What do I do if I need breast implant removal?

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When you decide to have breast augmentation surgery you should also consider whether the breast implants might need to be removed in the future. The good news is that this it is possible to remove breast implants, and important to keep this option in mind.

There are two main reasons why women choose to have their breast implants removed, including:

  1. They no longer like them, and want smaller breasts
  2. They experience issues such as hardening, rupture, or breast sag.

Other reasons may include having an incidental breast cancer diagnosis, weight gain or lifestyle changes.

So, what do you need to do when you need breast implant removal?

The first step is to go and see your local doctor to retrieve a referral for breast implant removal. Your doctor should also perform a breast screen to check your general breast health as well as the integrity of the implant.

The second step is to prepare for an appointment with a plastic surgeon. It is important to have the original details of the breast implants inserted, this comes in the form of an implant ID card. On the ID card will be the details of the size, brand, and surface of the implant – this will assist in helping plan the next stage of surgery. Ensure that you also bring all scans to your appointment as well.

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. Options to maintain a nice breast shape after implant removal include breast lift, breast fat grafting, new implants or sometimes, nothing at all.

Dr Amira Sanki and Dr Ilias Kotronakis both have vast experience and finest training in breast implant removal and breast augmentation Sydney can offer. They are committed to giving their patients the safest and best treatment available.

Our friendly and experienced team are always at hand to help you, for more information about breast implant removal surgery, call Southern Aesthetics on 02 9186 8105.

How often can, and should, you have plastic surgery?

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Plastic surgery is a broad specialty that focuses on using the finest surgical techniques to restore and enhance the face and body. Undergoing plastic surgery is a transformational, personal decision that supports confidence in the way people see themselves and how the world sees them. However, it is important to understand how often you can undergo plastic surgery.

Is there a physical limit on having plastic surgery?

There is no physical limit on having plastic surgery, as long as you are healthy. Although, most people prefer to separate multiple episodes of plastic surgery by 12 weeks to allow for proper recovery, to get their energy back, build up their red blood cells and go back to work.

How many procedures can I undergo at once? 

The limitation on the amount of procedures that can be done at once comes down to the comfort and safety of our patients. It is vital that we keep the operations to less than six hours, due to the risks of blood clots, reduction in body temperature and pressure sores. Preferably, operations that are combined involve adjacent areas of the body, such as the abdomen and breasts, or arms and breasts.

How many operations would I undergo after weight loss?

A full body and facial plastic surgery makeover are most safely performed in a series of operations of three to seven hours duration each. No two people are the same after massive weight loss, therefore at Southern Aesthetics, your surgical plan will be tailored to you, and the results will reflect your starting position. Typically, plastic surgery after extreme weight loss would include 4 operations:

Operation 1: Tummy tuck and breast surgery

Operation 2: Arm lift

Operation 3: Thigh lift

Operation 4: Face Lift

Is plastic surgery addictive?

A good plastic surgeon guides their patients to help them make the right decisions by balancing the benefits to risk ratio of plastic surgery. Someone who would gain very little from plastic surgery would be cancelled by the risk that outweighs the benefits.

For more information on how Southern Aesthetic, a plastic surgeon The Shire locals trust, can support you in achieving the most out of your procedures, contact us on 02 9186 8105 and one of our friendly team members will be able to assist you.

Is There Still a Stigma Against Plastic Surgery?

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The days of hiding plastic surgery are long gone! The popularity of plastic surgery in mainstream media has taken the once private and tabooed discussions from behind closed doors straight to the palm of your hands on a smart phone through social media and other outlets.

The stigma against plastic surgery came from the sentiment that it is unnecessary and those that receive it are ‘vain’, and admitting to plastic surgery would only be secretly whispered amongst your closest friends. In addition, this stigma also has to do with the fact that there are unqualified surgeons that offer discount rates and quick recovery times, this devalues the process, procedure, and recovery.

The truth is plastic surgery is all about improving body positivity and has a wide spectrum from reconstructive to cosmetic surgeries. However, the distinction between the two branches of plastic surgery is blurred. For example, a young woman may be born with tuberous breast deformity, which results in an unusual tubular breast appearance, making it difficult to wear swimming costumes and clothing. This problem usually requires breast implants and breast surgery for both comfort and confidence. Is it cosmetic surgery if the process makes the patient feel normal and whole?

A significant part of plastic surgery is not just what one sees, but how a person feels. The way people feel about their looks is important, as it plays a major role in how we present ourselves and interact with others. Complexes and insecurities relating to appearance may hinder us in ways in which we sometimes neglect to recognise. So, while it may be taboo to consider plastic surgery in some communities, it is important to remember that it is not only healthy, but important to remind all men and women that is it okay to want to enhance something about yourself.

The philosophy of Southern Aesthetic Plastic Surgery is to treat patients with the highest respect and sensitivity in their lead up to and recovery from surgery. Plastic surgery should not be trivialised, as it still has its risks. It is always important to consult a qualified and experienced plastic surgeon to ensure that the benefits outweigh the risks.

Plastic surgery is a broad specialty that focuses on using the finest surgical techniques to restore and enhance the face and body. For more information regarding plastic surgery, contact Southern Aesthetics, plastic surgeon The Shire locals can trust, on 02 9186 8105.

Plastic Surgery During Covid-19

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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 have their plastic surgery procedures and consultations.

New patients: New appointments for surgery can be organised, 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 and Dr Sanki. In the private hospital system, all urgent (cancer, trauma) AND day surgical procedures are proceeding with extra precautions eg a current negative covid swab for all patients prior to admission. Patients who have non-urgent procedures booked that can be booked as day procedures will be contacted about potentially bringing their dates forward.

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. Our receptionists will guide you through the process of booking your aftercare, emailing standardised photos and setting up your device for a thorough and informative consultation.

COVID-19 safety within the office: The Southern Aesthetic team are vaccinated and are tested twice weekly for your safety. 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, headache, 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. You will require a negative covid swab in the last 24 hours. When you present to the office, you will be asked to check in and use alcohol hand rub before completing a registration form with a clean pen. We ask that all patients present alone. We can organise 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.

Injectables & non-surgical treatments: Our nurse, Shanne Taylor, can be booked for appointments from November. NSW Health is regularly updating changes to non-essential services, and we will open Nurse Shanne’s bookings earlier if the situation improves.

Rescheduling elective surgery and delayed appointments: Currently, we are hoping that the NSW fight against Coronavirus will be successfully in control by November. We will be keeping our delayed 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.

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

What do they mean when they say ‘beauty’ over ‘ageing’?

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Ageing gracefully is about choosing graceful beauty, every decade of a women’s life sees structural changes of the face from the skin down to the bone. For instance, attempting to restore a 50-year-old woman’s face to look like her 20-year-old daughter would seem unharmonious as it disrespects the anatomical changes that a woman’s face is going through.

We believe that plastic surgery should enhance the beauty that our patients already have. At Southern Aesthetics, we ensure that when our patients undergo plastic surgery, it assists in helping them age more gracefully whilst maintaining their youthful beauty.

Here are the most common types of plastic surgery that enhance facial beauty:

Face Lift

A facelift surgery is an operation that tightens facial skin and the underlying muscles. Facelift is a term used to describe a combination of procedures including cheek, eyelid surgery, brow, and neck lift. All these surgeries can be performed separately or together.

Brow Lift

A browlift re-positions and recontours the eyebrows so that they youthfully frame the eyes. A browlift is the term given for many different operations that enhance the appearance of the forehead, eyebrows, and eyes by smoothing wrinkles, repositioning, and reshaping the eyebrows and lifting heavy skin and the outer corner of the eyes.

Eyelid Surgery

Eyelid surgery addresses the aging of the eyelids, which can improve vision and provide a fresher, brighter and more youthful appearance. The signs of ageing around the eye are anatomically complex, however they can display a dramatic and impressive improvement with surgery.

Neck lift Surgery

Neck lift surgery elevates and tightens the skins and the underlying platysma muscle to restore the youthful angle of your neck and sharpen the jawline. All necks age with time, and some age more quickly, which can seem out of proportion with the person’s character. A neck lift is often performed in unison with a facelift to maximise the patient’s improvement in their appearance.

For more information regarding beauty enhancements with plastic surgery, contact Southern Aesthetics, the finest plastic surgeon The Shire locals can trust, on 02 9186 8105.

The History of Plastic Surgery

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The plastic surgery procedures that we see in modern day medicine have evolved over thousands of years. We have witnessed the enhancement of technologies, and the fine tuning of operations.

Here is an overview of the rich history of plastic surgery:

Ancient Egypt

Plastic surgery is at least as old as Ancient Egypt, it came prior to things like anaesthesia and antiseptics by several periods. The Edwin Smith Papyrus is the oldest known medical text that discusses surgical reconstructive procedures after trauma. The reconstructive efforts of the ancient Egyptians gave birth to rhinoplasty, and therefore the text is usually considered to contain the earliest known mention of plastic surgery.

World War I and World War II

Plastic surgery operations have been present for thousands of years to reconstruct people’s faces after trauma. However, the specialty became better defined during World War I and World War II, to help give soldiers back their dignity by restoring the appearance of their face and functioning of their limbs. From this era came the idea that plastic surgery restores body positivity and confidence by improving function as well as appearance.

Many of the modern operations that are undertaken to improve appearance were also born out of operations to reconstruct cancer and trauma. For example, fat grafting was initially devised to fill the defects in peoples faces after explosions had caused major damage to their facial features. In modern plastic surgery, fat grafting is used to enhance women’s breasts, buttocks and faces.

Modern Plastic Surgery

Plastic surgery really started to transform in the 1960’s and the 1970’s, as there were many significant scientific developments during this time. Silicone was a newly found substance that was growing in popularity as a staple for particular plastic surgery procedures. Initially, silicone was used to treat skin imperfections, then, in 1962, Dr. Thomas Cronin created and unveiled a new breast implant devise that was made from silicone. Over the next decade or so, silicone implants continued to be developed for use in various parts of the face and body.

Plastic Surgery Today

It was in the 2000’s that cosmetic surgery saw a rise in popularity, and medical advances have made impossible procedures possible. Due to modern day communications and technologies, we are now able to view information about any kind of plastic surgery procedures from the comfort of our own homes. Currently, the most current trend in plastic surgery is to move towards less invasive procedures designed to warn off any visible signs of aging, including the use of facial wrinkle fillers, most notably, Botox.

At Southern Aesthetics, we are dedicated to keeping the history of plastic surgery alive by achieving outstanding results for our clients. For further information contact Southern Aesthetics, the plastic surgeon the Shire locals trust on 02 9186 8105.

Can I get rid of my breast lift scars?

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The one long term issue that concerns patients thinking about breast surgery is the scaring. Scars after breast lifts will always be present and never completely disappear. However, there are modern creams and techniques that can be used in order for the scars to become barely visible.

How can I reduce scaring after breast augmentation?

Seek a Specialist Plastic Surgeon

First and foremost, it is vital that you carefully consider your choice of surgeon. An experienced surgeon will have good surgical techniques that will reduce the risk of complications known to cause scaring. By choosing a specialist plastic surgeon, you are receiving the very best in surgical techniques and materials, as well as proper guidance and advice on how to look after your wounds post-surgery.

Use Silicone Sheets and Scar Gels

Silicon sheets help hydrate recent incisions. Silicone scar gel and sheets have significant evidence to show they reduce scarring by flattening scars and reducing their redness. Silicone sheets are recommended in non hairy areas that are flat as they gently stick and contour to the wound. They can be used to reduce itchiness and pain right after surgery, and you can continue to use them for a few months.

Scar gels are silicone-based products that can be used without bandages. You can use these after the incisions heal. The main purpose of scar gels is to help reduce the size and colouring of the scars. They are colourless and have a texture similar to baby oil.

Intense Scar Treatments

For scars that are looking thick and pink, we can offer a course of steroid injections or provide referral to an expert dermatologist that offers laser scar management.

At Southern Aesthetics, our specialist plastic surgeon offers the highest level of skills and training in  breast augmentation surgery Sydney locals can trust.  Our surgeon Dr Amira Sanki has extensive experience and training in breast augmentation, including the most advanced and up to date techniques. She is devoted to providing her patients with the safest and best treatments available.

For more information contact Southern Aesthetics on 02 9186 8105 and one of our friendly staff will be able to assist.

What you need to know about breast augmentation and future health?

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Breast augmentation surgery gives a highly satisfying result, with an instant improvement in your appearance and self-esteem.

There are many reasons why women consider a breast augmentation including:

  • You would prefer your breasts to be a larger cup size.
  • Your breasts have shrunk or sagged after pregnancy or breast feeding.
  • The sizes of your breasts are uneven.

Do breast implants last forever?

Breast augmentation surgery gives a highly satisfying result, with an instant improvement in your appearance and self-esteem. While we use the highest quality breast implants available and meticulous surgical technique, it is still possible for problems such as capsular contracture, infection, malposition, and leaks to occur.

These problems can vary from minor to significant enough to require further surgery and even replacement or removal of your implants. Scientific studies have estimated that 25% of women will require revisional implant surgery within ten years of their primary breast augmentation.

Can I still undergo regular breast screenings?

Women with breast implants can have regular screening mammograms. The radiographer will use special techniques to obtain a clear x-ray regardless of the type of implant and where it is inserted. It is also important to note that breast cancer has never been associated with implants.

Can I breastfeed after breast augmentation?

Implants are placed behind the milk glands or under the chest muscles, which does not affect milk supply. Ensure you discuss breastfeeding with your surgeon prior to any surgery so your surgeon can adjust their technique to help maintain your ability to breastfeed.

Our breast augmentation Sydney surgeons, Dr. Amira Sanki, and Dr. Ilias Kotronakis are fully qualified Plastic Surgeons. For more information about breast augmentation and future health, contact Southern Aesthetics on 02 9186 8105 and one of our friendly staff will be able to assist.

Skin Cancer Treatment at A Plastic Surgeon

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Did you know that Australia has the highest incidence of skin cancer in the world? It is estimated that two thirds of people living in Australia will be diagnosed with skin cancer before the age of 70.

Fortunately, skin cancers are readily amendable to treatment in their early stages. At Southern Aesthetic, our patients’ skin surgery can be performed under local anaesthetic in our Kogarah location.  However, all our patients are also offered the option of surgery under sedation or a general anaesthetic to complete their skin cancer treatment in one of our Sydney hospitals.

Patients requiring skin cancer surgery desire 2 things:

  1. A cure
  2. To look good after the procedure is over to move on as if nothing occurred.

Plastic surgeons have both interests at heart – to remove the tumour completely whilst preserving the natural appearance of your face.

Dr Ilias Kotronakis also offers Mohs’ micrographic surgery in conjunction with a professional dermatologist. This is a two-stage skin cancer treatment that offers the highest rate of long-term cure for most SCC or BCC’s with minimal collateral damage to the surrounding tissues. It is the best skin cancer treatment option available in Sydney for patients with tumours affecting aesthetically sensitive parts of their body, for example the nose or eyes.

At Southern Aesthetics, we are dedicated to providing excellent after-care for our patients, including would management and dressings, as well as long-term scare management.

Skin cancer treatment Sydney is of a very high international standard. Plastic surgeons have unique training and techniques to ensure that cancers are completely removed and that the cosmetic result is the most subtle it can be. We will guarantee that every effort is made for you to look as though you have never had surgery.

For more information about skin cancer treatments at a plastic surgeon contact Southern Aesthetics on 02 9186 8105.

How many plastic surgeries can be done at once?

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A lot of people after achieving major weight loss desire to have multiple procedures completed.  The most common operations requested by these patients are abdominoplasty, and mastopexy (breast lift). Brachioplasty, face and neck lift and thigh lift surgery are operations that take a significant second place to abdominal and breast procedures.

How many procedures can be completed at once?

The limitation on how many procedures can be done at once comes down to the safety and comfort of our patients. Clinical trials show that it is crucial to keep the operations less than six hours, due to risks of blood clots, reduction in body temperature and pressure sores. Ideally, operations that are combined involve adjacent areas of the body, such as the abdomen and breasts or arms and breasts.

Therefore, this allows for a person to usually have two areas operated on at once, such as a mummy make over (breast surgery and tummy tuck) or arm lift and breast surgery.

Recovery from multiple surgeries

Limitations also come down to recovery, it does not make sense to complete an arm lift and thigh lift at the same time as it will increase recovery time and decrease the level of comfort and mobility. For example, we recommend procedures such as belt lipectomy and thigh lifts to be completed as stand-alone operations as they generate scars in locations of the body that make it uneasy to move if another part of your body is also recovering from surgery.

Patients who have experienced easy recoveries from other operations such as, hernia repair, gastric sleeve, and caesarean section, can usually tolerate a combination of procedures well. Other factors that allow the prediction of good recovery from longer procedures include high pain threshold and positive attitude.

As a leading female plastic surgeon Sydney can offer, Dr. Amira Sanki understands the difficulties women face when seeking professional surgical opinion. Her surgical expertise ensures that women are well cared for before, during and after the surgeries.

For more information on how Southern Aesthetic can help you achieve the most out of your procedures, contact us on 02 9186 8105 and one of our friendly team members will be able to assist you.