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Plastic Surgery after Covid-19

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Southern Aesthetic Plastic Surgery is excited to advise that the outstanding response to coronavirus means that NSW Health has set an elective surgery target of 75% of normal by June 30. This means that patients whose surgery was postponed from April and May can now likely proceed with their operations. Patients who are currently booked in for surgery will be contacted shortly to advise if their date is confirmed. There are still restrictions on the number of procedures we can do per theatre list.

Fortunately, our rooms are now fully operational for face to face, virtual and non-surgical (skin care, injectables) consultations. We strongly advise contacting the rooms as soon as possible if you are thinking about surgery before August, as our theatre lists are close to full capacity to meet the backlog.

There are restrictions in the number of operations that can be performed in Sydney’s south for two reasons. NSW Health would like a buffer in case a second wave of the pandemic occurs. In addition, private hospitals have an agreement with NSW Health to help clear the backlog in the public hospital system.

While all categories of plastic surgery (item numbered and cosmetic) are now permissible, our hospitals will have final say about how they will regulate their capacity. Dr Sanki and Dr Kotronakis have had firm discussions with all our hospitals to put forward the points that

  1. No elective plastic surgery has been performed for 2 months
  2. Plastic surgery patients are healthy & low risk
  3. Plastic surgery patients do not require ICU
  4. Plastic surgery patients use little PPE/consumables
  5. Plastic surgery patients are often day stay or short stay

We are just as keen as our postponed patients to get the show on the road. We will stay in touch with our existing patient through regular emails, so please check your inbox!

Your safety is paramount. Our hospitals have been busily preparing increased hygiene and personal protective equipment measures to enhance your safety. It is important for you to maintain social distancing and isolation before and after your surgery. Surgery induces mild immunosuppression and you will be more susceptible to coronavirus in the perioperative period. We will continue to practise meticulous social distancing, viral cleaning between patients and increased spacing of appointments to protect our patients in the consultations in our rooms.

We are extremely proud of Australia’s magnificent response to COVID, and very grateful for the patience and understanding of our patients during this time. We look forward to returning to normal practice and view the easing of surgical restrictions as a wonderful first step.

Coronavirus & your plastic surgery

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As the health system has adjusted to life with coronavirus, our practice has evolved daily to safely provide the highest standards of care for our plastic surgery patients. Here is a guide to some of the changes we have made so that our existing patients can continue to be fully supported and our future patients can plan their surgical options.

New patients: To divert medical resources to controlling the COVID-19 virus, the NSW government has asked all plastic surgeons to only perform essential surgery. Essential surgery includes emergency procedures such as repairing hand fractures and lacerations in addition to life preserving procedures such as melanoma, squamous cell and basal cell cancer management. Dr Ilias Kotronakis, specialist plastic surgeon, will be operating at St George Private and Kareena private hospitals to help patients requiring essential plastic surgery. New appointments for essential surgery can be organized, as usual, with our receptionists by calling the office on (02) 9588 2494. Our receptionists will then determine whether you are most appropriately seen in person or via a video consultation with Dr Kotronakis.

Dr Amira Sanki is also continuing to consult with new patients. Patients hoping to discuss their options about body contouring, surgery after weight loss, face and necklift surgery and breast surgery, can call Dr Sanki’s coordinator on (02) 9588 2494 to make an appointment. Telehealth and video conferencing are familiar forms of communicating with our patients, as Dr Sanki regularly uses telehealth with her interstate and country patients. Our receptionists will guide you through the process of booking your consultation, emailing standardised photos and setting up your device for a thorough and informative consultation.

Existing patients: All patients who have surgery over the social isolation period will be seen face to face post operatively to check they are healing well. Following this first important consultation with your surgeon, ongoing follow up will be done via the telephone, email and video conferencing. You are very welcome to present to the office for a face to face consultation if your surgeon is concerned about your progress. 

COVID-19 safety within the office: We have put numerous safety measures in place to make your visit to Southern Aesthetic Plastic Surgery as smooth and reassuring as possible. Please do not present to your appointment if you are experiencing upper respiratory symptoms, a fever or if you have been in contact with someone ill in the past 14 days. This is for the safety of our other patients and our staff. When you present to the office, you will be asked to use alcohol hand rub before completing a registration form with a clean pen. We ask that all patients present alone. We can organize for your supporting family or friends to participate in the consultation via speaker phone. You will be given a mask to wear during your time in the office for your own protection. Unless you are having an essential procedure or the doctor is examining you, we will observe social distancing of at least 1.5m.

Rescheduling elective surgery: Dr Sanki and Dr Kotronakis will be acquiring additional theatre time to expedite the surgery of patients who have been asked to delay their surgery during the COVID-19 crisis. Currently, we are hoping that the NSW fight against Coronavirus will be successfully in control by mid-May. We will be keeping our postponed patients updated by phone and email whenever we receive news from the NSW Health Department. Further updates to all our patients will be made via our Facebook and Instagram pages. Patients hoping to have surgery this year, should still make an appointment to speak with Dr Sanki or Dr Kotronakis as soon as possible, to avoid any disappointments with getting your ideal surgical date.

Non-surgical appointments: Shanne Taylor RN has postponed her appointments until she receives news from the NSW Health Department allowing injectables, peels and skin treatments to recommence.  Both of our skin care ranges, Jan Marini and Southern Aesthetic, can be purchased by calling our rooms. Silicone scar oil, Strataderm, is also available. We can organize delivery of your product to your home. Please do not hesitate to contact our team to get skin care advice while you are in self isolation.

We wish you all good health and hope to see you soon.

Four reasons why women get breast augmentation surgery

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Breast augmentation surgery involves the enhancement of the natural breast my placing an implant behind the breast tissue. What was once a somewhat taboo procedure is now becoming more and more common in today’s society. There are many different reasons for why women get breast augmentation surgery, each as valid as the next.

Here are four common reasons why women choose to get breast implants.

  1. To reclaim their pre-pregnancy breasts

It’s no secret that pregnancy changes your body. Once you fall pregnant, it’s normal for your breasts to change shape, size and feel. After years of pregnancy and breastfeeding children, many women are left with stretch marks, sagging skin, a loss in breast density and an increase in lumps and bumps. While it’s normal to experience these changes, it’s also normal to feel self-conscious about them. That’s where breast augmentation surgery can help. Breast implants will help give shape and density back to your breasts, as well as lifting them higher on your chest – back where they belong.

  1. To restore their breasts following breast cancer

One way many women treat or prevent breast cancer is through undergoing a mastectomy. This is the procedure whereby one or both of the breasts are removed – either partially or completely – to prevent the spread or development of cancer cells. As great as it is to beat cancer, it’s common to feel a sense of sadness and loss following a mastectomy. Restoring your breasts to their pre-cancer state is another reason why women get breast augmentation surgery. This is one solution to overcoming this emotional time in their lives and close the chapter on their battle with cancer.

  1. To repair their breasts after weight loss

While weight loss has many health benefits, one of its few detriments is that it often leaves women with excess skin and saggy breasts. The chest is one area where fat deposits are stored, so when you lose weight – especially when you lose a lot of weight – it’s normal for your breasts to lose shape and density. Luckily, breast implants and a breast lift will fix that right up!

  1. To feel confident

Not all of us were born happy with our breasts. Many people feel having breasts is an intrinsic part of being a woman, and having small, uneven or misshaped breasts can take a huge toll on your self-esteem. From not being able to fill out clothes properly to feeling too self-conscious to date, being unhappy with your natural breasts can affect your day-to-day life in a variety of ways. Overcoming these challenges is another reason why women get breast augmentation surgery. Enhancing and lifting your natural breasts can be liberating in many ways, with many clients reporting feeling more confident and feminine post-surgery.

For more information about breast augmentation surgery, get in touch with Dr. Amira Sanki at Southern Aesthetic. Call or email us to book in your consultation today.

Five brilliant benefits of breast reduction surgery

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Breast reduction surgery is one of the most common procedures that I perform and the procedure that my training plastic surgery registrars ask about most. Why? Because there are so many benefits of breast reduction surgery. At Southern Aesthetic, my team and I get our patients great results by lifting the breast, removing its unnecessary weight and reshaping it to get a prettier, more youthful look.

Why do patients and plastic surgeons LOVE breast reductions? Here are five great reasons.

  1. A breast reduction reduces the weight of your breast.

I know this sounds obvious, but one of the biggest benefits of breast reduction surgery is the removal of weight from the breasts. In my experience, most women have 300-1000g removed from EACH breast during surgery. Have you ever thought that you might be carrying an unnecessary kilo on your chest for the past few decades? Once removed, you will immediately feel lighter. In fact, even my anaesthetist notices a change in our patient’s ventilation pressures during their surgery after the weight has been removed.

  1. A breast reduction lifts the breasts.

Few women are fortunate enough to have large AND perky breasts. Most of the time, the weight of the breast tissue drags the breast skin and nipple down with gravity. Another of the many benefits of breast reduction surgery is that it lifts the breasts higher on the chest. A breast reduction is designed to raise the nipple into a higher position, as well as removing all the low-hanging breast tissue.

  1. A breast reduction produces long lasting results.

While breast production surgery won’t stop your breasts from sagging and aging naturally, since they are no longer as heavy as they once were, they are unlikely to ever go back to their old shape. Women who plan not to change weight or have more children will find that their result has good longevity.

  1. No one will be aware that you’ve had a breast reduction (unless you tell them!)

One of the social benefits of breast reduction surgery is that you don’t have to tell anyone – or explain to anyone – why you’ve opted to have the surgery. Unlike other types of cosmetic procedures, it’s hard to tell that you’ve actually had a breast reduction – although many people will tell you that you look great.

Most of my patients report that people keep asking them if they have lost weight, started going to the gym or have just had a holiday. After a breast reduction, your friends and family will be more aware of the balance in your shoulder-waist-hip ratio.

  1. Breast reduction surgery reduces the relative risk ratio of breast cancer by 2.2!

One of the little-known benefits of breast reduction surgery is that it’ll reduce your risk of getting breast cancer. While this doesn’t mean that you’ll avoid getting breast cancer, there will be less breast tissue that can potentially transform into a breast cancer. Please note that women who have had breast reduction surgery still need to get mammograms every two years.

 For more information about the benefits of breast reduction surgery, get in touch with Dr. Amira Sanki at Southern Aesthetic. Call or email us today to book in your consultation!

Completing your weight loss journey with body contouring sugery

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Wow. You did it. You got motivated and had a gastric sleeve, band or bypass. You saw dieticians and psychologists and personal trainers. You blogged about your journey. The receptionist at the doctor’s rooms knows your entire family history because you see her more than you see your friends.  You dragged your family through the surgery, the fasting, the exercising. And you’re finally done.

You constantly flick through your phone. Staring. Amazed. Was that really me? Your photos and old clothes are the only evidence you have of being large. Huge. Morbidly obese. You’re not morbid anymore. You’re full of life and energy. It makes you smile when people don’t recognize you.
But then they say something that takes all the joy away. You look gaunt. You look too thin. You pack your folds of skin into your spanks and underpants. You strap your skin up so it doesn’t bounce when you exercise. Your arms are a size 16, but your waist is a size 10. You go online to hear reassurance from your Facebook friends that it was still worth it. You are healthy but unhappy.
This is an incredibly common experience that people have once they’ve undergone extreme weight loss. It’s often an emotional and confusing time, as you may have many unexpected consequences that you find yourself facing.
One solution that many of my patients opt for is body contouring surgery.
Body contouring surgery is the final step in the massive weight loss journey. I really enjoy these consultations as my patients are filled with dread and concern about their body, and I provide them with information and reassurance about the predictable results we can achieve.

What is body contouring surgery?

Body contouring surgery encompasses plastic surgery procedures on the arms, chest, breasts, tummy and thighs to remove excess skin and artfully mould the remaining skin and fat into a feminine shape. The goal of the surgery is to achieve a fit and healthy appearance.

How do patients feel after their body contouring surgery?

Our patients describe that after their body contouring surgery, they feel confident for the first time in their lives. They are able to buy clothing that fits comfortably and beautifully. I receive photos every week from my patients in slinky dresses and revealing bikinis showing how transformed they are by their surgery.

There are many physical benefits to body contouring as well. Heavy residual skin folds gather a lot of bacteria and can lead to “panniculitis” or skin and fat infections. Over time, the skin fold can also chronically gather fluid and become very heavy.

What kind of body contouring procedures do I need?

Most patients that lose around 30kgs often only require an abdominoplasty or tummy tuck. Patients that lose over 45kgs, usually require multiple operations. These are staged into 4 to 6 hour segments to minimize the patient’s complications from the anaesthetic and from lying still for too long.

The usual sequence of procedures are a tummy tuck and augmentation, mastopexy (breast implant and breast lift), followed by arm lift and thigh lift. Many patients forget that their face has also aged a lot after their weight loss. A face and neck lift is the best method to deal with facial hollowing and neck skin excess.

What if I’m not sure about body contouring?

Making an appointment to talk about surgical and non-surgical alternatives to help improve your body does not necessarily commit you to going ahead with these procedures. An appointment is a great first step to get a proper body assessment to help determine if plastic surgery is a good option, and also to find out more about the expectations, risks and alternatives of body contouring procedures.

For more information about body contouring surgery, get in touch with Dr. Amira Sanki at Southern Aesthetic. Call or email us today to book in your commitment-free consultation.

5 benefits of a tummy tuck

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A tummy tuck, also known as an abdominoplasty, might sound like a drastic way to reclaim your old body – or even get the body you have never had. Going ahead with surgery is a simple calculation of making sure the benefits of the procedure outweigh its potential disadvantages. Here are five benefits of a tummy tuck, as described by my patients after their tummy tuck procedures.

A tummy tuck flattens your tummy.

Do people ask you how many months pregnant you are? Does your tummy bulge through your clothing? This may be due to separation of your rectus abdominus muscles. The muscles split to allow your baby and uterus to grow during pregnancy. But after multiple babies – or even one or two big babies – the muscles are irreversibly damaged and stay wide open. One of the benefits of a tummy tuck is that it zips the muscles back to their normal position and pushes your abdominal contents back into your abdomen, where they belong! Which brings me to…

A tummy tuck improves your core strength.

This makes perfect sense. If the muscles are restored back to their normal position, they can finally function again. Other lesser-known benefits of a tummy tuck is that it also shows improvement to other bodily functions. Our muscles have been designed to work together. An Australian clinical trial has also shown that women notice an improvement in their back pain and continence after a tummy tuck.

Your undies won’t slide under your tummy roll.

You know the look: you see a woman discreetly sneak her hand to the elastic band of her underpants and slip her tummy back into her nanna pants.
We all like to be held in. We wear Spanx, Nancy Ganz and compression pantyhose to hold our skin down so we can’t feel it flopping about. Other benefits of a tummy tuck are that the procedure gets rid of excess skin from pregnancy and weight loss, so that you won’t need to squeeze yourself back into compression gear.

The scar is neatly hidden beneath your panty line.

Worried about judgment? No-one even needs to know that you’ve had a tummy tuck as the scar will be completely hidden – under even skimpy clothing! How you scar will depend on your genetic history. If your other scars are nice, fine lines then your tummy tuck scar will also hopefully heal well, too.

Your work and family will cope while you are healing.

Many women feel selfish having elective plastic surgery. Finding the right time in your life to have surgery and arranging for others to help manage your family are the two most difficult aspects of planning a tummy tuck operation. Amazingly, partners and children do cope while Mum is out of action. In fact, most women are happily surprised how much support their family and friends give them. It is not selfish to have surgery to improve your wellbeing. You are the important core of your family. If you are happy and healthy, then your family is happy as well.

For more information about the benefits of a tummy tuck, get in touch with at Southern Aesthetic. Call or email us today to book in your consultation.