Breast Cancer, Part 4

Breast Cancer Diagnosis

If you are diagnosed with Breast Cancer, there are numerous types of treatments that, depending on your case will be available to you. I will discuss all your options during the consultation process.
It is also important to know that there are numerous chat rooms and support groups of Breast Cancer patients to help you work through your treatment and recovery.

There is help, there is support, and you are not alone. Reach out.

Breast Cancer Surgery removes unhealthy tissue and may cause asymmetry. This surgery is performed by a breast surgeon. Plastic surgery for breast reconstruction will repair and restore, as close as possible, the natural appearance and symmetry of the breast, replacing skin, breast tissue, and the nipple which may have been removed during a mastectomy.

The amount of tissue removed varies with each mastectomy. Factors contributing to the amount of tissue removed include the width, size, and location of the original tumor and its proximity to the armpit from which the lymph glands are removed.

Is Breast Reconstruction Considered Cosmetic Surgery?

Restoring the breast through breast reconstruction is not considered cosmetic surgery. Operations performed to restore anatomy and symmetry, like breast reconstruction after a mastectomy, is considered reconstructive surgery – this means that in most cases your breast reconstruction will be covered by medical aid.

After a mastectomy would you choose to undergo a breast reconstruction or simply live without breasts? I see both types of patients in my practice.

Timing of breast reconstruction is based on the woman’s desires, other medical conditions, and breast cancer treatment. For many women, immediate reconstruction reduces the trauma of having a breast removed, as well as the expense and discomfort of undergoing two major operations.

It is also possible to do breast reconstruction months or years after a mastectomy. For some women, this may be advised if radiation following mastectomy was or will be performed.
We will discuss you best options during the consultation process. Call my Fourways rooms to make an appointment 011 875 1630

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Breast Cancer, Part 1

Breast Cancer

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According to the South African National Cancer Registry, one in 29 women in South Africa will be diagnosed with breast cancer.

Early detection saves lives and that is why I am continuing the campaign through November.

What is the difference between Normal Cells vs. Cancer Cells?

Normal body cells grow, divide into new cells, and die in an orderly way. In an adult, most cells divide only to replace worn-out or dying cells or to repair injuries.

Cancer cell growth is different from normal cell growth. Instead of dying, cancer cells continue to grow and form new, abnormal cells. Cells become cancerous due to damage to our DNA. This damage may be inherited or occur within ones’ lifetime.

DNA is in every cell and directs all cellular actions. In a normal cell, when DNA gets damaged the cell either repairs the damage or the cell dies. In cancer cells, the damaged DNA is not repaired, but the cell doesn’t die like it should. Instead, this cell goes on making new cells that the body does not need. These new cells will all have the same damaged DNA as the first cell does.

Different types of cancer can behave very differently. For example, lung cancer and breast cancer are very different diseases. They grow at different rates and respond to different treatments. That is why people with cancer need treatment that is aimed at their particular kind of cancer.

The difference between Benign VS Cancerous Tumors

Not all tumors are cancerous. Tumors that aren’t cancer are called benign. Benign tumors can still cause problems – they can grow very large and press on healthy organs and tissues. But they cannot grow into other tissues. Because they can’t invade, they also can’t spread to other parts of the body (metastasize). These tumors are almost never life threatening.

What is the difference between Invasive and Non-Invasive breast cancer?

Invasive breast cancer – the cancer cells break out from inside the lobules or ducts and invade nearby tissue. With this type of cancer, the abnormal cells can reach the lymph nodes, and eventually make their way to other organs (metastasis), such as the bones, liver or lungs.

The abnormal (cancer) cells can travel through the bloodstream or the lymphatic system to other parts of the body; either early on in the disease, or later.

Non-invasive breast cancer – this is when the cancer is still inside its place of origin and has not broken out. Lobular carcinoma in situ is when the cancer is still inside the lobules, while ductal carcinoma in situ is when they are still inside the milk ducts.

“In situ” means “in its original place”. Sometimes, this type of breast cancer is called “pre-cancerous”; this means that although the abnormal cells have not spread outside their place of origin, they can eventually develop into invasive breast cancer.

What are the Breast Reconstruction options?

Remember, I shall be updating the blog with more information throughout the month, you can also find me on Facebook

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

DR CHARLES SERRURIER MAY NEWSLETTER: MUMMY MAKEOVER

MUMMY MAKEOVERS  

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
Fourways
2055
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 MARCH 2013 NEWSLETTER -BREAST LIFT-

BREAST LIFT  

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

Fourways
2055
TEL: 011 875 1630
FAX: 011 875 1631

FACEBOOK – Dr Charles Serrurier

BLOG – drcharlesserrurier.wordpress.com

WEBSITE – http://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

Know your Breast Implants – Dr Charles Serrurier

There has been so much said about PIP breast Implants in the media, and it has caused a stir amongst doctors and patients alike. I will give my two cents worth on the whole escapade, but this quick blog is more about secondary issues that I have noticed evolving – that being patients are not aware of what implants they have inserted, or even what size they are.

To start, let me give some local information regarding PIP implants. In South Africa we have been lucky – yes, PIP implants were represented here but not many were used – yes, some were used but the problem is not as extensive as in Europe. The PIP manufacturing facility has been closed for a few years now and this matter has been dealt with within the local fraternity.

That said many patients have been phoning their doctors asking what implants they have had inserted. It is imperative to remember what implant you have had inserted and what size your implants are, there are many reasons for this:

  • You may want to increase your implant size at a later date
  • You may not visit the same surgeon should there be a complication
  • There might be a complication that requires explanation and new implants to be inserted
  • You may leave the country or your surgeon may leave the country

In all the instances above your breast implant information is important, especially as most implant manufacturers offer warranties on their products and you could get the implants replaced for free. In the event of needing to reinsert implants, knowing what size implants you currently have is critical to making the best surgical decisions.

Your plastic surgeon will always have a record of your implants, and you should always be given some form of warranty card including your implant stickers. These stickers show manufacturer, implant type, implant size and in many cases a unique bar-coded serial numbers for unique identification.

It is you responsibility to keep those stickers and records safe – you never know when you might need them?

Sometimes issues like the PIP debacle can bring some good. I hope that this issue brings more patient understanding into their implant choice and the warranties that go along with them.

I hope this helps your thinking?

Dr Charles Serrurier