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 Advice: Plan Your Procedures


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

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

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

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

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

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


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

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

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

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

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

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

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

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

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

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

Kind regards,

Dr Charles Serrurier’s December Refresh & Redefine

Refresh & Redefine


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


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

•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 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 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.


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

Kind regards,

Dr Charles Serrurier



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




Welcome to my July newsletter!

This month, I have decided to talk about winter as the perfect season for surgery, in particular, for liposuction and tummy tuck.

Maybe you had no idea that seasons did matter when talking about recovery or comfort post op but they do and I always highly advise my patients to taking these external aspects in considerations in order to have the best experience possible.

I am thrilled to give you some insight and knowledge on how these procedures work and how it can help you feel better in your own skin.

Thinking about going under the knife, but not sure when the best time for plastic surgery may be? The autumn and winter months are some of the most popular times for surgery, so you may want to book a consultation now.


Here are some reasons why:

If liposuction or a tummy tuck is your intended procedure, would you really want to do it at the beginning of summer, the swimsuit season, the time for halters and shorts?

Winter recovery is easier

Many people are hesitant to undergo procedures like breast augmentation or a tummy tuck because of the time it takes to recover. Unfortunately, there’s not much of a way around this issue. But in winter you can wear layers of clothing, enjoy snuggling in bed during recovery and also have your results ready for show when the summer season rolls around.

Of course you can always choose a non-surgical procedure like Botox injections or dermal fillers year round as the recovery is practically zero.

For best recovery you will be instructed to take it easy and spend much of your time indoors for a few days. This alone makes the cold, winter months a better choice.

And, once you are able to go outside and move around again, wearing layers of clothes or accessories to hide any post-surgery garments, dressings or scars would be completely normal.

Medical reasons for winter recovery

Another good reason to undergo surgery in winter:  If you have a stressful job or life and have been thinking about having a procedure, this could be the perfect opportunity to have a “staycation” and recover.

This means you won’t be longing for the outdoors, be tempted to hit the town and more likely to follow post-surgical instructions. Medically this is the best.

Winter is also a great time for plastic surgery because patients can cover up bandages in layers of clothes.

Winter is the time for comfort, for good food and warmth, for the touch of a friendly hand and for a talk beside the fire: it is the time for home.

Basically, winter is the best season to have plastic surgery, no matter what procedure you are having done but especially for long-recovery body surgeries like:

  • Liposuction and
  • Tummy tuck.

Amongst the ideal winter procedures, this month I want to talk about liposuction and abdominoplasty which are notorious for being the most appropriate surgeries during the cold months, as the recovery is the longest for these procedures.




First up is liposuction, which is a popular procedure at my practice and one that can help sculpt the body by removing unwanted fat from specific areas, including:

  • Abdomen
  • Hips
  • Buttocks
  • Thighs
  • Knees
  • Upper arms
  • Chin
  • Cheeks
  • Neck

Although liposuction is no substitute for a healthy diet and exercise, liposuction can remove stubborn areas of fat that does not respond to traditional weight-loss methods.

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 recovery:
Physical activity should be restricted for the first 24 hours post operatively for all Liposuction cases. Just because the pain medication will have you feeling well doesn’t mean you should be up and about. Take the time and rest, you and the result will benefit from it.

After this, light exercise is encouraged but strenuous exercise should not be resumed for at least 4 weeks. Now you can see why winter is a great time for liposuction recovery?

Post operatively Liposuction patients are required to wear a support garment for approximately 6 weeks. This helps minimise swelling and bruising, and helps maintain the aesthetic result.

Yes, they are not the most flattering garments but when you consider the surgery and your desired outcome the garment is a small sacrifice. As mentioned before, winter clothing will help hide all the unflattering post-surgical garments until you are fully healed.

It takes at least approximately 6 months for all the swelling to subside and your final result to be revealed. So now you ask me when I think the ideal time for liposuction surgery is? Autumn!

Plan your surgery and you will be able to reveal your new body at the first sign of summer.



Now, onto abdominoplasty (also called tummy tuck), which is the one of the most popular plastic surgeries, for women, but more and more men are coming to my practice to undergo the tummy tuck procedure.

Women tend to undergo this procedure post child rearing, when getting your body back becomes more of a priority. And it is another great winter procedure!

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?

After your tummy tuck or mini tummy tuck, the abdomen will be swollen and tender. Moderate pain can be expected for about two days but the pain will decrease as your healing progresses. Pain and discomfort will be controlled with medication that I will prescribe.

The recovery is longer than most cosmetic procedures and this extended recovery makes it a perfect winter surgery.

I may recommend that you use a support garment or girdle at the end of the tummy tuck or during the healing period. Usually the garment is worn for two to six weeks, depending on need.

They may look unsightly but they benefits are well worth the additional discomfort. As with liposuction, winter clothing can help you hide the post-surgical garments and keep you as comfortable as possible.

Downtime after a Tummy Tuck surgery?
Most patients take between one and two weeks off work after an abdominoplasty. This is simply to recover, not necessarily to be back on your feet, although a minimum of one week off work would aid in the healing process.

Again winter time is easier to just stay indoors and relax in bed: perfect healing conditions! Healing is usually complete and the final result is visible within a few months.




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

Dr Charles Serrurier February 2012 Newsletter

The Milan Congress

Well, the year has started with a bang. For me last year ended with a bang too and I’m grateful to have attended the Milan Breast Reconstruction Congress in December 2011 to use a few new techniques in the coming year.

The most interesting part of from the congress was the advancements in two areas I am deeply passionate about. First, fat transfer techniques and secondly, stem cell rejuvenation.

I will discuss my thoughts on both in this newsletter and hopefully we will start implementing these techniques in breast reconstruction and other cosmetic surgeries too.

I hope you enjoy.

Dr Charles Serrurier

Fat Transfer and Breast Reconstruction

Fat Transfer is a double bonus procedure for the patient. It is, in essence, the removal of fat from one part of the body and implanting it into another part. You get a liposuctoin and a safe tissue transfer to where your body needs it.

What does this actually mean?

“It won’t be long before we see a Stem Cell Facelift operation in South Africa”

In the past Fat Transfer has always been a useful technique to correct defects to the breast followng mastectomy and reconstruction. But this advancement in Fat TransferTechnique will allow surgeons to reconstruct a breast using nothing but autologous fat transfer ie your own tissue. This option immediately elimantes the need for breast implants or muscle donor sites used in traditional breast reconstruction

The negatives?

Well to be honest there arent many negatives to undergoing autologous fat transfer should the result last.

That said, fat is rather weak in terms of survival rate and there needs to be sufficient blood-flow and tissue to help it survive. The advancements I mentioned are all in the field of fat transfer survival – and the current results are good.

To achieve a good fat “take” as we call it is dependent on two things:

1st Fat transfer technique

2nd Good patient compliance

The bonus?

There is one final magnificent bonus when dealing with a fat transfer – that is STEM CELLS. Fat is a prime carrier of stems cells. Stem cell research is ongoing but most literature points to skin rejuvenation in conjunction with fat transfers.

 This means by injecting fat, rich in stem cells your tissue will rejuvenate – meaning, diminished scarring and younger looking skin. This is especially exciting to breast reconstruction patients who suffer with bad scarring and healing due to numerous surgeries and radiation treatments.

Fat Transfer in the Face

Surgeons have been performing fat transfers to the face for years – it is widely accepted as a permanent replacement for dermal fillers or tissue for facial reconstruction.


The stem cell facelift is the rejuvenation of the face by injecting carefully prepared stem cells and using their unique regeneration ability to mimic the surgical facelift.

Harvesting the fat

Special techniques are used to harvest one’s own fat and prepare the stem cells for re-injection. This preparation does take time but greatly increases the effectiveness of the fat graft “take”. Special cannulas are used in the harvest and the fat is then spun vigorously to separate the stem cells from the waste. This ensures rich stem cell re-implantation.


There will be a need to prep both the donor site and the injection site with growth factors to again promote a better take.


The results are similar to a facelift; but without the need for major surgery.


Stem cells are found in various parts of the body, brain, bone-marrow, blood and fat etc – in adults they remain in a non-dividing state, dormant until they are required.

Adult stem cells can renew indefinitely enabling them to generate a range of cell types from the originating organ or even regenerate the entire original organ

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

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