Specialist plastic and cosmetic surgery practice

Precision Aesthetics, Dr. Vernon Ching, is a leading plastic surgery practice in Midrand/Johannesburg focussing exclusively on providing our patients with the best possible results. We offer both surgical and non-invasive procedures with patient safety being our top priority. Dr Ching combines his surgical skills with meticulous attention to aesthetic details to achieve beautiful and natural looking results.

Specialist plastic and cosmetic surgery practice

Precision Aesthetics, Dr. Vernon Ching, is a leading plastic surgery practice in Midrand/Johannesburg focussing exclusively on providing our patients with the best possible results. We offer both surgical and non-invasive procedures with patient safety being our top priority. Dr Ching combines his surgical skills with meticulous attention to aesthetic details to achieve beautiful and natural looking results.
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    • Silent Breast Implant Rupture

      Suppose you have had a breast augmentation, especially more than 8-10 years ago. In that case, this article may be of interest to you. Last month, my anaesthetist commented before we started our Wednesday list that coincidently, the patients on the list were all the same age, weight, and height and had the same operation. Namely, the removal of a ruptured silicone breast implant with replacement. Furthermore, all implants were inserted more than 10 years ago. As these patients had recently turned 40, they had all gone for a routine Ultrasound and Mammogram to exclude breast cancer. It is important to note that there is no evidence demonstrating an increased risk for breast cancer in patients with breast implants, either Saline or silicone, if they undergo routine cancer screening with mammography.1 The Ultrasound results had indicated that there were abnormalities suggestive of implant rupture, which prompted their visit to my practice. These patients had not shown any clinical indications that an implant rupture had occurred. Silicone implants are in their fifth generation and have been used for more than 60 years. In the USA, implants have been approved for all patients over the age of 22 and saline implants for those over 18 years old. 2 The FDA has advised that all patients with silicone breast implants have an MRI at 3 to years after implant insertion and then routinely every 2 years. This has not occurred in the USA due to the high costs of this exercise, time constraints, and lack of facilities.2 In South Africa, medical aids also do not routinely cover the cost of MRIs to exclude breast implant rupture. Another more user-friendly and cheaper option is to regularly perform routine High-resolution ultrasound studies of the breast, which yields similarly reliable results.1 This can be done in the Plastic Surgeon’s rooms. If a suspicious finding is present, further investigations can be done. In a recent study published in PRS, 10 % of patients undergoing routine screening were noted to have silent rupture of implants. 3 Device rupture is a major complication of implant-based reconstruction and augmentation. The reported incidence is 1% per year for silicone and saline devices. Although saline implant rupture is usually evident because of the rapid deflation, silicone implant rupture can be occult and challenging to detect on physical examination. Even though silicone implant rupture is often asymptomatic, it can be associated with symptoms of breast shape changes, asymmetry, silicone granulomas, lymphadenopathy, capsular contracture, pain, and swelling.2 Although detecting a ruptured implant is an unwanted finding, it may be a blessing in disguise. It may be an ideal time to upsize and uplift saggy breasts after pregnancy and breastfeeding. In those patients with textured implants, this gives them an opportunity to change to smooth implants. Due to the association of Anaplastic Large Cell Lymphoma (ALCL) with textured implants, these have generally been taken off the market in South Africa. Lastly, certain implant companies provide a 10-year warranty on ruptured implants, allowing a replacement at a lower cost. Tissue samples are sent for further investigation if any suspicious findings are noted during the surgery. It is recommended that ruptured implants be removed and replaced as soon as possible to avoid these problems. It is now a routine in my practice to schedule regular checkups on previously implanted patients with high-frequency ultrasounds. So, suppose your breast implants were inserted more than 3 years ago. In that case, it is definitely worth your while to schedule a routine checkup with your Plastic Surgeon to have your implants assessed to make sure you are not in that in that 10 % group.   Carr LW, Roberts J, Mericli AF, Liu J, Arribas EM, Clemens MW.: Breast Implant Imaging Surveillance among U.S. Plastic Surgeons U.S. Food and Drug Administration Recommendations versus Clinical Reality. Plast Reconstr Surg. 2020 Jun;145(6):1381-1387. doi: 10.1097/PRS.0000000000006812. PMID: 32459768. Canzoneri CN, Moyer KE. Challenges in Breast Evaluation: Breast Asymmetry, Macromastia, and the Surgically Altered Breast. Obstet Gynecol Clin North Am. 2022 Mar;49(1):73-85. doi: 10.1016/j.ogc.2021.11.004. PMID: 35168774. Salzman MJ. Silent Rupture of Silicone Gel Breast Implants: High-Resolution Ultrasound Scans and Surveys of 584 Women. Plast Reconstr Surg. 2022 Jan 1;149(1):7-14. doi: 10.1097/PRS.0000000000008632. PMID: 34936597; PMCID: PMC8687613.  

June Special – SkinPen with Fire & Ice

WHAT IS SKINPEN? 

SkinPen is the first microneedling device cleared by the U.S. FDA, clinically proven to safely and effectively treat facial acne scars, stretch marks, wrinkles, hyper-pigmentation, large pores, thin skin, lax skin and loss of resiliency.

With as few as three non-invasive and affordable treatments spaced 30 days apart, you can improve your appearance for six months after your last treatment – and step out with confidence. Available for all skin types.

How it Works?
“Collagen Induction”
The Microneedling device delivery provides unparalleled collagen induction therapy via fractional delivery of needles into the epidermis and dermis. These micro injuries to the skin encourage and harness the power of the body’s innate ability to re-grow and repair the skin through the physiology of collagen induction as it strengthens elastin fibres, stimulates collagen production, fights free radicals and stimulates cellular activity.

The procedure helps loose skin to appear firmer and look younger and healthier, fine lines will be reduced and skin will “glow” as a result of Collagen Induction Treatments. Wrinkles and scars are the most effective complaints successfully treated with this treatment.

What is the downtime?
The treatment requires virtually no downtime because it does not disturb the outer-most layer of skin, while promoting healing and growth in the layers below.

Can I combine Microneedling with other treatments?
Microneedling treatments complement other treatments like, chemical peels. A peel encourages cell renewal, treats problematic skin, and the glow that it leaves behind is absolutely worth it!

WHAT IS THE FIRE & ICE FACIAL?

This facial involves the application of two distinct masks, bridging the gap of mild and invasive peeling of the skin. The first mask aims to help smooth your skin with heat which aids the process of resurfacing your skin cells. This in turn helps increase your blood circulation. It contains Sugar cane extract (glycolic acid), citric acid, lactic acid, maleic acid, vitamin B3, retinol, and potent antioxidants (including Green Tea Extract). The second mask is cooling and keeps your skin hydrated, making you feel rejuvenated and leaving you with a glowing complexion. It contains Sodium Hyaluronate (Hyaluronic Acid), Aloe Vera, Japanese Green Tea Extract, Liquorice Extract, Grape Seed Extract, and Rosemary Extract.

The combination of the above hot and cold masks, cooling globes, and the specific facial massage technique results in renewed skin cell production and skin rejuvenation. This gives you that radiant glow with a long-lasting effect. This IS Clinical Fire and Ice Facial contains natural ingredients and even helps to clear acne, improve acne scarring, and reduces hyperpigmentation.

This clinical treatment is designed for quick and safe resurfacing of your skin cells, and since it has zero downtime, it is the perfect facial to get before any major life event like a wedding, an engagement, a corporate event, a graduation, or even an award show like the celebrities do.  This facial makes you look glamorously beautiful.

The iS Clinical Fire and Ice Medical Grade Facial Treatment is very efficient at resurfacing and hydrating the facial skin. Hailed and chosen by many Hollywood celebrities, especially those promoting a more natural, clean, and fresh look, this treatment has been dubbed the “Red Carpet/Hollywood facial.”

Since the skin is the largest organ of our body, it is of paramount importance that we give it the care it deserves. With 2 treatments combined, your skin will glow.

June 2022 Special

Pay R2,100 for Full Face SkinPen,

get iS Clinical Fire & Ice Peel valued at R1,100 Free

 


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