the makeover issue - Cosmetic Surgery For Women

COSMETIC
ISSUE 5
enhancement and anti-ageing biannual
THE
MAKEOVER
ISSUE
TOP EXPERTS
REVEAL ALL
VIEW THIS GUIDE AT
WWW.BODYANDSOUL.COM.AU
DR AMIRA SANKI
Cosmetic plastic surgeon
Specialties: mummy makeovers and
breast surgery. Call (02) 9387 3900
or visit www.silkwoodmedical.com.au.
BEFORE
AFTER: abdominoplasty
photo
PHOTOS ARE INDICATIVE OF POTENTIAL RESULTS FOR SUITABLE PATIENTS BUT RESULTS MAY VARY. ALL DENTAL, COSMETIC AND SURGICAL
PROCEDURES CARRY RISKS. BEFORE PROCEEDING YOU SHOULD CONSIDER A SECOND OPINION FROM A SUITABLY QUALIFIED PRACTITIONER.
EVIDENCE
These before and after images show that Australia’s
cosmetic doctors and dentists are among the world’s best.
DR ALICIA TESKA
Specialties: cosmetic injections,
laser treatments and peels.
Call (03) 9867 2992 or visit
www.skintemple.com.au.
BEFORE
DR JOSEPH GEORGHY
DR CHARLES COPE
Cosmetic physician
Cosmetic physician
Cosmetic plastic surgeon
Specialties: breasts and faces.
Call (02) 9908 3033 or visit
www.drcharlescope.com.au.
BEFORE
Specialties: body contouring and
treatment of skin imperfections.
Call (02) 9956 7200 or visit
www.northshorecosmetic.com.au.
BEFORE
AFTER: non-surgical treatments
AFTER: non-surgical treatments
AFTER: facelift
Results may vary from person to person. Photographs on these pages are actual patients.
COSMETIC GUIDE 69
DR VLAD MILOVIC
Cosmetic plastic surgeon
Specialties: faces and bodies.
Call (02) 9389 9065 or visit
www.drmilovic.com.au.
BEFORE
AFTER: abdominoplasty
DR PHILIP RICHARDSON
Cosmetic plastic surgeon
Specialties: breast augmentations, lifts
and reductions. Call 1300 789 240 or
visit www.brisbaneplasticsurgery.com.
AFTER: breast augmentation
BEFORE
DR WARWICK NETTLE
DR ANH NGUYEN
Cosmetic plastic surgeon
Cosmetic plastic surgeon
Specialties: faces, eyes and
rhinoplasty. Call (02) 9387 3900 or
visit www.silkwoodmedical.com.au.
Specialties: breast and abdominal surgery;
Fraxel treatments. Call (08) 9271 8624
or visit www.dranh.com.au.
DR SARKIS
NALBANDIAN
Cosmetic dentist
Specialties: dental implants and all
cosmetic dental work. Call (02) 9953 4189
or visit www.designersmiles.com.au.
BEFORE
BEFORE
BEFORE
AFTER: facelift and eyelid surgery
AFTER: tummy tuck
AFTER: cosmetic dental work
COSMETIC GUIDE 70
DR MISAGH HABIBI
Cosmetic dentist
Specialties: dental implants, sedation
dentistry. Call (08) 9381 2880 or visit
www.perthimplantdentistry.com.
BEFORE
AFTER: All-On-4 dental implants
BEFORE
AFTER: breast augmentation
MR CRAIG RUBINSTEIN
Cosmetic plastic surgeon
Specialties: breast augmentation, lifts and
reductions. Call (03) 9429 8363 or visit
www.cosmeticsurgeryforwomen.com.au.
DR SHAHRAM SHAHIDI
Facial plastic and
ENT surgeon
Specialty: rhinoplasty. Call (02) 9419 5477
or visit www.drshahidi.com.
BEFORE
DR JACK TING
Cosmetic physician
Specialties: Fraxel and Liposonix
treatments. Call (02) 9665 3247
or visit www.drting.com.au.
AFTER: rhinoplasty.
MR JOHN ROPHAEL
DR KOUROSH TAVAKOLI
Vascular, endovascular
and laser surgeon
Specialties: vascular and laser surgery
for varicose veins. Call (03) 9894 5886
or visit www.victorianvascular.com.au.
Cosmetic plastic surgeon
Specialties: breast augmentation
and rhinoplasty. Call 1300 368 107
or visit www.drtavakoli.com.au.
BEFORE
BEFORE
BEFORE
AFTER: Fraxel treatment
AFTER: varicose vein removal
AFTER: rhinoplasty
COSMETIC GUIDE 72
RICKY ALLEN
Editor
Cosmetic Enhancement and
Anti-ageing Biannual
BSc, BHSc, Dip PA, Dip HM
TONY TROVATO
Group Sales Director – Prestige
(02) 8045 4987
EXPERT ADVISORY BOARD
DR ANTHONY KANE
Guest editor and president of the Australian
Society of Plastic Surgeons
MBBS, FRACS (Plastic Surgery)
DR WARWICK NETTLE
MBBS, FRACS
(Plastic Surgery)
what’s
INSIDE
Di scover the latest updates
from the expert s in Au stralia’s
cosmetic enhancement indu str y.
PAGE 8 … Paying the price: the real cost of cheap surgery
PAGE 10 … Global standard: a round-up of overseas trends
PAGE 15 … All about eyes: how to look refreshed
DR KOUROSH
TAVAKOLI
MBBS, BSc (Med),
MS (UNSW), FRACS
(Plastic Surgery)
DR SARKIS
NALBANDIAN
BDS, D. Clin Dent
(Implants),
M. Clin Dent (Prosth),
cosmetic dentist
DR ANH NGUYEN
MBBS, FRACS
(Plastic Surgery)
DR HUGH ROBERTS
MBBS, Fellow of the
Australasian College
of Dermatologists
COVER PHOTOGRAPH: GAETAN CAPUTO PHOTOGRAPH: FLORIAN SOMMET/FOLIO-ID.COM
PAGE 20 … The new frontier: surgical innovations
PAGE 24 … Keep smiling: secrets to bright, white teeth
LARA SROKOWSKI
PAGE 31 … Australia’s top medi-spas: must-visit destinations
National make-up artist
for Lancôme Australia
PAGE 41 … Crowing glory: the treatment for a high hairline
PAGE 43 … Update your fragrance: find the perfect scent
PAGE 47 … Make over your make-up: four tricks to try
PAGE 51 … Make over your skincare: powerhouse products
PAGE 54 … Make over your hair: an expert’s essential tips
PAGE 61 … What’s new: skincare stars and fresh treatments
PAGE 64 … Finding a balance: improve your body proportions
PAGE 69 … Photo evidence: before and after success stories
VINCENT NOBILE
Hairdresser and
Redken global artist
all about
EYES
Four experts share their top
tips and latest techniques for
refreshed and youthful eyes.
PHOTOGRAPHS: GUY BAILEY FLORIAN SOMMET/FOLIO-ID.COM *THIS PIONEERING TECHNIQUE BY DR LIEW
HAS BEEN PUBLISHED IN THE PEER-REVIEWED SCIENTIFIC JOURNAL AESTHETIC PLASTIC SURGERY 2010
T
he skin around the eyes
is the thinnest and most
fragile on your entire
face, says Dr Michelle
Hunt, a dermatologist at Inner
Sydney Dermatology, making it
particularly prone to dehydration
and the general signs of ageing.
Allergies, lack of sleep, excessive
caffeine and alcohol, and heredity
can all cause swelling and puffiness
around the delicate eye area. And
as we age, the skin thins even more,
revealing superficial blood vessels
that create the look of dark circles.
Dr Hunt advises getting plenty
of sleep in a well-ventilated room,
avoiding smoking and wearing
UV-protective sunglasses – even on
dull days. When she recommends
eye creams to her patients, Dr Hunt
demonstrates how to apply the
cream to avoid stretching the
delicate skin around the eyes. She
also takes extra care when treating
the eye area with a laser or a peel.
Surgical and
non-surgical options
While blepharoplasty (eyelid
surgery) remains one of the most
popular plastic surgery procedures
in the world, the method and
aesthetic results have changed
dramatically in the past few years.
According to Dr Benjamin Burt,
an ophthalmic plastic surgeon from
the Cosmetic Surgery For Women
clinic in Melbourne, today it is all
about retaining fat and removing
as little skin as possible – leading
to a more natural rested and
rejuvenated look.
Dr Burt emphasises that the
consultation process is the most
important step in the procedure,
so that you and your physician
can map out a plan based on
your needs and expectations.
Blepharoplasties can be
performed under local anaesthetic
and the patient is in hospital for the
day. Recovery time is usually one
week. Dr Burt advises that you
research your doctor’s surgical
qualifications thoroughly, as fixing a
bad blepharoplasty is a complicated
and difficult challenge.
Dr Mark Magnusson, a cosmetic
plastic surgeon in Queensland’s
Toowoomba and chairman of
education for the Australasian
Society of Aesthetic Plastic Surgery,
has perfected a combination of
surgical and non-surgical procedures
when bone and fat loss around the
eye area cannot be corrected by the
surgery alone. Three months after
Allergies, lack of
sleep, excessive
caffeine and alcohol,
and heredity can all
cause swelling and
puffiness around the
delicate eye area.
performing a blepharoplasty, Dr
Magnusson will apply a very fine
injectable hyaluronic acid, such as
Volbella, with results lasting up to
three years. In some cases, for
further rejuvenation he’ll combine
this treatment with Botox injections.
For further information on Dr Michelle
Hunt, visit www.innersydneydermatology.
com.au; for Dr Benjamin Burt, visit www.
cosmeticsurgeryfor women.com.au; for
Dr Mark Magnusson, visit www.toowoomba
plasticsurgery.com.au; for Dr Steven Liew,
visit www.shapeclinic.com.au.
COSMETIC GUIDE 15
Lancôme
Génifique
Yeux
Light-Pearl,
$90.
La Prairie
Cellular Eye
Essence
Platinum
Rare, $420.
Dr Steven Liew on his injectable
eye rejuvenation treatment.
Your eyes are the most powerful
feature on your face. They’re also
the first area to show signs of
ageing. Regardless of how good
we feel, sagging eye bags or
drooping eyebrows make us look
weary, sad or even angry. Gravity
has always been blamed for the ageing process,
but more recently we’ve come to understand
that volume loss in the skin, muscle and bone is
the real cause: the face “deflates” and “flattens”
while eyelids either sag or sink and cheeks lose
their smooth, youthful curvature.
Elizabeth
Arden
Prevage
Anti-aging
Eye Cream
SPF 15 PA++,
$130.
Yves Saint
Laurent
Forever
Youth
Liberator
Eye Zone
Serum, $115.
Estée Lauder
Advanced
Night Repair
Eye Serum
Synchronized
Complex II,
$105.
COSMETIC GUIDE 16
eyelift in a
SYRINGE
Pump up the volume
L’Oréal
Revitalift Laser
Renew/Laser
X3 eye cream,
$44.95.
When it comes to cosmetic surgery to the eyes,
the skin and fat of the eyelids were traditionally
removed and the eyebrow lifted as part of the
“standard procedure”. This produced poor
results for many patients – especially those who
already had hollow and sunken eyes. Often they
looked worse after surgery, with their eyebrows
left arching far too high and their upper eyelids
even more sunken.
Fortunately, contemporary techniques
for upper and lower eyelift surgery are now
delivering more natural results as surgeons
increasingly focus more on restoring and
preserving volume rather than just simply
removing skin.
Surgery optional
The recent development of advanced nonsurgical techniques to lift and beautify eyes
has really revolutionised results in this area.
Botox and injectable fillers have proven to
be a remarkably effective combination for these
“eyelift in a syringe” treatments. Indeed my own
research* to treat sunken eyes as well as
hollowing in the lower eyelids with injectable
fillers has shown it to be a safe and, in some
cases, preferred option to surgery. It also delivers
transformational results, which restore a youthful
sparkle to the eyes and refresh the whole face.
The results can also last up to a few years.
In the future: Tissue engineering will
allow for better reconstruction of
the nose. For further information,
visit www.drshahidi.com.
Facelift
A good facelift should look totally
natural – not tight and pulled.
The lateral superficial muscular
aponeurotic system (SMAS)
procedure is designed to achieve
this by lifting and re-aligning the
facial muscles and ligaments rather
than removing a lot of skin. Adding
fat grafting to a facelift produces a
more natural look. If any stem cells
have been preserved in the fatharvesting process, they’ll
contribute to improvements to the
patient’s skin and facial contours
over time. Hairline lowering, brow
lifts and neck lifts can now also be
incorporated into a facelift procedure.
In the future: The short incision
lift will be fused with deep plane
lifting, giving a better result with
a shorter healing time.
For further information, visit
www.silkwoodmedical.com.au;
www.drcharlescope.com.au; www.
cosmeticsurgeryforwomen.com.au.
the new
Cosmetic-enhancement surgery techniques are getting
better all the time. Here are the latest advances.
COSMETIC GUIDE 20
PHOTOGRAPHS: FLORIAN SOMMET/FOLIO-ID.COM
FRONTIER
Rhinoplasty
Closed rhinoplasty with cartilage
grafting is the latest way to reshape
the nose. Incisions are placed
internally, and the patient’s own
cartilage and tissue, instead of
artificial material, is used to reshape
the nose. A greater understanding
of anatomy and wound healing,
as well as access to advanced
technology, means that doctors
are able to deliver better-than-ever
results. Greater accuracy also
allows for improvements to the
sinuses, turbinates and the lining
of the nose to improve breathing
and air flow.
Breast augmentation
With so many shapes and
textures to choose from, breast
augmentation now looks more
natural than ever. Safety levels
are also at their highest. Today,
most breast augmentations are
performed as day-only procedures.
Placement is generally behind the
muscle, unless the patient has a
highly developed pectoral muscle.
The safest and most appropriate
insertion method is through an
incision in the crease under the
breast, which also reduces the
chances of residual scarring. Breast
augmentation is now often used if
a woman needs a minor breast lift.
In the future: Breast augments that
are tailor-made to the individual’s
specific anatomical needs.
For further information, visit
www.drtavakoli.com.au; www.
brisbaneplasticsurgery.com; www.
cosmeticsurgeryforwomen.com.au.
Breast reduction
Overly large breasts can have
a negative impact on a woman’s
physical and psychological
wellbeing. Until a few years ago,
however, breast-reduction surgery
was a highly complicated
procedure requiring a lengthy
recovery time, which deterred
many women from even considering
it as an option. Thanks to dramatic
improvements in surgical
techniques, that’s all changed.
Multiple incision lines are still
required, but surgical advances
mean the scars are more likely
to fade and, in many cases,
disappear over time.
In the future: Surgical procedures
will be further refined to cut down
on the number of incisions that
are required.
For further information, visit
www.drcharlescope.com.au.
Abdominoplasty
Exercise can only do so much to
address overstretched or damaged
abdominal muscles and loose skin
resulting from pregnancy, a
caesarean or substantial weight
loss, and for many women,
abdominoplasty – aka the tummy
tuck – has been a godsend. In
addition to traditional techniques,
two methods are now available:
the mini-abdominoplasty, which
primarily removes skin and fat
with little or no muscle work; and
the full abdominoplasty, in which
skin and fat are removed and the
muscle is re-joined and lifted.
COSMETIC GUIDE 21
The mummy
makeover was
devised just a few
years ago, when
anatomical know-how
led to better
surgical techniques.
In the future: Improvements in
general anaesthetics will ensure
a faster post-surgery recovery.
For further information, visit
www.silkwoodmedical.com.au.
Leg veins
In the future: A surgical procedure
incorporating laparoscopic, or
keyhole, surgery, which leaves a
much smaller incision.
For further information, visit
www.drmilovic.com.au or
www.silkwoodmedical.com.au.
In the future: As this is one of the
newer cosmetic procedures, new
techniques and technologies are
being developed all the time.
For further information, visit
www.drmilovic.com.au or
www.dranh.com.au.
Brachioplasty
Mummy makeover
This procedure, which lifts and
removes excess skin and fat in the
upper arm area, is growing in
popularity. Until recently,
brachioplasty scars were often
highly visible as time and gravity
gradually stretched them out and
weighed them down. However, new
techniques allow for a much smaller
incision line placed discreetly in the
armpit. The results are excellent,
and for women with very loose
upper arm skin this procedure can
make a dramatic difference.
COSMETIC GUIDE 22
To address the two major areas of
many women’s post-pregnancy
concerns, this procedure combines
a breast augmentation or minor lift
with an abdominoplasty. This
combination approach was devised
just few years ago, when anatomical
know-how led to better surgical
techniques. Mummy makeovers are
best performed once a woman has
had all of her children, and when her
youngest child no longer needs to
be picked up, to allow for four to six
week’s recovery after surgery.
No matter how toned and trim
your legs are, you’ll still want to
hide them if you have broken
capillaries or varicose veins. If you
are a smoker, overweight or have
had multiple pregnancies, you are
at a higher risk for developing
varicose veins. According to
Dr John Rophael, a vascular
surgeon and laser expert, accurate
diagnosis using an ultrasound
followed by the appropriate
treatment are the essential steps
to a good, long-lasting result.
About 80 per cent of small
capillaries can be removed either
by laser or injections.
In the future: Laser technology
to remove deep varicose veins
is being researched for
future development.
For further information, visit
www.victorianvascular.com.au.
For further information, call the
Australian Society of Plastic Surgeons
information hotline on 1300 367 446
or visit www.plasticsurgery.org.au.