Looking Good Newsletter Volume 2 Number 2: Summer 1999

The Newsletter of the Cosmetic and Restorative Surgery Clinic Volume 2 Number 2: Summer 1999 PREVIOUS NEWSLETTERS

Contents
	*"Dr Hodgkinson has given me more self-confidence" says recent patient*	Tizana Belmonte,27, recently had a breast augmentation at the CRSC and was delighted with the result.
	*A Letter from Dr Hodgkinson*	At last! The NSW Health Care Complaints Commission endorses our view that the cosmetic surgical industry should be properly regulated.
	*The Doctor is in!*	The S-Lift: what it is, and why you should avoid it (in spite of it being cheap!)
	*Natural Therapies to improve healing with surgery*	Proper use of vitamins, minerals and herbal remedies can help healing after surgery - and there are also things to avoid!
	*New Lipoplasty advance makes life easier for surgeons - and patients!*	Some operations can test the strength of any surgeon, and be hard on patients. Now, new power-assisted technology makes it easier on both parties.
	*Cebu nurse learns new skills in Singapore for Operation Restore Hope*	Grace Estremos was sponsored to go to Singapore by Dr Hodgkinson and learnt valuable techniques to take back to the Cebu hospital where she works.
	Clinical aesthetician Helen Labi joins the CRSC team	Beauty therapy needs? Here's a new recruit for the CRSC

"Dr Hodgkinson has given me more self-confidence" says recent patient Tizana Belmonte
Ms. Tizana Belmonte, 27, recently had a breast augmentation at the Cosmetic and Restorative Surgery Clinic. Tizana has always been a very attractive girl, but had often considered improving her appearance by enhancing her breasts. She offered to appear in the newsletter because she was so delighted with the result of her surgery. "Dr Hodgkinson and the staff made me feel welcome and at ease even though it was something I had been thinking about for quite some time and knew what I wanted. I expected to look better and am really much happier with my appearance. "In fact, I feel much more self-confident. My new breasts are not only beautiful but look and feel really natural. I am glad that I finally chose the right doctor for me and that I have the result I have always dreamed of." .to top >>		Ms Tizana Belmonte

A Letter from Dr Hodgkinson
Cosmetic Surgery in NSW Dr Howard Roby and I were asked to participate in the recent NSW Health Care Complaints Commission's extensive investigation into cosmetic surgery, and we strongly recommended that the general standard of advertising in the cosmetic surgical industry be regulated, that unqualified surgeons not be allowed to perform invasive procedures and most importantly, that cosmetic surgery only be undertaken in licensed facilities. Our recommendations were endorsed by the findings of the Commission, which validated our first class approach to cosmetic surgery. It was surprising surgeons had to be reminded that the raffling of surgery to patients is unacceptable (the practice was heavily criticised by the NSW investigators).		Sincerely yours, Dr Darryl J. Hodgkinson M.B. MS. (Hons) F.R.C.S.(C) F.A.C.S. to top >>

Dr Hodgkinson answers your questions Q: What is the S-Lift? A: Many patients ask this. The S-Lift is a re-invention of a very antiquated technique of facelifting; one that was abandoned because it did not address the major problems of ageing which include laxity of the soft tissues of the neck and fat accumulation. The S-Lift is described as "surgery for beginners" and a technique which "merely approaches the laxity of skin issue". It is commonly known that tightening the skin alone leads to unacceptable scars and extremely short-term results. Before and after results most often published show patients after only a few days or weeks. Go to column 2 >>		The plastic surgical community abandoned the initial facelifting techniques (which were introduced in the 1920s and 1930s and continued into the 1950s) to perform more thorough procedures. With these early techniques, patients were dissatisfied with the fact that they underwent a surgical procedure with subsequent visible scarring and very temporary results. In the 1970s and 1980s, with the introduction of the more thorough procedures, it was established that by working first on the fat and the loose tissues underneath the skin to re-establish a youthful contour and then redraping the skin, a longer lasting, more natural and hence cost-effective result without the unwanted scars could be achieved. I am still following up the first facelift I did for a patient upon my return to Australia in 1990. This patient is still satisfied with her result nearly ten years later, because the issues and tissues of the ageing face were dealt with properly at the outset.I hope this explains to you what the S-Lift is and why I would never revert to a procedure which I know is a waste of a patient's time, energy and money. to top >>



Cebu Nurse learns new skills in Singapore for Operation Restore Hope Grace Estremos reports back: Dear Darryl Hodgkinson, I would like to thank you most sincerely for your generosity in sponsoring my trip to Singapore. It was a learning experience that I will never forget. From what I have learned there, I will be able to pass on information to my staff here in Lapu-Lapu District Hospital. I was indeed very fortunate to have been able to attend such a prestigious international seminar. It's impossible to apply some of the things I learned in Singapore, but we can always improvise; Filipinos are good at improvising. So I am sure that when you come back here next year, you will see some new, and hopefully improved systems at the hospital. Go to col 2>>		Singapore is so advanced in technology compared to us here in Cebu. In the burns unit, all the things I saw were very far from reality for us here. But at least I have now the idea of the Parkland formula, which we do not use. All we know here is the rule of nine. I have already talked to one of the doctors regarding the T.B.S.A. Management, and have some xerox copies of different forms that will be very useful to my staff, especially in making referrals regarding burns. I also have some HIBI scrubs which I will start using for dressing or cleaning wounds. Now I am using the Silvazine ointment that you left with us when you came earlier this year. But an ointment like that is very expensive here, so when we run out, we will just use whatever is available locally. Management of chronic wounds is not easy, especially when we don't have the different kinds of dressings that I saw in Singapore. All we can do is control spread of infections in our own simple ways. We do the correct dressing, keep the area dry and see what happens next. I know we have many things to learn, as we are still very far behind, but I assure you, through your help I will do my best to educate my staff to uplift the standards at our hospital. Once again, thank you very much for your generosity and support. to top >>

New Lipoplasty advance makes life easier for surgeons - and patients! Some operations can test the strength of any surgeon, and be hard on patients. Now, new power-assisted technology makes it easier on both parties. The Pneumatic Aspirator is an exciting piece of new technology now in operation at Double Bay Day Surgery. Two long-term associates of Dr Hodgkinson in the USA, Peter Fodor (Los Angeles) and Peter Vogt (Former President of the Lipoplasty Society), developed the cannulae for this aspirator and kindly donated them to him for evaluation. Dr. Hodgkinson was most impressed when he first used the Pneumatic Aspirator, as it added to his capacity to remove resistant fat in certain areas, particularly in the posterior waist and the chest area of both men and women. It has also proved useful in secondary cases where there is often a great deal of scar tissue present. Go to column 2 >>		Although such developments in technology assist the surgeon, the single most important factor in achieving results remains the skill and experience of the surgeon himself, not only in operating but also in drafting and designing each procedure individually to achieve the optimum result. If you would like to know more about liposculpture and the new technological advances in plastic surgery, please contact our highly skilled nurses, who have seen these instruments in action and can discuss them with you. to top >>

		Clinical Aesthetician Helen Labi joins the CRSC team The Cosmetic and Restorative Surgery Clinic is pleased to announce that Helen Labi, Clinical Aesthetician, is now available to assist patients at the clinic with their beauty therapy needs in the peri-operative period. to top >>

Natural Therapies to Improve Healing with Surgery by Dr Jennifer Hunter B.Med; MScPH. D.L.S.H.T.M. When preparing for surgery, patients often ask me what natural therapies are available to improve their healing and outcome following surgery. At the Cosmetic and Restorative Surgery Clinic, patients are advised to take zinc and also vitamin C supplements both pre and post-operatively. Zinc and vitamin C are essential for efficient healing, particularly of the skin. Zinc is best absorbed in the presence of vitamin C via the mucosa in the mouth, so a combination throat lozenge is the ideal format for this supplement. Plenty of exercise, no junk! Obviously, plenty of exercise, healthy food and sleep is important for improving the overall fitness and health of the body. Similarly, toxic substances such as excess alcohol, cigarette smoking and junk food will chip away at our body's reserves and deplete our capacity to Go to column 2 >>		heal efficiently. Individuals with stressful lives may find a vitamin B complex tablet helpful. A word of caution, however, many B complex formulations have a small amount of vitamin E which is contra-indicated around the time of surgery. There are a number of herbal remedies which can be used to support the person throughout the operative period. To help reduce side effects from the anaesthetic, herbs which support the liver can help. Herbs may also be prescribed to assist the body's adrenal/stress hormones to adapt to the increased stress both physically and emotionally. For those who are prone to infections, herbs may also be prescribed to support the immune system. Anti-haemorrhagic (anti-bleeding) herbal mixtures can also be used post-operatively to help stop excess bleeding or bruising. Herbs, although natural do have potentially serious side effects. Therefore, only a qualified doctor or herbalist should prescribe herbal remedies. It is imperative that all herbs are checked for their potential to interfere with the blood's capacity to clot. to top >>

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The Newsletter of the Cosmetic and Restorative Surgery Clinic

Volume 2 Number 2: Summer 1999

Contents

"Dr Hodgkinson has given me more self-confidence" says recent patient Tizana Belmonte

Ms. Tizana Belmonte, 27, recently had a breast augmentation at the Cosmetic and Restorative Surgery Clinic.

.to top >>

Ms Tizana Belmonte

A Letter from Dr Hodgkinson

Cosmetic Surgery in NSW

Dr Hodgkinson answers your questions

Q: What is the S-Lift?

Cebu Nurse learns new skills in Singapore for Operation Restore Hope

Grace Estremos reports back:

New Lipoplasty advance makes life easier for surgeons - and patients!

Some operations can test the strength of any surgeon, and be hard on patients. Now, new power-assisted technology makes it easier on both parties.

Clinical Aesthetician Helen Labi joins the CRSC team

Natural Therapies to Improve Healing with Surgery

by Dr Jennifer Hunter B.Med; MScPH. D.L.S.H.T.M.

When preparing for surgery, patients often ask me what natural therapies are available to improve their healing and outcome following surgery.

Plenty of exercise, no junk!

"Dr Hodgkinson has given me more self-confidence"
says recent patient Tizana Belmonte

A Letter from
Dr Hodgkinson

by Dr Jennifer Hunter
B.Med; MScPH. D.L.S.H.T.M.