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,



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



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


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. 



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.


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.


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



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

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

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

mummy makeover

Looking great after child birth

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

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

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

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

Breasts and post-pregnancy…

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

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

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

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

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

Liposuction and tummy-tuck

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

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

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

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

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

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

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

Dr Charles Serrurier

Plastic & Reconstructive Surgeon

Suite A9,

Life Fourways Hospital

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

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



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

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

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

What can breast lift do for you?

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

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

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

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

My Breast Lift techniques

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

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

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

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

Your recovery

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

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

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

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

Dr Charles Serrurier

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

Suite A9,
Life Fourways Hospital

Cedar Road & Cedar Avenue West

TEL: 011 875 1630
FAX: 011 875 1631

FACEBOOK – Dr Charles Serrurier

BLOG – drcharlesserrurier.wordpress.com

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