For years, fat transfers (or grafts) have been used to fill in facial flaws such as hollow cheeks, sunken eyes or indented scars. Now they are also used to augment many other areas of the body. Dr Vernon Ching discusses.
The chin is a symbol of sensuality in the female and masculinity in the male, playing a pivotal role in facial aesthetics. Despite this however, it’s a feature that’s often neglected. Dr Vernon Ching discusses.
Patients undergoing bariatric surgery for severe obesity are often left with excess, sagging skin, affecting all areas of the body – including the face. This can negatively impact one’s body image and self-esteem, despite the powerful achievement of significant weight loss.
A pioneering new liposuction technique has been growing in popularity, as it promises to remove fat in a smooth and gentle manner. This procedure is known as SAFELipo® - and has been recognized for exactly what its name implies: a safer alternative.
A new diet pill called the Obalon inflates inside your stomach to mimic the results of weight loss surgery. While it’s being touted as the new non-surgical alternative to gastric bypass, the question remains: is it an effective tool…or simply hype?
Great skin, for the majority of us, does not come naturally. Only those that are truly genetically gifted have this biological advantage. This does not mean that the rest of us are doomed, merely that we need to work a lot harder to achieve our goal.
Thermage and Fraxel bring out the best in each other, just like you and your best friend. This non-surgical treatment sequence is your skin’s best friend for total skin rejuvenation. The combined treatments help correct the most signifi cant signs of ageing: sagging skin, wrinkles, skin texture and pigmentation.
DR VERNON CHING discusses the Thermage system – a safe, non-invasive, radiofrequency cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger appearance.
While facial chemical peels remain among the most effective treatments for skin rejuvenation, it must be noted that not all peels provide the same results. It’s the strength of the peel solution that affects the depth of the treatment.
You’ve had your babies, experienced one of the most wonderful things a woman can do in her lifetime – but don’t forget about yourself. Pregnancy can take a toll on your body, affecting your breasts, tummy and legs. After nine months, you’re probably longing for your pre-pregnancy figure.
In modern society attitudes to cosmetic surgery have changed dramatically with an increased acceptance of people choosing how they wish to look. Cosmetic surgery has lost its connotation as “vani- ty surgery” and patients have come to realize that if performed for the right reasons a profound and positive change will occur.
According to scientists, we are all automatically and genetically drawn to people with beautiful traits as these people are perceived more healthy and strong and are more likely to produce offspring with these self-same characteristics. Even a baby knows beauty is innate.
Autumn is a deceptive season. Once the summer rains abate, the weather starts to cool and one is tempted to stay outdoors for long stretches to enjoy the fresh air before the cold winter temperatures start to bite. Particularly here in Africa, protection from the sun is necessary all year round, for a number of reasons.
There is no doubt that exercise and diet is the best way to obtain the shape and figure that you desire; however newer body sculpting technologies allow you to remove excess fat that is not easily lost by diet and exercise.
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.