Breast Cancer, Part 5

Breast Reconstruction Surgery

Breast Reconstruction is always performed under general anesthesia and in most cases is covered by medical aid.

Implant breast reconstruction is a more simple operation than flap breast reconstruction, with a slightly shorter recovery time than other types of reconstruction.

  • It leaves less scarring on the breast and no scars elsewhere on your body.
  • It can give a good appearance, particularly for women with small breasts or women having both breasts reconstructed.
  • No operating on healthy tissue or extra scars
  • No missing tissue missing elsewhere in the body

Unfortunately not everyone is eligible for implant reconstruction. We will have to discuss what is best for you for not only immediate recovery but also long-term satisfaction. What would you choose?

Remember to get yourself checked regularly, there is additional information and you can stay in touch with me via Facebook @DrCharlesSerrurier

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DR SERRURIER’S JULY 2013 NEWSLETTER: WINTER SURGERY

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WELCOME

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.

WHY IS WINTER THE IDEAL SEASON FOR SURGERY?

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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.

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LIPOSUCTION

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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.

ABDOMINOPLASTY

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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.

 

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