable, but if you’ve not finished having your family, this technique may interfere with breast-feeding. Inserting implants through the armpit may be an option for women who are prone to keloid (raised, thick) scarring or for those who don’t want any trace of a scar on their chest, if you are an appropriate candidate of course. The surgeon may use an endoscope, which allows them to see through the whole cavity and guide the implant into the right place.
速
Silicone Gel & Saline Breast Implants Johnson & Johnson Medical Pty Ltd. Telephone: 1800 338 160 or +61 2 9815 3680. Address: 1-5 Khartoum Road, North Ryde, NSW 2113. Email: mentorcustserv@its.jnj.com Johnson & Johnson Medical Pty. Ltd. ABN 85 000 160 403. Mentor is a business unit of Johnson & Johnson Medical Pty Ltd. E201306_103
PATIENT STORY | “LORRAINE” BREAST RECONSTRUCTION
LORRAINE
BREAST RECONSTRUCTION POST MASTECTOMY
DR IAN TIMMS MB BS, BSC,FRCS, FRACS (PLASTIC AND RECONSTRUCTIVE SURGEON)
Many women experience changes to their breasts during pregnancy and after breastfeeding. Some more dramatic than others. In Lorraine’s case, her breasts increased from a 34A before her first pregnancy to a 44FF after her second child was conceived. “It’s as if my breasts were built for breastfeeding, but after I stopped, I was left with this strange mass of saggy skin on my chest so when I was 40 years old, I decided to have a breast augmentation.” After feeding two children and ‘rewarding’ herself with new breasts, Lorraine was feeling pretty happy about everything, then in January 2009 Lorraine was diagnosed with breast cancer. “They took out the lump first, then I had an MRI. It was then that they located the primary that was a splattering of cancer cells on my right side. It was decided I would have chemotherapy first and then a mastectomy.” The chemotherapy finished in July and the mastectomy was scheduled for August. Lorraine was certain of her next step. “They wanted to remove only one, but I knew I would live with constant anxiety about the cancer returning so I thought it would be better to have them both removed. Also Dr Timms advised he could do a better job reconstruction if both breasts were removed.” Lorraine then underwent a radical bilateral mastectomy. As soon as that surgery was completed, Dr Timms began work on Lorraine’s reconstruction. He had seen her breasts before her mastectomy and was unhappy with the original augmentation she had received. Lorraine’s breasts were quite low set and the implants weren’t suitably placed. Dr Timms removed a section of Lorraine’s latissumis dorsi from her back
40 NIPTUCK Magazine
and brought the muscle around to the front to make the mound. The implants were then placed and volume added to the size agreed upon. Now Lorraine thinks her breasts look better than they ever have! Of course it took Lorraine some time to recover from her cancer treatment, and she took some time off work to get her health and emotional well being back to normal. “I was quite a fit person anyway so I think my body tolerated the chemotherapy really well but it’s still a challenging thing to have to go through. It’s been 5 years now this January and I feel great.” Lorraine recently underwent some ‘finishing off ’ surgery. After a recent visit with Dr Timms, he felt her breasts needed a little adjustment. Residual scar tissue was removed and because her tumour had been on the right side, there had been some shifting in that area, so he tidied that up also. Lorraine’s optimistic attitude surely helped with her recovery. “I wouldn’t have it any other way. I feel like a much stronger person from all of this. I met so many nice friends, and it has really made me tougher. I feel like I can conquer anything now. Nothing else can phase you when you’ve been through something like that.”
速
Silicone Gel & Saline Breast Implants Johnson & Johnson Medical Pty Ltd. Telephone: 1800 338 160 or +61 2 9815 3680. Address: 1-5 Khartoum Road, North Ryde, NSW 2113. Email: mentorcustserv@its.jnj.com Johnson & Johnson Medical Pty. Ltd. ABN 85 000 160 403. Mentor is a business unit of Johnson & Johnson Medical Pty Ltd. E201306_103
ASK THE
EXPERT What are the most common types of scars that you are presented with in your work as a dermatologist at Skin and Cancer Foundation Australia? In my capacity as a dermatologist specializing in the surgical management of skin cancers almost all the scars I encounter are surgical in nature. The most common scars that are of concern to the patient are either hypertrophic/ keloid scars and less commonly stretched atrophic scars. What issues do these present for the patient? The most consistent issue of concern for patients is the cosmetic appearance. Less commonly patients experience discomfort such as pain, tenderness or an itch that can last for quite a long time after surgery. How important is scar minimisation as part of your treatment protocol? (Ie. do you perform treatments where associated scarring is a potential consequence? Is scarring a concern expressed by clients? For a good number of patients, concern expressed regarding scarring is greater than discussions about the importance of removing their skin cancer, which is the reason for having surgery. Consequently, many patients are eager to engage in any measures at the pre-operative, intra-operative and post-operative stages. Postoperatively this can range from the least invasive measures, such as massage and the use of silicon-based gels, to more invasive procedures including various laser treatments and surgical scar revision. I routinely recommend massage and the use of a siliconbased gel as they frequently improve healing and hasten the process. Fewer patients elect to pursue more invasive post-operative procedures because of the risks associated with these procedures including the worsening or production of new scars.
42 NIPTUCK Magazine
Dr Simon
Lee
Dermatologist
How do you currently address scarring issues in-clinic? I approach the minimization of scarring by addressing the issues from before the patient has surgery to their post operative care. This includes: 1. Pre-operative issues: addressing intercurrent illnesses that delay healing or lifestyle choices such as smoking. 2. Intra-operative issues which largely relate to surgical technique. 3. Post-operative issues: including massage, silicon based gels, avoiding excessive physical exertion (many patients expect to exercise or work the day after surgery), wound dressing choices and corticosteroid injections into scars.
Dr Simon Lee is a Visiting Medical Officer performing Mohs’ surgery and laser therapy at The Skin and Cancer Foundation Australia, Darlinghurst and Westmead day surgeries. He also consults at Sydney Skin dermatology practice in the RPAH Medical Centre, Camperdown.
How does the use of Strataderm and Stratamed fit into your practice? I use Stratamed in patients at the earliest stage after surgery, usually within days while their wounds are compromised (ie not completely healed over), as is recommended by Stratpharma, though also in instances where secondary intention healing (ie like a graze) is the method of healing. I recommend Strataderm in all my patients once the wound has healed and usually from the time sutures are removed.
BEFORE
How long have you been recommending these products? I’ve recommended silicon based gels or sheeting for many years though specifically Stratamed and Strataderm in the last 2 years because of greater ease of use over other silicon gels and less cosmetic impact than silicon sheeting. What feedback have you received from patients about their experience using Stratamed and/or Strataderm? Although not universal, the majority of patients report faster and better healing (as determined by reduced scarring) after using these products when compared with previous surgical experiences when not using these products.
www.scfa.edu.au www.sydneyskin.com
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Despite being the sacred vessel that brought most of us into the world, there is still a surprising level of shame and embarrassment where discussion about the vagina is concerned. Your mum has one, your sister, your daughter and your female friends. Guess what? Even your grandma has one. Yet there is still a stigma attached to it. Maybe we talk about it with our friends, but for the most part, vaginal aesthetics is not commonly a water cooler discussion topic. Many women live everyday with insecurity and self consciousness about their vaginas. Some were born with characteristics they are insecure about, while others have suffered physical damage as a result of childbirth, abuse or prolapse of internal organs. We aim to fling open the curtains and let some sunshine in with our new regular feature ‘The Vagina Diaries’. We’ll give you an overview on what’s out there, and an insight into the procedures that are being performed every day across the country. Vaginal surgeries are not as uncommon as you might think. It is our hope that by sharing the intimate stories of Australian women, we can reduce the shame and anxiety some women feel when the vagina conversation begins... As this will be an ongoing feature, we would love to hear your story! If you or someone you know has recently undergone a gynaecological surgical procedure either for reconstructive or aesthetic purposes, please let us know. We would love to share your story, and support it with expert contribution from a suitable specialist, who can provide background on the procedure. If you would like to contribute please contact us at elli@niptuckmagazine.com. 44 NIPTUCK Magazine
PATIENT STORY | “ANONYMOUS” LABIAPLASTY
LABIAPLASTY *Patient involved in this story requested to remain anonymous.
Dr Anh Nguyen
Female Plastic and Cosmetic Surgeon
This patient was a young lady who had a labiaplasty for both functional and aesthetic reasons. A modified wedge excision of the enlarged labial minora was performed with lateral extensions to include folds from the paraclitoral hood. She had an excellent result, with minimal visible postoperative scarring and an improvement in symptoms and her overall confidence - which are the goals of a labiaplasty.
Although women may not necessarily see their own labia that often, sometimes the presence of something that ‘doesn’t feel right’ is enough to make us realise maybe there’s an issue. Anh’s patient realised when she was about 14 years old that there was something different. Her sister would comment that she could see her labia and she gathered from a few conversations that hers were different to other girls. This of course was not a huge issue during puberty, however as she got older, it started to become a problem. “I had the procedure mainly for cosmetic purposes, but as I got older the reasons became practical as well. I had lots of excess skin. The inside labia hung outside of my vulva about 1 inch on both sides. I also had some excess skin folds around my clitoris.” The patient had to be particularly attentive with hygiene as there was so much excess skin, and once she became sexually active, her frustration about the situation grew. “I was in a long term relationship and when we started having sex, we would regularly have to stop so I could maneuver myself and rearrange things. The excess skin really got in the way. When we had sex it would pull. It also affected my confidence as I was self conscious about it.” Anh’s patient had held off on surgery previously because she didn’t know enough about it and didn’t feel like it was an option for her. “I thought I was stuck like that. I had done my research and about 6 months before went to my doctor to discuss it. She gave me the speech about how everybody’s different, and how I was normal so then I hesitated again. I
waited another 4 months and was still unhappy so went back to my doctor for a referral.” Once she had decided on Anh Nguyen as her surgeon, the patient made contact with the clinic to discuss her options. She had a consultation with Anh who examined her and took some photos for reference, and then she had another consult with Anh 2 weeks before the surgery. “The surgery itself was quick and simple. It was a day procedure under general anaesthetic. I went in first thing in the morning and was out by 3pm. Anh removed the length off my labia and she also reduced excess skin around the clitoris. There was some pain after the surgery but not as much as I had expected. It was uncomfortable ore than painful.” The patient had stitches, which came out after a month and was able to resume sexual activity 6 weeks after the surgery. “I noticed the difference immediately. I didn’t have to spend so much time cleaning myself in the shower, and sex was much better. I was no longer self conscious so could relax and enjoy it for a change!” NIPTUCK Magazine
45
LINDY MUMME
AND HER FAMILY
PATIENT STORY | “LINDY” THE SKINNY ON WEIGHT LOSS
WRITTEN BY MELINDA BARLOW WITH SPECIALIST CONTRIBUTION FROM DR STEVE WATSON AND DR MARK DUNCAN-SMITH
MOST OF US WANT TO LOSE WEIGHT BUT AS THE OBESITY EPIDEMIC WORSENS, WE SEE AN INCREASING NUMBER OF PEOPLE, AT INCREASINGLY YOUNGER AGES DEALING WITH WEIGHT ISSUES. The weight loss journey requires lifestyle changes, emotional engagement and diet and exercise adjustments, all of which mean huge changes in someone’s life. Surgery is often required, and few are prepared for the body they end up with – large folds of floppy excess skin and lots of stretch marks. Dramatic weight loss is life changing and with the right support you can achieve the results you want. Recently we sat down with Lindy Mumme who shared her emotional journey with us, and showed us that with the right support system of specialists and people who love you, you can completely change your own life. She married her childhood sweetheart, became a nurse and had two children who are now teenage boys. Lindy lived a mostly happy existence, until a family ski trip to NSW changed everything. Lindy Mumme had been big most of her life, and was a size 16 as a teenager when she first met her husband Sean. As she got older she put on more weight gradually, but never really felt it was an issue. It was a hurtful encounter with a ski instructor that shone a light on her situation and Lindy’s thoughts about her weight changed.
“I had never skied before and we spent thousands of dollars on a trip to NSW with 2 other families, to enjoy a skiing holiday together. We paid for some lessons and things took a turn for the worse on the 2nd day when I fell over yet again after many attempts to stay up on the skis.” It was the first time she felt her weight was a barrier to doing something she wanted to do. “I didn’t want the instructor to help me up because I didn’t think it was fair for him to have to lift my 108 kilos off the ground, but my consideration was lost on him, as he looked down on me in the snow and said ‘You know this takes effort’. I was humiliated and spent the rest of the holiday inside drinking lattes while my friends and family enjoyed the holiday.” It was on her return to Perth after that trip that Lindy quickly took action. She and Sean attended an information night about bariatric procedures, (gastric band insertion) and on contacting and meeting Dr Steve Watson, she was in surgery 6 weeks later. After a couple of nights in hospital and a few days recovery at home. Lindy was back at work the next week and living on a whole new learning curve. NIPTUCK Magazine
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CONTINUED FROM PREVIOUS PAGE
DR STEPHEN WATSON MB BS FRACS FRCS, LAPAROSCOPIC/GENERAL SURGEON
LINDY’S BARIATRIC SURGEON
GASTRIC BAND SURGERY • • • •
•
Restricts the amount of food that can be ingested by reducing the capacity of the stomach. A band is placed over a section of the upper quadrant of the stomach to provide constriction. The band has a small tube inside that is increased or decreased in size by the addition or removal of fluid. The fluid volume inside the band determines the level of constriction and this is regulated to the individual and their gastric requirements and biological responses. Gastric band surgery has been highly successful in treatment of the morbidly obese.
MARK DUNCAN-SMITH MBBS(WA) FRACS(PLAST SURG)
LINDY’S RADICAL ABDOMINOPLASTY & BREAST LIFT SURGEON
RADICAL ABDOMINOPLASTY • • •
•
•
Removes excess sagging skin and fat from the middle of the abdomen. Reduces size of abdomen. Can improve abdominal weaknesses by tightening abdominal walls. The belly button is left attached to the deeper muscles and fascia of the abdominal wall. The skin between the belly button and just above the pubic hairline is removed and the skin above the belly button is undermined The remaining skin is then pulled down over the belly button (like pulling down a Holland blind) and sutured to the skin just above the pubic hairthis tightens the abdominal skin. A new position for the belly button is then made and the belly button is brought back through the skin.
52 NIPTUCK Magazine
The band is a ring, and within the ring is a balloon that gets liquid put into it to determine the level of constriction. Fluid is not added to the band for the first month but it still provides physical constriction. The band is fitted around the top part of the stomach and limits the volume of food that can pass into the stomach. “For the first week I ate only fluids – soups and broth. Then for the next few weeks I could manage thicker foods like scrambled eggs. By the end of the first month I was back to eating most normal foods, but much smaller portions. I do remember sitting there after my first month thinking ‘what have I done? This is too hard!’ I was constantly thinking about what I could eat. The reasons I was so big before were that I was eating too much. I’d eat while preparing dinner, while serving it, I’d eat what the boys didn’t eat, and then I’d sit down to the same size meal as my husband, who at 6 foot 2 is much better able to metabolise that volume of food. He’s in the navy and I would always lose weight when he went to sea because then my meals were the same size as my kids’ meals”. After a month of learning new eating behaviours, Lindy returned to Dr Watson and had her band filled for the first time. She also went in every couple of weeks afterwards and the constriction was assessed and adjusted to suit her individual gastric responses. The band constriction is managed through a metal port with a cover that connects to a tube. This in turn connects to the band, which is filled via a needle. Once things are regulated, the band constriction should be checked annually and patients can continue to live a normal life. Although in most cases - a new one! For many people who have undergone dramatic weight loss, shifting the kilos is only the first part of the journey. The emotional transformation and the body they are often left with are not always what they signed up for. Usually this means another round of work, with body lifting or contouring as the final stage of the process of truly ‘getting in shape’.
PATIENT STORY | “LINDY” THE SKINNY ON WEIGHT LOSS
Lindy had the gastric band surgery in mid 2006 and by Christmas had dropped from 108 kilos to 91 kilos - she had lost 17 kilos in almost 6 months. The weight kept falling off, and once she had lost around 30 – 40 kilos, Lindy’s focus shifted from her weight loss to what her body was starting to look like. Her pre surgery jeans were a size 24 and she was now shopping for a size 10. Although she felt smaller, there were large folds of skin left behind that had to be folded into clothes to be contained. “When I was naked, I couldn’t look in the mirror. I hated it – everything hung and sagged. Pre weight loss my breasts were an E-F cup. Afterwards they were floppy empty sacks that I could roll up and fold into my bra. I still wore loose t-shirts over jeans to hide the rolls of excess skin and when I’d go swimming all the excess would float to the surface. I hated it and had to do something.” Lindy went back to Dr Watson and discussed her concerns with him and he recommended some surgeons to her that he thought might be able to help. Lindy worked through the list and by early 2009 she had an appointment with Dr Mark Duncan-Smith. Because she had stopped losing weight, he was able to address her surgical needs. “He asked me what I wanted done, and he asked Sean too! He assessed my stomach excess, my breasts and talked me through the different options and techniques. We decided on a radical abdominoplasty and a breast lift.” Lindy’s suture line ran from hip to hip and from the bottom of her rib cage to the pubic line. Her belly button was moved and her abdominal wall tightened. Excess skin was removed from her stomach and breasts, and her nipples were repositioned to higher on her newly shaped breasts. The whole procedure took around 6 hours and Dr Duncan-Smith removed 1.5 kilos of excess skin in total. Lindy was in hospital for about 5 days and though it was uncomfortable and there was a fair amount of pain, she knew immediately that the results were amazing. “I’ve been really lucky I had no post operative complications. After the surgery, I did everything I was told to do and my experience has really been a success story. I lost 60 kilos overall and aside from marrying my husband and having our boys, it’s the best thing I ever did.” Lindy knew she needed to make the changes but didn’t know how completely life changing it would be. “My confidence is much better, I’m not as withdrawn as I used to be when it comes to talking to people. Now that I can look at people in the face, I realised how much shame I was carrying around. I used to hate going into clothes shops and often would be ashamed of myself on behalf of Sean – believing his friends and colleagues were judging him because of me and my size. I’m very blessed – my family has been incredible. Sean has loved and supported me no matter what size I’ve been and one of the best moments ever was when my son gave me a hug and said ‘oh Mum - my hands go all the way around!’ It made it all worthwhile.”
HAIRFREE
This Summer
Permanent Hair Reduction by David Ginges
Permanent hair reduction technology has given hope to people who’ve struggled with excess or unwanted hair on the face and body. Laser, Intense Pulsed Light (IPL) and Broadband Light (BBL) devices have provided the ability to permanently reduce – even totally eliminate - hair where it’s not wanted, on areas such as legs, bikini line, underarms, upper lip and chin.
David Ginges has enjoyed a variety of professions, from pharmacist to rock promoter and now software development CEO, but in 2004 he came across an opportunity that he has found one of his most rewarding. At the time permanent hair technology was usually performed by doctors and expensive. David found a way to make it affordable for everyone – now available at clinics around Australia.
David
GINGES
Both laser and IPL treatments use light to cauterize the blood supply to the follicle but the light source with each is different so has a different action. “Hairfree has chosen intense pulse light for their removals, due to the painless nature of the treatment,” says David Ginges. “All of the Hairfree therapists are laser safety certified and their machines are medical grade IPL. Clients undergo repeated treatments until eventually the follicle is killed off and the hair no longer grows in that place.” Laser uses what’s called coherent light. This is a focused light with a single wavelength. IPL is non monochromatic (not single wavelength) and non focused. “There is a difference in the action of the two in that laser is much slower because it is acting on individual follicles, where IPL treats multiple follicles at once,” explains David. “Both are doing exactly the same job, but clearance rates can vary considerably depending on the type of machine being used and the type of treatment.” Clearance rate is a measure of the efficacy of the treatment in terms of what percentage is cleared during the course of treatment, or the number of hairs removed per area of skin. For significant results, several or more treatments spaced around a month apart are recommended so that hair follicles are targeted in their active (anagen) growth phase. Hair on
the face and body will be variously in one of three cycles – anagen, catagen (transitional) and telogen (resting) - and it’s only in the anagen phase that treatment is effective. But as with all scientific/medical technologies that provide powerful results, they are not to be toyed with. To seek permanent hair reduction from practitioners who are not adequately qualified, trained and experienced is to risk disappointing results at the very least and injury at worst. There has recently been some talk about burns from laser treatments. These usually occur because the intensity can be too high, or due to operator error. It could also be that the patient has not complied with the after treatment care requirements - not to exercise afterwards and not to go out in the sun and so on. In many cases it is client error that is to blame because assuming you have the right machine and a skilled operator, there is no reason a burn should occur. “If the setting [of lasers] is too high, it can burn the upper layer of the skin and cause blistering, perhaps eventually scarring and hyper- (dark discolouration) or hypopigmentation (loss of colour).” Mr Ginges reinforces the need for Australians to do their homework before seeking permanent hair reduction treatment, advocating IPL over laser. Only IPL is available at his clinics. “Therapists should be experienced and must hold current laser safety certificates to be properly qualified,” he says.
Visit www.hairfreeforever.com.au or call 1300 424 737 for more detailed information, clinic locations and specials. Most clinics open during business hours but can also open in the evenings to accommodate after work appointments.
Somet imes it’s the
simple things...
Something as simple as removing unwanted hair can dramatically change the way we feel about ourselves.Hiding hairy legs under pants when we’d rather be in a skirt; keeping our arms close to our sides like stiff soldiers or wearing shorts over our bikini bottoms. There are even men who haven’t been seen without a t-shirt for decades.
U
nwanted hair can place all sorts of restrictions on how we enjoy life. We’ve been removing hair for as long as there have been sharp tools to scrape whiskers of faces. Nothing much changed for centuries, until we discovered that we could pour a layer of hot wax over the hair and rip it out by the roots. If that sounds painful, it feels a lot worse. Then came the messy creams that might or might not work – depending on whether you could understand the directions for use.
after a treatment to get the optimum results. Every consultation is discuss their concerns and ask as many questions as they would like.
Before, During and After Care
Ten Years of Treatments
Not everyone understands how important it is to take proper care of your skin between treatments but Hairfree clients have the advantage of the E+ skincare range, which is exclusive to Hairfree, and has been specially formulated to use with Hairfree treatments. The range includes an exfoliator and sun protector and is designed to ensure smooth, sexy skin all year round.
With more centres in more places, and doing more than 100,000 treatments every year, it’s no wonder Hairfree has become the trusted name in gentle, pain-free, risk-free hair removal.
Hairfree understands that more and more people are time-poor and can’t afford to wait around for things to happen. Hairfree’s IPL treatment machines are designed to provide optimum results with little or no discomfort in the shortest time possible. Treatment times can range from as little as 5 minutes for an underarm or lip to 30 minutes for a full back. There’s no down time for clients so treatments can be scheduled before or after work or during lunch hours. No one needs to know where you’ve been.
Almost 10 years ago, Hairfree offered a new solution to the problem of unwanted hair: simple, affordable treatments using IPL to remove hair once and for all. Before Hairfree, only the lucky few with generous bank balances could afford permanent hair removal using lasers – and even that was hardly pain free.
Professional Therapists
Every one of Hairfree’s professional therapists has undergone a lasersafety training course and has a caring, sensitive and professional approach to designing treatment programs for every individual client. These women are passionate about helping their clients to achieve results that will make them look and feel better. therapist will spend at least 30 minutes discussing the client’s needs and matching treatment programs to expectations and budgets. Hairfree believes clients need as much infor mation as possible before they begin. At Hairfree, your therapist will explain why a single treatment won’t be enough because of the different ways hair can grow in different places at different times. Factors such as any underlying medical conditions or medications being taken by clients will be taken into consideration. The therapist also advises the client on what to do before, during and
Experience Counts
Too often, people choose hair removal from a salon or centre on price alone. But what might seem like an internet bargain can often be disappointing. Clients can feel rushed and literally zapped because with the wrong treatment machine, there can be real discomfort and pain. You want to be sure that the person treating you has the experience and knowledge to treat you properly and not like a voucher to get in and out as quickly as possible.
Range Of Treatments
Hairfree can also offer you a range of the treatments to complement your hair removal – from skin rejuvenation and tattoo removal to acne treatments and anti-wrinkle injections. Hairfree – you’ll love the freedom.
www.hairfreeonline.com.au Book online or Call 1300 HAIRFREE (424737)
58 NIPTUCK Magazine
MICRODERMABRASION My experience with microdermabrasion: Microdermabrasion is a non-invasive, deep exfoliation technique used to remove the outermost layer of the skin. It has been proven to help with a wide variety of skin problems, including acne scars, hyperpigmentation, sun damage and diminishing fine lines and wrinkles. The most common treatment usually involves tiny aluminum oxide crystals, which are blasted across the skin and then sucked up through a vacuum, removing dead skin cells along the way.
I decided to undergo a course of microdermabrasion treatments to reduce the appearance of hyper-pigmentation caused by acne scarring. I had a consultation with Dr Ash Sankarayya and was told that 6 treatments 1-2 weeks apart would be the best course of action. The photos below were taken 7 weeks apart and the most obvious change in my skin was the reduction in redness and discolouration. Additionally, I found the treatments reduced my active acne, decreased my pore size and allowed my skincare products to work much more effectively as they were able to penetrate the skin deeper. I have continued to undergo maintenance sessions once a month to keep my skin looking clear.
LASER/ IPL HAIR REMOVAL Laser hair removal or Intense Pulsed Light (IPL) removes hair by causing thermal damage to the hair follicle. It involves using wavelengths of light to target the hair during an active growth cycle without causing damage to the skin. The treatment promises permanent hair reduction not necessarily complete hair removal. Over time you can expect to see up to 20% hair growth although much finer and at a slower pace. Success will largely depend on your colouring however it’s usually most effective on fair skin and dark hair.
60 NIPTUCK Magazine
My experience with Laser/ IPL hair removal: I started getting laser hair removal on my Brazilian and underarms about 6 months ago and have noticed a difference. I have 5 more sessions to go, however my technician has recommended that I do a maintenance session every 8-12 months afterwards, as the treatment is only a hair reduction procedure.
At arc medispa, our dermal consultants use up-todate dermal treatments and skincare products for everyday skin maintenance and skin correction.
Sun damage, uneven skin tone or pigmentation an issue? Interested in anti-ageing treatments for good skin health?
• Skin Assessments • Skin Needling • Chemical Peels • Light & Laser Therapies • Microdermabrasion • Medi-Facials
For an appointment, call Melbourne 03 9828 1300 or Shepparton 03 5820 0500 Member of the ARC Plastic Surgery Group
www.arcmedispa.com.au
Facial Rejuvenation for:
Feel
refreshed & youthful with
FACIAL rejuvenation Freshen up your look with anti-wrinkle treatments and dermal fillers.
• Soften & Smooth
Dynamic Wrinkles • Full & Defined Lips • Cheeks with Volume • Softened Jowls
By Cosmetic Physicians Dr Vilma Di Maria MBBS FRACGP
Dr Lisa Freeman
MBBS FRACGP DRACOG
Dr Fiona Jane MBBS
For an appointment, call Melbourne 03 9828 1300 or Shepparton 03 5820 0500 Member of the ARC Plastic Surgery Group
www.hyperdermics.com.au
NIPTUCK Magazine
61
AUSTRALIAN
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www.medifit.com.au
B U IL D I N G A BEA UTIFUL LIFE Author: Nathan Reid, National Marketing Manager Medifit
At some stage in their career, many surgeons and healthcare professionals feel the urge to create an operating environment that is uniquely their own. A place where everything they need to provide their desired level of patient care has been meticulously planned and designed to work exactly in the same way that they do. In essence a practice that resonates with their individual goals and reflects their personality. A place where patients and staff can identify with their vision for the provision of care.
With the guidance of Medifit, a national specialist healthcare design and construction company, Alastair Taylor and his wife Cheryl have created such a place in the Canberra Aesthetic Plastic Surgery (CAPS) Clinic. Located in Canberra’s medical precinct, the CAPS Clinic consists of over 1400m2 of specially designed specialist consulting rooms, operating theatres and private hospital facilities over two floors, allowing resident specialists to provide comprehensive services and recovery care to cosmetic and plastic surgery patients. The decision to build new facilities from scratch was taken after detailed consideration and extensive consultation with patients and staff. Careful consideration was given to ensure the environment was as warm and welcoming as possible. During the planning process, patients responded they didn’t want the new clinic to feel like a hospital at all, but rather they wanted somewhere they could feel relaxed and recuperate in comfort. Armed with this knowledge, Medifit’s experienced architectural and interior design team have created a facility that strikes the perfect chord between the operational efficiency required to provide superior overnight patient care and the warmth and comfort needed to promote healing and recuperation.
The resulting design boasts bold but tasteful use of colour and texture. The carefully selected furnishings and expertly planned layouts make the clinic feel more like a stylish home than a hospital. Creams, golds and oranges are used to promote healing and a sense of positive energy throughout the building and give the facility a distinct personality - a far cry from the traditional sterile hospital whites and blues. “Patients and staff are ecstatic about the new look and feel. Patients reactions when they walk in are instant, they immediately feel relaxed and comfortable, while the extra space makes it easier for staff to care for patients.” Cheryl Taylor Previously restricted to treatments requiring local anaesthetic, the overnight facilities give surgeons at the CAPS Clinic the opportunity to significantly increase the range of procedures available. “We have glowing referrals coming through all the time from everyone who visits the clinic. We count ourselves extremely lucky to have the beautiful, flexible life we have. Medifit’s Sam Koranis has the final word.
The success of the CAPS Clinic in Canberra is a testament to Alastair and Cheryl’s vision and Medifit’s ability to translate that vision into a beautiful reality. We are very proud of the result.
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68
NEW SOUTH WALES
69
The Mummy Makeover DR ALASTAIR TAYLOR, A HIGHLY QUALIFIED, ACCREDITED PLASTIC SURGEON WITH MANY YEARS’ EXPERIENCE IN ALL AREAS OF RECONSTRUCTIVE, COSMETIC AND MICROSURGERY, OPENS THE BOOK ON THE BEST APPROACH TO THE MUMMY MAKEOVER AND HIS AMAZING RESULTS. 70 NIPTUCK Magazine
The term “Mummy Makeover” has become a catch cry following pregnancy. Undeniably, the two body areas significantly affected after pregnancy and childbirth are the breasts and the abdomen. A woman is often told “not to worry” about their tummy after childbirth as “it will shrink” with breast feeding and exercise. In some cases this is true, but I see many women in my practice where this simply fails to happen. Pregnancy and breast feeding can leave women with a bulging abdomen, stretched skin, slumped posture and a broadened waist. They also often present with back pain, stress incontinence, and their breasts are sagging and have lost all upper fullness. Mummy Makeovers come in many and forms and depend entirely on the specific need of the woman. Abdominoplasty or liposuction, breast lift or augmentation or any combination of the same can be required to restore the body to the pre-pregnancy state. In nearly all of cases I will strongly recommend an abdominoplasty over liposuction. This is simply because the abdomen is significantly stretched through pregnancy and the excess skin and bulging of the lower abdomen is not fat but is instead caused by a lax muscle wall. Yes, there is a significant scar associated with an abdominoplasty, but I believe the long term benefits of this procedure far outweigh any procedure which does not address the crux of the problem. The abdominoplasty provides the surgeon the opportunity to do a functional repair of the muscle wall restoring core strength, back pain and incontinence issues. Conversely, liposuction is simply removing fat and hoping the skin will retract appropriately which has no functional benefit. Breast are a different story. Some women’s breasts shrink to an A or AA cup while others lose the majority of breast material and their breast sag like flat, fried eggs on the chest. Some manage to maintain their breast tissue but the whole structure of the breast is lost leaving the breast still a reasonable size but sitting way too low. read more
BEFORE
BEFORE
BEFORE
BEFORE
AFTER
AFTER
AFTER
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BREAST AUGMENTATION & ABDOMINOPLASTY
BEFORE
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BREAST LIFT & ABDOMINOPLASTY
BEFORE
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“Mummy Makeovers come in many and forms and depend entirely on the specific need of the woman.” - Dr Taylor
BREAST REDUCTION & ABDOMINOPLASTY NIPTUCK Magazine
71
At this point it is important to be mindful of whole body proportioning. Making the abdomen flatter and producing a waist makes the breasts automatically look larger. In other words, reducing the abdomen is like getting a breast augmentation for free. Obviously, an A cup breast is never going to look like a C cup, and in that situation an implant is required to restore fullness and projection to the breast. Larger breasts may require a breast reduction to restore shape and position. However, if the nipple sits low and the breast is quite collapsed, a breast lift is needed to elevate the nipple and tighten the breast mound. Although no volume is added or removed during this surgery it does produce a better, more projecting breast. Whatever size you were in a bra pre surgery, you will be the same post surgery.
“The majority of my patients are happy with firmer, tighter and better positioned breasts and decide against the extra volume and weight of implants.” - Dr Taylor
It is my personal preference not to perform an augmentation and a breast lift (mastopexy) at the same time. Augmentation Mastopexy is an operation with quite variable results. I believe it is better to tighten a breast and wait six months to let it soften before augmentation. In my experience, the majority of my patients are happy with firmer, tighter and better positioned breasts and decide against the extra volume and weight. What can’t be denied is the radical improvement in body shape that comes from operating on both the breasts and abdomen in one procedure. It’s a big operation, but can be done safely on the right patient with the benefit of only one recovery period.
Discover how these procedures can help you. Contact The CAPS Clinic today. Ph (02) 6282 1177
DR TAYLOR IS THE DIRECTOR OF THE CAPS CLINIC AND OPERATES EXCLUSIVELY AT SOLE’VITA SURGERY - A PURPOSE BUILT AND FULLY LICENCED MEDICAL FACILITY IN THE HEART OF CANBERRA. www.capsclinic.com.au
Shape Up For Summer
IT’S CALLED STUBBORN FAT FOR A REASON: NO MATTER HOW MUCH YOU EAT HEALTHY AND EXERCISE, IT’S VIRTUALLY IMPOSSIBLE TO LOSE THOSE ANNOYING MUFFIN TOPS AND LOVE HANDLES. In his continued pursuit to provide outstanding commitment to his clients, and after years of continuing research, Dr Taylor is proud to announce the latest addition to the My Genesis suite of non-surgical treatments. My Genesis is the first program of its kind and it is designed to layer and sequence non-surgical treatments in a holistic and comprehensive approach to skin rejuvenation. And now it offers a solution to those love handles we don’t really love! We often see patients who come for liposuction to remove stubborn fatty deposits on the stomach or inner thighs, but sometimes surgery can be an expensive and excessive option. There had to be a more practical solution and now we have found it!
It’s called CoolSculpting and it’s offered in Canberra by The CAPS Clinic as part of the brand new “Frosted Away” program. CoolSculpting technology was developed by Harvard scientists and uses a targeting cooling process that kills fat cells underneath the skin. They are simply frosted away. What’s more, it’s only the fat-cells that die. Unlike other fat treatment technologies, your healthy skin cells remain unaffected with no burning, shattering or extracting processes involved. There are no needles used and no scars afterwards. The fat cells die and are naturally eliminated from your body. CoolSculpting is not a weight loss solution for people who are obese, or a substitute for surgical procedures such as liposuction. Good candidates have noticeable bulges in certain areas they’d like to get rid of. CoolSculpting takes very little time and is pretty simple to fit into your daily life. After your treatment you can typically get right back to your busy day. Each treatment lasts one hour – the same time you might spend at the gym. After one visit, you’ll typically see a noticeable reduction of fat. It takes a few months to fully realise the effects, mainly because it takes that long for your body to naturally dispose of the fat cells. And yes, you can lose even more with additional appointments if necessary. So after a few months, your clothes will fit better and you will look better. What’s more, there are no pills or supplements. And as long as you maintain your normal diet and exercise, your long-term results should remain stable. How cool is that?
To find out how the Frosted AwayTM program can help you, please contact us on (02) 6282 1155.
Doctor Mark, I’m looking tired, my friends tell me I work too hard, I have these laugh lines around my eyes, my eyelids are so heavy that when I look up I can see them. I have these unsightly bags under my eyes that are puffy and awful, my cheeks are not only hollow but the skin appears wrinkled, there are deep lines around my mouth and the corners of my mouth point downwards making me look sad and just look at the sagginess of the skin of my neck. My forehead lines are deep and I have those lines between my eyebrows that make me look angry and cross all the time and so on and on. But, I am not sad or cross, or do I feel tired. I feel young at heart and I want to look the way I feel and to reflect my inner being.
I am sure, no matter what age we are, we can identify with at least one or two of these, if not all of these complaints. Some patients will come to me and say “Dr, look at me and tell me how you can fix me up to look 10 years younger”. Well clearly this is not an approach I would consider, just in case I may mention something the patient was not aware of and now I may have created another demon. So, please don’t come along with this line – think about what it is that concerns you and what you would like addressed as it makes your Dr’s life a lot simpler to find solutions to help you with.
BEFORE
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Facial rejuvenation is such a huge field. That is why I believe that you need to consult with appropriately trained people that are experienced in modalities across the range available. The obvious advantage to this is that your doctor can offer you treatment from the simple to the complex avoiding a couple of forms of treatment for everything because that is the only thing that they can do.
BEFORE
AFTER
So bearing this in mind, I am talking about the simple forms of treatment like advising about medical grade cosmeceuticals, skin peels, dermabrasion, fillers, and lasers including treating pigments, lines and tone of the skin with skin resurfacing, profractional and broad band light therapies. It is often very helpful just to sit down with us and let us explain to you what is available and how we can help you. This will be an excellent way to spend an hour of your time listening to a professional rather than stories, videos and mags that are so confusing. Now that we have moved on from the non-surgical treatments, lets look at some of the surgical treatments available. There will be a time when no matter how much fillers or lasers is used, these will no longer provide you with a cost effective outcome and thus – time to move on to a surgical procedure. Again, there are many surgeries available and the right one needs to be advised for the appropriate condition. There is no point having an “S” lift, walk in walk out, one hour procedure done under a local anaesthetic in the rooms, if you need a more longer lasting outcome. Similarly, there is little point in have an upper eyelid blepharoplasty alone if you also need a brow lift as the results will be disappointing.
BEFORE
AFTER
At consultation, a relevant history needs to be taken, paying particular attention to the words of the patients and what physical attributes are discussed. The medication the patient takes is very relevant to facial surgery. A bleed and a haematoma will detract from a good result. A thorough examination is carried out. I sit patients down in front of a mirror and show them what can be achieved with surgery. You can see the position of the skin, the direction of the tightening, the appearance of the neck, the position of the ears, the eyebrows and eyelids. What will happen to the hair, where the scar lines will be. Then follows a discussion of the operative procedure, it’s length of time, the placement of the scars, suturing and dressings. Is the operation carried out in hospital. under a local or general anaesthesic, and the duration of hospital stay. Your recovery period is discussed as well as what you can and cannot do, like driving, housework, return to work and exercising. Finally, you need to be informed about the potential complications of surgery before making any informed decisions. I take photographs to help me prepare my thoughts and outline my plans for surgery if and when the time arrives.
Dr Mark Edinburg MBBCH FRACS
Plastic, Reconstructive & Cosmetic Surgeon Dr Mark Edinburg MBBCH FRACS is Medical Director of The Eden Institute of Plastic & Cosmetic Surgery and MediSpa, with more than 20 years of outstanding medical service and achievements. Dr Edinburg’s decades of Breast Augmentation knowledge and experience combined with his understanding of the individual needs of each of his patients combine to deliver excellent natural-looking aesthetic results. Renowned as an expert in naturallooking surgical outcomes, Dr Edinburg is dedicated to enhancing each person’s individual form and being. He believes that a good Surgeon has to have a combination of expert surgical and technical skills and an appreciation for well defined beauty combined with a real understanding that each patient is an individual and each procedure needs to be assessed in terms of that specific patient’s individual needs. As well as being a leading Plastic and Cosmetic Surgeon, Dr Edinburg is also a specialist Skin Cancer and Hand Surgeon, based on decades of training, locally and internationally, including a Fellowship at Canniesburn Hospital in Glasgow, Scotland. Even though Dr Edinburg has two decades of successful surgical experience, he is vigilant about being committed to advances in Plastic Surgery as a regular participant at Advanced Training updates at the Royal Australian College of Surgeons and the Australian Society of Plastic Surgery, and also regularly spends time operating with other surgeons all over the world, exchanging ideas and techniques. In a field where education and technical skill is of paramount importance to ensure safe and effective surgical and non-surgical treatments, Dr Edinburg’s credentials position him as a pre-eminent Plastic Surgeon in Australia, delivering outstanding results for surgical and non-surgical rejuvenation for face, breast, body, hand, skin cancers and skin health treatments.
Combination Surgery So now that you’ve had a Face Lift and you’re happy with the outcomes, you are thinking what next?
Facial Rejuvenation Treatments are popular with patients because everyone wants to look younger or feel more rejuvenated on their face but there are also other treatments that can help restore a youthful look to a person on the whole. For example, this patient who came to me for a Face Lift was also interested in Breast Lift Surgery (Mastopexy). The patient decided to pursue combination surgery to enhance the
results of rejuvenation, on both her face and her breasts. Combination surgeries are quite common and can be performed safely at the same operative setting or on separate incidences, one after another. If you are interested in combination surgery, I will make a careful assessment during consultation to ensure that the procedures can be performed safely and that the desired outcomes are maximised.
BEFORE
AFTER
B O D Y • B R E A S T • FA C E • M E D I S PA
Breast Augment and Lift Before and Atfer
Results that look
natural.
Dr Mark Edinburg MBBCH FRACS
With 25 years plastic surgery experience our patients receive quality care in a safe and healthy environment.
B E L L A V I S TA | C H AT S W O O D | R I C H M O N D
8814 5800
www.edeninstitute.com.au
The Eden Institute of Plastic and Cosmetic Surgery
FACE • SKIN • BODY • LASER
Dr. John Newton, M.B.B.S., F.R.A.C.S. COSMETIC PLASTIC SURGEON Phone 02 4948 4200
The Knowledge, The Experience, The Wisdom as used in my website
Meet Dr John Newton Dr. John Newton is an experienced, fully qualified surgeon practicing in Warners Bay, a suburb of Newcastle in the Lake Macquarie region. He has higher qualifications in both cosmetic and reconstructive plastic surgery. A native of Newcastle, NSW, he has studied plastic surgery in Melbourne, Australia and London, England. Among other professional affiliations, Dr. Newton is a fellow of the Royal Australasian College of Surgeons. Dr. Newton always strives to produce high-quality surgical results at his Warners Bay practice and always treats his plastic surgery patients with absolute integrity. If surgery is not the right option for you, he will tell you so. Dr. Newton uses only proven, established plastic surgery procedures that produce reliable and aesthetically pleasing results.
14 Howard Street, Warners Bay | 02 4948 4200 www.cosmeticplasticsurgery.com.au
Dr. John Newton, M.B.B.S., F.R.A.C.S. COSMETIC PLASTIC SURGEON Phone 02 4948 4200
COPPING AN EAR FULL Dr. John Newton
W
hen we were at school there were almost always one or two children who copped the nickname ‘wingnut’. Whilst some of us may have thought this was a term of endearment, for the individual concerned it was invariably not a positive nickname. It was, in all probability the start of an ongoing element of self-consciousness related to their prominent ears, sometimes stretching into and affecting their young adulthood. So what can be done - ears can be simply ‘pinned back’. I see a significant number of people who are concerned about the prominence of their ears and these patients all present at various stages of their life – I see all ages. Probably the most common presentation is during primary school when kids are perhaps, not so much given a hard time about their ears, but their ears are noticed by their school friends and their parents become concerned. The children become aware of the prominence of their ears and surprisingly, even at that young age, some are prepared to think about having something done.
In children this young, it’s important the child has an understanding of what is being done before proceeding. Sometimes parents can be a little keen (particularly if they have had their own ears done as children), but it is nice for a child to develop their own awareness so that he or she can more readily tolerate the procedure and the recovery period afterwards. Adolescence is another period when young people are very self-conscious and I see a number of them looking for otoplasty in that age group. It is not to say that adults do not come in looking for correction of their prominent ears. Adults come in through the full range of adulthood to talk about their ears and in fact I have seen and treated people in their 60’s. The operation itself is not simply the excision of skin but involves reshaping of the cartilage. It involves in particular reshaping of the fold in the cartilage that lies between the hole in the ear and the rim of the ear. This restructures the skeleton of the ear. The skin excision and or some sutures behind the ear hold the ear in place whilst the ear resets itself.
Once the operation is over, there is a period of time where a bandage needs to be worn on the head. This is almost turban-like in its extent and, in general, is worn for about two weeks. After that, simple care has to be taken of the ears for about another 4-6 weeks. The results of the procedure are generally very satisfactory. Complications are uncommon. The ears should look very natural and not appear as if they have had an operation. Personally I find it a very rewarding operation to perform. The results are instantaneous on the operating table and the patient’s excitement about the results is usually obvious immediately after the bandages are taken off. Girls who are shy to wear their hair up, or go swimming, are much happier to do so and young boys who don’t really want to grow their hair long often end up getting it cut reasonably short after the surgery.
DR JOHN V NEWTON
Dr. John Newton, M.B.B.S., F.R.A.C.S. COSMETIC PLASTIC SURGEON Phone 02 4948 4200
HEY
There has been a lot of research done into
look are at the forehead and the ears.
facial features and their relevance and in
forehead and the proportions of the overall face. These ideals come from a compilation
particular the beauty aspects of facial
This makes the eyes intrinsically important.
features.
They have been called ‘the windows to the
of large numbers of beautiful faces.
soul.’ Eyes are probably the single most
These compilations have led to some
It is true that there are over six billion
important entity in conveying honest facial
interesting things as well. The compilation
people in the world and it is amazing that
emotions. It is easy to pick a false smile
of a European female face, when the actual
all of those six billion faces are different;
where the eyes do not smile and only the
image is large numbers of faces blended
even identical twins have subtle differences.
lower third of the face smiles.
to make one, produces an attractive, soft,
Just a glance at somebody’s face will give us
inviting female face but when performed
a huge amount of information. It will tell
The skin is also an important factor that
with males produces a bland and boring
us the gender of the person, their age, and
we look at on a face. It is one of the main
face.
their race and give us an indication of their
things we use to interpret health and age.
health and very often tell us their state of mind.
For a long time the term ‘baby face’ has There has been a lot of research into ideal
been used to describe an attractive look in
facial measurements. Sometimes, when
females. There has been some interesting
Scanning measurements taken of the eyes
you see the lines drawn on facial images
and perhaps disturbing research, where
of people looking at faces show that the first
to do these measurements, the face looks
the facial features of a large number of
place we look is at the other person’s eyes.
very much like a jigsaw puzzle. There are
attractive adult female models were put
We then look at the mouth, the nose and
theoretical ideals relating to the brows,
into a computer that was able to measure
the cheeks and the skin. The last places we
the eyes, the nose, the lips, the cheeks, the
facial age according to proportions on
Dr. John Newton, M.B.B.S., F.R.A.C.S. COSMETIC PLASTIC SURGEON Phone 02 4948 4200
the face. The outputs suggested the age
are the hormones in our brains that make
of these girls to average between six and
us feel good.
seven years. Another interesting aspect of beauty is What is thought to be beautiful regarding
that people smile more when they look
proportions in faces has been shown to
at their reflection in the mirror after they
be fairly uniform throughout the various
put on makeup, than before they put on
races. Images produced by blending
makeup. Some quite interesting work has
features of attractive individuals from
suggested that psychiatric patients suffering
different races has produced a look which
from depression and dementia showed a
indeed has become quite popular for
significant increase in their independence,
actors, actresses and models within our
their sociability and their communication
media. This may relate to the globalisation
when they were taught to use makeup
that we have seen in the late 20th Century.
and were able to spend time applying that makeup each morning. Even more
Transculturally, people of
Caucasian
interesting is perhaps the finding that the
racial appearance will find the same
mobility of elderly women was increased
people attractive within for example the
significantly when they were taught how to
Asian racial group as does the Asian racial
apply makeup by professionals and were
group itself.
encouraged to use it.
Attraction is interesting as it is variable
In younger women it has been shown that
depending on what we want in a
there is a decrease in cortisol hormones,
relationship.
which are the hormones relating to stress, and an increase in IgA which relates to
Whilst a person may find someone who
improved immunity in younger women,
looks like Bo Derek the most attractive,
when they have had cosmetic treatment
who by anyone’s measure is a 10 on the
(that is to say masks, massages and make
scale, they will often choose a person
overs).
rating about a 5 on that scale as a mate. The psychology of this is thought to be
So do these anecdotal findings mean
an element of narcissism. A person rating
anything? Personally I am not sure how
5 on a scale of 1 -10 will often prefer to
to interpret them but I guess they do
form long term relationships with another
support the concept that to look good is
person rating around the same. This is
psychologically positive, physiologically
because we have an expectation that a
positive and perhaps an intrinsic part of
similar appearing person will have a similar
the nature of human beings.
The Knowledge, The Experience, The Wisdom
Meet Dr John Newton Dr. John Newton is an experienced, fully qualified surgeon practicing in Warners Bay, a suburb of Newcastle in the Lake Macquarie region. He has higher qualifications in both cosmetic and reconstructive plastic surgery. A native of Newcastle, NSW, he has studied plastic surgery in Melbourne, Australia and London, England. Among other professional affiliations, Dr. Newton is a fellow of the Royal Australasian College of Surgeons. Dr. Newton always strives to produce high-quality surgical results at his Warners Bay practice and always treats his plastic surgery patients with absolute integrity. If surgery is not the right option for you, he will tell you so. Dr. Newton uses only proven, established plastic surgery procedures that produce reliable and aesthetically pleasing results.
emotional and psychological attitude to ourselves. It is a type of empathy.
In short looking good and taking the effort to look our best probably allows us to have
Other research has indicated that love is a
a greater pride in ourselves as individuals.
bit of a drug. It has been shown that the Limbic system (a fairly basic old part of our brain), releases endorphins when we are exposed to a beautiful face. Endorphins
DR JOHN V NEWTON
14 Howard Street, Warners Bay 02 4948 4200 www.cosmeticplasticsurgery.com.au
LOOK AFTER YOUR FACE IN YOUR THIRTIES AND FORTIES RICHARD by DR SACKELARIOU
Continuing our feature from last issue on your skin and ageing, NSW plastic surgeon Dr Richard Sackelariou takes us through the middle decades: when youth starts to slip away and we are still deciding if time is on our side or not. As the years march by, our thirties and forties are the years when prevention and improvement require more than just sun protection and a good lip balm.
EYE LIFT Upper and Lower with Mid Face Lift
before It is in our thirties and forties that we start to notice the first signs of ageing. In the context of the Australian sun, the first part of our face to age is usually the delicate thin skin around our eyes. Not only are there changes in the texture and colour of our skin in this area, but we see the development of frown lines and crow’s feet, along with increasing heaviness of the upper eyelids. The brow also becomes heavier and can descend to a variable degree while upper eyelid heaviness can often result in lateral hooding. This change also contributes to lines across our forehead as 82 NIPTUCK Magazine
after
we subconsciously lift the outer brow to try and open up our eyes more. As we age, the ‘tired eye look’ becomes more common, regardless of how much rest we’ve had or how great that holiday was! Cheek fat pads descend and the tear troughs below the eyes take on a fuller puffier appearance, emphasised by dark circles and fat bulges. As is the case in our twenties, the best treatment is always prevention by using good sun protection, not smoking and the judicious use of anti-wrinkle treatments. However, even our best efforts cannot defeat the inevitable - ageing continues despite all this.
EYE LIFT Upper and Lower before
20
Over
Years Experience
after
TREATMENTS Frown lines, crow’s feet and lateral brow descent can show considerable improvement from simple anti-wrinkle injections. Fillers can help with early tear trough formation, and also to plump up sunken cheeks and lips. These also can be very useful for filling in deepened folds around the nose and mouth (nasolabial folds). As the skin around the eyes loses elasticity and begins to drop, eyelift surgery may be needed to freshen the area and correct the ‘tired eye look’. Combined with a mid-face lift that elevates the cheek fat pads, the upper face can appear much firmer and rejuvenated. Genetics can be our friend or our foe, and if you have not been one of the lucky ones to have a smooth alabaster décolletage, then sometimes including the neck in your chosen procedure ensures a more complete approach to the correct the ageing face. A full facelift including the neck can be of great benefit for those in their forties, but for most an upper face rejuvenation is all that is needed.
Breast Enlargement Breast Lift Nose Reshaping Face lift Eye Lift Brow Lift Lip Lift Chin/Cheek Implants Ear Shaping Liposculpture Abdominal Reduction Male Breast Reduction
The best thing we can do for our skin is to keep it hydrated, so remember: use a good moisturiser for the outside and drink plenty of water for the inside. 2/15 Cross Street Double Bay NSW 2028 Ph (02) 9362 0676 www.cosmetic-surgery.net.au
Breast
Creating body balance and Actual breast patients of Dr Miroshnik
Breast Augmentation
Actual breast patients of Dr Miroshnik
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T: (02) 9389 8108 (Sydney) | 1300 88 90 50 (Intertstate)
Perfection
with Dr Michael Miroshnik
Actual breast patients of Dr Miroshnik
harmony with each surgery. Breast augmentation has come a long way in recent years. Today in 2014, every aspect of the procedure is customisable so whatever style or shape you desire, there is usually a solution available to give you results that will match your expectations. Dr Michael Miroshnik is a fine example of the excellent surgical care available to women today for breast augmentation procedures. “Women undergo breast augmentation for a variety of reasons, and all have different personal outcomes in mind. In 2014, breast augmentation is not simply about size but also about shape. Some women lack inner cleavage, whereas others lack upper fullness or outer curvature, whereas others again are more concerned about an element of droop to their breasts that they would like corrected.” says Dr Miroshnik. Achieving the best possible result requires a great deal of surgical planning in every operation. “It’s vitally important to gather the right information during the consultation process, both in terms of the patient’s physical needs as well as her own perceived requirements from the operation. Many of my patients start with small, A-cup sized breasts and desire a result that looks as natural as possible. Others, on the other hand, are looking for a fuller, more enhanced look with accentuated curves and cleavage.” Dr Miroshnik practices the ultra-fast recovery technique. Almost all procedures today can be
DR MICHAEL MIROSHNIK
Plastic & Cosmetic Surgeon MBBS, FRACS (Plast.) conducted in a day hospital setting, with the patient returning home within a few hours of the procedure being completed. Due to modern anaesthesia and pain control, time back to work is faster than ever at approx. 7 days for office based jobs. Due to his detailed, systematic and comprehensive approach, Dr Miroshnik has achieved widespread acclaim for his skills and expertise in all forms of cosmetic breast surgery. As a result, he has patients that travel to see him in his Sydney clinic from all over Australia and even abroad!
www.drmiroshnik.com.au
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AUSTRALIA Photo courtesy of www.davidbroadway.com.au
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DR I A N TIM M S
MB BS, BSc,
FRCS, FRACS (Plastic and
Reconstructive Surgeon)
Having grown up in the south of England Dr Timms studied medicine at University College and the Middlesex School of Medicine. After graduating Dr Timms completed his Fellowship with the Royal College of Surgeons of England prior to emigrating to Australia in 2000.
Dr Ian Timms
MB BS, BSc, FRCS, FRACS
Plastic and Reconstructive Surgeon
Cosmetic Surgery Breast Reconstruction Facial Aesthetic Surgery
Dr Timms was appointed to the advanced Plastic & Reconstructive Surgery training programme in Western Australia where he worked in both Perth and for some time in Sydney. Upon successful completing the exams Dr Timms was awarded Fellowship in Plastic and Reconstructive Surgery from the Royal Australasian College of Surgeons. In 2007 Dr Timms returned to the U.K. for one year undertaking a Cosmetic and Microvascular surgery Fellowship at The London Clinic. In March 2008 Dr Timms commenced a private practice and now operates at Mount Hospital, Hollywood Private Hospital and Cambridge Day Surgery and is accredited at SJOG Subiaco and Murdoch, and Bethesda Hospital. Dr Timms is passionate about providing individualised care with empathy to each patient’s needs and along with his personally selected and well trained staff is determined to provide this care to the highest possible standard. All patients are warmly welcomed, cared for and treated with dignity and compassion. Dr Timms’ practice has the latest in 3D camera systems, the Vectra XT imaging system that greatly assists in educating patients and demonstrating the likely outcome of surgery particularly in Breast Augmentation.
Hand Surgery
Dr Timms’ specialty clinical interest is in Breast Reconstruction and all other aspects of breast surgery including Augmentation, Mastopexy, Reduction and correction of asymmetry.
Suite 3, 200 Rokeby Road Subiaco 6008
Additionally Dr Timms undertakes a wider range of cosmetic procedures including Blepharoplasty, Rhinoplasty, Abdominoplasty, Labioplasty and Body Contouring (body lifts, arm reduction and thigh lifts).
Phone: 08 9381 3288 Fax: 08 9381 5333 Email: info@sculptingsurgery.com.au
P E R S O N A L PROFESSIONAL PROGRESSIVE
PATIENT STORY | “RACHEL” BREAST LIFT AND RADICAL ABDOMINOPLASTY
“Patient X” Before & After Radical Abdominoplasty Rachel’s photos were not available having recently had her surgery
We all feel like we can shed some extra kilos, but in Rachel’s case, her weight loss needs were much greater, to the point where she was frightened to go to sleep in case she didn’t wake up due to the anxiety her weight was causing her.
“The possibility of losing even a kilo felt out of reach to me,” says Rachel, “but I was scared about my health, and knew that I had to make big changes. Once the weight started to come off, I got on a high and just kept going. I changed my diet and became more health conscious, and as a result lost over 40 kilos.”
“Patient X” Before & After Radical Abdominoplasty Rachel’s photos were not available having recently had her surgery
Rachel had gone from a size 22 to a size 14 which she was thrilled about, however she’d been left with a big pocket of stomach and empty saggy breasts. “I’ve been really lucky to not have wobbly arms, and to get my waist back, but I was left with this big hanging stomach that I needed to get rid of ” It was just a short time ago that Rachel underwent a radical abdominoplasty and a breast lift with Dr Ian Timms, who removed 25 centimetres of skin from her stomach, repositioned her breasts and made sure her upper abdomen was generally tighter and more contained. Rachel was delighted with the results. “What I had taken away had been like an extension of me for a long time, but to put my hands on my stomach and not have that mass of doughy skin there anymore was amazing.”
Rachel had all of the surgery in one visit. The procedure took about 5 hours and she stayed in hospital for about 3 days. The pain was minimal and she was surprised to be up and walking around the day after the surgery. “I noticed the physical difference as soon as I woke up. I woke up and looked where my boobs used to be and I thought ‘oh hello!’ I feel great now. I just feel much lighter in myself overall. After the surgery there is some gradual recovery required before resuming normal activities such as driving or vacuuming, but Rachel is back to general household tasks and now feels she is as close to normal as she can be. “I really couldn’t believe that just 3 or 4 days out of the surgery I was showered, upright, and mobile. I now have a really natural womanly shape and feel like I did when I was 18. I’m a mother of a 12 year old and voluntarily putting myself under the knife was a massive decision because of the risks. I’m so glad it all worked and I’m really thankful that I’ve been given back an opportunity that I thought I’d thrown away. I never thought I’d look and feel as good as I do.”
Perth WA
Meet a few of
ASANKA’s New Smile / AFTER IMMEDIATE ALL-ON-4 IMPLANTS
ANGIE’S BRILLIANT SMILE / AFTER IMMEDIATE ALL-ON-4 IMPLANTS
F
A
ollowing an incident of trauma, Asanka suffered from years of fevers, recurrent infections, pain and bone splinters in his upper jaw, it was eventually revealed that infected teeth inside his upper jaw and sinuses were the culprit. Unfortunately after surgeries to address this, Asanka was left without upper teeth and with a painfully sharp jaw bone. Following a CT scan, photographic records and detailed 3D computerized planning, the sharp areas in Asanka’s upper jaw were corrected and four dental implants in accordance with the All-on-4 method were placed. This was all performed during one comfortable sedation visit. On Day 2 Asanka had a cosmetic fitting and on Day 3 he walked away with his new smile, never looking back.
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fter a sporting trauma to the face some years before, Angie’s dental issues became worse over time with early signs of infective gum disease advancing silently as the years passed. Eventually the teeth lost their bony foundation until no hope of keeping them remained. With detailed 3-D computer analysis, Dr Habibi planned the procedure around the limited jaw bone that remained available. Angie’s full mouth extractions and All-on-4 upper and lower jaw implant replacement procedure was done just a week before a significant family event – her daughter’s wedding. Needless to say there were some brilliant smiles in the celebratory family photos!
before
AFTER
“All surgical and dental procedures carry risk. Before proceeding
you should consider risks and benefits of the proposed and alternative treatment options, and may choose to seek a second opinion. The procedures outlined may only be deemed suitable based on a comprehensive case-based assessment.”
Our Team Of Dentists
Photography by archerimagery.com.au
our patients!
ALEX’S JOYFUL SMILE / AFTER FULL MOUTH DENTAL IMPLANT RECONSTRUCTION
JAYDE’S LOVELY SMILE / AFTER INVISALIGN TEETH STRAIGHTENING
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lex had a lot of problems with his teeth when he was young. “I lost quite a few teeth and where I grew up, if you had problems with your teeth, they came out. I had some damaging work done on my teeth, causing severe gingivitis. I thought maybe I would need dentures, as failing bridgework had been in my mouth for 26 years.” Alex came to learn the only way to avoid dentures was to remove the existing teeth and get implant replacements. Alex had full mouth extractions and 16 dental implants plus bone grafting to his jaws under sedation, whilst he snoozed comfortably. You’d be hard pressed to spot Alex now without a smile from ear to ear.
ayde’s teeth had become misaligned in the front once her wisdom teeth came through and she became conscious of crowding. Her smile line had also started to narrow. She felt that this was impacting on her confidence at work.
before
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Invisalign treatment allowed Jayde to straighten her teeth without metal braces. After seeing many of her friends struggle after eating out with things caught in their braces, the ability to take the clear aligners out and brush/floss her teeth easily was appealing for Jayde. She now wears the clear retainers at night only and we are pleased to see her dazzle with her wider, brighter smile.
www.churchilldentalpractice.com.au info@churchilldentalpractice.com.au Call our friendly and skilled team today:
08 9381 2881
AFTER
www.perthsedationdentistry.com info@perthsedationdentistry.com
316 Churchill Ave Subiaco Perth WA 6008
Perth WA
The All-on-4 Immediate Teeth Replacement Solution (Beautiful New Teeth in Just 3 Days*) If you have loose, annoying dentures or advanced dental disease, The All-on-4 teeth replacement can offer a cost-effective solution.
performed under local anaesthetic, but many patients choose to snooze comfortably through the procedure using IV sedation.
The All-on-4 replacement technique is a cost effective and immediate solution for people who want to replace loose, annoying or unnatural dentures with a fixed set of teeth. The technique can also be used for those with advanced dental disease wanting a return of functionality.
Working Day Two: Try-in of Teeth
The All-on-4 dental implant solution usually avoids bone grafting and sinus elevation procedures and, unlike conventional full mouth or jaw reconstructions, is completed within days.
Consultation & Planning
At your initial consultation, Dr Habibi assesses your situation and advises whether the All-on-4 solution (or any other solution) is suited to your needs. Following an X-ray, photographs and examination, treatment details and outcomes are discussed. As part of the treatment planning process, a 3D scan of your jaw is taken and impressions made of your current teeth or gums.
Treatment Working Day One: Implant Surgery
The jaw bone is prepared and shaped to act as the ideal foundation for the dental implants. Usually, just four dental implants are placed to act as a foundation for an entire set of new teeth. Wounds are closed with dissolving stitches and impressions are taken. This procedure can be
3 Cosmetic dental implant
solutions to replace missing or badly damaged teeth
3 All-on-4 Immediate Full
Mouth Teeth Replacements
3 Oral surgery including bone grafting and plastic surgery of the gums
3 Reconstructive & Cosmetic
Dentistry – skilled, diverse range of procedures offered in-house.
3 IV Sedation (Sleep Dentistry) – No pain, no anxiety and no memory of treatment.
Your new teeth, which were designed in the planning stage, are set in wax and tried in the mouth, attached to the dental implants. You can see how they will look and test your speech and bite. Dr Habibi and his prosthetist and technician will ask for your feedback, take photographs and make minor adjustments.
Working Day 3-4: Your New Smile
Your new teeth are inserted and attached to the dental implants. These teeth are designed to immediately restore function and aesthetics by correcting previously existing problems.
Why us?
● We are experienced and equipped to provide comprehensive reconstructive implant care using innovative and proven materials and techniques. ● Dr Habibi has performed thousands of implant related procedures and practices only (exclusively) dental implantology and related bone and gum surgeries, teaching and mentoring other dentists in this field. ● We receive referrals from around WA for implant procedures. ● We provide all implant-related treatments in house, from start to finish, saving you trips (and fees) involved in visiting numerous dental service providers.
Dr. Misagh Habibi BDSc (WA) W.Aust.,GradDipClinDent (Sedation) Syd., MSc (Oral Implantology) Goethe-Fra., FICOI. Dr Misagh Habibi is a general dental surgeon of 14 years experience who restricts his practice to dental implantology, reconstructive dentistry and oral (dento-alveolar and periodontal plastic) surgery. He is an educator and researcher in this field. He has received a Masters Degree (MSc) in Oral Implantology, a Graduate Diploma in Conscious Sedation & Pain Control, and a Fellowship of the International Congress of Oral Implantologists. He is director of the Dental Implant Education and Training Institute and is a Board-endorsed sedation provider. He is asked to speak about dental implant and sedation related topics, and provides dental sedation services to the Oral Health Centre of Western Australia. Perth Implant Surgical & Sedation Dentistry is a well-established and reputable niche practice aiming to provide outstanding services in implantology, sedation dentistry and minor oral surgery in a safe, experienced, and patient-friendly environment. Dr Habibi is joined by a team of experienced dentists and their assistants, plus an in-house specialist anaesthetist and registered nurse to make sure patients are safe, comfortable and snoozing peacefully for any complex procedures. The entire team takes pride in their experience and skill for the management of patients with dental phobias and patients with complex treatment needs. They work closely with patients to hear their goals and concerns, and to provide them with optimal support in a caring and compassionate manner.
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For more info or to request a consultation, call:
08 9381 2880 www.perthsedationdentistry.com www.perthimplantdentistry.com info@perthsedationdentistry.com
316 Churchill Ave Subiaco Perth WA 6008
*3 Day and graft-free treatment is possible in many but not all cases. Treatment advice pending full assessment of suitability, and consideration of alternative treatment options. Pre-operative planning work and post-operative review is required before and after procedure. Any surgical or invasive procedure carries risks. Before proceeding should consider all options and seek other appropriate professional opinions.
PATIENT STORY | “LESLEY” NON-SURGICAL REJUVENATION
NON-SURGICAL REJUVENATION
BEFORE: LESLEY IN 2006
AFTER: LESLEY IN 2013
BEFORE: IPL TREATMENT
AFTER: x1 IPL TREATMENT
After having a hysterectomy in her late 40’s, and starting menopause shortly after, Lesley started to experience hormonal changes. These in conjunction with ageing had a negative effect on her emotional state and her skin. “It seemed to go on forever. I work in customer service and I was feeling horrible. I just want refreshing so I didn’t look so tired all the time. I had been feeling that way for a while. At 50 I was looking my age plus a bit more. I don’t mind looking my age but I didn’t want to look older than I was!”
A very important part of communication with your surgeon should always be about managing expectations. Patients should always have a sense of what’s possible, but the surgeon should be making sure you have realistic expectations at the same time. Lesley was excited about the wide range of options she had available to her. “I wanted to explore the possibilities, but maintain a natural approach. You see some celebrities and they look so fake and plastic, I knew I didn’t want that. I decided to start with a simple treatment to see how it went and to gain trust in the doctor.” Lesley started off with anti wrinkle injections that took away her frown.
“Within a couple of weeks of treatment you could see the difference and I got really good feedback from people. This positive reaction motivated me to try something else so I had some fillers for the deep lines in my face. This plumped them and smoothed out the area a lot.” With such a successful beginning, Lesley was able to happily and simply implement a long term maintenance routine into her life. She now has anti wrinkle treatments a few times a year to her forehead and crow’s feet. She also has fillers once or twice a year to improve her cheeks and manage any developing lines. “I’ve also had great results from IPL treatments to pigmentation changes on the backs of my hands from the summer.
I noticed the difference really quickly and my hands look youthful and soft again.” Lesley has lip fillers once a year to maintain their shape and prevent lines around the lips and 3 years ago had radio frequency collagen tightening for her skin, which she said, had an amazing effect on her neck. For ongoing maintenance, Lesley uses medical strength skincare exclusive to the Argera Centre. Long term simple treatments are safe and act to not only preserve the face but also to reverse some of the signs of ageing. “I always get good feedback. People ask if I’ve been on holiday, or ask me what I’ve been doing. I do it for myself, it’s great to feel good about myself.”
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Dr Argie’s favourite non-surgical treatment is making the “PERFECT” set of Lips! Dr Argie, affectionately nicknamed the ‘Lip Queen’ by her patients, believes it’s not the size or even the shape of the lip that is key to making the “PERFECT POUT”, it’s about balancing the lips to the individuals face: “There is a true skill in treating the lips. It’s not good enough to be just and injector, you must be an artist and know your canvas well. Creating lips that balance a patients face is artistry in motion”.
What do you look for in a
COSMETIC DOCTOR?
Female | Experienced | Fully Qualified | Practices at the highest standards | Of Good Standing within the industry Personalized service | Caring, gentle Knowledge of Artistry and balance | Prefers a natural approach Latest in technologies and techniques Provides detailed consultations | Listens
Any of the above?
Then consider ARGERA Anti-aging Centre for your next medical cosmetic treatment.
‘IT’S WORTH TRAVELLING FOR GOOD CARE’ EAST PERTH CLINIC
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NOW OPEN
UNIT 3, 135 ROYAL STREET EAST PERTH 6004 WA
TREATMENTS
Safe wrinkle relaxers and fillers including facial volumizing and lip restoration/augmentation • Latest skin treatments for pigment, texture, poor elasticity, acne and acne scarring • Thermage® • Spider Veins • Fat dissolving • Liposuction • Thread lifting • Medical Strength IPL • Excess Underarm Sweating • Medical Strength Skincare
Photographs are actual patients of Dr Argie
For more information on lips or other treatments by Dr Argie check out www.argera.com.au or ring her friendly staff on 93014244.
Joondalup, West Australia PH (08)93014244 | E: info@argera.com.au W: www.argera.com.au
DR PAUL PROFILE Dr Robert Paul is renowned as one of Perth’s finest refractive eye surgeons. After completing Ophthalmology specialist training in WA, he undertook Fellowship training in Laser Eye and Refractive Surgery and Corneal Transplantation, in Canada. He returned to Australia to establish the WA Laser Eye Centre, and was the first surgeon in WA to perform laser cataract surgery and insertion of cachet phakic intraocular lenses. Dr Paul was awarded the Helen Jane Lamard Prize by the University of WA for ‘Best student in Surgery’ in 1999, and was runner up for best paper at the Toronto Research Day presentation in 2002. He has maintained involvement in development of the profession, as an examiner of Canadian Ophthalmologists and Western Australian medical students and through training of Eye Surgeons as an Ophthalmology Consultant at Fremantle Hospital 2002 - 2007. He is a mentor for Fellowship training in laser refractive surgery and the Treasurer of the WA Branch of the Royal Australian and New Zealand College of Ophthalmologists (RANZCO).
www.walasereye.com.au
WA LASER EYE CENTRE WA Laser Eye Centre is one of Perth’s premier refractive surgery centres operating under the experienced guidance of our principal surgeon, Dr Robert Paul. He was the first surgeon in WA to have formal higher training in Laser Eye Surgery and is one of Perth’s most experienced and qualified refractive surgeons. WA Laser Eye Centre offers the most advanced techniques available in laser and refractive eye surgery, specialising in LASIK, PRK, and the KAMRA Inlay™
procedure along with Multifocal and Refractive Intraocular Lenses to correct short-sightedness (Myopia), long-sightedness (Hyperopia) and astigmatism. Our treatment centre is located in our rooms at Melville, and appointments are available at our branches in Melville and Hollywood Medical Centre in Nedlands for pre and post-operative assessment. Our friendly team are here to help you with any questions you may have. We offer the highest level of expertise
and experience as well as the latest technology for vision correction. WA Laser Eye Centre uses the world’s most advanced technology and our staff are trained specifically for this high precision surgery. This is apparent from the first consultation through to treatment and post-operative care. We would like you to feel confident that you are making a well informed decision about your treatment options and encourage you to contact us with any questions you may have.
Hollywood Medical Centre, Suite 30 Level 1, 85 Monash Avenue NEDLANDS WA 6009 Melville Suite 1, 533 Canning Highway MELVILLE WA 6154 Phone: (08) 9330 8463 | Fax: (08) 9330 6994
Cosmetic ENHANCEMENT
FOR THE FEMALE GENITAL REGION
WHAT’S NEW? Dr Anh Nguyen
Female Plastic and Cosmetic Surgeon
Labiaplasty, Vulvoplasty, Vaginaplasty, Designer Vaginas are all terms that come up in consultations from women of many different age groups who seek some form of enhancement and rejuvenation to the female genital area. The desire to look good and feel good extends today to areas other than our skin, breasts, face and body. For many women, feeling comfortable about how their female intimate parts look is just as important, and in some cases, more important, than how their breasts sit and how flat their tummy is for example. From my experience of seeing many women who seek cosmetic surgery of the female genital region, the majority are not looking for a designer vagina. The main reason for considering a labiaplasty is not vanity, but to feel less self conscious about how their vulva appears and so they can feel comfortable doing the activities they love doing. Certain sporting and physical activities, and wearing the clothes they love to wear are all hindered by discomfort and irritation that can occur for some women with enlarged labia minora. The most common procedure in the field of Female Genital Cosmetic Surgery is labiaplasty (or labia minora
reduction and reshaping), followed by labia majora reduction, labia majora enlargement, vaginal tightening and skin treatments to address pigmentation in the area. A Labiaplasty is surgery to change the labia minora. A labiaplasty can involve a trim excision (which is trimming off excess edge skin of the inner lips), a wedge excision (taking a triangular piece of excess inner lips and rearranging the remaining tissue to also improve the shape of the inner lips), or variations of both techniques, and also S-shaped excisions of excess labia minora to name a few more common ways to reduce the inner lips. Labia majora rejuvenation can either be to reduce the size of the outer lips by direct excision, or to enlarge the labia majora by restoring volume loss in that area that occurs with ageing and hence can restore proportion to the genital region (balance between larger outer lips and smaller inner lips is an aesthetic
ideal). Volumisation of the labia majora can be achieved with fat grafting or with dermal fillers. Vaginal tightening can be performed surgically or with the use of laser therapy to stimulate tissue contraction and tightening. Surgery of this nature is usually performed by a gynaecologist but the laser can be performed by a qualified doctor. Increasingly now, women and men are seeking treatments to lighten and brighten the skin in the genital region, particularly requesting the discoloration be corrected. Laser treatment to the area is certainly one way of improving the appearance of the skin in the genital region. To find out more about anything to do with cosmetic options for the genital region, call Perth’s lady doctor surgeon who specializes in labiaplasty and other female plastic surgery – Dr Anh 08 92036607.
passionate I am passionate about helping patients look better and feel more confidetn. Leave your insecurities behind and let me help you to adore your true feminine form and be your ultimate and most beautiful you.
• Breast Augmentation • Breast Lift • Breast Reduction
• Abdominoplasty • Liposuction • Labiaplasty • Mummy makeovers • Body lift • Thigh lift • Arm lift • Liposonix
• Face and neck lift • Eyelid rejuvenation • Rhinoplasty • Brow Lift • Non-surgical rejuvenation • Fraxel Laser
SE RVICE S
Anh Nguyen
Dr Anh Nguyen Dr Anh Nguyen is a female plastic surgeon, and leads an all-female team to ensure your comfort is always top priority, blending your needs with the sensitivity, understanding, compassion and attention to detail that only an all-female surgical team can provide. Dr Nguyen obtained her Bachelor of Medicine and Bachelor of Surgery with Honours from the University of Melbourne in 2001. She completed general and advanced surgical, plastic and reconstructive surgery training in both Melbourne and Perth and obtained her fellowship from the Royal Australasian College of Surgeons in Plastic and Reconstructive Surgery. Dr Nguyen’s team are highly professional, talented and trained in all aspects of female cosmetic procedures, and provide patients with the highest quality treatments combined with an unsurpassed level of care. Providing a comprehensive range of services for the breasts, body and face, their approach focuses on refining your shape, loving and enhancing your contours and supporting you to embrace ageing with confidence and enthusiasm. Dr Nguyen has an inherent understanding of the vulnerabilities and insecurities women experience as they progress through life’s changes. She is passionate about women celebrating their full potential and being the very best version of themselves they can be. Unleash your full potential with Dr Nguyen and her team and help your confidence soar.
DR ANH HA S COMMENCED A NEW PRACTICE. Hollywood medical Centre Suite 12, 85 Monash Ave Nedlands 6009 Mercy Medical Centre Suite 3, Level 1 Ellesmere Rd Mt Lawley 6050 Perth CBD rooms coming soon
All appointments contact 08 92036607 or email info@femaleplasticsurgeon.com.au
Dr Stephen Watson has been performing bariatric surgeries for over 15 years. He has helped thousands of obese patients deal with their weight issues and as a result, changed their lives. Dr Watson is a laparoscopic and general surgeon whose particular interests are laparoscopic surgery, obesity, gallstones and laparoscopic repair of hernias of the groin and abdomen. He has a special interest in laparoscopic surgery for the treatment of morbid obesity and is a member of the Obesity Society of Australia and New Zealand Dr Watson graduated from the University of Western Australia in 1984 and initially worked in Perth before spending six years in London including clinical and research time at St Marks Hospital and St Bartholomew’s Hospital. He is now working from Murdoch Medical Centre in Perth, Western Australia.
www.lapsurgery.com.au
Combining experience and the latest, minimally invasive surgical procedures for better patient outcomes. Suite 26 Murdoch Medical Centre, Murdoch Drive, Murdoch WA 6150 E: info@lapsurgery.com.au Ph: (08) 9366 1680 F: (08) 9366 1681 M: 0412 887 990
BARIATRIC SURGERY? Bariatric surgery is the umbrella term for a few procedures, all of which aim to deal with reducing the volume of food the stomach can receive and retain. Options offered at Dr Watson’s surgery are laparoscopic gastric banding, laparoscopic sleeve gastrectomy and the intra gastric balloon (Orbera).
STORY OF LINDY Lindy had the gastric band surgery in mid 2006 and by Christmas had dropped from 108 kilos to 91 kilos - she had lost 17 kilos in almost 6 months. The weight kept falling off, and once she had lost around 30 – 40 kilos, Lindy’s focus shifted from her weight loss to what her body was starting to look like. Her pre surgery jeans were a size 24 and she was now shopping for a size 10. For more on Lindy’s story, please read feature story “The Skinny on Weight Loss” published in the first section of the magazine.
AM I A CANDIDATE FOR GASTRIC BAND SURGERY?
Gastric band surgery is a common procedure that has benefited millions of people across the globe since it’s development in the late 1970’s. Its function is to restrict the amount of food that can be ingested by reducing the capacity of the stomach. This is done by placement of a band over a section of the upper quadrant of the stomach. The band has a small tube inside that is increased or decreased in size by the addition or removal of fluid. The fluid volume inside the band determines the level of constriction and this is regulated to the individual and their gastric requirements and biological responses. Gastric band surgery has been highly successful in treatment of the morbidly obese.
Gastric band recipients must meet certain criteria for this surgery to be considered as a solution. • Must be 18 years or over • Have a BMI of 30 or higher • Have been overweight for more than 5 years • Have made serious attempts to lose weight but have had only short term success • Do not have any other disease that may have caused your obesity • Are prepared to make substantial changes in eating habits and lifestyle • Are willing to continue being monitored by the specialist who is treating you • Do not drink alcohol in excess. If you do not meet the BMI or weight criteria, you still may be considered for surgery if your BMI is over 35 and you are suffering from serious health problems related to obesity. Dr Watson’s website has comprehensive information about the range of laparoscopic procedures available as well as detailed outlines of things you need to consider as a patient.
MARK
DUNCAN-SMITH MBBS (WA) FRACS (Plastic Surgery) | Specialist Plastic Surgeon
PHILOSOPHY
PROFILE
My philosophy is to provide the highest quality service with individualized treatment plans developed after fully understanding what you are looking for.
Mark Duncan-Smith is a genuine Plastic Surgeon with international and national training in breast augmentation surgery. He obtained his medical degree from the University of Western Australia and was awarded his FRACS in Plastic Surgery in 1996. After this he completed 2 years of Fellowships in the USA at Johns Hopkins University (Baltimore) and the Cleveland Clinic Florida (Ft. Lauderdale).
He gives back to the community at Royal Perth Hospital where he is one of the burn surgeons and previously took care of the Bali bombing patients and Ashmore Reef disaster patients. He gives back to the global community by undertaking volunteer Plastic Surgery missions on an annual basis to Vanuatu to provide services that otherwise would not be available.
Breast enlargement surgery can be extremely satisfying and successful for any woman who feels that they have disproportionately small, droopy or uneven breasts. The most common reason that a woman presents for breast enlargement is because she feels that her breast size and shape is out of proportion with the rest of her body. Often, factors such as breastfeeding, weight loss and age can result in the loss of breast volume, making breasts look saggy or droopy. HOW IS IT DONE? Breast augmentation is a routine procedure that typically takes 1 hour and is performed under a light general anaesthetic in an accredited hospital. There is no need to stay overnight as the surgery is usually performed as day surgery without the need for drains.
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TYPE OF IMPLANT Surface - We only recommend the use of textured (rough surfaced) breast implants due to their better good capsule rate (least chance of turning hard and tendency to be natural and mobile, but not too floppy.) They also do not need to be massaged every day for the rest of your life.
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Shape - The shape of implant that will best suit you depends on your current breast amount, shape, thickness of your tissues and your desired outcome. The recommended shape of implant to be used will be determined in consultation with your surgeon. In general terms, shaped implants are used for thin patients with little or no breast tissue. Round implants are best for ladies who have some breast tissue but it is ski-jump in shape. The round implants will offer more volume usually at the top of the breast, whereas the teardrop shape holds the volume at the bottom.
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Filler - Cohesive gel implants are primarily used due to their more natural results and less risk of specific complications. Saline (water filled) implants have a greater risk of rippling where a wave like irregularity can either be seen or felt. To reduce this risk, saline implants are typically overinflated by 10 %, which can make them firmer to feel. Saline implants also have a life expectancy of 7 years and may deflate and need to be replaced.
369 Bulwer Street West Perth 600 Office 08 9228 2188 | Fax 08 9328 5844 Email admin@cosmedicwest.com.au
www.newbreasts.com.au
Quinn PL A S T I C
S U R G E R Y
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DR PAUL QUINN IS A SPECIALIST PLASTIC SURGEON WHOSE INTEREST IN PLASTIC SURGERY BEGAN EARLY IN HIS LIFE WHILE WATCHING A PROGRAM ABOUT A VIETNAMESE CHILD WITH A SEVERE FACIAL DEFORMITY, AND UNDERSTANDING HOW SURGERY CHANGED THE BOY’S LIFE. “This little boy had an extra nose and jaw, and a deformed head shape. He was ostracized in his community, not attending school and walked through the village with a bag on his head. A visiting plastic surgeon heard about the boy and took him back to the USA to perform more than half a dozen surgeries on him to reconstruct his face. The transformation was unbelievable and the impact the change had on his and his family’s lives was phenomenal.” After experiencing this inspirational story as a teenager, Paul was then committed to his passion– a career in plastic and reconstructive surgery. “Our focus at Quinn Plastic Surgery is to provide surgery of the highest standards, and deliver safe and predictable results to our patients. The practice focuses on safety and professionalism and we take the time with patients to tailor procedures to suit the individual, including discussions about their post operative recovery, and any potential complications that may arise for the individual.” Dr Quinn has a primary interest in reconstructive and cosmetic plastic surgery of the breast and body and at Quinn Plastic Surgery there is a comprehensive range of procedures available. In addition to performing vast numbers of primary breast augmentation procedures, Dr Quinn is renowned for performing revisional or secondary breast augmentation surgery for complicated cases. Reconstructive breast cases presenting to Dr Quinn include developmental abnormalities, breast asymmetry, damage from trauma or deformity to the breast, as well as required
lumpectomies, mastectomies, and the subsequent reconstruction that may be necessary. Body contouring procedures have come a long way since the introduction of liposuction. Surgery may be required after massive weight loss, pregnancy or simply to remove mid section excess, or the dreaded ‘man boobs’ (gynaecomastia). Most recently Dr Quinn has performed a large number of circumferential body lifts. This is a powerful global procedure that flattens the tummy, reshapes the waistline, provides an outer thigh and buttock lift and reduces love handles and flank folds. Radical abdominoplastly, lipoabdominoplasty and mini abdominoplasties are also available. For more specific areas, Dr Quinn has refined his procedures as a result of years of requests for the same things. “I offer a vertical as well as an inner or medial thigh reduction, arm reduction surgery and then resection of any additional skin folds people enquire about. This may be folds of skin overlying the bra strap, or rolls of back fat in unusual places.” If performed correctly, body contouring surgery can address multiple areas of concern through single scars. Dr Quinn has a high regard for handling body tissues and is particular about treating them very delicately, thus allowing for a quicker recovery and less trauma to the tissue. As a result of this, a lot of the procedures can be performed as day surgery. For more information on Dr Quinn and his practice go to www.quinnplasticsurgery.com
Dr Paul Quinn MBBS (HONS) FRACS (PLAS
Aesthetic and reconstructive Plastic Surgeon Dr Paul Quinn is a specialist plastic surgeon, who along with his busy private plastic surgical practice in Subiaco, continues to maintain a strong commitment to the teaching and training of the next generation of Plastic Surgeons in Western Australia. Dr Quinn obtained his Bachelor of Medicine and Bachelor of Surgery with honours at the University of Western Australia and was later awarded the Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic Surgery following many years of distinguished training both in Australia as well as internationally with some of the world leaders in specific Plastic Surgery fields. He is a member of the Australasian Society of Plastic Surgeons (ASPS), the Australian Society of Aesthetic Plastic Surgeons (ASAPS), the International Society of Aesthetic Plastic Surgery (ISAPS), the American Society of Plastic Surgeons and the Royal Australasian College of Surgeons (RACS).
44 Churchill Avenue Subiaco, Perth, Western Australia 6008 Tel (08) 9388 8886 | Fax (08) 9388 3908 Email info@quinnplasticsurgery.com.au
www.quinnplasticsurgery.com.au
PROCEDURES Facelift • Facelift (non surgical) • Wrinkle relaxer • Wrinkle filler • Browlift • Eyelid lift • Nose Reshaping Lip Enhancement • Necklift • Breast Enlargement • Breast Reduction • Tummy Tuck • Liposuction
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PATIENT STORY | “JUSTINE” OTOPLASTY
“Judge not, that ye be not judged”
Matthew 7:1
Dr Peter Callan
Justine was eight at the time, happy at home with her parents and sister, friendly, kind, and popular amongst her classmates. Justine was a dancer and out front in the centre because she was the best. However as she got older for some reason her dancing started to taper out. Justine almost wanted to disappear into the ensemble.
JUSTINE AGED 8: BEFORE & AFTER PROMINENT EAR CORRECTION
Facebook - Peter Callan Plastic Surgeon
The reason? She didn’t like wearing her hair up as she was self-conscious about her ears. After much thought and soul-searching, her parents allowed Justine to have her ears set back. The difference was immediate, and as you can, see hasn’t changed as the years have gone on. I read a lot of press about cosmetic surgery. There are a lot of clichés thrown about. ‘Be happy with who you are’. ‘Grow old gracefully.’ ‘Beauty is on the inside.’ I’ve been a plastic surgeon for over twenty years and I know a fair bit about it. I think about what I am doing, I try to help. My foundations lie in a very thorough surgical training in both reconstructive and cosmetic surgery, and over twenty years of experience. I have thought long and deeply about everything I do. I think about the effect it has on function, on cosmesis, and on the longevity of the results. It disappoints me when I read things about cosmetic surgery that come from people whose expertise is in
other areas, but who feel they are informed about something with which they have minimal contact and no training. When offering opinions on areas outside their own area of expertise, some influential or well-known people suffer from the ‘DunningKruger effect’. This basically states that ‘the less you know, the more certain you are’. Cosmetic surgery is an important part of medical practice. It genuinely helps people and can improve their confidence and sense of well-being. Like anything it can be serious when done poorly or when things go wrong. But this is unusual (although thought to be more newsworthy and therefore a misrepresentation of the truth). I do cosmetic surgery. I love it and I love the effect it has on people’s lives. I take it seriously. Done well on the right person, cosmetic surgery is a sound part of medical practice.
DR PETER CALLAN MBBS, FRACS, MBA
“The decision to have plastic surgery may be one of the most important decisions you will make.” PROCEDURES
BREAST
BODY
COSMETIC
FACE
HAND
SKIN
JUSTINE AGED 10 AND 16
Suite 3, Level 1, 83 Myers Street, Geelong, Victoria 3220 P: +61 3 5222 2440 | E: simone@petercallan.com.au W: www.petercallan.com.au | www.rhinoplastygeelong.com.au
MR HOWARD
Webster MBBS Hons FRACS (Plast) MBA
ARC BODYLIFT Often all that is stopping a patient from realising the full benefits of their hard work may be the excess skin or residual body shape problems resulting from their weight loss. NipTuck talks to Mr Howard Webster, Plastic Surgeon about the ARC Bodylift. Mr Howard Webster is a Specialist Plastic Surgeon at ARC Plastic Surgery. He consults in Melbourne and regularly in Shepparton. With more than 18 years experience in private practice, he focuses primarily on body, breast, face and nose cosmetic and reconstructive surgery. Howard trained in Melbourne and Brisbane. And subsequently spent three postgraduate training years in the UK and US.
Learn more and read case studies at
arcbodylift.com.au
What are the issues for Massive Weight Loss (MWL) patients?
Successful massive weight loss is a life-changing journey. After years, even decades, of obesity, the patient has a new body and the psychological benefits are incredible. It’s always a joy to see patients after massive weight loss. Each patient deflates differently after weight loss. Like a balloon; the larger and longer it’s been inflated, the less likely the skin will return to its original shape after it’s deflated. Often the main problem for MWL patients is skin looseness or sag, which cannot be improved with further exercise or weight training. How do you go about assessing a patient for surgery?
Our patients are individuals with their own wants and needs, likes and dislikes and particular priorities for their body shape. A careful assessment and an individual plan for every patient is made, as every MWL patient has a different body, and a different set of preferences.
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The options for treatment are acceptance of living with the loose skin, or choosing its surgical removal. When it comes to surgery, the number one priority for patients is often their tummy area, where excess skin hangs from the body like a curtain. For these patients, an ARC Bodylift is recommended. What is the ARC Bodylift?
The ARC Bodylift is a combination of four procedures in one – a tummy tuck, a thigh lift, a back lift and a buttock lift. The procedure results in a single low scar all the way around the body just above the pubic area, which is easily covered by underwear. For best results, this surgery is performed by plastic surgeons who regularly work with massive weight loss patients, understand their specific surgical issues and have a special interest and particular expertise in these kinds of surgical procedures. Body contouring surgery after weight loss is itself a journey and ARC plastic surgeons are experts in partnering with their MWL patients to achieve the best possible results.
For An Appointment Call : Melbourne 03 9828 1300 | Shepparton 03 5820 0500
DR KIM
Taylor MBChB FRACS (Plast)
LIPOSUCTION Liposuction was first developed in France in the 1980s. Since then it has become a phenomenon, with all sorts of claims made about what can be achieved. NipTuck talks to Dr Kim Taylor about the procedure. After graduating from medical school in New Zealand in 1996, and undergoing specialty training in Sydney, and fellowships in Melbourne, Dr Kim Taylor now receives wide recognition for her work as a plastic surgeon and is the recipient of a number of awards.
Vectra 3D Imaging Simulations.
arcplasticsurgery.com.au For An Appointment Call : Melbourne 03 9828 1300 | Shepparton 03 5820 0500 Call Melbourne for consultations at Blackburn
What is involved in Liposuction? Liposuction is the removal of fat from underneath the skin through a thin metal tube. The tube is introduced under the skin through small incisions, usually about 5mm in length. Different types of liposuction are simply variations on this theme. The fat may be removed by suction applied to the tube, or can be liquefied by ultrasonic wave energy converted to heat, before it is sucked out. What is Tumescent Liposuction? Tumescent liposuction involves injecting a saline solution (with local anaesthetic added) into the area prior to the liposuction. This assists in the technique, reduces bleeding and tissue damage and helps with post-operative pain relief. Tumescent liposuction is the most commonly used liposuction technique and is the standard method for liposuction used by ARC Plastic Surgeons. What are the benefits of Liposuction? Liposuction is an excellent treatment for removing small fat deposits, which diet and a healthy lifestyle won’t shift. It is best defined as a recontouring or
refining procedure, as opposed to a way of getting thinner. Once the fat is removed, the degree of skin contraction in the area is critical. What can’t Liposuction do? Liposuction does not remove any skin; tighten the overlying skin, or correct cellulite. If the overlying skin is firm, it will remain firm. If the overlying skin is loose, it may come looser. While this may be acceptable for some, it won’t be for others, so the possibility must be discussed. If the skin is likely to loosen or sag unacceptably, a skin-removing body contouring procedure may be preferable. What do you recommend? A consultation with a plastic surgeon is the first place to start. In liposuction, all techniques work well. It is the quality of the surgeon that makes the difference. The method chosen should be the surgeon’s preference, as the accuracy of fat removal is the key to a smooth result. And, of course, maintaining a sensible diet and healthy lifestyle are essential to a successful long-term outcome after liposuction.
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MR RICHARD
Bloom MBBS Hons FRACS (Plast)
myTouchMD AT ARC
Considering cosmetic surgery? Can’t recall what the surgeon said? ARC cosmetic patients can now relive their consultation from home with myTouchMD. By Richard Bloom, Plastic Surgeon. Specialist Plastic Surgeon Mr Richard Bloom trained in Melbourne and attained a full fellowship in 2002. He undertook further training in the UK and US prior to commencing practice as a plastic surgeon in Melbourne in 2003. He is Currently the National Board Chairman for Plastic Surgery Training through the Royal Australasian College of Surgeons and is a member of the Australian Society of Plastic Surgeons council. With a wide field of expertise across all areas of reconstructive and plastic surgery, his main focus and interest is with breast surgery patients, facial rejuvenation procedures and body contouring surgery, particularly for patients who have undergone dramatic weight loss.
‘What was it the surgeon said about….?’ How often do you attend a doctor’s office and forget half of what was said? Maybe it’s not such an issue when being prescribed medicines, as the instructions are printed on the label, but what about when considering surgery? That’s a big decision. Given the inherent risks with any surgery I would want to ensure I am fully informed before undertaking any procedure, and have the recall to weigh up the benefits against the risks. When it comes to elective cosmetic surgery, I would also want to know my plastic surgeon understands what outcomes I desire, and that we are able to have a clear discussion about what’s possible. Still, any consult can offer a lot to take in. Will I remember half of the discussion when I walk out the door? I’m well aware of possible ‘information overload’ with any cosmetic surgery consultation, and am always seeking ways to improve the patient experience. Last year, whilst attending an American Plastic Surgery Society meeting in New Orleans I came across TouchMD – a revolutionary new patient education software, which has recently changed how our cosmetic
arcplasticsurgery.com.au
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surgery consultations are done. ARC Plastic Surgery is the first practice in Australia to start using the TouchMD software, where patients not only have an enhanced visual consultation experience in the rooms, they also have the ability to relive their consultation from home. Once registered by ARC, patients can login to the secure myTouchMD website and access the following: • Learn more about ARC Plastic Surgery and their surgeon of choice • Explore videos about their procedure • View or print images saved by the surgeon during their consultation • Review procedure risks, and • Share their consultation with their loved ones Never before have plastic surgeons been able to provide patients with as much information about their proposed surgery, and never before have patients been able to review their consultation in detail from the privacy of their own home. If you are thinking about having cosmetic surgery, contact us to make an appointment and consider your options.
For An Appointment Call : Melbourne 03 9828 1300 | Shepparton 03 5820 0500 Call Melbourne for consultations at Blackburn
MR DEAN
Trotter MBBS FRACS (Plast)
BREAST IMPLANTS H O W
B I G ?
How does one go about selecting the right implant size? NipTuck talks to Mr Dean Trotter, Plastic Surgeon, about the various methods for implant sizing. Specialist Plastic and Reconstructive surgeon Mr Dean Trotter studied medicine at the University of Melbourne and trained at Melbourne’s major plastic surgery centres including The Alfred, The Royal Children’s and St Vincent’s hospitals. He completed a fellowship with the Royal Australasian College of Surgeons (FRACS) in 2009 and went on to complete a microsurgical fellowship in the UK, with a focus on breast procedures. Dean completed an additional fellowship in Buenos Aires, focusing on aesthetic plastic surgery and the use of cosmetic fat grafting.
When it comes to breast implants, what do women want? Most women want breast fullness and projection, and breasts that complement their overall figure. For women who have always had small breasts, or for those who have lost breast volume through time, weight loss or pregnancy, breast implants reliably create fuller, larger breasts.
breast and skin tissue; and the final desired size and shape.
What sizes are available? Breast implants come in a range of sizes from 125 cc to over 650 cc (mL).
It’s a big decision, how can I be reassured the size is right for me? A simple way for you to get an idea of what implant size you would like is the rice test. Rice bags are worn to get an idea of how breast implants would enhance your figure. A quick ‘rice test’ Google search will provide further details. We also have sample silicone implants for trial in our rooms.
How do I go about selecting the right implant? As part of the consultation process, you and your plastic surgeon will work together to make decisions about the implants, including the type, their shape and location, the position of the scars, and, most importantly, the size. Your plastic surgeon will make a recommendation with regard to your current breast size and shape; existing
At ARC Plastic Surgery, we use the Vectra 3D Imaging System to assist patients to visualise what they may look like post-surgery. Images are taken to create a 3D pre-operative computer image of the patient and different implants can be trialled to simulate the appearance post breast augmentation procedure. The technology has been outstanding in reassuring patients about implant choice.
arcplasticsurgery.com.au For An Appointment Call : Melbourne 03 9828 1300 | Shepparton 03 5820 0500 Call Melbourne for consultations at Bundoora Vectra 3D Imaging Simulations.
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david MORGAN Morgan MR DAVID
Plastic and Reconstructive Surgeon
rhinoplasty facial cosmetic surgery breast augmentation breast reduction abdominoplasty Cabrini Brighton, Suite 4, 243 New St. Brighton, 3186 Tel 9591 0422 | Fax 9591 0290 A/H 8508 9000
Mr Morgan graduated from the University of Melbourne in Medicine in 1993 and after completing four years of post-graduate surgical training at St Vincent’s Hospital in Melbourne, was accepted into the Plastic and Reconstructive Surgery training program, successfully completing this rigorous process in 2003 and becoming a Fellow of the Royal Australasian College of Surgeons. Mr Morgan is a member of the Australian Society of Plastic Surgeons (ASPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Australian & New Zealand Society of Craniomaxillofacial Surgeons, and is an International Member of the American Society of Plastic Surgeons. He is currently the Victorian Chairman of the Board of Plastic & Reconstructive Surgery, making him responsible for the training of the next generation of plastic surgeons.
PreO peratio n Photo s : Facelift
PostOperatio n Photos : Facelift
PreOperatio n Photos : Rhinoplasty and chin implant
PostOperatio n Photos : Rhinoplasty and chin implant
PreOperatio n Photos : a
reconstructive rhinoplasty with rib graft
Choosing a surgeon can be a daunting task, so it is important to find someone you feel comfortable with. In addition, a surgeon who has a comprehensive understanding of cosmetic facial issues will provide an important level of reassurance to you throughout the process of what can be an emotionally challenging time. Mr David Morgan has refined his craft over a long and successful career and has dealt with a wide range of significant facial traumas and disfigurements. With a thorough understanding of facial elements, he is able to tailor his surgical approach to the individual. “Knowing the interrelation of the bones and the soft tissue, in conjunction with how the upper layers of skin hold all of this together, is key to achieving a natural long lasting finish from any kind of surgical intervention.” Having dealt with many aspects of injury and change to people’s faces over the years, Mr Morgan believes he has become a more rounded and a more prepared surgeon. “Some people have issues in one area, others in more than one area. The key is in understanding what the issue is, where in the face the issue stems from and how it can be corrected.” Nobody is immune to the natural effects of ageing on the skin and when combined with sun exposure, smoking and repetitive movements, gravity gets the better of us all and the same movements repeated over and over create fine lines and deep furrows on our skin. Non-surgical treatments are often the first step for many patients as they are less frightening. But for those undergoing surgery, good skin care is an essential part of maintenance as well. We should all use sun protection as part of our everyday routine “Gravitational effects mean that over time everything descends,” says Mr Morgan. “Ligaments are stretched and volume loss starts to become evident as soft tissue shifts and changes. As bone loss starts to occur with ageing, the face can take on a more sunken appearance. This process affects all parts of the face and neck - it applies to the brow, the eyelids, the mid face, the lower face and neck, and the nose. Even the ears change as we age! I have a particular interest in facial surgery and rhinoplasty and my skills in facial trauma really help me to manage issues related to these areas.” Working from the foundations up, Mr Morgan believes in a dynamic approach. “We can add things on top of bone so implants, for example, can be used to change the bony shape. Or we can strip everything back from the bone, move it and reattach it, to create a pulling effect on the structures of face to make them more youthful. The correct result can be achieved by separating out the different levels of the face and getting them to pull in different directions and create different tensions.”
PostOperatio n Photos : a
reconstructive rhinoplasty with rib graft
An important skill you want your surgeon to have is the ability to maintain harmony between all of the parts of the face and neck. There’s no point having a face that looks 40 with a neck that looks 60. “The lower face and neck should be considered as one region but you can do a procedure isolated to one area. We do treatments that consider patient’s particular concerns, but I also try to ensure that nothing is distinctly different or out of harmony with the rest of the face. In my practice people want to look more natural – they don’t want their results to make it obvious they have been operated on.”
www.renewplasticsurgery.com.au
Paloma MediSpa offers solutions for all skin conditions and treatments designed to enhance your appearance. Inge’s philosophy is ‘change the outside and the inside just follows.’ For people looking to address the status of their skin and skin conditions Paloma MediSpa offers an approach that focuses on the uniqueness of each individual’s skin. “We have an integrated range of services designed to make the Paloma experience rewarding with the desired results being delivered,” says founder, Inge Drucker. The Paloma experience starts as soon as you arrive. “My aim was to create an experience from go to woe. It starts with a clinic layout that conveys a mix of an industrial design, by Melbourne architect Warwick Sassman, and is complemented by fittings and furniture to create an inviting and chic ambience. The waiting area blends replica furniture with concrete and chrome, yet delivers a soft, soothing, relaxing and peaceful environment.”
Treatments range from customised skincare treatments using world-renowned DMK products, to anti-ageing and profile enhancing injectables under the Dermox Group brand. DMK products are the brainchild of biochemist Danné Montague-King from California. DMK believes that the origin of most skin conditions is a result of disharmony within the skin. Using the principles of biochemistry, DMK has formulated a range of treatments and products designed to educate skin to perform like youthful healthy skin. DMK’s revolutionary concept of REMOVE, REBUILD, PROTECT, MAINTAIN aims to match an individual’s biochemistry with the appropriate skin therapy. Botanical-based paramedical products make up the DMK skin care program. Paloma MediSpa offers skin revision procedures for those who want results. Specific treatments are designed for addressing pigmentation issues, rosacea, acne, open pores, scarring, milia, wrinkles, sun damage, fragile capillaries and premature ageing. There is a solution available for all skin types and conditions, so why not meet with Inge and the team and enjoy the full Paloma MediSpa experience today.
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FAC E AND B O D Y T R E AT M EN TS • S K I N C A R E • A N T I - A G E I N G I NJE C TAB L E S
A B EA U TY E X P ERIENCE LIK E NO O THER Pa lo ma Me d i S p a i s a n e w a n d un iqu e con ce pt in skin care tre at me n t, of fe ring cutting edge t r e a t me n t s f r o m a c r o s s t h e g l obe in a st u n n in g in du strial style space in inner suburban Me lb o u r n e. C r e a t o r I n g e D r u c k e r h as e n su re d e ve r y de tail h as be e n con sidered in the design o f h e r g l a m o r o u s a n d t o t ally re laxin g space at S tocklan d Tooron ga in G len Iris.
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Advanced Plastic & Cosmetic Surgery
DR YUGESH
CAPLASH His surgical skill & respect as a leader in the field is matched by his reputation for caring & concern for his patients.
Dr Caplash is a Plastic and Reconstructive Surgeon and a Fellow of the Royal Australian College of Surgeons, a member of the Australian Society of Plastic Surgeons and the American Society of Plastic Surgeons. Dr Caplash performs a wide variety of aesthetic/ cosmetic surgery procedures and has a special interest in primary and secondary rhinoplasty, breast surgery and facelifts .
Cosmetic Surgery procedures: • Abdominoplasty (Tummy tuck) • Blepharoplasty (Eyelid surgery) • Breast Augmentation • Breast Reduction • Brow lift • Facial Rejuvenation • Genioplasty (Chin augmentation/reduction) • Hyperhydrosis • Labiaplasty • Laser Resurfacing • Liposculpting • Lipoinjection • Mastopexy (breast lift)
• • • • •
Neck Lift Otoplasty (ear pinning) Rhinoplasty (Nose job) Rhytidectomy (Face Lift) Weight loss surgery
• • • •
Breast reconstruction Chest Deformities Facial Reanimation Facial Trauma and Maxillofacial Surgery Hand Surgery Head and Neck Cancer Management Skin Cancer Soft tissue coverage defects in limb trauma
Reconstructive procedures:
• • • •
10 Waterloo Street, Glenelg SA 5045
08 8297 1476
yugesh@apcsurgery.com.au
www.syluxuryspa.com
Located on the banks of the beautiful River Torrens opposite the Festival Theatre, SY Luxury Spa is the only luxury spa destination on the parklands in the heart of Cultural North Adelaide.
An atmosphere of tranquil escapism offering the finest treatments to rejuvenate both your body and soul, where you will find the serenity, beauty and equilibrium to achieve complete rejuvenation. Pampering, Stress Reduction, Therapeutic or Relaxation options. Enjoy an experience that is quite simply unparalleled!
• SIGNATURE LUXURY HAMMAM RITUAL • EXCLUSIVE SPA FACIAL RITUALS • HAMMAM STEAM ROOM RITUAL • WELLNESS MASSAGE • WELLNESS PREGNANCY MASSAGE
• HANDS & FEET INDULGENCE • STEAM ROOM & SPA • SHARED ENJOYMENT & SPA EVENTS • WAXING • LASH & BROW TINTING • SPRAY TANNING
Signature Luxury Hamman Ritual Melt into your own private steam room, beautifully appointed with star lit sky line, hot stone bed, rain shower and plunge pool. You will be provided with our own Hamman inspired exfoliation smoother infused with crushed coffee, organic cane sugar, almond, cocoa butter, vanilla bean & Moroccan rose. The ideal pre treatment addition to boost circullation, promote detoxification, clear the mind and deepen the benefits of your spa treatment.
Next Generation Club War Memorial Drive, North Adelaide 5006 E: info@syluxuryspa.com | Ph: 08 84107877 | Fax: 08 84108187
TA
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ON
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LY IN EXP
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Dr. Onuma An internationally recognised
Gynaecologist & Pelvic Reconstructive Surgeon Highly educated, Dr Onuma has a degree in Pharmacology from the University of Leeds, completed his MBBS (Medicine) at the University of London and gained a Master of Jurisprudence at the Faculty of Law, University of Birmingham.
The Australian Centre for Female Pelvic and Vaginal Rejuvenation ! # " " "
4 Robe Terrace, Medindie, South Australia, Australia, 5081
The Australian Centre for Female Pelvic and Vaginal Rejuvenation
A
fter completing his specialist training in the UK in the 1990’s, Dr Onuma came to Australia, undertook a Fellowship in Minimal Access Urogynaecology and Pelvic Reconstructive Surgery and became a Fellow of the Royal Australian and New Zealand College of Obstetrics and Gynaecology. He was awarded in the UK by elevation to Fellow of the Royal College of Obstetrics and Gynaecology. % of Specialist Training (UK and European accreditation as a specialist Obstetrician and Gynaecologist), and is a Member of the International Urogynaecological Association and the British Society of Urogynaecology. He is an invited reviewer for the European Journal of Obstetrics & Gynaecology and Reproductive Biology in the area of female pelvic medicine and reconstructive surgery.
of Adelaide. The Institute specializes in female sexual function surgery, offering a range of procedures that improve the appearance and functional of the external genitalia, vagina and pelvic structures. Across the spectrum of pelvic reconstructive surgery, Dr Onuma’s patients present with a range of issues. Whether it is to enhance " % urinary dysfunction, to restore pelvic support or for aesthetic or functional labial surgery, the Laser Vaginal Rejuvenation Institute is dedicated to Dr Onuma’s ethos of ‘looking good, feeling better’ using advanced minimal access surgical techniques that promote rapid recovery.
! % Australia accepted to train in Laser Vaginal Rejuvenation™ in Los Angeles, USA, and now directs The Laser Vaginal Rejuvenation Institute
Dr Oseka Onuma
Q&A
BSc., MJur., MBBS, FRCOG, FRANZCOG Gynaecology. Uro-Gynaecology. Pelvic Reconstructive Surgery. # # % % you decide to pursue a career in this area? I am lucky to have been able to meet and train with and collaborate with experts all over the world in different aspects of female pelvic reconstructive surgery. There are a range of pelvic disorders affecting millions of women, and I am motivated in my work to strive to improve the quality of life of women. Many women are self conscious about their gynaecological issues. How would you encourage them to seek treatment? Every individual gets to a point where things are getting worse rather than better. It’s normal to feel embarrassed and afraid, but % % $ you are already on the way to a solution. Patients often comment after surgery that they wish they had done it years ago. How do you make women feel at ease in consultation with you, when discussing issues of an intimate nature? It’s important to listen to patients without judgement and communicate with them in a way that lets them know you are on their side. I have to ask very intimate questions to get to the source
of the problem. I always explain this and let them know that only ! ! % that women, though often initially hesitant to volunteer intimate information, will respond very positively to direct, well targeted questions. With Pelvic Floor Disorders (PFD) affecting so many women, how do women know what they should seek treatment for and what is ‘normal’ or ‘just part of being a woman’? The term PFD covers a range of disorders all relating to the muscles and connective tissue of the pelvis, and resulting from the impact of physiological and traumatic change to pelvic organs. It’s important to be familiar with what your symptoms are and how they bother you. Do not let others patronise you and tell you ‘it’s part of being a woman’. You need to recognise what is normal for you and ask yourself if it is affecting your quality of life. For example, leakage of urine during exercise is not normal but many women put up with it for years before seeking help. During this time they may rationalize the abnormality as their new ‘norm’ until they have an accident in an embarrassing situation.
www.dronuma.com (08) 8344 6085
Cosmetic & Vein Clinic
“
In a lot of cases people leave veins for so long, thinking they are harmless, but a seriously bulging vein can become ulcerated from a simple knock,” says Sheryna. “So it’s really important to have them checked regularly and treated wherever necessary.
“
Sheryna Wilson and her husband first opened Cosmetek around 16 years ago, and in almost two decades of practice, have now established a reputation for being one of the finest cosmetic and vein facilities in South Australia. Cosmetek has a team of highly skilled professionals on board with consultant vascular surgeon Mr Ewan Macaulay, Dr. Lynton Stephens, and laser therapists Sounal Saab and Mary Fiegert.
132 NIPTUCK Magazine
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UGS HAS SEVERAL ADVANTAGES OVER SURGERY L-R: Laser Therapist, Sounal Saab with Owner/Operator, Sheryna Wilson
Many patients with unsightly veins are keen to have treatments for cosmetic reasons. Varicose veins usually look aesthetically unattractive to the eye – they can bulge out, be deep red or dark blue in colour and in most cases become highly visible. Some people’s varicose veins come from genetic causes. In other cases, they have received a GP referral after presenting to a clinic with aching legs. This is a classic symptom experienced by patients with varicose veins. However there are also serious health risks to consider with untreated varicose veins. Complications such as ulceration can occur and symptoms preceding this include changes to the appearance, size or shape of the veins, as well as itchiness, swelling, and eczema. Any changes like these should be checked and treated. Treatments can address the superficial spider veins that are commonly seen as thin coloured lines close to the surface of the skin, but there are also focused treatments such as UGS or Ultrasound Guided Sclerotherapy for the larger bulging veins.
Mr Ewan Macaulay
People come in to get these treatments with us specifically because of this. The most important
says Sheryna
difference is that instead of needing two weeks or more off work to recover from surgery, the UGS treatments allow patients to return to normal activities almost immediately. It is not unusual that people will attend the gym that evening.” There is no anaesthetic required with a UGS treatment and no scarring. Best of all, it is a walk in walk out procedure. Microsclerotherapy is the best way to treat spider veins. This is an injection based therapy, whereby a solution called Fibrovein is injected into the vein with a very fine needle. This is a customised sclerosing solution developed specifically to treat veins. Sheryna adds “Spider veins have been treated a lot with lasers in the past but the best results are achieved with micro-sclerotherapy treatment. “ Cosmetek has a professional, friendly and expertly trained staff, most of whom have had the treatments offered, so are well placed to advise you and share their experiences. Treatments available are not limited to UGS and microsclerotherapy, but also include wrinkle treatments, dermabrasion and laser hair removal.
DON’T PUT UP WITH THE appearance and symptoms of
varicose veins spider veins
&
when it is easily treated at
Cosmetic & Vein Clinic
OUR SERVICES BEFORE
AFTER
Cw-Doppler
BEFORE
AFTER
Venous Duplex Ultrasound S tudies Ultrasound Guided Sclerotherapy
WRINKLE TREATMENT
ARBONNE SKIN CARE
Microsclerotherapy of Legs Micro-Dermabrasion Laser Hair Removal Specialised Skincare
LASER HAIR REMOVAL
Ultrasound Guided Sclerotherapy (UGS)
Anti-Wrinkle Injections Dermal Fillers
Sclerotherapy Injections
Contact Cosmetek Cosmetic Clinic 2-294 Payneham Road, Payneham SA 5070 Phone: 08 8363 6606 or 0414 889 968 Email:info@cosmeticclinic.com.au Fax: 08 8363 0681
www.cosmeticclinic.com.au
DERMABRASION
QU E E N 134
SLAND 135
Dr Phil Richardson MBBS (Hons), FRACS (Plast.)
Brisbane Plastic and Cosmetic Surgery
Level 1, 38 Misterton Street Fortitude Valley QLD 4006 | 1300 789 240 Dr Richardson also consults at Kippa-Ring on the Redcliffe Peninsula:
Suite 22 Peninsula Specialist Centre Cnr George and Florence Streets Kippa Ring QLD 4021 BrisbanePlasticAndCosmeticSurgery
Actual patient of Dr Phil Richardson
Sophie
PATIENT STORY | “SOPHIE” BREAST AUGMENTATION
BREA ST AUGMENTATION
Before
Before
DR PHIL RICHARDSON MBBS (Hons), FRACS (Plast.)
After
After
Sophie had always been disappointed in her breast size, and for many years thought about getting an augmentation. Eventually, after seeing a few of her friends go through the process with great success, she decided to take the plunge in September 2013.
That size is much better than what I expected and they feel really natural.”
“I had always wanted an augmentation. I was a 10D before so I had decent boobs but I like big breasts.” Sophie’s existing breasts were teardrop shaped and the look she wanted was one that had more fullness in the top. “I wanted more roundness at the top of my breast and I also wanted to go bigger. I knew I had to do my research, so started looking for the right surgeon. I had heard a lot of positive feedback about Dr Phil Richardson so decided to go with him.” Sophie’s choice of surgeon was important, as she really wanted someone who understood what she wanted and supported her choice. “I felt a couple of other surgeons were quite conservative when I talked about my dream breasts. When I said what I wanted they commented that it might be too big, usually without discussion. I wanted a surgeon who would listen to me and discuss the possibilities, who could articulate my wishes and understand my needs.” Sophie had discussions with Dr Richardson and together they decided on a size 10F. This was within the size range Sophie was looking for, but was also a realistic choice for her frame and stature. Sophie’s implant was round, and textured, with a moderate profile. “I was 100% happy with the results.
Because Sophie had a reasonable amount of breast tissue to begin with, the addition of the implants did not result in a hard breast. “My breasts were not this hard before, but now I feel like they are nice and firm which is what I wanted. It was very exciting shopping for new bras and I love that full feeling in my bikini now. Before the augmentation I wouldn’t wear backless tops, but now I have greater options with clothing as I don’t always have to wear a bra. I can wear strapless tops and shoestring dresses comfortably.” Sophie came through the surgery very well, with sensation returning at 90% almost immediately. She had no pain at all after a few weeks and returned to exercise 6 weeks post operatively. “I was able to do everything – weights, cardio, boxing, running. I just worked back into it gradually and increased the intensity week by week until I was back to 100%” Sophie has received a lot of great feedback since having her procedure. “I get compliments all the time, especially on the feel of them – other women want to see what they are like and when they touch them are always surprised at how natural they feel. I’m really happy with the results and have so much more confidence now. Maybe after I have children I will go back for a lift if the fullness drops after breastfeeding but if they stay the way they are I’ll be thrilled.”
Dr. Philip Richardson is a skilled and accomplished plastic and cosmetic surgeon and a certified member of ASPS (Australian Society of Plastic Surgeons), ASAPS (Australian Society of Aesthetic Plastic Surgeons), and RACS ( Royal Australian College of Surgeons). After graduating with First Class Honours in Bachelor of Medicine and Bachelor of Surgery from the University of Queensland, Dr. Philip Richardson completed a three-year residency at the Princess Alexandra Hospital, Brisbane. He was then immediately accepted into the Plastic and Reconstructive training program where he undertook four years of specialised training at the Princess Alexandra Hospital, Mater Children’s Hospital, the Royal Children’s Hospital in Brisbane, and the Royal Children’s Hospital in Melbourne. Dr. Philip Richardson’s areas of interest include breast augmentation and breast reduction. He also works as a visiting reconstructive surgeon at the Royal Children’s public hospital in Brisbane. From initial consultation to post-operative care, Dr. Richardson and his professional staff are committed to ensuring the absolute comfort and safety of each patient, whilst utilising the most advanced techniques to achieve desired results. With Dr. Philip Richardson’s extensive education and experience, you can be confident that your well-being and appearance are in the hands of a knowledgeable and skilled plastic and cosmetic surgeon.
BR I S BA N E
Plastic Surgery Team
www.brisbaneplasticsurgery.com
HELP FOR NOT SO PERFECT TEETH … Dr. Anne-Maree
COLE
By Dr Anne-Maree Cole
GREAT TECHNIQUES FROM 10 -8 0 !
B.D.Sc MICCMO Aesthetic Excellence 151 Robertson St. Fortitude Valley, Brisbane Ph: 07 3257 1577
BEFORE SMILE
Sometimes a little ‘nip and tuck’ is all we need to feel a little better about how we present to the world. Some newer techniques now available have made that faster and more conservative.
CLOSE UP: SMILE BEFORE
CLOSE UP: SMILE AFTER
SMILE AFTER
GAPS BEFORE
SMILING AFTER!
NO GAPS AFTER
CLOSE UP: NO PREP VENEERS
The first technique is no-prep veneers which are perfect for problems which are the exact opposite of crowding i.e. too many gaps! Some people have small teeth that don’t fill the spaces very well leaving gaps that are distracting in the smile. Noprep veneers can close those spaces invisibly and create a great real-looking teeth and a beautiful, natural smile. Each no-prep veneer is designed by myself and hand-crafted in beautiful porcelain by our master ceramist and then bonded to your teeth to create a lasting beautiful smile that you will be proud to share with the world! No-prep veneers and our regular porcelain veneers have the ability to make your smile look normal, yet beautiful and appealing. When you are used to trying to hide your smile, you know how liberating that could be! NIPTUCK Magazine 139
CONTINUED FROM PREVIOUS PAGE
The second technique is for people with a little crowding in their front teeth. Many adults had braces when they were teenagers, only to find that some misalignment of the front teeth has started to creep back over the years. Others never had braces but always hated the crowding. Basically it involves fast unravelling of the 6 front teeth through the use of tooth coloured braces, in just 4 months! A few trickier cases can take a little bit longer but much, much shorter than the traditional braces time or even clear braces. The finishing touches are achieved with tooth whitening and replacing old fillings and stains, if necessary. It really is a Nip, Tuck for the smile!
SMILE BEFORE
SMILE AFTER RAPID SMILES
CLOSE UP BEFORE (RIGHT)
CLOSE UP AFTER (RIGHT)
Dr. Anne-Maree
COLE The smile is God’s gift to humanity. It reaches out and touches one’s soul. A smile has the power to heal, give warmth and share joy. In our disconnected world, it connects people. How important is a smile? It may be the most important thing of all. © Dr Anne-Maree Cole
CLOSE-UP BEFORE
CLOSE UP AFTER RAPID SMILES IN ONLY FOUR MONTHS
TIRED OF YOUR TEETH MAKING YOU LOOK OLDER THAN YOU FEEL? SPEAK TO SOMEONE WHO LISTENS, UNDERSTANDS AND CAN HELP.
BEFORE
AFTER
DR. ANNE-MAREE COLE B.D.Sc MICCMO 151 ROBERTSON STREET FORTITUDE VALLEY QLD 4006 PHONE: 07 3257 1577 WWW.AESTHETICEXCELLENCE.COM.AU CONNECT@AESTHETICEXCELLENCE.COM.AU
M.I.F.A.C.E. BEFORE MIFACE & Upper and Lower Blepharoplasty
Not to be confused with the similar sounding online social networking phenomena, MIFACE is the acronym for Minimally Invasive Face and Cervical Elevation
D AFTER MIFACE & Upper and Lower Blepharoplasty
eveloped by Plastic and Cosmetic surgeon Dr Peter Widdowson, the MIFACE procedure was devised to take advantage of the minimal recovery time of the traditional S-Lift but with increased longevity and a far superior result
There was also a huge difference between full American-style facelifts and the much lesser S-Lift procedure which cosmetic surgeons were doing, so something was needed between the two. A lot of people used to think of a facelift as major surgery where you came out looking like you had been in a wind tunnel. It turned people off for a while and that’s when Dr Widdowson decided to develop something minimally invasive that had less recovery time but had the increased longevity and superior result. The concepts of facial rejuvenation span many treatment modalities nowadays, starting from moisturizing and rejuvenating lotions and working through facials peels, dermal fillers for facial wrinkles and moving on to muscle relaxant injections, laser resurfacing and deep peels. When loose skin occurs around the eyes, eyebrows, jowls and neck, surgical approaches have become necessary to effect maximum improvement. Loose skin in the neck, jowls, mid-face and cheeks is best improved using face-lifting techniques. A full face-lift procedure has been the standard operation for many years, but when only the neck and lower face needs lifting the less radical procedure MIFACE in the lower face can be performed under a general anesthetic at a Day stay hospital. Since the MIFACE procedure was first developed 10 years ago it has been expanded to include the MIFACE Plus, Extended MIFACE and Extended MIFACE Plus to cater for individual needs.
DR PETER
WIDDOWSON M.B, CHb, F.R.A.C.S (Plastic and Reconstructive)
Following his graduation through the Royal Australasian College of Surgeons with a Gold Medal in Surgery in 1982 and post graduate study in Glasgow, Scotland, England and Australia, Dr Widdowson accepted a Consultant position at Waikato Hospital, Hamilton, New Zealand in 1987. As Director of Plastic Surgery at Waikato Hospital for 12 years Dr Widdowson’s work included burns victims, art of microsurgery, paediatric surgery (cleft lip and palate), skin cancer patients and hand surgery. In 1999 Dr Widdowson joined the Lotus Institute on the Gold Coast and for the last 13 years has established his reputation in the cosmetic industry through commitment, integrity and excellence. Dr Widdowson specializes in all types of cosmetic surgery including breast enlargement, reduction, uplift and reconstruction, body contouring, facial surgery, ear pinning, nose reshaping, abdominal surgery, male breast surgery and some reconstructive and skin cancer surgery. Dr Widdowson believes that a holistic approach to health and beauty is important – nutrition, exercise, spiritual well being and the use of tried-and-true skin products and surgical and non-surgical procedures, all combine to create an individual that is healthy, younger looking and better equipped to face the years ahead.
• Abdominoplasty • Brachioplasty (arm reduction) • Breast Augmentation • Redo Breast Augmentation • Breast Reduction
HEAD OFFICE: Level Two, 2 Short St Southport 4215 Tel: (07) 5509 4488 Fax: (07) 5528 4166
• Breast Mastopexy (uplift) • Breast Reconstruction • Facelifts • Upper and Lower Blepharoplasty (eyelid reduction)
MAILING ADDRESS: PO Box 796 Dr Peter Widdowson M.B, CHb, F.R.A.C.S (Plastic and Reconstructive)
• Browlift • Rhinoplasty • Facial laser • Liposuction • Gynaecomastia • Otoplasty
www.lotus-institute.com.au
Member of the CPSA
Dr Ash Sankarayya is a Cosmetic Physician and General Practitioner. Known as Dr Ash to his patients, his popularity continues to grow, largely due to his empathy and charm. Born and educated in England, Dr Ash qualified in medicine at Birmingham University in 1986. He has had 26 years in the medical field and nearly 15 years experience in aesthetic medicine. He subsequently studied Law which he completed prior to moving to Australia in1993. Initially trained in General Practice, Dr Ash has specialised in nonsurgical Cosmetic Medicine and Skin Cancer diagnosis and management. He now lives in Brisbane’s CBD with his family. Dr Ash is married to beautiful Steny, a Beauty
Therapist with 30 years industry experience and his clinic manager. Together they are focused on subtle and natural results through experience and ongoing education. Dr Ash and Steny are owner operators of the newly opened, The Cosmetic Studio Brisbane, conveniently located in Adelaide Street in Brisbane; and the Darwin Cosmetic Clinic (opened in 2000), which to the delight of his extremely loyal Darwin patients, he still visits on a monthly basis. The popularity of Dr Ash is without a doubt, due to his ability to build long term relationships and his patients talk about him with affection and loyalty. His non-surgical Cosmetic procedures produce a subtle and natural result.
Another year dawns and what can we look forward to? Good health, happiness and prosperity is a start. While this is not always in our control, we can exert some influence towards these goals. Your health is something you need to take part in and this means looking after the things that you can; PLUS seeking help and advice for the aspects that require a professional. Keeping fit and well as well as ensuring your screening health check are up to date, will contribute greatly to your happiness and your appearance. The Darwin and Brisbane Cosmetic Studio’s can help pave the way for your problem areas or cosmetic new years resolutions. Treatments include: Acne Treatment
Anti-Wrinkle Injections
Acne is usually caused by an increase in the
Muscle-relaxant injections have the ability to
level of androgens first experienced during
either improve or eliminate those facial lines
puberty. Many adults are left with acne scars
that have formed from repeated contraction of
and hyperpigmentation due to having acne in
the underlying expression muscles.
their youth. Areas that can be improved with Anti-Wrinkle We can manage acne using various medical
Injections treatments include: vertical ‘frown
and cosmetic treatments including: skin
lines’
peels; cosmeceuticals; skin care advice and
forehead (‘surprise’) lines; ‘crow’s feet’ at the
management;
sides of the eyes; lines under the eyes; ‘bunny
medication
appropriate where
indicated;
prescription and
light
treatments.
between
the
eyebrows;
horizontal
scrunches’ on the upper nose; vertical neck lines; smoker’s /upper lip lines; corners of the mouth; refining bulky jawlines.
Early treatment of acne is encouraged to limit
www.thecosmeticstudio.com.au
scarring. We also provide remedies to improve
By relaxing the underlying muscles responsible
or eradicate acne scars from your appearance.
for these lines, the lines will either improve or completely disappear depending on how
We pride ourselves on providing the finest care and patient comfort so your experience is as relaxing as possible. ANTI-WRINKLE INJECTIONS DERMAL FILLERS FRACTIONAL RF (NEW FOR SKIN REJUVENATION) PLATELET RICH PLASMA (PRP) SKIN REJUVENATION SKIN PIGMENTATION COSMETIC MOLE REMOVAL SKIN CANCER CHECKS ACNE TREATMENT MICRODERMABRASION deep they are to begin with. Additionally, if
The dermal Fillers used at The Cosmetic
you keep the responsible muscles inactive by
Studio are made up of a polysaccharide called
way of regular treatments, these lines will be
Hyaluronic Acid (a complex sugar chain)
prevented from reforming.
which is chemically identical to what is found in human skin. Injected into the skin, fillers
Cosmetic Mole Removal
create volume and also stimulate collagen
In Australia’s sunny environment, moles on
production.
With an emphasis on “NATURAL” results & expert treatment, Dr Ash and his team look forward to meeting you today!
the skin are common. Often you may require mole removal if a professional has deemed
Skin Cancer Treatment
your mole as suspicious, or you may just desire
Dr. Ash Sankarayya performs comprehensive
removal for cosmetic reasons.
skin-checks both for patients who are worried about suspicious sunspots, freckles or moles
Mole removal surgery is usually performed
and also as routine surveillance to prevent or
under local anaesthetic. Most cosmetic mole
diagnose early. Full skin checks can determine
concerns can be removed without the need
whether skin lesions are cancerous or harmless
for stitches and with little or no discomfort.
and minimally invasive treatment options are
Mole Removal does not always require the
available for their removal.
whole mole to be removed, rather it may be shaved off flat to the skin. This removes the
Skin Peels
contour deformity and usually, the moles
Skin peels are used to revitalise and unearth
pigmentation; and because the skin is not cut
beautiful radiant skin. It is a tested repair
deeply, a true scar is not produced.
system used to rejuvenate damaged skin back to vitality, including acne and sun damaged
Dermal Fillers
skin. They are designed to improve the tone,
A dermal filler is a smooth injectable gel placed
texture and clarity of your skin; restore your
below the skin’s surface to ‘plump up’ static
skin to a vibrant and youthful radiance; reduce
facial lines and folds, creating a natural and
or eliminate age spots, freckles, and hyper-
refreshed facial expression. They can be used
pigmentation; soften lines and wrinkles; clear
for facial lines, wrinkles and furrows; surgical
skin conditions, and reduce or eliminate acne;
scars; acne scars; lip augmentation to restore
and stimulate the production of collagen, for
full and sensuous lips; cheek augmentation
firmer, youthful skin. Skin Peels used at The
and facial contouring including jawline, chin
Cosmetic Studio are effective, but not harsh
and nose.
and with minimal downtime.
Cosmetic in the City Our new clinic is headed by Dr. Ash Sankarayya, the qualified professional at The Cosmetic Studio. It is on the corner of Adelaide Street and Boundary Street.
Contact us today to book your private appointment
www.thecosmeticstudio.com.au The Cosmetic Studio Brisbane 485 Adelaide Street
(This is the building on the corner of Boundary St and is the new Meriton Soleil apartment block.)
Brisbane 4000 Ph: (07) 3012 8023 E: ash.steny@bigpond.com Darwin Clinic 1/53 Ross Smith Avenue, Parap, Darwin NT 0820 Ph: (08) 8981 5227
BY DR MICHAEL MIROSHNIK
Nonsurgical facial slimming
Nonsurgical cheek and lip enhancement
The medispa was developed with the philosophy of providing the very latest and best in injectables and non-surgical enhancement therapies. All treatments are delivered by industry leading nurses and dermal therapists, each of whom was hand picked by Dr Michael Miroshnik:
Non-surgical rejuvenation of the eye region
Non-surgical reduction of smile lines and crows feet
To complement our treatments, we are proud to offer an elite range of take home skin care featuring some of the most proven anti-aging ingredients in the market today. Available for online purchase: www.elixxir.com.au
Non-surgical brow lift
Nonsurgical lip enhancement
Nonsurgical rejuvenation of crows feet, frown lines and under eye hollowing Nonsurgical correction of frown and forehead lines
Non-surgical nose and cheek enhancement Nonsurgical subtle correction of crows feet
Non-surgical lip enhancement
Non-surgical wrinkle reduction
Suite 701, Level 7, 28 Spring Street, Bondi Junction, NSW 2022 T: 1300 854 610 Elixxir Medispa: www.elixxirmedispa.com.au • Elixxir Skincare: www.elixxir.com.au
DR MICHAEL MIROSHNIK Plastic & Cosmetic Surgeon MBBS, FRACS (Plast.)
www.drmiroshnik.com.au T: (02) 9389 8108 or 1300 88 90 50
速
Silicone Gel & Saline Breast Implants Johnson & Johnson Medical Pty Ltd. Telephone: 1800 338 160 or +61 2 9815 3680. Address: 1-5 Khartoum Road, North Ryde, NSW 2113. Email: mentorcustserv@its.jnj.com Johnson & Johnson Medical Pty. Ltd. ABN 85 000 160 403. Mentor is a business unit of Johnson & Johnson Medical Pty Ltd. E201306_103