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What is best for me - a tummy tuck or liposuction?
Many of our patients seeking a flatter st ..Read more
These two procedures are very different and the best option for you will depend on your specific circumstances and what you are trying to achieve. Skin and muscle laxity play an important role in determining the best approach, as do your individual goals/aspirations.
We asked Mr Mutimer, a well respected Melbourne Plastic Surgeon to explain the key differences and considerations:
Liposuction is good for people who generally have good skin and muscle tone, and who want to remove localised fatty tissue and stubborn excess fat. Localised fat deposits may sometimes be an inherited trait and typically do not respond to dieting or exercise.
Liposuction will not eliminate extra skin, stretch marks or issues stemming from loose abdominal muscles.
Liposuction can be used on other areas of the body such as the arms, legs or bottom. Whilst both procedures require a general anaesthetic, liposuction is less invasive than a tummy tuck which involves a surgical incision and a longer recovery time.
As mentioned above abdominoplasty (tummy tuck) is a more invasive procedure with a longer recovery time. It is generally recommended for patients who have stretched skin and/or
This procedure uses an incision within the lower abdomen to remove the excess tissue and tighten associated muscles. It is because of the abdominal wall muscle reconstruction that a longer recovery time is required. Tummy tucks are often considered by people who have had significant weight loss or have abdominal issues following pregnancy.
It’s also important to know that some patients have a combination of excess fat, stretched skin and /or muscle laxity. In these situations people often opt for a combination procedure, having an abdominoplasty with liposuction at the same time.
WHICH PROCEDURE IS BEST FOR ME?
It is important to determine what specific issues you are faced with in order to then recommend which procedure is right for you. We recommend a consultation with a Specialist Plastic Surgeon who will be able to assess your issues and advise the best course of action.
Generally, if you have localised areas of fat liposuction is the best course of action. For loose stomach muscles and/or sagging skin – a tummy tuck would likely be recommended.
For more information or to book a body contouring consultation feel free to call us on 03 9592 0522 or submit an enquiry via our website.
Preparing for a facelift
Deciding to undergo facelift surgery (htt ..Read more
Referred to as “rhytidectomy” a facelift is designed to smoothen loose skin and wrinkles on the face and neck, tighten underlying tissues which have become lax with age, and gets rid of
Choosing the right Specialist Plastic Surgeon for your facelift is important and you should ensure that you are comfortable with the specialist chosen, have checked their credentials, feel satisfied with their level of expertise in performing facial surgery and that, after consultation, you both have realistic expectations on what can be achieved.
Choosing the right surgeon aside, preparing for your surgery, and post-surgical care are both important factors to ensure you do everything you can to get the best outcome.
Patients who elect to undergo
Two Weeks Before Your Face Lift Surgery
Two weeks before your scheduled surgery you should expect to meet with your Specialist Plastic Surgeon for a final consultation. Any administrative matters are generally tended to at this point and you will be given detailed instructions on pre and post-operative care.
You should cease smoking at least 2 weeks prior to undergoing facelift surgery. Smoking is known to impede the healing process. If continued, blood flow, which carries all the healing properties to your wounds is significantly reduced and will cause delays in your recovery or could cause wound breakdown. Better still why not use your upcoming surgery as a catalyst to stop smoking all together!?
Aspirin and other medications known for their blood thinning properties should be avoided at this point. Other medications to cease 2 weeks prior to surgery include anti-inflammatory drugs, vitamins or herbal/complementary medicines.
It is critical that you discuss any medications you take with your Surgeon at both your initial
48 Hours Before Facelift Surgery
You should refrain from drinking alcohol 48 hours before your facelift procedure. Alcohol will dehydrate you and prolong your recovery period. You should follow any additional instructions provided to you by your Surgeon at this time including taking any additional medications required.
The Day of Your Face Lift Surgery
Have a good shower and thoroughly wash your hair on the morning of surgery. Do not put any hair products in your hair, including hairspray.
Bring comfortable loose clothing with you on the day of your surgery. Tops should be buttoned or zipped down the front, so nothing will pull at your wounds. This should also be the case for sleeping attire. Easy to slip on shoes are essential to avoid bending over after surgery.
Facelift surgery usually takes between 3-6 hours depending on each patient’s specific needs. Facelift surgery is performed as an inpatient
You will need to ensure that you have pre-organised a responsible adult to pick you up from
Face Lift – Post Operative Care
There will be many specific instructions provided to you to follow post-surgery. It is important that these are strictly adhered to in order to facilitate the best surgical outcome.
After your surgery you should expect some post-operative swelling, bruising and/or numbness for some time - this can continue for a matter of weeks or months. All incisions and dressings should be kept dry until your Surgeon indicates that showering or bathing is ok.
It is important to keep your head elevated for the first few weeks after your surgery. We suggest sleeping
You should aim to keep a light schedule in the weeks following your surgery to allow for adequate healing time. Extra rest is important to promote proper healing. Refrain from physical activity (i.e. exercise) for first 2 weeks, after which time you may gradually increase activity. No strenuous exercise or activity is recommended for 6 weeks after surgery (gym, yoga etc).
Deciding to undergo
For more information or to book a facelift surgery consultation feel free to call us on 03 9592 0522 or submit an enquiry via our website.
Information regarding breast implant associated Anaplastic Large Cell Lymphoma
Following renewed media interest regarding the ..Read more
Following renewed media interest regarding the correlation between breast implants and an increased risk of developing Non-Hodgkin’s Lymphoma Mr Mutimer thought the timing pertinent to outline key information related to BIA-ALCL.
The following information has been sourced from the Australasian Society of Aesthetic Plastic Surgeon’s website and summarises what we know to date:
FACTS ASSOCIATED WITH BIA-ALCL
- It is a cancer of lymphatic cells and a form of Non-Hodgkin’s Lymphoma.
- It is not a breast cancer.
- It occurs in association with breast implants and to date exclusively with exposure to textured implants (i.e. No case has been reported with exposure to smooth implants alone).
- It occurs in women who have had implants for both cosmetic and reconstructive indications.
- It takes an average of 7-10 years after implant insertion before it develops.
- The commonest presentation is a fluid swelling around the breast implant and in the space between the implant and breast implant capsule – late seroma. The diagnosis of the condition is made by examination of the seroma fluid.
- Early stage disease is curative with surgery alone.
Diseasewhich has spread through the capsule, forming a mass or which has spread to local lymph glands carries a worse prognosis.
RISKThe most accurate assessment of risk published to date is from a detailed study of numerator and denominator in Australia and New Zealand. This showed that the risk for implants with high surface area texture (
We did see ALCL arising from other implant
The study also identified clusters of multiple cases arising from the same practice. These clusters are currently under investigation, with the consent of the centre and/or surgeon, and there is insufficient evidence
to comment as to likely causative factors.
Recent media stories suggested that there is a link with cut-price providers. No such link that has been established to date by analysis of the evidence.
A unifying theory was proposed by the ANZ epidemiology paper and has become widely accepted worldwide as the best explanation for factors that cause BIA-ALCL.
The unifying theory cites four inter-related factors:
- Textured implants (with a higher risk for high surface area textures)
- Bacterial contamination at the time of surgery to reach a threshold to cause inflammation
- Patient genetic predisposition
- Time - for the process to develop.
I'VE HAD BREAST IMPLANTS OR AM CONSIDERING SURGERY - WHAT SHOULD I DO NEXT?
If you currently have breast implants and are concerned you should consult with a Specialist Plastic Surgeon who will determine what type of implants you have and address your concerns.