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Meet Dr Pouria Moradi


Breast implant related Anaplastic Large Cell Lymphoma (ALCL)

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The USA FDA have released updated information regarding breast implant related ALCL (Anaplastic Large Cell Lymphoma) 

Following the report, the USA ASPS (American Society of Plastic Surgeons) and ASAPS (American Society of Aesthetic Plastic Surgery) have released a joint advisory statement 

FDA report overview:

The FDA reported that there were 34 detailed analysis of breast implant related ALCL in 2011.

After summarising the MAUDE database, which includes 258 medical device reports (MDR)s, the FDA now estimates that the total number of ACLC cases in the USA to be between 100-250.

USA ASPS and ASAPS believe the risk to women with implants is very low. Breast implant related ACLC ‘is an extremely rare and highly treatable type of lymphoma that can develop around breast implants. BL-ACLC is not cancer of the breast tissue’ – Read more

FDA advice for patients:

The FDA advises that women with breast implants do not need to change their medical care or follow up.

  • Monitor your implants and report any changes to your health care provider: For information on brea exams, see MedicinePlus: Breast Self Exam
  • Continue with your routine mammogram screening
  • Consider periodic MRI scans are recommended to detect ruptures for silicone filled implants as recommended by your health care practitioner

Useful resources:
Reports of Anaplastic Large Cell Lymphoma (ALCL) in Women with Breast Implants: FDA Safety Communication
Anaplastic Large Cell Lymphoma (ALCL) In Women with Breast Implants: Preliminary FDA Findings and Analyses
FDA Advises Women with Breast Implants About Risk of Rare Lymphoma
Questions and Answers about Anaplastic Large Cell Lymphoma (ALCL)
Medical Device Reports of Breast Implants in Women with ALCL

The post Breast implant related Anaplastic Large Cell Lymphoma (ALCL) appeared first on Plastic Surgery Forum - Blog.

Dr Alex Phoon: Face lift or neck lift?

Dr Richard Rahdon: TCA Peel

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Performed by Dr. Richard Rahdon either in conjunction with surgery or at Body Recon Cosmetic Clinic. TCA (Trichloroacetic acid) 35% is the preferred peeling agent and usually this type of peel is reserved for a deep penetration. At these concentrations, TCA peels can help with skin texture, wrinkles and pigmentation.

PSF would like to thank Dr. Richard Rahdon specialist Plastic Surgeon for his input into this video.

View Dr. Rahdon's Profile

The post Dr Richard Rahdon: TCA Peel appeared first on Plastic Surgery Forum - Blog.

Dr Craig Rubinstein: Do I need to wear a bra?

Get to know your surgeon: Meet Dr Robert Drielsma

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Gallery procedure shown above:
Bilateral Breast Augmentation Mammoplasty 

Meet Bondi Plastic Surgeon, Dr Robert Drielsma. With over 25 years experience as a surgeon, we sat down with him to find out more about life as a Plastic Surgeon.

Why did you become a plastic surgeon?
I actually completed training as a general surgeon first but my love of artistry and delicate work drew me towards continuing training in plastic surgery


What are your primary plastic surgery interests and why?
Aesthetic or cosmetic surgery is my primary interest as it appeals to my artistic sensibilities.  My interests focus on facial , breast and body contouring surgeries. 


What do you love most about your job as a plastic surgeon?
Plastic surgery is a challenging and rewarding field to be involved in.  Working with patients to achieve their goals is quite fulfilling and seeing the happiness plastic surgery can bring to my patients is the best feeling.


What is the hardest part about being a plastic surgeon?
Saying no – but very important when necessary

How would your friends describe you?
Probably meticulous and obsessive – pretty common amongst plastic surgeons.

What do you do for fun?
Mainly sporting activity.  I love playing tennis and skiing and getting out on the harbor.

What advice do you have when deciding on a surgeon?
First of all checking he/she is actually a specialist surgeon (FRACS).  Then it comes down to training and experience, recommendation and how one connects at time of consultation.

What are some of your career highlights?
– My paediatric work with cleft lip and palate repair, both in Australia and on interplast trips abroad.

– Teaching and lecturing

What advice do you have for someone thinking about having plastic surgery?
Plastic surgery can offer so much when done safely and skillfully for the right reasons.  It is not however to be taken lightly as any surgery has risks and can result in complications.  It is something you only do for you, no one else and won’t change the way people think about you.  Doing it for the right reasons with the right surgeon is nothing to be afraid of.

Have you ever had to turn patients away due to unrealistic expectations?
Yes, many times.  It is difficult but very important to identify those who are unrealistic and will never be happy with surgery.

What procedures are becoming more popular?
Fat transfer is certainly becoming very popular at present.  I feel it is probably going through an exaggerated wave of enthusiasm at present (I have seen this with many newer techniques over the years).  Fat transfer definitely will play an important long term role but where it will finally settle in its usage may change over the next 10 years or so.

What is your understanding of beauty and how does this relate to your practice?
Beauty is an interesting thing.  Is it personal or universal to our humanity.  If we take individuals from many different races and get a panel to judge their beauty, similar characteristics are deemed beautiful every time.  I believe while in some cases “beauty is in the eye of the beholder”, there is a universal beauty that we as humans are programmed to recognise.  Having a strong sense of what is beautiful is I believe very important to being a plastic surgeon and does definitely affect outcomes of surgery.



 

 

 

PSF would like to thank the Dr. Robert Drielsma for his input into this blog post.

 

The post Get to know your surgeon: Meet Dr Robert Drielsma appeared first on Plastic Surgery Forum - Blog.

Mr Dean Trotter: Breast Reduction

Dr Tavakoli: Internal Bra Technique


Get to know your surgeon: Dr Alan Breidahl

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Gallery image: Before and after liposuction to lower body

As part of our get to know your surgeon series, we did a Q&A with Brighton Plastic Surgeon, Dr Alan Breidahl.

Why did you become a plastic surgeon?
I like surgery as it gives me a sense of satisfaction to help people who come to me with a problem that I can solve with surgery, enabling them to continue being productive and positive with their lives.
I like plastic surgery in particular, because it is the most artistically creative of all the surgical subspecialties and the surgeon is encouraged to take the time to get it right at the first operation.


What are your primary plastic surgery interests and why?
My sub-specialty is Craniofacial Surgery. I worked at the Royal Children’s Hospital in this field for ten years, was President of the Australian and New Zealand Society of Craniomaxillofacial Surgeons and continue this work at the Royal Melbourne Hospital Cleft and Craniofacial Transition clinic and with Operation Smile Australia and Interplast in Vietnam and Sri Lanka.
This work has given me a thorough understanding of the anatomy and surgical techniques in the Craniofacial region, significantly aiding my proficiency in aesthetic rhinoplasty, prominent ear correction, facelift and blepharoplasty.
I also really enjoy liposcultpure and breast surgery as these are very creative fields where I am rewarded with high patient satisfaction levels.


What do you love most about your job as a plastic surgeon?
Both the personal reward of a patient delighted with their results and the actual technical process of performing the operations, where time stands still for me.
I also enjoy developing a good doctor patient relationship, which is why I do all the pre-operative assessments myself, rather than having a nurse performing pre-op assessments.

What is the hardest part about being a plastic surgeon?
Long hours, and finding time to spend with my loved ones.

How would your friends describe you?
At work: particular, demanding, obsessive and dedicated.
At play: cheeky sense of humor, adventurous and playful.

What do you do for fun?
Yacht racing, skiing, travel and dinner with my beloved.

What is your style?
Precise at work, enthusiastic at play

What advice do you have when deciding on a surgeon?
Try and chose a surgeon who has good results, assessing their training (making sure they are FRACS trained and members of ASPS), utilizing advice from your local doctor, friends who’s results you like and the surgeon’s before and after photos.
Also chose one that communicates well with you, informs you of potential problems or complications and that you feel comfortable with.

What are some of your career highlights?
“Achievement” highlights include being asked to be on call for the Queen, Board Member for Operation Smile Australia, international aid work, founding member and President of the Australian and New Zealand Society of Craniomaxillofacial Surgeons, certificates of outstanding service  to the Royal Australian College of Sugeons,  Paul Harris Fellowship (Rotary) and Churchill fellowship.

“Surgical” highlights include performing the first cross leg replant in the western world (taking the right leg of a patient who had cut off both legs with lots of crush injury and replanting it on his left leg); an all day operating list at the Royal Children’s Hospital where I spent the morning remodelling the skull of a 6 month old baby to allow for better brain growth and the afternoon replanting the index finger of a 6 year old child accidentally “pruned” by his mother along with the roses; performing complex craniofacial procedures in Vietnam and Sri Lanka whilst teaching the local surgeons how to do these surgeries on their own.

What advice do you have for someone thinking about having plastic surgery?

Spend the time to make sure your surgeon is properly trained (FRACS and member of ASPS), has good results, communicates well with you and that you feel comfortable with them.
Make sure you understand what can go wrong with the procedure, and how you would cope if that happened to you.
Ensure you allocate the appropriate time for recovery, understand the postoperative instructions and follow them precisely. Be aware that whilst all good surgeons aim for perfection with every patient, perfection is an ideal which is rarely attained.

Have you ever had to turn patients away due to unrealistic expectations?
Several times.

What procedures are becoming more popular and what are decreasing?

In my practice, rhinoplasty, facelift, otoplasty and liposuction are increasing. Breast augmentation is decreasing as patients chase cheaper options in Thailand and with GP “cosmetic” surgeons.
However I believe this will change as awareness grows regarding levels of training, quality of implants used and availability of ongoing postoperative care.

What is your understanding of beauty and how does this relate to your practice?

Beauty to me is intricately related to personality. The one thing I believe nearly every one can do to improve their beauty is to smile genuinely.
This is of course assisted by having good self-confidence and self-esteem; if my surgery improves a patient’s self-confidence and self-esteem, then I have done a good job!



PSF would like to thank Dr. Alan Breidahl, specialist Plastic Surgeon, for his input into this blog post.

View Dr. Breidahl Profile

The post Get to know your surgeon: Dr Alan Breidahl appeared first on Plastic Surgery Forum - Blog.

Dr Timothy Cooper: Rhinoplasty Q&A

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Dr Timothy Cooper is a specialist plastic surgeon with a particular interest in Rhinoplasty. We asked Dr Cooper to answer our burning rhinoplasty questions:

A patients biggest fear is not getting the nose shape they thought. How do you realise the patient’s goals and how do you communicate that?
Communication is the key to achieving a good outcome in Rhinoplasty. It is important to work out what the patients ideals are. This is facilitated with the use of a computerised imaging software. It enables a consensus to be reached with the patient as to what can and can”t be corrected. ie. realistic goals must be established.  It also enables a rapport to be established with the prospective patient.I find patients who come with photos of someone else (often famous), wishing to copy that look, are often unrealistic. If a patient can’t articulate what they don’t like about their nose it does raise a red flag.

 

What is my planning process? To what extent is the patient involved in the planning process?
At the initial consultation I find out what the patient hopes to achieve. If this is technically possible then I will make notes as to how I will do this. This process is aided with the use of standardised anatomic diagrams. Some surgeons will routinely measure things. Others will use artistic judgement in making operative decisions. I prefer the latter method. Preoperative images displayed on the computer screen during the procedure are an aid.

 

Who is a good rhinoplasty candidate?
A patient who can articulate what they want corrected is often a good start. They must be psychologically stable and understand that the operation is not going to dramatically change their life or how people perceive them. They must have realistic expectations as to what the surgery can achieve

 

Who is a bad rhinoplasty candidate?
The inability to articulate what they don’t like about their nose is problematic. Conversely, patients who present with architectural design drawings are also likely to be poor candidates. Anyone undergoing a concurrent life stress such as a divorce should be advised to defer any decision to undergo such a procedure.
If the degree of deformity is out of proportion to the patients concern then that is also a red flag.

  

What about function in rhinoplasty?
Breathing is often compromised in rhinoplasty patients and should be assessed preoperatively. CT scans may be ordered preoperatively to assess the internal airway. Sometimes it is necessary to correct a crooked septum or bulky turbinates at the time of the procedure. Breathing may be compromised in the early post op phase but should improve within weeks.

 

How does a patient choose a rhinoplasty surgeon?
Peter Callan articulates this well in his video presentation on PSF – view here. It is worth doing your homework when choosing a surgeon. Look closely at their experience and qualifications. They should be an FRACS in either Plastic or ENT Surgery. Rhinoplasty surgeons tend to advertise their special interest. Online reviews may help. Don’t hesitate to seek a second opinion, especially if you can’t establish a rapport with the Doctor.

 

Can any Plastic or ENT Surgeon do rhinoplasties?
The short answer is no. Many choose not to do rhinoplasties because it takes considerable extra training to perform well. If the problem is more functional than aesthetic then patients may be better served by seeing an ENT surgeon. I don’t hesitate to cross refer to an ENT colleague if the airway compromise is difficult.

 

What to expect after surgery?
Prior to discharge nasal packs are often removed as they are uncomfortable and interfere with breathing. Splints are usually removed at 5 days, along with sutures. There may be some bruising around the eyes following osteotomies. This settles rapidly. Breathing may be compromised for some weeks. Once the splints/ tape are removed the final shape will become apparent but I advise patients to not be too critical initially as the swelling takes ages to settle. I sometimes tape the nose for an extended period to control swelling. 

 

What happens to the nose long term?
The nose swelling subsides over many months. The shape becomes better defined although shape anomalies may become more evident over time eg. inverted V deformity of bridge.

  

How long after Rhinoplasty should a revision be considered?
I tell all my patients that a revision may be necessary as minor shape issues are very common postoperatively. Even experienced surgeons have revision rates of at least 10%. If a revision becomes necessary then it can be done at anytime. Conventional wisdom is to wait at least a year to do a revision but I don’t subscribe to this philosophy. It is important to discuss with your surgeon who pays if a revision becomes necessary prior to undertaking the original surgery.

 

What about closed vs open rhinoplasty?
Most surgeons will use an open approach in the majority of cases. It is more predictable in outcome as exposure of the anatomy is excellent.

What’s a Septoplasty?
The septum is the central cartilage pillar of the nose. It can often be crooked following trauma and this can interfere with the airway. It can be straightened during the operation and often cartilage is harvested for internal grafting.

 

What about fillers in the nose?
I use fillers in the nose for minor tip or dorsal defects. These are Hyaluronic Acid products which are proven to be safe if injected in the correct plane. I don’t use any permanent fillers. HA products often last a lot longer in the nose than the rest of the face.

 

Tim Cooper Plastic Surgeon
PSF would like to thank Dr Timothy Cooper, specialist Plastic and Reconstructive surgeon for his input into this post.

View Dr. Cooper's Profile

The post Dr Timothy Cooper: Rhinoplasty Q&A appeared first on Plastic Surgery Forum - Blog.

5 tips to help your post op recovery

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No matter what surgery or procedure you are undertaking, here are 5 tips that we promise will help you with your recovery

  1. Follow your surgeons post op instructions:
    Well duh captain obvious is what some of you are thinking, but you will be surprised how hard this advice can be to follow. Often we feel fine after surgery (hello pain medication) and think we can do things that our body is not ready for. Follow your surgeons post op advice to the tee. If that means resting up in bed instead of hitting the shops then you are going to have to suck it up – overdo it and you might cause yourself some pretty difficult complications like infection, bleeding and delayed healing. No one wants that.

  2. Food for thought: or should that say, food for healing. Now is not the time to be indulging in those KFC zinger burgers no matter how good they are. Eat right to feel right. Get started on this during your pre op preparations and you will be grateful you made the effort. Check out our blog for freezer friendly meals that will aid your recovery after surgery – Click Here

  3. On the move: So you have just had surgery and you may feel like super sleuthing it around, hey we get that, but a light walk is usually advised. Gentle walking can help prevent deep vein thrombosis (DVT) and can also help get those bowels moving – and if you have ever been on pain medication, you will know how important that is.

  4. Help on hand: Home help is a necessity for those early post op days. You should not overdo it and you will certainly need your own personal post op lackey on hand to provide help with those seemingly mundane every task and even the little things like helping you stay on top of your pain medication.

  5. Attend your follow up appointments: Yeah yeah I know, captain obvious is back again but seriously guys and gals, attend your post op appointments. This is where any minor issues can be picked up before they become major issues and more importantly. After care post surgery is super important so make the time and effort for all your follow ups.

The post 5 tips to help your post op recovery appeared first on Plastic Surgery Forum - Blog.

Dr Pouria Moradi: Abdominoplasty

Dr Alex Phoon: All about VECTRA 3D

Get to know your surgeon: Meet Dr Mathew Peters

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As part of our get to know your surgeon series, PSF sat down with Dr Mather Peters.
Dr Peters along with Dr Raymond Goh are the two talented surgeons who established Valley Plastic Surgery in Brisbane.

We hope you enjoy getting to know Dr Peters as much as we did.

Why did you become a plastic surgeon?
I was drawn to plastic surgery in the first place because it afforded me the opportunity to make a real difference not only in my patient’s physical wellbeing, but also their mental health.  The type of problems my patients present with genuinely affect them in very personal ways; I find myself having to be quite creative to solve the problem at hand to achieve the desirable outcome for my patient, a situation that no other medical specialty encounters.


What are your primary plastic surgery interests and why?
I have a particular interest in aesthetic and reconstructive breast surgery.  I find it incredibly rewarding, in terms of the challenge due to the complexities of the surgery itself, but also because of the rapport that I am able to build with my patients.  I find that I am often given an insight into their ‘surgical journey,’ which is quite a personal thing –  they arrive with a feeling that their problem is insurmountable and yet leave stronger than they ever were before.


What do you love most about your job as a plastic surgeon?
The people I work with and the people that I work on.  Everyone has a story to tell – apologies if it causes delays in my waiting room!


What is the hardest part about being a plastic surgeon?
The stress I put on myself to do a good job.  I hate it when things don’t turn out exactly how I want it to.

How would your friends describe you?
I had to ask them this – ‘busy but always there,’ ‘good sense of humour,’ ‘particular about how I do things,’ ‘nice teeth.’ 
We have to agree with Dr Peters friends on this one. He has lovely teeth :)

What do you do for fun?
I have three kids (10, 8 and 2) so whatever they are in to at the time Currently I enjoy making wrist bands, cricket, and playing with kupie dolls.

What is your style?
An up to date traditionalist

What advice do you have when deciding on a surgeon?
I would go with someone who has a good reputation but with whom I am able to develop a good rapport with.  You need to be able to trust that your surgeon will do a good job, but you also need to feel comfortable enough to tell them what you want, and don’t want.

What are some of your career highlights?
Interesting question.  Being made Director of the Department of Plastic Surgery at the Royal Brisbane and Women’s Hospital is one of them.  Establishing a private practice, seeing it grow, all whilst being part of a household where my wife is a surgeon as well and we have three kids to wrangle… highlights abound

What advice do you have for someone thinking about having plastic surgery?
Be very particular about what is you want to achieve but be very realistic about what is actually achievable.

Have you ever had to turn patients away due to unrealistic expectations?
Yes, but not often.  Most people that I see have put in quite a bit of thought and effort prior to seeing me – sometimes they’ve even read the same textbooks!  They are usually aware of what the procedure involves and what outcomes can be achieved.

What procedures are becoming more popular and what are decreasing
Dual plane breast augmentation trying to achieve a ‘natural look’ is definitely in vogue at the moment.  Requests for breast reduction surgery are increasing, probably due to recent media attention at the Oscars Tummy tucks are always popular.  Patients presenting for breast reconstruction are asking about ‘air expanders,’ and immediate autologous reconstruction with contralateral symmetrisation is on the rise.
Decreasing??  Haven’t had anyone ask for the ‘push-up bra’ look for quite a while…

What is your understanding of beauty and how does this relate to your practice?Beauty is carrying what you’ve been given, in style.  How this relates to my practice? Making what nature has given you a little bit better is best; striving for large changes is disastrous. 



PSF would like to thank Dr. Mather Peters for his input into this blog post.

View Dr. Peters Profile

 

The post Get to know your surgeon: Meet Dr Mathew Peters appeared first on Plastic Surgery Forum - Blog.

Baby got back: All about the Brazilian Butt Lift

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Credit: Kim Kardashian on the front of Paper. Photograph: Paper

Sir Mixalot was already onto it back in 1992 with his “baby got back” hit. Move over big boobies, Kim Kardashian and her big booty are changing the cosmetic surgery landscape.

Dr Kourosh Tavakoli, one of Australia’s most experienced BBL surgeons says “The Brazilian Butt Lift or BBL is a procedure that has been redefined and reinvented over the past three years and mainly as a result of a cultural shift in the way we view a beautiful body”.

According to the 2015 statistical data from the American Society of Plastic Surgeons, BBL surgery with fat graft is up 28% over the previous year. Surprisingly, breast augmentation surgery was down 2% over last year’s numbers.
Dr Tavakoli believes that there is a “change in emphasis from big breasts to a more rounded body with harmony between the breasts and the lower body, with a small waist.”

Dr Tavakoli's patient had 480mls of fat transferred to each buttock cheek

Dr Tavakoli’s patient had 480mls of fat transferred to each buttock cheek

So what actually happens with a BBL procedure?

Dr Tavakoli explains that during the procedure, the waist is reduced, the legs sculpted and the excess fat that is removed from these areas is then processed, purified and injected into the buttocks in order to create roundness and projection.

“We reduce the waist (love handles) and the bottom of the buttocks. Collectively all the fat harvested from those regions is placed in the buttocks as a fat graft.”

Given that the patient’s own fat is used to inflate and shape the derriere, it’s not surprising to hear that not everyone is eligible for this procedure.

Dr Tavakoli says that prospective patients can be placed into two categories; Those with enough adipose tissue that can be sculpted into the desired shape and those who are naturally slim with low body fat. In this latter patient, fat grafting does not apply and a silicone prosthesis or buttock implant must be used. “This has its own set of challenges and complications” warns Dr Tavakoli. “The reason fat grafting has come about and become main stay is because we now know that traditional buttock implants have not been successful”.

Of course, everyone wants to know how long the results last. With varying information out there, Dr Tavakoli explains that “the permanency of fat grafting in the body (face, breast and buttock) is highly debatable and not a clear science”. Despite this, the consensus is that by 4-6 weeks the fat has to be taken or dissolve and be excreted by the body.
There does however, exist a disparity amongst surgeons as to whether or not there is also a gradual decrease. Dr Tavakoli believes if the fat has taken at 6 weeks, has a blood supply and circulation, then it is unlikely to reabsorb at 1 year.
Kylie, a BBL patient of Dr Tavakoli says at 12 months post op “I’m absolutely in love with my results”.

“The world of fat grafting is expanding rapidly around the world. Of course there are mitigating factors which are still unknown.” Dr Tavakoli explains, but “my patients keep around 75% of the fat injected”.

Dr Tavakoli believes patient selection is vital.
“The patient has to have an adequate amount of fat so when we take them to surgery you are not traumatising the fat upon removal. The moment you traumatise the fat or it doesn’t come out easily the game is lost”.

Following patient selection, surgeon skill, experience and patience is crucial.

“The surgeon needs to have a high level of patience” he explains. “You need to first take the fat, patiently purify it and meticulously load it into syringes in a non traumatic fashion”.

Then it matters how the fat is injected.

“The surgeon must inject the fat in small amounts, then using a massage  technique to spread the fat evenly  which promotes contact with blood supply.”

Dr Tavakoli believes the surgeon also needs to have “the skill and experience to over inject and allow 30% reduction” in order to maintain the desired results for the patient.

Finally, post operative recovery is just as important.
Smoking and infection can impact on the viability of the fat transfer.
Similarly, patients are advised not to exercise too soon following surgery as this can cause reabsorption of  the fat and can also cause strain between the skin and the muscle.

Patients are also curious as to what volume increase they can expect to achieve through BBL surgery. There are a multitude of examples on the internet that show the extremes a la Kimmy K and Nicky Minaj.

Photo credit: NIcki Minaj instagram

Photo credit: NIcki Minaj instagram

Dr Tavakoli believes caution should be exercised when determining how much fat to inject. “Injecting too much fat can increase the risk of complications to the patient”.
In his practice, Dr Tavakoli concentrates on volume levels around “400-500mls per buttock cheek”. Around 800-1000mls in total is “my comfort zone, I would not want to go any higher or any less.  I believe this is to avoid  disappointed patients after the initial volume reduction of around 30%.”

So is the Brazilian Butt Lift worth it? It is if you ask Kylie “I’ve always had a flat bum and now I don’t…this surgery was the best thing I have ever done for myself”. For Kylie the procedure was relatively pain free and she was “feeling back to my normal self in a matter of days”.

Happy patients aside, this is still major surgery, requiring the use of general anaesthetic and a qualified plastic surgeon. Any kind of elective cosmetic surgery should not be taken lightly and patients need to be aware of the risks and benefits of the surgery before they make their decisions.

So what advice does Dr Tavakoli have for those thinking about this surgery?

“BBL is a great procedure for those wanting to enhance their body shape and create curvature of the buttocks. Watching my patient’s BBL journey from start to finish is most rewarding. I encourage all BBL patients to combine exercise and a healthy diet to maintain and maximize results.”


Dr. Tavakoli
PSF would like to thank Dr Kourosh Tavakoli, Cosmetic Plastic Surgeon for his input into this blog post.

 

View Dr.Tavakoli Profile

The post Baby got back: All about the Brazilian Butt Lift appeared first on Plastic Surgery Forum - Blog.


Dr Eddie Cheng: Implant profiles

Q&A with Dr Andrew Greensmith

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PSF sat down Dr Andrew Greensmith, Keynote Rhinoplasty Surgeon at the Advanced Aesthetic Workshop 2016

1. How did your interest in rhinoplasty develop?
2. How do you arrive at a goal for your rhinoplasty patient?
3. To what extent is the patient involved in the rhinoplasty planning?
4. Who is a good candidate for Rhinoplasty?
5. What should we know about rhinoplasty before we have the procedure?

 



PSF would like to thank Dr. Andrew Greensmith for his input into this blog post.

View Dr. Greensmith's Profile

 

The post Q&A with Dr Andrew Greensmith appeared first on Plastic Surgery Forum - Blog.

Mona Lisa Touch: Can a laser really help you down there?

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No matter your age, if you have had children your likely to understand the concepts “stress incontinence” “stress urgency” and “skin laxity” when it comes to our post partum hoohas!
For those who don’t, lucky you!!!

The Mona Lisa Laser is touted as an advanced laser for “vaginal rejuvenation” whatever that means.
Its shown to have a high effectiveness rate and has next to no down time, making this an attractive, non surgical alternative for post-childbirth or post menopausal women.

So what exactly does the Mona Lisa treat?
Well, the Mona Lisa Laser is marketed as a “revolutionary treatment for vaginal atrophy or ageing”.
The symptoms of vaginal atrophy are listed as:

1. Vaginal dryness or itchiness
2. Burning sensations and irritations of the vagina
3. Fissuring of the opening of the vagina
4. Pain during sexual intercourse (Dyspateunia)
5. Vaginal pain

Its not like monthly menstruation from our early teens are not a massive inconvenience, I guess its another thing for us women to look forward to hey.
According to the MonaLisa Touch website, more then 40% of menopausal and post menopausal women will suffer some of the symptoms associated with vaginal atrophy. GREATTTTTTT!!!
But there are another category of woman who are flocking to try the MonaLisa:  Mums.

Apparently the Mona Lisa can also help with common post pregnancy and childbirth symptoms. I am sure most mums reading this know what I am talking about and if you don’t, go jump on a trampoline for five minuets and then come back and finish reading this :)

When Dr Craig Rubinstein from Cosmetic Surgery for Women in Hawthorn Victoria invited PSF to learn more about this new treatment and being the awesome crash test dummies that we are, we have summarised the whole process for you.

The consultation:

Before you can treated with the MonaLisa touch laser, you will participate in a consultation process that goes for roughly 15 minuets. You may be given a questionnaire to rate your symptoms on a severity scale of 1-10.
Following this, a proper inspection of your nether regions is essential. The doctor needs to determine that there are no other causes for you symptoms such as a vaginal prolapse which cannot be treated with the MonaLisa laser.

The treatment:

With everything all hunky dory, the Dr then must remove all remnants of moisture from inside your lady parts. This can be uncomfortable but if you have ever had a pap smear (which you all should have), that is way worse.

Once you are all prepped, the laser will gently be inserted into the vagina. This can be uncomfortable but should not be painful. The treatment itself should last no more then 10 mins and then your on your way.
The MonaLisa is marketed as having no downtime and this was certainly our experience. You will however need to abstain from intercourse and tampons for 5-7 days post treatment.

Results:

It is recommended that you have at least 3 treatments, one month apart. The results are meant to be long lasting but some women may go for top up treatments every 12-18 months if needed. 

For the women out there reading this, our first piece of advice is do your kegel exercises but if your like me and it just isn’t cutting it, then you may want to see if the Mona Lisa Laser might work for you.

Treatment prices can vary greatly from clinic to clinic so shop around.

You can find out more about the MonaLisa at www.monalisatouch.com.au


Dr. Craig Rubinstein
PSF would like to thank the ‘Cosmetic Surgery For Women‘ and Dr. Craig Rubinstein for their input into this blog.

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The post Mona Lisa Touch: Can a laser really help you down there? appeared first on Plastic Surgery Forum - Blog.

In theatre with Dr Tavakoli: Tuberous breast correction

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