Help With Acne And Facial Veins


Not told! Now Bettina gets the facts and help from CRSC
Breast augmentation: informing patients completely and honestly leads to a better experience for all.

A Letter from Dr Hodgkinson
Dr H gives a cosmetic surgery update and mentions the 2002 ORH Mission

The Doctor is in!
I work out at the gym, eat well, but my chest is still flabby. What can I do about it?

Unwanted Facial Veins left from summer sun exposure?
The Skin Lab at the Cosmetic and Restorative Surgery Clinic offers a number of office-based procedures that can be performed within one hour.

Injectable Fillers and anti-wrinkle injections working together for a younger you.
The procedures of non-permanent injectibles and anti-wrinkle injections complement each other very well.

My 16 year old daughter has terrible acne on her face…
Dr John Doyle, Dermatologist, talks about possible treatments

Operation Restore Hope 2002 Mission heals more than 100 children!
Operation Restore Hope has a successful return to the Philippines in February 2002.


Not told! Now Bettina gets the facts and help from CRSC

Informing patients completely and honestly leads to a better experience for all.

When Bettina Raap called to see Dr. Hodgkinson, she was uneasy and looking for help.

Bettina had previously had surgery performed by another surgeon many years ago, but now she required some corrective surgery; her implants needed replacing. Bettina was impressed with the staff at the Cosmetic & Restorative Surgery Clinic and Double Bay Day Surgery, who she said were very thorough, caring and professional.

Bettina was able to communicate to them her concerns and in turn the CRSC staff were able to communicate to her what she could honestly expect from her surgery. As a result, Bettina not only looks great but she feels happier knowing what she can expect.

“It is imperative that we tell patients the truth and do not gloss over the hard facts”, said Dr. Hodgkinson. “Implants, like everything else, do not last forever and patients must realise that it is likely that they will have to undergo another procedure after a number of years.”

Agreeing with this, Bettina said: “I wish that my surgeon had told me that implants don’t last a lifetime at the time I had my original surgery. If he’d done that I would have been a lot more prepared.”

Bettina liked Dr Hodgkinson’s emphasis on honest doctor-patient communication




A Letter from Dr Hodgkinson

Cosmetic Surgery Update
This year has been off to a busy start here for all of us at the clinic with two overseas trips amongst all of our normal activities.

February found me and most of the team as usual in the Philippines for our surgical charity Operation Restore Hope. In March I travelled to the United States for a facial cosmetic surgery meeting.

I would like to take this opportunity to personally thank the many wonderful patients from the Cosmetic and Restorative Surgery Clinic and the Double Bay Day Surgery who continue to contribute to Operation Restore Hope. This year, even after the world instability following September 11th 2001, our team of seven surgeons, one dental surgeon, four anaesthetists and six nurses supported by our Filipino colleagues, successfully operated on over 100 children with cleft lip and palate deformities.

These are complex cases and the amount of logistics required to perform these surgeries successfully, is extensive and requires a year of commitment. The Australian-Filipino community has been actively supporting us and we had were very please to be visited by the Australian Ambassador to the Philippines for a second consecutive year.

Postscript: having just returned from the United States where I participated in an extensive conference with my many American colleagues, discussing the trends in facial cosmetic surgery, I can proudly say that our Clinic remains up-to-date in all facets of facial aesthetic surgery.

2002 has had an exciting start and I’m sure when looking at our plans for the clinic that the year ahead will continue in the same vein.

Sincerely yours,

Dr Darryl J. Hodgkinson
M.B. MS. (Hons) F.R.C.S.(C) F.A.C.S.



Dr Hodgkinson answers your questions

Q: I work out at the gym, eat well, but my chest is still flabby. What can I do about it?

A: Men of all ages can be embarrassed by excess fatty tissue in the chest area, and may be embarrassed to wear tightly fitting shirts as this accentuates the problem. This condition (gynaecomastia) affects an estimated 40-60% of all men and cannot always be corrected by dieting or exercise alone.

The good news is that the excess fatty tissue can now be removed surgically in conjunction with liposculpture.

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.

Gynaecomastia (Male breasts)


The procedure is carried out on an outpatient basis in our Double Bay Day Surgery and usually takes around an hour and a half to complete. Patients report a high level of satisfacton with the results.

Call us at the Clinic to learn more or learn more in our Procedures section and check out our Patients’ Before and After Gallery.



Unwanted Facial Veins left from summer sun exposure?

by Dr Margot Campion, Cosmetic Physician

Maybe you should consider a treatment by KTP Laser.

The KTP laser is a vascular laser that specifically treats broken capillaries and/or vessels on the face. The wavelength of the laser is absorbed by the colour of blood in the vessels thus ‘sealing’ them and rendering them invisible. The cause of broken capillaries is genetic, being more commonly found in persons with fair skin. The occurrence of broken capillaries, however, is heightened by lifestyle habits such as exposure to sun, consumption of alcohol, etc.

The procedure is relatively quick and can be performed in under an hour. No anaesthesia is required, but we suggest that the patient wear an anaesthetic cream for approximately 20 minutes prior to treatment, to ‘numb’ the areas to be treated. The patient lies supine and wears goggles to protect their eyes from the laser light. The laser light is placed across the damaged capillaries causing these capillaries to go into spasm and disappear as they are being treated.

Most people find that the vessels go into spasm and remain closed. Some patients, however, find that some of the vessels may re-open in the following weeks. In a few instances, light may be trapped within the vessel causing it to appear darker for a few weeks after the treatment until the blood is absorbed. People who have KTP laser are generally very happy with the result. While one session may be adequate for most, others may require a second session.

Chill out afterwards!
After treatment ice is placed on the skin to reduce the heat and any redness. In the majority of cases, the skin settles within half an hour, but

in some people with very fair skin, it may still be a little red and sensitive the next day. The patient also needs to follow specific instructions for the immediate post-procedure period. The main thing to remember is to avoid anything that could make the face flush so as not to re-open the treated capillaries. These things would include very hot baths or showers, saunas, spas, solariums and vigorous exercise.

KTP laser treatments are performed at the office four days a week from Monday to Thursday. The average treatment costs about $350 with a Medicare rebate of nearly $100. To discuss KTP laser or make an appointment please call our receptionist on 9362 7400.



Injectable Fillers and anti-wrinkle injections working together for a younger you.

Over the past three years we have been utilising non-permanent injectibles and anti-wrinkle injections at the Cosmetic and Restorative Surgery Clinic. There has been a growing trend of non-permanent injectibles users also having anti-wrinkle injections at the same time, thereby combining treatments. The procedures of non-permanent injectibles and anti-wrinkle injections complement each other very well.

Anti-wrinkle injections are injected into muscles to weaken their activity so as to moderate and relieve wrinkles and frowns. This procedure is generally used from the eyes upwards, and mainly targets the crows’ feet, furrowed brows and frown lines.

Anti-wrinkle treatment

In these areas of the forehead, it is much more effective to soften wrinkles by relaxing the muscles that are contracting behind the wrinkles and causing them.
Many people who have this procedure are thrilled not only with the results but how much lighter their forehead and frown lines appear.

A natural skin component

Non-permanent injectibles are a hylauronic acid which contains a natural component of our skin. It is extremely permeable, appearing to blend in and incorporating well with the environment of the skin.

Anti-wrinkle treatment complements Non-permanent injectibles very well, and the two procedures are often combined

Non-permanent injectibles are used for ‘plumping’ up areas, in particular the nasolabial folds, the lips and the lines and folds in the face. Tailored to the individual patient, if a frown line is extremely deep and even though the muscle has been relaxed with injections, the prominence of the line remains, then a small amount of non-permanent injectible can be placed in that line to produce an excellent result.



Q: My 16 year old daughter has terrible acne on her face. I am worried it will leave scars?

Dr John A. Doyle

Fortunately, there are now many effective topical and oral therapies for acne. Also, facial skin in particular, has tremendous capacity to heal once the acne has been controlled.

Q: When do doctors use laser for acne scarring?

A: Broadly speaking, acne scarring falls into two main groups: Raised or lump scars and pitted or depressed scars. Raised scars (keloids) are often seen over the chest, shoulders and upper back in patients with severe cystic acne.
These scars can improve partially with time but may require the use of cortisone injections or silicone sheeting.The pitted or depressed scars can be made less obvious by “resurfacing” of the skin surface with a carbon dioxide laser or dermabrasion. These techniques smooth out the irregular surface and make it easier to hide scars with makeup. If there are a few deep scars or “ice-pick” scars, these can be excised before the resurfacing procedure.

Q: My daughter is on a treatment with a skin specialist but she still has a lot of red marks on her skin.

A: It is not unusual for an area of skin damaged by acne to take three to six months for the redness to slowly fade. Moisturising the skin and protecting it from sunlight will allow ‘mother nature’ to take care of most of the healing process.

Before Dermabrasion  After Dermabrasion

Q: Are chemical peels useful for acne scars?

A: Chemical peels using Trichloroacetic acid are very useful for rejuvenating skin that has been chronically sunlight damaged. Irregular pigmentation and wrinkles will be made less prominent. However, TCA peels and other chemical peels are of limited benefit for acne scarring. The optimal treatment of acne scars involves customising treatment, depending upon the type of patient’s skin and the nature of the scars.

Please contact the staff at the Clinic to find out what the best treatment is for your skin, and also check out our website.



Operation Restore Hope 2002 Mission heals more than 100 children!

Dr Hodgkinson about to give the gift of hope to a young Cebuano girl by correcting her lip on her birthday.

Dr Darryl Hodgkinson and his Operation Restore Hope charity mission have just returned again from the Philippines, where they operated on more than 100 children with cleft lip and palate and also some burn victims.

There were two medical teams, one in the Paranaque district of Manila and the other in Cebu island. Dr Hodgkinson said how grateful he was to his many cosmetic patients here in Sydney who support Operation Restore Hope.

“This charity has not only brought great balance and enrichment into my life and the lives of the staff at the clinic, but also to the many patients, friends and associated businesses who support us.”

In the nearly 10 years the mission has been in the Philippines, the work has expanded to include two hospitals, one in Manila and one in Cebu.
In working with the same hospital and community the mission has been able to watch its children grow up and reap the benefits of doing such life-changing surgery – making it possible for a child to smile.

An International Team

The medical team headed by Dr Hodgkinson included plastic surgeons, anaesthetists, dentists and nurses from Australia, New Zealand, the United States, Germany and Ireland. Despite the international talent volunteered by the medical team, Operation Restore Hope is still an Australian initiative. One of the major differences in the last few years has been the overwhelming support that the charity has received from the Australian-Filipino community in helping with the organisation both here and in the Philippines.
Operation Restore Hope does not spend one cent on administration but has all its administrative services volunteered.

Sponsorship for a child is about $400. Membership is only $10 per year with a one time $10 application fee.

Join Operation Restore Hope!

You can become a Member of Operation Restore Hope! Just fill out the coupon below with your details and we will send you an application form. Membership not only helps us pay for the children’s operations but is a show of support for Operation Restore Hope to keep going. Annual membership is only $10 and there is a one time application fee of $10.

Operation Restore Hope is a registered charity in New South Wales.

Marisol, before the operation and
after with her delighted dad!