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Any type of injectable treatment will likely cause some level of discomfort when being administered. However, if administered by a trained professional, this discomfort will likely be minimal. The skin may be mildly numbed by local anaesthetic cream first. The injections can be described as a ‘small scratch’ of the skin. Not only this, but the needles used for anti-wrinkle injections are quite small. In fact, they are roughly the same size as those used by diabetic patients to inject insulin up to four times a day.

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Anti-wrinkle injections will sometimes leave very small marks like red spots or maybe a small bruise; however, these will fade relatively quickly. In fact, most people find they are not able to view the injection site after about four hours after the treatment has taken place. There is chance of causing ‘dot bruises’ at the site of injection, but these will be minimal, your doctor will council you further about the chances of these. You may also be able to use makeup to conceal these until they have faded.

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While the effects are not necessarily immediate, they will be evident relatively soon after the procedure. In some cases, individuals will start to see results in as little as 48 hours, however, there are some cases where the effects begin three days after treatment and can be fully appreciated in approximately ten days. In order to maintain your results, “touch up” appointments are often needed every 3-4 months.

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The principle behind CoolTech technology is called Cryolipolysis. This literally means breakdown or destruction of fat (lipolysis) through the use and application of cooling (cryo). The process makes use of controlled exposure to cold in order to produce non-invasive, effective, and selective damage to fat cells. The entire concept is based on the idea that at there is a difference in fat’s susceptibility to the cold compared to that of the skin. It has been proven that fat freezes at a higher temperature than the rest of the skin does which means that at a certain temperature you can freeze the fat without harming the skin.

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The science behind cryolipolysis is not new. Interestingly enough, it was inspired by observing children who habitually sucked on popsicles and developed cheek dimples. It was presumed that this was a result of a loss of fatty tissue from their cheeks. Named “popsicle panniculitis”, it was noted that this condition occurred due to a localised inflammatory process that was occurring within the fat cells as a result of the cooling effect of the popsicle. This ultimately leads to the localised destruction of the fat in the cheek, and the cause of the dimple.

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After one hour of cooling in any particular area, the cup applicator is removed, and you will likely experience a slight burning sensation to the area as the temperature in that region returns to normal. You may notice that the area appears somewhat deformed and possibly bruised, which of course is just a result of having a treated area of fat squeezed and stuck in a vacuumed cup for an hour! We will then massage this back flat and into a more normal appearance. Any redness will settle over the next few hours. Any localised bruising, if it occurs, usually clears within a few weeks. Many patients usually experience a temporary dulling of sensation or numbness in the treated area lasting up to eight weeks.

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Cosmetic surgery can be a costly endeavour, spurring patients to try to find better deals and ways to save money. But would you really want to get the cheapest service for your body? A low price is most commonly a sign of a desperate doctor. Before you take advantage of any billboard specials or discounter offers, research the average cost of procedures in your area.

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Some cosmetic surgeons are more likely to lean towards larger implants depending on where you live and what the majority of patients are requesting. It is best for you to assess your surgeon’s style by checking the look book in their office or browsing their online gallery. The ideal consultation should entail you trying on “sizers” while wearing a sports bra so that you can find the ideal size for your body type. Some doctors also offer 3D imaging to help you better envision the new shape and size from all angles.

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Before you undergo cosmetic surgery, you will want to ensure that your surgeon has extensive training and meets stringent continuing education requirements in their field. Beware of any smooth talking surgeons by coming prepared with a list of questions and take notes to refer to later. You should feel at least a little nervous after the  surgeon has gone through the complications and considerations with you, it should not feel like a sales pitch. And perform a background check to see of there are any malpractice claims or disciplinary actions against the surgeon you are considering.

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Breast Implant Illness (BII) refers to women who’ve had breast implants and self-identify and describe a variety of symptoms which include but are not limited to the following:

  • Chest pain
  • Fatigue
  • Hair loss
  • Headaches
  • Chills
  • Photosensitivity
  • Rash
  • Chronic pain
  • Anxiety
  • Brain fog
  • Depression
  • Sleep disturbance
  • Hormonal issues
  • Neurologic issues

These women feel that these symptoms are directly connected to their implants. There has been an increase in cases where women identify as having BII though obviously that does not mean it is the cause. BII is not an official medical diagnosis.

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There is no definitive link between the usually subjective and divergent list of Breast Implant Illness (BII) symptoms as well as no way for testing which means that there is no ‘known’ risk. Many of the symptoms are experienced by the general public without implants which makes it difficult to establish a connection. There are other more definite risks that come from implants including BIA-ALCL which is a rare spectrum of disorders that can range from a benign accumulation of fluids around the breast to an extremely rare lymphoma.

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Research has begun to indicate that as many as one in five women opt to have their implants removed. Reasons can range through implant malfunction to change in personal image, but a breast explant might be right for you if you feel the following:

  • Unhappiness with the appearance of the implants. Some women experience sagging, shifting or age related, weight fluctuations or pregnancy changes. Others simply with to return to their natural cup size
  • Scar tissue around the implants growing harder or tighter. Capsular contracture is the hardening of the scar tissue around the implant and may cause discomfort as well as breasts that look and feel different.
  • Leaking or ruptured implants
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Not really. Rarely a patient might need an early repositioning or an adjustment and that can mean using the same implants. But generally if a patient needed revision surgery new implants will be used.

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This is the ‘piece of string’ argument isn’t it? It is known that a proportion of implants will in time develop a leak of the silicone content or they will properly rupture. When that might occur is impossible to predict but as a broad consideration, we would say that about 10% of implants would do this over a 10 year time frame. The main reason implants need to be revised is that capsular contracture (hardening) has occurred and this has caused discomfort or changed the profile of the breast. The other main reasons are simply that the patient chooses to have a different size implant, or the breasts develop sagging and corrective surgery is required. It used to be said that breast implants would not last and should be replaced every 10 years. This is not a normal requirement. They only ‘need’ to be replaced if there is a problem.

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Most commonly there are no symptoms relating to silicone implant rupture and the issue is detected when having an investigation for something else, like an ultrasound for a breast lump, or after a mammogram. Capsular contracture is often associated with implant rupture or leakage and sometimes a patient might find a breast lump or a gland in the armpit which is due to silicone from a ruptured implant. With saline implants, they will deflate immediately if they rupture. If there is a slow leak then the implant with slowly deflate.

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Everyone is different, particularly when it comes to breasts. Women have significantly different sized, shaped and coloured nipples and areola. Inverted nipples have the appearance of being indented or sunken into your areola rather than standing above the surface of the breast. An inverted nipple does not respond to cold or stimulation. Inverted nipples are fairly common and not detrimental to health though they do cause an aesthetic concern for many women.

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If you were born with inverted nipples, then they are your natural nipple state and not an indicator of breast cancer. It is important to consistently check and become familiar with your breasts and nipples in case something does change or unfamiliar happens. If your nipples suddenly become inverted where they were not before, it is recommended that you consult a doctor. Signs of breast cancer do also include a number of other symptoms such as a new lump or mass, skin irritation, breast or nipple pain, nipple discharge and in some cases, if the tumour attacks the duct behind the nipple, it may become inverted. If you suffer from any number of these symptoms, please report them to your physician.

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They do not. Inverted nipples pose no health risk to you but depending on the severity of the inversion, they may make breast feeding difficult. If you are concerned about whether or not your baby will be able to latch onto your inverted nipples, it is a good idea to speak to your doctor who will be able to offer help on how best to breastfeed and get your little one to latch.

Some women who have inverted nipples are also embarrassed by how they can quite easily be fixed by a nipple correction operation.

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Too much. Clearly his surgery changed his appearance hugely. To the point that he was hardly recognisable in comparison to his natural appearance. Such exaggeration is not the purpose of facelift surgery. A facelift should give a subtle, relaxed, refreshed look without exaggeration. You still need to look like “you”. Just a more refreshed version.

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There will always be some scars after a facelift. However, they should be very inconspicuous and placed in natural skin creases or disguised in the hairline. You can never say there are “no scars” or that there are “invisible scars”. They should be well disguised and inconspicuous.

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I would expect that they would notice that you ‘look good’ or that you seem ‘relaxed’. People might think that you have just had a good holiday. After all, what we are trying to achieve is that you still look like yourself, you are recognisable as yourself but just a more refreshed or relaxed version.

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A look in the mirror will tell you whether you need something done. You can make that decision yourself. Most people will focus on the jawline, heaviness of cheeks or their neck. All of these areas can be addressed with either a limited face lift or a face and neck combination which is the most common.

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In our practice a mini face lift means a short scar lift addressing the lower portion of the face and importantly involves skin excision and tightening only. A proper surgical face lift also addresses the lower portion of the face and may be a variety known as a ‘short scar lift’ but this type of surgery concentrates on the deeper support tissues and will give a better lift which would last much longer than a ‘mini lift’. Some people ask for a ‘minilift’ because they are afraid that a ‘full’ face lift would make them look too overdone and stretched. This is not so. I don’t like the term ‘full’ face lift. It is inaccurate and potentially misleading. In any case, which ever type of lift you have , ‘mini’ (skin only lift) or a proper surgical lift (involves deeper tissue) you should still look like yourself, but more refreshed and definitely not exaggerated.

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In my view the mini lift wold be the better option overall but there will be those who would do well with a non surgical option.

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See above. Best to discuss the similarities and differences with Dr. Flynn so the best option can be determined.

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Cosmetic procedures are usually not designed to ‘get rid’ of anything. To do so often leads to exaggeration and being overdone. It is better to aim for improvement in or softening of Marionette Lines.

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Cool Tech is very efficient in removing fat. It should remove between 20 – 30% of the fat in the targeted area. To remove more fat then one might need to have a repeat session in the same area but those treatments need to be at appropriate intervals.

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Cosmetic procedures are usually not designed to ‘get rid’ of anything. To do so often leads to exaggeration and being overdone. It is better to aim for improvement in or softening of the particular feature.

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Cool Tech works by cooling the target fat to below the level at which the fat cells can survive. When this temperature is reached and held for a period of time the fat cells die and are slowly reabsorbed by the body and eliminated.

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The fat cells you have removed don’t normally regrow. But you can still put on weight (and inches) if you neglect your diet and exercise.

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When considering a cosmetic procedure you want to be sure that you get all of the information you need to make an informed choice.

Be sure of what it is that you are trying to correct. This is more important than concentrating on asking about a specific procedure because there will usually be a number of different options to achieve the result you seek.

Don’t be afraid to ask questions. If you do not understand something, then say so. Any competent doctor will want you to understand everything to your satisfaction, and it will help your doctor understand what you are trying to achieve. It doesn’t matter if you think the questions are minor – if they worry you then they are important.

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Every procedure, whether it is an operation or a non-surgical procedure, carries an element of risk. This is important to understand and discuss during your consultation.

Some risks are minor, such as redness or bruising after an injection. Some risks are more serious, such as severe infection, scarring or unevenness.

Sometimes a procedure may not turn out the way a patient would like, despite the best appropriate efforts. Sometimes patients hope for a result that is difficult or sometimes impossible to achieve. It is important for both you and your doctor to make sure that expectations are realistic and reasonably achievable.

You need to make sure your doctor discusses risks and complications with you to your satisfaction. If you are not sure then you should not proceed.

You should consider seeking a second opinion before having any invasive elective procedure.

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If you feel the outcome of your procedure is not appropriate or if there has been a complication, first draw your concerns to the attention of your doctor. They are usually in the best position to respond and ensure the best outcome.

If you are uncomfortable voicing your concerns with your doctor personally, talk to the nurse or other clinic staff and ask them to convey your concerns to the doctor. Hopefully with everyone working as a team, the problems can be rectified. However, if you feel you cannot approach the clinic with your concerns or if you wish to make a complaint about your treatment, there are a number of options available to you. All ACCS Fellows and Members must adhere to a strict and enforceable Code of Practice.

Accordingly, you may:

  • Lodge a complaint with the College, which will be acknowledged and placed before an investigating panel with disciplinary authority.
  • Lodge a complaint with your state or territory health care complaints commission – a government body specially tasked to investigate and advise on patients’ health complaints.
  • Lodge a complaint with the Medical Registration Board in your State.

Seek legal redress against the practitioner by engaging a solicitor.

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Non-surgical face lifts are treatments that require no surgery, have a fast recovery period, they are non-invasive procedures and patients experience little to no pain. They help to restore the volume in your face, plump up your facial features and improve the appearance of fine lines and wrinkles.

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Fat Freezing involves treatments and procedures which reduce stubborn fat stored in your body. Treatments vary from laser energy, ultrasound, radio frequency or coolsculpting procedures. With procedures such as Cooltech treatments, fat cells are frozen and this is done without damaging other tissues.

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With age, our skin inevitably begins to show signs of aging. Sun spots, deep set wrinkles, pigmentation and even acne scarring all become more prevalent the older we get, often causing us to look older than we are. Using fractionated laser resurfacing, our highly trained specialists will be able to rejuvenate and restore the glow back to your skin; reducing the appearance of all the signs of aging and making you look younger.

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Fractional laser or Hot Dot laser treatment creates far less redness than other treatments though the amount of redness does depend of the depth of the treatment. If you undergo only a light resurfacing, recovery time can be as little as only a few days. Once you’ve had your procedure, we recommend that you wear a hat and sunscreen for the short to medium term to both assist the healing process and protect your skin from and further damage. Complications from this treatment are uncommon because the laser is so precise but infections can occur in rare cases. Specific medications may be necessary at the time of the procedure to prevent the risk of cold sores so if you have a history of cold sores, do make sure to inform your specialist.

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Blepharoplasty or eyelid surgery is a procedure where the drooping of eyelids and bags beneath eyes are corrected to give a more youthful appearance. Because this surgery involves the removing of excess fat, skin and muscle, you may experience temporary discomfort, tightness, swelling and bruising post-op. It is possible that your eyes may itch, burn or become dry briefly. You may also experience excessive tearing and light sensitivity for 1 – 2 weeks so it is vital that you take follow all of the care guidelines once you have received the procedure. You will be able to read once again within 2 – 3 days, return to work within 7 – 10 days and wear contacts within about 2 weeks.

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Everyone is different, particularly when it comes to breasts. Women have significantly different sized, shaped and coloured nipples and areola. Inverted nipples have the appearance of being indented or sunken into your areola rather than standing above the surface of the breast. An inverted nipple does not respond to cold or stimulation. Inverted nipples are fairly common and not detrimental to health though they do cause an aesthetic concern for many women.

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It is important to consistently check and become familiar with your breasts and nipples in case something does change or unfamiliar happens. If your nipples suddenly become inverted or retracted when they were not before, it is recommended that you consult a doctor. Signs of breast cancer do also include a number of other symptoms such as a new lump or mass, skin irritation, breast or nipple pain, nipple discharge and in some cases, if the tumour attacks the duct behind the nipple, it may become inverted. If you suffer from any number of these symptoms, please report them to your physician.

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Too much. Clearly, his surgery changed his appearance hugely. To the point that he was hardly recognisable in comparison to his natural appearance. Such exaggeration is not the purpose of facelift surgery. A facelift should give a subtle, relaxed, refreshed look without exaggeration. You still need to look like “you”. Just a more refreshed version.