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Aurora Clinics - Plastic and Cosmetic Surgery Centres Presentation
- 2. What’s new in Plastic and Cosmetic Surgery Mr Adrian Richards FRCS (Plast) Consultant Plastic and Cosmetic Surgeon
- 3. Plastic and Reconstructive Surgery • Skin conditions including cancers • Hand surgery • Breast reconstruction • Burns • Cleft lip and palate • Birth deformities • Trauma
- 4. Cosmetic Surgery – an overview “Grow Old Gracefully – Says Who??” • The Global Statistics • USA – 40% of total procedures • Brazil 19% • UK 7% • France 5% • Mexico 5% • Switzerland 4% • Rest of World 20%
- 5. Most Popular Procedures • Worldwide Most Popular Procedures – Liposuction – Breast Surgery – Botox® • 9 out of 10 patients are women, but in Turkey, Switzerland and Japan – 20% are men. • The highest incidence of teenage operations is in Mexico – 29% and the lowest in the UK at 0.66%.
- 6. Procedures in the UK • In 2007 – 32,453 surgical procedures were carried out by BAAPS* members – an increase of 12.2% compared to 2006. • Woman account for 29,572 – 91% of surgical procedures carried out. • The biggest rise in surgical procedures was the Facelift – up by 36%. • The top surgical procedures is still the Bilateral Breast Augmentation at 6396. • Male surgery is up 17.5% with Rhinoplasty and Liposuction showing the largest increase. • * BAAPS – British Association of Aesthetic Plastic Surgeons.
- 7. Publicity • Cosmetic Surgery is now a normal part of everyday life for British Women, a survey by BUPA reveals. Television • 10 Years Younger • The Swan • Nip/Tuck • Extreme Makeover • Plastic Surgery Line • I want a Famous Face • Plastic Surgery School • Five’s Plastic Surgery Live • Harley Street • Newspapers • Zoo • Grazia • Look • Hello • Brand New You • Cosmetic Surgery Today • Top Sante • Now • Tatler • Daily Mail • The Times Celebrities • Toyah Wilcox • Anne Diamond • Jade Goody • Kerry Katona • Jordan • Madonna • Victoria Beckham • Alan Sugar • Cher
- 15. Endoscopic Forehead Lifting • Only requires small incisions in the hair line • Often performed in combination with other procedures • Minimal down-time • Subtle improvement
- 18. Hyperhydrosis • Palmar: excessive sweating of the hands. • Axillary: excessive sweating of the armpits. • Plantar: excessive sweating of the feet. • Facial: excessive sweating of the face. (i.e. not emotional or thermal related blushing) • Cranial: excessive sweating of the head, especially noted around the hairline. • General: Overall excessive sweating. Hyperhidrosis can either be generalised or localised to specific parts of the body:- Injections of the botulinum toxin are used to disable the sweat glands. The effects can last from 4-9 months depending on the site of injections. With proper anesthesia the hand and foot injections are almost painless.
- 21. Rhinoplasty • Nose reshaping • Old technique consisted of reducing the hump • Newer techniques aim to: – Modify the nasal tip – May require addition rather than removal of tissue
- 24. Face-Lifting • Trend away from American wind-blown look • European soft-lift or deep-plane lift • Safer and gentler • Often combined with endoscopic forehead lifts, blepharoplasty, volumetric filling or Obagi Blue peels
- 27. 60 Second Brief A quarter of women are depressed over breast size:- • 25% of respondents feel depressed about their breasts. • 20% undress in the dark or away from their partner. • 40% of those polled wouldn’t wear a bikini in public. • 25% are unable to go jogging or to the gym. • 7% are too self-conscious to socialise. • 22% worry about the size of their breasts during sex. • 10% claim a cup size in difference between their breasts. • 33% say one breast lies lower than the other. • 35% are not happy with the shape of their breasts.
- 33. Breast Enlargement • Textured implants • Cohesive gel • Can be inserted via incisions: – Concealed in the armpit – Under the breast
- 38. Abdominoplasty • Often combined with liposuction • High lateral tension technique has recently been described • Hip region is tightened more than central area
- 41. The Future • Botox • Fillers • Peels • More endoscopic surgery • On-going treatment • Anti-aging • Macrolane • Permalip
- 43. •
- 50. Female 32 years old Before After
- 51. Male 42 years old Before After
- 52. Female 39 years old Before After
- 56. Thank you Mr Adrian Richards FRCS (Plast) Consultant Plastic and Cosmetic Surgeon BMI - The Paddocks Clinic Aylesbury Road Princes Risborough Buckinghamshire HP27 0JS 01844 214362 www.aurora-clinics.co.uk
Editor's Notes
- Note which muscle areas are being used in this frown. The patient recruits laterally and higher up into the forehead and would need 7 injection sites - one in the procerus, one at each end of each corrugator (the medial head and the lateral insertion) and in the frontalis above the medial head of the corrugators.
- This patient has pronounced horizontal creasing across the bridge of the nose and would require a strong injection of 6-8 units into the procerus in addition to corrugator injections.
- Note that this patient has a lot of medial lines that she should be made aware of prior to treatment and understand that BOTOX® does not treat these lines. Taking good "before" photos and having the patient carefully examine all facial lines in the mirror with you prior to treatment can avoid misunderstandings about what is and isn't possible. Also in some patients treating the crows feet highlights other wrinkles (eg. in the inner canthus area) that they did not notice before. If you make them aware upfront of what is possible and what will remain they will be more satisfied with the results.