Monthly Archives

March 2023

Signs you need a breast implant revision

By News No Comments

Although patients expect that they will need to replace their breast implants after 10 to 20 years, there are various reasons why they may need to be replaced sooner. If your beast augmentation surgery didn’t deliver the natural looking results you desired, if you are experiencing complications with your implants, or you have noticed your natural breast skin aging and sagging, a breast implant revision can help.

Here are some common signs that you may need a breast implant revision:

Your breast implants are causing discomfort or pain

Painful or uncomfortable implants can suggest a number of issues that require revision, such as capsular contracture , damaged lymph nodes, a developing seroma, pinched nerves, or poor implant placement. If you have silicone implants, pain may be an indication that your implant has ruptured or is leaking. Even if there is no serious issue causing the pain, some patients find that they are experiencing discomfort to the point that it is disrupting their daily lives, therefore they should schedule an appointment with their surgeon to find a solution.

Your breast implant has changed shape

The shape of your implant can change if the implant ruptures, shifts, rotates, bottoms out, or otherwise becomes displaced. Changes in the implant shape usually occur asymmetrically, meaning one breast may look different to the other. This asymmetry is not a medical risk; however, it can cause patients distress, and makes it very hard to find bras and clothes that fit properly.

Your breast implant is causing capsular contracture

In some cases, the body may mistake the implant for a dangerous foreign object and creates excessive amounts of scar tissue to isolate it. This is known as capsular contracture. The overproduction of dense, hard tissue around the breast implant can affect the success of the augmentation procedure.

Your breast implant has ruptured

Implant rupture can be caused by abrupt or intense physical pressure, or through the aging and weakening of the implant shell. A rupture in a saline implant causes an immediate deflation, making it easy to diagnose. The saline solution inside the implant is the same as IV solution, meaning it is easily absorbed by the body. By distinction, raptures in silicone implants cannot be diagnosed without an ultrasound or an MRI as the viscous silicone gel inside the implant leaks out slowly. Although the rapture of a breast implant is not life threatening, it is important to have the damaged implant removed to prevent inflammation or the development of excessive internal scar tissue.

You’re unhappy with your breast size

While most patients are happy with their results, some find that they wish they had gotten a different size of implant, whether it be smaller or larger. If you desire a change, most doctors will recommend waiting a year after your initial surgery before proceeding. This is waiting period will allow your body to heal completely and will also give your implants time to settle into their final position before you make this major decision.

If you think that breast implant revision surgery might be right for you, it is important to meet with a qualified plastic surgeon for a consultation.

At Southern Aesthetic Plastic Surgery, our surgeons will listen to your concerns and goals when determining if breast implant revision surgery is the best course of action. In most situations a removal and replacement procedure take two and a half hours and one night stay in the hospital. 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 revision and breast augmentation Sydney can offer. For more information about breast implant revision surgery, call us on 02 9186 8105.

How to know if you’re a candidate for body contouring surgery?

By News No Comments

The number of Australians undergoing body contouring surgery has significantly increased over the past decade. Patients may consider surgery for a number of reasons, for example, they may have undergone major weight loss and now have rolls of excess skin they desire to remove, have struggled to ‘bounce back’ after pregnancy, or may just have stubborn pockets difficult to get rid of with the right diet and exercise.

There are a variety of different body contouring procedures that can be tailored for each patient’s unique concerns. Some common areas include the abdomen, arms, breasts, thighs, buttocks, hips, face, and neck.

At Southern Aesthetic, we provide a comprehensive consultation with you prior to your procedure. This allows us to discuss what results you are hoping to achieve and will give you an idea about whether you are a good candidate for body contouring surgery.

So, how do you know if you are an ideal candidate for body contouring?

There are both non-surgical and surgical body contouring options. However, those with more significant concerns, or skin laxity, are likely to require surgery in order to achieve their desired results. Although, due to their nature, not everyone may be a candidate for such treatments.

Your current weight is close to your goal weight

You should be at your goal weight before undergoing body contouring surgery. Body contouring isn’t a weight loss procedure and is more effective in patients once they have reached a healthy goal weight, and maintained it for three months. The final results are far better, and the risk of surgical complications.

You have excess skin after significant weight loss

When your body stores excess fat, your skin stretches to accommodate it. Carrying that excess weight for many years before losing it again often means the skin has lost its elasticity. Patients may notice that they have stretch marks on their skin, particular in areas where they held most of their weight. The surgical removal of the excess skin is the only proven method to fix the problem of skin laxity in these patients.

You maintain good nutrition, overall health, and fitness

Body contouring is a real surgical procedure and requires surgical dissection and excision of large amounts of tissue, leaving long scars that need to heal. It is important that patients maintain good overall health so that they are not deficient in the essential nutrients and vitamins required to recover and heal post-surgery.

You are a non-smoker

Did you know that smoking is one of the most significant risk factors for impaired wound healing, infection, and delayed recovery? Patients considering body contouring procedures need to have quit smoking at least six weeks before surgery and need to maintain their abstinence from nicotine for at least six weeks post-surgery. The risks of complications are very high in fact, many surgeons would not offer body contouring procedures to patients that are active smokers.

At Southern Aesthetic, we provide an effective means of body contouring surgery Sydney-siders trust. As mentioned, body contouring surgery is only performed when it is determined that you are stable at your goal body weight. It is vital that you are nutritionally healthy and fit to tolerate the duration of this surgery and recovery.  Contact us on 02 9186 8105 for more information.

Questions to ask before you consider body contouring

By News No Comments

If you have achieved a major weight loss goal, are struggling with separated abdominal muscles, or are simply looking to fine tune your workout results, you may be considering body contouring treatments. While researching, you are likely to find that there are a variety of options, including both surgical an non-surgical body contouring options.

To choose the right procedure for you, start by consulting with a board-certified plastic surgeon that has vast experience with body contouring treatments. During your consultation, make sure you ask the following important questions, along with any others you have that will help you make the right decision based on your specific goals and needs.

Am I a good candidate for body contouring?

The ideal candidate for body contouring would already be at or very close to their target weight. Although, it is never too early to begin planning an upcoming body contouring procedure, even if you are still working on your fitness goals.

Be sure to speak to your surgeon and ask what you can do to improve your body contouring results in the long-term. Hitting your weight loss goals is a great place to start, along with establishing healthy habits now so that you can maintain and prolong your body contouring results.

Your plastic surgeon will also be able to determine if they feel like the patient is going to get a good result from the procedure. At Southern Aesthetic, we are always honest, body contouring is a real surgery, and the decision to undergo the procedure should not be taken lightly. We will always offer the correct guidance in whether surgery is the right option for you or not.

What is the recovery like?.

If you are planning on undergoing body contouring treatment, it is vital to understand what the recovery is like. By understanding how long it will take for you to fully recovery post-surgery, you will be able to prepare for work leave, social commitments and caring for your children and family.

Which body contouring procedure is right for me?

Depending on your goals and current body shape will determine which procedure is right for you. If you have recently achieved major weight loss, your top concern may be loose abdominal skin – in this case, a tummy tuck with liposuction may be an ideal option. Women who have had children and are looking to treat separated abdominal muscles, loose skin, suborn fat, or other concerns such as drooping breasts, are likely to be great candidates for a mummy makeover.

It is important to speak to your plastic surgeon so they can determine which surgery will be right for you to achieve your body goals.

Has the quote for the surgery been fully explained to you?

Prior to undergoing surgery, it is important to understand what costs are involved to ensure that there are no hidden or unexpected expenses. At Southern Aesthetic, we will provide you with a detailed quote so that you know exactly what you can expect regarding costs. Some body contouring procedures may also be covered by Medicare or Private Health Insurance if the procedure is deemed medically necessary.

Other questions you should ask can be found in the ASAPS guide; these include:

⦁ Will I have a qualified anaesthetist?
⦁ Who will be looking after me?
⦁ How many follow ups post-surgery?

If you are considering body contouring Sydney surgery, get in contact with our qualified team at Southern Aesthetics. We take an individualised approach to each patient and procedure, ensuring that we provide the finest body contouring surgery. For more information, and to book a consultation, give us a call on 02 9186 8105.

How to care for your incisions post-surgery

By News No Comments

After surgery, such as skin cancer treatment, body contouring, and plastic surgery for loose skin, it is important to take the proper care of the incision as it heals. Doing so will limit scarring, and help you avoid pain or discomfort, and importantly, will help lower the risk of problems like infection. Every plastic surgeon is unique in how they advise you to care for your wounds. In fact, different wounds have different requirements, thus it is vital to listen to your plastic surgeon’s advice.

So, how should you take care of your incisions post-surgery?

As a general rule, your wounds should be covered with a waterproof dressing to keep the wound clean and dry for the first 48 hours after surgery. After the 48 hours, most wounds are sealed and can be exposed to water.

Since wounds are still fragile at this point, we suggest protecting them with a dressing or micropore tape. Some dressings like micropore tape also works as excellent scar management. After a week post-surgery, wounds can be left exposed with the use of silicon oil, or tape as scar management.

When caring for your incisions, it is important that you do not do the following:

⦁ Scrub or rub the incisions.
⦁ Remove the tape strips from incisions unless your doctor advises you to.
⦁ Use lotion or powder on incisions.
⦁ Expose incisions to sunlight.
⦁ Take a bath unless you can keep the incision dry. Instead, opt for showers or sponge baths until your doctor says it’s okay to take baths. Before you shower, cover the dressing with a plastic bag or use another method to keep it dry.

You should be checking you incision daily to monitor any signs of infection, these include:

⦁ A yellow or green discharge.
⦁ A change in the odour of the discharge.
⦁ A change in the size of the incision.
⦁ Redness or hardening of the surrounding area.
⦁ The incision is hot to the touch.
⦁ Increasing or unusual pain.
⦁ Excessive bleeding that has soaked through the dressing.
⦁ Fever.

How can you reduce scaring?

At Southern Aesthetic, we ensure that every effort will have been made to achieve a subtle post operative scar. Unfortunately, all surgery leaves scars, but most fade with time. For the first two weeks post suture removal the wound will need a little extra help while it becomes waterproof.

As mentioned, micropore paper tape should be placed over suture lines for the first two weeks after your postoperative visit. This can be showered over and changed when it peels away. A thin layer of Vaseline can be used instead in parts where the use of tape is impractical. You can start utilising silicone products two to three weeks after surgery – tapes or sheets, such as Medisil or Cica-Care, yield the best results. These products can be obtained from most pharmacies and are also stocked at our practice.

At Southern Aesthetic, we care for our patients pre, during, and post-surgery. We provide all our patients with after-care guidelines and are always available if our patients have any concerns.Please contact us on 9588 2494 during office hours, or St Gorge Hospital Plastic Surgery Registrar 9113 1111 for urgent problems after hours.