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The Newsletter of the Cosmetic and Restorative Surgery Clinic

Volume 5: Number 2: Spring 2003

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Contents
Springtime Breast Enhancement popular
  

Shaping up for Summer is currently all the go

A Letter from Dr Hodgkinson
   Operation Restore Hope prepares to take off on the next mission
The Doctor is in!
  

What is the difference between Liposculpture and Liposuction?
Dr. Hodgkinson explains
about Breast Augmentationt
  

The Size, Shape & Look – You Decide
Isolagen - a new answer
to smoothing wrinkles!
   Isolagen and APTOS threads - new hit-tech processes are all the go at the Clinic and Day Surgery!
Double Bay Day Surgery hosts GESAPS
   Visiting plastic surgeons and members of GESAPS (The Global Expert Service of Aesthetic Plastic Surgery) checked us out in September!
College doubles in size during Dr Hodgkinson's Presidency
   Dr H hands over a success and dashes off to India to lecture and look up some old friends...
Our Patients Service Centre gives you great support online!
   This area of our website was specifically designed to provide our current patients with useful facilities
Operation Restore Hope Dental Program Gets A Boost: New Chairs!
  

We've done it the old way and the new way; trust us, new is better!

 

Springtime Breast Enhancement popular

Shaping up for Summer is currently allthe go

One of Dr Hodgkinson’s recent breast augmentation patients shows off her new bikini - and her new figure

 

  

 


Our practice has been very busy lately with breast enhancement procedures. With the spring season upon us, many of our patients are seeking to have body contour surgery prior to shopping for a new swimsuit.

You can view over 50 of our thousands of breast augmentation patients on our website, cosmeticsurgeryoz.com. The photos show before and after results in a variety of sizes and shapes.

Although we use every style and type of implant through every incision available, our most popular one is through a tiny incision underneath the breast, inserting a saline implant. As patients want a natural result which includes feel and movement of the breast as well as shape, the advantages and disadvantages of both silicone and saline need to be fully discussed with them. Fortunately, our web site already provides an extensive amount of information.

For those wishing to know more, two other web sites are very handy: www.inamed.com and and www.mentor.com.These usefully complement our own site www.cosmeticsurgeryoz.com.
Careful sizing is carried out by Dr Hodgkinson prior to surgery. This can be performed on an outpatient surgical basis at the Double Bay Day Surgery, our on site day surgery that is fully licensed for general anaesthesia.

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A Letter from
Dr Hodgkinson

 

  

While the children are screened and treated for health problems to prepare them for surgery there, here in Australia we are amassing the goods that will make this surgical mission possible.

Sincerely yours,

Dr Darryl J. Hodgkinson
M.B. MS. (Hons) F.R.C.S.(C) F.A.C.S.

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Operation Restore Hope prepares to take off

Operation Restore Hope is once again on its way to the Philippines in November of this year. Three teams of surgeons, anaesthetists, nurses and volunteers will head to Manila and Cebu to treat children with birth defects and deformities, especially cleft lip and palate. We expect to do at least 150 operations during the November mission.

These missions are a major undertaking as we have to provide not only the doctors, nurses and equipment but also every glove, suture and medication used. It’s quite a logistical challenge throughout the year in both Australia and the Phillippines.

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Dr Hodgkinson answers your questions

Q: What is the difference between Liposculpture and Liposuction?

A: Liposculpture is more than removing pockets of fat. When the fat cells are removed, it is critical that the surgeon creates a smooth contour.

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Creating this contour or figure for the patient requires the surgeon to remove fat to the right depth in both the area affected and all surrounding areas to avoid the pitfalls of dimpling. This can necessitate the use of multiple liposculpture techniques including tumescent and ultrasonic as well as many sizes of cannulae (instruments).

In Liposculpture, the expertise of the surgeon is more important than any machine or method, as creating the right contour takes years of experience. I have performed this procedure for over two decades.

Liposculptureby Dr Hodgkinson

Before After

To review some of Dr. Hodgkinson’s Liposculpture cases, please check out our Patients' Before and After Gallery.

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Dr. Hodgkinson explains about Breast Augmentation

The Size, Shape & Look – You Decide


Many patients who come to me for breast enhancement surgery are surprised that they can actually take an active role in deciding not only the size that they want their breasts to be, but also the shape of the breasts and how much cleavage they want to have. The patient can also have input into how their breasts might feel and move through choosing types of implants with their surgeon. In fact, patient input on nipple position can even be very important.

No two women are alike and so not one implant or operation suits all women.

Implant types

Implants come in not only many sizes but many shapes, from round to tear drop, asymmetrical and anatomic. The shape a woman wishes to achieve is measured against her existing breasts and her chest wall to determine the appropriate shape and size of the implant. The surgeon must have adequate experience to be able to understand the patient’s desires and physical realities: current shape and size of breast, elasticity of the skin of the breast, position of the nipple and shape and bony contour of the chest wall.

Implants are commonly filled with saline or silicone. Both implant types have advantages and disadvantages. It is my experience in over years that most women who can will chose the saline implant, which has a natural feel and moves more naturally than silicone. The saline implant can also be inserted through a smaller incision that its silicone counterpart. Silicone implants are appropriate in cases where the woman has a bony chest well or very thin skin. Silicone may also be called for in women having implant replacement or reconstruction after mastectomy.

Most importantly, however, is that the patient needs to have the advantages and disadvantages of both silicone and saline implants discussed with them.

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Before Endoscopic Breast Augmentation


After Endoscopic Breast Augmentation


The incision is virtually invisible

Incisions

Breast implants can be inserted through many different incisions, including endoscopically through the belly-button (saline implants only). The most common incision sites are under the breast, in the armpit or around the nipple. The type of implant can dictate the length and location of the incision. This too needs to be discussed with the patient so that they understand the alternatives available.

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Isolagen - a new answer to smoothing wrinkles!

We will soon be one of the first practices in Australia to be using Isolagen.

Isolagen is a technique in which your skin can be taken as a very small biopsy and Collagen can be grown in a laboratory from your own tissue. This Collagen will give a quasi-permanent result to the solution of wrinkles averting the hazards of having permanent injectables.

As you know, we have been very active with our non-permanent injectibles and certainly, for those patients who want a temporary result, this is an excellent product. Anti-wrinkle treatments such as injections have also been very successful. However, for a quasi-permanent reduction of wrinkles, nothing is better than your own tissue. If you are interested in this procedure, please let us know by email and we could begin in this direction for you.

APTOS Threads another option

We are also working with some of the world’s leaders in the area of APTOS threads. I am now more confident that the technique has its place for those who desire a modest improvement with minimal morbidity and downtime.

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Isolagen in the lab

These tiny threads are placed into sagging tissue and provide a temporary support for the tissues. I have been using the technique as an additional method for supporting tissues in the traditional and newer facelift procedures.

If you are interested in APTOS threads, make an appointment and we can decide whether you might be a candidate for this procedure.

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Double Bay Day Surgery hosts GESAPS

Visiting plastic surgeons and members of GESAPS (The Global Expert Service of Aesthetic Plastic Surgery) checked out the Double Bay Day Surgery in early September 2003.

These members were from Asia, Europe, South America and the United States. They were very enthusiastic about our centre, endorsing our facility and services as well as the layout and design.

It is always nice to reciprocate the hospitality that we have experienced ourselves internationally and ‘show place’ our practice.

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Dr Hodgkinson with Dr Panfilov

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    ,

College doubles in size during Dr Hodgkinson’s Presidency

The Australasian College of Cosmetic Surgery’s Conference on the Gold Coast was a big success. Dr Hodgkinson handed over his presidency at this fourth annual Convention upon completion of his term of office.

During his presidency, the College doubled in size and became firmly established as the leading organisation in Australia for cosmetic surgical education and training. At the Conference Dr Hodgkinson gave seven lectures on aspects of cosmetic surgery, including facial rejuvenation, breast reduction and rhinoplasty, as well as his charity work – Operation Restore Hope.

Immediately upon Dr Hodgkinson’s return, his bags remained packed and ready to go to India. He was involved in a teaching course on rhinoplasty with the Indian Society of Plastic Surgeons, where he also presented lectures on breast augmentation, breast reduction, chest wall reconstruction and facial rejuvenation.

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Dr Hodgkinson caught up with two of his old teachers – Dr Ian Jackson from Mayo Clinic and Dr I.N. Tiwari – Head of Plastic Surgery in Delhi. His talks were well received and he has been asked already to return next year to expand the programme.

Dr Hodgkinson is presented with a memento of his successful India trip

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Our Patients Service Centre gives you great support online!

Being online is almost as good as being at the clinic! Many patients do not realise that our website has a lot more than simply information for prospective patients.

In fact the Patients Service Centre area of our website was specifically designed to provide our current patients with useful facilities and important practical details relevant to their treatment.

You can access online not only our forms but also pre-operative and post-operative instructions for all the procedures we perform. If you have access to the internet you no longer have to keep your instruction sheets in a place where you won’t lose them or make photocopies for family and friends.

You can even have your doctor update your referral online through the website’s ‘Doctors Service Centre’ section.

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There’s lots of other useful information in our Patients Service Centre, so log on now to the website at www.cosmeticsurgeryoz.com to see what’s available to you!

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Operation Restore Hope
Dental Program Gets A Boost: New Chairs!


Dental work the old way! Right: the donated chairs

In the past, dental care has been provided by Operation Restore Hope for its children at Paranaque Community Hospital in Manila and at Lapu Lapu Hospital in Cebu.

Several years ago, the International Gospel Centre donated a dental chair to Lapu Lapu Hospital but at Paranaque the dentists have had to work by placing the patients on maternity beds and prop their legs up on upturned paediatric bassinets. In fact, we had to provide sunglasses for the kids to wear as we had to use general operating lights and did not have dental lights.

No more! Due to the generosity of a retiring local oral surgeon, our kids in Paranaque will have 2 fully electrical dental chairs with lights. In fact this generous man donated other critically needed equipment as well such as 2 suction units and a lot more besides. On behalf of all the kids:THANK YOU, THANK YOU, THANK YOU!!!

We have a Filipino Ladies Fundraising Committee as well as a medical supply committee and our medical volunteers who are constantly planning not only to ‘keep up the good work’ but to expand and improve it with each mission.

Membership renewals are now due, so if you are already a member you should be receiving a reminder in the mail. If not, why not show your support and become a member. It only costs $10 per year with a one time $10 application fee. If you are interested, please contact us at Operation Restore Hope on 02 9362 7480.

 

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