Home 2016 issue 1 New Website, New Look, More Features!

New Website, New Look, More Features!

  • New Website, New Look, More Features!

    The Cosmetic & Restorative Surgery Clinic was one of the first
    clinics and Dr Hodgkinson one of the first doctors to have a web
    site and a web presence.

  • A Letter from Dr Hodgkinson

    Scientific Meetings in 2016.
    I was given the task of being
    the scientific convener for
    the 19th ICAPS (International
    Consortium of Aesthetic Plastic
    Surgeons) Meeting in Sydney,
    Australia and Auckland, New Zealand.

  • Dr Hodgkinson answers your questions.

    Q: “I don’t like my nose.
    Where do I start?”

  • What today’s patients are looking for in a Plastic Surgeon

    A recent study by the International Society of Aesthetic Plastic Surgeons (ISAPS 2016) lists the crucial criteria that patients use to choose a surgeon.

  • Breast Augmentation: Saline Implant Update

    I have been practising plastic
    surgery for more than 30
    years and in that time have
    performed over 7,000 breast
    augmentations both here and
    in the United States. During
    this time, I have used every
    sort of implant inserted through
    every sort of incision and yet I
    continue to use saline implants
    at least 50% of the time.

  • New Website, New Look, More Features!

    The Cosmetic & Restorative Surgery Clinic was one of the first
    clinics and Dr Hodgkinson one of the first doctors to have a web
    site and a web presence.

    Now years on and many editions later, the websites of yesterday look primitive next to our sites today which include video footage, size automatically to whatever device we are using, load faster are more image rich and navigation savvy.

    Our site is noted as one of the most informative in the industry anywhere with dozens of articles, hundreds of unretouched clinical before and afters, videos of procedures and information about the cosmetic plastic surgery industry in general.
    Please check out our new site and share your feedback with us.

    web

    We have a new logo, too…
    logo

    A Letter from Dr Hodgkinson

    Scientific Meetings in 2016.
    I was given the task of being
    the scientific convener for
    the 19th ICAPS (International
    Consortium of Aesthetic Plastic
    Surgeons) Meeting in Sydney,
    Australia and Auckland, New Zealand.

    This brought together some
    of the world’s leading plastic
    surgeons from five different
    continents to discuss a myriad
    of problems common to all of
    us and to share tricks and our
    many years of experience as
    very senior plastic surgeons.

    The common theme centred
    on the worldwide expansion
    of the procedures of body
    contouring for massive weight
    loss from bypass and sleeve
    operations, with many patients
    opting for trimming of the
    skin after the procedure. It has been shown that by not
    reducing the excess skin after
    massive weight loss 70% of
    the patients remain depressed
    and that their psychological status improves dramatically after
    having the trimming procedure. In
    one recent case where I performed
    a total body lift the patient soon
    thereafter became engaged to be
    married and is now proceeding with
    breast surgery prior to the big day.

    Many of the surgeons with vast
    experience in lasers and in CoolSculpt
    surprisingly noted that some patients
    can develop excessive fat after the
    CoolSculpt procedure.

    I was pleased to hear that
    colleagues from South Africa still
    use dermabrasion for the perioral
    region (and so do I). Whereas a
    laser causes loss of pigmentation the
    dermabrasion is excellent for the “golf
    course weather beaten face”.

    Another interesting theme from
    these senior surgeons is that patients
    return and many cases gratifyingly are
    seen 10, 20 and 25 years after their
    original procedures, often referring on
    their family because of the gratification
    they have from the results that first
    class cosmetic surgery can offer them.

    Dr Hodgkinson answers your questions.

    Q: “I don’t like my nose.
    Where do I start?”

    A: When considering nose
    surgery (rhinoplasty), most
    patients are concerned
    about getting a result that
    is individualized to create a
    look that is both natural and
    appropriate to their gender
    and ethnic background. At
    our clinic, we have the latest
    digital imaging that allows
    us to discuss the look that
    patients desire before surgery.
    In the end, however, it is
    the surgeon’s expertise that
    makes the results possible.

    Screen Shot 2016-06-29 at 3.57.14 pmFor more about rhinoplasty
    and other procedures call the
    clinic now or see hundreds
    of Dr Hodgkinson’s results
    on his website.

    What today’s patients are looking for in a Plastic Surgeon

    A recent study by the International Society of Aesthetic Plastic Surgeons (ISAPS 2016) lists the crucial criteria that patients use to choose a surgeon.

    One item that we were surprised to find missing from the list was SAFETY! The surgeon’s experience and proof of results give some indication as to safety, but with recent media coverage in Australia of young women being rushed to emergency medical facilities after cosmetic surgery, one would think that safety would come up high on the list.

    At our clinic and day surgery, our licensure and accreditation are your insurance that everything complies to the highest standards of safety and quality assurance in the medical industry. Just because
    surgery is “cosmetic” does not mean that it is trivial or without real risk.

    So what were the other things that prospective patients were looking for?

    “There is no substitute for the years of experience that a surgeon gains after they have their qualifications.”

    limg1

    1. Experience.

    There is no substitute for the years of experience that a surgeon gains after they have their qualifications. This experience allows them to not only produce consistently good
    results but results that are individualized to suit each patient.
    Dr Hodgkinson has two higher degrees in plastic surgery, with over 30 years of experience in all areas of cosmetic plastic surgery including facelifts, nose surgery, breast and body contour surgery.

    “I appreciate the patients who acknowledge and value my experience,”
    he says.

    2. Proof of Results.

    It is important that a surgeon can show patient’s unretouched surgical results of patients like themselves.

    Dr Hodgkinson has thousands of cases of unretouched, non-posed before and after clinical results on his website to help the patient understand that what they see is what they get.

    3. Accessibility.

    Patients want to have access to their doctor and health care practitioners.

    The clinic and day surgery not only has a full clinical staff available during traditional business hours but provides a 24/7 on call service manned by a doctor with access to Dr Hodgkinson himself.

    4. Relationship building.

    Patients need to feel that they can have a relationship with their surgeon as they confide in them their desire for change and often their vulnerabilities.

    Dr Hodgkinson as a senior surgeon understands the trust that patients place in his hands and values the relationship that they share. Proof of the value of this relationship are the many patients who return years later for different procedures or who refer their family or friends.

    5. A comfortable, welcoming facility.

    Patients want to feel at ease and that they are both welcome and important. Having the right staff and a comfortable, welcoming facility is vital for this.

    Dr Hodgkinson’s team of highly trained nurses and administrators understand the patient experience and are enthusiastic to share your journey with you and to support you along the way. Many of them have been patients at the facility themselves and understand what the prospective patient is going through.

    The clinic also provides personalized nursing care for patients who need extra support after their procedures and there is on-site parking which makes attending post-operative visits or treatments easier and completely private.

    6. Affordability.

    Having cosmetic surgery is a big decision. It is expensive and takes time from our busy lives. Everyone
    wants value for their money but beware – if an offer is too good to be true then maybe it is not true: does it really include everything?

    It has been shown that day surgery dedicated to one specialty is much more cost effective than general day surgeries or operating facilities in hospitals.

    At the clinic we give our patients an all-inclusive fixed price quote so that there are no extra fees which can creep up on patients who are in a hospital or private hospital outpatient facility.

    If fees are much lower, then this is usually an indication that the surgery is taking place in a non-licensed, non-accredited facility and that the surgeon lacks the experience to charge proper fees. Cheap has a hidden meaning because a cheaper price is likely to indicate that costs are being cut, often to the detriment of safety and quality.

    Dr Hodgkinson with some staff of the Cosmetic and Restorative Surgery Clinic

    drhodkinson

    Breast Augmentation: Saline Implant Update

    I have been practising plastic
    surgery for more than 30
    years and in that time have
    performed over 7,000 breast
    augmentations both here and
    in the United States. During
    this time, I have used every
    sort of implant inserted through
    every sort of incision and yet I
    continue to use saline implants
    at least 50% of the time.

    Screen Shot 2016-06-29 at 4.08.44 pmInterestingly saline continues to represent a high proportion of the implants inserted in the US. While saline was the first ever implant produced, it was soon challenged in the marketplace by silicone, which initially had a perceived lower rate of rupture as the saline
    would deflate and the gel would not when broken.

    Gel honeymoon short lived

    The honeymoon for gel implants, however was short lived as these implants too showed problems with 50% of the patients developing capsular contraction. This and further concerns led to silicone implants being taken off the market in the USA from 1992 to 2006.

    During this time surgeons were required to use saline implants alone which proved to be not only safe but highly successful in the vast majority of cases.

    I like saline implants

    I like saline implants for many reasons. One of course is safety. It is also proven that they do have the same rate of rupture as a gel implants which is approximately 1% per year.

    I like the saline implant because of its natural movement; they do not have the ‘’glued on’’ look produced by some other implants….

    Another positive for saline is that ruptures are easily detected. The removal and replacement of a ruptured saline implant is much easier than that of a gel implant
    which is often associated with symptoms and signs which require more sophisticated and expensive examinations such MRI to detect.

    These screenings are suggested annually for gel implants and certainly at ten years. This is not the case with saline as implant health is evident, the rate of capsular contracture is low and there is no requirement for breast exercises.

    Nearly impossible to feel

    Saline implants are also ideal for patients who do not want to be too big or larger than a D cup. If the patient has nice thick breast tissues and I can get a good muscular cover with a partial subpectoral approach then it’s nearly impossible to feel a saline implant.

    Smallest incision of any implant

    There are also advantages to the saline implant being inserted empty and filled in situ. Because of this the saline implant has the smallest incision site of any implant and any small discrepancies in the symmetry of a patient’s own breasts can be corrected during
    the fill by placing the patient in the upright position during the operation and making adjustments.

    Natural movement

    I also like the saline implant because of its natural movement; they do not have the ‘’glued on’’ look produced by other implants. Due to this movement or “shimmy factor”, saline implants also tend to be the preference for women in theatre and dancers in cabarets in Europe and Las Vegas who don’t want to have breasts that are too large but which both
    appear and move naturally.

    50% are good candidates

    In my practice 50% of patients are good candidates for saline implants. There has never been a ‘‘saline scare’’ and saline implants have never been taken off the market unlike gel and foam implants which causes extreme patient distress and anxiety.

    With all the facts weighed up, the saline implant when appropriate for the patient has
    resulted in a headache-free breast augmentation for both the patient and myself as well
    as a large number of surgeons in the US.