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

172225187

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

173897368

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

157589963

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.

157685010

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.

172346655

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

Advertisements

APRIL 2012 NEWSLETTER – Autologous Breast Reconstruction

Breast Reconstruction

For the month of April I want to revisit Breast Reconstruction but with a focus on Autologous Tissue Reconstruction.
Avoiding using an implant in breast reconstruction eliminates many possible extra complications associated with foreign bodies. Autologous reconstruction suits specific patients and is used specifically in certain circumstances e.g: radiation

“To undergo Breast Reconstruction is entirely your choice”

This newsletter will hopefully give you some insight into your options, what you can expect and also how to hasten your recovery.

 I hope you enjoy.

Dr Charles Serrurier

What is the process when undergoing breast reconstruction surgery?

If you choose to undergo Breast Reconstruction, we will discuss your individual case in detail to decide what is the best option for you.

In some cases autologous breast reconstruction is recommended. This allows further treatment post reconstruction and reduces risks associated with implants. The surgery is unfortunately long and can last anyting between 3 and 5 hours under general anaestethic.

The recovery time is also long due to the donor site sensitivity and breast sensitivity. Once recovered at approximately 6 months we will bring you back into theatre to reconstruct the nipple area too.

What donor sites can be used for autologous breast reconstruction?

There are traditionally three donor site options:

Each has it pro’s and con’s but each will have specific reference to your case and reconstruction.

  1. DIEP Flap – abdominal tissue is used in the reconstruction. This process is however complicated due to the necessity to perform a free tissue transplant (free flap). This means microsurgery is involved and there is risk that the flap will not survive.
  2. TRAM Flap – this is similar to the DIEP Flap but this time a small portion of the abdominal muscle is also used. There are free flap options but surgeons using this technique will nearly always attempt to use a pedicle (maintain permanent blood flow to the tissue) This method allows a very natural looking and feeling breast but again there is a significant risk of flap morbidity.
  3. LATISSIMUS Flap – probably the most popular autologous reconstruction option. This method uses your Latisimus muscle in your back for reconstruction. This is quick surgery with good cosmetic outcome. The additional benefit is that there is permanent blood flow and flap survival rates are extremely high. The Latissimus is considered world choice of breast reconstruction.

Definition of Autologous Breast Reconstruction:

Autologous reconstruction refers to plastic surgery that uses your own tissue to replace tissue that was lost to an injury or surgery. You are both the donor and the recipient of relocated tissue during autologous reconstruction. In breast reconstruction this means using your own tissue to reconstruct your breasts following mastectomy.

Post reconstruction recovery

Hospital stay

You will be required to remain in hospital for a number of days post surgery. You will have drains inserted and the fluid drainage will need to be monitored closely. Pain can also be dealt with immediately during your hospital stay.

At home

You will be required to take it easy for 3 or 4 weeks – this means no work, and no heavy lifting. Someone should also help you with your driving during this time.

Remember that no bathing is allowed until the drains are removed. Showering is ok, but bathing can lead to infection complications.

It is also very important to keep your follow up appointments – these are to change dressings, remove drains and generally follow up on your recovery.

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

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