FAQs

FAQs

    Anti-Wrinkle Injections

  • What is Wrinkle Relaxation Treatment?

    More and more people are turning to Dr Hodgkinson and his team of Specialist Cosmetic Treatment Nurses at the Cosmetic & Restorative Surgery Clinic for rejuvenation techniques, to help their face reflect the way they feel inside.

    One such rejuvenation technique is wrinkle relaxation treatment. It can be used to relax the specific facial muscles that cause upper facial lines (crow’s feet, forehead and glabellar frown lines) to form.

    Wrinkle relaxation treatment involves a natural, purified protein that relaxes wrinkle-causing muscles, creating a rejuvenated appearance. The active ingredient in wrinkle relaxation treatment is derived from bacteria in much the same way penicillin is derived from mould. It is manufactured in sterile laboratory conditions.

    The treatment is a prescription-only medicine and treatment is only available from a qualified medical professional such as Dr Hodgkinson and his team. It is registered for the treatment of crow’s feet (the lines that radiate from the corner of your eye when you smile or squint), forehead lines (the horizontal lines that form when you raise your eyebrows) and glabellar frown lines (the vertical lines that appear between your eyebrows when you frown).

    How does wrinkle relaxation treatment work?

    The treatment can be used to relax specific facial muscles that cause dynamic wrinkles (these are the wrinkles that are formed during facial expression). Once the muscles are relaxed, you cannot contract them and continue to make the undesirable facial expressions. Thus, the lines gradually smooth and new lines are prevented from forming.

    What does wrinkle relaxation treatment involve?

    Wrinkle relaxation treatment is a non-surgical procedure whereby a small amount of product is administered into selected facial muscles by Dr Hodgkinson or one of his staff specialists using a very fine needle. Generally, the treatment takes around 10 -15 minutes. At the Cosmetic& Restorative Surgery Clinic we have used our vast experience with these treatments to develop methods to minimize any discomfort so that no anaesthetic is usually required. The injection may sting for a few seconds but normal activities can be resumed soon after.

    After the injection, it takes 2 -3 days for the treatment to begin taking effect and about 7 days to see the full effect. The dose recommended for the treatment will vary depending on your individual situation and the severity of your lines. Dr Hodgkinson and his staff will know what the best dose is for you and which muscles to inject to give you the best results.

    How long does wrinkle relaxation treatment last?

    The effect can last up to 4 months before lines slowly begin to return. If you have repeat anti-wrinkle treatments, the effect tends to last longer.

    Does wrinkle relaxation treatment cause more wrinkles to form?

    The treatment will relax the facial muscles that cause expression lines. It does not cause more wrinkles to form. If you choose not to have further treatments your muscles will eventually return to normal activity and your wrinkles will gradually revert to their pre-treatment levels.

    Will facial expression be affected by wrinkle relaxation treatment?

    The treatment works specifically on the muscles treated. This means that any muscle left untreated, including untreated facial muscles, should not be affected by the treatment. Dr Hodgkinson or one of the nurses will determine the best dose for you and which muscles to inject to give you the best results.

    Are there any side effects?

    In addition to its use for cosmetic reasons, the product used in wrinkle relaxation treatment is also used to treat patients in a variety of therapeutic indications including cerebral palsy in children, movement disorders (head, neck, shoulder, face), and axillary hyperhidrosis (excessive underarm sweating).

    In the amounts used for the treatment of upper facial lines, the side effects are usually temporary and localised to the area of injection. Possible side effects include headaches, pain, burning/stinging, bruising, swelling or redness at the injection site, local muscle weakness including drooping eyelids/eyebrows, swollen eyelids, skin tightness, tingling sensations, itichiness, nausea and flu like symptoms.

    How long has wrinkle relaxation treatment been used?

    The treatment has been used in Australia and New Zealand in therapeutic treatments for over 15 years. It was first approved for use in Australia for movement disorders (eye & face) in 1993 and for eye spasms and crossed eyes in New Zealand in 1991.

    Can wrinkle relaxation be combined with other products and procedures?

    Absolutely.  To get the desired result other non-surgical treatments such as injectible fillers, Thermage® or microdermabrasion may be used a combination with wrinkle relaxation treatment. The team at the Cosmetic & Restorative Surgery Clinic will advise you as to whether or not you will receive better results if your treatment is combined with other products and/or procedures.

  • How Long Does An Anti-Wrinkle Injection Last?

    The effects from your anti-wrinkle injection should last between four to six months. However, if your body metabolises the substance quickly or if too little toxin has been applied, then the effects may fade after two to three months.

    What Are The Long-Term Effects Of Injecting A Poison Into Your Body?

    There are no known long-term side effects from anti-wrinkle injections. It is worth noting that the injectable is not a “poison”, rather a medical grade purified protein.

  • How And Why Do Wrinkles Form?

    Many facial wrinkles occur when we use our muscles to form facial expressions. The wrinkles formed during these expressions are called dynamic wrinkles. For example, when we smile our eye wrinkles become prominent and when we frown the vertical lines between our eyebrows become noticeable.

    When we are young our skin springs back to its initial position after facial expressions, but as we get older dynamic wrinkles remain on the skin to form static wrinkles; these are the wrinkles and folds that are present at rest. This process occurs because natural substances such as collagen (the major structural protein in the skin), elastin (the protein that causes tissue to stretch) and hyaluronic acid (which gives skin volume) decrease with age. This, together with environmental factors such as exposure to sunlight, smoking and stress all contribute to the creation of wrinkles and folds.

    Learn more about Wrinkle Relaxation Treatments here.

  • Are anti-wrinkle injections safe?

    Absolutely, if performed by a qualified and experienced doctor. The television show "Body Work" recently demonstrated anti-wrinkle injections both to smooth and soften lunes and folds as well as injectable fillers to enhance lips. The areas usually addressed are the frown lines between the eyebrows, then horizontal lines in the forehead and the crows feet around the side of the eyes.

    Folds most commonly softened are those around the mouth. These injections are highly popular as they can be performed in a matter of minutes and either instantly or within a few days the patient has a benefit which lasts for a number of months. Note: the injectables used for these procedures can only be ordered by a doctor, and the manufacturers and the medical community fo not endorse in a party environment.

  • After Repeated Anti Wrinkle Injections, Will Facial Muscles Ever Lose Their Ability To Frown?

    After the anti wrinkle injections wear off, usually in 3 to 6 months, the muscles do recover.

    However, because the muscles have not been active for a long time, they usually do not recover to the same intensity as before you had the anti wrinkle injections.

    This means that the facial muscles do still function, so you have normal expression but not with the intensity in the brow area that gives you the frowning and angry, unapproachable appearance that the scowling heavy muscles deliver to those with whom you are talking or communicating with.

  • Arm Lifts & Brachioplasty

  • What can I do about my 'Floppy' Arms?

    Excessive fat and/or skin in the upper arms can often be extremely embarrassing to many women, young and old.

    Another name for "floppy" arms is "bat wings" or "tuckshop" arms. The skin of the upper arm becomes very thin and fragile and does not contract quite as well after weight loss or liposuction.

    Sometimes the excessive skin in the arms causes such embarrassment that an arm plasty or brachioplasty can be performed.

    In this young woman of 23 years of age, I reduced the "bat wings" by the procedure of an arm plasty, carried out as an outpatient procedure at the Double Bay Day Surgery. The patient is now taking pleasure in wearing sleeveless dresses for the first time in several years.

    arm-reduction-surgery

    Before and After Arm Reduction Surgery (Brachioplasty)

     

  • Breast Implants & Enhancements

  • Will my breast implants last forever?

    All breast implants like all things have a lifespan and will not last forever.  Therefore, if you are thinking about having breast augmentation surgery you will need to plan for replacement surgery later in life. The life of an average breast implant is usually somewhere between 10 and 15 years. As your body changes over your lifetime with the influence of hormones, pregnancies, menopause and weight gain or loss, the size of your original implants may become inappropriate over time for your changed shape and this too might cause a desired change in implants.  Nothing lasts forever.

    Breast Augmentation: C cup 320 cc Round Smooth Saline

    Before and After Breast Augmentation: C cup 320cc Round Smooth Saline Breast Implants  by Dr Hodgkinson

  • Why do some breast implants go hard?

    Breast implants can go hard due to what is called “capsular contracture”.  A capsule is caused by a build-up of scar tissue around the implant. This hardening is more common with the silicone filled breast implants, especially when they are positioned behind the breast tissue in front of the chest muscle.  Whilst some of the newer textured implants claim to have a reduced rate of capsular contracture, they too are not without their problems as texture implants have been implicated in concerns about ALCL(Anaplastic large-cell lymphoma)  This is only one of the reasons why I only use smooth walled implants

    Before and After Breast Augmentation: C+ cup 350 cc Round Smooth Gel Breast Implant by Dr Hodgkinson

  • Where are the breast implants inserted?

    Breast implants can be inserted through many different incision sites, including endoscopically through the navel (saline only). The most common incision sites are under the breast, around the nipple or in the armpit. Interestingly, saline implants can be inserted through smaller incision sites than silicone implants.

    The choice of incision site needs to be discussed with your surgeon as just with the type of implant, the location of the incision site can affect the look that you will achieve.  For example, while the armpit avoids any potential scarring on or around the breast, it makes if very difficult to achieve cleavage.  It is important to choose a highly experienced breast surgeon and to discuss your expectations with him or her to ensure that they have the ability to use multiple types, sizes and shapes of implants through a variety of incision sites to customise each patient’s result to their body shape and desires.  Remember, one size does not fit all.

    Before and After Breast Augmentation: C cup 240 cc Round Smooth Saline Breast Implants by Dr Hodgkinson

  • What would be a suitable breast implant for my thin build?

    Both the type and size of breast implant that are appropriate for you depends not only on the shape and size you wish to achieve but need to be measured against your existing breasts and your chest wall to determine what will work best to give you the result you desire. Breast implants come in many shapes and sizes, from round to tear drop, asymmetrical and anatomic and can be inserted through a variety incision sites all of which are factors in the ultimate shape and look.

    When considering which implant will give a patient the look that they want, many things must be factored in along with the patient’s desires including their physical shape e.g. current size and shape of the breast, elasticity of the breast skin, position of the nipple, and the shape and bony contour of her chest wall. For women who are very thin, generally placing silicone gel filled breast implants partly under the chest muscles is often a better choice to avoid implant show through the skin.

    Before and After Breast Augmentation: D cup 400 cc Round Smooth Gel Breast Implants by Dr Hodgkinson

  • What type of implant do you prefer for breast enhancement?

    I’m often asked this question. In contrast to many surgeons who prefer to use one particular type, I use every sort of implant *as well as a wide range of incisions to insert them. This flexibility is important to meet the patient’s desires and obtain the optimal result. The choice is contingent upon the patient’s shape, the condition of the breast tissue, whether there is droop (ptosis) of the breasts and the overall figure shape. In over 90% of cases, I use a saline implant. The smooth-walled saline is ideal for the younger patient who has never had an implant, has very little ptosis of the breasts and wants to have a C or C+ brassiere size. A gel implant is used if patients want a more generous size or they are quite thin and have little breast tissue to cover the implant.

    * (except for textured polyurethane breast implants which are under suspicion due to links to ALCL anaplastic large cell lymphoma)

    Before & After Breast Implants by Dr Hodgkinson

  • What is the rupture rate of saline breast implants?

    The rupture rate for saline breast implants is believed to be less than one per cent per annum. If saline implants  do rupture, the patient knows immediately as they deflate.  The benefit is twofold: 1) the patient is immediately aware that there has been a problem with the implant and 2) the saline solution which occurs naturally in our bodies anyway is merely absorbed into the tissues as opposed to with silicone where a foreign substance leaks into the tissues. Replacement surgery for saline implants is also relatively simple compared to the initial operation as the same incision line and pocket can be used . Also, the manufacturer replaces any faulty implants hence further reducing the cost of the secondary surgery.

    Before and After Breast Augmentation with Saline Breast Implants by Dr Hodgkinson

  • What are the incision lines for a breast reduction?

    Many women with large or pendulous droopy breasts suffer from back pain, neck strain, notching of the shoulders from their bra straps and blistering or rashes especially in hot weather.  It is almost impossible for them to consider jogging or any kind of jarring sport such as horseback riding due to the discomfort caused. Many women who present for breast reduction say that they have thought about surgery for years but were held by either financial concerns or not knowing what the surgery involved and were too frightened to ask.

    With regard to the incision lines, the goal with all aesthetic surgery is minimise potential scarring whilst trying to achieve a result that is aesthetically pleasing and that will stand up to normal ageing and lifestyle habits. A vertical “lollipop” incision is used for moderate reductions avoiding the full anchor incision of very large “E”+ breast reductions. For women with very large breasts it is almost impossible to avoid a “T” or anchor incision.  The sheer volume and weight of the breast tissue, combined with the compromised elasticity of the skin after years of drooping is too great to be supported by a peri-areolar incision alone. The incision lines for larger breast reduction are around the nipple and vertically downward from the nipple under the breast. They generally resolve and go from red to pink in a matter of a few months and from pink to white in a matter of a year in the average person with care taken to avoid sun exposure and adherence to post-operative instructions.

    Before and After Breast Reduction Surgery by Dr Hodgkinson

  • What are "Furry Brazilian Implants" ?

    Furry Brazilian Implants is a sexy name for an implant manufactured by a Brazilian Company called a Polyurethane implant.  Polyurethane implants have been in the market for over 30 years but they were taken off the market in 1992 in the Moratorium against implants in the United States and have never returned there. The arguments made for these textured implants is that they form less capsular contracture.  Recent scientific studies, however, have linked textured implants to a rare form of cancer called ALCL, anaplastic large cell lymphoma.   All cases of this in Australia have been linked to textured or polyurethane implants See the TGA reference which is updated regularly for consumers. https://www.tga.gov.au/alert/breast-implants-and-anaplastic-large-cell-lymphoma

    Note: these implants are being widely promoted and used still in Australia despite concerns: https://journals.lww.com/plasreconsurg/Citation/2017/10000/Breast_Implant_Associated_Anaplastic_Large_Cell.1.aspx

  • Is there a danger of silicone implants leaking?

    Silicone breast implants have come a long way.  The implants are no longer filled with low viscosity silicone which was more fluid but are now filled with a highly viscous grade of silicone get that is similar in texture to Turkish delight. This substance is more easily contained and removed should the implant rupture and leak.  Because no implant will last forever and because small defects in implants may be undetectable for an unspecified period of time, it is recommended that women have regular annual check-ups.  Any hardening, suspicions or irregular ultrasounds should be followed by an MRI for a definitive diagnosis.  The average life span of all implants averages approximately 10 years and this need for reaugmentation and further surgery should be factored into the decisions to have breast implants: personal, physical & financial.

    Although the newer generation of Silicone Gel breast implants have been deemed safe by Therapeutic Goods Administration, it is still good to find out if you are a candidate for saline breast implants.  Dr Hodgkinson prefers to use saline (salt water) implants, when appropriate.  In addition to their safety, they move more naturally and require a smaller incision site for insertion than gel implants, which of course means less scarring. Furthermore, if a rupture does occur, it is much easier to detect with a saline implant as it causes an almost immediate deflation of the affected side.

  • How can I get breast implants without looking like I had a 'boob job'?

    Getting natural looking breasts with breast implants is possible — it’s a matter of eliminating the “give-aways”.  Things that give the artificial look of having had breast augmentation surgery are:  seeing the margins (outlines) of the implant, an implant that is obviously too large to be real and an implant that is too “perky” or that stands to attention even when you are not. If a natural look is what is desired, then it is possible for an experienced breast surgeon working with the patient desires to choose the size, shape and position correctly and create a natural slope of your chest wall that is in balance with your body. The trend in recent years in Australia is to not have very large breasts but to lean more towards a “C” cup or average to large average look for a more natural result.

    Before and After Breast Augmentation: C cup 300 cc Round Smooth Saline Breast Implants by Dr Hodgkinson

  • Do breast implants shift once inserted?

    Breast implants should not shift in position once they are inserted if the implants are responsibly chosen to fit the patient’s build and the surgery is performed properly. The surgeon’s challenge is to make the pocket the exact size of the implant if not a little firm to avoid movement or rotation.  The problem with the tear drop shaped implants is that in the hands of the less experience surgeon is if the pocket is not perfect and they rotate, resulting in an unnatural shape to the chest... In placing any implant—whether it is a breastcheekchin or calf implant—the aim of the procedure is to make the pocket the correct size and shape for the proposed implant. A pocket which is proportional to the chest wall diameter will allow the implant to sit nicely and protects the implant from displacement.

    Before and After Breast Augmentation: D cup 400 cc Round Smooth Saline Breast Implants by Dr Hodgkinson

  • Can I tell the implant size I need by the bra size I want to wear?

    Breast size, bra size and implant size cannot be directly compared. Correct sizing of patients is important because no two women are the same. No woman has the same exact same sized breasts on both sides and no two bras are the same, but two implants by the same manufacturer will be the same size. At the Cosmetic & Restorative Surgery Clinic, we pride ourselves on our ability to size a patient accurately based on the size she wants for breast implants, not only by measurements but also by using industry specific tools and  trialling different sizes and shapes of implants with the patient. To learn more about breast implants, to make a time for sizing and or learn about other procedures, contact us at the Clinic or just check our website.

  • Breast Lifting

  • Would a breast-lift help after having children?

    Drooping breasts can be a source of embarrassment as well as a sign of their loss of youth and femininity. This sagging can occur naturally with age or follow after pregnancy when the breast tissue shrinks. Breast droop can be corrected with an operation called mastopexy which involves removing some skin and excess tissue from the lower breast with a vertical incision combined with a peri-areolar incision (incision around the nipple) or with just the peri-areolar incision itself (the Bennelli technique). The skin is drawn together and stitched creating a higher, tighter breast. Sometimes I insert an implant to give the breast added support and fullness if the patient has inadequate breast tissue.

    Before and After Breast Lift with Breast Implants (Bennelli: Minimal Incision) by Dr Hodgkinson

  • If I have a breast lift, will my breasts sag again?

    The extent to which this will happen is in your hands and the hands of the Gods.  The patient needs to control weight gain or loss, lifestyle habits that erode skin elasticity (smoking, drinking, sunbathing) and general wellness.  The Gods have given you your genetic make-up and that in turn determines how we age and we all age differently.  One thing is for sure, with time and ageing gravity will take its hold whether you have had surgery or not.  Patients who require breast lifts also usually have compromised elasticity of their skin and women who have had children especially, due to previous enlargement and shrinkage of the breasts following pregnancy and lactation. Breast implants in conjunction with a lift can help prop up the sagging breast tissue and give volume especially in the upper pole. Sometimes the patient’s own fat is injected to fill the upper pole of the breasts. If necessary, a mastoplexy (breast lift) can be repeated at a later date.

    Before and after Breast Lift (Mastopexy)

  • Breast Reconstruction

  • What techniques are used for breast reconstruction after mastectomy?

    There are basically two options for patients who want a reconstruction: to use your own tissues to make a new breast or to try to get more skin and then place an implant under the skin (the expansion technique).

    Post-operative treatment following a mastectomy, such as radiation or chemotherapy, might impact on the available options. If the patient has not had radiation, then the expansion method can be used. This involves placing a silastic balloon underneath the residual skin on the chest wall. Every two weeks, more saline solution is added to the balloon in order to stretch the skin. Once the required amount of skin has grown, a gel implant is positioned.

    In the method that uses your own tissue (autogenous), the tissue can be brought from the back or the abdomen to make the new breast. We use both these techniques for breast reconstruction.

    Before and After Breast Reconstruction (Latissimus) by Dr Hodgkinson

  • Breast Reduction

  • What are the incision lines for a breast reduction?

    Many women with large or pendulous droopy breasts suffer from back pain, neck strain, notching of the shoulders from their bra straps and blistering or rashes especially in hot weather.  It is almost impossible for them to consider jogging or any kind of jarring sport such as horseback riding due to the discomfort caused. Many women who present for breast reduction say that they have thought about surgery for years but were held by either financial concerns or not knowing what the surgery involved and were too frightened to ask.

    With regard to the incision lines, the goal with all aesthetic surgery is minimise potential scarring whilst trying to achieve a result that is aesthetically pleasing and that will stand up to normal ageing and lifestyle habits. A vertical “lollipop” incision is used for moderate reductions avoiding the full anchor incision of very large “E”+ breast reductions. For women with very large breasts it is almost impossible to avoid a “T” or anchor incision.  The sheer volume and weight of the breast tissue, combined with the compromised elasticity of the skin after years of drooping is too great to be supported by a peri-areolar incision alone. The incision lines for larger breast reduction are around the nipple and vertically downward from the nipple under the breast. They generally resolve and go from red to pink in a matter of a few months and from pink to white in a matter of a year in the average person with care taken to avoid sun exposure and adherence to post-operative instructions.

    Before and After Breast Reduction Surgery by Dr Hodgkinson

  • Browlift

  • What Can I Do About My Worried Looking Eyebrows?

    A tired or angry appearance is associated with brow ptosis (i.e. drooping). The eyebrows have begun to undergo the effects of gravity and instead of being arched over open eyes, they have descended and the eyes look small. Over-activity of the face muscles from frowning, squinting, asthma or breathing disorders is also often associated with brow ptosis.

    Although anti-wrinkle injections can temporarily improve the “scowling” appearance, a longer-term solution is a brow-lift. This procedure, popular in the 30–50 age group, can take away that worried, angry or tired appearance and make you look friendlier, fresher and less concerned.

    The endoscopic brow-lift is a major improvement over the traditional brow-lift as the incisions are small and the recovery time minimal. I have been performing the endoscopic brow-lift for more than ten years and the vast majority of my patients (nearly 500) have been satisfied with the result. The procedure is always performed as an outpatient at my clinic.

    Before and after 2 months bilateral upper lid blepharoplasty and browlift

    Before and after 2 months bilateral upper lid blepharoplasty and browlift

  • Buttock Implants

  • How Can I Make My Buttocks Bigger?

    Everyone has a bottom of course but some people have a flat bottom with no shape or a very small bottom. A fuller bottom can give a woman a more feminine shape.

    We also do implants on men—in men, a “flat butt” is an ageing butt. Implants can make the male buttocks look more in proportion with the rest of the body, especially if they have been exercising and building up the upper body.

    The three main groups of patients I do are South American women with flat bottoms, Chinese women with small bottoms and gay male patients.

    Some doctors have used injections of fat but the results can be quite unpredictable. I use implants made from solid silicone or cohesive gel. They come in either round or lozenge shape and in various sizes. The implant is inserted deep underneath the main muscle—the gluteus muscle (glute) via a small incision between the cheeks and the muscle.

    The number of women seeking buttock implants is definitely increasing, particularly since the popularity of the American Latino singer, Jennifer Lopez. The pioneers of buttock implants were actually the South Americans, particularly the Brazilians and the Mexicans, where culturally generous buttocks are more popular than breast enhancement.

    b&a before and after buttock implants

    Before and After Buttock Implants by Dr Hodgkinson

  • Calf Implants

  • What Can I Do About My Skinny Legs?

    Calf implants continue to be popular, especially in summer. Usually, women choose to have one implant on the inside of their leg to produce a nice curve below their knee, while men choose four implants - two implants in each leg - one on the inside and one on the out-side, to provide a much more "bulked up" appearance.

    A small incision is made at the back of the knee area in a crease in order to insert the implant. Careful planning is necessary and often patients undergo liposculpture at the same time.

    In the twenty years I have been performing this procedure, there have been very minimal complications and problems in these patients.

    Women who have had calf implantation are delighted to be able to wear a short skirts and men are much more comfortable about wearing shorts!

    calf-implants

    Before and After Calf Implants by Dr Hodgkinson

     

  • Cheek Implants

  • Do Cheek Implants Feel Natural?

    Cheek Implants have now become more popular as we are exposed to so many attractive fashion models with very prominent high cheek bones. High or prominent cheek bones are typically associated with young and beautiful, smiling faces. Flat cheeks may produce a sad or depressed appearance and cheek implants can produce a fullness similar to smiling.

    Cheek implants are created from silicone or Gore-tex and are usually inserted through a small incision inside the mouth. A wide variety of shapes and sizes is available. This is an outpatient procedure performed under twilight anaesthesia.

    After about a month, implants do indeed feel natural and produce an improvement in shape and appearance of the face, glamourising the face for women and strengthening it for males. Careful selection of the size and shape of your implants should be made by you and your surgeon.

    3-months-postop-facelift-upper-eye-lids-cheek-implants

    Before and After Cheek Implant, Facelift & Upper Eye Lid Lift by Dr Hodgkinson

  • Chin Implants

  • Do Chin Implants Look Natural?

    Chin implants are solid silicone prostheses which are inserted into the chin and the side of the lower jaw to give more definition to the lower third of the face.

    In a male patient, the implant can give a more chiselled, masculine appearance to the jaw. In women, it can assist in giving a better definition to the neck. A chin implant balances both the male and female profile and is sometimes combined with rhinoplasty, liposuction or a facelift. Implants are placed via a small incision either in the mouth or under the chin in a skin crease.

    These implants are not visible as they sit firmly on the jawbone itself and do not move or break over time. Surgeons should not be tempted to put in an over-large implant into the jaw as its appearance will be quite unnatural. If appropriately sized and placed, the implant should have a natural appearance.

    Before and After Chin Implant, Facelift and Necklift Surgery by Dr Hodgkinson

  • Eyelid Surgery

  • Will I feel anything during my eyelid surgery?

    You will be sedated intravenously and locally anaesthetised around the eye area. You will not feel any pain, possibly just a slight pulling sensation. After surgery ice-soaked gauze applied to the eyelid area reduces swelling and bruising.

    eyelid-surgery

    Upper Eyelid Blepharoplasty

  • What procedures do you use for droopy eyelids?

    When thinking about facial rejuvenation, it’s important to consider your eyes as well. “Droopy”, “sleepy” upper eyelids and excessive “baggage” on the lower lids are quite common complaints by many patients seeking cosmetic improvement around their eye area.

    Racial characteristics, excessive expression, allergies and sun exposure all contribute to “droopy” lids where loose skin bends down the eyelashes. Removal of the excessive skin above the eyes and readjustment of crows’ feet can be achieved through eyelid surgery known as blepharoplasty.  It is important that the surgeon has experience in this procedure as it is of critical importance to remove just enough excess skin and tissue to create a crisp and appealing appearance.  If too much tissue is removed, there is the risk of the patient having too startled a look and worse yet not being able to properly close their eyes which can lead to dry eyes and other ophthalmological issues.

    In the lower lids, bulging fat is removed alleviating the baggage and reducing the dark rings under the eyelids.

    Facelift with Blepharoplasty (Eyelid lift)

  • What can I do about my heavy eyelids?

    Some Asian patients don’t have an upper eyelid fold when their eyes are open but want to have what is called the “double eyelid” fold. Basic techniques just use a stitch through the eyelid which does not last very long.

    The surgical procedure that creates the best, permanent result involves making an attachment between the levatar muscle that lifts the eyelid and the skin of the eyelid. Caucasian and Asian patients have a natural attachment, but it is usually much lower in Asian eyes, so may not be noticeable when the eyelid is open.

    It is very important to make the fold the correct height. If a Caucasian height is chosen it may look unnatural for an Asian so a midheight is usually best. The procedure involves very carefully making a symmetrical incision, taking a very conservative amount of fat and stitching a connection between the levatar muscle and the skin. Twilight sedation is used so the patient can open their eyes during the procedure to ensure the folds are absolutely symmetrical.

    Blepharoplasty-asianUpper Eyelid Blepharoplasty

  • What can be done to improve baggy lower eyelids?

    As we age, it is common, in both women and men to not only develop droopy upper eyelids but baggy lower eyelids as well.  Eyelid surgery, which is technically know as upper or lower blepharoplasty is used to improve the appearance of the upper and lower eyelids.  For the lower eyelids, a transconjunctival approach is usually used, whereby the incision is placed inside the eyelid and to remove the excess tissue.  This means that there are generally no visible scars whatsoever with lower eyelid surgery.  It is critical that the surgeon has extensive experience in eyelid surgery as if too much tissue is removed or the incision is not appropriately placed, the patient may have resulting problems such as drooping of the lower eyelids known as ectropion.

    saggy-eyelids

    Upper and Lower Blepharoplasty

  • If I have my eye lids done, will I be able to close my eyes properly?

    An upper lid blepharoplasty should remove just enough redundant skin from the upper lids to reveal a nice lid fold. If excessive skin is removed, patients may be unable to close their eyes properly. A well done blepharoplasty will leave enough skin on the lids to allow normal eyelid closure and showing a natural fold on which to apply eye makeup.

     

    eyelid-surgery

    Upper Eyelid Blepharoplasty

  • How can I have younger looking eyes?

    The procedure to rejuvenate the eyes (eyelids) is called blepharoplasty. Blepharoplasty involves a surgical procedure, performed as an outpatient under twilight sedation or light general anaesthesia, where the excessive skin and bulging fat of the upper and lower eyelids is removed and the youthful stance of the eyelids restored.

    Care must be taken not to overresect tissue but to create a crisp fold in the upper eyelid and not 'hollow out' the lid. This outpatient surgical procedure requires precision and experience to rejuvenate your 'look'.

     

    younger-looking-eyes

    Eyelid Surgery (Blepharoplasty)

  • Does Dr. Hodgkinson do Asian Double Eyelid surgery?

    Yes!  Dr Hodgkinson has thirty years’ experience in Asian eyelid surgery and a large percentage of Asian patients in his practice. He has also been a frequent member of the faculty at the Oriental Society of Aesthetic Plastic Surgery (OSAPS) conferences.  He uses advanced techniques with permanent results, not the simpler stitch through the eyelid which might be less expensive but is less predictable and does not last long.

    Dr Hodgkinson is very careful to make sure that the fold/crease in the eyelid is at the correct height and has a natural and attractive Eurasian look.  The procedure is usually performed under twilight sedation to enable the patient to open their eyes during the procedure to ensure that the folds are absolutely symmetrical.

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    Oriental Eyelid Blepharoplasty

  • Facelift

  • Would A Facelift Be Suitable For A 50 Year Old Man With a Tired Appearance?

    Men are also feeling the pressure of normal ageing—the sagging of the jowls, the double chin and the aged tired look. Most 50-year-olds, however, do not regard themselves as old and still feel competitive and turn to the gym, nutritional awareness, less smoking, anti-ageing medicines and yes, facelifts. Encouraged by the success of rejuvenation surgery in women, men are now coming forward for surgical procedures and 30 per cent of Dr Hodgkinson’s practice is comprised of men.

    The key to facelifts for men is to concentrate on defining the jaw and eliminating the double chin whilst not taking away all the lines of expression that are a natural part of a masculine face.

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    Before and After Male Facelift Surgery by Dr Hodgkinson

  • Will I Need To Have A Second Facelift 20 Years After My First One?

    A common question we hear is if a patient is for example in the forties and they have their first facelift, will they need another on 20 years later in their sixties?

    You will need another lift if you want to keep your youthful look, however it’s unlikely to be the same type of facelift. The second lift is likely to be more of a touch-up procedure at about 8 to 12 years after the first lift. The old incisions are revisited and the sagging tissues re-tightened.

    The over-operated-on “wind tunnel” appearance after two or three facelifts as often seen in the social pages, needs to be avoided. The tight look is avoided with judicious restoration of sagging tissues and by not removing any more skin. Another obvious look to be avoided is the long or distorted earlobes and a stepped or too high hairline.

    If you are committed to staying youthful, budget for later life; look after your first facelift by not smoking or taking drugs and by avoiding excessive sun exposure.

    Before and After Facelift Surgery by Dr Hodgkinson

  • Will a Facelift Help My 50 Year Old Sun Damaged Skin?

    Because the Australian environment is especially harsh on the skin and the skin may be sun-damaged, you may need more than just the tightening of the underlying tissues. In combination with a facelift you may benefit from a skin rejuvenation program using laser resurfacing or a chemical peel which can smooth out fine lines and wrinkles and make a great deal of difference to the texture of the skin and your complexion.

    Before and After Facelift & Eyelid Surgery by Dr Hodgkinson

  • Will a Facelift Fix My Saggy Neck?

    No-one wants a double chin (or “turkey neck”) but regardless of your age, you can usually do something about it.

    From late teens some people notice the hereditary feature of a chubby fat neck. Just looking at your relatives gives you the clue that diet and exercise are not going to fix the problem. Liposuction is generally very effective for these fatty accumulations up to the age of about 40.

    After 40 years, men and women who are ageing relatively normally, note a laxity of skin and sagging muscles under the chin. A mini-lift is the treatment of choice at this age and can result in a marked “firming” and tensioning of the underlying muscles of the upper neck.

    After about age 45, fat and sagging skin combine to make the problem more severe and at this stage a neck-lift or a facelift is a better option.

    To find out the most suitable procedure for you, be sure to consult a surgeon with extensive experience in facelifts. Beware of the “latest”, the “newest”, the “L”, the “S” or “the turbo”! These procedures may have a nifty name but liposuction, a mini-lift and neck-lift have a proven track record of more than 20 years.

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    Before and After Facelift & Eyelid Surgery by Dr Hodgkinson

  • What Is The S-Lift?

    Many patients ask this. The S-Lift is a re-invention of a very antiquated technique of facelifting; one that was abandoned because it did not address the major problems of ageing which include laxity of the soft tissues of the neck and fat accumulation. The S-Lift is described as "surgery for beginners" and a technique which "merely approaches the laxity of skin issue". It is commonly known that tightening the skin alone leads to unacceptable scars and extremely short-term results. Before and after results most often published show patients after only a few days or weeks.

    The plastic surgical community abandoned the initial facelifting techniques (which were introduced in the 1920s and 1930s and continued into the 1950s) to perform more thorough procedures. With these early techniques, patients were dissatisfied with the fact that they underwent a surgical procedure with subsequent visible scarring and very temporary results.

    In the 1970s and 1980s, with the introduction of the more thorough procedures, it was established that by working first on the fat and the loose tissues underneath the skin to re-establish a youthful contour and then redraping the skin, a longer lasting, more natural and hence cost-effective result without the unwanted scars could be achieved.

    Dr. Hodgkinson states "I am still following up the first facelift I did for a patient upon my return to Australia in 1990. This patient is still satisfied with her result almost 30 years later, because the issues and tissues of the ageing face were dealt with properly at the outset. I hope this explains to you what the S-Lift is and why I would never revert to a procedure which I know is a waste of a patient's time, energy and money."


    Before & After Pan Facial Rejuventation by Dr Hodgkinson: SMAS Full Facelift & Eyelid Surgery

  • What Is The Best Time of the Year To Have a Facelift?

    Whilst a facelift can be done at any time, it is important to time your surgery so that you have ample time off (at least a few weeks) to fully heal before returning to the rigours of daily life.  That said, facelifts and other procedures, such as eyelid surgery, brow-lifts, neck-lifts and skin rejuvenation techniques like chemical peeling, laserbrasion and dermabrasion, are especially popular in winter. These procedures require the patient to reduce their exposure to the sun and this is easier to do in the cooler months. This exposure to the sun, however, if controlled does not preclude other seasons. Winter is also traditionally socially quieter than summer when holiday parties tend to take over.

     

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    Before and After Facelift Surgery by Dr Hodgkinson

  • What Is The Age Limit For A Facelift?

    Whilst there is nothing set in stone as we all age differently, the age limit for a facelift is probably in the seventies unless the patient has unusually excellent health.  More and more people in their late 60s and 70s and occasionally now into their 80s are still in the workforce and still very active socially and professionally.

    Therefore, if 70 is not the time to give up activities then why would it be the time to give up appearances?

     

    Before and 6 months after Facelift and Blepharoplasty by Dr Hodgkinson

  • What Exactly Does a Mini-Lift Do?

    A Mini-Lift is a minimal incision procedure on the lower two-thirds of the face that elevates and “fixes” the underlying tissues. The results always look more natural than just tightening the skin.

    The advantage of a minimal incision procedure over a traditional one is less scarring and less “down-time” while maintaining the longer lasting and more natural result of a complete facelift procedure by securing the lax underlying SMAS and muscle tissues.

     

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    Before and After a Mini-Lift by Dr Hodgkinson

  • What Can I Do About My Double Chin?

    A double chin is not only a sign of ageing or being overweight but can also be a hereditary area for fatty deposits. For persons in their teens to thirties who still have good elasticity in their skin (and even older in some cases) Liposuction to the chin and neck can produce remarkable results. Naturally, the surgeon must be artistically skilled in remodelling the patient’s profile to suit their features and facial balance.

    Before and After Neck Liposuction by Dr Hodgkinson

  • Is 44 Too Young For A Facelift?

    Definitely not. As we age, we begin to notice some excess wrinkling around our eyes, jowling and maybe some thickness under our chin and around the neck.

    The whole idea of waiting until 60 for a one-off facelift has gone. There has been a growing trend over the past ten years for people in their late 30s and early 40s to actively seek facelifting. In this age group the skin starts to give way to gravity—the brow may droop a little and the skin around the eyes loosen. However, muscle and ligament tone is still quite elastic and patients usually require less extensive rejuvenating techniques.

    Dr. Hodgkinson will minimise incisions by using less invasive techniques, often using the endoscope or limited incision surgery. Usually some tightening of the underlying muscle and ligament tissue is enough. The jowls and neck area can be tightened and the brow-lift procedure can elevate the corners of the eyes and also tighten the upper cheek area to restore the youthful contours of the face.

    Before and After Facelift by Dr Hodgkinson

  • How Long Will A Facelift Last?

    How long the results of restoration surgery will last depends on many factors. These may include genetics, life-style habits such as drinking and smoking, sun exposure, stress and the effectiveness of the original procedure.

    While we continue to age after we have had surgery, the surgical procedure can help set back the hands of time and start them ticking again from an earlier point.

     

    Before and After Facelift by Dr Hodgkinson

  • How Long Does It Take To Recover From a Facelift?

    Everyone heals differently, so whilst there is no one answer to this question, there are of course guidelines to help you plan for your surgery and an uneventful recovery.  The less invasive nature of today’s facelift procedures means that most people can be back at work after two weeks. There will be bruising and swelling after the operation but even the most severe swelling should be gone by the third week. Heavy work, stress and sudden movements should be avoided for the first ten days so as not to aggravate swelling or put any stress on the stitches.

     

    Before and 3 Months After Facelift by Dr Hodgkinson

  • How Can I Get Rid Of My Sagging Jowls?

    Jowls are commonly associated with ageing in the lower half of the face. Everyone ages differently but jowls are a common complaint of patients that present at the clinic to find out what their options are and what is the best procedure to correct their sagging jowls.  As we get older, not only does our skin lose elasticity but the underlying tissues and fat pats atrophy as well.  This ageing process creates this sagging, loose appearance, wherein the jawline loses its definition and often there is also a laxity of the tissues under the chin, giving the person a double chin or “turkey neck”.

    The best procedure or treatment for sagging jowls usually involves a minimal incision facelift of just the lower two-thirds of the face, which is enough to elevate these tissues combined with some fixation of the tissues underneath (not just a skin lift or S-Lift). It is not possible to create natural looking results when the skin is stretched and tightened like cling wrap to hold the sagging tissues in place. The advantage of the minimal incision facelift combined with the fixation of the underlying tissues over more traditional procedures is that there is less scarring and “down-time” while still providing for a long lasting and more natural result.

     

    Before and After

    Before and After Facelift by Dr Hodgkinson

  • Can I Have A Natural Looking Facelift At 60 Years Old?

    A common concern of men and women in their sixties is that they have loose skin on their face. They want to get a facelift but they do not want that obvious stretched look of a facelift.  The ideal result is a natural looking facelift, with not so obvious changes.

    Fortunately, today’s procedures if done properly do not lead to that stretched, over-operated on “Hollywood” appearance of by-gone years. To achieve an un-operated, natural appearance the focus in the over-60 age group is completely different. Because the bones are degenerating and the mid-face is getting smaller, it is essential to focus on the bony structure of the face and facial volume. Because aged skin has more laxity, more redundant skin will need to be removed, usually resulting in longer scars. I concentrate not only on the skin and muscles, but also on the shape of the face. I re-establish the cheek projection and jaw-line and often put in more than I take out using volume-enhancing procedures such as cheek implants and fat transfer.

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    Before and After Facelift & Eyelid Surgery by Dr Hodgkinson

  • Can I Have A Mid-Face Lift Without Visible Scars?

    Yes you can.  The mid-face lift is ideal for people who have lost tone and volume in the middle third of their face.  High cheek bones have always been associated with youth and the maintenance of a youthful face as we age. The problem with ageing in the cheek area is that the tissues underneath the eye slide down with the effects of gravity and facial movement, producing nasolabial folds. These can be improved with injections of non-permanent injectibles; however, there comes a point where simply plumping up will not do the job.

    Fortunately, we now have a newer procedure called "Mid-Face Lifting" which is done without leaving evident scars. Small incisions in the mouth and hairline enable us to endoscopically release these droopy tissues to bring them up higher, recreating the fullness of youth in the cheek area. If a patient has always had a flat cheek, we can add cheek implants using the same manoeuvre.

     

    Before and After Facelift & Eyelid Surgery by Dr Hodgkinson

  • Laser for Spider Veins on Face

  • How Do I Remove Spider Veins On My Face?

    For spider veins on the face—usually around the cheeks and nose—we use the KTP laser which is very successful at removing these unattractive blemishes. Further skin damage, usually from wind and sun will result in the reappearance of these veins and the laser therapy will have to be repeated.

    No anaesthesia is needed for this laser treatment. The patient wears special goggles during treatment to protect the eyes. The cosmetic surgeon traces out these small veins with a laser light which obliterates them. A laser session usually takes about half an hour. A second session may be needed.

  • Laserbrasion & Dermabrasion

  • What Can I Do About The Deep Lines Around My Lips & Cheeks?

    For deeper and more extensive lines I prefer to resurface the upper lip with either dermabrasion or the carbon dioxide laser treatment. The smooth resurfaced skin takes seven to ten days to heal and leaves new, pink skin which for six to eight weeks requires makeup to conceal and sunscreen for protection.

    The new, smooth upper lip can be a little shiny and lighter in colour than the rest of your face. This is why resurfacing the whole face is sometimes better so that there is a uniform lighter colour all over rather than have a demarcation line around your mouth and a sun-tanned, freckled complexion on the rest of your face.

    Before and After Facelift & Dermabrasion by Dr Hodgkinson

  • Cosmetic Surgery For Hips?

    Despite diet and exercise sometimes those hips are near impossible to get rid of!

    Liposculpture is a highly effective procedure for a young woman like yourself who is fit and but still has pockets of fat that simply will not budge. The art in liposculpture, unlike simple liposuction, is not just to remove the pockets of fat but to sculpt a new figure for the patient.

    To achieve a new figure requires the surgeon to have an appreciation of the artistic modeling of the fat so that after skin retraction, visually appealing contours are revealed.

    Before and after 6 months, liposculpture to the hips, abdomen, buttocks, inner and outter thighs

    Before and after 6 months, liposculpture to the hips, abdomen, buttocks, inner and outter thighs by Dr Hodgkinson

  • Lip Fillers & Injections

  • How Can I Make My Thin Lips Bigger?

    We have a number of excellent ways of plumping out your lips. Even if your lips are not necessarily thin we can enhance the way they look either temporarily or permanently and with the trend towards cosmetic dentistry, enhancing the lips can make the smile even more attractive.

    There is a range of injectable fillers available for a temporary result. The newest one normally lasts longer than collagen, which has been used for more than 20 years. For more permanent enhancement, I use either a dermal fat graft or the patient’s own fat (usually drawn from the abdomen or inner thigh).

    Before and After Lip Enhancement Surgery with fat by Dr Hodgkinson

  • Liposuction & Liposculpture

  • Why is the fat on my hips, thighs and waist so hard to get rid of?

    Many women gain weight on their hips and thighs during their teenage years. This if often related to genetics. The main contributor to later fat deposits is hormonal including pregnancies, menopause or HRT (hormone replacement therapy). Overeating is another contributor. We encourage a healthy diet and regular exercise but this is not enough for many patients. Treatment options include liposculpture, either with a traditional procedure or the newer ultrasonic method or for patients with more sagging skin around the abdomen, a “tummy tuck” may be more suitable.

    In some patients, particularly those with very large amounts of fat deposits or loose and sagging skin (possibly after a large weight loss) we may suggest a thigh or body lift. The scars from these procedures are extensive but generally tolerated in order to get rid of the large amount of excessive skin that accompanies dramatic weight loss.

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    Figure Liposculpture: hips, inner and outer thighs

  • Why do I have to wear a compression garment after liposuction?

    The compression garment helps reduce swelling for the first 24 hours and is essential to reduce serum loss into the tissue for the first few hours after the operation. It also helps flatten the tunnels caused by the removal of fat and rebinds the tissue into its new shape. After liposuction, swelling is normal and bruising will take two to three months to resolve.

    I recommend my patients wear the compression garment from four to six weeks to help the skin contract around the reshaped body.

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    Liposculpture of the outer and inner thigh

  • What is the difference between liposuction and liposculpture?

    When the fat cells are removed, it is critical that the surgeon creates a smooth contour.

    Creating this contour or figure for the patient requires the surgeon to remove fat to the right depth in both the area affected and all surrounding areas to avoid the pitfalls of dimpling. This can necessitate the use of multiple liposculpture techniques including tumescent and ultrasonic as well as many sizes of cannulae (instruments).

    In Liposculpture, the expertise of the surgeon is more important than any machine or method, as creating the right contour takes many years of experience.

    I was at the meeting where liposuction was first introduced by Dr. Illouz from Paris over 25 years ago and have enjoyed great success with these techniques for over two decades.

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    Liposculpture

  • Is liposuction the best way to get rid of cellulite?

    No. Liposuction works on the deeper layer of fat, and cellulite is more superficial. Sadly, there are no truly effective treatments for cellulite.

    Maintaining a healthy lifestyle and avoiding weight fluctuations can help some people improve the appearance of cellulite.

  • How can I lose weight before summer?

    So many patients are coming to us now wanting liposculpture of their waist, hips and thighs to get back their figure so that they can fit into the summer fashions.

    Liposculpture to enhance your figure involves reshaping from the waist to the hips and thighs using the latest pneumatic and ultrasonic liposculpture cannulas. The procedure is carried out as an outpatient at my fully licensed facility, the Double Bay Day Surgery, under a light anaesthesia. Patients usually return to most activities and work within 7-10 days.

  • How can I get rid of the fat round my waist. What can I do?

    It is no secret that the well-known "Aussie beer gut" is not a good look. Diet and exercise go a long way to helping get rid of it, but liposuction can offer a more rapid and predictable result. Liposuction for men generally includes the "love handle" area, the abdomen and sometimes the chest. The average male's skin contracts better than women's and skin etching techniques can define the "six-pack", the pectorals and the waist area.

    If diet and exercise have failed to give you the shape you need, then you should not only keep up the good work but consider liposuction. I use the ultrasonic and power cannula techniques to refine the male torso. We have been delighted with the definition that can be achieved by using the newer operating procedures.

    This 40 year old male is a recent case shown here before and after liposuction.

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    Male Liposuction

  • Can I get liposuction to more than one area of the body at the same time?

    Yes, but there is a limit to how much fat can be removed. It is inadvisable to remove more than a total of 5000ccs at one time. This is because there would be too much trauma to the tissues with risks of fluid imbalance and the possibility of deep vein thrombosis (DVT) in the legs.

  • Can I get liposuction for my 'love handles'?

    Liposuction is extremely effective for the love handle area. Men store fat in different areas to women and just like women, find these isolated pockets of fat hard to shift with diet and exercise. Liposuction, or the removal of fat cells, is ideal in such areas to restore or even improve a man’s physique.The major difference in liposculpture for men and women, is that in men the goal is to expose muscularity, whereas in women the emphasis is on creating sensuous curves. This procedure can be carried out as an outpatient at my licensed day surgery facility.

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    Before and after male liposculpture by Dr. Hodgkinson

    Male body-shaping is becoming more popular each year. To review some of Dr. Hodgkinson’s Liposuction cases, please check out our Patients' Before and After Gallery.

  • Neck Liposuction

  • What Can I Do About My Double Chin?

    A double chin is not only a sign of ageing or being overweight but can also be a hereditary area for fatty deposits. For persons in their teens to thirties who still have good elasticity in their skin (and even older in some cases) Liposuction to the chin and neck can produce remarkable results. Naturally, the surgeon must be artistically skilled in remodelling the patient’s profile to suit their features and facial balance.

    Before and After Neck Liposuction by Dr Hodgkinson

  • Nose Reshaping

  • Will My Nose Look Masculine After Nose Surgery?

    It is important whether male or female that surgery to the nose be carried out with a sensitivity to the patient’s face, gender, ethnic background and family resemblance. Many surgeons who have a predominantly female patient base may have the tendency to over-feminise their male surgical results. Experts in nose surgery/ rhinoplasty can individualise the result for each patient to ensure that their new look is natural, balanced and attractive. In all male rhinoplasty surgery it is important to avoid a “cute” of “button” by removing too much tissue or cartilage.  It is critical to maintain a strong nose that is in balance with the patient’s face and which gives a natural masculine appearance.

    Often, patients who want reshaping due to an injury have some sort of breathing problem as well. The two procedures of rhinoplasty and septoplasty can be carried out at the same time, improving both the appearance and the function of the nose.

    Before and After Rhinoplasty

  • Will My Nose Be In Proportion To My Face After Nose Surgery?

    Proportion and balance of features are very important considerations with nasal reshaping, known as Rhinoplasty. The shape of the face and the chin as well as the position of the eyes should all be taken in consideration when contemplating changing the shape of your nose.

    We find that digital imaging and image manipulation can often give the patient a better visual idea of what the end result might be. We encourage patients to bring photos of noses they like so we can discuss their expectations and what is realistic.

    The trend is away from making a too-cute or stylised nose and more towards individualised rhinoplasty to suit both the patient’s features as well as aesthetic requirements.

    Before and After Rhinoplasty

  • Will I Still Look Like Me After A Nose Job?

    Most patients want improvement – not change.  Many patients in my practice voice a concern about having plastic surgery that they feel might make them look like someone else.  After years of looking at yourself in the mirror or of your family and friends looking at you it is normal to be concerned about too great a change. This is something that it is important to discuss with your surgeon. In expert hands it is possible to customise the result of rhinoplasty or other cosmetic surgery to ensure that you look like the best you possible – not someone else.

    Before and After Rhinoplasty

  • What is the difference between a rhinoplasty and a nose job?

    A nose job can also be referred to as rhinoplasty. The trials and tribulations of pop icon Michael Jackson drew much comment on rhinoplasty and nose jobs. Certainly the fear of many patients seeking rhinoplasty is of ending up with a nose that has an obviously "operated-on" look so they are tagged as having had a ‘nose job’.

    Too much tissue taken out of the tip of the nose, too great a reduction of the dorsum or bridge of the nose and/or an inappropriate repositioning of the nasal bones, all by inexperienced surgeons are the usual causes of the so-called "nose job".

    Another common cause is the use of plastic in the nose. These ‘plastic (or silicone) implants’ are common amongst Asian patients and are rarely successful in the long term.

    Rhinoplasty if done correctly by a surgeon with experience and expertise can be one of the most satisfying procedures, beautifying the face and improving the patient’s profile. Any breathing problems can also be dealt with at the same time.

    Before and After Rhinoplasty 

  • What Is A Good Age to Have Nose Surgery?

    We find the most common age for people to undergo nose surgery is in their young adult years between the ages of 18 and 30, especially for those starting their university education or beginning new careers.

    In fact, it is during the school or university summer holidays that we see the most student-aged patients for nose surgery. The full age range of patients, however, extends from 16 to 75! Improving a patient’s profile can dramatically enhance their overall appearance, and often rhinoplasty is combined with a cosmetic procedure on the chin or facial rejuvenation surgery to balance and enhance the look of the face as a whole.

     

    Before and After Rhinoplasty

  • What Can I do About My Ski-jump Nose?

    The “ski-jump” nose is usually caused by trauma, an accident or in some unfortunate cases, previous over-zealous rhinoplasty surgery wherein a less experienced surgeon removes too much tissue leaving a the patient with a nose which is either unnatural in shape or too small.

    In a male, a small, weak nose is seen as most unattractive and lacking masculinity. Most men want a good strong nose and to achieve this for patients with a scooped out or too small nose, we use a patient’s own tissues to build up the top of the nose, thereby producing a more handsome, defined profile.

    The tissues used for this nasal grafting are most commonly bone and cartilage.  The use of silicone implants or implants of any synthetic material is problematic as over time the body rejects the implant and the implant works its way out of the nose and requires removal and can create an even more difficult defect to repair.

    If your nose is naturally too small or scooped out in shape from trauma or previous surgery, there are options for rhinoplasty surgery to create a more natural and pleasing shape to your nose.

    Before and After Nose Surgery

  • How long will I have to be off work, after nose surgery?

    Most patients have a good idea about what they dislike about their nose and what they want done but a big concern is how much time they will miss from work or studies and/or how much discomfort they will experience. The surgery surprisingly causes minimal discomfort and oral painkillers such as Panadol can control this. Recovery from rhinoplasty takes approximately seven to ten days and you can resume most activities within two weeks, except for contact sports. Rigorous activities can be resumed at about six weeks.

    Before and After Rhinoplasty

  • How Can I Decide Whether Or Not Nose Surgery Is For Me?

    We encourage patients to make use of the many tools we have available to help them explain to us what they want to achieve including: our articles, blog posts, galleries of “before and after” photos of actual patients, clinical procedural brochures, videos and digital computer imaging. All of these tools play a vital role in helping us to communicate with our patients and to understand their expectations and desired result.

    We encourage patients to describe what they want and show us photos of the noses that he or she likes. It is also helpful for them to share photos of any relative of theirs who they think has a particularly attractive nose. Patients may bring photos of models, celebrities, or film actors from popular magazines. This is not discouraged but rather encouraged as a further tool for communication. Clear, accurate communication between surgeon and patient is a top priority to allow a proper assessment to be made and realistic advice to be given.

     

    Before and After Nose Surgery - Rhinoplasty

  • Can Dr. Hodgkinson Fix My Flat Nose?

    Yes he can! Some Caucasians and many Oriental patients have a “flat” nose and request us to build up their nose’s bridge. This results in a better balance with the eyes and in Asians creates a more Eurasian appearance.

    Nasal fractures, often associated with contact sports like football and boxing, can also cause an undesirable “flattening” of the nose.

    Elevation of the nasal bridge with silicone is an occasional option, but Dr Hodgkinson generally prefers to use the patient’s own tissue.

    This Indonesian lady had a small piece of bone taken from her elbow and transplanted into her nose to produce not only a more refined profile but also a better appearance from the front view, glamorising and highlighting the upper part of her face.

    Before and After Nose Enhancement

  • Can Cosmetic Surgery To My Nose Improve My Breathing?

    Yes it can. At the same time that nose reshaping surgery (rhinoplasty) is carried out, issues with breathing can also be addressed.

    If the septum, the internal division between the nostrils, has been twisted or damaged from trauma this can be fixed along with any external structures to 'free-up' your airways and improve your breathing. This procedure is called a ‘septoplasty’.

    Usually, patients who want reshaping due to some injury have some sort of breathing problem to improve as well. The two procedures of rhinoplasty and septoplasty can be carried out at the same time, improving both the appearance and the function of the nose.

    A rhinoplasty is one of the most satisfying procedures, beautifying the face and improving the patient’s profile. Any breathing problems can be dealt with at the same time. To review some of Dr. Hodgkinson’s rhinoplasty cases, please check out our Patients' Before and After Gallery.

    Before and after 3 months Septorhinoplasty

    Before and after 3 months Septorhinoplasty

  • Otoplasty & Ear Reshaping

  • What Is A Good Age To Have My Child's Ears Pinned Back?

    Bat ears or very protuberant ears usually cause parents concern when the child is attending pre-school or kindergarten. Unkind comments from other children may prompt parents to seek advice from a plastic surgeon. At least 80 per cent of the ears’ growth is complete by the age of six so the operation can be done any time after this.

    The ears protrude because of their shape and their projection from the side of the head. Both issues must be dealt with individually in each patient. The procedure to “pin” the ears back is carried out under a general anaesthetic. During the teenage years the procedure can be done under sedation and local anaesthesia only.

    Before and After Otoplasty, Ear Reshaping Surgery by Dr Hodgkinson

  • What Can I Do About My Ears Sticking Out?

    The procedure is the same as if done when a child except it will be done under a light anaesthetic and sedation. Because an adult’s ears are stiffer than a child’s there may be more initial post-operative pain related to the increased tension on the internal stitches. But the result is the same—a flatter ear and a more attractive overall facial appearance. Some women have an otoplasty at 40 to 50 during their first facelift.

    Before and After Ear Reshaping Surgery by Dr Hodgkinson

  • Pectoral Implants

  • What Can I Do About My Flat Chest?

    Pectoral implants can be used to give your chest a more masculine look. The implants are made from firm silicone and are trimmed or customised to fit your individual chest wall.

    The implant is placed underneath the pectoralis muscle, not under the skin, and is inserted via an incision under the armpit. You will need to wear a compression garment day and night for four weeks and not undertake any strenuous activity for six weeks.

    Pectoral implants are becoming more popular, not only with body builders but they are also used in conjunction with “ man boob” operations.

    Before and After Pectoral Implants

     

  • Skin Peels

  • Will A Chemical Peel Improve my Acne Scarring?

    Acne scarring usually occurs during the teenage years and, with age, worsens as the skin progressively loses its elasticity. Chemical peels will lighten the colour of your skin and remove freckles or age spots but will not improve scarring.

    For acne scarring, we can utilise other resurfacing techniques such as dermabrasion, Erbium or carbon dioxide laser treatment. Unfortunately, as a side effect of trying to improve the scarring, resurfacing procedures may lighten the skin pigment permanently. Dermabrasion, using newer, highspeed air-driven diamond burrs, improves the scarring with less likelihood of a permanent skin colour change than the laser.

    All resurfacing procedures usually require two to three sessions to achieve the optimal result. Ten to 14 days are needed to recuperate from resurfacing. The skin is still pink and due to its sensitivity needs protection from the sun for up to six to ten weeks. Make-up and sunscreen must be used fastidiously during the healing process to protect the newly resurfaced skin.

  • What Are Different Chemical Peels Used For?

    Chemical peels are effective if the skin is splotchy and freckled or has age spots. A milder peel using alpha-hydroxy acids (AHAs) is an office procedure where the skin stings for about ten minutes. Mild skin flaking occurs for the next seven days.

    If you have more accumulated skin damage or the brown pigmented “pregnancy mask”, then a deeper trichloroacetic acid (TCA) peel would be more suitable. This usually requires a light anaesthetic.

    You will need seven to ten days off work as the healing process strips off the skin and leaves new, pink skin underneath. Makeup and sunscreen protection is required for six to ten weeks after the procedure.

    I have found that patients often find chemical peeling very gratifying and are usually keen to protect their new skin with sunscreen.

    Before and After Chemical Peel by Dr Hodgkinson

     

  • How Can Facial Peels That Strip Skin Make You Look Younger?

    When the skin peels off, it is very similar to some animals that strip their skin, like a snake and there is new skin underneath.

    As we age and we experience sun damage, which causes “browning” of the skin, “splotchiness” of the skin and fine lines, this gives one an aged appearance.

    Stripping off the fine lines and the discolouration gives the skin a nice, fresher look and the rejuvenated look and enhanced complexion makes one look younger.

  • Thermage

  • What Is A Non-Surgical Face Lift?

    This ‘non-surgical’ facelift is actually a non-invasive procedure suitable for the 35-55 year old age group, employing radiofrequency technology to tighten loose skin by using heat to shrink tissues and stimulate collagen growth.

    It is also called the ‘Thermacool Facelift’ because it has a cooling spray to protect the surface skin. No anaesthesia or down time is required and the procedure takes between one and two hours to perform.

    Before and After Thermage Facelift 

  • Tummy Tucks

  • What Can I Do About My C-Section Scar?

    This is very common in women who have had a caesarian section. As time goes by the low scar may widen or look crooked and accentuate any bulging over it. The “tummy tuck” procedure (abdominoplasty) can be used here too. The scar can be revised and the abdominal muscles tightened to flatten your stomach.

    Tummy Tuck (Abdominoplasty) by Dr Hodgkinson

     

  • Should I Get A Tummy Tuck After Having Children?

    Unfortunately after you have had children (especially large babies or multiple births) your stomach muscles may remain stretched, and while you can strengthen these muscles, no amount of exercise will shorten them.

    If you find the protuberance bothers you when wearing swimwear or fitted clothes, then a tummy tuck (abdominoplasty) can be an option to regain or even create a flat tummy.

    In fact, as an extra bonus with a tummy tuck the stretch marks on the skin are often also eliminated. Call us at the Clinic for details.

    Before and After Tummy Tuck by Dr Hodgkinson

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