Blepharoplasty – Eyelid Surgery

One of the most common procedures I perform in my Fourways rooms is Eyelid surgery, or Blepharoplasty.



This is because, unfortunately, the eye area is one of the first areas to show the signs of aging.

Indeed, many men and women suffer from droopy or hooded eyelids, either due to aging, heredity factors, or both. And the same applies to the wrinkles, puffiness and fat bulges that can develop in the lower eyelids. These conditions can be particularly bothersome, since the eyes are such a critical part of our expressions and our interactions with others. Patients often complain of appearing tired or unhappy despite feeling otherwise.

Eyelid surgery always has a tremendous impact on the overall appearance of the face and gives my patients a younger, more awake and energetic look that boosts their confidence.

Contact my Fourways plastic surgery practice on 011 875 1631 to learn more about the eyelid surgery.



Eyelid surgery is a wonderful procedure for restoring youthfulness to eyes that are showing severe signs of ageing resulting from gravity, time and genetics. During this procedure, I remove fat pockets and tighten the muscles but I explain the procedure in more details further on in this article.

The best candidates for this plastic surgery procedure are healthy men and women who are in their 30s or older and who have realistic expectations.

Of course, as with all cosmetic procedures, it is especially important that I carefully assess your eyes and the surrounding areas and understand your goals and concerns before recommending eyelid surgery.

During your consultation, I will determine if you truly have excessive eyelid skin, or if your sagging eyelids are mainly caused by a drooping brow. If this is the case, you may actually need a brow lift, either with or without blepharoplasty. Find out more about brow lift on my website

I will also decide whether you require upper eyelid surgery, lower eyelid surgery, or both, and what approach would be best suited to your condition.

Since the eyes and the eye area are such an important part of our appearance, it is extremely important that eyelid surgery be performed only by a board-certified plastic surgeon specializing in this delicate procedure. I, myself am a member of the APRSSA.



This is probably the number one question my eyelid surgery patients ask me.


→Upper Eyelid Surgery

When performing upper eyelid surgery, my goal is to remove excess skin and occasional fat bulges that are responsible for the tired, grumpy look. I make an incision that runs along the natural fold of the upper eyelid, and extends just beyond the outside corner into the existing creases.

Through this incision, a strip of excess skin is removed and fatty tissue is eliminated or repositioned to create a more refreshed, alert appearance. Because the incision follows the natural crease of the eyelid, it is usually very well-concealed and rarely noticeable.


→Lower Eyelid Surgery

While upper eyelid surgery primarily involves the removal of sagging skin, lower eyelid surgery mainly targets the fatty deposits, which are more predominant under the eye. Removing these deposits in conjunction with the sagging skin leaves a smooth, firm, younger-looking surface above the cheek.

Lower eyelid surgery may be done through the inside of the lower eyelid, using what is called transconjunctival or “scar-less” technique which requires no external incision, and is appropriate only for the removal or redistribution of fat. It is therefore not suitable if you are showing severe wrinkling in that area.

I usually complete upper and lower eyelid surgery within one to two hours, it is usually done as an outpatient procedure. Did you know that some of my patients choose to have blepharoplasty done in conjunction with a facelift?

Here is an article I wrote about Facelift surgery at my practice


After surgery, you will have eyelid sutures in place. They provide support to the eyelid tissue to ensure that the incision lines heal beautifully, without excessive strain or tension. These sutures are removed 5 days after surgery.

My patients usually report mild levels of pain following blepharoplasty but I will prescribe oral medications to alleviate any discomfort you may feel. You should expect bruising and swelling too, at least for the first week after your surgery. After 10 to 14 days, most of my eyelid surgery patients feel comfortable in public and return to work and social activities.

We will schedule follow up appointments so that I can check up on your healing progress. I will remove your sutures within the first week of surgery.

The eyelid surgery results can last for years but remember to be patient with yourself during the healing process. While it is imperative to be active, eat well and get plenty of rest, it is true that people heal at different paces.

I hope you enjoyed this article? It was great for me to share some key facts about blepharoplasty. If I have left out something that you would like to know more about, please leave a message right here on my blog or, alternatively, on my Facebook page or via Twitter and I will get back to you as soon as possible.

Lastly, if you wish to book a consultation with me, please phone my rooms on 011 875 1631.


Non-Surgical Aesthetics: Botox & Dermal Fillers

As aesthetic treatments are becoming more and more advanced, I am also seeing an increase in their popularity at my practice. An increasing number of patients are noticing a lack of volume and elasticity that cause wrinkles and lines as they age yet they are looking for an alternative to a facelift surgery.

Closeup portrait of an attractive young woman posing


Winter has been giving your skin a hard time and summer is not too far away which means that now is the perfect time to give your skin a healthy glow, a smooth texture and a young, more sculpted appearance!

To book a consultation, don’t hesitate to phone my Fourways rooms on 011 875 1630.

I hope you enjoy what follows!



Deciding on undergoing Botox and/or dermal fillers injections is a great idea as they will restore your face’s youthful appearance in a very subtle manner with no recovery time incurred!

My website offers more information about Botox 

Botox is a wonderful option if you wish to erase frown lines, crow’s feet, forehead wrinkles or lip wrinkles. When I inject Botox into the muscles responsible for these wrinkles, it instantly relaxes them, improving or eliminating the bothersome lines and wrinkles.

The patients I treat with Botox are 65 years old or younger but something worth knowing is that you should not wait for severe, deep wrinkles to develop before you book your Botox appointment! Getting Botox injections before your skin reaches an advanced state of ageing is great to prevent the formation of severe wrinkles. And remember, Botox is not just for the ladies! The treatment’s affects can last from 4 to 6 months.

Of course, touch ups will be necessary to keep your skin smooth and youthful. Botox usually requires top ups which are in fact full dose treatments:

  • Every 3 to 4 months in the first year
  • Every 6 months in the second year
  • Every 9 months in the third year

A Botox treatment can fit in during your lunch break! You will be able to drive and resume your normal activities afterwards. And since the results are so natural and subtle, no one will know!




My patients often ask me what the difference between Botox and dermal fillers is

and it is a fact that these two products are indeed completely different and do not lead to the same results. Simply put, Botox paralyses the muscles causing the wrinkles to appear whereas dermal fillers plump out the wrinkles from the inside out. While Botox can only improve wrinkles caused by movement of facial muscles, dermal fillers are best suited for a wider variety of wrinkles and creases, such as nasolabial folds, smile lines, and lip lines. It can also be used for nose reshaping or cheek enhancement!

During the consultation I will assess the signs of ageing your face is displaying and together we will discuss whether to go for Botox or fillers.

If you would like to know more about dermal fillers, visit my website 

I use both Restylane and Teosyal dermal fillers for facial aesthetic treatments at my practice. I love how multi-dimensional they are. In using these brands, I get the assurance that I am working with the safest and most efficient products on the dermal fillers market. My goal is to offer predictable and satisfactory results at all times.
During a dermal filler treatment I will inject the hyaluronic acid (which is naturally occurring in the body and a very clear gel) into the skin in tiny drops with an extremely fine needle.

The product also brings water to the surface of skin to keep it looking fresh and supple. I ensure that nothing is over-done such that the results are subtle and natural-looking.

Just like Botox injections, filler injections are often called “lunchtime treatments” because you can be in an out of my rooms within a half-hour!

Restylane and Teosyal work beautifully on those areas that tend to give away your age such as:

    1. Neck
    2. Décolletage
    3. Backs of your hands.

Just as a quick final note, I offer liquid facelifts at my practice. Liquid facelifts beautifully combine Botox and fillers to sculpt, fill up and rejuvenate the face in all the right places!

I hope you enjoyed this newsletter? You can read my other newsletter on skin rejuvenation here and remember to visit my website as well as the various social media platforms where I post daily for informative updates!

Mini- & Full- Facelifts


After liposuction, breast augmentation, blepharoplasty (eyelid surgery), abdominoplasty (tummy tuck), breast reduction and rhinoplasty, facelifts are the sixth most requested cosmetic surgery procedure, according to the American Society of Plastic Surgeons (ASPS).

This is echoed in my practice. I often combine Facelift surgery with other procedures.

If you would like to find out more about facelift surgery at my practice, phone my rooms on 011 875 1630 or have a look at my website and remember to keep an eye on my blog where I upload new articles regularly  – any easy way to stay up-to-date is to subscribe.


Who Would Benefit from a Mini / Full Facelift Procedure?

The best candidate for a facelift is a physically healthy man or woman who is realistic about their expectations, and interested in improving sagging facial skin, jowls, and loose neck skin.  It is to be noted that both men and women are equally interested in Facelift surgery.


The full Facelift is well suited to you, if you have:

  • Excess or sagging facial skin
  • Deep facial creases
  • Facial fat pockets drooping
  • Or if you look tired, sad and angry even when well-rested


Most patients undergoing full facelifts are over the age of fifty.  If you are in your 50s or 60s and have a traditional (full) facelift, your face will age slower, from the point of where it has been reset, and you’ll look at least 10 years younger.


There is obviously more recovery needed from undergoing a full facelift, than when compared with a mini-facelift.
The mini facelift is appropriate for younger people who are starting to show early signs ageing like droopy jowls, or people who have already had a lift, but once again are showing some signs of sagging.


Mini facelifts generally erase three to eight years from your face. After a Mini facelift you will continue to age naturally and the procedure can be repeated in the future.

You may also opt for a full face lift in the future. However, during your consultation I will determine which facelift is best for you.

Irrespective of your age, you can expect a facelift to improve your appearance. You should appear younger, with a well-rested, healthy look. People should ask you if you have been on sabbatical…


Combining Facelift surgery with Blepharoplasty surgery will also enliven your eyes. I do offer Blepharoplasty surgery at my practice. Take a look at this blog post for more info


The truth is, the younger you are the longer you can expect the facelift results to last.
If you are older, you will experience a more dramatic improvement, however, there is also a greater possibility of tissue rebounding. This is due to loss of skin elasticity. We can try to improve skin elasticity with dermal filler injections of fat fills, but we can talk about this during your appointment.



Males Seeking Mini / Full Facelifts:

Technically speaking, a male facelift is not all that different from a female facelift. There are, however, some gender differences that affect the position of the incisions and facelift recovery

Facelift key Differences: Women vs. Men

  • Men have thicker skin
  • Bleeding risk is higher in men
  • Men have more hair follicles on their face
  • Incisions may be harder to mask in men
  • Pulling skin back may move hair follicles; affecting shaving


Personalising each Facelift:

The incisions in front of and behind the ear from the facelift are usually not noticeable. For each individual case, I will make some adjustments to ensure patient satisfaction.

Happy woman with purse

How  are Surgical Facelifts Performed?

Having a surgical facelift will tighten and pull together the sagging skin, wrinkled skin, and loose muscles to leave you looking younger and refreshed. This procedure will reshape the aging face by repositioning the underlying tissue and tightening the skin.

Techniques of today have made Facelift surgery more predictable, safer. And give a far more natural look.I can perform a full face and neck lift, a neck lift alone, or a modification of either procedure depending on your specific needs.Techniques today allow for individual surgical approaches and I will be able to determine exactly what kind of surgery is best suited for your specific characteristics.

The facelift results of today are far superior to those of a few decades ago. In the past, a facelift mainly involved pulling the skin tighter, which created an unnatural, tight appearance.  We want to avoid that “tight windblown” look now by repositioning fat pads, adding fat  and tightening ligaments in the face for a more natural and long lasting result.


Redefining Facelifts:

I like to focus on restoring the underlying muscle and tissues to their more youthful position, for results that are natural-looking, beautiful, and long lasting.

The modern facelift can:

  • Re-create a clean, defined jaw line
  • Restore the more youthful contours of the cheeks
  • Smooth and firm wrinkled, sagging skin in the lower face and neck


Will there be Visible Scarring?  & What is the Recovery Like?

During a traditional facelift, an incision is made in front of the ear extending up into the hair or hairline. The incision stretches downward in front of the ear, comes around the ear lobe and then upward behind the ear. It then ends in the hair or hairline behind the ear. This incision is placed in the hairline to hide the scars and make your surgery almost invisible.

Following facelift surgery, you would spend the night in the hospital. Pain is uncommon, but I will prescribe medication to ensure your comfort. However, my years of experience and research have helped me develop innovative techniques to minimize tissue trauma and allow for a shorter, more comfortable procedure and recovery.

Generally speaking, for most of my facelift surgery patients the recovery period is within 10 -14 days. For neck lifts, and short scar mini-lifts, the recovery can be even faster.


I hope you enjoyed these daily facts as much as I enjoy sharing them with you! Remember that I would really like to hear your thoughts about any kind of procedure or treatments so do not hesitate and post your questions or comments – any easy way is to connect via Facebook or visit my website.

You can also can contact our rooms on 011 875 1630 to book an appointment!









The Best of Rhinoplasties


Rhinoplasty, also known as nose surgery or “nose job,” is the process of using cosmetic surgery to reshape the nose. It is a surgical procedure that can alter the size and/or shape of the nose, as well as relieve some breathing problems.

It is a misconception that all Rhinoplasty Surgeries are for cosmetic purposes; many people require medical intervention to assist in breathing and/or reconstruction from trauma.


Read more about what’s available at my Fourways practice here and contact me via phone or email for more details or to schedule a consultation. My office can be reached at 011 875 1630.



Rhinoplasty can be purely cosmetic or can be used to correct physical problems (such as breathing problems).  In most cases we, plastic surgeons, treat the aesthetic aspect and work with ENT surgeons to correct physical nasal issues.

Amongst the aesthetic problems that I can address:

  • Nose width
  • Nose length
  • Profile issues
  • Large or uneven nostrils
  • Crooked noses.


During your first consultation with me, you will be asked to provide a detailed description of how you wish to improve the appearance of your nose and what you are hoping I can do for you.

There will be obvious limitations but being open and honest is part of obtaining your desired result.

I can change the appearance of your nose in amazing ways, but you need to know that I will still be limited by the unique features of your nose, it’s internal and external structure.

Common requests from my patients include:

  • Making a nose smaller,
  • Reducing the bridge of the nose,
  • Narrowing the nose,
  • Making changes to the nasal tip,
  • Lifting a droopy nose
  • Revising a previous rhinoplasty


If you do not like the way your nose looks and are willing to undergo a surgical procedure, and if you are in good physical and mental health, then you are eligible for a rhinoplasty consultation.


Most rhinoplasty surgeons prefer to wait until an individual has completed his or her growth spurt. This means age 15 or 16 for girls, and a little later for boys. That said, I will hardly ever operate on such a young patient.

This is a big surgical procedure with long term results, it is important that the decision be made as an adult taking into account limitations in future surgery.




During the rhinoplasty surgery incisions are made inside of the nose including a small incision made on the underside of the nose between the nostrils. This allows me to perform an “open rhinoplasty”.

→What about the scars?The scars are well hidden and will almost be invisible once healing is complete.

I often decide upon the open rhinoplasty approach because it allows me greater visibility of the internal nose structures. Swelling and bruising however lasts longer with open rhinoplasty. I will discuss his approach with you based on your specific case.
Closed rhinoplasty is a surgical approach to alter the shape of the nose where minimal alteration is required. Often recovery is quicker and swelling is less using this approach but I only prefer this method for common rhinoplasty complaints:

  • Remove a bump from the bridge of the nose
  • Elevate the tip of the nose




After Rhinoplasty surgery you will notice significant swelling and bruising. I always warn my patients that swelling and bruising can last between 1 and 6 weeks for closed rhinoplasty, and longer for open rhinoplasty.

A splint will be applied to the dorsum of your nose that will have to remain in place for at least a week. Once the splint is removed however, the change to your nose will be immediately visible.

80% of the swelling, after Rhinoplasty, will lessen within 6 weeks. The remaining 20% may require up to a year but this remaining swelling is barely noticeable and is mostly internal; during this healing period the nose will become more refined.

Most patients, post Rhinoplasty surgery, are able to return to work any time between 7 to 10 days after their Rhinoplasty. Strenuous activity is limited up to six weeks, so too is exposure to the sun and extreme heat. This is more to allow additional time for healing and preserve the cosmetic result.

In some cases, after the Rhinoplasty, the tip of the nose can be numb for a few weeks. This is completely normal and will resolve within a few weeks without treatment.

Expect to see good results after about four weeks, but the final results are commonly seen after about 9 to 12 months. I always tell my patients that sometimes, minor changes and improvements occur even months after rhinoplasty.

Rhinoplasty results are permanent but, patients are to remember ageing may affect the results. This is of course natural ageing and has nothing to do with the overall Rhinoplasty result.

I hope you enjoyed this newsletter?! Remember that I would really like to hear your thoughts about any kind of procedure or treatments so don’t hesitate and post your questions or comments on my Facebook page and I will do my best to respond as soon as I can!

Also, remember our website has more info and don’t hesitate to phone our rooms on 011 875 1630to book an appointment!





This month in my newsletter, I will be talking about problems and solutions. I often see patients who are bothered by a certain aspect of their body and either do not know what to resort to or choose the wrong procedure. I am here to help you decide on the best option and make the best out of your surgery.

If there is anything else you would like to know or something in particular that you would like me to explain, phone my rooms on 011 875 1630 or simply leave a comment on my Facebook page and I will get back to you as soon as I can.

Lastly, make sure to visit my website for more info on all the procedures I offer at my Fourways practice!



  • You have saggy breasts
  • You desire more cleavage
  • There is a significant difference between one breast and the other
  • You are self-conscious about breasts
  • You feel that larger more perky breasts would make you feel more attractive and improve your self-confidence
  • You have a hard time finding clothes that fit because of discrepancy between your breasts and your buttocks

Solution: Breast Lift!
Based on your answers to the last post, you may or may not also require a breast augmentation at the same time.

After breast lift surgery, you will notice that your breasts are firmer and higher. This will help to improve your confidence and self-esteem. Many patients are happy with the results and report that they feel younger looking and more ‘feminine’.

My Breast Lift page is full of informative resources

Why would I need to combine Breast Lift surgery with Breast augmentation?

Breast lift does not increase the size of your breasts although they may appear larger due to the fact that they are higher and firmer looking. The exception to this is if you have combined this procedure with breast augmentation surgery to enhance volume.


  • Your breasts are causing you severe psychological distress, are affecting your physical health or your ability to do exercise.
  • You are experiencing backache, neck and shoulder ache.
  • Your clothes don’t fit properly
  • You do not like the way your breasts affect your overall appearance: large breasts can make you look unbalanced and have a big impact upon your appearance in general. Your breasts are out of proportion with the rest of your body. You feel that you are ‘top heavy’ and this can affect your self-confidence.
  • You do not like being subject to inappropriate comments or attentions from the opposite sex.

Solution: Breast Reduction!

The main benefits are smaller, lighter and firmer breasts. They will be in proportion to the rest of your body. This also means no more physical discomfort such as backache or neck ache. The areola (the brown circular area round the nipple) can also be made smaller and better proportioned as well.

For Breast Reduction at my practice, click here

Breast reduction results in one of the most dramatic changes to physical appearance.

  • Your clothes will fit better;
  • You will no longer have physical discomfort
  • Or have to endure unwanted comments about the size of your breasts. This is usually a particular issue for teenage girls.


  • You consider your breasts to be too small and would like to increase their size.
  • You feel less than feminine as a result of having small breasts.
  • Your breasts lost firmness, shape and volume after pregnancy
  • Your one breast is smaller/bigger than the other
  • You feel bigger, firmer breasts will give you a more youthful appearance

Solution: Breast Augmentation!

This highly requested surgery will have you feeling happier with your appearance, and will improve self-confidence and well-being. Breast Augmentation is the most requested surgery in my practice and in most cases women are looking for increased size with upper pole fullness.

Visit my breast augmentation page for more info!

The decision to undergo breast augmentation is a highly personal one and all that matters are how you feel about the results. If the results match your expectations then it has been a success.

It can give you a younger looking appearance but it is not a ‘fountain of youth’! As with any form of cosmetic surgery you need to have realistic expectations about what it can do.



  • You are bothered by excess fat deposits – located anywhere on your body – that don’t respond to diet or exercise.
  • You feel your body is disproportionate (but not necessarily overweight)

Solution: Liposuction and Liposculpture!

The results after liposuction surgery are instantly noticeable. You will have a firmer and more contoured appearance, which will improve your sense of well-being. The effects of liposuction are permanent, which means if you do increase your body fat, then it will NOT return to those areas you had treated.

Liposuction in more detail? Head over to my website!

Liposuction is especially beneficial to those patients who have undergone weight loss surgery. It can remove those last remaining pockets of fat. This will dramatically improve your appearance.

Liposuction can also be combined with other procedures such as abdominoplasty.

However I need to insist on the fact that Liposuction is not a solution to the problem of obesity or weight loss in general.  Also, it is not an effective treatment for cellulite.


  • You have recently had a baby and wish to tighten loose skin that has stretched as a result of your pregnancy.
  • You have increased amounts of skin laxity or looseness from the belly button down to the pubic region
  • You have excess skin and fat from the middle and lower abdomen and are looking to tighten the muscles of the abdominal wall to flatten your abdomen

Solution: Tummy Tuck!

During this surgery, I remove excess skin and fat from the waist, which cannot be shifted by diet and exercise alone.

There are three types of abdominoplasty:

  • Complete abdominoplasty
  • Partial or ‘mini’ abdominoplasty
  • Extended abdominoplasty

But don’t worry; together we will discuss which one is best for your needs and characteristics.

Tummy tuck results are impressive: You will have a firmer, toned and flatter abdomen. If you had some lower abdominal bulge as a result of pregnancy then this will also be corrected. This also includes stretch marks! Your waist will appear slimmer and this tighter, youthful abdomen will boost your confidence and self-esteem.

Would you like to find out more about Tummy Tuck at my practice?


  • You do not like the way their nose looks and have been troubled by one or more of its features?
  • You are concerned about the following?
  • Damage to your nose caused by an accident or injury
  • Congenital defect
  • A nose that is too small or too large
  • Excessively flared nostrils
  • An enlarged, drooping or thickened nasal tip
  • Crooked or off-centre nose

Solution: Rhinoplasty!

Rhinoplasty is performed for a variety of reasons which can include increasing or reducing the size of the nose; changing the nasal tip or the bridge, removing any unsightly humps or bumps and making the nose straighter or narrower.

The nasal tip itself can be rotated upwards or downwards, projected forwards or backwards or enlarged or decreased in size. The cartilage, bones and sometimes the soft tissues of the nose are reshaped.

After your rhinoplasty, your nose will be more natural looking and will complement your appearance. Whether larger, smaller or reshaped, you will look and feel better.

The vast majority of my patients are happy with the results of rhinoplasty.

If you would like to read more about this procedure, make sure to visit my website.

I hope you enjoyed this newsletter about various problems some of my patients encounter and the solutions I offer at my Fourways practice. Of course, I spoke about a few surgeries only so make sure to phone my rooms on 011 875 1630 if you would like to book an appointment or simply make an inquiry, we are here to help you!

You can also find me on Facebook and on Twitter.

Dr Charles Serrurier’s February Body Lifts



This month, my newsletter is all about the lifts! As the year begins, it’s not always only our spirits that need to be lifted! And this is what I can help you with! At my practice, I offer many lifting options, whether it’s facial or body surgeries.

You will read about Breast Lift, Brow Lift, Face Lift, Arm Lift and Thigh and Buttocks Lift.

Of course, all the info will be concise so make sure to visit my website for more in depth explanations

Lastly, if there is anything else you would like to know or something in particular that you would like me to explain, phone my rooms on 011 875 1630or simply leave a comment on my Facebook page and I will get back to you as soon as I can.



With age, pregnancy and breast feeding and fluctuation in weight, the ligaments and skin envelope which maintain the youthful shape of the breasts, stretch and elongate causing an unpleasant drooping of the breast on the chest wall.

This phenomenon is called ptosis and this is what the Breast Lift will correct.

How does breast lift surgery correct ptosis?
In order to reverse this drooping, I tighten the breast skin and reshape the breast tissue, which in turn will provide a more youthful shape with an improved nipple position. Also, did you know that I could reduce the diameter of your areola if you wish?

Breast Lift and Augmentation is a very common combination procedure!
If fullness and volume are important to you, an implant can be inserted during the breast lift to enhance size or firmness. This is a combination procedure called a Mastopexy Augmentation or Breast lift with additional implants.

Post-operative treatments too, can help reduce the visible scars quickly and effectively. I will discuss your initial reasons for wanting a breast lift and all the options available to you, and thereafter, will take care to ensure that you are satisfied with your new breast shape and scar treatment.



Over time, frequent facial movements related to facial expressions can lead to a variety of lines and wrinkles in the skin. This is particularly true in the brow area where frown lines and forehead furrows may develop above the nose and across the middle of the forehead.

The brow lift, also known as a forehead lift, is a surgical procedure, which can eliminate lines and furrows in the brow and forehead area. At the same time, the eyebrows may be restored to a more elevated and youthful position and excess skin of the upper eyelids can be eliminated.

The result after a brow lift is a smoother forehead, lifted eyebrows, and an overall more youthful and refreshed appearance to the brow area.

Brow Lift surgery can improve a tired, angry or sad appearance that is often associated with an aged forehead. Specifically, the brow lift can correct the following:

  • Frown lines
  • Forehead furrows
  • Forehead creases
  • Drooping eyebrows
  • Hooding over the eyes

The best candidates for a brow lift are looking to improve aging in the brow and forehead area, are in generally good health, and have realistic expectations.

Other complimentary treatments including Botox®, Fillers and Restylane® Vital. These non-surgical options are available as non-permanent solutions to the position of your brow & forehead lines.



At my practice, Facelifts are nearly as popular as Breast Augmentations, and I often combine Facelift surgery with other procedures.

Can’t I have Botox and fillers instead of a Facelift?
Although signs of aging eventually appear in all areas of the face, for many people the mid to lower face and neck tend to fare the worst. As skin and tissue lose elasticity, gravity begins to pull them downward.

This is the single most common reason for Facelift Surgery. These areas unfortunately cannot be treated appropriately with Botox and Fillers.

Having a surgical facelift will tighten and reposition sagging skin, wrinkled skin, and loose muscles to leave you looking younger and refreshed. The perfect procedure to boost your confidence in the long term and to start the year feeling fantastic!

The best candidate for a facelift is a physically healthy man or woman who is realistic about their expectations, and interested in improving sagging facial skin, jowls, and loose neck skin.



Now onto the lower body lifts! The lower body lift is performed for patients that desire improvement of the thighs and buttocks, and it is more common in patients after excessive weight loss.

Unwanted excess tissue of the inner and outer thighs can be treated by direct excision of loose skin and subcutaneous fat to improve the contour.

Lateral thigh lift and buttock lift are types of body contouring that remove excess skin and fatty tissue from the outer thigh and buttock regions. Artistic and anatomical removal of this tissue can result in an improved appearance and silhouette.

I always like to emphasize that these procedures are not a cure for obesity, and is most appropriate for persons with localized excess skin and fat bulges that are inherited, or remain despite weight reduction and exercise. And unfortunately thigh and buttock lifts are not a cure for cellulite or stretch marks.



Arm Lift will be my last topic of the month. Arm Lift is a technique to remove excess hanging skin from the upper arms usually after substantial weight loss.

I perform arm lift surgery at my practice to remove the excess skin from the upper arms and reduce the circumference of the upper arms.

There are multiple ways to sculpt the arm, including Liposuction, Minimal Access Brachioplasty (axillary scar and liposuction) and Traditional Brachioplasty.

The best candidates for Arm Lift are people with sagging skin of the upper arms. You should be physically healthy, psychologically stable, and realistic in your expectations. Arm Lift will improve your arm contours and remove “Bingo Arms”.

Please remember to subscribe,

kind regards,

Dr Charles Serrurier’s Advice: Plan Your Procedures


This Blog is dedicated to those who are considering procedures and treatments. Many of you may be quite sure of what service you want – but the question is, at what time is it most suitable? Different procedures require different preparations and involve different amounts of recovery ‘down-time’. So I hope that the information below allows you to plan your year with a few key considerations that will make your life much easier – after all, your schedule is meant to work for you…

Plan your year to best suite your recovery
Procedures and treatments are chosen by each patient to when it suites them best. However, correct planning to ensure an easy and safe recovery should be priority and this blog should help do just that.

Early year: Jan – March
The beginning of the year it is a fantastic period to have procedures such as:

Both involve a relatively small period of down-time (usually 1 week) and both produce a younger, fresher, revitalized appearance – a great way to start of the year.

Brow Lines on one’s forehead deepen with age, eventually resulting in a misinterpreted expression of fatigue or hostility. The Brow Lift procedure will eliminate this problem and return your features to a naturally younger you.

Corrective eyelid surgery is popular due to the way natural results rejuvenate a face and remove years from your visible age. Combine that with minimal downtime and you can see why more and more of my patients are opting for this procedure.


Summer season: October – March
Speaking of the Summer Season – guess what the most popular procedure is just prior to the days of sunshine? Okay, so it is not that hard a guess, everyone wants to get ready for the beach, and why not have the body you desire to match that sexy bikini that you have been waiting for…

Breast Augmentation allows one to create the contours and add volume that one has always wanted. Breast augmentation is the most popular procedure in my practice and although recovery is not really an issue, booking a consultation time can be tricky, especially toward the end of the year. So please plan and book early.

Easter Holidays
If you do have a holiday planned within the year, this is often a good time for a Face-Lift, as they do require some recovery time. Easter holidays are normally a busy period for Face Lift and Rhinoplasty surgery. Face-Lifts can truly transform an appearance whilst working with ones natural jaw-line & cheek bones – if you are interested I suggest you have a read on my personal approach to the procedure

All year round treatments
If you are looking for some help staying revitalized through the year then fret not, Yana performs Facials with passion and care.

Facials clean exfoliate and nourishes the skin, promoting: Clear, Well-hydrated complexion, and can and help your skin look younger.

Fortunately, touch-up treatments and maintenance make-overs such as Botox and Fillers can be performed throughout the year because they have virtually no down-time – we can help you with these quick and easy treatments to keep you feeling great no matter what weather or season.

Botox can be used to target wrinkles by smoothing the skin and Dermal Fillers can rejuvenate your skin, correct wrinkles and replace volume – book a consultation to find out which one is suited to your goals.

Winter: May – July
If you are planning on having some Liposuction done or perhaps a Tummy-Tuck procedure it is often advised that you plan it such that your down-time is within the cooler months of the year – this makes it easier to cover the post-operative bandage corsets that will help you recover and also stay in bed to assist with immediate post surgical recovery… some patients have said that it has been great to have a winter were they actually got into better shape rather than gaining weight…

Both Tummy-Tucks and Liposuction  require more down-time than most procedures – so it is best to plan for them earlier rather than later. If you do take proper care of yourself, with my aid and guidance, both procedures can have phenomenal results without any complications.

I hope that this blog will help you decide on when it is best for you to make a booking, but if you would like to know more please do not hesitate to contact us so that you may be happy and comfortable with the schedule that you have set for yourself this year.

Kind regards,




This month, I would like to talk about facials at my practice. They are performed by my therapist Yana and are such a wonderful option when it comes to taking care of your skin and making sure you are giving it a great treatment with long-term benefits.

I will be talking about the very nature of facials and why they make such a huge difference to the quality of your skin!

Remember to visit my website for more info on the procedures and treatments I offer

 I hope you enjoy what follows!


“Yana, the therapist, often recommends that you come for a professional facial every 4-6 weeks in order to target skin issues specific to you”

What are facials?   

A facial is one of the best ways to take care of your skin, especially when it’s given by an experienced, knowledgeable therapist like Yana.

    • Even tone and PH balance of skin
    • Hydrating effect
    • Anti-ageing benefits

Facials are a wonderful option when it comes to occasional skincare for they encourage hydration, which is a key factor when it comes to ageing.

These are perfect treatment options for cosmetic maintenance and to enhance your facelift results.

Something to remember…

Yana can treat various skin problems on the face, neck and décolleté with a facial designed for your skin type.  But then going for a facial once in a while is not enough for your skin to look great all year long.

How is a facial performed?

How will Yana conduct the facial consultation?

A facial should begin with a consultation. Yana will have you fill out a form that has questions about your skin concerns, your diet, how much water you drink, drugs and supplements you take, and products you are currently using.

Before starting the facial treatment Yana will cover your eyes and looks at your skin through a brightly lit magnifying lamp.

She will then determine your basic skin type (dry, oily, combination, sensitive or normal) and skin conditions (acne, blackheads, whiteheads, aging, sun-damage, dehydration, etc.) after that she will choose the appropriate products and treatments.

At the end of the facial, Yana will most likely apply a toner/serum or/and moisturizer and sunscreen if it is daytime. She will also end the session by telling you how you can take better care of your skin and she will recommend some products that will help the results from the facial last longer.

The B.T Micro device 

The bt-micro™ is the latest rage in hand held professional technology and combines ultrasonic peeling with patented micro current and ultrasound penetration capabilities. It is a wonderful tool that will leave you with a cleaner, firmer skin. This is the perfect addition to our facial treatment regime.

The BT-micro™ is applied to the skin in upward, peeling motions. The exfoliation process with the BT-micro™ should take no more than 4-6 minutes. The results are amazingly clear and smooth skin that is ready to accept strategic topical products!

Here are the main Benefits of this procedure:

  • Cleanses and exfoliates for rejuvenating skin
  • Improves congested and blemished skin
  • Stimulates circulation of skin cell renewal
  • Tones facial muscles & hydrates the skin
  • Relaxes and reduces stress
  • Healthy circulation for cell renewal
  • Increase oxygen to the skins

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
TEL: 011 875 1630
FAX: 011 875 163 Dr Charles Serrurier


Welcome to October and Breast Cancer Awareness month. I have already covered Breast Cancer Awareness in previous newsletters but if you want to read my thoughts on the subject, please visit my blog or visit my website

This month my topic is Rhinoplasty (also known as a “nose job”) is the process of using cosmetic surgery to reshape the nose.

Rhinoplasty in my practice

If you are unhappy with the way your nose looks like, are willing to undergo a surgical procedure, and if you are in good physical and mental health, then you are eligible for a Rhinoplasty consultation.

It is important to book your consultation early. October, November and December are particularly busy months in my practice and we don’t want you to miss out on your surgery.

I hope you enjoy what follows!

How I can help you

Amongst the aesthetic problems that I can address:

    1. Nose width
    2. Nose length
    3. Profile issues
    4. Large or uneven nostrils
    5. Crooked noses.

During your first visit at my practice, I will ask you to provide a detailed description of how you wish to improve the appearance of your nose and what you are hoping I can do for you. Finding some pictures of what you are hoping I will achieve through Rhinoplasty is a good idea.  A picture helps me understand what you want your new nose to look like so brings some examples with you.

It is important that you take time to think about your desired outcome of the Rhinoplasty before you meet with me for the first time. Even though I can’t create “any” nose for you through a Rhinoplasty, you should tell me what you consider to be your ideal nose and let me tell you what is possible and what is not.

Ideally, write down your specific ideas and questions so that you don’t end up having any uncertainties about the procedure. I always assure my patients that I will do my utter best to provide you with the best care and results and I want you to be comfortable and reassured.

The appearance of your nose can be altered in amazing ways, but you must keep in mind that the result is limited by the unique features of your nose’s internal and external structure.

What I want you to know about the recovery

Expect moderate to severe degree of pain for the first week. I will of course prescribe pain medication to ease your recovery. You will be uncomfortable but my patients are always thrilled with the results and tell me that it does justify the surgery.

I usually warn my patients that swelling and bruising can last between 1 and 6 weeks for closed rhinoplasty, and longer for open rhinoplasty. The term open and closed Rhinoplasty is better described on my website

In some cases, after the Rhinoplasty, the tip of the nose can be numb for a few weeks. This is completely normal and will resolve within a few weeks without treatment.

Post-surgery, I will need to see you for a check up and to change your bandages. Usually this will take place 5 to 10 days after your Rhinoplasty. You will need to wear a splint for about two weeks after the operation.

Most of my patients feel comfortable enough to resume work 1 to 3 weeks after the Rhinoplasty. It Is the bruising, more than the pain that would keep you at home for longer.

“Predictable results with new surgical techniques”

I always tell my patients not to exercise for 6 weeks after their Rhinoplasty. This is to ensure a stable result as exercise can lead to bleeding and prolong swelling.

Finally, at this time of year it is important to book early. The practice diary fills up fast during October, November and December with high cosmetic demand.

Be it for Breast Augmentation or Rhinoplasty, please book early to avoid disappointment.

Visit my Facebook page to stay updated on what is happening at my practice.

Dr Serrurier’s June Newsletter: Facelift

It is June and winter is here. Continuing on my campaign discussing procedures better suited to recovery in the cold we look in depth at Facelift surgery.

In my practice I will always look to offer you alternatives as options to surgery but in the case of Facelift Surgery, nothing much can match the results.

What I often try is to simulate the result using non-permanent options including Botox and Dermal Fillers. Sometimes my patients are happy with these non-invasive results but today Facelift surgery is predictable and offers beautiful results.

“Facelift surgery is far more predictable today”

I hope you enjoy my notes to help you understand this surgery better.

Dr Charles Serrurier

What exactly is Facelift surgery?

Technically known as a rhytidectomy, a facelift restores the mid- to lower face and neck’s youthfulness. This procedure can be combined with others, such as forehead lift, eyelid surgery or rhinoplasty or even Botox and Dermal Fillers for optimal results.

During a facelift, the drooping tissues are “tightened” and the excess skin is removed. Tightening the muscles eliminates the turkey neck you worry about and restores symmetry to the face resulting in a younger and refreshed appearance.

The main objective of a facelift is to “lift” and eradicate sagging skin. In doing so, some wrinkles are eliminated while replacing fat pads to their initial youthful position in the cheeks. Some of the deepest wrinkles may not totally disappear during a facelift but they will be considerably improved.

How long will the results last for?

When it comes to the longevity of the facelift, many factors come into play. For patients who:

  • do not smoke,
  • wear sunblock or avoid the sun,
  • are in good general health and
  • have good genetics,

A facelift can last upwards of 10 years!

To Facelift or not to Facelift?

There are many products that claim to offer “Facelift Results”. In very rare cases some procedures like Botox and Dermal Fillers can simulate results from Facelift Surgery but ultimately nothing will have the radical effect as a well performed Facelift.

What about the men?

Who said facelift was just for women? Looking as young as you feel has also become a priority for a growing number of men who turn to facelifts and other plastic surgery procedures.

Technically speaking, there is not much difference between a male facelift and a female facelift. There still however remains some gender differences that do affect the position of the incisions as well as the facelift recovery:

 Men vs. Women

  • Men have thicker skin
  • Bleeding risk is higher in men
  • Men have more hair follicles on their face
  • Incisions may be harder to mask
  • Pulling skin back may move hair follicles; affecting shaving

There is a significant trend toward Facelift Surgery amongst men in my practice.

What to expect after the surgery?

After the surgery, Dr Serrurier will wrap your head and chin in a soft bandage in order to help minimize the swelling. A drain will also have been placed behind the ear to reduce the risk of complications.

There is severe bruising after facelift surgery. It usually starts fading one week after the surgery which is when you will be able to cover the bruises  fairly easily with makeup – meaning you should probably look at taking at least 1 weeks leave or bed rest.

Full recovery will take longer. This is why many of Dr Serrurier’s patients choose to resume work and other normal activities 2-3 weeks after the operation.

It is safe to say that full healing of your face and definite results post Facelift surgery will be noticed a year after the operation. But most patients can enjoy about 90% of their final results three months after their facelift.

But remember: taking good care of your skin is crucial. Abusing and neglecting your skin will unfortunately cause your facelift’s results to only last up to five years.

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