What’s new in Plastic and Cosmetic Surgery

Mr Adrian Richards FRCS (Plast)

Consultant Plastic and Cosmetic Surgeon

Plastic and Reconstructive Surgery

• Skin conditions including cancers• Hand surgery• Breast reconstruction• Burns• Cleft lip and palate• Birth deformities• Trauma

Cosmetic Surgery – an overview“Grow Old Gracefully – Says Who??”

• The Global Statistics• USA – 40% of total procedures• Brazil 19%• UK 7%• France 5%• Mexico 5%• Switzerland 4%• Rest of World 20%

Most Popular Procedures

• Worldwide Most Popular Procedures– Liposuction– Breast Surgery– Botox®

• 9 out of 10 patients are women, but in Turkey, Switzerland and Japan – 20% are men.

• The highest incidence of teenage operations is in Mexico – 29% and the lowest in the UK at 0.66%.

Procedures in the UK

• In 2007 – 32,453 surgical procedures were carried out by BAAPS* members – an increase of 12.2% compared to 2006.

• Woman account for 29,572 – 91% of surgical procedures carried out.

• The biggest rise in surgical procedures was the Facelift – up by 36%.

• The top surgical procedures is still the Bilateral Breast Augmentation at 6396.

• Male surgery is up 17.5% with Rhinoplasty and Liposuction showing the largest increase.

• * BAAPS – British Association of Aesthetic Plastic Surgeons.

Publicity• Cosmetic Surgery is now a normal part of everyday life for British

Women, a survey by BUPA reveals.

Television

• 10 Years Younger• The Swan• Nip/Tuck• Extreme Makeover• Plastic Surgery Line• I want a Famous Face• Plastic Surgery School• Five’s Plastic Surgery Live• Harley Street

• Newspapers• Zoo• Grazia• Look• Hello• Brand New You• Cosmetic Surgery Today• Top Sante • Now• Tatler• Daily Mail• The Times

Celebrities

• Toyah Wilcox• Anne Diamond• Jade Goody• Kerry Katona • Jordan• Madonna• Victoria Beckham• Alan Sugar• Cher

Endoscopic Forehead Lifting• Only requires small incisions in the hair line• Often performed in combination with other procedures• Minimal down-time• Subtle improvement

Hyperhydrosis

• Palmar: excessive sweating of the hands. • Axillary: excessive sweating of the armpits. • Plantar: excessive sweating of the feet. • Facial: excessive sweating of the face. (i.e. not emotional or thermal related

blushing) • Cranial: excessive sweating of the head, especially noted around the

hairline. • General: Overall excessive sweating.

Hyperhidrosis can either be generalised or localised to specific parts of the body:-

Injections of the botulinum toxin are used to disable the sweat glands. The effects can last from 4-9 months depending on the site of injections. With proper anesthesia the hand and foot injections are almost painless.

Rhinoplasty

• Nose reshaping• Old technique consisted of reducing the hump• Newer techniques aim to:

– Modify the nasal tip– May require addition rather than removal of tissue

Face-Lifting

• Trend away from American wind-blown look• European soft-lift or deep-plane lift• Safer and gentler• Often combined with endoscopic forehead lifts, blepharoplasty,

volumetric filling or Obagi Blue peels

Corrective Breast Surgery

60 Second Brief

A quarter of women are depressed over breast size:-

• 25% of respondents feel depressed about their breasts.

• 20% undress in the dark or away from their partner.

• 40% of those polled wouldn’t wear a bikini in public.

• 25% are unable to go jogging or to the gym.

• 7% are too self-conscious to socialise.

• 22% worry about the size of their breasts during sex.

• 10% claim a cup size in difference between their breasts.

• 33% say one breast lies lower than the other.

• 35% are not happy with the shape of their breasts.

Breast Enlargement

• Textured implants• Cohesive gel• Can be inserted via incisions:

– Concealed in the armpit– Under the breast

Abdominoplasty

• Often combined with liposuction• High lateral tension technique has recently been described• Hip region is tightened more than central area

The Future

• Botox• Fillers• Peels• More endoscopic surgery• On-going treatment• Anti-aging• Macrolane• Permalip

•

http://www.flickr.com/photos/feastoffools/2880801243/

Female 32 years old

Before After

Male 42 years old

Before After

Female 39 years old

Before After

Thank youMr Adrian Richards FRCS (Plast)

Consultant Plastic and Cosmetic Surgeon

BMI - The Paddocks Clinic

Aylesbury Road

Princes Risborough

Buckinghamshire

HP27 0JS

01844 214362

www.aurora-clinics.co.uk