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Aesthetic plastic surgeon

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Doctor or Physician

Performance Consultant

An incision is made immediately under the nose to hide the scar, and a variable amount of skin is removed. When the incision is closed with stitches, the lip elevates, resulting in a more youthful or rejuvenated appearance. The surgical lip lift can also evert the upper lip, making it appear fuller. Stitches are removed after approximately one week. Variations in the shape of the incision are designed to lift the lip in different ways, such as defining the cupid’s bow.

Surgical lip lift

One way to permanently reduce frown lines is to surgically cut the muscles in the frown area. The corrugator muscles lie beneath the inside of the brows, and they can be accessed through an incision that is made during an upper blepharoplasty, to treat hooded eyes. This procedure is much less commonly performed (and more invasive) compared to muscle relaxing injections with botulinum toxin.

Corrugator muscle resection

This refers to the heating and destroying of unwanted veins by passing a special probe up through the vessel, either using radiofrequency or a laser. The procedure is often performed using ultrasound to visualise the vein, and can be performed under local anaesthesia. Vascular surgeons use endovascular ablation to treat varicose veins.

Endovenous ablation

A peeling treatment that uses lasers, such as carbon dioxide and erbium lasers, to remove the outer skin layers precisely. The type of laser and settings used determine how the skin peels and heals. Laser skin resurfacing is used to reduce sun damage, pigmentation, and fine wrinkles. The treatment usually requires some form of anaesthesia and special skin care during the healing period after the treatment.

Laser skin resurfacing

A few injections typically placed immediately above the upper lip to relax the muscle slightly. A botox lip flip is used alone or in combination with fillers to evert or show more of the top lip, giving a fuller appearance.  Results can take 10-14 days and last 2-4 months.  When the orbicularis oris muscle is relaxed in this way, the appearance of vertical lip lines or “smoker’s lines” may also improve.

Botox lip flip

Liposuction of the calves is a delicate procedure that requires an experienced surgeon to carefully remove fat in the lower legs and around the ankles. It can be used to treat lipoedema or for purely aesthetic reasons to improve contours. Compression garments are typically required for a period of weeks after the procedure, and final results can take several months. Unlike non-invasive fat reduction liposuction of this area is definitive and effective.

Calves liposuction

A skin resurfacing or peeling treatment that uses chemicals, usually special acids, to remove the top layer of skin. A chemical peel is indicated to treat pigmentation, sun damage, acne, or fine wrinkles. The depth of peel, results, and recovery period depend on which chemical is used during the peel. Chemical peels can be superficial, medium depth, or deep peels. Peeling agents include salicylic acid, azelaic acid, glycolic acid and trichloroacetic acid (TCA).

Chemical peel

The foreskin over the penis is trimmed and removed during this surgical procedure. It may be performed if the skin around the tip of the penis is too tight (phimosis) or for religious or cultural reasons. Circumcision may be performed under local or general anaesthesia.

Circumcision

Fat cells are harvested from elsewhere using a mini-liposuction procedure and injected into the delicate area around the eyes, especially the undereye area. The benefits of using fat include the fact that your own cells are used. Also, fat grafting results can be long-lasting. Not all of the fat cells will survive after grafting, however, and the delicate undereye area requires skilled injections by an experienced surgeon.

Fat grafting around eyes

Using lasers designed to specifically target the pigment in hair so that the hair follicle is destroyed selectively. Laser hair removal is most effective on dark hair, particularly when the skin is fair. Darker skin types can also be treated effectively using lasers with a long pulse width. Typically, several treatments are required for permanent hair reduction. Lasers for hair removal vary in their wavelength, power, and methods for cooling the skin during treatment.

Laser hair removal

Correction of the bony swelling or lump that occurs on the inside of the foot at the big toe joint. A bunion (hallux valgus) can be treated surgically by removing the bump or cutting and realigning the bone so it looks straighter. In severe cases fusing the toe joint might be the best option.

Bunion surgery

Fat is taken (harvested) from different parts of the body, such as the thighs or tummy, using liposuction and injected into the breast area. Breast fat grafting is used to add volume to the breasts, correct symmetry, or during breast reconstruction. Once fat is collected, it is usually treated to clean and purify it. The fat is prepared in syringes and injected carefully above and below the breast gland using a special technique in order to help the fat cells survive in their new position.

Breast fat grafting

Strengthening the chin with fillers can improve facial proportions and angles by forward-projection on the profile view. Usually non-permanent fillers are placed using a needle or cannula on the bone or under the skin. For fine lines on the chin and dimpling, fillers are injected in the skin or botox is used to relax the underlying muscles. The results of contouring the chin with fillers can last over a year.

Chin fillers

ClearSilk

The Hydrafacial technology uses special tips, vacuum, and boosters to extract impurities, cleanse the skin, and hydrate. For skin that is radiant and glows, regular hydrafacial treatments are ideal and suitable for all skin types. Various boosters can be added to tailor the treatment and specifically target issues such as acne, pigmentation, and visible pores. The treatments take only 30-60 minutes.

Hydrafacial

This is used to remove unwanted skin cells by freezing them. The area is sprayed until temperatures are so low that the skin lesion freezes. More than one treatment may be necessary to remove the unwanted cells. Cryotherapy, or therapy that induces very low temperatures in tissues, may also be used to treat unwanted fat. This is called crylipolysis or “fat freezing”.

Cryotherapy

Consultation

Moxi is a gentle but effective non-ablative laser (1927nm wavelength) that resurfaces the skin and peels away pigmentation. The treatment usually takes less than 30 minutes and the results include brighter, smoother skin that glows. After the treatment, some pinkness is normal, and the skin feels rough to touch for a few days before the results appear. Moxi is suitable for all skin types and those looking for “prejuvenation” and maintenance to keep skin looking healthy. A course of three treatments may be advised for best results.

Moxi laser

Developed by Sciton, this sophisticated light technology improves the appearance of aging skin on the face, neck and body in most skin types. It addresses concerns such as pigmentation, freckles, redness, acne, texture and age spots. The treatment is fast and non-invasive, with minimal downtime, allowing immediate return to normal activities. BBL brightens and clears skin over a course of treatments, with results typically visible after even one.

Broadband Light (BBL)

Lasers are powerful devices that emit light at certain wavelengths in order to have an effect on tissues in the skin or body. Ablative lasers vaporise or peel skin. Non-ablative lasers usually heat skin without peeling. Lasers can heat collagen effectively, causing improvement in texture, tightness and pores. Lasers can be used to rejuvenate by treating blood vessels, removing hair, stimulating biological processes or peeling the outer, unwanted layers of skin or tissue.

Laser rejuvenation

Electromagnetic energy in the radiofrequency range that comprise smaller frequencies than other radio waves. The energy delivered by microwave energy devices can penetrate the skin and generate heat in a relatively localised area. Clinically, this has been used to target sweat glands safely. Skin cooling in these devices protects excessive energy delivery to the skin and helps avoid complications.

Microwave energy

Low-level light therapy can be used to reduce fat using special wavelengths of light . The light alters the fat cells without heating them, but through the properties of the light and its effect on the fat cells. Unlike liposuction, fat cells are not physically removed from the body so the results tend to be subtle.

Laser fat reduction

This procedure helps improve under-eye bulges or bags as well as loose skin. The incision used is either just under the eyelashes in the skin (transcutaneous) or on the inside of the lower eyelid (transconjunctival). Variations in lower blepharoplasty include trimming away excess bulging fat, repositioning this fat to reduce under-eye hollows, and supporting the outer lower eyelid with fine stitches to prevent it from sagging and improve the shape of the lower eyelid.

Lower blepharoplasty

Surgical remodelling of the soft tissues or cartilage of the ear to improve shape, symmetry, or projection. Various otoplasty techniques have been described to treat congenital conditions, or changes that have occurred over time or with trauma. A head bandage is usually required after otoplasty surgery.

Otoplasty

SkinPen

Liposuction of the arms slims the arms through removal of fat from the front, back, or even circumferentially. Small incisions are made to access the fat with blunt-tipped cannulas. The procedure can be performed under local or general anaesthesia. Depending on the skin quality, devices designed to heat and tighten the skin may be used together with the suction during the procedure. Usually compression garments must be worn during the healing phase.

Arms liposuction

A series of small injections of a purified neurotoxin that temporarily blocks nerve impulses to muscles or other tissues, causing the muscles to relax.  When muscles relax, the overlying skin moves less, effectively reducing wrinkles.  Botulinum toxin injections can be strategically placed for various other indications, including rejuvenation of the upper and lower face, reducing sweating, and medical conditions such as migraine. The effects usually wear off after a few months.

Botox

Braces are small mechanical devices made of metal, ceramic or plastic, used in orthodontics to straighten teeth. Braces are positioned, adjusted and tightened over time in order to move the teeth. They are used to improve the appearance and function of teeth when there are crooked teeth, gaps, or problems with the bite such as overbite or underbite.

Braces

Beauty treatment for the hands that usually consists of several steps depending on the extent of service provided. These include filing and trimming the nails, pushing and tidying the cuticles, buffing and painting the nails or applying extensions with various materials. Manicure may also include hand massage and the application of moisturisers and other topical agents to improve skin texture.

Manicure

This fat gives fullness to the lower face, between the jowls and the cheeks. Partial removal of the buccal fat is performed to reduce a full lower face, or “chipmunk cheeks”. Buccal fat removal is usually done through a small incision on the inside of the mouth where the fat is gently retrieved. It may be performed under local anaesthesia or as part of other surgical procedures. A dissolvable stitch is usually placed to close the incision.

Buccal fat removal

Breast implant change, or revision, is a surgical procedure to replace or remove existing breast implants. This is often done to alter size or shape, address complications like implant rupture or capsular contracture, or update with newer implant types. The surgery involves incisions, typically using previous scar sites, for implant exchange or removal. Recovery and risks are similar to initial augmentation. It's sought by those wanting updated aesthetics, comfort, or to resolve medical issues with their current implants.

Breast implant change

Taking hair follicles from one part of the body (usually the back of the head) and inserting them into the skin where hair growth and thickness is desired. This delicate procedure can be performed under local anaesthesia. Common techniques include harvesting a strip of hair and dissecting out the follicles for reimplantation (FUT) and coring out each follicle individually from the harvest site and implanting them (FUE). Each procedure has its merits and should be discussed with your provider.

Hair transplantation

Fillers like hyaluronic acid or calcium hydroxylapatite can be used to plump the tissues in the back of the hands. As we age, we lose fat under the skin, making the veins and tendons more prominent. Soft tissue augmentation with fillers restores youthful fullness. They are usually placed through tiny punctures and blunt-tipped cannulas. Hand fillers can be used in conjunction with other anti-aging hand treatments like lasers for skin rejuvenation.

Hand fillers

Jawline liposuction involves gently removing fat from the lower face , above and below the mandible using small thin tubes called cannulas. Often performed under local anaesthesia, jawline liposuction gives the jawline a more defined appearance after all the swelling subsides. Typically, a compression garment must be worn after the procedure. Sometimes other devices are used during jawline liposuction to enhance the skin tightening results, including lasers, plasma, or ultrasound.

Jawline liposuction

The most commonly used fillers today are non-permanent and consist of hyaluronic acid, a naturally occurring molecule found in skin, joints and in the eyes.  Several brands of hyaluronic acid filler are available.  They all comprise a clear, soft, sterile gel that is injected into the skin or beneath the skin to soften lines, contour facial features, or add volume.  Fillers may be injected under local anaesthesia, and results can last about 6-18 months.

Fillers

Fat is harvested from elsewhere using a mini-liposuction procedure and injected into different parts of the face to add youthful volume. A special technique using blunt cannulas is used so the fat cells survive where they are placed. Swelling and bruising is common after facial fat grafting. Fat grafting can be performed alone or in combination with other facial procedures such as face lifting to make the results more natural and impressive.

Facial fat grafting

Microneedling is a treatment where numerous tiny needles penetrate the skin to stimulate collagen, resulting in tighter skin with fewer lines and improved texture. The needles are small, usually up to three millimetres in length, and arranged on a device such as a stamping tool, pen, or roller. Local anaesthesia may be used to numb the skin before microneedling is performed. The skin can appear pink after the treatment, which may be repeated several times for best results.

Microneedling

This surgical procedure helps make the eyes appear more youthful by removing excess skin, muscle and fat between the eyelids and brows. A small incision is made in the crease of the eyelid either under local or general anaesthesia. Fine stitches are used to close the incision and these are usually removed 5-7 days after surgery. Upper blepharoplasty rectifies the hooding that occurs with aging in some people.

Upper blepharoplasty

The brow may be lifted or elevated using threads to make the eyes appear more youthful or to improve the aesthetics of the eyebrow shape. The most commonly used threads are filaments made of a dissolvable material, such as PDO, which are inserted into or under the skin under local anaesthesia. Some threads have cogs or cones to grasp the tissue, and they may be anchored to the deeper layers higher at or behind the hairline.

Brow lift with threads

This involves cutting and releasing the fibrous brands that contribute to the appearance of cellulite using special instruments. Usually, the surgeon will mark the depressions or shadows carefully to guide the procedure, inject local anaesthesia, and then release or ‘subcise” the cellulite bands. The desired result is more smoothness and less shadowing in the areas – typically the buttocks and thighs.

Cellulite subcision

Clear aligners are plastic, removable devices designed to straighten teeth. A mould of the teeth is taken to create the aligner, and computer modelling is used to design subsequent moulds that place pressure on the teeth so that over time the teeth move to the desired, straightened position. Several different aligners are placed every couple of weeks for several months until the final position is reached.

Clear aligners

Surgical correction or reshaping of the nose performed as an open or closed procedure, depending on the aims of surgery. Open rhinoplasty requires more extensive incisions to display the structures under the skin. Sometimes cartilage grafts are used to reshape the nose. Rhinoplasty can be performed to make the nose straighter, more defined, reshape the tip, reduce nostril size and refine other nasal features. Rhinoplasty and septorhinoplasty are also performed to improve breathing.

Rhinoplasty

This FDA-cleared system uses non-invasive ultrasound to lift and tighten different areas of the face and neck and also treat wrinkles. The sophisticated device heats with Synchronous Ultrasound Parallel Beam (SUPERB®) technology to target 1.5mm into the skin while cooling the outer skin layer for enhanced safety. A Sofwave treatment usually takes only 30-45 minutes. Sofwave is suitable for all skin types.

Sofwave

A lift of the middle part of the face including the cheeks, nose-to-mouth folds and mouth corners. This may be performed through incisions placed behind the hairline near the temple, in the lower eyelid, and in the mouth. Special stitches may be used to lift and suspend the tissues of the midface to improve the shape of the face, reduce sagging, and lift the cheeks.

Midface lift

Various threads are used to lift different parts of the face, or even body. These can be dissolvable or permanent materials, and have different appearances. Some are smooth, some have tiny hooks or barbs, others have cones. A thread lift is usually performed under local anaesthesia as a minimally invasive treatment. The threads may be anchored or ‘free-floating’. Some thread lifts require small incisions whereas others are inserted through punctures without making incisions.

Thread lift

This surgical procedure has been used for many years to improve sagging of the face due to aging. A traditional facelift incision is usually made in front of the ear, along the hairline, and inside the hairline. There are various types of facelift procedures. Drains and bandages may be placed to ensure optimum recovery after surgery. A neck lift is frequently performed at the same time.

Face lift

A surgical procedure using an incision at or behind the hairline to lift the soft tissues of the forehead. A forehead lift can improve deep forehead wrinkles and lift the brows. The procedure is usually performed under general anaesthesia and requires some dissection under the skin to effectively lift the forehead and hold it in place.

Forehead lift

Lasers use a specific wavelength of light to exhibit their effects. The wavelength determines the target for that specific laser. Most lasers are designed to heat and destroy a specific target and leave surrounding tissue untouched and undamaged. Lasers can peel skin, remove hair, rejuvenate skin, treat vascular conditions and remove pigmentation and tattoos. Various safety protocols are required when lasers are used, such as eye protection with goggles or eye shields.

Laser

The device is used to remove the outer layer of skin using plasma. Plasma is a form of matter generated when atoms in gas molecules, such as nitrogen, lose their electrons and become positive ions. Although a plasma device is not a laser, it can have similar applications, such as tightening skin or removing fine lines. Plasma devices may remove the top layer of skin, resulting in a some downtime during healing.

Plasma skin rejuvenation

This is a blood product that is prepared by spinning a whole blood sample in a centrifuge in a special syringe. The blood separates into different components, including plasma rich in platelets, cell fragments that release growth factors. The gold-coloured platelet-rich plasma is used to rejuvenate tissues such as skin or hair, usually by injecting it in small droplets.

Platelet-rich plasma (PRP)

Skin tightening that occurs when collagen is stimulated due to heating of the tissues from radiofrequency (RF) electromagnetic energy. Usually a solution is applied to the skin and a probe passes over the surface, gently heating the tissues to the desired temperature. External RF is a non-invasive treatment. A number of treatments may be recommended.

Radiofrequency external skin tightening

Vascular lasers can treat variety of conditions including dilated or unsightly blood vessels. The lasers employ a specific wavelength of light the targets the blood in blood vessels, heating the vessels and effectively destroying them. Vascular lasers include pulsed-dye lasers and NdYAG lasers.  They can be used for conditions such as leg telangiectasias or “broken veins”.  A number of treatments may be required for optimum results.   

Vascular laser

Cryolipolysis, also known as fat freezing, is a non-invasive body contouring treatment that uses cooling of subcutaneous tissues to cause the fat cells to die. This results in localised reduction of fatty areas in the body. A device is placed on the tissues for a period of time during the treatment. Specific areas only can be treated depending on the applicator used.

Fat freezing

VASER is an advanced liposuction technology that uses special ultrasonic probes to break up fat.  This facilitates fat removal in most areas of the body, including delicate areas like the neck, jawline, and calves.  VASER can also be used superficially to improve definition and enhance the skin tightening effect.  Often performed under local anaesthesia, fat can be removed through suction after VASER and even transferred to other areas of the body if fat grafting is required. 

VASER

Increasing the volume and enhancing the shape and contours of the buttocks using your own fat. Fat is collected (harvested) using liposuction from areas such as the tummy, back, or thighs. The fat is usually prepared in order to purify or clean it, before injecting it carefully into the buttock area using special techniques and instruments called cannulas.

Buttock fat grafting

Surgically improving the appearance of a pre-existing scar using various techniques. The existing scar is often removed using a separate, new incision. The edges of the new wound are brought together in a way that reduces tension on the healing incision, so that the scar becomes less obvious.

Scar revision

Unlike non-invasive alternatives, liposuction of the male chest offers an effective way to remove this stubborn fat. Small cannulas are used to suction the fat under the skin to improve the chest contour. Sometimes fat near the armpits must also be addressed. Male chest liposuction is often performed together with gynaecomastia surgery when the gland behind the nipple must be excised. The procedure can be performed under local or general anaesthesia and typically requires postoperative care including compression.

Liposuction male chest

Surgical reconstruction of the belly button to make it appear more beautiful. It may be performed on its own or as part of a tummy tuck. The position, shape, or depth of the belly button may be modified during an umbilicoplasty.

Umbilicoplasty

A surgical procedure that improves the appearance of sagging breasts by elevating them to a higher position. Although different techniques exist, a common method involves an incision around the nipple area, downwards, and underneath the breast. Sometimes the incision is restricted to around the nipple in less extensive lifts. A breast lift can be performed as part of breast augmentation or breast reduction. Breast lift surgery is usually performed under general anaesthesia.

Breast lift

Surgery to reduce the volume and size of the breasts.  Breast reduction is performed under general anaesthesia and requires incisions and the removal of tissue.  It may be performed for aesthetic or functional reasons.  During breast reduction surgery, a lift is frequently performed, so the volume and position of the breasts improves.  Drains may be placed following breast reduction for a few days.

Breast reduction

BARE HR

Techniques to reduce the appearance of a gummy smile including surgically cutting muscles that lift the upper lip and cutting away part of the gums that cover the upper teeth. This has the effect of making the teeth appear bigger and improves the proportion of the gums and teeth on smiling.

Gummy smile surgery

A substance is injected through the skin into the underlying fat to destroy fat cells. Usually these injected substances reduce fat by breaking the fat cell membranes. Injection lipolysis is used to reduce small pockets of stubborn, unwanted fat like under the chin. After the treatment, the area tends to become red and swollen for a few days. Several treatments may be necessary for a full result.

Injection lipolysis

The skin is submerged in shallow water and a gentle electric current is passed through the water. The charge produces ions, atoms or molecules that have a charge, that pass into the skin. Tap water iontophoresis is commonly used to reduce sweating in the palms and soles of the feet. Weekly treatments are usually necessary to maintain an effect.

Iontophoresis

Surgical trimming of the labia, usually the labia minora (inner lips close to the vagina).  Various techniques exist depending on the anatomy and surgeon's experience, including trimming excess tissue around the clitoris.  The labia majors (outer lips) can also be reduced if there is too much skin when filling this area is not appropriate. A labiaplasty for cosmetic reasons is designed to provide a neater appearance.  It may also be performed for functional reasons, usually to reduce discomfort.

Labiaplasty

A treatment that improves the skin’s condition using gentle techniques such as massage, exfoliation, the application of topicals, and masks. Numerous types of facials are available to improve hydration, smoothness, and radiance. Some devices are used in addition to manual techniques during skin facials, with tips that provide suction, peeling, and moisturising. There is usually little or no downtime after skin facials.

Skin facial

A material placed over the teeth to improve their appearance. A veneer is usually made of either a composite material or porcelain. A composite veneer may be placed in one visit at a dentist’s office whereas a porcelain veneer usually is fabricated in a dental laboratory and later fitted to the tooth.

Veneers

This is a procedure that can be used to surgically treat excessive sweating of the underarms or palms of the hands as well as bothersome facial flushing. During ETS, branches of the sympathetic nerves that arise from the spinal cord are deliberately cut or interrupted in order to block their function. The procedure is performed using keyhole surgery under general anaesthesia.

Endoscopic thoracic sympathectomy

HALO

Pulses of electromagnetic energy are passed through the tissues and into targeted muscles of the body. Modern devices use applicators that can target the abdominal wall muscles, the buttocks, and the arms. Thousands of muscular contractions are induced during a treatment, increasing muscle tone non-invasively.

High-intensity focused electromagnetic therapy

Surgery designed to flatten and improve the contours of the male chest due to excessive tissue. There may be excessive gland and fat beneath the skin. The gland can be removed surgically through an incision around the nipples. Since gynaecomastia is often a mixed picture of fat and gland, liposuction is frequently performed to improve results. Gynaecomastia surgery can be performed under local or general anaesthesia. A compression garment is applied after the procedure.

Gynaecomastia surgery

This is treatment of a nail that is ingrown and causing pain, swelling, inflammation or infection. The nail can be partially or fully removed under local anaesthesia. Usually injections are given at the base of the toe, a wedge (or all) of the nail is removed, phenol is applied to prevent the nail from growing back, and a bandage is applied.

Ingrown toenail removal

A tiny needle is placed in thread veins and a substance called a sclerosant is injected into the blood vessels. This causes the thread veins to close or block off, resulting in elimination of the unsightly vessels. Several injections are usually required depending on the extent and location. Compression bandages or stocking are required for a period of time afterwards to ensure blood vessels remain closed and results are optimised.

Microsclerotherapy

Nose fillers are used to change the contour of the nose slightly. This is a delicate area that should only be injected by experienced medical professionals in select cases. Fillers, usually hyaluronic acid, are placed to make the nose appear straighter or sometimes modify the tip to enhance the profile.

Nose fillers

Surgical removal of excess, sagging skin in the upper arm. Usually, an incision is made from the armpit area, along the inside of the arm, to the inner elbow. An arm lift is usually performed under general anaesthesia and requires a compression garment to be worn afterwards for a number of weeks. The scar is placed on the inside of the arm so it is less noticeable. An arm lift is sometimes required if skin tightening treatments or liposuction are not considered appropriate due to excessive skin laxity.

Arm lift / brachiaplasty

A dental filling refers to the filling of a tooth after decay or accidental chipping with a special material. Amalgam has been used for many years and consists of a compound with silver, zinc, tin, copper and mercury. Composite fillings are white or tooth coloured and are more frequently used these days.