Eyelid Lift – Upper and Lower (Blepharoplasty)

Your concerns: Drooping upper eyelids and/or baggy lower eyelids.
Solution: Blepharoplasty
Surgery: Excess skin is removed from the upper eyelids and fat causing lower lid bagginess is modified to rejuvenate the eyes. This procedure is done under local anaesthesia and you don’t stay overnight.
Additional info: It will not remove crow’s feet or other wrinkles, eliminate dark circles under the eyes or lift sagging eyebrows.
Recovery period: Due to bruising patients keep a low profile for the first week.

Full Face and Neck Lift (Rhytidectomy)

Your concerns: Sagging facial skin, jowls and loose neck skin.
Solution: Rhytidectomy or mini-rhytidectomy.
Surgery: The skin and layers beneath it are tightened. Sometimes a blepharoplasty (improving upper and lower eyelids) is done at the same time. A mini-lift addresses mainly the cheek and jowl area.
Additional info: Liposuction below the chin is often part of the procedure.

Nasal Improvement (Rhinoplasty)

Your concerns: Unshapely nose
Solution: Rhinoplasty
Surgery: The nose is reshaped by altering the size, removing or adding tissue and narrowing and refining the tip. This is usually combined with surgery of the septum in conjunction with an ear, nose and throat (ENT) surgeon.

Prominent Ear Repair (Otoplasty)

Your concerns: Prominent Ears
Solution: Otoplasty
Surgery: Incisions are made behind the ears to reshape the cartilage. This is a very meticulous procedure. This can be done under conscious sedation in adults.
Additional info: The preferred age for correction is around 5 years of age in children.

Scar Revision

Your concerns: Prominent or unsightly scars
Solution: Scar revision
Surgery: Scars can sometimes be improved by surgical revision, but never removed.
Additional info: Kelloids can be treated by revision and radiotherapy, but recurrence can still occur

Botox

Your concerns: Frown lines, wrinkles, crow’s feet, excessive sweating. Looking for a “fresher/friendlier” appearance.
Solution: Botox
Procedure: Botox is indicated for dynamic lines in the face. Usually to the upper third of the face. Botox (a natural purified protein) is injected into the muscles that have caused the wrinkles. Within a few days of treatment the lines cannot be accentuated by muscle action. You can return to normal activities immediately afterwards.

Botox is also effective in treating localised excessive sweating e.g. underarm sweating.

Additional info: The Botox effect lasts for 3 – 4 months. Botox is the most frequent non-surgical cosmetic procedure being performed in the world.

Filler Injections for Skin Rejuvenation

Your concerns: Ageing and volume loss
Solution: Fillers
Procedure: This pure, crystal clear gel is injected into the facial soft tissue. It contains a naturally occurring substance, hyaluronic acid. This is injected into areas of static wrinkles for example the folds alongside the mouth (naso-labial folds) which absorbs water into its 3D structure to enhance volume. It can also be injected into the cheek bones with a special cannula to enhance volume. The lips are especially well suited for fillers without overdoing it. I believe in a natural look.
Additional info: Fillers have different thicknesses and will last around 6 months – 1 year depending on the area, amount given and amount of volume loss that needs to be corrected

Skin Care Products
A range of skin care products are available on request:

Lumixyl: Dramatically improves the appearance of hyperpigmentation.

MD Lash Factor: This topical applied solution gives dramatic improvement in eye lash length and thickness.

Dermastine with Vit A: For scarring and helps to prevent loss of tone of your skin.
Environ: medical and surgical needling, as well as the full range of skin care products

Breast Reconstruction
Breast reconstruction should be individualised and discussed by the multi professional team involved. Reconstruction can be done at the same time as a mastectomy and lumpectomy. This is called immediate breast reconstruction. Nowadays this is done more frequently in order to let the patient wake up with a partial reconstructed breast to make the loss of a breast less traumatic. It can also be done as a delayed procedure after chemo and radiotherapy have been completed.

Options:

Prosthetic reconstruction: Tissue expanders and silicone implants.
Autologous (own) tissue: Tissue from the tummy is used. This is called a TRAM flap and has the advantage of also having a tummy tuck as part of the procedure.
Combination of Autologous tissue and implants: Skin and muscle from the back (Lattisimus Dorsi flap) used to reconstruct a breast and a silicone implant is used to obtain volume in the breast.

Skin Cancer

Malignant Melanoma:

Your concerns: Pigmented lesion on especially sun exposed areas that changes in size, colour or starts bleeding.
Diagnosis: Malignant Melanoma until proven otherwise.
Surgery: Wide local excision and sentinel lymph node biopsy to exclude spread.

Basal Cell Carcinoma and Squamous Cell Carcinoma:

Your concerns: None healing of ulcerating skin lesion in sun exposed areas.
Surgery: Although not as dangerous as melanoma, skin cancers needs complete excision in order to prevent local spread or spread to glands if neglected.

Congenital Abnormalities

Cleft lip & Palate

Congenital Abnormalities

Hand Surgery

Trauma

General Reconstructive Surgery