Cosmetic Surgery

As a surgical specialist practice we offer a range of other procedures, including:

SURGICAL

  • Skin Lesions and Lumps
  • Abdominoplasty (‘Tummy Tuck’)
  • Breast Biopsies (Breast Lumps)
  • Gynaecomastia (Male Breasts)
  • Varicose Veins

NON-SURGICAL

  • Bruxism (Grinding Teeth)
  • Hyperhidrosis (Excessive Sweating)
  • Spider Vein Sclerotherapy

SURGICAL

Skin Lesions and Lumps

A skin lesion is a superficial growth or patch of the skin that does not resemble the area surrounding it. A lump is a deeper growth that usually does not involve the skin, but may be seen or felt under the skin.

The vast majority of skin lesions and lumps are noncancerous. However, doctors will determine whether or not a particular lesion or lesions are cancerous based on observation and the results of an excisional or punch biopsy, in which a tissue sample is excised for microscopic analysis.

Since early detection is a key to successful treatment, individuals should examine their skin on a monthly basis for changes to existing moles, the presence of new moles, or a change in a certain area of skin. When examining moles, factors to look for include:

  • Asymmetry: A normal mole is round, whereas a suspicious mole is uneven.
  • Border: A normal mole has a clear-cut border with the surrounding skin, whereas the edges of a suspect mole may be irregular.
  • Color: Normal moles are uniformly tan or brown, but cancerous moles may appear as mixtures of red, white, blue, brown, purple, or black.
  • Diameter: Normal moles are usually less than 5 mm in diameter, a skin lesion greater than this may be suspected as cancerous.

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Abdominoplasty (‘Tummy Tuck’)

Women and men who have loose abdominal skin and fat that is concentrated in the abdomen can benefit from abdominoplasty. Sometimes these conditions are inherited. In other instances, substantial weight loss may cause abdominal skin to become flaccid. Abdominoplasty also can tighten muscles that have been separated and weakened by pregnancy. The procedure may somewhat improve the appearance of stretch marks, especially those located below the navel.

During your personal consultation, you will be asked about the results you would like to achieve from abdominoplasty. This will help the surgeon to understand your expectations and determine whether they realistically can be achieved.

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Breast Biopsies (Breast Lumps)

A breast biopsy is procedure to remove a small sample of breast tissue for laboratory testing. A breast biopsy provides a sample of tissue that doctors use to diagnose and identify abnormalities in the cells that make up breast lumps or other unusual breast changes. And, a breast biopsy can help determine whether or not you need additional surgery or other treatment.

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Gynaecomastia (Male Breasts)

Gynecomastia is a medical term that originates from the Greek words for “women-like breasts.” This condition is far more common than many realize. Gynecomastia affects an estimated 40 to 60 percent of the male population. It may affect only one breast or both. Although certain drugs such as anabolic steroids, medications containing estrogen, alcohol, marijuana, etc., and medical conditions including cancer, impaired liver function, to name a few, may cause or contribute to enlarged male breasts, it is widely accepted that a large percentage of cases derive from unknown sources.
Men of any age who are healthy and emotionally stable are considered good candidates for male breast reduction surgery. The best candidates are those who have firm, elastic skin that will reshape to the body’s new contours. In some instances, surgery may be discouraged for overweight men who have not first tried an exercise and diet regimen.
Enlarged male breasts can be reduced by liposuction and/or by cutting out excess glandular tissue. The procedure for male breast reduction takes an average of two hours, usually on an outpatient basis, using general or local anesthesia. If excessive glandular tissue, fat and skin are present, it will be removed.

Surgery may be performed alone or in conjunction with lipoplasty, where the suction device will typically be inserted through the existing incisions. For the removal of excess fatty tissue alone, liposuction may be all that is needed; in such cases, scars will be small and barely visible.

Results are permanent, although subsequent obesity can create a gynecomastia-like effect. Some of the benefits of surgery include a firmer, flatter, more contoured chest, which may give the male patient a boost in self-confidence. There is little downtime, and you may return to work within one week usually, unless you are involved in strenuous activities.

There will be scarring around the nipple of the breast (areola) from this procedure but will fade over a period of time and be less visible. There will be some post-operative bruising, swelling, and burning sensation. To assist with the healing process, the patient will wear an elastic pressure garment for 3-6 weeks and must avoid exposing scarred areas to the sun for at least 6 months.

Other considerations include temporary numbness or lack of sensation that could last up to a year. Infrequent complications may include infection, skin damage, fluid accumulation, bleeding, scarring or pigment changes. Post-operative asymmetry, while rare, is possible; a second procedure may be needed to remove additional tissue.

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Varicose Veins

Vein stripping is a procedure, which involves removing of a long vein through small incisions. This is typically an outpatient procedure for most people. Removing the vein won’t affect circulation in your leg because veins deeper in the leg take care of the larger volumes of blood.

Spider veins and small varicose veins may benefit from sclerotherapy (see under Non-Surgical procedures.

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NON-SURGICAL

Bruxism (Grinding Teeth)

Injectable drugs can be used to slim down the jawline by reducing the volume of the chewing muscle known as the ‘Masseter’. By reducing the volume and strength of the Masseter muscle the benefit of reduced teeth grinding, also known as ‘Bruxism’, is achieved.

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Hyperhidrosis (Excessive Underarm Sweating)

Excessive sweating, medically known as hyperhidrosis, involves overactive sweat glands. When sweating becomes excessive it can be embarrassing, uncomfortable, stressful, and disabling. Excessive underarm sweating can disrupt many aspects of a person’s life, from career choices and recreational activities to relationships, emotional well-being, and self-esteem.

The following information explains how drug injections for excessive underarm sweating work and what is involved with the treatment.

What is hyperhidrosis?

Hyperhidrosis, or excessive sweating, is a condition that affects millions of people around the world. Uncontrolled sweating can occur in various parts of the body including the hands, feet, or underarms. Although high temperatures or stress can increase perspiration, they don’t cause hyperhidrosis. Hyperhidrosis may be an inherited trait or physiological condition that stops the body from properly regulating its temperature.

What does the treatment entail?

The drug that is used is a natural, purified protein that temporarily blocks the release of a chemical that signals perspiration, helping to reduce excessive sweating. Multiple small injections are required for each underarm. The active ingredient is derived from bacteria in much the same way penicillin is derived from mould. It is manufactured in sterile laboratory conditions.

This prescription-only medicine and treatment is only available from a qualified medical professional. It is registered for the treatment of severe axillary hyperhidrosis (excessive underarm sweating).

How does the treatment work?

Once injected by your specialist, the medication enters the specific glands in the underarms responsible for excessive sweating. There, it blocks the release of a chemical that signals the body to produce perspiration.

What does the treatment involve?

The treatment is a non-surgical procedure whereby a small amount of medication is administered into the skin of the armpits by a trained medical professional using a very fine needle. Generally, the procedure takes around 20 minutes. Discomfort is typically minimal and brief, and although the injection may sting for a few seconds, normal activities can be resumed soon after.

After the injection, it takes about 7 days for the treatment to take full effect.

How long does the treatment last?

After the first treatment, the effects last on average of 7 – 8 months. However, the amount of time the treatment remains effective may vary from person to person. When your symptoms begin to return, see your doctor.

Are there any side effects?

As with all medicines, treatment may cause some side effects. In the amounts used for the treatment of hyperhidrosis, the side effects are usually temporary and localised to the area of injection. The most common side effects for primary hyperhidrosis are a perceived increase in sweating in areas other than the underarms, pain at the injection site, pain, hot flushes, and transient arm weakness. If you have any questions about side effects, please ask your doctor.

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Spider Vein Sclerotherapy

The oldest and most common treatment for spider veins on the legs is sclerotherapy. In this procedure, your doctor injects small- and medium-sized varicose veins with a solution that scars and closes those veins so they become less noticeable. We most commonly use a concentrated (hypertonic) saline solution. The injections may sting a bit, but the discomfort does not last long.

Deep veins and varicose veins are not effectively treated with these methods. In order to treat varicose veins, surgery is usually performed for optimal results.