Melbourne Plastic Surgery Blog

Melbourne Plastic Surgery Blog

Six questions to ask your surgeon before having eyelid surgery

Monday, February 22, 2016

The eyes are often the first feature that you notice about a person so it goes without saying that any surgical procedure on the eyes should be done after careful consideration.  We’ve compiled a list of 6 key questions to ask your surgeon when considering eyelid surgery (blepharoplasty).  

1) Am I a good candidate for blepharoplasty?

The thin skin around the eye is susceptible to showing the first signs of ageing.  One of the main reasons a middle-aged face appears old and tired is excess fat and wrinkled, drooping skin on the upper and lower eyelids.  Whilst often just all signs of the natural ageing process, drooping or wrinkled eyelids can occasionally be caused due to other anatomical reasons.  One should never assume they are a certain candidate for eyelid surgery. It is best to have a specialist plastic surgeon evaluate your specific circumstances and recommend the most appropriate procedure to achieve the desired result.

The best candidates for blepharoplasty are those who have realistic expectations around what can be achieved, are physically healthy and free from eye problems/have healthy eyes, are non-smokers and are well informed about the procedure.  Ideal candidates are at least 35 years of age although certain genetic factors may indicate treatment as being appropriate for younger people.

Mr Mutimer also performs reconstructive eye surgery and corrective eyelid surgery for people with inherited conditions – for example where excess skin obscures the natural fold of the upper eyelids, loose skin from the upper eyelids affects vision, or where lower eyelids are sagging or mal-positioned.

2) What results should I expect to see?

Generally good candidates for eyelid surgery will have realistic expectations for what can be achieved with the procedure.  While the surgery will reduce the sagging that makes you look older and more tired, it won’t necessarily correct wrinkles around the eyes (this may require an additional type of treatment or procedure). 

3) How is the surgery performed?

There is no “one approach fits all” for eyelid surgery.  It can be performed on upper, lower or both eyelids at the same time.  Generally incisions are made in the natural folds of the eyelid, in the crease of the upper eyelid and just beneath the lashes or behind the lower eyelid.  A consultation with Mr Mutimer will provide him with the opportunity to assess your particular circumstances, assess whether you are a good candidate for the procedure, and allow him to explain how the surgery would be performed.  Eyelid surgery is an inpatient procedure performed under either general anaesthesia or local anaesthetic with sedation.

4) What should I expect in my recovery?

Every person will recover differently from surgery – regardless of the type of surgery.  Recovery from eyelid surgery generally takes several weeks.  Within the first week any stitches will be removed.  In the first weeks patients must ensure that their eyes receive plenty of rest.  Any redness, bruising and swelling occurring after the procedure will fade over time, generally this takes several weeks up to one month.  Patients will be prescribed an individual care plan (which may include specific medications and ointments) to help speed up the recovery process.  An important part of recovery is also restricting physical exertion so as to avoid increased blood flow to the eyes, as this will only increase swelling and bruising.  Most patients return to work 2 weeks after surgery.

5) How many similar surgeries have you performed?

It goes without saying that you want to feel that you are in safe hands and that the surgeon performing your blepharoplasty is well qualified to do so.  Check your surgeon’s credentials and don’t be afraid to ask how many similar surgeries they have performed, how long they have been doing the procedure for etc.  A reputable surgeon will have no issue answering these important questions and providing any information and reassurance that you need.

6) Can I get any Medicare or health fund rebates?

Generally no, in most circumstances this is a cosmetic procedure, however rebates may be available for specific corrective or reconstructive procedures.  Your circumstances will be assessed during your initial consultation with Mr Mutimer and he will be able to advise whether you qualify for any Medicare of health fund rebates.

If you are considering eyelid surgery – visit our eyelid surgery procedure page for more information or to submit an enquiry.

Who is a good candidate for a facelift?

Friday, February 05, 2016

The aim of a facelift is to help reduce the signs of ageing and to make the face appear smoother and more youthful. Facelift surgery is popular with both men and women however it is important to be confident this is the right procedure for you. We recommend visiting a specialist plastic surgeon to explore whether you are a good candidate for face lift surgery.

There are several factors that best lend themselves to determining whether a person is a good candidate for a face lift. While these factors are by no means conclusive, they are often good indicators:

Loose Skin: When we age, gravity ceases to be our friend and our skin starts to loosen and sag, particularly in the lower portion of the face and neck.  This loose skin often indicates that you may benefit from face lift surgery. A face lift allows for any extra skin to be removed and the face tightened to reduce this saggy appearance and to restore a more youthful, natural look to the face.

Skin Elasticity:  The elasticity of the skin on the face is an important determining factor as to whether a patient is a good candidate for a face lift.  Skin should have a significant amount of flexibility (elasticity).  This allows for the skin to be gently stretched leaving a firmer looking face.

Your Bone Structure: Bone structure is the foundation of the face.  A defined bone structure will help to support any alternations made during the surgery and generally help maximise results.

Your Overall Health: You have likely heard the saying “Your health is your wealth” – this particularly applies when you opt to undertake any surgical procedure.  The healthier you are, the faster and smoother your recovery is likely to be.

Your consultation with a Specialist Plastic Surgeon will assess these physical factors, explore your expectations and assist you to understand what is realistic to achieve with this surgery. Mr Mutimer is an advocate for natural looking face lift.  A thorough consultation process will ensure both you and your surgeon are comfortable with what can be achieved in your specific circumstances.

Our website has additional information on facelift surgery including cost estimates and the ability to view the procedure in 3D.  Alternatively feel free to contact us should you have further questions or wish to book a consultation.

Rhinoplasty Recovery Tips

Friday, December 11, 2015

The decision to undergo Nose Surgery is a big one, and one that you should not take lightly.  It is so easy to get caught up in the excitement of how your new nose will look, and the relief at having had the actual nose surgery, that many people forget that what you do post-surgery can have a major impact not just on recovery time, but on how your new nose looks.

The healing time after a Rhinoplasty procedure is one of the most crucial components in ensuring that your new nose recovers well. What you do post surgery will help your nose heal in the best possible way. You want to recover quickly and without complications.

Following rhinoplasty surgery you will likely have bruising and swelling for several weeks.  If your surgeon has had to break any nasal bones, it takes about 6 weeks for your nose to fully heal.  So remember that during this period, you should take extra precaution to ensure you nose is not knocked.


These rhinoplasty recovery tips will ensure you are on the right path to a speedy recovery:

1)    Keep your head raised whenever you can, especially in the first week post-surgery.  This will reduce the pressure to your head and will help reduce swelling.  Try to keep your head elevated when sleeping also.

2)    Avoid strenuous activity – for at least 4 weeks post procedure.  Exercise increases blood flow and the last thing you want is nose bleeds, which can affect the recovery and final result of the procedure.  Swimming should be avoided for at least 4 weeks (think increased nasal pressure and/or infections).  Avoid any type of contact sport for at least 6 weeks.  You will most likely be allowed to do light exercise as little as 2 weeks after surgery however we recommend discussing this with your surgeon who will make recommendations based on your individual circumstances.

3)    Use a cold compress – applying a cold pack around the eyes (without placing it on the surgical site) will help manage swelling in this area.  Aim for 20 minutes, 3 times a day during the first week.

4)    Don’t blow your nose – naturally your nose will be very sensitive during the first 3 weeks after your surgery and blowing your nose can disrupt blood vessels and cause bleeding.

5)    Clean your nose – Keep nostrils clean and clear of blood using salt and water and special implements supplied after surgery.

6)    Avoid alcohol – refrain from any alcohol for at least 2 weeks after surgery.  Alcohol thins the blood and increases the risk of excessive bleeding. 

7)    Do not smoke - As if you didn’t already know that smoking is bad for you, it can significantly impede the healing process and lead to poor scarring and wound healing problems.  Abstain from nicotine for at least 1 month before and after surgery.  Why not use your rhinoplasty surgery as an excuse to quit once and for all?!

8)    Wearing glasses– if you need to wear corrective eyeglasses be sure to discuss this with your surgeon who will advise when these can be worn.

We know it’s hard to wait for the final result.  Follow these rhinoplasty recovery tips (and any other instructions provided by your surgeon) and you will be able to show off your new nose sooner.  If you are interested in nose surgery and would like to find out more we recommend visiting our Rhinoplasty Surgery Page.


Eureka Climb 2015

Thursday, November 19, 2015

On Sunday 15th November 2015 we had four teams who successfully took on the challenging Eureka Climb (www.eurekaclimb.com.au) including our "Corporate Cup" team (yes, mad running!) who won the Corporate Cup!

Eureka Climb is Australia's biggest vertical race held at one of the world's tallest residential buildings, Eureka Tower in Southbank, Melbourne.  The climb involved ascending 1642 steps to level 88 of the building.  Eureka Climb is in the top 20 (amount of stairs) of stair climbs in the world and is host to an Elite Race for some of Australia's best stair climbers.

We are delighted to have raised over $16,000 for key charity partners including Interplast - where funds will go towards changing the lives of people who do not currently have the capacity to do so themselves - in this case children and adults who will receive free, life changing surgery.

A huge thanks to all who supported us.  Best start training for next year!






Dr Shayan appointed Director of the O’Brien Research Institute

Monday, September 07, 2015

Dr Ramin Shayan has been appointed the Director of the O’Brien Research Institute at St. Vincent’s Institute for Medical Research, Australia’s only dedicated plastic surgery research institute. 

The research conducted at the O’Brien Institute focuses on using stem cells and molecular biology for regenerative surgery and tissue engineering. The disease focus includes tissue engineering for breast reconstruction, lymphoedema, and radiation injury after breast cancer – the diseases that result from cancer treatment – the so called “disease of cancer survivorship”.

Interplast visit to Sri Lanka

Tuesday, June 16, 2015

Mr Mutimer has had a long term association with Interplast and in Feb this year was fortunate enough to undertake another Interplast trip overseas, this time to Sri Lanka.  The College of Surgeons in Sri Lanka requested Interplast assist them with the plastic surgery curriculum program development. 

During his week long visit, Mr Mutimer met with the President of the College of Surgeons and also spent time working with the current plastic surgery trainees and members of the college who are directly involved in the development of the surgical training program.

Pictured below is Mr Mutimer along with Dr Dulip Perera (second from left), a plastic surgeon from Sri Lanka who has had a long standing relationship with Interplast and the development of plastic surgery in his country. 

Following Mr Mutimer's  visit he was advised that he was nominated and accepted for honorary fellowship from the College of Surgeons Sri Lanka - which honours his contribution to the Plastic Surgery fraternity in Sri Lanka. This prestigious award is the highest given to a foreign surgeon by the college. 

Celebrating triumph over adversity

Friday, June 05, 2015
Recently the BPS team were fortunate to have the opportunity to attend "The Brighton Lunch" - a fundraising event held by Rotary. Rotary are a long standing supporter of Interplast and this lunch was held to support numerous charities, including Interplast.

Dr Mutimer spoke at the event alongside Interplast CEO, Prue Ingram.  Interplast ambassador Turia Pitt also spoke - her inspirational words highlighting that burns are still a very big issue in many countries, and how she would not have survived had her particular situation happened to her in a developing country.  Turia's work with Interplast has bought an understanding of the effects burns can have on entire communities and the impact one surgery has, not just for that person, but their whole families livelihood.  

In his address, Mr Mutimer outlined  the importance of the fundraising efforts for Interplast and the vital role they play in allowing Interplast to provide life changing surgery today, and build sustainable health systems for tomorrow.  Funds collected help surgical teams enter countries to assist local surgeons, and train them so that they are able to perform more surgeries themselves, thus improving the quality of, and saving lives.

For more information or to make a donation - visit the Interplast website.


Mr Mutimer and Interplast CEO Prue Ingram


Interplast ambassador Turia Pitt - with BPS staff Charlotte (left) and Simone (right)


 The BPS team

Breast Implant Study

Tuesday, November 11, 2014

On 11/11/14 The Herald Sun Newspaper reported on a recent breast implant study - linking breast implants to breast cancer.  

 The Australian Society of Plastic Surgeons have issued the following media release in response to this study:


 

Interplast visit to Bhutan

Monday, September 22, 2014
Mr Mutimer recently travelled to Bhutan as part of a needs assessment team for Interplast.  Landing at the worlds 4th most dangerous airport made for some nervous flying but the team thankfully landed safely. Interplast currently do not run any programs in Bhutan, so the purpose of the trip was to establish whether an Interplast program would be useful.

Bhutan has expressed an interest in having an Interplast program in their country, not only for the valuable and life-changing operative procedures Interplast perform, but to take advantage of the teachings and knowledge to be learned from Interplast Surgeons, ensuring that the medical community of Bhutan can manage and sustain the work of Interplast, long after they are gone.  The plan would be to upskill doctors, nurses and allied health staff in reconstructive plastic surgery. Hospitals in Bhutan are quite well set up but the services offered are very basic in comparison to Australia.

Many other organizations have “camps” which fly in, operate and fly out but Bhutan is looking for training so that their doctors have the capacity to manage injuries throughout the year, not just when international help is present.

Interplast would likely initially assist with hand surgery and small general plastic surgery.  There is a strong need for both of these sustainable, entry level surgeries. Mr Mutimer witnessed a patient who had been mauled by a bear whilst picking mushrooms in a field - so it goes without saying that the presenting cases in Bhutan would be quite varied compared to most of the cases Mr Mutimer treats in Australia.

No visit to a country like Bhutan is complete without sampling the local fare - Keith found the food fascinating, extremely colourful and very different to Australian cuisine. He was taken out for dinner by a group of local doctors to an Italian restaurant who proceeded to run out of cheese. The solution? Close the restaurant! Not one to go hungry the group decided instead to dine on much enjoyed local fare.  Keith found Bhutan a beautiful country with magnificent countryside (a hikers dream) - he hopes to return one day to hike and explore the country further.

For more information on Interplast visit: https://www.interplast.org.au



Melbourne Rebels Rugby Union Team

Wednesday, June 25, 2014

Mr Mutimer regularly volunteers as a Plastic Surgeon with the Melbourne Rebels, attending their home games at AAMI Park. He also volunteers for international test matches.  Keith works alongside practice nurse (Rachel) - attending games and treating injured players from both teams. 

Keith can regularly be seen working among the match day volunteer medical team which includes paramedics, team doctors and game day doctors.  He helps to assess and treat concussions and dislocations as well as treats players for facial and scalp lacerations. Having Rachel assist on the day proves valuable given they work to incredibly tight time frames (if injured players are not back on the field within 9 minutes they can not return to the game)!

Mr Mutimer also looks after players as needed when they sustain lacerations in training, which is often on a Sunday. His passion for the sport ensures treating players in his down time is never a chore.  Many of the players also visit Brighton Plastic Surgery for follow up care.

On the odd occasion that no one gets injured, Keith can be found enjoying the match!


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Considering Ear Surgery (Otoplasty)?

Ears are usually not the most not ..

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Ears are usually not the most noticed feature of the face but for people with prominent ears, they can find this upsetting, especially for children or people who wear their hair short.  Ear plastic surgery, also known as Otoplasty is designed to correct protruding ears. It can also be used to make ears more symmetrical or to correct ears that droop to low.

Ear surgery involves a surgeon pinning the patient’s ears back closer to the head, thus making them less prominent.

There are many benefits associated with undergoing surgical otoplasty. These include:

  • Low risk – the procedure is considered very safe with minimal risks involved (see important considerations below)
  • Minimal scarring once healed
  • Enhanced confidence and self esteem
  • Natural looking results

Ear surgery – important considerations

There are several key considerations for those exploring the option of ear surgery (otoplasty).

1) Timing (for young patients) – a person’s ears reach full development by the age of 4-5 therefore ear pinning surgery should not be performed until AFTER this age.

2)  Recovery time – overall recovery from otoplasty surgery is generally quick. There may be some discomfort in the first 1-2 days but this generally settles quickly.

3)  There will be some swelling and bruising post-surgery. Usually the bruising and discolouration is gone within 3 weeks. Swelling will diminish over the course of the first 6 weeks, however some minor swelling may continue for up to 2-3 months.

4)  It is important to note that a patient can only sleep semi-reclined on their back during the initially recovery period (generally for the first 2-3 week/s).

5)  Complications are generally minimal for otoplasty however as with any surgery risks can include bleeding, slow healing time, numbness and thickened scarring behind the ear. 

6)  One of the most problematic complications with ear surgery is if the ear is pulled on or knocked before adequate healing has occurred. If this happens the shape can be altered. Absolute care should be taken to avoid this and if this does occur you should reach out to your surgeon straight away to receive further advice.

Parents with a child who opts to undergo otoplasty will often find the first several weeks challenging, assisting the child to follow all instructions provided to ensure an optimal recovery. This includes keeping their head bandaged, ensuring they don’t scratch the ear area if itchy, minimising physical activity so as to not knock the ears etc. Knowing this in advance allows for pre-planning and makes it all very manageable.

If you are considering ear plastic surgery we recommend booking a consultation with a specialist plastic surgeon in Melbourne who will be able to discuss the intended procedure, perform a full suitability assessment, discuss expected outcomes and answer any questions you may have, including when may be the best time to have the procedure. 

For more information or to book a consultation feel free to call us on 03 9592 0522 or submit an enquiry via our website.



Interplast 35th Anniversary Celebrations

Last week Mr Mutimer had the pleasure of atten ..

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Last week Mr Mutimer had the pleasure of attending and addressing attendees of Interplast’s 35th Anniversary Celebrations.

 In attendance was Her Excellency the Honourable Linda Dessau AC, Governor of Victoria and Mr Anthony Howard AM QC who kindly hosted the reception at Government House. The Governor praised the work of Interplast in repairing bodies and rebuilding lives across 17 countries in the Asia Pacific region, as well as acknowledged the wonderful contribution of volunteers and donors.

The event was attended by over 120 Interplast supporters including Board members & staff, volunteers, corporate partners and donors.

To find out more about Interplast or to make a donation visit www.interplast.org.au

What is lip lift surgery?

A lip lift (http://www.plasticsurgeryaust ..

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A lip lift is a procedure designed to lift the top lip in people who have a thin upper lip. It is a permanent solution  and is most beneficial for those wishing to improve the perceived volume of their lips and aesthetic of their smile and facial proportions. A lip lift can also reduce the signs of ageing often prevalent around the mouth.

Lip lift surgery involves a surgeon carefully removing a small amount of skin under the nose in order to “lift” the upper lip.  The procedure is performed as day surgery, usually under local anaesthetic.  The procedure generally takes less than an hour. Lip lift surgery is tailored to each individual to ensure natural looking results are achieved.

It is worth noting that a lip lift is only performed on the top lip.  Often lip fillers are also used in the bottom lip to create balanced, voluminous lips.

Interested to find out more or book a lip lift consult? Feel free to call us on 03 9592 0522 or submit a confidential enquiry via our website.