FACE LIFT SURGERY IN SYDNEY, COFFS HARBOUR AND PORT MACQUARIE; FREQUENTLY ASKED QUESTIONS

First impressions make a difference in our society and our faces convey much about who we are. Many men and women seek to enhance or restore their facial appearance to a more youthful and rejuvenated look in step with who they are on the inside.

The following are questions that I am frequently asked by men and women considering Facelift Surgery.

1. I don’t want to look strange or unnatural – is this avoidable in Facelift surgery?

Scary face lift

In the hands of an experienced and talented Cosmetic Surgeon, natural and rejuvenated results are achievable with Facelift surgery.

Often the images that spring to mind when thinking about facelift surgery are the well known celebrities that look like they’ve spent a month in a wind tunnel and have distorted and unbalanced faces pulled too tightly and unnaturally. Other looks most patients wish to avoid are known as “moonface” or “catwoman”.

A skilled and knowledgeable Cosmetic Surgeon is able to deliver results that are natural and long lasting, taking potentially 10-15 years from your apparent age. Thorough preparation involving repeated consultations between the Cosmetic Surgeon and the patient are crucial in establishing a positive rapport, trust and a consensus as to appropriate expectations regarding the results and a foundation for an optimal outcome.

2. What should I expect from the recovery process from Facelift surgery?

Immediately after surgery, the Cosmetic Surgeon will apply dressings and bandaging that require replacing on a daily basis for the first two weeks. A bandage that wraps around the head, under the chin and over the ears, should be worn for 24 hours for the first six weeks after surgery, and then at night or at home for another 6 weeks. Stitches inserted by the Cosmetic Surgeon are usually removed within 1 – 2 weeks, depending on your healing and recovery.

Initial pain and discomfort is addressed with pain relief prescribed by the Cosmetic Surgeon and Anaesthetist. Initial bruising should resolve within one to two weeks after surgery. Swelling takes longer to resolve; up to 6 to 12 weeks.

You need to sleep on your back for approximately 6 weeks, supported by pillows at your sides to prevent you from turning on your side.

Improvements in your appearance can be noticeable as early as a week to two weeks, but optimal results are not seen until further down the track in your recovery as swelling resolves and the tissues heal.

3. Will the scars from the Facelift surgery be visible?

Again, this is depending on the skill and technique of the Cosmetic Surgeon (and one reason it pays to do your research and seek several opinions prior to choosing a Surgeon to perform your surgery). In the right hands, your incisions are carefully placed and hidden to avoid detection.

4. Does facelift surgery include lifting the eyes?

Facelift surgery addresses the loose and sagging skin and tissue of the face. Surgery to the eyes, known as Blepharoplasty, can be performed on either or both the upper and lower eyelids. This is often performed in conjunction with a Facelift to achieve the overall refreshed appearance sought by the patient. Facelift surgery may also be combined with neck lift surgery, specifically addressing the sagging skin and tissue on the neck area. A Browlift may also be recommended in conjunction with Facelift surgery to achieve a lift of the forehead and eye area.

These different procedures will be discussed with you at length by the Cosmetic Surgeon in light of what you want to achieve, your present appearance, and what procedure/s is/are most suitable to achieve your goals.

5. How long does Facelift surgery take?

Facelift surgery can take anywhere between 2 and 4 hours depending on what your particular surgery entails. It is usually performed under general anaesthetic.

6. I’ve heard of thread lift surgery for the face; is this a better and less invasive option to Facelift surgery?

 

Thread Lift will make you look like your face is pulledIn short this is not a better or less Invasive procedure.

Thread lift surgery involves the insertion of threads into the facial tissue which are then pulled tightly in an attempt to lift the skin and tissue. The threads have barbs placed along their length in order to provide grip on the tissues.

Unfortunately, whilst thread lifts are heavily promoted and marketed, patients who have pursued the procedure are inevitably unhappy with the results. This is partly due to thread lifts being performed on many patients who are not suitable candidates for the procedure. The procedure is also performed by medical practitioners who are not adequately qualified in performing surgery and lack a thorough understanding of the facial tissues, underlying muscles, nerve supply and blood supply.

Many of these patients then seek Facelift surgery to achieve the results they were originally seeking. Unfortunately, this poses significant difficulty for the Cosmetic Surgeon performing a Facelift as the threads are extremely difficult and time consuming to remove, adding time and complication to the Facelift procedure.

7. Will I require further procedures after the Facelift surgery?

No facelift surgery can offer an absolutely perfect result, and usually the Cosmetic Surgeon will discuss with you prior to surgery what further procedures may be required following surgery to enhance or maintain the results. For example, Dermal Fillers may be recommended after surgery to add volume to areas of the face such as the cheeks or lips to enhance a youthful appearance. Another recommendation may be the use of a Cosmetic Facial peel to resurface and rejuvenate the skin. Only ever pursue further facial treatments on the advise and recommendation of your Cosmetic Surgeon.

Looking after your skin and face will contribute to long lasting results. Discussing with your Cosmetic Surgeon your ongoing skincare regime and other treatments is important to achieving and maintaining the best results.

Ideal Facial rejuvenation The over-riding message if you are considering Facelift Sydney surgery is to do your research, seek several surgical opinions. Choose a fully qualified  and experienced Cosmetic Surgeon with previous results that appeal to you and with whom you can build confidence and trust.

 

 

 

 

 

For a Face Lift or Neck Lift consultation contact Dr. Bobby Kumar at the Bare Aesthetics Cosmetic Surgery Clinics in Sydney ,Port Macquarie or Coffs Harbour on 1300 676 003 or 0430 491 009 or send us a request at www.bareaesthetics.com.au/contact-us.php


Written by Dr. Bobby Arun Kumar on Tuesday the 5th of July, 2011. Currently No Comments »

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Cosmetic Surgery for Men at Bareaesthetics Clinics in Sydney and Port Macquarie

The Top Cosmetic Surgery procedures for Men

Typically cosmetic surgery is normally associated with women having procedures such as Breast Augmentation, breast reductions and liposuction. If we discuss men having cosmetic surgery we normally think about well known male actors and celebrities such as Sylvester Stallone, Michael Jackson and Mickey Rourke. These men are not great examples of natural and aesthetic cosmetic surgery results. However; men do have great Cosmetic surgery results it is just that we hear about the extreme and ridiculous results performed on the infamous celebrities.

Statistics released in March 2011 by the American Society of Plastic Surgeons (ASPS) demonstrate that many more men are now becoming more conscious about their appearances and maintaining their appearances that they are now considering some form of Cosmetic surgery. The statistics revealed that the overall increase in cosmetic procedures in men increased by 2% in 2010 when compared to the previous year. Some procedures in particular like Facelift surgery rose by 14% and Liposuction increased by 7% in 2010.

The ASPS statistics for 2010 show that men underwent an increased number of Surgical and minimally invasive procedures; the increase in surgical procedures grew faster than the traditional minimally invasive treatments.

The increase in men having cosmetic surgery may be related to a number of factors; such as an increase in the general fashion and cosmetic industry and therefore an increase in the participation of men in requiring cosmeceuticals and that their requirements do not seem to be unusual or the domain of women. Also with the changes in workplace perceptions and socially men may feel the need to have a rejuvenated and youthful appearance as well as being fit and healthy. Men and women have shifted the age for when they are choosing to have children. As such men may feel that they are now ready, mature and financially capable enough to make the decision to have Cosmetic plastic Surgery.

Interestingly once the minimally invasive procedures such as Antiwrinkle injections or dermal fillers were popular with men. It is apparent that as men age, so do the tissues and the addition of gravity means that the tissues sag. Consequently a much more comprehensive surgical procedure is required and is necessary to lift and rejuvenate the body to show any significant improvement.

Popular cosmetic surgery procedures for men Read More »


Written by Dr. Bobby Arun Kumar on Wednesday the 4th of May, 2011. Currently No Comments »

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Breast Augmentation or Breast Enlargement is the most frequently performed Cosmetic surgery on women in Australia and the U.S. today. Over 300,000 women undergo breast augmentation every year, with the popularity of the procedure ever increasing, especially amongst female body builders.

Breast implants are most commonly used as an aesthetic enhancement in an individual who is lacking in natural breast tissue due to genetically predisposition or environmentally induced factors. Because breast tissue is primarily composed of fat cells, physicians in the past have attempted to inject fat (obtained through liposuction) into the breast. However, today, this is completely unacceptable due to calcification (complete hardening of the breast). Hormonal therapy may increase the natural breast size, slightly, but not enough for the majority of women.

Currently, the most common procedure to increase breast size is via breast implants. A breast implant is a sac of silicone elastomer that is either filled with saline or silicone, and is surgically implanted under the breast tissue. The proportion of the breast to body height and weight is taken into consideration, as is the chest width, location of nipple/areola complex, and cleavage. Because the concepts of aesthetics are constantly changing, there are many factors such as implant type, size, and site that should be tailored to the individuals’ specificity.

TYPE OF BREAST IMPLANT (Saline,Silicone or “Furry Brazilian”):
Silicone vs. saline? This discussion is going to remain for many years. The advantage of silicone implants is that it is softer and appears more natural. However, leaks may be found in secondary tissue. Generally, saline is a bit firmer, but it is without the supposed health risks because a leak is simply absorbed by the body. There has recently been the use of another type of Silicone Implant known as the “Furry Brazilian” or Polyurethane Implant. These Breast Implants are specifically designed for a small group of women. The decision should be made after consultation with an experienced Cosmetic surgeon.

LOCATION OF BREAST IMPLANT:
The breast implant can be placed either under the pectoralis major muscle (sub muscular) or on top of the muscle and under the breast glands (sub glandular). Sub muscular implants are more popular because they are less palpable, have lower risk of capsular contracture, and do not inhibit mammography. However, it requires more invasive surgery and longer healing time. Bodybuilders prefer sub-glandular insertion because the heavily developed pectoralis muscle might flatten the implant and there will be less projection of the breast. Women with sagging or drooping breasts may opt for a sub glandular placement to utilise the increased projection. Disadvantages of sub glandular implants include impairment of adequate mammography and an increased risk of capsular contraction.

Subglandular or Subpectoral

Subglandular or Subpectoral

LOCATION OF INCISIONS:
There are four areas of incision:

1. Periareolar (lower part of areola 1-1/2 inches)

2. Inframammary (on the lower breast crease)

3. Axillary (armpits)

4. Transumbilical (from the bellybutton)

Each has advantages and disadvantages but the preferred incision is Inframammary because it is less noticeable. Arguments against the other approaches are that they are harder to perform; there is decreased sensation of the areola and violation of the breast tissue when approached via the Periareolar technique, there is increased risk of rupture, Infection and Capsular contracture with these other techniques.

SHAPE OF THE BREAST IMPLANT:
Most surgeons have experience with teardrop (natural implants) and with the round implants. Preference is toward the round implant because it appears more natural. Previously, there were high profile implants (which projected more) and low profile implants (less projection). Recently, medium profile implants were introduced.

HOW LONG DO BREAST IMPLANTS LAST:
There is no expiration date for implants. You should be checked by your Cosmetic Surgeon if there are any symptoms or changes that are not expected including deflation, infection, change of location, etc. Mammography, ultrasound, or MRI should be performed if any of these symptoms or signs occurs. Patients over the age of 50 years of age should have their standard Breast checks. Typically many women will consider replacing their Implants or having revisional surgery for breast changes that have occurred by 10-12 years; such as breast droop or a change in Implant size.

RISKS (not common but possible):
1. Capsular contraction: Scar tissue forms around the implant to form a hard shell. There are several steps to prevent it, such as, size and location of the implant.

2.Infection.

3. Shifting (moving) of the implant. The pocket for the implant should be adjusted for the patient (this will usually, prevent shifting).

4. Scars: Less conspicuous in the Inframammary incision.

5. Sensation: May be initially decreased. Usually 90% of sensation will return within 1-2 years of surgery.

6. Breast Feeding: About 50% of women won’t be able to successfully breast feed, particularly those with Periareolar incision.

7. Synmastia (also known as “kissing breast”), sometimes related to technique.

Synmastia or Uni boob

Synmastia or "Uni boob"

In general complications occur less when using an experienced and certified Cosmetic surgeon.

RESULTS:
Cosmetic Surgery is an art form in combination with science. Each patient and surgeon has a different sense of what is aesthetically pleasing (although the basics are common). During a consultation with a Cosmetic Surgeon, the goals of both the patient and surgeon should coincide and be realistic. The results are not entirely dependent on the surgeon. It is important to understand that everybody starts with differing anatomical breasts (some patients are better candidates than others) and there are always unforeseen factors.

Dr. Bobby A Kumar is a board certified cosmetic surgeon and he specialises in Breast Augmentation surgery. He has used all types of Breast Implants and is skilled in choosing the appropriate Implant to provide the optimal and aesthetically pleasing result for each patient and therefore does not prescribe to the “one size fits all” approach.

Bare Aesthetic Cosmetic Surgery Clinics are located in Sydney,Port Macquarie and Adelaide. For an appointment today contact our friendly practice manager Wendy on (02) 9571 4850 or 0430 491 009.

Bare Aesthetics Cosmetic Surgery Clinics

Bare Aesthetics Cosmetic Surgery Clinics


Written by Dr. Bobby Arun Kumar on Friday the 4th of March, 2011. Currently No Comments »

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FAQ’s about Breast Augmentation or Breast Enlargement in Sydney & Adelaide.

If you are considering pursuing breast augmentation surgery, you are not alone. Each year across Australia (Sydney, Adelaide & Port Macquarie clinics), thousands of women undergo surgery. Thanks to advances in technology and the surgical techniques, breast augmentation patients have more choices than ever before. Here are some frequently asked questions by women considering breast implants:

Q:        What is Breast Augmentation or Breast Enlargement?

A:         Breast augmentation is the enhancement of size and shape of breasts through the surgical insertion of breast implants.

Read More »


Written by Dr. Bobby Arun Kumar on Monday the 13th of December, 2010. Currently No Comments »

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Our face is the first part of our body people notice and first impressions can be lasting. With the process of aging written all over our faces, it is common for both men and women to seek ways to rejuvenate and refresh their appearance. This may range from the use of beauty products that promise to restore a youthful complexion, to the use of facial peels, and products such as Antiwrinkle Injections and Dermal Fillers.

Antiwrinkle compound is often referred to as an anti-wrinkle, wrinkle reduction or muscle relaxant treatment. It is a neurotoxin  the clinical use of which is the result of more than 100 years study. The quantities used cosmetically to effectively treat facial wrinkles are not sufficient to cause any systemic harm (to cause harm several thousand units would be required).

Read More »


Written by Dr. Bobby Arun Kumar on Thursday the 4th of November, 2010. Currently No Comments »

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“The Liquid Face Lift” – Antiwrinkle Injections

Our face is the first part of our body people notice and first impressions can be lasting. With the process of aging written all over our faces, it is common for both men and women to seek ways to rejuvenate and refresh their appearance. This may range from the use of beauty products that promise to restore a youthful complexion, to the use of facial peels, and products such as Antiwrinkle Injection and Dermal Fillers.

Antiwrinkle Injection is often referred to as an anti-wrinkle, wrinkle reduction or muscle relaxant treatment. It is a neurotoxin  the clinical use of which is the result of more than 100 years study. The quantities used cosmetically to effectively treat facial wrinkles are not sufficient to cause any systemic harm (to cause harm several thousand units would be required). Read More »


Written by Dr. Bobby Arun Kumar on Wednesday the 6th of October, 2010. 1 Comment »

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Cosmetic surgery is common and available to many patients especially in progressive countries such as Australia. The desire for people to look and feel good has been steadily increasing. Cosmetic surgery not only enhances one’s self-esteem but also has its health benefits. In Sydney, the most common procedures are breast augmentation, liposuction, and Rhinoplasty. Other common cosmetic surgery procedures for both males and females include face lift, neck lift, and tummy tuck (Abdominoplasty).

Breast augmentation using breast implants, typically silicone implants, is currently the most popular and common cosmetic surgery performed in Sydney. This procedure involves the insertion of implants to enlarge and enhance a woman’s breasts. This requires only a few days of recovery and has very good rates of success and high satisfaction. Read More »


Written by Dr. Bobby Arun Kumar on Wednesday the 21st of April, 2010. Currently No Comments »

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Face lift, also known as rhytidectomy, is one of the cosmetic surgery procedures performed to address evident signs of aging in the face and neck, to give the patient a refreshed and rejuvenated appearance. Typically patients who seek Face lift surgery are those who have genetic, chronological or environmental signs of facial aging.

Non-surgical and less invasive facial rejuvenation treatments, such as Antiwrinkle Injection or Dermal Fillers, are temporary measures to address the signs of aging such as wrinkles, frown lines and volume loss. Face lift surgery offers longer lasting refreshed and rejuvenated results.

There are a number of techniques to perform Face lift surgery, with varied results and success. Macs lift; S Lift and Thread lift offer quick “lunch time” Face lifts. They temporarily address the sagging skin but not the sagging underlying primary soft tissues. These procedures are also restricted by the kind of patient for whom they are appropriate. They are normally youthful patients with minimum wrinkles, sagging or sun damage and thick skin. However, as the results are only temporary, many patients are unsatisfied longer term and seek correction with a comprehensive Face lift at a later date. Read More »


Written by Dr. Bobby Arun Kumar on Wednesday the 14th of April, 2010. Currently No Comments »

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People describe different reasons for pursuing tummy tuck surgery (technically known as Abdominoplasty) according to their size and shape. Tummy tuck surgery techniques also vary depending on how extensive the skin and tissue is to be removed and whether this needs to be combined with tightening of the underlying muscles. As with any Cosmetic surgery, tummy tucks vary from person to person and are tailored to an individual’s needs and anatomy. Whatever your reason for investigating tummy tuck surgery, here is some information on what you can expect.

Before surgery

As with any surgical procedure, the certified Cosmetic Surgeon will see you for a consultation to evaluate your needs and goals. This includes a physical examination and a thorough review of your medical history and status. In your consultation, your Cosmetic Surgeon will discuss and describe the appropriate technique and plan for you. The amount of skin and fatty tissue requiring removal and underlying muscle weakness can be determined through a physical examination. Read More »


Written by Dr. Bobby Arun Kumar on Thursday the 11th of March, 2010. Currently No Comments »

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The Fogli & Baker Face Lift & Neck Lift Procedure

Our faces age for many reasons. Heredity plays a role, as does gravity, which tends to pull soft facial tissues downward. In time our cheeks begin to sag, the crease running from the nostrils to the sides of the mouth is accentuated, and our jaw line and chin lose their smooth, refined appearance. As we age we also tend to lose some of out facial fat and our skin loses some of its elasticity, leading to more sagging of our features.

Exposure to ultraviolet light plays a role as well. Indeed, people who live in tropical climates, where the sun is strongest, often have prematurely aged skin, irrespective of their ethnic characteristics. In these areas, people may seek face lifts in their forties or even younger.

First described over 60 years ago, face lifts smooth and redefine the contour of the neck and jaw line to create a younger, more vital appearance.Years of research and experience have led to an increasingly sophisticated understanding of the ageing process, the more subtle elements in facial anatomy and the technical ways to restore a balanced and more youthful appearance. Read More »


Written by Dr. Bobby Arun Kumar on Monday the 28th of December, 2009. Currently No Comments »

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