Dr Charles Serrurier’s Advice: Plan Your Procedures

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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,

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Dr Charles Serrurier’s December Refresh & Redefine

Refresh & Redefine

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This month’s blog will touch on a number of procedures, please feel free to post your comments and ask questions.

Facials

A facial is one of the best ways to take care of your skin – it cleans exfoliate and nourishes the skin, promoting:

•Clear,
•Well-hydrated complexion, and can
•Help your skin look younger

Facial Rejuvenation

I have many patients that do not want to undergo surgery, instead, they chose to have Dermal Filler treatments to keep them looking young and refreshed with beautiful skin to reverse visible signs of ageing.

I only use gold standard Hyaluronic Acid Dermal Fillers in my practice. They offer the safest treatment plan, predictable results and are quick to perform – which means you can be back to your schedule in not time.

Dermal fillers give us options to:

– Rejuvenate your skin,
– Correct wrinkles and
– Replace volume

Are Dermal Fillers the same as Botox?

Dermal Filler treatments are the treatments for filling wrinkles from the inside out or treatments like plumping lips. Whereas, Botox is a toxin used to temporarily paralyze over used muscles or animated parts of the face – these constantly moving muscles create folds in the skin that turn into wrinkles.

Facial Surgery

Our Faces are the primary area of visual focus when interacting with one another, they are also made up of many different elements. Luckily, medical science has specialized, allowing you to target areas of improvement.

I offer:

  • Corrective Eye Surgery,
  • Mini & Full Face Lifts,
  • Cosmetic Nose Surgery and
  • Brow Lifts

 

The Body, Your Body, Make it match your Style

Unfortunately, we are not all blessed with fast metabolisms and no matter how much we diet and exercise we just can’t seem to reach our Body Type Goals, often these problem areas are further aggravated by the skin losing it’s elasticity over time. With these elements in mind, the following procedures were formulated:

Liposuction

Liposuction surgery may be considered to treat areas of excess fat in the stomach, buttocks, hips, love handles, saddlebags, thighs, calves, ankles, breasts (including male breasts), back, arms and neck.

Liposuction is equally effective in both men and women. For more information please see:

Abdominoplasty

Abdominoplasty is an option in cases where excess fat, skin and sagging muscles have not been improved by diet and exercise. By this I mean you need to be close to your ideal body weight for a tummy tuck to be truly effective.

Did you know that if you are a good candidate for a tummy tuck, additional combination surgeries such as liposuction also might be a great way for you to get more out of your surgery? For more information please see:

Breast Surgery

Different bodies are suited to different kinds of treatments, I offer the following treatments:

Body Lifts: 

Buttock Lift

Its main purpose is to improve and/or remove excess, sagging buttock and thigh skin that has developed as a result of weight loss, aging and gravity, or genetics. The results of buttock lift surgery are visible almost immediately, but it may take several months for your final results to fully develop. A buttock lift does not add volume or shape to your existing buttocks, but it can give it a sleeker, more toned appearance.

Arm Lift

This is an increasingly popular procedure in both men and women, for those self-conscious about “bingo arms”. The purpose of the Arm Lift is to remove the excess skin from the upper arms and in certain cases reduce the circumference of the upper arms.

After their Brachioplasty, patients usually report:

  • A more youthful appearance and thinner contour to the arms.
  • Reduction of flabbiness, extra skin and fat, in the upper inner arms.
  • Greater confidence and comfort in clothing
  • Long-lasting results.

Thigh Lift? Yes we can help with that too.

A thigh lift reshapes the thighs by reducing excess skin, and in some cases fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body. During your thigh lift, the underlying tissue matrix will be reshaped and tightened, and skin will be reduced and re-draped. This is how we get results to offer you a more proportionate and smoother body contour.

The tighter contouring resulting from a thigh lift is apparent almost immediately, although initially obscured by some swelling and bruising which is completely normal post-procedure.

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Thank you so much for your support throughout the year, I hope to see you in the new year.

Kind regards,

Dr Charles Serrurier

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 5

Breast Reconstruction Surgery

Breast Reconstruction is always performed under general anesthesia and in most cases is covered by medical aid.

Implant breast reconstruction is a more simple operation than flap breast reconstruction, with a slightly shorter recovery time than other types of reconstruction.

  • It leaves less scarring on the breast and no scars elsewhere on your body.
  • It can give a good appearance, particularly for women with small breasts or women having both breasts reconstructed.
  • No operating on healthy tissue or extra scars
  • No missing tissue missing elsewhere in the body

Unfortunately not everyone is eligible for implant reconstruction. We will have to discuss what is best for you for not only immediate recovery but also long-term satisfaction. What would you choose?

Remember to get yourself checked regularly, there is additional information and you can stay in touch with me via Facebook @DrCharlesSerrurier

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 3

Screening / Testing for Breast Cancer

Early detection will not prevent breast cancer, but it can help find it when the likelihood of successful treatment is greatest. Do you give yourself regular check-ups? Do you know how to give yourself a breast exam?

Self-Examinations

By performing self-examinations regularly, you get to know how your breasts normally look and feel which allows you to more readily detect any signs or symptoms if a change occurs, such as:

  • Development of a lump or swelling
  • Skin irritation
  • Dimpling
  • Nipple pain or retraction (turning inward)
  • Redness or scaliness of the nipple or breast skin
  • A discharge other than breast milk

Should you notice any changes you should see your health care provider as soon as possible for evaluation. If you wish to undergo further testing / screening call my Fourways rooms on 011 875 1630

A clinical breast exam (CBE) is an examination of your breasts by a health care professional, such as a doctor or nurse. For this exam, you undress from the waist up. The health care professional will first look at your breasts for abnormalities in size or shape, or changes in the skin of the breasts or nipple. Then, using the pads of the fingers, the examiner will gently feel (palpate) your breasts.

Special attention will be given to the shape and texture of the breasts, location of any lumps, and whether such lumps are attached to the skin or to deeper tissues. The area under both arms will also be examined

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