Introducing plastic and reconstructive surgeon, Dr Rohit Kumar from Sydney Cosmetic Sanctuary.
Cosmetic Journey would like to thank Dr Rohit Kumar, Plastic and Reconstructive Surgeon for his input into this blog post.
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Cosmetic Plastic Surgeon Dr Kourosh Tavakoli discusses the spectrum of tuberous breast deformity, the causes of tuberous breasts, and treatment options.
*Dr Tavakoli is a specialist cosmetic plastic surgeon who has performed over 6000 breast procedures
Cosmetic Journey would like to thank Dr Kourosh Tavakoli, specialist Cosmetic Plastic Surgeon for his input into this blog post.
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If someone says the words “cosmetic surgery”, what tends to come to mind is nose jobs and liposuction. However, what many people don’t know is that there are many types of necessary procedures that fall under the cosmetic bracket. Whether reparative (such as in the case of an extreme injury or burn) or preventative (post-mastectomy reconstructions), these operations are often medically necessary, but they can still be expensive.
How is it defined?
Firstly, reconstructive plastic surgery is usually the phrase used to describe medical procedures that are completely essential and not elective. These procedures are typically performed with the purpose of correcting congenital or acquired abnormalities or repairing trauma-caused damage.
How much does it cost?
It’s important for people to know and understand the costs involved before committing to any kind of medical procedure, even if it’s just day surgery. What’s concerning is that so many Australians think that surgery in Australia is so unaffordable that they seek medical treatment overseas. While cosmetic surgery can be extremely costly, what many Aussies don’t know is that there is a range of surgeries that are eligible for a rebate under both Medicare and the private health system.
What can you claim on your private health insurance?
If you have comprehensive hospital cover, any medically necessary procedure you undergo should leave you eligible for reimbursement. These can include:
How can you get the best value?
If you already have private health insurance or you’re taking out a new policy, don’t be too quick to remove cosmetic surgery cover from your package. It’s something that may cross your mind later and you might wish you left it included. On the other hand, if you’re considering surgery while reviewing your health insurance policy, think about whether you’ll have to serve out a waiting period. If your surgery is elective and not deemed to be medically urgent, there may be more value in waiting than having the procedure done as soon as possible.
What about Medicare?
Unfortunately there are more than 1,600 items and procedures listed on the Medicare Benefits Schedule where you will be unable to receive full coverage. Generally if a procedure is medically necessary or required as part of a treatment for a bigger issue, Medicare should cover various aspects, such as operating theatre costs in public hospitals, required surgical consultations and the actual surgery. You can visit the ombudsman’s website to find out more information.
There is a huge range of cosmetic surgeries that are looking to dominate in 2017. As long as you know the ins and outs of the costs involved, you shouldn’t have a problem.
Bessie Hassan is an Insurance Expert at finder.com.au, Australia’s most visited comparison website.
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Cosmetic Journey caught up with Dr Peter Callan and Dr George Marcells at the 2016 Masters Symposium in Sydney to talk about the deep plane facelift.
Watch the Q&A to find out what a deep plane face lift is and why many feel its a superior method to facial rejuvination.
PSF would like to thank Dr. Peter Callan who specialises in ‘rhinoplasty’ for his input into this video.
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Dr Rohit Kumar, Plastic Surgeon at Sydney Cosmetic Sanctuary talks to Cosmetic Journey about Vectra 3D imaging.
Cosmetic Journey would like to thank Dr Rohit Kumar, Plastic and Reconstructive Surgeon for his input into this blog post.
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Leading Plastic Surgeon, Dr Kourosh Tavakoli recently invited Cosmetic Journey into his operating theatre to show you how a Brazilian Butt Lift is performed.
Click here to request a consultation with Dr Kourosh Tavakoli.
Cosmetic Journey would like to thank Dr Kourosh Tavakoli, Leading Plastic Surgeon for his input into this blog post.
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So you have decided you want to have a mummy makeover, but how long should you wait after the birth of your last child before having the procedure
Dr Rohit Kumar, Plastic Surgeon at Sydney Cosmetic Sanctuary explains the ideal time to wait and why.
To find a qualified Plastic Surgeon who performs this procedure, click here:
Cosmetic Journey would like to thank Dr Rohit Kumar, Plastic and Reconstructive Surgeon for his input into this blog post.
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Dr Kourosh Tavakoli takes us into his operating room to see how a labiaplasty and vaginaplasty are performed.
Click here to find out more about this procedure.
Cosmetic Journey would like to thank Dr Kourosh Tavakoli, specialist Cosmetic Plastic Surgeon for his input into this blog post.
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Pulling into the swimming pool car park, you breathe a sigh of relief. From a busy morning at work, you’ve finally made it to your children’s primary school swimming carnival! You make the effort to get to these events because you remember how important it was to you when you saw your mother cheering you on.
With three races each and two blue ribbons, your children are beaming with joy. In the change rooms after the carnival, they chatter excitedly with their friends. Out of the corner of your eye, you see a young mother with her baby getting ready a swim. You smile at her as you remember how you did the same thing when your children were that young.
But your smile turns into a frown when your eldest child yells loudly, “mummy, why has that lady over there with the baby got saggy and droopy boobs?” Glowing with embarrassment, you apologize to her for your rude child. Instead of being upset, she says, “I know they’re saggy and droopy, which is why I’ve booked myself in for breast lift surgery…this is my last child, and I can’t bear to have my nipples so low anymore!”
A breast lift also called a mastopexy is a surgical procedure that raises and reshapes sagging breasts by removing excess breast skin. A breast lift can also add volume to the breasts, which may have been lost because of genetics, pregnancy, breastfeeding, weight change or ageing. During a breast lift procedure, the areola and nipple can be shifted to a higher position.
Important things to know about breast lift surgery:
Ideal candidates for breast lift surgery are healthy and emotionally stable women with realistic expectations about what breast lift surgery can achieve. It’s very common for breasts to droop after losing weight, pregnancy and breastfeeding.
Not every patient seeking a breast lift needs or wants breast implants, their need depends upon the specific goals and preoperative shape of the breast. If your breasts are small or have lost upper pole volume after pregnancy, breast implants inserted in combination with a breast lift can increase both your breast size and upper pole fullness.
There are a number of different surgical techniques used for lifting and reshaping women’s breasts. Three major types of breast lifts include:
1. The donut, Benelli, or circumareolar breast lift. This technique achieves a lift by creating a donut-shaped incision around the areola. This technique is used to correct mild breast sagging.
2. Lollipop or vertical breast lift. This technique involves incisions being made around the areola that extends downward. It is used to correct moderate to severe sagging breasts.
3. The anchor breast lift. This technique starts with lollipop incisions, and then adds a horizontal incision along the breast crease. It is used in more extreme cases of breast sagging
Breast lift surgery is performed under a general anaesthetic and usually takes about 90 minutes. You may also have injections of local anaesthetic to help with the pain after the operation. To reduce the risk of infection, you may be given antibiotics during the operation. Your surgeon will usually insert drains (tubes) in the cuts to help your wounds to heal. They will usually close the cuts with dissolvable stitches. To support your breasts after surgery, they may be wrapped in bandages.
Breast lifts are an outpatient procedure, but some women prefer to stay in hospital overnight. It’s important to have someone to drive you home and monitor your recovery for the first one to two days after the surgery. You can find out more details about breast lift surgery here.
After your breast lift surgery, you’ll be given medication to limit any pain and nausea. Drain tubes will be removed once the seepage ceases, usually within a few hours. An intravenous drip will be removed once you can take fluids by mouth.
At home, it’s important to rest and take your medication for pain as directed. Heavy lifting and strenuous exercise should be avoided for up to six weeks, but you should walk daily. A light pressure bra or sports bra gives support in the first few weeks after surgery. One to two weeks off work is usually sufficient depending on the occupation.
You can usually resume driving after you’ve stopped taking strong painkillers – usually 5 to 7 days after the operation. It will take at least 4 months for the breast to settle into its new form and at least 12 months for the scars to fade.
Any surgical operation brings complications of anaesthesia. Your anaesthetist will be able to discuss with you the possible complications of having an anaesthetic.
Specific risks and complications from a breast lift procedure include:
Find out more about the risks and complications of breast lift surgery here.
Your Breast Surgeon will carry out a detailed assessment before deciding if breast lift surgery is suitable for you. This may include taking photos for your medical records. They’ll also examine your breasts and ask you questions about your medical history.
Your surgeon will also ask you if you are planning to lose a lot of weight. It may be better to lose the weight first before having surgery. It’s important to let your Breast Surgeon know if you are pregnant or planning to become pregnant in the future. Pregnancy can change the size and shape of your breasts and may affect the long-term results of surgery
Breast lift surgery is usually safe and effective but complications can happen. You need to know about them to help you to make an informed decision about surgery. Knowing about them will also help to detect and treat any problems early.
Do you want a breast lift surgery but also want implants? If you feel your breasts are smaller than you would like or they don’t suit your body, you could elect for Breast Lift surgery with Breast Augmentation.
Breast lift surgery is a cosmetic operation to improve the shape of your breast. You should consider the options carefully and have realistic expectations about the results. You can find the best Breast Surgeons in Australia here.
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As you sit waiting for the physiotherapist you know that something has to change. For the last few months you’ve seen them every week for your back and neck pain. You’ve always had large breasts that have caused some neck pain, but since your last pregnancy it has become worse. And it’s not just impacting your posture. You really want to get back into regular running, but when you do try to run, it’s uncomfortable.
During your treatment, you ask the physiotherapist about other options. And that’s when you hear all about the benefits of breast reduction surgery. They tell you that breast reduction surgery has helped many of their patients by:
Breast reduction surgery, removes excess breast fat, glandular tissue and skin to relieve the physical discomfort associated with overly large breasts. Having breast reduction surgery will make your breasts smaller and with an improved shape.
Women who are suitable for breast reduction surgery have naturally large breasts and experience a variety of problems from the weight and size of their breasts, including back, neck, and shoulder pain, and skin irritation.
You may be a good candidate for breast reduction surgery if:
If you’re planning to lose a lot of weight, it may be better to lose the weight first before having breast reduction surgery. It’s also important to let your Breast Surgeon know if you are pregnant or planning to become pregnant in the future. Before deciding if breast reduction surgery is suitable for you, the Breast Surgeon will carry out a detailed assessment.
Breast reduction surgery is performed under a general anaesthetic and usually takes about 90 minutes. You may get injections of local anaesthetic to help with the pain after your operation. To reduce the risk of infection, you may be given antibiotics during the breast reduction operation. After surgery, your breasts may be wrapped in bandages for support.
Breast reduction surgery methods include pedicle procedures, nipple graft procedures, liposuction procedures and combinations. The most common surgical technique to reduce breast volume requires three incisions. One around the areola (a periareolar incision), another incision that runs vertically from the bottom of the areola to the crease underneath your breast, and a third incision following the natural line of your breast crease. Read more about the types of breast reduction procedures here.
It will take around four months for your breasts to adjust to their new form and can take a year or more for the scars to fade. If you genetically take a long time to heal, you may have visible scars for life.
If your body shape changes a lot or you have more pregnancies, after your breast reduction surgery, you may need to have a breast lift, breast augmentation or a further breast reduction.
Breast reduction surgery is very effective at reducing a large breast to less than a C cup. Many women who need a breast look more natural with at least a C cup. It’s vital that you discuss this carefully with your Breast Surgeon as a smaller breast reduction, may result in badly shaped breasts that have noticeable differences between them.
After your breast reduction surgery, you’ll be given medication to limit any pain and nausea. Most breast reduction surgery will not require drainage tubes. Recovery and pain will vary from patient to patient. If you do feel pain it will respond well to pain medication. Driving can be resumed once you are comfortable, can react quickly if necessary, and are not taking strong painkillers. This is normally within five to seven days.
Most breast reduction surgery patients stay overnight in hospital with most women taking one to two weeks off work. After your surgery, to avoid putting pressure on your breasts you may be advised to sleep on your back.
Wearing a light pressure bra or sports bra will give you support in the first few weeks after breast reduction surgery. For at least six weeks following the breast reduction procedure, it’s important to handle your breasts gently. It is recommended that you avoid heavy lifting and strenuous exercise for up to six weeks.
Any surgical operation brings complications of anaesthesia. Your anaesthetist will be able to discuss with you the possible complications of having an anaesthetic.
General complications of every surgery include:
Specific risks and complications from breast reduction surgery include:
You can read more details about the risks and complications of breast reduction surgery here.
Your Breast Surgeon will carry out a detailed assessment before deciding if breast lift surgery is suitable for you. This may include taking photos for your medical records. They’ll also examine your breasts and ask you questions about your medical history.
Breast reduction surgery to make your breasts smaller is only suitable for certain women. It’s important to consider the options carefully and have realistic expectations about the breast reduction results. While breast reduction surgery is usually effective and safe, complications can occur. Knowing about the risks and complications of the surgery is vital.
We suggest you make a shortlist and consult with a few Breast Reduction Surgeons. You can find the best Australian Breast Reduction Surgeons here.
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Thinking about breast reduction surgery?
Dr Rohit Kumar, Plastic Surgeon from Sydney Cosmetic Sanctuary talks us through all things breast reduction.
Cosmetic Journey would like to thank Dr Rohit Kumar, Plastic and Reconstructive Surgeon for his input into this blog post.
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Plastic and Reconstructive surgeon Dr Mansoor Mirkazemi talks about breast reconstruction surgery.
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Plastic and cosmetic surgeon, Dr Benjamin Norris talks to Cosmetic Journey about the consultation process for cosmetic surgery.
Cosmetic Journey would like to thank Dr Benjamin Norris, Plastic and Cosmetic Surgeon for his input into this blog post.
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We have all heard the term ‘designer vagina’ when referring to the labiaplasty procedure, a cosmetic procedure that reduces the size and shape of the labia for aesthetic or functional reasons.
In this video, Dr Tavakoli explains the vaginaplasty procedure, often performed in conjunction with labiaplasty, who is a suitable candidate and the results you can expect to achieve as a result of this surgery.
Cosmetic Journey would like to thank Dr Kourosh Tavakoli, specialist Cosmetic Plastic Surgeon for his input into this blog post.
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Dr Benjamin Norris shares his thoughts on how to decide on a plastic surgeon for your cosmetic surgery.
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As you get off the scales, you feel proud of yourself. For the last year or so, you’ve worked really hard to lose weight. Feeling fit, healthy and happy you turn to look at yourself in the mirror. As you look in the mirror, that feeling quickly disappears. The body in front of you definitely weighs less. But the massive weight loss has left you with excess skin and fatty tissue all over your body. Your health and fitness has improved, but you weren’t expecting these side effects! Like when you try on a dress to show off your new body, but your excess arm skin prevents your arm from fitting in the sleeve. Or when the exercise pants in your new size draw attention to the excess skin around your waist and thighs.
So what can you do? The first thing to understand is that you’re not alone! Many people who have experienced massive weight loss, through gastric band surgery or dieting are faced with this challenge. Body lift surgery can get rid of excess skin and fatty tissue after you’ve lost a lot of weight.
A body lift is a surgical procedure to remove excess skin and fatty tissue from the middle and lower abdomen, hips, outer thighs, back, buttocks after extreme weight loss. It’s important to note that body lift surgery is not a treatment for being overweight. Cosmetic Surgeon’s recommend that people who are obese and intend to lose weight should delay all forms of body lift surgery until they are close to their desired weight. It is also important to maintain a stable weight for at least six months before the body lift surgery can occur.
Body lift surgery creates contours in the abdomen, upper thighs and buttocks in proportion to the body’s changed shape, by pulling up and removing excess skin from these areas. As part of a body lift, an abdominoplasty (tummy tuck) can also be
Body lift surgery varies from patient to patient but may include these areas:
People best suited to having a body lift are those who may have lost a large amount of weight through diet and exercise. Other people suitable for body lift surgery may be at or near their goal weight after having gastric banding or gastric bypass surgery (bariatric surgery).
Having heavy excess, loose skin can contribute to poor self-esteem about your body image. Other side effects having excess skin are related to hygiene, skin rashes and infection.
Body lift surgery is performed under general anaesthetic in hospital. Most patients stay in hospital for 5 to 7 days.
A common lower body lift technique uses incisions similar to a bikini pattern to tighten the abdomen, groin, waist, thigh and buttock in one procedure. A circumferential incision around your body removes an apron of excess fat and skin to tighten and reposition tissues. Advanced surgical techniques usually allow incisions to be placed in strategic locations so they will be hidden by most clothing or swimsuits. To achieve an improved body contour, liposuction may also be used. Sutures, tapes, skin adhesives, or clips are used to close your skin incisions.
The results of having a body lift are visible almost immediately after surgery. It’s important to note that full recovery from this extensive procedure can take several months.
There are 3 different types of body lift procedures: lower body lift, mid body lift and total body lift:
1. Lower Body Lift
Lower body lift surgery (also called Belt Lipectomy) addresses the mid-section of your body, including the outer thighs, lower abdomen and buttocks. An incision is made across the lower part of your abdomen down to your inner thighs. Your loose skin will be removed and the remaining skin will be tightened. This will give the lower section of your body a significantly improved aesthetic.
2. Mid-Body Lift
Mid-body lift surgery is very similar to a lower body lift except it includes the stomach region. Incisions are made in your lower abdomen down to your thighs, and then excess skin and fat is trimmed away. In addition, the muscles in your abdomen are tightened, resulting in a more defined stomach and a slimmer waistline.
3. Total Body Lift
Total body lift surgery removes loose skin and extra fat from virtually every area of your body, including the abdomen, thighs, buttocks, arms, flanks, and breasts. An incision is made around the entire circumference of the body, and then excess skin in areas in the mid and lower body is removed and the remaining skin is pulled taut. Similar techniques are then performed on the arms and breasts. Because total body lift surgery is a complex procedure there is a longer recovery period than lower and mid-body lift surgeries.
Read more about body lift surgery here.
Every surgery has risks including:
Body lift surgery risks and complications include:
Your recover time after body lift surgery will depend on which type of procedure is performed. Lower and mid-body lift surgeries typically require at least 2 to 4 weeks of healing and rest. Total body lift surgeries often require at least 6 weeks of recovery.
After any body lift surgery you can expect to have bruising and swelling. Any pain or discomfort you experience can be managed with medication. You will need to wear a compression garment during the day and at night for at least 2 weeks. This provides support for the healing area and will minimize swelling and bruising.
Strenuous physical activity should be limited for at least 6-8 weeks after surgery. Light activity is encouraged to promote the healing process. Any bruising will disappear within a few weeks, with swelling subsiding in a few months. While your body lift scars will be permanent, they will fade in about 12 months and can be hidden by your clothing.
During a body lift consultation, your surgeon will ask about your body image, lifestyle, health and medical history. You will be examined and have measurements taken as well as photographs, for the purpose of planning your surgery and monitoring changes of appearance afterwards.
It is very important to be clear about your expectations of the body lift procedure, to understand the recovery process and the likely results you will achieve in the long term. Body lift surgery is not for everyone and requires a significant recovery period. You can find the best Australian Body Lift Surgeons here.
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Dr Mark Magnusson, current president of ASAPS and co-chairman of the Australian and New Zealand task force into breast implant associated Anaplastic Large Cell Lyphomia gives us the facts one ALCL.
Cosmetic Journey would like to thank Dr Mark Magnusson, specialist Plastic Surgeon for his input into this blog post.
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Dr Warrick Nettle, plastic surgeon with a specialty in facial procedures and keynote speaker at the 2017 Advanced Aesthetic Workshop explains to us what he is looking for when assessing a patient for facial rejuvenation.
Cosmetic Journey would like to thank Dr Warrick Nettle for his input into this blog post.
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Dr Kourosh Tavakoli explains the increasingly popular labiaplasty procedure, how it is performed and who is a suitable candidate.
Cosmetic Journey would like to thank Dr Kourosh Tavakoli, specialist Cosmetic Plastic Surgeon for his input into this blog post.
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Looking at the calendar, you realise it’s been just over 18 months since you had primary rhinoplasty surgery. After years of disliking the way your nose looked, you decided to do something about.
The detailed consultation with your Cosmetic Surgeon gave you insights into the risks, complications and the possibility of the surgery not working.
You remember sitting in the consulting room discussing the way you wanted your nose to look. Remove the large bump in the middle, straighten the shape and reduce the nose tip size. And while the surgery went well and you recovered quickly, there still seemed to be a bump in the middle.
At the 6-monthly check up your Cosmetic Surgeon advised it could take up to 12 months or longer for the final result to be seen. Patiently, you’ve been waiting for the ‘end result’ to be pleasing, but it hasn’t happened
Don’t worry though; you’re not the only person who has had primary rhinoplasty surgery and been unhappy or disappointed with the results. Revision rhinoplasty surgery can be performed to improve the primary rhinoplasty results.
Revision rhinoplasty surgery refers to any rhinoplasty that is performed to revise or improve a previous rhinoplasty. This surgical procedure is undertaken to correct breathing problems and/or cosmetic deficiencies that arose from the previous rhinoplasty surgery.
It is important to note that every Cosmetic Surgeon who performs rhinoplasty surgery has patients who request revision. Cosmetic Surgeon’s with substantial experience in rhinoplasty would experience very few occasions where their patient’s didn’t like the rhinoplasty result.
Patients who get revision rhinoplasty surgery have had primary rhinoplasty surgery and not been happy with the results. This can happen because of inferior surgical techniques, unpredictable healing patterns or unclear expectations.
Common reasons revision rhinoplasty is performed include:
It is generally recommended that patients wait 1 to 2 years after the initial rhinoplasty surgery because the problems patients see in the first few months can resolve by themselves.
Not all patients who are dissatisfied with the results of their prior rhinoplasty are suitable candidates for revision rhinoplasty. Some patient’s noses may be as good as they can get and another surgery with the most experienced Cosmetic Surgeon may not improve it.
Revision rhinoplasty surgery is performed under a general anaesthetic and will be either open rhinoplasty or closed rhinoplasty. Read more about the difference between open and closed rhinoplasty here.
Some revision rhinoplasty surgery may require skin grafting. These tissue grafts help restore nasal cartilage, bone or fascia and can be harvested from your ear, ribs or your temple region. If extra cartilage is needed for strength, to build up an area or fill out and soften an area it can be taken from the bowl of your ear (conchal cartilage) or from your rib.
Like primary rhinoplasty surgery, some or all of the following may occur:
Once all the surgical tasks are done to alter the nose shape to the agreed plan, the incisions are closed and the operation is complete. Revision rhinoplasty surgery usually takes from two to three hours. If the surgery is complex, it can take up to 4 or 5 hours. Find out about the risks and complications of revision rhinoplasty surgery here.
After the revision rhinoplasty surgery, you will have a small, external splint on your nose for 5 to 7 days. Gauze is used to absorb the small amounts of fluid draining from the nose and medication is given to limit any pain and nausea.
Some patients return home on the day of surgery, while others choose to stay in hospital overnight. Discomfort is to be expected but it is generally not severe and decreases quickly. Facial bruising is normal after rhinoplasty with most patient’s bruises fading within 14 days.
Following revision rhinoplasty surgery, it is recommended that you avoid heavy exercise for 3 weeks. Bending, stooping or heavy lifting may cause postoperative bleeding. It is quite common to see some long-term reddening of the nasal skin, with visible broken veins.
It is important to note that while the surgical plan can usually be carried out, not all aspects of revision rhinoplasty are predictable. The success of your revision rhinoplasty surgery depends on a number of factors.
Complications can include:
To achieve the best possible result, a proportion of revision rhinoplasty surgeries require further revision, or a second small operation.
Before you have revision rhinoplasty, it’s important to consult with your Cosmetic Surgeon and to seek second opinions. We suggest that you consult with Cosmetic Surgeons who are experienced and expert rhinoplasty surgeons. You can find the best revision rhinoplasty Cosmetic Surgeons in Australia here.
It is also important that you have realistic about goals and expectations. Some rhinoplasty patients have two, or even three of four rhinoplasty surgeries and discover that it becomes more and more difficult for them to achieve the result they may be seeking.
Before you have surgery, it is vital that you and your Cosmetic Surgeon understand and agree upon the aims of the revision rhinoplasty operation.
Image copyright: hedgehog / 123RF Stock Photo
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Cosmetic Journey would like to thank