August 2001 Newsletter

The Newsletter of the Cosmetic and Restorative Surgery Clinic Volume 4: Number 1: Spring 2001 PREVIOUS NEWSLETTERS

Contents
	*Dr Hodgkinson elected President of Australasian College of Cosmetic Surgery*	Major meeting of international cosmetic surgeons to be held in Sydney October 2001
	*A Letter from Dr Hodgkinson*	Dr H gives a cosmetic surgery update after the New York conference
	*The Doctor is in!*	What can I do about my sagging jowls?
	*Why does my skin get so dry and rough during the winter?*	Dr John Doyle, Dermatologist, responds to your queries on skin care and treatment. Here he gives you the real story on moisturisers and winter tips
	Anti-wrinkle injections now widely used to reduce lines and wrinkles on the face	Dr Margot Campion provides the latest on using this procedure and the options available
	Did you know that...	Helen Labi, our beauty therapist, is complementing Microdermabrasion with Oxygen therapy, Enzyme therapy and Collagen therapy?
	Charity Concert for Operation Restore Hope at the Stamford Court Hotel, Double Bay	The concert was in aid of children in the Philippines with birth defects and deformities who without charitable intervention would go unaided.
Dr Hodgkinson elected President of Australasian College of Cosmetic Surgery Major meeting of international cosmetic surgeons to be held in Sydney October 2001 Dr Darryl J Hodgkinson has been elected President of the Australasian College of Cosmetic Surgery. The Australasian College of Cosmetic Surgery is an integral part of the scene in cosmetic surgery in Australia. It is the only multi-disciplinary college offering patients a wide variety of subspecialists from the many fields who specialise in cosmetic surgery. “I am honoured to be President of this College for the next two years,” said Dr Hodgkinson. “ I am currently helping to arrange a major meeting of international surgeons at the end of October. Dr and Mrs Hodgkinson and CRSC members at the installation.		"This meeting will be of benefit to members in the form of continuing medical education and cross fertilisation between the fascinating different fields of medicine which are involved in cosmetic surgery. “I regard the position of President of the College not only as a great honour but also a considerable commitment. Fortunately, I am ably assisted by an energetic Executive Committee. I believe the time has come when the domain of cosmetic surgery is finally, and rightly, being shared by all the relevant specialist medical groups.” .to top >>

A Letter from Dr Hodgkinson		Breast reduction: smaller scars In breast reductions, the anchor type scar has become less and less attractive and the international trend is towards reducing the amount of resultant scars. I have been a proponent of the technique to reduce scarring for over 12 years, using the Goes type procedure. The only patients who may incur problems are heavy smokers, self-abusers or the occasional patient who is a very poor healer. This is true with all body contour surgery. But patients have to realise there is an unknown factor in healing; while we do our utmost to predict who can heal well, there are always some patients whose healing will be slow and prolonged. Breast implants usually saline Regarding breast augmentations, silicone implants are still not available in the USA and American surgeons are generally very happy with the use of saline implants, as I am. I probably use silicone implants in only 5% to 10'% of cases, mainly for women who have had a secondary procedure or for patients with thin skin or who want to be a special size or shape. Sincerely yours, Dr Darryl J. Hodgkinson M.B. MS. (Hons) F.R.C.S.(C) F.A.C.S. to top >>
Cosmetic Surgery Update New York, May 2001 saw the 30th anniversary meeting of the American Society of Aesthetic Plastic Surgeons where I presented a paper on breast augmentation associated with chest wall deformity. The latter constitutes an unusual group of patients but the truth is, most patients who are examined with a view to having a breast augmentation have some asymmetry of the chest wall. There comes a point with quite a significant number of patients where breast implants alone will not give an adequate result. In these situations we add different sorts of solid implants for muscle augmentation in order to achieve as symmetrical and optimal a result as possible. At the meeting, the main controversies were concerning the short, incisional facelifting procedures. Endoscopy has improved the situation for patients immensely, by reducing the resultant amount of scarring. The question has been raised whether the results are as good and long-lasting as with previous techniques. This is a question we certainly do not know the answer to yet. A fascinating study has been completed where twins have been operated on using different methods and after six years, it appears there may not be as much of a difference between many of the techniques as often believed. ‘S Lift’ has only short term effect However, it would be true to say that the very short 'S lift and neck’ procedure probably gives patients a result that they are disappointed with in a short period of time and this is why more extensive procedures have evolved. At the Clinic, we have patients who ten years on do not require a secondary procedure. For this reason we believe that the minimal approach to face-lifting can only be performed in the younger patient who does not have too much laxity of the neck and cheeks. Go to column 2 >>

Dr Hodgkinson answers your questions Q: What can I do about my sagging jowls? A: Jowls are commonly associated with ageing in the lower half of the face, often accompanied by laxity of the tissues under the chin, giving the person a double chin or “turkey neck”. A minimal incision facelift of just the lower two-thirds of the face is often enough to elevate these tissues if there is some fixation of the tissues underneath (not just a skin lift). The results always look more natural when they do not rely on skin tightening alone. Go to column 2 >>		The advantage of this minimal incision over traditional procedures is that there is less scarring and “down-time” while maintaining the long lasting and more natural results of complete facelifts that include this fixation of the underlying tissues. Facelift with Lower Eyelid Lift Before After Call us at the Clinic to learn more or learn more in our Procedures section and check out our Patients' Before and After Gallery. to top >>

Q: Why does my skin get so dry and rough during the winter? Dr John Doyle, Resident Dermatologist at the Cosmetic and Restorative Surgery Clinic, responds to your queries A: It is not unusual for people to notice a marked dryness and textural change in their skin once the days get cooler and shorter. There are several reasons. Firstly, we are perspiring less (all over the skin, not just under the arms). Low humidity in the cool winter air and central heating at home and work draws moisture from our skin. Lastly, those long, hot showers and baths remove from the skin oils that are essential for trapping moisture in our skin. A rinse with cold water at the end of a long hot shower, may feel stimulating but does no good for the skin at all. Q: I use moisturiser but it doesn't seem to work all that well!" A: There is a limit to just how effective moisturisers can be. As a general rule, they work best if applied while the skin is still damp. So for chapped hands, try and apply the moisturiser each time they are wet. For the trunk and limbs, apply the moisturiser after drying gently but remember to leave the skin a little damp and not to have the water too hot! Q: What is the best moisturiser? A: As with many things in life, there are many excellent choices without a single best product. Be guided by your own preference and budget for the face. Lighter lotions and creams work well, especially in younger individuals, or those who are prone to acne break outs. The inclusion of a sunscreen is a real help in avoiding sunspots and wrinkles. Individuals with sensitive skin should choose products without fragrance and a lot of additives. On the trunk and limbs, the moisturiser can be a little heavier but smear it on lightly. Vigorous rubbing in will irritate the follicles and pores. Go to col 2>>		Q: Do I need a special night cream? A: Traditionally, night facial creams have been formulated heavier than products for use alone or under make-up during the day. There is no good evidence that these night creams are more "nourishing" for our skin in spite of all the hype and the beautiful models used to promote them. It would be quite okay to use the same product day and night. Q: In spite of the best advice and the most expensive cosmetics, I still have trouble with dry skin. A: Remember that medical conditions such as seborrhoea and ichthyosis can cause stubborn dry skin. Speak to your doctor for further advice and evaluation. Dr John A. Doyle MB, BS, FRACP, FACD, DIP American Board Dermatology to top >>

Anti-wrinkle injections now widely used to reduce lines and wrinkles on the face by Dr Margot Campion, CRSC Cosmetic Physician Anti-wrinkle injections are one of the fastest growing procedures at the Cosmetic and Restorative Surgery Clinic. They are widely used for the reduction of frown lines between the eyebrows, horizontal forehead lines and crows' feet or smile lines around the eyes. Anti-wrinkle injections are very popular in the 25 to 65 year old age group. “Anti-wrinkle injections can soften lines and wrinkles by relaxing the muscles which contract and cause them” As we mature, the muscles of our face, particularly those on the forehead and also between the eyebrows, become stronger. Dynamic wrinkles and lines usually become deeper and more permanent. Anti-wrinkle injections can soften lines and wrinkles by relaxing the muscles which contract and cause them. The treatment is a temporary procedure which involves a simple, small anti-wrinkle injection into the active muscle. It works specifically on the muscle that is injected and does not cause a `frozen' look because only certain muscles are targeted. Less activity, fewer wrinkles An anti-wrinkle injection weakens a muscle by causing a chemical reaction inside it, preventing its ability to contract. After anti-wrinkle injections, whenever you attempt to frown or smile, the area treated has reduced activity, lessening the amount and density of lines and wrinkles there. The treatment reduces muscular movement in the chosen area, allowing the skin to rejuvenate and also appear to be smoother. The wrinkles and lines gradually fade and become faint and indistinct. The injections last from between four to six months and can take two to three days before the effect is apparent. The peak effect is usually reached seven days after the injection has been given. It is an effective, non-surgical alternative for the lessening of selected wrinkling for the upper face, equally effective in both male and female patients. Go to column 2 >>		Anti-wrinkle Treatment for Crow’s Feet Before After I recently attended an Advanced Anti-wrinkle Workshop which was presented by a world expert in anti-wrinkle treatment - Dr Phillip Werschler M.D. from Seattle, Washington. Dr Werschler is the Associate Clinical Professor of Medicine Dermatology at the University of Washington. It was fascinating to hear his lecture on anti-wrinkle injections and his enthusiasm about the procedure. It was also very reassuring to see that most of the technique that he was using was very similar to that we have developed here at the Cosmetic and Restorative Surgery Clinic. If you are interested in having anti-wrinkle injections, make an appointment with Dr Margot Campion, Cosmetic Physician at the Cosmetic and Restorative Surgery Clinic on 93627405. To discuss the various options available to rejuvenate your skin under clinical conditions at the Cosmetic and Restorative Surgery Clinic, please contact Gail Farrugia on (02) 9362 7404 or Dr Margot Campion on (02) 9362 7405 for an assessment. Our new Skin Care Clinic offers “gain without pain”, using only the most advanced and proven therapies and prospectively making patients much happier. to top >>

Did You Know That... Helen Labi, our beauty therapist, is complementing Microdermabrasion with Oxygen therapy, Enzyme therapy and Collagen therapy? These treatments are available at The Skin Lab here at the Clinic and can be used both pre- and post-operatively. to top >>

Charity Concert for Operation Restore Hope at the Stamford Court Hotel, Double Bay Dr Hodgkinson and Mrs Katherine Hodgkinson with the organisers of the concert. Operation Restore Hope held a charity concert on Sunday 3rd June in the Bay Room at the Stamford Court Hotel in Double Bay. The concert was in aid of children in the Philippines with birth defects and deformities who without charitable intervention would go unaided. Prior to the concert, which featured the music of Gershwin. a short video was shown. The images in the video of the environment in which these children live. as well as the extent of their deformities left most of the audience torn between tears for their reality and a desire to help restore their hope for the future. The majority of the children shown suffered from cleft lip and palate although Dr. Hodgkinson mentioned that the charity saw a great deal of other conditions as well - especially burns. Dr. Hodgkinson also spoke of the charity's 10 year history, having now treated oven 500 children (all successfully). The concert itself showcased the talents of duelling pianists, a young clarinetist, a violinist and the St. Agatha's Youth Choir. All of the artists donated their time. The program ended with an appeal by Mrs. Katherine Hodgkinson who mentioned that due to the 'family nature' of the charity that not one cent went to administration, salaries or fundraising companies. The concert was followed by an afternoon tea during which concert-goers, organisers and some of the doctors and nurses of Operation Restore Hope shared in good food, good fellowship and a great cause. to top >>

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The Cosmetic and Restorative Surgery Clinic and the Double Bay Day Surgery
20 Manning Road, Double Bay 2028, Australia
tel:+61 (2) 9362 7400 fax:+61 (2) 9328 6036

The Newsletter of the Cosmetic and Restorative Surgery Clinic

Volume 4: Number 1: Spring 2001

Contents

Dr Hodgkinson elected President of Australasian College of Cosmetic Surgery

Major meeting of international cosmetic surgeons to be held in Sydney October 2001

A Letter from Dr Hodgkinson

Breast reduction: smaller scars

Breast implants usually saline

Cosmetic Surgery Update

‘S Lift’ has only short term effect

Dr Hodgkinson answers your questions

Q: What can I do about my sagging jowls?

Q: Why does my skin get so dry and rough during the winter?

Dr John Doyle, Resident Dermatologist at the Cosmetic and Restorative Surgery Clinic, responds to your queries

Q: I use moisturiser but it doesn't seem to work all that well!"

Q: What is the best moisturiser?

Q: Do I need a special night cream?

Q: In spite of the best advice and the most expensive cosmetics, I still have trouble with dry skin.

Anti-wrinkle injections now widely used to reduce lines and wrinkles on the face

by Dr Margot Campion, CRSC Cosmetic Physician

“Anti-wrinkle injections can soften lines and wrinkles by relaxing the muscles which contract and cause them”

Less activity, fewer wrinkles

Did You Know That...

Helen Labi, our beauty therapist, is complementing Microdermabrasion with Oxygen therapy, Enzyme therapy and Collagen therapy?

Charity Concert for Operation Restore Hope at the Stamford Court Hotel, Double Bay

A Letter from
Dr Hodgkinson

Dr John Doyle,
Resident Dermatologist at the Cosmetic and Restorative Surgery Clinic, responds to your queries

by Dr Margot Campion,
CRSC Cosmetic Physician