DR SERRURIER’S AUGUST NEWSLETTER

WELCOME

This month is the last of winter and so begins the rush of cosmetic procedures that the year-end brings. Everyone starts to think about the beach and their bodies and start to plan their cosmetic surgeries.

Being that there is such a spike in cosmetic procedures from September to December in the practice, we thought we’d see what procedures were most popular and compare that with international trends.

A fun topic, but also some differences between my rooms, South Africa and the rest of the world.

Interesting thoughts on most popular procedures:

  1. They are mostly breast cosmetic procedures
  2. All of them will add confidence to a personality
  3. There is a 90% – 10% women to man ratio, which is growing

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INTERNATIONAL STATS

What is the number 1 international procedure?

The 2012 international most popular cosmetic procedure was: Breast Augmentation
This surgery regained top spot after being knocked into 2nd in 2011 – come back tomorrow to find out what was number 1 in 2011.
Silicone implants have only recently been made legal in the USA and this could be a reason for their rise in numbers.  Match that with more competition liposuction results with non-invasive procedures like Coolsculpt and Vela shape and you could see why Liposuction would be down.
Though quicker and easier than liposuction, these non-invasive technologies yield much less dramatic results, so it will be interesting to see how they fare next year.
Internationally Botox is number 1 too skyrocketing from 2,619,739 procedures in 2011 to 3,257,913 procedures in 2012 (recorded stats from the US)

In the UK the stats reveal some interesting differences to Dr Serruriers’ practice, with some obvious similarities.

In the UK, women accounted for 90.5% of all cosmetic procedures in 2012 with a total of 39,070 procedures. The top ones in 2012 were:

  • Breast augmentation – down 1.6% from last year but still the most popular procedure for women
  • Blepharoplasty (eyelid surgery), up 13% to become the second biggest procedure for women
  • Face/Neck Lifts were third place for the third year running, with 5,324 procedures
  • The number of breast reduction and rhinoplasty procedures for women dropped – down 7% and 11% respectively
  • Fat transfer replaced liposuction as the 7th most popular procedure for women in 2012. Liposuction saw a 14% decrease
  • Brow lifts increased by 17% on last year

Male cosmetic surgery

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Gynaecomastea is number the top male surgery, but liposuction and facelift surgery are growing in popularity.

Blepharoplasty is a very popular surgery in men, as many men undergo corrective eyelid surgery as women.

Blepharoplasty can be performed in the rooms as an outpatient procedure and it offers a quick recovery. It is little wonder that has double-digit growth in the practice. 

The total number of surgical procedures worldwide is projected to be 8,536,379 and the number of non-surgical procedures is estimated at 8,759,187  – bringing the combined worldwide total of surgical and non-surgical procedures performed by qualified plastic surgeons to: 17,295,55

Did you know that the most cosmetic procedures are performed in these countries:

  1. The United States
  2. Brazil

Did you know in South Africa 70% of all the cosmetic procedures are performed between September and December?

It makes sense that most cosmetic and aesthetic procedures are performed on women between 25 and 44 (approx. 62%) but another approx. 16% is performed on women between 45 and 54. 

THE STATS AT DR SERRURIER’S PRACTICE

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Dr Serruriers cosmetic surgery practice profile actually matches closely with Brazil, their top 7 procedures are:

  • Breast Augmentation
  • Breat Reduction
  • Breast Lift
  • Blepharoplasty
  • Tummy Tuck
  • Facial Fat Transfer
  • Liposuction

This does make sense somewhat given our similar climates and love of the outdoors.

Most, if not all of these cases, also combine with some form of aesthetic medicine.

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As an aesthetic treatment Botox is still number 1 in Dr Serruriers’ practice with dermal fillers a close second. They are often done in combination and also win combination with cosmetic surgery.

Men have a growing interest in cosmetic surgery with growth in Dr Serruriers practice throughout the surgical indications:

Breast reduction surgery at Dr Charles Serruriers’ rooms have not dropped as they did in the UK and Dr Serruriers rooms did not buck the liposuction trend as did the UK, as it is listed as a most popular combination treatment.

In many cases Dr Serrurier combines cosmetic procedures with Liposuction to maximise theatre time and results. For marginally more your results can be exponentially better – but this needs to be discussed with him during the consultation process.

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Blepharoplasty is the highest gainer of all of Dr Serruriers cosmetic procedures.
Cosmetic eyelid surgery:

  1. Brightens the face,
  2. Removes that tired looks
  3. Takes years from your visible age

Although the majority of Dr Serrurier’s patients are women, it is exciting to note that there is a large range of ages represented through the practice.

I hope that you enjoyed this newsletter, remember to phone my rooms on 011 875 1630 if you wish to book an appointment of would like to know more about the procedures I perform at my Fourways practice. Also, remember to follow my Facebook page to stay up to date with my monthly info!

Finally, make sure to visit my website for more info on the procedures and treatments I offer www.drserrurier.co.za

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DR CHARLES SERRURIER MAY NEWSLETTER: MUMMY MAKEOVER

MUMMY MAKEOVERS  

This month in my newsletter I will be talking about the surgeries available to mothers at my practice that are designed to counteract the physical effects of childbearing and to enhance your appearance after time has left its mark.

Of course, if you are interested and would like to book an appointment with me to find out more about breast lift or any other procedure, feel free to phone on 011 875 1630

And for more info on all the procedures I perform visit my website: www.drserrurier.co.za

mummy makeover

Looking great after child birth

There are many options for you whether you would like me to work on your breast, perform a tummy tuck or a liposuction. I still would like you to be close to your ideal body weight and also suggest that you should have completed your family before undergoing any “mummy makeover.”

As a new mum, seeing your body changing and looking different after childbirth can be somewhat traumatic. Some women bounce back beautifully but they are the lucky few. I am here to make you feel like yourself again and most importantly to make you feel happy and comfortable with your body.

Through the mummy makeover you can choose to undergo as many or as few procedures as you want and these procedures available to you are customized to match your wishes and specific condition. I also want you to keep in mind that these procedures are not necessarily invasive surgeries: They can simply be cosmetic improvements, like skin rejuvenation using fillers or Botox.

Sometimes it can be the smallest change that makes all the difference and simply a little Botox can make you feel top of the world

Breasts and post-pregnancy…

The loss of volume gained during pregnancy will cause the breasts to appear somewhat empty.
We can correct this easily with Breast Lift or Breast Augmentation procedures.

Breast augmentation is a great way for me to re-create lost volume via the insertion of a very natural looking implant. Breast augmentation is performed to increase the size and fullness of the breast.

Breast Lift will improve the droopiness as well as the position of the nipple.

Through breast lift surgery – I can tighten the skin, improve the shape and firmness of your breasts and restore their proper position on the chest.

Breast reduction surgery is a procedure that minimizes a woman’s breast size by removing fat, tissue, and excess skin. Breast reduction will reduce the extra breast mass and create mode elegant but also more comfortable breasts, giving your upper body more balance.

Liposuction and tummy-tuck

Another common surgery after childbirth is the tummy tuck. The tummy is the area of the body that undergoes the most transformation during pregnancy as it expands to allow more space for the growing womb.

Undergoing a C-section will usually impair the muscles of the abdominal wall. This means your tummy will battle to get tight again and bounce back to what it looked like before your pregnancy.

An abdominoplasty can be very effective in reducing the bulge caused by excess skin and fat, and loose abdominal muscles. The result is a flatter, firmer and shapelier abdomen.

Liposuction is a procedure that can be done to better contour diet resistant localized fatty deposits, but only provided the skin tone is good (no stretch marks) and the muscle tone is good.

During pregnancy your body stores fat and changes shape to accommodate the foetus and this shape can be hard to lose post childbirth.

The great thing about liposuction is that it can target many different areas such as:  inner thighs, outer thighs, love handles, arms, buttocks and much more.

Remember to follow me on Facebook and “Like” my Facebook page. This is where I will post daily updates about all the treatments and procedures I offer at my Fourways rooms.

Dr Charles Serrurier

Plastic & Reconstructive Surgeon

Suite A9,

Life Fourways Hospital

Cedar Road & Cedar Avenue West
Fourways
2055
TEL: 011 875 1630
FAX: 011 875 1631

WEBSITE – http://www.drserrurier.co.za
FACEBOOK – Dr Charles Serrurier
BLOG – drcharlesserrurier.wordpress.com

DR CHARLES SERRURIER MARCH 2013 NEWSLETTER -BREAST LIFT-

BREAST LIFT  

This month in my newsletter I will be talking about Breast Lift. It is a common procedure at my practice so I thought I would give you a better understanding of this procedure: What it does, the techniques I use and what the recovery is like. Of course, if you are interested and would like to book an appointment with me to find out more about breast lift or any other procedure, feel free to phone on 011 875 1630

Also, remember to visit and to “Like” my Facebook page regularly for even more facts about the procedures I perform!

And for more info on all the procedures I perform visit my website: www.drserrurier.co.za

What can breast lift do for you?

After pregnancy, weight loss, breastfeeding or the mere process of ageing, the breasts tend to lose volume and droop, the skin surrounding the breasts stretches and the breasts lose their shape. This is completely normal. Sagging (ptosis) causes breasts to get a flattened and elongated shape as well as the nipple/areola to point downward.

Through breast lift surgery – I can tighten the skin, improve the shape and firmness of your breasts and restore their proper position on the chest. If need be, I can also reduce the size of the areola and give your nipples a more youthful and pleasing position. Breast lift alone will not add any volume but if we feel it would be beneficial, I can insert an implant at the same time. The procedure will then be called: augmentation mastopexy.

Together during the first consultation we will discuss your wishes, I will examine your breasts while taking into account many factors such as the degree of sagging, your skin elasticity, your nipples’ position but also your breasts’ volume and symmetry.

Some of my patients wish to have an implant inserted as well as the breasts lifted in order to add some lost volume. It is up to you and we will discuss this option together.

My Breast Lift techniques

Regarding the technique I will use, it all depends on your breasts’ characteristics but also your desired outcome. The incisions vary according to various factors such as the amount of lifting but also the nipple repositioning, the elasticity of your skin and other factors that we will discuss together.

→Some of my breast lift patients have small breasts that do not show much sagging. This is when I choose to go for short-scar surgery, like the ‘doughnut’ or peri-areolar mastopexy where the incisions are circular, around the areola.


→When there is severe breast ptosis and a very large degree of lifting is required, I opt for a very common technique involving three incisions in the shape of an anchor.

This is the classical breast lift incision that goes around the areola with a vertical and a limited horizontal incision in the crease beneath the breast.

Your recovery

It roughly takes me 2 to 3 hours to complete breast lift surgery. After your surgery, you will wear a surgical bra over a small gauze bandage. A few days post op I will remove the gauze but you will still need the support from a post-surgical bra for a few weeks.

This non-wired support will assist with healing and the final result.

I usually advise my patients to take one to two weeks off work off after the surgery in order to allow for an optimal recovery. You will be sore and I recommend no heavy lifting or exercise for 6 weeks post op – this is just to ensure a satisfactory result.

The breasts reach their final shape and feel approximately three months after breast lift. But you need to know that aging and gravity that cause sagging can unfortunately not be avoided. It is a natural process that it part of ageing. For most of my patients, a breast lift is however a one-time procedure; but if another lift is necessary, the same incisions can usually be used.

Dr Charles Serrurier

Plastic & Reconstructive Surgeon
MBBCH (Wits), FCS Plast. Surg (CMSA)
PR. N0. 0304131                                              

Suite A9,
Life Fourways Hospital

Cedar Road & Cedar Avenue West

Fourways
2055
TEL: 011 875 1630
FAX: 011 875 1631

FACEBOOK – Dr Charles Serrurier

BLOG – drcharlesserrurier.wordpress.com

WEBSITE – http://www.drserrurier.co.za

 

DR CHARLES SERRURIER SEPTEMBER NEWSLETTER: Breast Augmentation

In my practice, breast augmentation surgery is hugely popular and I always try my best to give my patients great results and utmost satisfaction.

With spring coming, plastic surgeons do see an increase of breast surgery requests but there are many things you need to know and ask before making the final decision.

Before getting on with this month’s newsletter, I need you to know that my patient’s health and safety are my priorities and I always guaranty that silicone, and all the implants I use for all the breasts surgeries, are extremely safe and have undergone extensive research and testing.

I hope you enjoy what follows!

About the implants…

You will see, upon consultation for your breast augmentation surgery that breast implants vary greatly in shape and size.
Silicone implants are the most popular as they feel more natural than saline implants. I am not saying that saline implants are hazardous but there have been complaints linked to deflation.

Textured vs. Smooth

Breast implants can be textured or smooth.Most implants used in my practice are textured because research suggests that this is what gives the best rates of long term complications. It is thought that by choosing textured implants, we lower the chance of scar tissue forming around the implant.

In the past the shell of the smooth implants has been slightly softer; you will feel it less through the skin and tissue but this is no longer the case.

Please don’t be overwhelmed, I will take the time to discuss this with you in details so that you fully understand the procedure and its outcome.

Is silicone safe?

It has been scientifically proven as one of the biggest clinical studies that silicone gel implants carry no increased risk of breast cancer, autoimmune diseases and risks when breast feeding.

Placement Options

During a breast augmentation surgery, there are two placement options: behind or in front of the muscle. But because each patient is unique and wishes for different results, I will decide what’s best for you upon our one on one consultation.

If I decide to place the implant in front of the muscle, it will result in a more mobile breast with more fullness in its upper pole.

But if we go for behind the muscle, it will create a smoother transition from the chest onto the upper pole of the breast and thus a more natural overall profile.

Incision Options

With regard to the incisions (and thus, implant insertion sites), there are 3 different options:

  • Under the fold of the breast (the infra mammary fold)
  • Around the nipple
  • Through the armpit

Each has their advantages and disadvantages:  I personally prefer the infra-mammary fold or the periareolar but of course I will explain the pros and cons of each incision and answer all your questions before we make the final decision.

What is the recovery like?

The breast augmentation recovery does vary from one patient to another, but I usually advise my patients to take one week off work in order to get a good quality break and allow the breasts to heal nicely.

Expect your breasts to be swollen and tender and to experience some discomfort for a few days after the op.

After 5 or 6 days, the mild bruising will have disappeared but the swelling may remain for 3 to 5 weeks after the surgery.

Full recovery should normally be complete 6 weeks after the breast augmentation surgery.

Light activities can be resumed 2 days after the breast augmentation surgery but you must wait one whole week before resuming regular activities. I always insist that strenuous activities have to be avoided for 4 weeks in order not to impair the healthy recovery.

When it comes to exercise after a breast augmentation, I cannot stress enough how important it is to take it easy as certain movements can damage the operation’s results if done too soon after the surgery.

Remember you can get more information by visiting my facebook page or website. And of course this newsletter will be loaded on my blog.

APRIL 2012 NEWSLETTER – Autologous Breast Reconstruction

Breast Reconstruction

For the month of April I want to revisit Breast Reconstruction but with a focus on Autologous Tissue Reconstruction.
Avoiding using an implant in breast reconstruction eliminates many possible extra complications associated with foreign bodies. Autologous reconstruction suits specific patients and is used specifically in certain circumstances e.g: radiation

“To undergo Breast Reconstruction is entirely your choice”

This newsletter will hopefully give you some insight into your options, what you can expect and also how to hasten your recovery.

 I hope you enjoy.

Dr Charles Serrurier

What is the process when undergoing breast reconstruction surgery?

If you choose to undergo Breast Reconstruction, we will discuss your individual case in detail to decide what is the best option for you.

In some cases autologous breast reconstruction is recommended. This allows further treatment post reconstruction and reduces risks associated with implants. The surgery is unfortunately long and can last anyting between 3 and 5 hours under general anaestethic.

The recovery time is also long due to the donor site sensitivity and breast sensitivity. Once recovered at approximately 6 months we will bring you back into theatre to reconstruct the nipple area too.

What donor sites can be used for autologous breast reconstruction?

There are traditionally three donor site options:

Each has it pro’s and con’s but each will have specific reference to your case and reconstruction.

  1. DIEP Flap – abdominal tissue is used in the reconstruction. This process is however complicated due to the necessity to perform a free tissue transplant (free flap). This means microsurgery is involved and there is risk that the flap will not survive.
  2. TRAM Flap – this is similar to the DIEP Flap but this time a small portion of the abdominal muscle is also used. There are free flap options but surgeons using this technique will nearly always attempt to use a pedicle (maintain permanent blood flow to the tissue) This method allows a very natural looking and feeling breast but again there is a significant risk of flap morbidity.
  3. LATISSIMUS Flap – probably the most popular autologous reconstruction option. This method uses your Latisimus muscle in your back for reconstruction. This is quick surgery with good cosmetic outcome. The additional benefit is that there is permanent blood flow and flap survival rates are extremely high. The Latissimus is considered world choice of breast reconstruction.

Definition of Autologous Breast Reconstruction:

Autologous reconstruction refers to plastic surgery that uses your own tissue to replace tissue that was lost to an injury or surgery. You are both the donor and the recipient of relocated tissue during autologous reconstruction. In breast reconstruction this means using your own tissue to reconstruct your breasts following mastectomy.

Post reconstruction recovery

Hospital stay

You will be required to remain in hospital for a number of days post surgery. You will have drains inserted and the fluid drainage will need to be monitored closely. Pain can also be dealt with immediately during your hospital stay.

At home

You will be required to take it easy for 3 or 4 weeks – this means no work, and no heavy lifting. Someone should also help you with your driving during this time.

Remember that no bathing is allowed until the drains are removed. Showering is ok, but bathing can lead to infection complications.

It is also very important to keep your follow up appointments – these are to change dressings, remove drains and generally follow up on your recovery.

Plastic & Reconstructive Surgeon
MBBCH (Wits), FCS Plast. Surg (CMSA)
PR. N0. 0304131                                             

Suite A9,
Life Fourways Hospital

Cedar Road & Cedar Avenue West
Fourways
2055
TEL: 011 875 1630
FAX: 011 875 1631

Know your Breast Implants – Dr Charles Serrurier

There has been so much said about PIP breast Implants in the media, and it has caused a stir amongst doctors and patients alike. I will give my two cents worth on the whole escapade, but this quick blog is more about secondary issues that I have noticed evolving – that being patients are not aware of what implants they have inserted, or even what size they are.

To start, let me give some local information regarding PIP implants. In South Africa we have been lucky – yes, PIP implants were represented here but not many were used – yes, some were used but the problem is not as extensive as in Europe. The PIP manufacturing facility has been closed for a few years now and this matter has been dealt with within the local fraternity.

That said many patients have been phoning their doctors asking what implants they have had inserted. It is imperative to remember what implant you have had inserted and what size your implants are, there are many reasons for this:

  • You may want to increase your implant size at a later date
  • You may not visit the same surgeon should there be a complication
  • There might be a complication that requires explanation and new implants to be inserted
  • You may leave the country or your surgeon may leave the country

In all the instances above your breast implant information is important, especially as most implant manufacturers offer warranties on their products and you could get the implants replaced for free. In the event of needing to reinsert implants, knowing what size implants you currently have is critical to making the best surgical decisions.

Your plastic surgeon will always have a record of your implants, and you should always be given some form of warranty card including your implant stickers. These stickers show manufacturer, implant type, implant size and in many cases a unique bar-coded serial numbers for unique identification.

It is you responsibility to keep those stickers and records safe – you never know when you might need them?

Sometimes issues like the PIP debacle can bring some good. I hope that this issue brings more patient understanding into their implant choice and the warranties that go along with them.

I hope this helps your thinking?

Dr Charles Serrurier