Common Cosmetic Procedures For Men

Common Cosmetic Procedures For Men

What are the most common cosmetic surgery procedures for men?

In any plastic surgery practice approximately 10% of the patients will be male and Dr Hunt’s practice follows that trend. The three most frequently performed procedures in men are:

  1. Liposuction
  2. Eyelid reduction
  3. Rhinoplasty

Other common cosmetic procedures for men include gynaecomastia or chest contouring surgery as well as body contouring surgery after significant weight loss, such as a lower body lift or tummy tuck. Less common procedures include facial rejuvenation such as face lifts and neck lifts, however these are becoming increasingly popular.

Liposuction 

Liposuction is a minimally invasive surgical procedure that removes disproportionate areas of fat to create a more balanced body contour. In male patients the most common areas of treatment will be the abdomen as well as the love handles and lower back. However areas such as the neck and under the chin are also frequently treated.

Eyelid Surgery 

The signs of ageing around the eyes can create the appearance of tiredness and many men seek treatment to this area to create a more rejuvenated appearance.

Laxity of skin in the upper eyelids can also obstruct your visual field and an upper eyelid reduction can be performed to relieve the obstructed vision.

Rhinoplasty

Men often seek nose surgery in two circumstances. Firstly, when there has been trauma to the nose due to sporting activities. The nose may be deviated with an obstruction to breathing and many men will seek to correct this post-traumatic deformity.

Secondly, many men will seek correction to their nose for aesthetic reasons such as a large dorsal hump or a particularly long nose that has long caused them concern.

With ageing, there is a tendency for the nose to increase in length creating a dipping or plunging tip and quite often men seek correction of this anomaly in later life.

Dr Hunt’s Philosophy on Male Cosmetic Surgery  

It is imperative that male patients are approached and treated in a different way to female patients.

The results of male cosmetic surgery need to maintain masculinity and the possibility of feminising a man’s face needs to be avoided, unless this something they are specifically trying to achieve.

In the majority of male plastic surgery cases a more subtle outcome is desired. Many male patients do not want to be noticed by friends and colleagues as having had surgical procedures such as a rhinoplasty or a face lift.

Other Frequently Performed Procedures for Men 

Gynaecomastia Surgery

It is not uncommon during puberty for hormone changes to result in excess glandular tissue. The difficulty is at the end of puberty this excess glandular tissue can remain and creates a feminine appearance to the chest – the dreaded man boobs.

Quite often, the simple act of going to the beach will be uncomfortable for men who have excess breast tissue and, in more significant cases, the contour of the chest can be visible even under a shirt.

Gynaecomastia surgery is often combined with liposuction to create a more masculine contour of the chest.

Post Weight Loss Surgery

After significant weight loss men may be troubled by excess tissue and sagging skin. The areas most commonly addressed to correct these issues will be the abdomen with a tummy tuck and for men who have lost a significant amount of weight a lower body lift may be considered.

Medicare and Plastic Surgery

Medicare and Plastic Surgery

Medicare is the right of all Australians to be provided with medical health care on medical need.

Some procedures in plastic surgery will be required on a medical needs basis and these can include body contouring surgery after significant weight loss and reconstruction of facial deformity, such as post-traumatic rhinoplasty.

When patients approach a plastic surgeon regarding a procedure, the surgeon will decide if this procedure is medically necessary or whether it is elective.

If the procedure is medically needed, then it is likely that it will attract a Medicare item number.

The Medicare item number is the coding system used by Medicare to describe particular medically necessary procedures. This number is then used by health funds to determine whether hospital and operating theatre costs will be covered by the health fund, as well as determining rebates for anaesthetic and surgical services.

If a procedure does not attract or fulfill the criteria of the Medicare item number, then the procedure is deemed to be one hundred percent elective or cosmetic which means all costs related to that procedure, be it hospital costs, operating theatre costs, surgeon and anaesthetic costs would need to be paid by the patient.

The decision as to whether a Medicare item number is necessary for a particular patient needs to be assessed at the time of consultation.

The consultation will allow the surgeon to determine the medical need and whether a Medicare item number is necessary.

If a Medicare item number is necessary, it can only be used if the patient has been referred to the practitioner or referred to the specialist by a medical practitioner.

This is why it is important for patients who are seeking treatment of potentially medically related conditions, such as post weight loss surgery or post-trauma correction, to have a referral from a general practitioner. This referral chain ensures that the Medicare system is appropriately used and that all the criteria are satisfied to ensure that the procedure is a medical need and is not an elective procedure.

Advice to Patients

Dr Hunt advises his patients that a medical referral from a GP will mean they will have a rebate from Medicare for a portion of the initial consultation fee. Once this referral has been put in place from a general practitioner, any subsequent medical treatments that do attract a Medicare item number would be deemed to be medical in nature.

This is why you will find that many practitioners will request patients obtain a referral prior to seeking treatment so that, in the event that ongoing surgical treatment is implemented on medical grounds, it is done so in a valid and appropriate manner with the appropriate foundation in place at the first instance, being a referral from a general practitioner to the surgeon.

10 Questions For Your Surgeon

10 Questions For Your Surgeon

What Questions to Ask Your Plastic Surgeon?

It is normal to have lots of questions before undergoing surgery and it is always important to discuss these with your surgeon. You should feel confident in asking your surgeon any questions you might have and they should be competent to answer each question in detail. Remember, no question is too big or small and you deserve a detailed response to put your mind at ease. If you are considering surgery Dr Hunt has suggested some of the best questions you should ask your surgeon and the responses you can expect.

1. Are you a fully qualified plastic surgeon?

In Australia, surgical procedures can be performed by anybody who has a medical degree. To be a fully qualified surgeon, you need to be a Fellow of the Royal Australasian College of Surgeons (FRACS) and if you are considering a plastic surgical procedure, then they need to be registered with the College of Surgeons as a plastic surgeon.

Plastic surgeons will also be members of other societies such as The Australian Society of Plastic Surgeons (ASPS) or The Australian Society of Aesthetic Plastic Surgeons (ASAPS).

When you see letters such as FRACS or ASAPS or ASPS after the doctor’s name it means they are members of these societies and you can be assured that this person is trained to the highest standard.

2. How many times have you performed this procedure?

Different surgeons will have different areas of expertise and will perform procedures to a different degree. It is undoubted that it takes a number of surgical procedures to be performed to have a full understanding of the subtleties of the procedure and deliver the most predictable results.

You should feel confident asking your doctor how many times they have performed this procedure in the last 12 months, and this will give you an indication of their level of experience.

3. Where will the procedure be performed?

Some procedures can be performed under a local anaesthetic in the office while other larger procedures will require admission to a hospital.

You need to be comfortable with the level of anaesthetic that your surgeon is providing your procedure under. If a general anaesthetic or sedation is required, then an anaesthetist will need to be involved and the procedure should be performed in a fully accredited surgical facility. To not maintain this standard is potentially compromising your care and the patient has a right to expect to be looked after to the highest standard possible.

4. Which hospital will the procedure be performed in?

Hospitals have the right to allow visiting rights to different doctors and they will only allow doctors who are qualified to perform the procedure to have that procedure be performed in the hospital.

If the surgeon is accredited to perform the procedure at a reputable hospital, it gives you the security that a hospital is confident in that surgeon’s abilities.

5. What type of anaesthetic will be performed during my procedure?

If any type of sedation or general anaesthetic is given, then an anaesthetist should be present.

For smaller procedures, local anaesthetic would be acceptable and these procedures can be performed in the office. If patients are expecting “twilight sedation” then an anaesthetist will need to be involved as they will be given intravenous sedation. For a general anaesthetic, the procedure does need to be performed in a fully accredited facility and this should be the standard of care all patients deserve.

6. What are the risks associated with the procedure?

Every surgical procedure carries potential risks and these are known as complications. Every surgeon will experience these potential complications and it is one of the variables that is innate to all surgical procedures.

The surgeon is obliged to minimise the chance of these risks by performing the procedure in appropriate setting with appropriate medical staff in support.

Prior to surgery, your surgeon should be able to present to you all of the potential complications for you to consider so you can make an informed decision as to whether surgery is the right procedure for you.

7. Can I see examples of your before and after work?

Surgeons should be able to present examples of the potential outcomes of all surgical procedures they are performing.

It is also important for the patient to ask if these examples of before and after photos shown are actually of the surgeon’s own work.
These before and after examples can be used to give a patient an indication of the likely outcome of surgery and what they can potentially expect.

8. What are your complication rates with this procedure?

Each surgeon will audit their own practice on a regular basis to establish whether they are maintaining a high enough standard.
It is reasonable for the patient to expect that the surgeon can present to them the likelihood and incidence of complications related to their own work.

9. What is the exact breakdown of the fees for surgery?

Prior to surgery, patients should be fully informed as to the surgical procedure and the financial complications. This is called “financial consent” and is mandatory for surgical procedures performed by plastic surgeons who are members of the Australian Society of Plastic Surgeons.

10. What is your policy on revisional surgery?

Each surgeon will have a different policy as to the potential financial implications of revisional surgery and it is reasonable to establish this before the initial surgical procedure.

When complications are encountered, further costs may be occurred, be they hospital, anaesthetic or surgical, and this should all be explained to the patient prior to surgery.

Each surgeon will have a different protocol for who covers financial expenses in particular circumstances.

Can I Pay For Surgery With My Super?

Can I Pay For Surgery With My Super?

Dr Hunt often finds many of his patients asking the same question – is it possible access to their superannuation fund to pay for medical procedures? This is a common question in Dr Hunt’s practice and it is possible in differing circumstances. Dr Hunt explains more about paying for surgery with your superannuation and when this could apply to you.

Use Your Superannuation for Medical Procedures

For a surgical procedure that is deemed medically necessary the ATO has allowed patients access to their superannuation funds and draw down the funds to cover the out-of-pocket costs for that procedure.

The process  firstly requires a referral from your GP to a specialist. The specialist will then determine whether the procedure is medically necessary or not. If the procedure is deemed not medically necessary then unfortunately you will be unable to use your superannuation for the surgery.

However, if the specialist states that the procedure is necessary on medical grounds then the GP and the specialist will sign an application form. This is submitted by the patient to the ATO for release of their superannuation funds, these funds must be specifically used for the medical procedure’s out-of-pocket cost.

Dr Hunt finds that this process is particularly applicable to patients who are undergoing body contouring surgery following significant weight loss.

After a patient has achieved weight loss of more than 5 BMI points they can be considered for body contouring surgery on medical grounds due to excess skin and the issues associated with that excess skin.

If the initial assessment is made by a specialist the form can be submitted for release of funds. The process is relatively straightforward and one that Dr Hunt’s practice is very familiar with.

The same process is also applicable for other medically necessary procedures such as a breast reduction or, in some cases, revisional breast surgery.

Dr Hunt would suggest the first (and most important) port of call when considering the release of your superannuation funds is an assessment by a specialist after a referral by your GP. This means you can quickly understand whether the procedure is medical and from there the process of accessing superannuation funds is accessible online.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health professional.

Breast Surgery – What are my Options?

Breast Surgery – What are my Options?

Breast surgery is one of Australia’s most popular cosmetic surgery procedures and it is also one of Dr Hunt’s most commonly preformed surgery. There are many reasons why women decided to undergo breast surgery; they may feel their breast are too small, too large, uneven or need a lift after pregnancy and breast feeding. Whatever the reason, Dr Hunt is here to help! During your initial consultation Dr Hunt will discuss what you want to achieve and decide which procedure will be right for you, to get the best results possible!

There are numerous breast surgery options to consider in order to achieve the desired results. Dr Hunt describes each procedure and the results you can expect from each.

Breast Implants

Breast augmentation surgery, commonly known as a boob job, is a procedure that uses implants to increase the size of the breasts. If you are unhappy with the size of your breasts, then this is the best breast surgery option for you. During your consultation with Dr Hunt he will discuss the different implant and sizing options to achieve the best shape and size for you.

Breast Reduction

Many women who are considering breast reduction surgery suffer from back pain and discomfort due to their large breasts. A breast reduction helps to achieve smaller, firmer breasts that are in better proportion to your body.

Breast Lift

As you get older breasts can lose their shape and firmness and begin to sag. This can be due to several factors such as weight loss or weight gain, pregnancy, breastfeeding and ageing. As well as lifting the breasts, a breast lift can also firm and reshape them. Breast lift surgery can also be combined with a breast augmentation if you’d like to increase the size of your breasts, as well as lifting them.

Mummy Makeover

After pregnancy many mothers find that their bodies don’t always return to how they were before pregnancy. A mummy makeover refers to a combined surgery – usually pairing a tummy tuck with either a breast lift or breast augmentation.

Breast Implant Revision

There may be many reasons for wanting your current breast implants to be revised or changed. You may be unhappy with their shape or size, had complications with your implants such as deflation or leaking or complications after surgery. Whatever the reason, Dr Hunt can help you achieve the result you were originally hoping for.

Breast Asymmetry

Most women have one breast that is slightly bigger than the other, however in some cases it can be more extreme and noticeable than others. A breast reduction or a breast augmentation can help correct the discrepancy between uneven breasts.

Breast Reconstruction

If you have had breast surgery to treat cancer or another disease, then you may be considering a breast reconstruction. Reconstructive surgery is complex and must be tailored to your specific needs. The type of surgery you had – lumpectomy, mastectomy, node removal – will have a big influence on the type of reconstructive procedure you require. Dr Hunt will thoroughly explain all the options to you, and you will find a welcoming and supportive environment.

 

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health professional.

Will a tummy tuck remove stretch marks?

Will a tummy tuck remove stretch marks?

It is a common myth that any problem area we have with our tummies can be tackled with a tummy tuck, but many patients’ pesky stretch marks remain after surgery. Stretch marks can only be removed during a tummy tuck if they are in the ‘zone of resection’ which is where the tissue is cut off. This estimated zone should be draw by your surgeon beforehand so that you will know how many stretch marks will not be affected.

In terms of removing stretch marks, unfortunately there is no definite solution. However, we have seen good results by combating areas with a Fraxel laser. This innovative laser treatment helps to restore the youthful appearance of skin. By using thousands of microscopic laser columns, each just one tenth the diameter of a hair follicle, the laser is able to treat a fraction of skin at a time without affecting surrounding tissue. These laser columns stimulate the production of younger, smoother and healthier skin, replacing damaged or stretched tissue. If the marks are pink in tone, this laser can also diminish the colour, making them less noticeable.

Laser treatments are becoming a faster and cost effective alternative to surgery. Even though you are not going under the knife, it is still crucial to know what to expect. As with most laser treatments, patients describe a sensation of heat during the treatment. To minimise discomfort, anesthesia is applied before the procedure and cold air is used on the area during.

Fraxel lasers you may leave you feeling as if you have been sunburnt for first 24 hours of your treatment, with a pink or red tinge to the skin. This skin will start to bronze over the next week or two and with continued sessions, the sunburn to bronze cycle with continue. If skin dries out or flakes, moisturiser can be used to reduce the appearance.

Unlike the recovery time needed with a tummy tuck, results from Fraxel treatment should be faster, with less pain. However, this varies depending on the condition of your skin and how well you look after it. Those who use high SPF sunscreen during recovery and do not have sustainable sun damage should be able to say goodbye to those pesky stretch marks within two to three sessions!

Dangers of Overseas Cosmetic Surgery Procedures

Dangers of Overseas Cosmetic Surgery Procedures

Medical tourism is a booming industry worth more than US$60 billion a year and growing dramatically each year. Many developing countries including Thailand, India and the Philippines are now even promoting themselves as go-to destinations for cheap cosmetic surgery.

It’s a global phenomenon, but particularly popular with Australians – who mostly travel to Singapore and Thailand to undergo breast augmentations and tummy tucks. And while the combination of sun, beaches and a cheaper price tag might sound appealing, there are many risks involved with travelling overseas to undergo a cosmetic surgery procedure.

Before you make any decision, the most important thing is to do your homework first! At the top of your checklist should be finding out exactly who your surgeon is. The credentials and training received by doctors and surgeons in Australia is generally of a much higher standard than in many other countries, particularly developing countries.

The standard of medical care, hospital hygiene and aftercare are also not always up to scratch. Medical tourists from Australia and the UK have been known to come home carrying infectious diseases and even superbugs, because hospital staff are not properly trained to limit the spread of infection. The price tag of an overseas procedure might be appealing, but it’s certainly not worth risking a botched job or a debilitating, sometimes life-threatening infection (which is the most common complication arising from overseas surgery).

Recent research by the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) found that overseas cosmetic surgery lacks consistent regulation and documentation. As a result, the complication rate for people having cosmetic surgery abroad is a staggering 16.5%, with 8.7% of those surveyed requiring further treatment back home. In addition, avenues for legal compensation can be very hard to access in cases where surgery goes wrong.

Any kind of surgery carries risk and the best way of mitigating that risk is to choose the most skilled surgeon you can, and to select a clinic or hospital that operates at the highest standards of medical care. In the event of an emergency, you want to know you will be receiving world-class treatment.

While you might think you’re saving money by going overseas for a procedure, the results are almost always guaranteed to be poorer and the risks so much higher that I strongly urge you to reconsider. Why would you risk your most treasured possession – your health and your life – when you have the most highly skilled and professional surgeons and hospitals in the world right on your doorstep?

How Long Are Plastic Surgery Recovery Times?

How Long Are Plastic Surgery Recovery Times?

Recovery times for plastic surgery have certainly decreased over the last 20 years, but it’s important to remember that they are surgical procedures. Recovery is therefore a crucial step to ensure optimal results. Depending on the type of surgery you undergo, recovery time could be anything from a few hours to a few weeks, and can also depend on factors like your age and health. But the key to speeding up recovery and optimising results is to plan plenty of rest and quiet time. And always follow your surgeon’s instructions regarding diet, exercise and any precautions. Here’s an overview of standard recovery times for some of my most popular cosmetic procedures:

Breast Surgery

I would advise anyone undergoing breast surgery to take two weeks off work, though you can normally resume light activities within 48 hours. Generally speaking, complete recovery can take up to six weeks, though the tenderness you’ll feel in the first few days quickly dies down. Any bruising will usually have settled after the first week.

Liposuction

You should only need to take a few days off work to recover after liposuction, though it does depend on the scale of the surgery. The more rest you have after the operation, the quicker your recovery time. Reducing activity and drinking plenty of fluids will ensure you’re back on your feet faster.

Tummy Tuck

Most patients will need to stay in hospital between three to five nights following a tummy tuck procedure, and will have to be extremely careful walking for the first ten days. You’ll need to wear compression garments for a month, so don’t plan to be back at work for at least three weeks.

Rhinoplasty

After rhinoplasty it’s common to experience swelling and bruising around the eyes. This can take up to two weeks to fade, although some very subtle swelling may remain for up to several months. Plan to spend the first three days following surgery at home. Resting and limiting movement will help counter any discomfort and ensure the healing process gets off to a good start. To ensure a complete recovery, don’t aim to return to week for two weeks post-surgery.

Otoplasty (Ear Surgery)

You should plan to take about two weeks off to recover from otoplasty as your ears will be swollen and discoloured. Full recovery usually takes around six weeks and a support headband must be worn at night for four weeks after surgery to prevent damage.

Blepharoplasty (Eyelid Surgery)

It normally takes around a week to 10 days for any swelling to subside following surgery to the eyelids. As the swelling can affect vision, it’s a good idea to take at least a week off work, if not two.

Conclusion

As with all surgery, there are a number of things you can do to speed up your recovery time, like plenty of bed rest, limiting physical activity, eating well, drinking plenty of fluids and getting lots of sleep. Clear your schedule of work and social commitments for the advised length of time and follow your surgeon’s instructions to ensure you recover speedily and with no complications.

What is Body Contouring?

What is Body Contouring?

Desire for cosmetic surgery is growing, with Australians spending 40 per cent more on body contouring procedures like liposuction and tummy tucks than their American counterparts.

I often come across clients who are concerned with excess fat and sagging skin. Whether the result of major weight loss or pregnancy, these complaints can affect various parts of the body including the stomach, thighs, buttocks and upper arms. But there is a solution – body contouring procedures are a common way for men and women to remove excess skin and fat and improve the shape and tone of underlying tissue.

The type of body contouring you decide on is highly personalised. Everyone loses weight differently, so you may decide to focus on one region at a time or combine procedures depending on your body shape goals.

Different body contouring procedures include:

Liposuction

The second most popular procedure in Australia in 2010, liposuction removes fat deposits that have been unresponsive to diet or exercise. Once removed, they’re gone forever.

Lower body lift

An effective way to remove loose, hanging skin from around the abdomen and flanks as well as lifting your buttocks for a new fresh look. This is commonly known as the ‘mummy makeover’, due to its popularity with women who have given birth.

Thigh Lift

A great way to firm and tone your upper legs so you can confidently slip back into those summer shorts and swimmers. Thigh lifts are good for active people who are unable to achieve improved thigh tone with diet and exercise.

Tummy Tuck

Most common among people who have experienced significant weight loss, a tummy tuck can improve your self-esteem and quality of life.

Upper Arm Lift

This will reshape the underneath of your upper arms for a smoother, more toned appearance, but is generally not recommended for people who are overweight or struggle with unstable weight.

It’s important to remember that body contouring isn’t about losing weight, but is designed for anyone who is failing to move excess fat and loose, sagging skin with a good diet and regular exercise. Depending on your needs and goals, the right procedure can significantly boost your confidence and self esteem.

How to Combat Excess Skin After Weight Loss

How to Combat Excess Skin After Weight Loss

Around 60 per cent of Australian adults are overweight or obese, with women spending $400 million a year on weight loss. But successful weight loss comes with its own set of challenges.

We’ve all experienced fluctuations in our weight due to diet and exercise, pregnancy or old age, but the impact significant weight loss has on our body can often be a confusing experience. Having achieved such a great goal, patients are often left with excess and sagging skin, the appearance of which has a detrimental effect on their confidence.

As a result of being stretched for such a long time, our skin often fails to shrink back to its former shape and size. Many people are left with multiple loose folds of skin around their abdomen, arms, thighs, breasts, buttocks and face.

The same is true of pregnancy, where women experience huge changes to their abdominal and breast area. Despite regular exercise and a healthy diet, muscles have stretched and separated and don’t always return to their pre-pregnancy appearance.

Many of my patients have achieved great weight loss results but are disappointed with the look and feel of excess skin that doesn’t seem to budge or want to adapt to their new body shape. Common side effects experienced include:

  • Upper arms that sag
  • Flattened or deflated breasts (and nipples that droop)
  • Abdominal area that extends around the sides and into the lower back area, resulting in an apron-like overhang
  • Buttocks, groin and thighs that sag and cause hanging pockets of skin

Naturally, you want to show off your new body, but excess skin can make you feel self-conscious and embarrassed. Fortunately, body contouring procedures are a great way to remove excess skin and smooth the underlying muscles. Common procedures include:

The results of these procedures are a firmer, more normal appearance to the body with smoother contours.

If you’re experiencing problems with excess skin or changes to your body after significant weight loss, it’s not something you have to live with. Consider whether a body contouring procedure could work for you.