Procedures

the best version of yourself

Body contouring

Body Contouring

BUTTOCK AUGMENTATION

To improve the appearance of the buttocks by placing and or removing unwanted fats in the buttock region

A buttock lift is a cosmetic surgical procedure that improves the appearance of the buttocks. 

Procedure: 

  • It may be done as part of a tummy tuck (belt lipectomy) or lower body lift to contour the buttocks, groin, thighs and abdomen.
  • A buttock lift alone will not add any volume to the buttocks, but sometimes, a buttock lift is combined with an augmentation procedure to alter the shape or size of the buttocks with implants or fat grafts.
  • During a buttock lift, excess skin and fat are removed from the buttocks, the remaining skin is then re-positioned to create a more toned look.

Advantages: 

  • These factors can cause your buttocks, as well as other parts of your body, to sag:
    • Having lost a significant amount of weight and your weight has been stable for at least six to 12 months
    • If you are overweight and haven’t been able to lose a significant amount of weight through physical activity and changes in your diet
    • If you want to dramatically improve the appearance of your buttocks to boost your self-esteem  
    • If your skin won’t contract after liposuction due to poor elasticity related to ageing a buttocks lift  will improve the appearance
    • As you get older, your skin changes and becomes looser. 
BODY LIFT

The removal of loose skin or sagging flesh on pre-determined body parts

A body lift will improve the appearance of the patient’s body through:  

  • A body lift can help remove overall excess skin, and fat and may improve cellulite — especially after losing more than 100 pounds.
  • This procedure helps reshape the upper or lower body.
  • This often requires several surgeries performed in stages over time
  • An upper lift focuses on the breasts, arms and back.
  • A lower body lift treats the stomach, buttocks, hips and thighs.
  • A body lift also can treat your face and chin. It may require liposuction as well.
THIGH LIFT

Tightening and improving the overall appearance of the thighs (loose skin, saggy dimpled or flappy

Thighplasty (thigh lift) is a procedure to tighten and improve the overall appearance of thighs. Candidates for this procedure have loss of skin elasticity in the thigh or have thighs with a saggy, dimpled or flabby appearance which improves dramatically if the loose skin is lifted. A thigh lift can reduce sagging in the inner or outer thigh. It is often a procedure performed on patients who have lost a great deal of weight.

Surgical Procedure:

  • For a thigh lift, the surgeon will mark the thighs before surgery while the patient is standing.
  • In all types of thigh lifts, the incision is sutured shut with deep sutures to ensure that there is no sagging after the incisions heal.
  • The scar from the surgery is hidden in the groin crease, beneath the bikini line.
  • During the procedure, drains are put in place that allow excess fluid to drain after surgery, the drains are usually removed after several days.
  • If the outer thigh is to be targeted, a thigh lift sometimes includes lifting the entire thigh and buttock (circumferential lower body lift).
  • This procedure requires longer incisions than thighplasty, but surgeons at Cedars-Sinai’s Center for Plastic and Reconstructive Surgery are experts at ensuring the most effective results possible.
  • If there is an excessive amount of fatty tissue, a liposuction may be performed before a thigh lift.

Types of thigh lifts include inner thigh lift, bilateral thigh lift and medial thigh lift:

  • An inner thigh lift:
    • This procedure focuses on the inner thigh. 
    • An incision is made at the top of the leg, about where the lower edge of a bikini bottom or underwear would be.
    • A small amount of skin is removed and then the remaining skin is pulled up, which tightens the skin along both sides of the leg.
    • This procedure is often done after someone has lost a great deal of weight.
  • A medial thigh lift:
    • Skin and fat on the upper part of the inner thigh are tightened.
    • An incision is made from the groin back to the crease of the buttock.
    • The skin is then lifted and excess fat and skin are removed to improve the appearance of the upper, inner thigh. 
BUTTOCK LIFT

Improve the appearance of the buttocks as part of a tummy tuck or lower body lift to contour the groin, thighs and abdomen.

A buttock lift is a cosmetic surgical procedure that improves the appearance of the buttocks. It may be done as part of a tummy tuck (belt lipectomy) or lower body lift to contour the buttocks, groin, thighs and abdomen.

Procedure: 

  • A buttock lift alone won’t add any volume to the buttocks, but sometimes, a buttock lift is combined with an augmentation procedure to alter the shape or size of the buttocks with implants or fat grafts.
  • During a buttock lift, excess skin and fat are removed from the buttocks. The remaining skin is then re-positioned to create a more toned look.

Why it’s done

  • As you get older, your skin changes and becomes looser. 
  • A buttock lift is typically done in combination with other body contouring procedures. You might consider a buttock lift if you:
  • If you have lost a significant amount of weight and your weight has been stable for at least six to 12 months
  • If you are overweight and haven’t been able to lose a significant amount of weight through physical activity and changes in your diet
    Have a normal weight, but want a dramatic improvement in the appearance of your lower body
  • If your skin won’t contract after liposuction due to poor elasticity related to ageing.
BRACHIOPLASTY

Removal of fatty/loose skin in the arms

A brachioplasty is an arm lift that removes excess skin and reshapes the upper part of the arm. (As with the thigh lift, you may need liposuction as well.)

Liposuction (Full or Regional)

Using the suction technique to remove fat from pre-determined areas of the body.

Liposuction, or simply lipo, is a type of fat removal procedure used in plastic surgery. The procedure may be performed under general, regional, or local anaesthesia. It then involves using a cannula and negative pressure to suck out fat. It is believed to work best on people with a normal weight and good skin elasticity.

Procedure:

  • Power-assisted Liposuction:
    • PAL uses an up-and-down, vibrating-like motion of the cannula to acquire greater fat removal.
    • When compared to simple suction-assisted liposuction, PAL requires less energy for the surgeon to operate while also resulting in greater fat removal.
    • It is commonly used for difficult, secondary, scarred areas, and when harvesting large volumes of fat for transfers to other areas.
  • Ultrasound-assisted:
    • This process is associated with cases of tissue damage, usually from excessive exposure to ultrasound energy.
    • UAL devices address this problem by using pulsed energy delivery and a specialized probe that allows physicians to safely remove excess fat.
    • UAL is beneficial in liposuction of areas that are more difficult to remove fat, that includes treatment of gynecomastia, or areas where secondary liposuction is being performed.

More Procedures

Facial

Breasts

Body Contouring

Abdomen

Genital

Dermal Surgery

Hands

Patient Instruction Information

What you need to know before THE operation

INSTRUCTIONS

The pre-operative instructions are important in giving you insight on things that hamper your healing progress. Please read carefully. If you still have questions after reading this, call the rooms (011 485 4434), to have all your concerns addressed

TWO WEEKS BEFORE YOUR SURGERY

Medications:

• Do not take any aspirin-containing products (see the attached list), anti-inflammatories (e.g. ibuprofen, advil, Meloxicam), blood thinners (e.g. coumadin, warfarin, clexane), or vitamin E for 14 days before your operation. These medications thin the blood and increase the risk of bleeding. Paracetamol can be taken safely.

• Stop taking any supplements, herbal, natural, diet, or alternative drugs 14 days before your surgery (e.g. ginkgo biloba, ginseng, St. John’s wort).

• We recommend stopping birth control pills or estrogen replacement therapy 4-6 weeks before surgery, particularly for abdominoplasty (tummy tuck) or liposuction. These drugs increase the risk of blood clots in the leg.

• Only essential medications may be taken throughout the peri-operation. It’s important to inform the surgeon and the anesthesiologist are aware of any medications you take.

• Patients with heart disease, Diabetes Mellitus, Previous cerebrovascular accidents, and pacemakers should also highlight this to the surgeon and anesthesiologist.

 • Please notify our office before your surgery if you develop a cold or infection.

Smoking:

• Smoking should be stopped at least 2 weeks before your operation, and you should refrain from smoking at least 2 weeks after the operation as well. Smoking greatly increases the risk of poor wound healing and even skin loss.

NIGHT BEFORE & DAY OF SURGERY

• Arrange transport to fetch you after discharge and a person to look after you post-discharge.  

• You can take only essential medications (for example, cardiac or blood pressure pills) on the morning of surgery with a small sip of water (except those mentioned below).   

• Nothing to eat or drink after midnight the night before, and the morning of surgery. If you do eat or drink, your surgery will likely be cancelled.

• Remove all make-up and nail polish the night before surgery.

• If you are having a facelift or browlift surgery, wash your face with soap and shampoo your hair the night before surgery.

• If you are having breast surgery, make sure you have a post-operative or sports bra available and bring it into the operating room.

• Remove all jewellery and leave money and all valuables at home

• Do not shave 3 days before surgery. Shower before surgery.

• Wear comfortable, loose-fitting clothing that is easy to put on and take off (e.g. sweat pants, button or zipper shirt).

• Arrive at the hospital at least 2 hours before the scheduled operation time      

• Be prepared to take time off work. In general, at least 5-7 days (this varies quite a bit, depending on the procedure). Try to avoid strenuous work or exercise for 6 weeks post-surgery. It is recommended to have someone at your home who can assist you.

WE RECOMMEND THAT PATIENTS DISCONTINUE USE OF THE FOLLOWING AT LEAST TWO WEEKS PRIOR TO SURGERY:

Aspirin Containing Products and
Anti-Inflammatories
Herbs and Natural Products
ASA
Instantine
Ginkgo biloba
Actifed
Indomethacin
Garlic
Advil
Midol
Ginger
Aleve
Motrin
Ginseng
Alka Seltzer
Naprosyn
Feverfew
Anaprox
Nyquil
Clove
Ansaid
Nytol
Danshen
Aspirin
Oxycodone
Dong Quai
Bayer
Pamprin
European Mistletoe
Celebrex
Pepto Bismal
Fenugreek
Contact
Percodan
Focus-kelp, black tang
Coumadin (Warfarin)
Persantine
Goldenseal
Darvon
Phenylbutazone
Horse chestnut
Dristan
Propoxphene
Northern prickly ash
Duragesic
Robaxisal
Endodan
Sominex
Entrophen
Sudafed
Fiorinal
Talwin Compound
Flurbiprofen Sodium
Trandate
Heparin
Trental
Ibuprofen
Vitamin E

WHAT YOU NEED TO KNOW AFTER THE OPERATION

General Comfort

It is important for you to get up, move around the house, and take some deep breaths 4-6 times a day from day 1 after the operation. Plan to sleep on your back with your head elevated, if possible. Sleeping on your side will cause swelling on the side you are laying on. Making yourself a nest with pillows can be very helpful.

Some people experience a slight sore throat or mild cough for 2-3 days after surgery. This is a side effect of anaesthesia and should resolve in 48-72 hours.


Pain Management


The first night and day after surgery will be your most uncomfortable. The pain will then stabilize over the next 24-48 hours and then decrease day by day. Analgesia appropriate to the type of surgery will be prescribed for you. Report to the doctor if you have unbearable pain. You will heal faster if you are not tense and tired from pain.

Stool softener may be helpful for patients who develop constipation as result of opioid pain killers. You can progress to regular strength paracetamol as your pain subsides. Narcotics will interact with alcohol so do not drink at the same time you are taking them. Drains are used in 80% to 90% of our surgeries to prevent post-operative swelling and fluid buildup. You will be instructed in drain care before leaving the hospital.

The initial drainage will be bloody, changing to clear red then to clear yellow over the next 3-5 days. If blood clots in the tube, it can be cleared by applying pressure and “milking” the tube toward the bulb. Be careful not to put tension on the tube where it enters the wound. If you have less than 30mls of drainage in 24 hours before your first post-op appointment
you may call the office to make an appointment to have them removed.

Wound Care

• There is no need to change a clean, dry dressing for the first 2-3 days after surgery.
• It is preferable to have your 1st dressing change at the doctor’s office.
• You may shower after the original dressings and drains have been removed. Your doctor will give any other wound care instructions to you at the time of your surgery.
• Keep your supportive Bra on consistently for the first 6 weeks.

Complications

Please call or come into the consulting room or the Emergency Department when the clinic is closed as soon as possible if you have:

Increasing swelling, redness, or pain in the breasts.
Pus drainage from the breasts.
Excessive bleeding post-op (i.e., bandages become soaked with blood).
Shortness of breath.
Fever greater than 38 degrees orally.
Activity Limitations After Surgery


There should be no reaching above your shoulders, twisting or lifting more than 5 pounds for three weeks. No heavy activity or exercise for three weeks. Any activity that makes your face flush or makes you sweat can make you swell. No soaking your incisions (bathing or hot tubs) until your Steri-Strips® are removed, your sutures have been removed, and all scabs are healed.

After three weeks, you may resume normal activities. Do not wear underwire bras for 4 to 6 weeks after surgery, and then it is a matter of personal choice.

Scar Care


• Scar development is a process that lasts up to a year or more after surgery.
• Apply Micropore tape scars for a period of up to 6 months if possible.
• Use silicone base gel to massage the scar.
• Use clothing and sunscreen to protect the scars.
• Report any scars that you find unacceptable.
• Need to ask a question, email doctor on nkhens@mweb.co.za . We are here to help.

Contact

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24 12th Avenue
Linksfield West

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011 485 4434
066 006 6631

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