The Non-Surgical Facelift And The Breast Augmentation For A Natural Look

Breast Augmentation – The Natural Look
Dr Ti talks about advances in breast augmentation

Spring Specials on line are not to be missed!
A visit to the Cosmetic Surgery Clinic website at the right time can bring valuable benefits.

ORH prepares for a new mission.
Operation Restore Hope is busy getting ready for two upcoming missions to Cebu.

Thermage has arrived!

Non-surgical facelifts are now a practical reality.

There has been a lot of talk in Australia about Thermage since Oprah aired a show here featuring the Thermacool® non-surgical Thermage facelift. This technology was FDA approved and introduced in the United States in 2002, but only arrived in Australia this winter.

Dr. Darryl Hodgkinson, the first to bring this technology to Sydney and New South Wales, has long used Thermage on his U.S. patients and can now offer the same benefits to his Australian clientele at his Double Bay clinic. Dr. Hodgkinson has completed full technical training and provides Thermage treatments to patients with laxity of skin in the face and neck.

Impressive track record

With Thermage, Dr. Hodgkinson can provide a non-surgical facelift treatment with a track record of thousands of patients in the US using an FDA (US Food and Drug Administration) approved device.
Thermage works by employing a sophisticated single patient treatment tip, a ThermaTip ®, to deliver a controlled amount of radio frequency deep into the tissues while cooling the dermis or skin.

This directed and controlled energy uniformly heats the collagen in the layers under the skin, causing contraction and tightening but also promoting the growth of this remodelled collagen over time to give a smoother and more youthful appearance. The results can be immediate but the real benefits develop in the two to six months after treatment as shown below in our Collagen Cycle diagram.

Patients are happy with this procedure as not only is it non-invasive without down time but as the results develop gradually, friends and family notice an improved appearance without attributing it to any treatment.

Thermage treatments normally take from one and half to two hours with the patient resuming normal activities the same day.

“The demand for Thermage has been great”, says Dr. Hodgkinson, “as the Australian public is aware of what is available worldwide and have been looking for effective and safe rejuvenating techniques that have little or no ‘down-time’.”

Before and after Thermage non-invasive facelift
by Dr Hodgkinson

A Letter from Dr Hodgkinson

Your Cosmetic Consultation

Recently I published a new book called “Your Cosmetic Surgical Consultation”.

Over the years of seeing thousands of patients wanting cosmetic surgery, I’ve seen a pattern of questions arise for every procedure. Nearly 100 of the most frequently asked questions are answered in this handbook, accompanied by many before and after images of patients I have treated over the last 20 years.
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The book is particularly valuable for patients considering a cosmetic surgical procedure, or just wanting to know more. Printed in high gloss colour it is a complete survey of the most frequently asked questions on facelifts, body contour surgery, breast surgery, body implants, eyelid surgery, ear surgery and liposuction. The book is available from our website and can be ordered in soft or hard cover.

I hope you enjoy the read.

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: “Can cosmetic surgery to my nose also improve my breathing?”

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

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

For more information about Rhinoplasty, call the clinic on 9362 7400 or visit us online.

Before and after Rhinoplasty by Dr Hodgkinson.

The Natural Look

Sydney plastic surgeon Dr Tav explains the key elements to natural looking breast augmentation.

The number of breast enlargement operations is increasing, as is the demand for natural-looking breasts. A well-augmented breast has a natural fullness, with gentle sloping off the chest wall. There should be natural cleavage without webbing between the breasts and only a certain amount of perkiness.

Tell-tale signs of unnatural breast augmentation

The three main telltale signs of unnatural breast augmentation to be avoided are:

• mplant margin or implant edge visibility (the ‘Tori Spelling’ look).
• Oversized implants.
• Perkiness: an augmented breast that is too perky will tend to look fake.

Before having surgery, it is beneficial for the patient to review photographic examples of the breasts they would like, and to convey their wants to the surgeon so there is a clear, visual understanding of the desired result.

Five initial things I consider

There are five main clinical parameters on initial consultation:

1. Patient’s body build and height
2. Breast size, shape and symmetry
3. Nipple position in relation to the breast
4. Chest wall shape and dimension
5. Patient’s desired cup size and shape.

Once these parameters have been established, I can tailor-make the ‘right’ breast augmentation for the patient involved.

Factors affecting the ‘Natural Look’

There are five considerations when customising a breast augmentation to ensure a natural-looking result:

1. Incision placement There are three choices about where to make the skin incisions for breast enlargement. They can be in the breast fold (inframammary), around the nipple (periareolar) or underneath the arm (transaxillary).
2. Implant shape
   The choice of implant shape varies from round to teardrop. About 50 percent of patients in my practice end up with round implants. Since I prefer placing the implant in a sub-muscular pocket in most patients, implant edge visibility in the upper pole of the breast is not a major issue.
   The round implant tends to be ideal for those patients with nice shape who desire a straightforward enlargement. Use of the teardrop (anatomical) shape depends on the patient’s desire as well as her body shape. The shape variation is in the width and projection of the implant for any given size. The spectrum of implants available to the plastic surgeon can thus provide great versatility in achieving a more natural look.
   In general, there are two groups of women who benefit from teardrop shaped implants. Firstly, the teardrop variety is ideal for women who have droopy breasts. Secondly, some patients specifically want less fullness in the upper quadrant.
3. Implant fill
   I use both the cohesive silicone-gel and saline-filled implants. The new generation silicone-gel implant is very safe and in general it feels and looks like a natural breast.
4. Implant size
   I ask patients to try different implant sample sizes at the time of consultation. The samples are put on top of the breast and the patient wears a larger bra to hold it in place. The patient is encouraged to bring their partner or close family members for the sizing procedure.
5. Implant position
   The implant can be placed either on top of or behind the muscle. In general I prefer to put implants behind the muscle so they are partially covered. The muscle allows a nice, smooth takeoff from the chest wall. If put directly on top of the muscle the breasts can look like rounded balls on the chest, which is another definite giveaway.

In women with droopy (ptotic) breasts, I use a dual pocket technique of dissecting both on top and underneath the pectoral muscle, but inserting the implant behind the muscle.

Before and After Breast Augmentation by Dr Tavakoli.

Spring Specials on line are not to be missed!

A visit to the Cosmetic Surgery Clinic website at the right time can bring valuable benefits now we have inaugurated a continuing series of changing “Special Offers” and other rewards! You can download and print the different gift certificates straight from the website, bring them in and make great savings.

Our recently ended “Winter Specials” included a 15% reduction on Skin Resurfacing and 10% reduction on Anti-Wrinkle injections, and a $100 reduction on a first cosmetic surgical consultation with Dr Hodgkinson or Dr Tavakoli.

The newly-released “Spring Specials” still include the $100 reduction on your first cosmetic surgery consultation, and also a 10% reduction on Thermage Treatment and a 15% reduction on KTP Laser treatments and/or Benefit Peels – you can’t afford to miss these offers!

Operation Restore Hope prepares for new mission

Dr Darryl Hodgkinson and his wife, Katherine, with five newly-discharged young ORH patients who had just been operated on to mend their cleft lips and palates.

Operation Restore Hope is busy getting ready for two upcoming missions to Cebu in November, when two teams will fly to the Philippines to operate on children’s cleft lips and palates.
One team is made up almost exclusively of surgeons from Westmead and other from surgeons in the United States. These two teams bring with them experienced members who have been with Operation Restore Hope throughout its now more than 10 years in the island of Cebu.

“Smile” Newsletter

If you did not receive Operation Restore Hope’s recent newsletter ‘Smile’ and would like to be on our mailing list please call us with your details on 02 9362 7480 or email us at: orh@operationrestorehope.org
With so many children to heal, we need your help now more than ever.