Monthly Archives

September 2022

What are the options if I want my breast implants out

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When you decide to have breast augmentation surgery, you probably didn’t consider about whether the breast implants would need to be removed. However, many women who have breast implants may later decide to have them removed.

Women are likely to decide to have their breast implants removed due to lifestyle changes or if they experience complications such as capsular contraction.

What exactly is breast implant removal?

Breast implant removal surgery is a procedure that reverses breast augmentation. It simply removes the breast implanted and revises the shape and size of them. It is important to note that many women who have breast implant surgery will likely need another breast implant revision procedure. This includes:

  • Removing the implants and replacing them with new implants,
  • Repositioning the existing implants,
  • Removing the breast implants without replacement.

If you have had complications with your breast implants, your Plastic Surgeon may recommend that the breast implants are removed.

So, what are the options if you want your breast implants out?

For women with small implants, and good quality skin (usually in their 20’s and 30’s) it is possible to remove the breast implant through the original incision in the natural fold.

For women who have had any degree of breast sag, or larger implants, once removed, a breast lift may also be required. This is because the breast implant would have stretched the skin to a point that it cannot bounce back once the implant is removed.

Our patients are also given the option for the procedure to be undertaken in various stages. For instance, once the breast implants have been removed, we allow time for the skin to recover to give our patients a chance to make the decision whether they would like breast reshaping with a breast lift. The options to maintain a nice breast shape after implant removal include breast lift, breast fat grafting, new implants or sometimes, nothing at all.

At Southern Aesthetic Plastic Surgery, our surgeons will listen to your concerns and goals when determining if breast implant removal surgery is the best course of action. Breast implant removal surgery is performed under general anaesthesia, and usually takes between one to three hours. We will also provide a detailed comfort plan to ensure that your recovery is as pain free as possible.

Dr Amira Sanki and Dr Ilias Kotronakis both have immense experience and the best training in breast implant removal and breast augmentation Sydney can offer. For more information about breast implant removal surgery, call us on 02 9186 8105.

Which Tummy Tuck is right for me?

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Did you know that there are multiple types of tummy tucks? A tummy tuck, otherwise known as an ‘abdominoplasty’ creates a firmer, flatter belly, and a narrower waist by removing excess skin and fat and tightening the abdominal muscles.

There is no one-size-fits-all solution and undergoing a tummy tuck surgery is not a substitute for weight loss through diet and exercise. There are several types of tummy tuck procedures, each designed to address specific concerns while ultimately resulting in the desired contour.

So, how do you know which type of tummy tuck is right for you? Firstly, it is important to mention that you should seek advice from a qualified plastic surgeon. At Southern Aesthetic, we listen to our patients concerns regarding the area of their body that they have the most troubles. We then follow up with an examination to assess where the loose skin is, and if there is any underlying muscle separation. It is from here that we will provide our advice and discuss which surgery is right for you.

The Classic Abdominoplasty

If the loose skin is mild to moderate, and at the front of your tummy, then we usually recommend a classic abdominoplasty. This is the most common tummy tuck, where the scar sits from hipbone to hipbone and low in the pant line. This procedure is recommended for women who have loose skin after having children and are at a normal body weight.

Extended Abdominoplasty

For patients with a larger abdominal apron, or loose skin at the hip, we would recommend an extended abdominoplasty. This procedure removes excess skin from the abdomen and hip areas, and results in a scar that ends at the back

Fleur de Lis

For patients who have experienced major weight loss, and have loose skin in the upper tummy, a Fleur de Lis is recommended. This removes skin in vertical and horizontal directions from the abdomen, placing a vertical scar down the midline front of the tummy.

Belt Lipectomy

For patients with an abdominal apron, as well as significant sagging in the buttock area, a belt lipectomy, or lower body life is recommended.

A consultation with a qualified plastic surgeon is the best place to get the right advice. If you are ready to take the next step towards understanding which procedure is right for you, contact Southern Aesthetic. We provide customised tummy tuck Sydney services to suit our patients’ unique needs. Contact us on 02 9186 8105 for more information.

What is the difference between Liposuction and Tummy Tuck?

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If you are carrying extra skin around your midsection that you can’t seem to lose, you may be considering plastic surgery as an option to help you reach the physique you are after. Liposuction and tummy tucks are two popular procedures that address these concerns, however, popular questions we get asked are:

  • What is the difference between the two? and,
  • How to tell which is right for you?

So, without further ado, here is the difference between tummy tuck and liposuction:

What is involved in a tummy tuck?

A tummy tuck removes loose skin and tightens the underlying muscle separation to help restore a woman’s shape to her pre-baby or pre-weight loss figure. During a tummy tuck, an incision is made below the lower abdominal fold, so that the resulting scar will be neatly hidden under your pant line. The abdominal skin is then lifted off the underlying muscle layer. The belly button is separated from the tummy skin but kept attached to its underlying stalk. When the abdominal skin and fat is lifted all the way to the rib cage, your surgeon can visualise and tighten any muscle separation. The skin edges are then closed in three to four layers of dissolving stitches.

Who is a tummy tuck for?

Tummy tuck procedures are ideal for healthy individuals who have stubborn fat on their midsection that they are unable to lose through diet and exercise. If your abdomen is sagging due to age, pregnancy, or major weight loss, and you do not have any other health conditions, you are likely to be a good candidate for a tummy tuck.

What is involved in liposuction?

Liposuction is also an invasive procedure as it “operates” on larger areas too, but involves smaller scars. It is the process of removing fat from underneath the skin in a problem area such as the tummy, hips, or thighs. Once this fat is removed, the ideal outcome is achieved if the skin retracts into its new position.

During the procedure, infiltration fluid containing local anaesthetic for pain relief and adrenaline for haemostasis is injected into the area to be sculpted. For each body area, two or three incisions are made to allow the liposuction cannula (a long thin probe that removes the fat) to pass under your skin. Careful volume measurements are made during the procedure to ensure that your expectations are met, and body symmetry is obtained. The small incisions are closed with stitches. Small waterproof dressings are applied to these incisions.

Who is liposuction for?

Similar to the tummy tuck, liposuction is ideal for a healthy individual with stubborn fat deposits that do not respond to diet or exercise.

A consultation with a qualified Plastic Surgeon is the best place to get the right advice. If you are ready to take the next step towards understand which procedure is right for you, contact us at Southern Aesthetic. We provide customised body contouring surgery Sydney services, to suit the individual patient’s needs. Contact us on 02 9186 8105 for more information.

Plastic vs. Cosmetic Surgeon: Is there a difference?

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Finding the right doctor can be a challenge if you don’t know what to look out for. One major issue for many people is that they don’t understand the difference between a plastic surgeon and a cosmetic surgeon. It is vital to distinguish between the two when deciding who should perform your procedure.

So, what is the difference between plastic and cosmetic surgeons?

The difference lies in the minimum qualifications and minimum standards it takes to become a specialist plastic surgeon. A cosmetic surgeon may only have a basic medical degree and no further qualifications. In Australia, all plastic surgeons have a minimum of nine years of speciality training and are awarded a Fellowship by the Royal Australasian College of Surgeons (FRACS) in Plastic Surgery FRACS (Plast). This training is often combined with further fellowship training in a specific area. At Southern Aesthetic, our plastic surgeon Dr. Amira Sanki, has a PhD in melanoma surgery and undertook a fellowship in cosmetic surgery, and plastic surgeon Dr. Ilias Kotronakis holds a fellowship in lower limb reconstruction surgery.

A specialist plastic surgeon must follow the Codes of Conduct set by the Royal Australasian College of Surgeons to maintain their fellowship. This includes continuous medical evaluation and peer reviews of their outcomes. Cosmetic surgeons do not have to be a registered specialist, they do not need to have their outcomes reviewed and they are not obliged to have continuous medical education in cosmetic surgery.

It is important to know the difference between the two types of doctors that practice plastic surgery so that you can safely achieve the best possible outcome. All surgery carries risks, and it is important to reduce this risk as much as possible by seeking a real surgeon. Some people choose a cosmetic surgeon as they believe they cannot afford a proper specialist. Ironically, a lot of cosmetic surgeons will charge just as much or more than a specialist plastic surgeon. If complications occur because of your surgery with an unqualified doctor, then you will end up paying more than expected for further hospitalisations and revisional work.

Cosmetic surgery is also practised by Ear, Nose and Throat surgeons and General Surgeons who also have a FRACS diploma. It makes sense to see a specialist within their “scope of practice”. For example, the RACS curriculum for Ear, Nose and Throat training includes rhinoplasty surgery but does not include breast surgery.

If you are unsure whether your doctor is a plastic or cosmetic surgeon, ask the following questions:

Does your surgeon have a FRACS?

If your surgeon is qualified by the Royal Australian College of Surgeons, they will have FRACS by their name. If your surgeon does not have a FRACS then they are not a registered surgeon and do not hold the minimal qualifications to perform surgery. Check the letters carefully, as doctors are also not prohibited from putting affiliations to non-accredited Colleges or international degrees that are not recognised in Australia after their name.

Does your surgeon have admitting rights in an accredited, licensed hospital?

If your surgeon does not have admitting rights in any major hospitals, or cannot obtain them, this may mean that hospitals do not consider their qualifications worthy of credentialling.

Will there be a specialist anaesthetist present?

A specialised plastic surgeon will ensure that there is an anaesthetist administering the anaesthetic and pain relief.

When contacting Southern Aesthetic for plastic surgery procedures, you will always have peace of mind knowing that your doctor is a specialist plastic surgeon and has all the qualifications to safely perform procedures. For this reason, we are the plastic surgeon the Shire local’s trust. Contact us on 02 9186 8105 for more information.

At what point is plastic surgery medically necessary?

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Plastic surgery is medically necessary when it offers reconstruction of the body or face that will significantly improve one’s quality of life. Plastic surgery that is medically important should improve the health and function of the body. Although most of these procedures can be used for cosmetic purposes, they are designed to restore your health and normal body functions.

There is a fine line between essential plastic surgery and non-essential plastic surgery (also considered cosmetic surgery). For example, breast reduction can help improve the appearance of a women’s breast as it will offer a breast lift and a small reduction in size, however, it is not medically necessary unless the patient is significantly suffering as a result of the large weight of their breast.

Here are some more examples of when plastic surgery is deemed medically necessary:

Reconstructive Surgery

Reconstructive surgery helps to restore a patient’s physical appearance after illness or injury. For instance, if you have sustained a serious injury from a car accident, animal bite or a traumatic accident. Reconstructive surgery can also help to restore the function and the appearance of the nose, eyes or lips after skin cancer has been removed.

Breast reduction

As mentioned before, breast reduction surgery can be medically necessary when the beasts are disproportionate to your body, especially when they are heavier and cause physical strain to your back, resulting in back, neck, and shoulder pain. The best way to deal with this issue is to have a breast reduction by a specialised plastic surgeon.

Tummy Tuck

A tummy tuck that removes loose skin caused by massive weight loss or repairs muscle separation as a result of pregnancy can be considered medically necessary. Tummy tuck surgery helps to prevent skin infections, chaffing and improves mobility when massive weight loss has caused a significant tummy roll of loose skin. Tummy tuck surgery also involves tightening the rectus abdominus muscles if you have back pain and tummy aches as a result of muscle separation after having children.

Eyelid Lifting

An eyelid lift is medically necessary as it helps to restore your vision by lifting the sagging eyelid. If your eyelid hangs low, it will cover your eyelashes and the corner of your eye, affecting your ability to see. Your plastic surgeon will trim the excess skin and tighten the loose tissues to restore your vision.

Craniofacial Surgery

Craniofacial surgery is when a plastic surgeon corrects cleft lops and palates. This procedure is designed to help children born with facial defects. Plastic surgeons who specialise in this type of surgery usually treat children with cleft lips and cleft palates.

Most plastic surgery procedures that are medically necessary are usually covered by Medicare item numbers and private health insurance. The best way to determine whether a procedure is medically necessary is to consult a specialised plastic surgeon. At Southern Aesthetic, we have the expertise to advise our patients on any procedures that will enhance their quality of life. We are one of the most trusted clinics for body contouring surgery Sydney can offer. For more information, get in contact with our qualified team at Southern Aesthetics.

What are the benefits of Tummy Tuck surgery?

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If you are considering undergoing tummy tuck surgery (otherwise known as an abdominoplasty), you may be surprised to learn that there are more than just cosmetic benefits to be gained. Although tummy tuck surgery helps to improve the appearance of a women’s tummy, waist, and hip area, it will also improve the function of their core muscles.

Why get a tummy tuck?

Many women who have just been through a pregnancy and want a ‘mummy makeover’ find a tummy tuck is just what they are looking for. Abdominoplasty may help you get back to the shape and abdominal strength you are aiming for. During pregnancy, the rectus abdominus muscles separate in order to allow the uterus and baby to grow. The muscles do not always return to their natural midline position after pregnancy, leading to the waistline appearing wider and the abdomen bulging out, like you are still pregnant. A tummy tuck therefore removes loose skin and also tightens the abdominal muscles.

It is also important to note that women who have not had children yet can still have tummy tuck surgery to improve their quality of life. You can still have children after a tummy tuck.

So, what are the overall health benefits of a tummy tuck? As mentioned before, although there are many positive results of a tummy tuck, the health benefits may outweigh the cosmetic. Here are a few examples of the health benefits of a tummy tuck:

Strengthens your core

A tummy tuck can restore a weakened core, strengthen the abdominal muscles, and improve overall flexibility. Additionally, having stronger abdominal muscles can help to relieve lower back pain, and improve posture.

Minimise the risk of medical conditions

Removing excess skin and fat from your tummy can help lower your risk of encountering diabetes, heart disease, sleep apnoea, gallbladder disease, and gallstones. This will also help reduce the risk of skin infections due to chaffing.

Improved control over bodily functions

Getting older, experiencing pregnancy, and losing a significant amount of weight are all common occurrences in life that leave many with reduced bladder function. These issues can all be improved by undergoing tummy tuck surgery as you are tightening the core muscles that support your bladder.

Improves comfort

Undergoing a tummy tuck after major weight loss can improve your overall comfort, especially when wearing clothes and exercising. You will no longer need to tuck loose skin into compression wear, and you will be able to wear outfits with confidence.

At Southern Aesthetic, Dr Sanki and Dr Kotronakis are highly experienced tummy tuck Sydney surgeons. During your initial consultation, our surgeons will listen to your concerns and goals. While abdominoplasty is a safe and commonly performed operation, the consultation will be performed with sensitivity to your opinions and thoughtfulness to your concerns. For further information, or to book a consultation, give us a call on 02 9186 8105.