Mr Adam Bialostocki
Cosmetic and Reconstructive Plastic Surgeon
MBChB FRACS (Plastics)

COSMETIC SURGERY

Cosmetic Surgery focuses on the enhancement of a patient’s appearance, and is elective. It can be performed on all areas of the head, neck and body. Plastic surgery deals with the correction of dysfunctional areas of the body and is reconstructive in nature.

As part of our desire to offer you the very best in a continuum of care at Bay Plastic Surgery, we offer a range of cosmetic surgery procedures performed by Mr Bialostocki. With a wealth of experience in the procedures listed here, Mr Bialostocki’s experience and good judgment combined with the most modern advancements and well established techniques, ensures that your optimal outcome can be achieved.

Cosmetic surgery is usually concerned with aesthetic improvements and a personal desire to in some way change and/or enhance your facial or bodily features. In most cases these types of surgery are undertaken at Grace Hospital in Tauranga, where Mr Bialostocki and his team work alongside a highly trained team of theatre and anaesthetic staff in this modern and progressive health facility.

Initially you will need to make an appointment for a cosmetic consultation, during which time your particular wishes, options available to you, and details around the surgery will be discussed. It is not uncommon for potential patients to be under the impression that they need a certain procedure in order to achieve a desired outcome, when in fact a different procedure may give them the result they desire. Some patients are also pleasantly surprised to discover the plastic surgery they thought they needed, is in fact not as invasive or complex.


Facial Procedures

Nose Jobs (Rhinoplasty)

Whether it is too big, out of shape from a sporting accident or causing breathing difficulties, the nose can be reshaped to fit with the overall proportions of the face. Some patients require a small adjustment and others more major changes. Depending on the individual operation, it can take up to several hours. Some patients need to wear an external splint after the nose job (rhinoplasty), and there is usually bruising and swelling. It can take 3-6 months for the final result to be fully evident. 

Ear Reduction (Setback Otoplasty)

Ears that stick out, are too big or uneven can be corrected by reshaping them to adjust the angle between the ears and the scalp. It is easier to perform in children, when cartilage is soft and easily moulded, but can still be effective in teenagers and adults. Usually ear surgery is done under General Anaesthetic in children, but can be done under Local Anaesthetic in adults, sometimes with sedation. The surgical incision is made at the back of each ear, cartilage is cut and partially removed, and ears bent back in a more natural shape and restitched. A padded bandage remains on the ears for up to 7 days.

Face Lift Surgery

One of the most common procedures performed by plastic surgeons, often on people aged between 40 and 65, although there is a recent trend for younger patients to come for more minor surgery. Facelifts involve the re-suspension of deeper facial tissue, and re-draping of the loose skin, usually removing the excess skin via scars carefully hidden in front of and behind the ears. The overall effect of a facelift is better tone and a fresher, younger looking face.

The facelift surgery is performed under a General Anaesthetic, administered by an Anaesthetist, in an accredited Private Hospital. Most people combine this surgery with other procedures such as brow and eyelid rejuvenation, and microfat grafting to lips, lower lids and cheeks. In the past, facelifts were often noticeable, but the trend these days is for subtle youth enhancement, which does not require the patient to 'go into hiding'.

Neck Lift Surgery

Aging and weight loss can affect the broad sheet of muscle that defines the shape of the neck and jaw. A neck lift can tighten loose skin, reduce jowls and help to define the jaw line. Usually an elastic support needs to be worn for a few weeks afterwards to reduce swelling, which for some means it is a more comfortable procedure to have during the cooler months.

Brow (Forehead) Lift Surgery

With time and age, the position of the eyebrow begins to drop. This might give the impression that the upper eyelids look saggy. Although that might also be the case, rejuvenation of the upper face usually involves re-positioning of the brow to a more aesthetic position with a brow lift. Prominent horizontal forehead lines will also soften with a brow lift, and the small muscles responsible for frowning can also be weakened.

The approach is via incisions made behind the hairline, where the scars will be hidden, and the forehead tissue is freed with the use of a fibre-optic telescope, before being elevated up and being secured in the higher position. A browlift may be performed alongside a facelift, or on its own, with very pleasing results.

Eyelid Reduction Surgery (Blepharoplasty)

Another common plastic surgery operation, which can be done at the same time as facial rejuvenation surgery, or on it’s own. Aging or hereditary factors can lead to saggy eyelids, and occasionally excess fat in the eyelids can contribute to the condition. In some cases the upper eyelids can droop sufficiently to actually block vision. That loose fold of drooping skin can be removed to make eyes look fresher & rejuvenated, and bags below the eye can be tightened to reduce the ‘tired’ appearance. It is often necessary to tighten the lower eyelid horizontally due to a loosening of the underlying ligaments at the corner of the eyes. Upper eyelid surgery can be done under Local Anesthesia at Bay Plastic Surgery, but lower eyelid surgery is usually done under General Anesthetic at Grace Hospital. Medical insurers occasionally contribute to surgical costs for members with functional problems.


 

Body Procedures

Abdominoplasty (Tummy Tuck)

This is a re-shaping operation, not a weight-loss operation. Typically, the best candidates have loose skin, possibly as a result of pregnancy or after weight loss, and are already at an ideal body weight. 

The incision is made across the lower stomach, below the bikini line, and muscles are surgically tightened with stitches. Excess skin and fat are removed, and the belly button is sometimes repositioned. Patients usually allow about two weeks off work following the tummy tuck, and have to wear supportive garments for about a month.

Liposuction

Another very common plastic surgery technique, which involves removing localised fat deposits using a combination of suction and a hollow needle (cannula), inserted through a small skin incision.

Areas commonly treated by liposuction include the hips, flanks, thighs, abdomen, back, ankles, neck.

Treated areas may appear firmer, better contoured or flatter. Areas treated are unlikely to return to their former size, as the number of fat cells in that area are decreased by the liposuction.

The treatment doesn't improve cellulite, change stretch marks or help someone lose weight. The final result depends on the amount of skin shrinkage that occurs afterwards, and a compression garment is essential to achieve the best results.

This procedure is done under General Anaesthetic at Grace Private Hospital. While it would cost less to have it done under Local Anaesthetic, it is safest and far more comfortable to have it done under General Anaesthetic in a hospital theatre, where patients are looked after by a highly-trained anaesthetist and theatre staff and can recover in the safety of a Hospital.

Body Contouring

The upper arms, upper inner thighs and lower body can all be re-contoured if there is excess skin in these areas. A recent trend is for body-lifting after massive weight loss surgery, such as after gastric bypass or gastric banding. The scars are kept in areas that can be covered by undergarments.

Labiaplasty

A labiaplasty is an operation to reduce the size of elongated labia in women. This can be to correct damage from trauma or childbirth, or to reduce discomfort from enlarged labia, or for personal cosmetic reasons. While this can be done under local anaesthetic, many women chose to have this surgery done under general anaesthesia. As there is such a diversity in required outcomes, we prefer to discuss each case individually. Labiaplasty is the only genital re-shaping performed by Mr Bialostocki

Fat Grafting (Lipomodelling)

This is a technique for transferring fat from one part of your body (such as central lower abdomen), to another. Common areas for receiving fat are: Cheeks, lower lids, and irregularities anywhere else caused by aging, accidents or previous surgery. An average of 70% of the fat volume survives in the new location, and it takes around 6 weeks until you know how much has taken. Small top-ups may be necessary if there has been insufficient ‘take’.

3d Vectra

If you are considering cosmetic aesthetic plastic surgery, it is likely you will be offered the benefit of 3D imaging combined with revolutionary new software, which allows prospective patients to preview what they will look like after their surgery. Mr Bialostocki uses the 3D imaging camera during his consultations at the Da Vinci Clinic to allow patients to 'see' themselves rather than imagine how they will appear post surgery.


 

BREAST SURGERY

With a special interest and many years of experience in breast surgery, Mr Bialostocki keeps well-informed of the latest techniques available world wide and brings you the opportunity to benefit from these skills, right here in the Bay of Plenty . He ensures you are informed and given choices every step of the way and is well known for his respectful manner, eye for detail and desire to achieve optimal outcomes for his patients. There are a number of procedures available, which we have given a brief overview on below. However, a consultation with Mr Bialostocki is where you will discuss with him what it is you wish to achieve.

If you are considering cosmetic plastic surgery, it is likely you will be offered the benefit of 3D imaging combined with revolutionary new software, which allows prospective patients to preview what they will look like after their surgery. Mr Bialostocki uses the 3D imaging camera during his consultations at the Da Vinci Clinic to allow patients to 'see' themselves rather than imagine how they will appear post surgery.

Breast Enlargement (Breast Augmentation)

A very popular procedure, adding a breast implant under the chest muscles and breast tissue to create a proportionate, natural shape. In New Zealand, the choices are between saline and silicone filled breast implants, although even saline implants have a silicone outer shell. Silicone-filled implants are the implants Mr. Bialostocki uses. Current designs have a cohesive gel that hold their shape and if they are damaged the silicone won't migrate far. There are pros and cons to implants with textured surfaces which Mr Bialostocki discusses with all patients.  Choosing the right size and shape for an individual woman is an art, and there are many options to select from.

Breast Lift (Mastopexy)

This operation reshapes the breast to improve contour in women happy with their breast size, but who want more lift and firmness. The position of nipples and areolae are usually raised to a more aesthetic position. Occasionally this can be combined with a small silicone implant to get the best of both operations. i.e. a breast lift with a small increase in size and improvement in shape.

Breast Reduction (Reduction Mammoplasty)

For women with excessively large breasts, back and shoulder pain and other physical symptoms can be a daily impairment.  Breast size can be out of proportion to the rest of the body, and may impact on involvement in sports and other aspects of life.

A breast reduction is all about putting things into proportion, and can also balance out uneven breast sizes.

Breast Reconstruction

There are many techniques available for reconstruction of breast defects after surgery for breast cancer. The art is to choose the right technique for an individual woman, taking into account lifestyle, post-operative support and expectations. While an immediate breast reconstruction is ideal, not all breast cancer patients can have an immediate reconstruction because of the type of cancer, and because of the additional treatments that may be recommended such as chemotherapy and radiotherapy. A delayed breast reconstruction can be undertaken any time after the mastectomy and adjuvant therapy is completed, from a few months later to many years. Usually a complete reconstruction will involve more than one operation to achieve an aesthetic breast shape with a nipple reconstruction.

Male Breast Reduction (Gynaecomastia Correction)

Excessive development of breast tissue in males is actually quite a common condition, affecting up to 50 per cent of males to some degree. The procedure removes fat and/or glandular tissue from the chest, resulting in a flatter, firmer and better contoured chest. Liposuction is also used as part of the procedure to remove fat tissue through incisions around the areola. Usually male breast reduction surgery can be done as a day-case, although many men choose to stay overnight in a hospital bed. For maximum comfort and safety, the surgery is performed under a General Anaesthetic, administered by an Anaesthetist, in an accredited Private Hospital.