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marionette lines on face Bondi Junction

Treatment Options For Marionette Lines on Face

Deep marionette lines on face are a sign of ageing and they become more prominent as you get older. Even though they only start appearing when you’re in your 40s lots of people dislike them because they can make you look like you’re unhappy. When they run deeper and become more prominent they can also contribute to facial sagging. Dermal fillers are one of the non-invasive options available to treat the appearance of marionette lines and other forms of facial wrinkles and creases. 


What Are Marionette Lines?

So-named after string puppets, the marionette lines that develop with age are vertical creases that run from the corners of your mouth to your chin. The comment has been made that they can make it look like they can open and close your bottom jaw without the rest of your face moving – hence the reference to string puppets or marionettes. These lines are also colloquially referred to as a mouth frown as they can give your face a sad look.


Why Do Marionette Lines Form As We Get Older?

Marionette lines occur naturally as you talk, laugh and eat, using the muscles around your mouth. Remember that the skin around your mouth area tends to crease and wrinkle prematurely because it is thinner than on other parts of your face. 


What Causes Marionette Lines On Face To Form?

As you age your skin naturally starts to lose elasticity. This is due to a reduction of collagen and elastin being produced and, coupled with the force of gravity, can cause a downturned appearance at the corners of your mouth. As a result, your skin just doesn’t bounce back the way that it used to when you were in your teens or 20s. 

Dehydration, exposure to the sun, pollutants and oxidants, as well as stress and smoking can exacerbate the appearance of fine lines and wrinkles, making them deeper. Genetics also play a role in where you develop wrinkles on your face – some people may not develop marionette lines at all whereas others may get them prominently or at an early age.


What Can Be Done To Treat Marionette Lines?

An invasive procedure like a facelift is only one option to treat marionette lines but surgeries have down-time and are not the right answer for everyone.

treatment marionette lines on face Bondi Junction

Fortunately there are quite a few interventions that can be done to improve the appearance of marionette lines and facial wrinkles around your mouth if this is your only skin concern. You will have a consultation with your surgeon to discuss your needs and wants before moving forward with any kind of treatment. 

Using injectables like dermal fillers or Botox can significantly improve the signs of premature ageing. Your chances of side effects are minimal and you can return to your daily activities almost immediately. 


Using Botox To Treat Marionette Lines On Face

Botox is one way to address marionette lines, and may be a good idea if yours are not too deep. Botox can prevent the creases from getting deeper as you age, as it relaxes the muscles under the skin it is injected into. Botox injections need to be redone every three to four months.


Using Dermal Fillers To Treat Marionette Lines

Dermal fillers can be used to address the hollows that form between the mouth and the chin. Dermal fillers also provide support at the corners of the mouth and hold the muscles up. Dermal fillers made from hyaluronic acid may boost your skin’s natural production and can be recommended before the lines get too deep.

Even if you only want to address marionette lines, your surgeon may recommend dermal filler in other areas of your face: such as your cheeks or jaw, to contribute to a plumper, more youthful skin.

Dermal fillers are not permanent and may last for up to 18 months before the injectable is reabsorbed by your body, so you will need to have top up treatments to maintain a smooth complexion. 

We find that one treatment is usually sufficient, but some patients may want to add more filler to plump the area up further. We recommend that you wait for at least four to six weeks after your treatment to decide if you would like to add more filler. If you are having hyaluronic acid dermal fillers, you should be able to see results straight away.


Will A Dermal Filler Be Painful?

The procedure is relatively quick and may be completed in as little as 30 minutes. 

Using dermal filler to treat marionette lines can be uncomfortable, especially on the chin area, which tends to be more sensitive than other parts of the face. We make use of anaesthetic to make the procedure more comfortable. 


Dermal Filler Aftercare

You might experience some mild swelling or bruising in the 48 to 72 hours after your dermal filler treatment. You should avoid rigorous physical activity and exercise for the 24-48 hour period after your treatment. We also recommend that you avoid very hot temperatures such as saunas. You should also avoid other kinds of beauty treatments such as chemical peels and microdermabrasion for at least two weeks afterwards.

Your surgeon will give you specific instructions for aftercare once you have had dermal filler and other injectables.

Would you like to know what your treatment options are to address marionette lines on face? Please contact us for a confidential appointment to discuss whether a face lift, Botox or dermal filler could work for you: (02) 8599 7161.

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how long do anti wrinkle injections last sydney

How Long Do Anti Wrinkle Injections Last? Learn The Affecting Factors

When they’re done well injectables can smooth out lines and creases, and erase the premature signs of ageing – but finding out how long do anti wrinkle injections last is highly advisable, because they certainly aren’t a permanent solution. How long your fillers last will depend on a few different factors: what they are made from, where they’re injected, who’s doing them and of course, how your body responds to them.


The Benefits Of Anti Wrinkle Injections

Fillers and injectables are the latest in anti ageing skincare and for good reason – when they are well done they look natural, are minimally invasive and offer you all the benefits without the downtime associated with traditional facelifts and plastic surgeries. 

On the flipside though, they don’t last forever, and the trick to longevity is knowing how long they’ll last so you can maintain your look effortlessly. So how long do anti wrinkle injections last and how often do you need a top up?

On average, you can expect around three to four months of youthful-looking skin, but of course, these effects depend on where you have fillers, the types of filler you have, and how quickly your body absorbs it. The depth of your wrinkles, your biological age and your lifestyle habits (such as whether you are a smoker or not) will also influence how long your anti wrinkle injections last.


Different Types Of Anti Wrinkle Treatment


Dermal fillers

Dermal fillers are used for the treatment of static wrinkles, which are formed by gravity and ageing. Most dermal fillers contain hyaluronic acid and their job is to replenish the stores of collagen, elastin and hyaluronic acid that ageing skin is lacking. 

The results of dermal fillers are usually noticeable straight after a treatment – or at least once any swelling has subsided. Dermal fillers are expected to

  • Plump up lines, creases and wrinkles
  • Improve facial volume (especially in cheeks and lips)
  • Plump up depressed scars

On average hyaluronic dermal fillers can be expected to last for anything between six and 18 months. Typically dermal fillers that are used to enhance lips or improve the contours of nasolabial folds tend to be reabsorbed much faster.

When fillers make use of your own body fat you may have longer lasting effects – for as long as two years after injection.



types how long do anti wrinkle injections last sydneyThe most famous neurotoxin in the market is Botox®. Botox is a derivative of the Botulinum toxin and it works by relaxing the muscles that are used when you make different facial expressions like smiling and frowning. It’s used for what are known as dynamic wrinkles and the end-result is smoother, younger looking skin. 

Neurotoxins like Botox are ideal for preventing wrinkles from forming in the first place and can be used on early ageing skin as young as 30. Botox is a popular anti wrinkle treatment for the top half of the face, particularly in the brow, crow’s feet around the eyes, the area between the brows (the glabella) and the forehead. 

Neurotoxins may take up to two weeks to show your desired result after being injected.


How To Make The Effects Of Anti Wrinkle Injections Last?

Everyone’s body is different but there may be some measures you can take to help your anti wrinkle treatment last even longer.


Make sure you work with a reputable, qualified and experienced practitioner

Even though there may be beauticians offering the treatments it’s always best to work with a trained surgeon who has a lot of experience. Remember that the best work is imperceptible to the naked eye. You want to look better but you don’t want people to know what you have had done.


Have a thorough consultation first

Don’t get injectables or fillers on your first meeting with your surgeon. First have a consultation and get the feedback before you move forward with treatment. Request a treatment plan so you know exactly what to expect, the extent of work that needs to be done and when you will have to return for top up treatment. This gives you the opportunity to plan financially for the upkeep too. 

Make sure you attend your consultation with questions and ask your surgeon for detailed answers. Find out what the risk factors are and what the chances of complications and side effects are.


Consider a second opinion

It’s not always the best course of action to work with the first surgeon you consult with either. Consider getting a second opinion and compare opinions.


Sleep on it

Give yourself enough time to think about it and don’t feel rushed or pressured into moving forward- even if you have wanted injectables for a while. Think about your timelines too. If you opt for Botox it may take a week or two for your results to show and you may only have the result for three months before you need a top up treatment. 


Consider your lifestyle factors

If you are a smoker it would make sense to quit sooner rather than later, as the effects of smoking can counter the effects of your anti wrinkle treatment. Are you getting enough exercise, hydration, sleep and healthy nutrition? These factors all contribute youthful skin and a healthy glow and addressing all aspects of your lifestyle can enhance the effects of your anti wrinkle treatment.


If you have specific questions about how long do anti wrinkle injections last, your next step would be to book a consultation so your skin can be assessed. Please contact us for a confidential appointment: (02) 8599 7161.

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How To Get Rid Of Crow’s Feet? Find Out These Treatment Options

Crow’s feet or laugh lines, as they are more positively referred to, develop over the course of your lifetime as a result of laughing, squinting, sun exposure and environmental irritants. They generally start quite small but can run deeper as you get older. There are a number of measures you can take on a daily basis to minimise their appearance and delay them coming out, but the best way to address them more permanently is through professional treatments such as muscle relaxants, which are usually administered as injections.


What Are Crow’s Feet And Why Do They Develop?

Crow’s feet are considered to be both static and dynamic wrinkles and can affect both men and women. In fact, they can run deeper in men because males’ skin is thicker around their eyes. When we are younger they are only visible when we laugh or squint but as we get older, they are more noticeable even when the muscles under the eye are static.

This is because the skin loses its natural elasticity as we get older. As we age, the skin decreases its production of elastin and collagen and, because the skin around the eyes may be up to ten times thinner than skin in other parts of the face, it is around the eye area that the first signs of ageing are most noticeable. This means it may be more noticeable to the skin to droop or sag around the eyes.


Preventing The Development Of Crow’s Feet

No one can stop the biological clock completely but there are measures that you can take to slow it down considerably. Some solutions include


Use An Eye Cream

Using a good quality eye cream provides super moisturisation to the delicate skin around the eye area. It also strengthens the skin barrier, which makes this area less susceptible to environmental toxins.


Wear Sun Protection

Sun exposure directly weakens the skin under and around the eyes and also weakens its elasticity which makes it more difficult to repair itself.

Using protective sunscreen will protect the sensitive skin around your eyes from sun damage, which speeds up ageing and exacerbates the appearance of fine lines, wrinkles and crow’s feet. Wearing sunglasses is also a very effective barrier against the sun, and protects your eyes and skin from harmful UV rays. It also makes you less likely to squint.


Try A Silk Pillowcase

Squashing your face against a pillow for a few hours every night can also enhance the appearance of crow’s feet. Sleeping on a silk pillowcase is gentler on your skin and causes less friction while you sleep.


professional treatments how to get rid of crows feet sydney

Stop Smoking

While you may not be able to reverse any existing crow’s feet by not smoking, you can prevent the development of more lines and wrinkles.

Smoking exposes your skin and body to toxins which speed up the effects of ageing and is another really good reason to quit sooner rather than later.


How To Get Rid Of Crow’s Feet Using Professional Treatments?


Muscle Relaxant Injections

Having professional treatments like muscle relaxant injections is highly effective at reducing the appearance of fine lines and creases around the eyes. 


Dermal Fillers 

Dermal fillers refill and create volume in the areas that are depressed and can counter crow’s feet and under-eye wrinkles very effectively. Dermal fillers are also doubly effective because thor continued use may stimulate the production of your body’s natural stores of collagen, which can be an effective defence against the development of new lines and creases. 


Chemical Peels 

If you are not keen on the idea of muscle relaxant injections but still want a professional treatment, chemical peels can reduce the appearance of fine lines and wrinkles around the eyes. Chemical peels are professionally administered skin treatments that progressively remove the layers of skin that contain the wrinkles skin. 

Chemical peels can be light, to address superficial skin depressions, medium, or deep, for very creased or deeply grooved skin. Your skincare specialist will determine the strategy that is best for your skin and, depending on your skincare needs, may use a combination of peels to address your skin concerns.

Chemical peels may work for you, if you want to address skin concerns on other areas of your face, such as pigmentation or fine lines in other parts of the face.


Laser resurfacing treatments

If you really want to boost your own collagen production but are not keen on the idea of muscle relaxants, laser resurfacing may be an option for you. Laser surfacing treatments work well to address the signs of ageing over the face and are especially helpful if you want to focus attention on targeted areas. Ideal for people with lighter skin complexions, laser resurfacing is also effective for the treatment of scars and hyper-pigmentation. Increased collagen production can delay or discourage the production of fine lines and creases around your eyes in the future.


If you want to know more about how to get rid of crow’s feet it is best to have a professional consultation to weigh up your options. Please contact us for a confidential appointment: (02) 8599 7161.

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benefits of chemical peels sydney

Benefits of Chemical Peels for Skin Care & Its Benefits

There are numerous benefits of chemical peels for your skin, but ultimately most patients are interested in what this anti-ageing treatment can do to make their skin look younger and fresher. Most patients will spend up to half an hour per treatment, and experience skin peeling effects for up to five days afterwards. Once the old skin has peeled away, younger and less wrinkled skin is revealed underneath. 


What Are Chemical Peels And How Do They Work?

A chemical peel is a solution that is applied to the surface of the skin, with the goal of making the skin blister and then peel off. Essentially the chemical peel does cause damage to the skin and in order to stimulate its ability to heal itself. Patients find their anti-ageing effects beneficial.

The most common chemicals used in the procedure include salicylic acid, glycolic acid, and lactic acid. They resurface the skin, in order to bring about a number of benefits.

Peels can be light, medium or deep. A light chemical peel will remove the dermis of the skin and can be used every two to five weeks. A medium chemical peel removes skin cells from the dermis and epidermis. It may be necessary to repeat the treatment a few times before you can achieve your desired result. A deep chemical peel penetrates the skin even deeper and doesn’t usually need to be repeated to achieve your desired result.


What Are The Benefits Of Chemical Peels For Skin Care?

Peels are beneficial because of their anti-aging results. Patients find adding peels to their skincare routine can address a number of skin concerns including:


Change The Appearance Of The Skin

The benefits of a chemical peel include improving the skin’s colour, texture and tone.


Reduce Sun Damage

Skin conditions caused by sun damage, such as freckling can be improved by chemical peels. Patients with skin changes because of hormonal changes, such as melasma, may also find it beneficial to have chemical peels as part of their skincare regime.


Improving Skin Breakouts

A chemical peel can improve the condition of your skin, especially complexions that are prone to breakouts and acne.


appearance benefits of chemical peels sydney

Reducing The Appearance Of Scars

Chemical peels can improve the appearance of scars, especially those caused by acne.


Improve The Appearance Of Fine Lines And Wrinkles

Wrinkles, fine lines and creases in the skin can be improved after treatment with a chemical peel.


How Long Does It Take To Improve The Appearance Of The Skin?

For many patients, the skin is visibly improved after just one treatment, but a series of treatments, approximately four to six weeks apart is recommended for long term improvement.


Are Chemical Peels Suitable For Everyone?

Generally, patients who have fairer or lighter skin respond best to chemical peels. The conditions that respond best to peels are those that are caused by sun damage and skin exposure to UV rays.  Sometimes patients with darker skin can experience a less even skin tone after a treatment. Your surgeon will be able to give you a more specific prediction once your personal risk factors have been evaluated.

Not all skin conditions will respond well to chemical peels. Patients who have more pronounced wrinkles and more severe signs of ageing may want to consider other skincare treatments. 


Does A Chemical Peel Hurt?

Using chemical agents on the skin usually result in a burning or stinging sensation that can last for five to ten minutes. Sometimes the feeling lasts after the chemical has been removed, and some patients find relief if they use pain medication. 

Patients who have medium and deep peels may benefit from a sedative and painkiller to make the procedure more comfortable.

Once the chemical peel has been removed you might expect to react in a similar manner to sunburn. This means your skin is likely to blister and peel off, and you can expect some redness that might last for up to seven days. It’s important to keep your skin out of the sun in the period after the peel because it will be especially sensitive to sunlight afterwards. It’s even more important that you wear sunscreen and reduce the time you send in direct sunlight as much as possible.


What Are The Side Effects And Complications Of Chemical Peels?

Speak to your surgeon about the potential risk factors of having a chemical peel before moving ahead with the treatment. Some patients may experience adverse reactions so it’s important to make sure you work with a registered and experienced skincare specialist. 

Some of the potential complications and side effects of peels include

  • Redness, tenderness
  • The possibility of scarring or long term skin damage
  • Colour changes to the skin (more common in patients with darker skin)
  • Infections are possible. A peel can also reactivate or trigger older infections like the herpes virus (cold sores)


Preparing For Your Treatment

Your surgeon may recommend you take certain measures before your treatment to prepare your skin and reduce your chances of complications. This may include

  • Taking retinol-based products to improve healing and reduce scarring
  • Stopping certain hair removal procedures like waxing
    Start taking antiviral medication if your practitioner thinks you have a chance of a viral infection.


To find out more about the anti-ageing benefits of chemical peels for your skin type, and the kind of results you can expect from a treatment, please call us at (02) 8599 7161 for a confidential appointment.

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what is rhinoplasty sydney

What Is Rhinoplasty? All You Need To Know About Nose Job Surgery

Do you want to find out ‘what is rhinoplasty’? Also called a nose job, rhinoplasty is a surgical procedure whereby the size and shape of the nose is surgically altered. You can have rhinoplasty surgery for medical or cosmetic reasons. Today we’re going to have a look at rhinoplasty, when you might need it, and what you can expect from the procedure.


What Is Rhinoplasty Used For?

Some patients request rhinoplasty to correct or reshape their nose, in order to address structural concerns, such as 

  • Difficulties with breathing by opening the nasal passages
  • Defects from birth
  • Damage to the nose caused by conditions such as cancer or infections
  • Injuries or traumas to the nose
  • Correcting a deviated septum (the gap between the bone and cartilage of your nose).


Other patients may want to address cosmetic concerns with nose jobs, including

  • Making the nose more symmetrical (even though perfect symmetry is not always recommended, some patients want to improve their line of symmetry)
  • Correcting a crooked nose
  • Changing the size of the nose by making it smaller or larger
  • Reducing the size of the nostrils
  • Smoothing out humps or bumps or straightening the bridge of the nose


Is Rhinoplasty The Right Procedure For You?

When a nose job is recommended for medical reasons, it is always best to follow the advice of your surgeon or medical practitioner. If you are considering rhinoplasty surgery for cosmetic reasons, it is important that you ask all the right questions before you move forward with a procedure.

risks complications what is rhinoplasty sydneySome really important points to consider include

  • If you are having a cosmetic nose job, Medicare and private health insurance will not cover the cost of your procedure and you will need to pay for it directly
  • If you are experiencing depression or have body dysmorphia you should seek counselling support, ideally before moving ahead with surgery, as this could change your self-perception and motivation for having a nose job
  • In the event that you are under the age of 18, your doctor will refer you to a psychologist for an assessment. You might need to wait for a three month period before your surgery as well, to ensure you are doing it for the right reasons.

Remember, your facial bones do need to have stopped growing before you can have surgery performed on your nose. For girls this generally happens around the age of 16, and for boys, it is usually around the age of 17.

It’s also best to be a non-smoker or to quit smoking, as smoking can interfere with your body’s ability to heal itself and increases your risk of developing an infection. 

If you are someone who …

  • Cannot tolerate anaesthetic
  • Experiences problems with blood clotting or bleeding
  • May experience surgical complications

… then it is quite likely your surgeon or doctor will advise you against having a nose job.


What Are The Risks And Complications Associated With Nose Jobs?

Remember that it can take up to 12 months after your surgery before you really settle into your new nose, and all swelling disappears. This may sound like a long time, and it does differ between patients and the extent of work they have had done, but your nose is a prominent feature on your face so it is important that you remain patient and have faith in your ability to heal.

Each patient has their own risk factors, and it’s very important to discuss these in detail with your plastic surgeon prior to any work being done. Some of the more common potential side effects and complications include

  • An infection at the site. This may require antibiotic treatment and/or additional surgery to address
  • Nose bleeding
  • The formation of thick scar tissue
  • Persistent or severe pain
  • Numbness or loss of sensation in or around your nose
  • Problems breathing because your nasal passages have constricted
  • An impairment to your sense of smell
  • Temporary numbness around the upper front teeth


What Can You Do To Encourage A Smooth Procedure?

Some aspects of a successful procedure are within your control and there are a number of measures you can take to ensure that your rhinoplasty procedure goes ahead smoothly.

Working with an experienced, reputable and certified surgeon is essential. Rhinoplasty surgery is a procedure that requires a great deal of skill to be done well so do your research and get recommendations and referrals. Interview a number of potential candidates before you choose a professional to work with.

Make sure you give your plastic surgeon your full medical history beforehand. Mention any medications you may be taking so that the appropriate advice can be given. Your surgeon may request some additional tests to be done to assess your state of health before you are operated on.

Do your best to stay fit and healthy prior to and after your procedure. This speeds up your recovery process. Don’t smoke, or quit at least two weeks before having rhinoplasty. This is really important for the healing process.

Follow all care instructions given to you by your medical team after rhinoplasty surgery. Get the appropriate rest and make sure you take care of yourself. You may be given medication to avoid infection and will be given hygiene instructions to keep the site clean.

Call us at (02) 8599 7161 today to book a consultation.

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perfect breast shape sydney

In Search of the Perfect Breast Shape for Your Body Type?

The ‘perfect breast shape’ is highly subjective, and always depends on your body frame and size. Determining what the right breast shape for your body is, is something you will determine through a consultation with your plastic surgeon. Getting the breast shape you want could involve a combination of breast implants or a breast reduction and a breast lift. At Refine Clinic we work closely with our clients on deciding how to have perfect breast shape, for confidence and improved quality of life.

Breast surgery is a highly personalised experience that requires a close working relationship between patient and plastic surgeon. While you may think that a certain celebrity or famous person has the ideal breast shape, that size or shape may not compliment your body type or frame.

The size and shape of your natural breasts may be influenced by factors like


  • Natural ageing

One of the consequences of ageing is volume loss and sagging of the breast tissue.


  • Weight gain or weight loss

Weight loss often is generally not localised and can cause volume loss in the breasts. 


  • Hormone fluctuations

Hormonal fluctuations that increase and decrease the size of the breasts can cause the skin to sag.


  • Pregnancy and breastfeeding

Pregnancy and breastfeeding can cause significant changes to the breast tissue, stretching the breasts. A breast lift may assist in restoring elasticity and firmness. You should consider your family planning needs, however, and only opt for breast surgery once you do not plan to have any more children.

During a consultation with your plastic surgeon, you can discuss the changes you would like to make, and get a professional opinion on what could work best for your breasts.


Breast Augmentation With Implants

Breast implants are a popular way to change the size and shape of a woman’s breasts, and surgical techniques have improved vastly over the last few decades to make the end result look more natural. 

Breast implants are typically divided into two main categories: teardrop and round implants. Both implant types can alter the shape of your breast in different ways.


categories perfect breast shape sydneyRound Shaped Breast Implants

Round breast implants can add volume and fullness to the breast. They are helpful to create an asymmetrical shape. They are also quite versatile and can be used in a variety of different cases. Round breast implants create a natural look when they are well done and can help patients achieve a more voluminous cleavage. Because of their round shape, rotation and movement is not usually an issue with this implant shape.


Teardrop Shaped Implants

Teardrop implants are designed to create the shape of the fall of the breast, with less volume at the top of the implant than at the bottom. They do need to be pre-filled and it is possible for them to move around in the breast later, which may cause a less symmetrical result. Teardrop-shaped implants are best suited to women who have less skin and volume on the top of their chests.


A Breast Lift Or Mastopexy Procedure

The ideal breast shape can sometimes be achieved using a combination of breast augmentation and a breast lift. In a breast lift procedure, excess skin and breast tissue can be removed, to firm the cleavage and boost your confidence. 

A breast lift may be beneficial if 

  • You have lost elasticity in your breast tissue or would like to restore firmness and volume to your breasts
  • Your nipples are pointed downwards. A breast lift and repositioning of your nipple may be beneficial in this case
  • If your nipple is positioned below the crease of your breast (Inframammary fold)
  • If you are not satisfied with the size and shape of your breasts when you wear a bra
  • If your breasts are unusually shaped or asymmetrical.

There are different types of breast lifts, indicated for the degree of sagging you are experiencing. There are breast lift options available for mild to extensive sagging.


Why It’s Essential To Find A Skilled And Experienced Plastic Surgeon For Your Breast Augmentation?

Even though breast implant and lift surgeries have improved vastly in recent years, all surgeries do carry some lament of risk. And while some pain, bruising and swelling is part of the recovery process, there are some complications and side effects that you should be aware of before moving forward with any breast surgery. These include:

  • Scar tissue or thick scars that do not disappear over time
  • Movement or rotation of the implant
  • Visible wrinkles or creases underneath the skin
  • Rupturing of the implant, which can lead to leakage or damage.


What Can You Expect After Breast Augmentation Surgery?

While most procedures are performed as outpatient procedures, using general or local anaesthesia, you should be able to go home afterwards. Some discomfort and swelling is to be expected, and you should certainly make provision to have an extended rest period afterwards.

You should also prepare to sleep on your back during your recovery period, and you may not be able to resume your usual day-to-day activities for a week or two following the procedure. 

It’s highly likely that you won’t be able to return to exercise for the first two to six weeks afterwards, but it is recommended that you do some light walking every day after the first week has passed. 

It will probably be about eight weeks before you can expect to wear your underwire bra again.

If you are ready to discuss your perfect breast shape with a professional please contact us for a confidential appointment: (02) 8599 7161.

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korean rhinoplasty sydney

Understand The Risks Before Going for Korean Rhinoplasty

While South Korea may be considered the plastic surgery capital of the world, Korean rhinoplasty may not necessarily be the best option for you. The reason for this is that so many Westerners incorrectly believe that rhinoplasty procedures are performed to change the Asian face and make it more Caucasian but this is not actually the case. Let’s have a look at one of the most common plastic surgeries being performed in the world today – the rhinoplasty – and why you shouldn’t be thinking about going to exotic locations like Seoul, South Korea for a rhinoplasty.


Understanding The True Value Of Working With Local Professionals

Korean rhinoplasty can be performed for a deviated septum, a droopy nose, to change the shape of the cartilage in a bulbous nose, to change the nose tip by creating an upturned nose or to reduce the size of the nose. Rhinoplasty surgery is also commonly requested to change the shape and size of the nose bridge.

We understand that many patients are sensitive to rhinoplasty costs and would like to save money on their plastic surgery procedure where possible. What we would like to highlight is the fact that cost is not always an indicator of value. Being able to have a rhinoplasty for less doesn’t mean that the procedures are of the same standard.


Understanding The Costs Of Medical Tourism And Plastic Surgery

Traveling to exotic locations like Seoul, South Korea, Bali and Hong Kong for a rhinoplasty has become fashionable, so that locals can save money on plastic surgery procedures. What Australians should try to remember is that you generally get what you pay for and the reality of a cheaper rhinoplasty may be reflected in the quality of the work.


Reasons Why Korean Rhinoplasty May Not Be For You


Personalised service and rhinoplasty procedures

possible risks korean rhinoplasty sydneyHaving a nose job is a significant investment of time, money and effort. It requires a great deal of careful planning in order to be successful.

You would want to meet with your surgeon more than once, and have enough time to make informed and thoughtful decisions about what you are going to do. You most certainly do not want to be rushed into the procedure, or to feel the need to wrap it up quickly so that you can accommodate it within your flight dates.


Medical and surgical risks

Every surgery carries with it some degree of risk, and it’s important that your surgeon highlights and discusses these risks with you before any work is done or deposits are paid. Ignoring those risks could lead to serious complications that can be costly to fix in the future.

In the event that something does go wrong, either through fault of your plastic surgeon or because of a problem with the system, if you do have your nose job in Australia, there is recourse you can take. Your medical rights as a patient are protected by local legislation when you have a surgery in Australia and it would be much easier to have mistakes corrected if necessary. When you are in a foreign country like South Korea and you experience a problem, you would need to resolve it on your own and there are so many variables it can be very difficult to achieve. 

Your nose is the most prominent feature on your face, and botched rhinoplasty procedures are difficult to miss. It isn’t worth taking the risk.


Follow up treatment

A rhinoplasty is a delicate procedure and requires a fair amount of follow up consultation to ensure the healing process goes smoothly, and that you are satisfied with your end result. If you do have a problem or need some professional advice from your plastic surgeon, it is so much easier if he or she is locally based.

Owing to the sensitivity of the nose area, some patients may even want a second rhinoplasty procedure a year after their first nose job. This can be difficult if you need to jump on a plane and cross an ocean to visit your plastic surgeon.


Differences in aesthetics

Western and Eastern concepts of beauty are not always the same, and the nose you might want may be a surprise for a Korean surgeon. When we are called upon to perform corrective procedures, we often hear stories from patients who had an expectation of their end result but were dismayed with the job because it looked nothing like they had envisaged. Often, on closer investigation the surgeon who did the work may still think that what was done was perfectly acceptable – all because of differences in beauty ideals.

This doesn’t mean there was anything wrong with the surgeon or the work that was done, it just means there is a marked difference in opinion in Western and Eastern beauty ideals. And very often in these instances, the difference in aesthetics can be attributed to difficulties in communication between a patient and plastic surgeon.


Managing The Cost Of Your Korean Nose Job

While it might be tempting to try to have your nose job done at a lower cost, it isn’t with taking the risk. If affordability is an issue for you, it would be better to consider a payment plan or to save up for the procedure with a local surgeon that you trust.


To find out more about Korean rhinoplasty please contact us for a confidential discussion: (02) 8599 7161.

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what is a dermal filler sydney

What Is A Dermal Filler And How Can It Work For You?

Dermal fillers have revolutionised the world of beauty, simplifying anti-ageing treatments and making them more affordable. Injectable dermal fillers have replaced a number of surgical procedures, providing patients with a safer, less invasive approach to beauty. In this article, we are going to answer the question what is a dermal filler so you understand the science behind one of the most enduring beauty trends of the moment.


What Is A Dermal Filler?

A dermal filler is a gel-like substance that is injected into the skin. Its purpose is to provide facial volume as it fills out facial contours such as fine lines, wrinkles and reshapes areas of the face. The most popular dermal fillers today are made out of hyaluronic acid (HA), which is a substance that occurs naturally in the skin, providing it with plumpness and moisture. Other types of injectable fillers include Calcium hydroxylapatite, poly-L-lactic and autologous fat injections, whereby fat is removed from another area of the body and injected into the face. 

Different thicknesses have different uses and functions. Thinner fillers are used in areas that have thinner, more delicate skin, such as under the eyes. Harder fillers would be used to make structural differences such as to enhance jaw and cheekbone structures.


How Do Dermal Fillers Work?

Many of the aesthetic signs of premature ageing can be traced back to loss of volume in the face. As the tissues in the face become thinner, the lines and contours of the face become more pronounced. A loss of facial volume can make the face appear sunken and hollow as we get older, especially in spaces like under the eyes and in the cheekbones.


What Can Dermal Fillers Be Used For?

Facial fillers have become popular for addressing skin concerns from the eye area downwards. This includes

  • Enhancing and plumping the tissues around the mouth out
  • Ironing out and smoothing vertical lines that develop around the lips
  • Smoothing out the nasio-labial folds
  • Smoothing the crease in the chin
  • Ironing out smile and laugh lines such as marionette lines and parentheses
  • Creating facial symmetry in the facial features

Typically neurotoxic injectables such as BOTOX® are best used on areas like crows feet and frown lines.


How Long Do Dermal Fillers Last?

Fillers last for a long time but they are not permanent. Most of the reputable brands work for around 12 to 24 months before they are reabsorbed by the body. The length of time the filler will last also depends on your fitness levels. Very fit people will absorb the filler much faster than those who aren’t. 

long last what is a dermal filler sydney

Another factor worth considering is that the areas of your face that are used most often in expression are likely to wear fillers down faster.

Comparatively, fillers placed in the cheeks to provide facial volume are likely to outlast those that are placed around the lips, because the lips are used more often.

Lip fillers will usually last for four to six months while cheek fillers can last up to 18 months on average. 

It is often recommended to have a second or top up treatment done six to 12 months after your initial treatment, in order to help the fillers last for longer.


Are Dermal Fillers Painful?

Everyone has a different pain response, but most patients report a sharp pinching or stinging sensation when the dermal fillers are injected. Some practitioners will use a numbing agent on the skin to make the experience more pleasant. 


Are There Any Side Effects?

Side effects are mild and may include some degree of redness, swelling or tenderness at the site of the fillers. A well experienced practitioner will perform the work gently and to minimise any potential discomfort and pain. 


Understanding Safety Matters

Generally dermal fillers are considered safe when they are performed by a suitably experienced and qualified practitioner. They are only available on prescription and may only be used by a certified medical practitioner. Different brands may not advertise themselves to consumers, but the merits of the different brands may be discussed directly with your practitioner, once you have been approved as a candidate for treatment.


What Can You Expect From The Dermal Filler Procedure?

Having injectable dermal fillers is a relatively quick procedure that can be done in an office environment. You will discuss your needs and options with your surgeon, who will brief you on what to expect. He or she will also take a full medical history, and you should disclose any medication that you are taking, as this could interfere with the effects of the filler.

Once you are ready for your procedure, the area to be worked on will be sterilised and numbed. Some products are recommended to be used with Lidocaine, which is a numbing agent that combines very well with dermal fillers. Most patients find the side effects manageable and can drive themselves home after the procedure.

If you are having fat injections, you will be having an outpatient procedure that requires anaesthesia or local anaesthesia and sedation. Fat injections are generally better tolerated by the body and last for longer but you can expect to have a longer recovery which may last around two weeks.

Not sure which approach to take or need more information on what is a dermal filler? We would love to discuss your injectable options in person. Please contact our practice for a convenient appointment: (02) 8599 7161

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blepharoplasty cost thailand sydney

Blepharoplasty Cost in Thailand – Is It Really Worth It?

If you are thinking about blepharoplasty cost in Thailand in order to save money, you may want to pause for a moment and reflect. Having cosmetic surgery is a deeply personal experience, and it requires you to feel completely comfortable with your surgeon.

A procedure that goes wrong or which doesn’t meet your expectations may need to be redone, having further operational and cost implications. The good news is, thanks to the very high standard of plastic surgery in Australia, it is not necessary (or practical) to go to places like Bangkok Thailand for blepharoplasty – here’s why.


What Is A Blepharoplasty And Why Is It Performed?

Blepharoplasty eyelid surgery is a procedure that is done to remove excess fat and skin from around the eyes, creating an instantly more alert look and lifting the eyes. As we get older our skin loses its natural elasticity and causes the upper eyelids to sag under the weight of skin and fat deposits. If there is a lot of skin hanging from the upper eyelid it can interfere with your vision. This sagging, weighty effect can also take place on the lower eyelids resulting in puffiness and creases developing below the eyes.

Blepharoplasty can address:

  • Sagging, loose skin in the upper or lower lid
  • Bags under your eyes
  • Puffiness caused by fluid retention around your eyes
  • Extra skin and fine lines around the lower eyelid

The procedure will not remove crows feet from around your eyes or address dark circles. In order to be eligible for eyelid surgery you should be in generally good health, be a non-smoker and not be at increased risk from surgical procedures. You should also not suffer from any chronic or unmanaged eye problems.

One of the major advantages of having plastic surgery in Australia is that you will be able to consult with your surgeon at length beforehand, in order to check your suitability, and make sure you pass all the checks. If you are jetting in and out of Bangkok Thailand for the procedure you might end up cutting corners because of travel pressures.


What Can You Expect During A Blepharoplasty?

Another reason that you don’t need to jet off to Bangkok Thailand is that eyelid surgery is a relatively quick procedure, that can usually be completed in 60 to 90 minutes.

expect treatment blepharoplasty cost thailand sydneyIf you are having eyelid surgery on your upper lids, you will be injected with local anaesthesia. If your lower lids are going to be operated on you will have general anaesthesia.

For upper eyelid surgery your plastic surgeon will make the incision just above the crease in your lid. For lower eyelid surgery the incision will be made just below your bottom lash line. Excess skin is removed and the muscle will be redistributed.


Why You Don’t Need To Go To Bangkok Thailand For Eyelid Surgery

As with any kind of surgical procedure, having a blepharoplasty carries a certain degree of risk and there are specific complications that can arise as a result of this procedure. These include:

  • Pain and bleeding at the site
  • An infection of the surgical wounds

There are also procedurally specific complications that can occur, and whose side effects can be amplified in the event that you opt for medical tourism and have the procedure done overseas. These include

  • Corneal abrasion
  • Double vision
  • Bleeding into your eye socket
  • The removal of too much skin
  • An asymmetrical end result
  • Scarring at the points of incision


Why You Can’t Compare Blepharoplasty Cost Thailand With Blepharoplasty Cost In Australia

In Australia your rights are protected by industry bodies like the Australian Society of Plastic Surgeons and the Australian Health Practitioner Regulation Agency and while you might think you are paying more for cosmetic surgery, you are actually paying for essential services like infection control, well qualified and highly experienced medical practitioners and world class facilities.

At face value, your procedure might appear to cost less but when you factor in the difference in the quality of the procedure, as well as a contingency for the event that something goes wrong, it will end up costing a great deal more. If you are considering going to Bangkok Thailand for surgery you should weigh up the risk vs the cost and decide what’s more important to you.


What Kind Of Recovery Can You Expect?

In the majority of cases patients can go home a few hours after surgery once the anaesthetic has worn off. You will be advised to rest and avoid strenuous activities for approximately the first week after your procedure. You should also not wear eye makeup and avoid sun exposure during this time. Your surgeon will give you personal feedback on when you can resume exercise again, but it is a good idea to do it as soon as possible, as it can assist with your recovery.


How Long Will The Results Of Your Blepharoplasty Last?

Some patients report noticing the results for five to six years after their procedure but the effects are longer lasting in the sense that you will still look younger than if you had not had the procedure done.

If you are researching about how much does blepharoplasty cost in Thailand in order to save some money now, think about the future savings you can reap by having your eyelid surgery in Australia. It’s always best to speak to a professional before making any major decisions.


Please contact us for an appointment as soon as possible: (02) 8599 7161

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what is vaginal rejuvenation bondi junctiona

What Is Vaginal Rejuvenation? – Frequently Asked Questions Answered

Vaginal rejuvenation or vaginoplasty is a surgical procedure that is performed to change the aesthetics of the labia of the vagina. Our highly skilled and experienced surgeons have assisted many women with vaginal rejuvenation surgery or vaginoplasty, to help them feel more confident and comfortable with their bodies. Let’s try to answer the question of what is vaginal rejuvenation and how it could benefit you.


What Is Vaginal Rejuvenation And Why Is It Performed?

Vaginal rejuvenation treatments are performed for women who are not happy with the appearance of their labia (the outer lips of the vagina). And, while the topic has been an uncomfortable one for quite a long time, women are starting to feel freer in discussing their bodies and sexual identities, marking an increase in interest in vaginoplasty enquiries.


Who Requests Vaginal Rejuvenation?

Vaginal rejuvenation treatments are requested by women of different ages, as their bodies go through different stages of life and changes caused by hormonal changes. It is often requested by women who have birthed multiple children, and by women who have tried pelvic floor exercises, also known as Kegel exercises, but to no avail.

Vaginal rejuvenation is requested to address a number of concerns as the vagina and birth canal go through different stages of life. Some examples of changes may include:


Changes in lubrication

Hormonal changes and ageing can reduce the amount of vaginal lubrication being produced and this may lead to painful intercourse. Vaginal rejuvenation treatment may assist with the promotion of blood flow and thus lubrication levels.


Decreases in sensation

Noticeable during intercourse.


Increase in vaginal laxity

Pregnancy and childbirth, and ageing can contribute to vaginal laxity, which may impact on confidence and a woman’s quality of life. Women may experience decreased sexual sensitivity and satisfaction.


Loss of muscle tone in the labia

Pregnancy, childbirth and ageing result in the loss of muscle tone in the vagina. It is possible to remove excess skin if this is interfering with intercourse or to inject fillers into the labia majora if you have experienced volume loss.


expectation what is vaginal rejuvenation bondi junctionaWhat Can You Expect From A Vaginoplasty Procedure?

You will discuss the specifics of your treatment with your plastic surgeon, but most vaginoplasty procedures take around an hour to complete. During the procedure the muscle at the back of the vagina will be surgically shortened and then joined together. Often this is done using stitches that will dissolve on their own. If there is any additional skin, this can be removed, which tightens the muscles and skin of the vagina.


Before your surgery you should:

  • Avoid food and drink for 10 hours before the procedure
  • Do not have sexual intercourse the day before your surgery so that your vaginal is in its regular form for the vaginoplasty
  • Make sure you have time off work and that your home is set up for your recovery
  • Your surgeon will probably also give you a pregnancy test to confirm that you are not expecting.


What Can You Expect After Vaginal Rejuvenation Surgery?

As with any kind of surgery, you will need to give yourself enough time to heal, rest and recover. You will also need to see your surgeon at regular intervals for check ups. you can expect some degree of swelling, bruising and bleeding following your vaginal rejuvenation surgery, however this should improve in the days after your procedure.

Most patients notice the effects of their vaginal surgery two to three weeks after the procedure, and most can resume sexual activity four to six weeks after their vaginoplasty.


Are There Any Risks Or Side Effects?

All surgeries carry with them some element of risk, and each patient should conduct his or her own risk assessment before moving forward with any kind of surgery. Of course working with an experienced and well qualified plastic surgeon who follows a thorough planning process can help to mitigate your risk.

And, although uncommon, there are some possible complications associated with vaginal rejuvenation treatments and these may include:


Different sensations during intercourse

Any nerve damage during the procedure can result in alterations to your sensations during sexual intercourse.


Pain during sexual intercourse

May also occur as a result of damage during vaginoplasty.


Damage to other organs

Because of the close proximity of other organs in the pelvis, although rare, it is possible for them to be damaged.


In terms of what is expected of you, you should:

  • Be aware of your healing and recovery and make sure you have reached the appropriate healing milestones a week after your vaginal rejuvenation surgery.
  • Monitor your progress for any signs of infection. If you notice any deterioration of side effects or any unusual discharge it could be a sign of an infection that should be inspected by your surgeon.


What Can You Expect To Pay For Vaginal Rejuvenation Treatments?

The cost of your vaginal rejuvenation treatment will be fully inclusive and encompass your surgeon and assistant surgeon’s fees, the anaethetist’s fee and hospital costs, as well as the costs of your follow up consultations during the first six weeks after your treatment. If you are having any other treatments, these will be added to your total cost.

Your surgeon will prepare a treatment estimate for you, prior to carrying any work out.


Still unsure about what is vaginal rejuvenation and how it could benefit you? It’s always best to speak to a professional. Please contact us for a confidential discussion: (02) 8599 7161.

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