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.

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

 

WHO IS RHINOPLASTY FOR?

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.

 

 

WHAT HAPPENS DURING RHINOPLASTY 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

 

 

WHAT YOU NEED TO KNOW ABOUT THE RECOVERY

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!

 

 

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DR SERRURIER MARCH NEWSLETTER: PROBLEMS AND SOLUTIONS

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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!

BREASTS PROBLEMS

Problems:

  • 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.

Problems:

  • 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.

Problems:

  • 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.

STUBBORN FAT PROBLEMS

Problems:

  • 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.

Problems:

  • 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?

Problems:

  • 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

WELCOME!

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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.

 

BREAST LIFT

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.

 

BROW LIFT SURGERY

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.

 

FACELIFT

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.

 

BUTTOCKS  AND THIGH LIFTS

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

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 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

MARCH 2012 NEWSLETTER Education of the patient

I am proud to be representing both Health Intelligence Magazine and Everything Aesthetic as a member of their respective Advisory Boards – the reason for this is because of a passion of mine to educate patients about what surgeries are right for them and why some procedures are nothing more than money making scams.

In my middle of the month blog I spoke about patients knowing their implants and this month I want to give you a heads up on my article for Health Intelligence Magazine on the latest advancements on Tummy Tuck Surgery.

“A safe and happy patient is a safe and happy doctor”

I always want to be making a positive difference to your cosmetic and reconstructive options, so any feedback is always greatly appreciated.

I hope you enjoy.

Dr Charles Serrurier

What is Tummy Tuck surgery or Abdominoplasty?

The Tummy tuck is a surgical intervention to correct poor skin quality, excess fat and/or lax muscles in the stomach area. What we want to achieve during Tummy Tuck surgery is a flatter and smoother profile in the stomach by removing excess fat and skin and repairing stretched abdominal muscles.

Sounds simple? How is the surgery performed?

Well, first things first Tummy Tuck surgery is anything but simple. The case is done under general anaesthetic and will require significant time in theater. That said we get extremely good results and even more satisfied patients.

The incisions are similar to that of a cesarean section incision and well hidden below the underwear line.

Depending on your personal surgical specification the skin and fat will be lifted from the abdominal muscle wall. The excess skin and fat will be removed, the muscles will be tightened with sutures and the remaining skin will be stretched to the incision and you will have a new flat stomach.

Of course, each patient is different and in some cases there will be different approaches, but these will all be discussed with you during the consultation

Predictable results

As the Tummy Tuck surgery is so popular the surgery has undergone much advancement to improve the predictability of your result.

Technique

Today there are many different techniques to accommodate your body classification. We can use:

  • Traditional Abdominoplasty
  • Mini Abdominoplasty

(a smaller procedure where less skin and fat is removed via a smaller incision)

  • Sliding Umbilical surgery

(this is where we do not need to resite the belly button)

  • Resiting the Umbilicus

(used for significant surgeries where the belly button needs to be repositioned

Your surgical approach will depend largely on your classification and of course your desired expectations.

Classification

Over time we have developed a surgical classification for body types to help with surgical procedure:

  • Abdominal shape
  • Fat deposit location
  • Muscle laxity
  • Skin quality

All these elements play a significant role in the aesthetic result of your surgery. These criteria dictate a safe, effective and predictable surgery.

Realistic Expectations

Discussing your expectations will play a key role in your satisfaction post procedure. Dr Serrurier will discuss with you all the possibilities and limitations for his surgical approach based on your classifications.

An open honest approach to successful surgery and an ongoing relationship is what you will find at Dr Serrurier’s Fourways rooms – be sure to make an appointment should you have any questions.

Liposuction and Abdominoplasty: Recent research suggests that combining Abdominoplasty with Liposuction will give a far more satisfactory result than just Abdominoplasty alone. The two procedures in one improve aesthetic result and significantly reduce cost on undergoing both procedures. The one drawback is a longer recovery period.

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

Suite A9, Life Fourways Hospital
Cedar Road & Cedar Avenue West
Fourways
2055
TEL: 011 875 1630
FAX: 011 875 1631

FACEBOOK – Dr Charles Serrurier
BLOG – drcharlesserrurier.wordpress.com