Mediplan Available At Double Bay Day Surgery
Big CRSC presence enhances Sydney Fashion Week 2000
A Letter from Dr Hodgkinson.
The Doctor is in!
Why do some people scar more easily?
PIP Breast Implants now available in Australia at the CRSC
Heaven on Earth Spa impresses CRSC team
Mediplan now available at the CRSC
Operation Restore Hope Doctors revive dead baby girl.
Colleagues catch up at Tokyo plastic surgery conference
Everyone now knows about the recent great success of Fashion Week 2000 in Sydney
But you may not be aware that we at the Cosmetic and Restorative Surgery Clinic had our staff at a private booth during the Fashion Week Show and met many of our patients and supporters who attended.
So why were we invited to the Fashion Week? Our Clinic inter-relates with the beauty and the fashion industry in many ways. Skin care, body re-shaping and breast surgery are all popular procedures to maintain and enhance a woman’s figure or complexion. The CRSC must be aware of the different styles and fashions our patients wish to wear because our surgery can make wearing these clothes easier.
Too many women suffer from having to wear “separates”. A “tummy tuck” and/or liposuction will reduce a woman’s size by up to two to four sizes and by enhancing their figure, allow women to wear off-the-rack clothes without having to resort to “separates”.
Tales from Tokyo
Only two Australian surgeons presented papers and were on the Faculty at the International Society of Aesthetic Plastic Surgeons at the XVth meeting held in Tokyo last month. I presented a paper on breast augmentation and chest wall deformities and a close friend and colleague spoke on eyelid surgery and facelifting. Over 1,000 surgeons attended this Conference and 80 were Faculty members.
Australian surgeons are still relatively unrecognised for aesthetic surgery expertise although we are trying to expose the International Plastic Surgical community to our work. Fortunately, the many years that I spent in the United States have allowed me to obtain access to many colleagues in the United States and I have taught courses for many years at international meetings on various aspects of aesthetic surgery.
Other information gained from the meeting was the realisation that the Erbium laser has not lived up to expectations regarding the resurfacing of the skin and the Carbon Dioxide laser still remains the standard bearer for results. It also appears that the pneumatic liposculpting device which is fairly new is gaining popularity.
I have been using the pneumatic liposuction machine which has certainly reduced the time for the procedure whilst also affording a refinement in the final re-shaping and sculpting in many body areas, especially in the male love handles and chest.
After attending the International Society of Aesthetic Plastic Surgeons’ XVth meeting, I can confidently say that our practice is completely up-to-date. Overseas surgeons are most impressed with our results, many of them wishing to come and observe the techniques. Occasionally, I will allow a senior surgeon with special talents to observe my surgery (with the patient’s permission); although be assured I always perform the surgical procedure myself.
The next ISAPS meeting is in Turkey and I will be sure to attend and keep you up to date on the European cosmetic and plastic surgical scene.
Q: I want to have my nose fixed, but how long will I have to be off work?
A: Recovery from rhinoplasty takes approximately 7 -10 days, and the operation is routinely carried out as an outpatient surgical procedure at the Double Bay Day Surgery. It usually involves sculpting and shaping the bony and cartilegenous structures of the nose to produce a much more pleasant profile and most importantly, not an over-operated upon appearance.
Most patients have a good idea about what they dislike about their nose, but their biggest concern seems to be how much time they will miss from work and/or how much pain they will experience.
The surgery surprisingly causes minimal discomfort, usually controlled by oral painkillers such as Panadol. Patients can resume most activities except for contact sports within two weeks.
Before and After
Dr John Doyle, Dermatologist, responds to your queries.
People vary tremendously in their ability to heal following any injury to the skin. While most patients will find that their skin will heal well following cuts and scratches, there is much variation in the speed and completeness of healing.
We have all experienced the situation where a sore on the skin takes much longer to heal than a similar lesion on the face. As we get older the ability to heal seems to decrease.
A small number of individuals will form a fine scar from surface cuts and scratches. But a greater concern is when an injury results in the formation of excessive scar tissue, a hypertrophic scar or keloid. This type of scar tissue is usually red, thickened and itchy and may need medical treatment.
What causes a keloid?
There is often a family history of excessive scar tissue formation in the patient involved and certain areas such as the upper arm, upper chest and upper back are particularly prone. In these situations it appears that the cells in the skin responsible for wound repair do not know when to stop producing healing tissue.
Can keloids be prevented or treated?
Surgical technique is very important as skilful handling of the tissue at the time of surgery will minimise scarring. Silicone sheeting can be placed over the wound to help healing (see photo in next column).
If a keloid has already formed, cortisone creams or injections as well as laser and x-ray therapy can be helpful. A combination of therapies including surgical excision of scar tissue and compression dressings can minimise or improve scarring.
My skin heals well but is always discoloured after surgery.
Damage to the skin may also effect the pigment cells. Severe damage may destroy them leaving a scar that is paler than the normal skin. It is always vital to protect the surgical wound from sunlight. If there is a skin colour change it is usually temporary and will blend in over 3-6 months. Topical projections such as hydroquinone azelaic acid and tretinoin can help fade excessive pigmentation.
by Dr Darryl Hodgkinson
PIP Breast Implants are here in Australia at last. They have been available in Europe for two years and in the United States for about twelve months. As you know, I use saline implants in nearly 80% of patients who request a first time breast enhancement.
So what is a PIP implant?
A PIP implant is a prefilled saline implant that has no valve, no seam and comes in various sizes from 200 cc – 450 cc. PIP implants are smooth, round and filled with saline, feel very natural and require only a minimal incision when placing them. I have used the PIP implant in several women now and feel very comfortable with the result this implant produces.
The newest saline implant on the market today
My experience parallels that of many of my American colleagues who believe that this is the finest saline implant on the market today, constituting an improvement to previously available options. The PIP implants are slightly more expensive than the customary saline implant.
The highest technological standards are used in PIP implant manufacture
To find out more about the many options that exist when you are considering breast augmentation, including PIP Implants, you can discuss this with Kim or Maryanne, our registered nurses, our patient educator, Gail, Dr Margot Campion or myself at the Cosmetic and Restorative Surgery Clinic.
Dr Hodgkinson and Gail Farrugia recently spent a fascinating evening at the Heaven on Earth Spa in Narrabeen making a presentation.
“The Director of the Spa, Sue Carroll, has a marvellous business with very up-to-date equipment and a first rate staff,” commented Dr Hodgkinson. ” I was amazed at the quality of the equipment and most impressed by the lovely group of women whom I met that evening.
There were approximately 40 women in attendance who posed excellent questions and (continued column right) seemed to enjoy the presentation of various aspects of cosmetic surgery. We will be happy to return to the Heaven on Earth Spa in the future. “I wish to express my gratitude for the support of many of the beauty therapists throughout the Sydney Metropolitan and rural areas of New South Wales.”
Mediplan is a flexible funding plan designed specifically to assist people in paying for elective medical services.
For more information on Mediplan please phone the Clinic on (02) 9362 7400, phone Mediplan direct on 1300 1300 12 or check out the Mediplan website at www.mediplan.com.au.
Doctors revive dead baby girl
Australians perform “miracle”in Lapu-Lapu Hospital
“Twenty-two year old Rosalie Legarde’s worst fears came true when the baby she was trying to deliver died. But Divine Providence was on Rosalie’s side as a group of Australian doctors on the Operation Restore Hope mission were at the Lapu-Lapu City District Hospital.
“Chief Nurse Grace Estremos said the birth team tried to revive the 7.7 pound baby girl but failed, so they sought the help of the Australian doctors. After being resuscitated by the doctors for 30 minutes, the baby girl miraculously breathed.
“Anaesthesiologist Dr Brian Horan and Dr Marty Shaw helped revive the child’s life with the help of their modern equipment, aided by nurses Sue Slater and Zita Blackledge.
Doctor Marty Shaw holds the revived baby, Angelica, shortly after he had helped other members of the Operation Restore Hope team resuscitate her.
“The Australian medical team have been in Lapu-Lapu City for about two weeks conducting operations on kids with hare lips and cleft palates. This is part of their Operation Restore Hope medical mission and their sixth in Cebu province.”
Dr and Mrs Darryl Hodgkinson catch up with the renowned Dr Ortiz-Monasterio of Mexico City, one of Dr Hodgkinson’s mentors, at the recent ISAPS meeting held in Tokyo, Japan. Dr Hodgkinson was a lecturing member of the conference faculty.