Breast Augmentation, Part 5

ProfDHudson

What can you do to prepare for your surgery?

  • If you smoke, it is essential that you reduce or stop smoking before your procedure and for some time afterward. Be sure to discuss this openly with your doctor.
  • Make sure your physician is aware of any medications, supplements, and herbs you are currently taking. For instance, certain medications such as aspirin or ibuprofen can cause bleeding problems during and after the procedure.
  • Eat a healthy diet and avoid drinking alcohol a few days prior to your procedure.
  • Exercise is generally good for your overall health; however, refrain from extremely vigorous exercise the day before your breast augmentation procedure.
  • Do not eat or drink anything, including water, after midnight the night before the procedure.
  • The night before your procedure, shower and wash your surgical areas with antimicrobial soap. After your shower do not wear any makeup, moisturizers, oils, creams, or lotions…

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Breast Cancer, Part 4

Breast Cancer Diagnosis

If you are diagnosed with Breast Cancer, there are numerous types of treatments that, depending on your case will be available to you. I will discuss all your options during the consultation process.
It is also important to know that there are numerous chat rooms and support groups of Breast Cancer patients to help you work through your treatment and recovery.

There is help, there is support, and you are not alone. Reach out.

Breast Cancer Surgery removes unhealthy tissue and may cause asymmetry. This surgery is performed by a breast surgeon. Plastic surgery for breast reconstruction will repair and restore, as close as possible, the natural appearance and symmetry of the breast, replacing skin, breast tissue, and the nipple which may have been removed during a mastectomy.

The amount of tissue removed varies with each mastectomy. Factors contributing to the amount of tissue removed include the width, size, and location of the original tumor and its proximity to the armpit from which the lymph glands are removed.

Is Breast Reconstruction Considered Cosmetic Surgery?

Restoring the breast through breast reconstruction is not considered cosmetic surgery. Operations performed to restore anatomy and symmetry, like breast reconstruction after a mastectomy, is considered reconstructive surgery – this means that in most cases your breast reconstruction will be covered by medical aid.

After a mastectomy would you choose to undergo a breast reconstruction or simply live without breasts? I see both types of patients in my practice.

Timing of breast reconstruction is based on the woman’s desires, other medical conditions, and breast cancer treatment. For many women, immediate reconstruction reduces the trauma of having a breast removed, as well as the expense and discomfort of undergoing two major operations.

It is also possible to do breast reconstruction months or years after a mastectomy. For some women, this may be advised if radiation following mastectomy was or will be performed.
We will discuss you best options during the consultation process. Call my Fourways rooms to make an appointment 011 875 1630

Breast Augmentation, Part 4

ProfDHudson

What You Need To Consider

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Rough vs Smooth vs Polyurethane Surface breast implant options

Smooth & Textured surfaced implants are said to have between a 5 – 19.1% chance of leading to Capsular Contraction whereas Polyurethane Foam surfaced implants are said to only a 1% chance.

That said Polyurethane foam increases risk of swelling and fluid collection and for that reason are not widely used today.

Saline vs. Silicone breast implant options

Saline Implants are filled with salt water resulting in a firm feel. If a Saline Implant were to rupture the surrounding tissues would absorb the saline without harmful effects, the implant would deflate and breast volume would be lost. Deflation unfortunately is common.

One estimate states that as many as 50% of patients who have saline implants in for more than 7 years will experience leaking and deflation. Saline Implants are also said to have a greater chance…

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Prof Donald Hudson

International Standards, thank you for helping raise the bar in South Africa

ProfDHudson

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Greetings, I am Professor Donald Hudson, my passion to aid others has lead me to become the Head of the Department of Plastic and Reconstructive Surgery at the University of Cape Town and Groote Schuur Hospital.

I graduated from the University of Cape Town & became a Fellow of the Royal College of Surgeons in 1989, & a Fellow of the College of Surgeons of South Africa (Plastic Surgery) in 1992. I further enriched my skills by obtaining a Master of Medicine Degree in Plastic Surgery at UCT.

I regularly review for Plastic and Reconstructive Surgery Journal & have successfully published over 120 peer-reviewed articles. My immersement in the academics of surgery has kept me at the forefront of innovation.

My clients have allowed me to gain 25 years of experience, in which I have become skilled in the following procedures:

  • Tummy Tuck
  • Mini Tummy Tuck
  • Breast Augmentation
  • Facelift

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Breast Augmentation, Part 3

ProfDHudson

Capsular Contraction

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After having a breast implant, your body will create a capsule of fibrous scar tissue around the implant as part of the healing process. This reaction occurs when any foreign object is surgically implanted into the body.

In time, the scar tissue will begin to shrink. The shrinkage is known as Capsular Contraction. The rate and extent at which the shrinkage occurs varies from person to person. In some people, the capsule can tighten and squeeze the implant, making the breast feel hard. You may also experience pain and discomfort.

Can I avoid Capsular Contracture?
We as plastic surgeons do all we can to avoid complications from severe capsular contracture, and many patients never experience any issues regarding their breast implants. However, capsular contracture is an unavoidable complication of breast implant surgery. Everyone who has breast implants will experience capsular contracture to some degree.

Make an appointment…

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Breast Cancer, Part 2

Breast Cancer

Breast cancer is a malignant tumor that starts in the cells of the breast. A malignant tumor is a group of cancer cells that can grow into (invade) surrounding tissues or spread (metastasize) to distant areas of the body. The disease occurs almost entirely in women, but men can get it, too.

To understand breast cancer, it helps to have some basic knowledge about the normal structure of the breasts.

Benign Breast Lumps: Fibrosis and Cysts

Most lumps turn out to be caused by fibrosis and/or cysts. Fibrosis is the formation of scar-like (fibrous) tissue, and cysts are fluid-filled sacs. These conditions are most often diagnosed by a doctor based on symptoms, such as breast lumps, swelling, and tenderness or pain. These symptoms tend to be worse just before a woman’s menstrual period is about to begin. The breasts may feel lumpy and, sometimes, one may notice a clear or slightly cloudy nipple discharge.

A biopsy may determine whether a lump is a malignant or benign. Check your breasts regularly for lumps and pumps.

Regular Exercise, Health Care Tips & Preventative Care

  • Regular exercise can improve your physical and emotional health.
  • It improves your cardiovascular (heart and circulation) fitness.
  • Along with a good diet, it will help you get to and stay at a healthy weight.
  • It makes your muscles stronger.
  • It reduces fatigue and helps you have more energy.
  • It can help lower anxiety and depression.
  • It can make you feel happier.
  • It helps you feel better about yourself.
  • And long term, plays a role in helping to lower the risk of some cancers
  • Chemoprevention is the use of drugs to reduce the risk of cancer. Several drugs have been studied for lowering breast cancer risk

Breast Cancer, Part 1

Breast Cancer

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According to the South African National Cancer Registry, one in 29 women in South Africa will be diagnosed with breast cancer.

Early detection saves lives and that is why I am continuing the campaign through November.

What is the difference between Normal Cells vs. Cancer Cells?

Normal body cells grow, divide into new cells, and die in an orderly way. In an adult, most cells divide only to replace worn-out or dying cells or to repair injuries.

Cancer cell growth is different from normal cell growth. Instead of dying, cancer cells continue to grow and form new, abnormal cells. Cells become cancerous due to damage to our DNA. This damage may be inherited or occur within ones’ lifetime.

DNA is in every cell and directs all cellular actions. In a normal cell, when DNA gets damaged the cell either repairs the damage or the cell dies. In cancer cells, the damaged DNA is not repaired, but the cell doesn’t die like it should. Instead, this cell goes on making new cells that the body does not need. These new cells will all have the same damaged DNA as the first cell does.

Different types of cancer can behave very differently. For example, lung cancer and breast cancer are very different diseases. They grow at different rates and respond to different treatments. That is why people with cancer need treatment that is aimed at their particular kind of cancer.

The difference between Benign VS Cancerous Tumors

Not all tumors are cancerous. Tumors that aren’t cancer are called benign. Benign tumors can still cause problems – they can grow very large and press on healthy organs and tissues. But they cannot grow into other tissues. Because they can’t invade, they also can’t spread to other parts of the body (metastasize). These tumors are almost never life threatening.

What is the difference between Invasive and Non-Invasive breast cancer?

Invasive breast cancer – the cancer cells break out from inside the lobules or ducts and invade nearby tissue. With this type of cancer, the abnormal cells can reach the lymph nodes, and eventually make their way to other organs (metastasis), such as the bones, liver or lungs.

The abnormal (cancer) cells can travel through the bloodstream or the lymphatic system to other parts of the body; either early on in the disease, or later.

Non-invasive breast cancer – this is when the cancer is still inside its place of origin and has not broken out. Lobular carcinoma in situ is when the cancer is still inside the lobules, while ductal carcinoma in situ is when they are still inside the milk ducts.

“In situ” means “in its original place”. Sometimes, this type of breast cancer is called “pre-cancerous”; this means that although the abnormal cells have not spread outside their place of origin, they can eventually develop into invasive breast cancer.

What are the Breast Reconstruction options?

Remember, I shall be updating the blog with more information throughout the month, you can also find me on Facebook

DR SERRURIER’S OCTOBER NEWSLETTER

DR CHARLES SERRURIER OCTOBER 2013 NEWSLETTER

WELCOME!

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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 summer on its way, 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…

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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

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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.

Placement and incision options

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During a breast augmentation surgery, there are 3 placement options: behind the muscle, in front of the muscle or half under the muscle and half under the bust. 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.

During your consultation, I will advise you on the implant placement depending on your soft tissue characteristics and cosmetic desires.

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?

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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 www.drserrurier.co.za

DR SERRURIER’S SEPTEMBER 2013 NEWSLETTER: FACIAL REJUVENATION

WELCOME

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Welcome to my September newsletter! This month in my newsletter I want to talk about skin rejuvenation. In my practice I see many patients who tell me they will never ever undergo surgery but they still want to slow down ageing and have younger, fresher looking skin.

This is why they choose to have Dermal fillers and Botox injections. This month I will give you some insight about these two very popular treatments.

They are the perfect way of removing years from your face without having to experience pain or recovery. It is quick, safe and predictable, with a very high satisfaction rate from my patients.

Remember to follow my Facebook page and for extra information on all the treatments and procedures I offer, head over to my website www.drserrurier.co.za !

Dermal fillers

Handsome mature man.

Dermal fillers give us options to:

  • Rejuvenate your skin,
  • Correct wrinkles,
  • Replace volume and
  • Can provide good insight to possible surgical outcomes – should that be the route you are considering.

I have many patients that in no way want to undergo surgery, and that is fine, they chose to have Dermal Filler treatments to keep them looking young and refreshed with beautiful skin to reverse visible signs of ageing.

Restylane Vital is skin rejuvenation treatment option that combines superbly will with Facelift surgery or as a treatment on its own. This treatment inlvolves injecting the pure, crystal-clear hyaluronic acid gel into the skin in micro-droplets with an extra-fine needle.

The results are a fresh, natural and more youthful appearance plumping up your skin from within and encouraging the formation of new collagen. You will enjoy a  long-lasting, natural and safe improvement to your skin by gradually releasing its benefits over several months.

The natural action of Hyaluronic acid is to attract moisture to the skin. As the molecule degrades it attracts more and more moisture to maintain Hydrobalance in the skin.

Extra hydration means thicker and plumper skin and therefore less wrinkles… Making it the perfect wrinkle treatment.

The most popular Dermal Filler treatment areas are:

  • Laugh lines
  • Lip outline
  • Lip volume
  • Wrinkles
  • Liquid face lifts
  • Skin rejuvenation (Restylane Vital)

Immediately after treatment with dermal fillers, you may look a little red. Sometimes clients can see small raised nodules at the treatment site; this is a normal reaction and will subside within a day or so.

BOTOX

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What is the difference between Botox and Dermal Fillers?

Dermal Filler treatments are the treatments for filling wrinkles from the inside out or treatments like plumping lips.

Botox is a muscle-relaxing agent derived from Botulinum toxin that reduces wrinkles and fine lines by temporarily relaxing the muscle. The theory is very simple: Stop the muscle from forming a wrinkle and thereby eliminate it.

The most common area of treatment is frown lines of the forehead. But Botox may also be used to treat numerous areas including:

  • Crow’s feet
  • Excessive sweating
  • Migraines

Unlike Restylane and Teosyal, which treat deep wrinkles, Botox can be used to treat fine lines and wrinkles on the face, especially the brow area and the “crow’s feet” around the eyes.

Expect each Botox treatment to last approximately 4 months and it takes about 15 minutes to complete the procedure. If it is your first time getting Botox, it might take a little longer because I will need to examine and explain as much as possible for you to feel safe and comfortable.

What happens during a Botox treatment?
First I will mix the Botox powder with saline to create the botox solution. Then I use a very fine needle to inject the toxin into the overactive muscle. It sounds simple but placement and technique do play a role so always work with a trained plastic surgeon who understands facial anatomy.

How long before you’re able to see results from Botox?
Do not expect to see the results immediately after a Botox procedure as they usually start being noticeable 2 to 5 days later, when the toxin takes effect.  

Did you know?

Not many people know this but it is possible for me to combine Botox and fillers. This is called a Liquid Facelift and works so beautifully as the two products complete each other really well. This procedure is a great way for me to mimic facelift results yet there is no recovery whatsoever and it also enables you to fix different problem areas in one session.

Some of my patients come for Dermal Filler treatments to test the results before opting for more permanent surgical options. If this a potential reason for undergoing Botox and dermal filler treatments I will not perform surgery until the product has completely degraded from the treatment site.

Of course you can simply opt for the surgery too; the choice is entirely yours. Remember to visit my website www.drserrurier.co.za for additional surgical information.

Lastly, did you know that dermal filler treatments can be done quickly in my rooms, but also in combination with surgery under anaesthetic? Simply ask me if this is something you are considering.

I hope you have all enjoyed this newsletter on skin rejuvenation at my practice. Remember to follow and like my Facebook page and share all the info with those around you!

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