Procedures Offered


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Abdominoplasty

“Tummy Tuck” refers to removal of excess skin and fat from the abdomen, depending on the degree of the excess skin and fat. The surgery can involve repositioning of the belly button if the extent of skin and fat removed extends to the upper part of the abdomen. Surgery can also involve tightening of the abdominal muscles (six-pack), which spread apart usually following pregnancy and weight gain. The scar is hidden below the underwear line running across the lower abdomen, and the procedure is done under general anesthesia.

Surgery involves at least one night stay in the hospital, physical activity is restricted for a few weeks. Return to usual physical activities can take up to six weeks.

Blepharoplasty (Eyelid surgery)

Eyelid surgery for upper and lower eyelid rejuvenation is different, but aims to restore the youthful appearance of both eyelids. Upper eyelid surgery involves removal of excess skin from the upper eyelid with a scar hidden in the upper eyelid crease. Lower eyelid surgery is usually from inside the lower eyelid and does not involve a scar from the outside. The fat behind the lower eyelid is repositioned to mask the empty appearance caused by the aging process.

Upper eyelid surgery can be done under local anesthetic “while you are awake”, lower eyelid surgery usually requires general anesthesia. Both procedures are day procedures and do not require hospital stay. You may not be able to wear your glasses for a few days, or if you wear contact lenses for at least a week. You could experience some swelling and bruising around the eyes which settle fairly quickly.

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Breast Augmentation

“Breast enhancement or enlargement” involves implant placement to enlarge the size of the breast to a desirable size. The size is discussed and agreed prior to surgery to the nearest cup size, bearing in mind the nature of the breast tissue and the skin. Breast implants are mainly made of silicone gel and can stay in place for years. Revision surgery to address “capsule contracture” or the reaction of the body to the implant is patient and implant dependent. Revision surgery is not uncommon and can be expected at some point in the future following implant surgery, but it is difficult to predict.

Minor degrees of breast enlargement can be addressed via fat injections into the breast “lipomodelling”. Fat is harvested from other parts of the body e.g. abdomen and injected into the breast to enlarge the size. The process can be repeated every few months to give the desirable shape and size.
Breast implants can be positioned either under the breast or the chest wall muscles through a scar hidden underneath the breast. Simple positioning under the breast does not require hospital stay and can be done as day surgery. Positioning under the muscle in thin patients to hide the implant from being visible usually requires one night in hospital. Time off depends on your level of physical activity at work, and return to exercise can be expected around six weeks.

Breast Reduction

Reduction of the size of the breast can help with many problems such as neck pain, shoulder pain, and back pain caused by the weight of the breasts. Surgery involves removal of portions of the breast tissue in geometrical designs while maintaining the nipple and areola attached to the remaining breast tissue.

Different patterns exist for the shape of the external scars, but they are mainly either “T” or “straight” with “key hole” pattern around the nipple and areola. An overnight stay in the hospital is usually needed and time off depends on your level of physical activity at work. Return to physical activity and exercise can be expected around six weeks.

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Breast Lift (Mastopexy)

“Breast lift” involves correction of the drop in the breast tissue following pregnancy and as part of the aging process. Lifting the breast alone may not produce the desirable shape and breast enlargement using an implant or fat injection may be required.

Breast lift is done using similar techniques to breast reduction with similar scar patterns but without removal of breast tissue. Depending on the extend of surgery, an overnight stay in the hospital might be needed. Recovery following surgery is similar to breast reduction procedures, quicker recovery can be expected in minor procedures.

Liposuction

Removal of excess fat from different parts of the body such as abdomen, upper thighs (inner side), buttocks and lower back. This is done through small wounds around the specific area to allow the use of suction cannulas to remove the fat. Different machines use a wide variety of technologies to allow the removal of the fat with minimal damage to the surrounding tissues.

A limit exists on the total amount of fat which can be removed via liposuction in one setting for patient safety concerns. Surgery is usually performed under general anesthesia, unless in small areas which can be done under local anesthesia. Limited liposuction is a day procedure, if combined with other procedures then overnight hospital stay might be needed. Some swelling and very rarely bruising can occur following liposuction. Compression shorts are needed following surgery for a few weeks and exercise can be commenced two weeks following surgery.

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Lipomodelling (Fat transfer/ filling)

Fat is a natural filler and be used to correct areas requiring size enhancement or enlargement. Fat is removed using liposuction from areas such as abdomen and transferred to different body areas.

The process can be repeated and produces natural looking results in experienced hands. Most procedures can be done as day procedures under general anesthesia. Recovery is usually expected after one or two weeks depending on area and volume injected. A change in size is expected after a few months as the new fat settles in and more fat transfer can be repeated.

Rhinoplasty (Nose surgery)

Surgery to correct visible deformities in the nose is complex and requires an experienced surgeon. Careful analysis of the problem prior to surgery and planning of the correct procedure is paramount to achieve the desired results. Ethnic variation in the shape of the nose gives rise to a variety of problems, each requiring a particular procedure to correct.

Surgery is done under general anesthesia and an overnight stay is required, a wide variety of surgical techniques are used. A tailored surgical plan is required for individual patients and can be discussed at length prior to the surgery. A pack inside the nose and a splint over the nose are applied following the surgery. Bruising and swelling of the face are expected and settle after a few days, swelling over the nose may last a few weeks then the result can be observed. You might not be able to wear glasses for six to eight weeks depending on the type of surgery. Return to physical activities and exercise might take up to six weeks.

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Brow Lift

Surgery to correct the position of the brow as it drops down with the aging process. Surgery can be done through an upper eyelid wound or using an endoscope from within the hairline (not suitable for all patients). Surgery can be combined with upper eyelid surgery in separate sessions to rejuvenate the eyelid/brow area.

Careful analysis prior to surgery is paramount to achieving the desired results, different patients may require a variety of procedures. Type of anesthetic, hospital stay, and recovery are dependent on the type of procedure.

Burns Reconstruction

Reconstructive surgery following burn injuries is complex and aims to achieve an improvement to either function or shape. A wide variety of procedures exist for specific problems and concerns. An individual tailored plan for every patient is needed with realistic expectations.

Skin grafts, scar release, tissue expanders (saline balloons), and lasers can be used in burn reconstruction surgery. The timing of surgery is very important in relation to the maturation of the burn scar. Being at the forefront of the innovation in the sub-specialty helps to guide every patient to the best suitable procedure. Type of anesthetic, hospital stay, and recovery are dependent on the type of procedure.

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Scar Revision

Surgical or non-surgical procedures to improve the quality of scars. A wide variety of interventions are available to achieve the desired improvement. Every individual patient requires a different approach, which can be discussed and agreed prior to surgery. Surgical revision, laser treatment or other modalities of treatment are tailored to individual patients.

A realistic outcome for improvement is paramount to individual patient satisfaction and part of every consultation. An innovative approach to scar management is applied to achieve the best possible outcome. Type of anesthetic, hospital stay, and recovery are dependent on the type of procedure.

Thigh Lift

Surgery to remove excess skin and fat from the inner thighs, can be done alone or as part of body contouring following massive weight loss. A longitudinal scar along the inner thigh is needed and can extend to just above the knee.

The surgery is done under general anesthesia and an overnight stay in the hospital is required. Recovery and return to physical activities can take up to six weeks. Compression shorts are usually worn for eight weeks following surgery.

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Total Body contouring after massive weight loss

Surgery involves a combination of different procedures and is done at stages, involving breast reduction, breast lift, abdominoplasty, thigh and arm lifts.

A stable weight for at least six months is required prior to surgery and a tailored plan for individual patients is agreed prior to surgery. Type of anesthetic, hospital stay, and recovery are dependent on the type of procedure.

Laser procedures

Laser procedures involve skin rejuvenation, skin resurfacing, hair removal, tattoo removal, and superficial veins ablation. A variety of machines are available for single or multiple treatment indications.

An experienced medical practitioner in the use of laser is required to achieve successful patient outcomes. Most treatments are done without anesthesia or under local anesthesia as day procedures. Recovery varies according to type of treatment and anatomical area, multiple sessions are usually required to achieve the desired outcomes.

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Non-surgical rejuvenation (Botox and Fillers)

Most common non-surgical procedures involve the use of Botox to induce paralysis of facial muscles hence reducing the appearance of wrinkles. The use of fillers to enhance facial appearance and produce a youthful look is also very common.

Careful facial analysis to identify areas for treatment and agree a treatment plan is crucial to achieve a desirable outcome with a natural look. Sufficient experience and training are a must for every practitioner providing non-surgical treatments in general. Most treatments are done in clinic and information is provided for after care tailored to produce the best natural outcomes.

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