Whilst lockdown restrictions may be keeping us close to home, staying put is not all that bad – especially when it comes to body, skin and general health. For those seeking facial and body procedures – cosmetic, reconstructive or plastic surgery – turning to registered surgeons and nurses on Kiwi shores has positives beyond measure. Why? Because wellness, peace-of-mind and future certainty depend on it.
Those ‘cheap’ overseas surgery holidays may have sounded the ticket – but the price tag for many comes at a greater cost.
“I have seen some terrible complications from surgery overseas, ranging from severe infections to deformities,” says cosmetic and reconstructive plastic surgeon Adam Bialostocki. “In those cases, poor patient selection and/or poor hospital conditions/environment have played major roles.”
Complications arising from overseas surgery has been on the rise this past decade – a recent study from Brigham and Women’s Hospital of 78 patients receiving overseas plastic surgery, revealed in their findings that 17 required immediate surgical intervention and eight required removal of damaged tissue or foreign objects.
Without universal cosmetic and plastic surgery regulations in place, the risk factors of overseas surgery remain i.e. it’s harder to check the safety of an overseas hospital/clinic, the qualifications of their surgeons, insurance policies etc.
On New Zealand shores, those seeking plastic or cosmetic surgery can be assured of quantified services. Down Under, it takes eight to ten years of specialist training to become a Specialist Plastic Surgeon and have your training recognised by The Royal Australasian College of Surgeons (RACS) – the only professional body accredited to train Specialist Surgeons in New Zealand and Australia.
The RACS also requires and monitors ongoing medical education, ensuring specialists continue to provide the highest standards of professional care. Only fully trained and registered specialist plastic surgeons who are fellow RACS – like Bay Plastic Surgery’s cosmetic and reconstructive surgeon, Adam Bialostocki – can join the Australasian Society of Plastic Surgeons (ASPS) and the ASAPS.
“Many renowned surgeons here in New Zealand, will also choose to undertake additional post-fellowship training. For example, I travelled to Paris where I sought speciality training in breast surgery and abdominoplasty,” explains Adam. “Alongside sound specialist experience and qualifications, feeling comfortable in your surrounds is essential for any procedure. Having that reassurance that you are in the right hands from initial consultation right through to after-care procedures, is a must – it shouldn’t be a nice to have.”
Changing times are a happening – and how quickly they have spun. However, despite the strange and surreal times Covid-19 continues to March upon us, this April is also a time of support, celebration and recognition of those on our medical frontline.
WHO – World Health Organisation – celebrated its annual day of commemoration on the 7th. This 2020, a special ‘shout out’ to nurses and midwives around the globe was touted. These medical workers make up more than two-thirds of our health workforce in the Western Pacific Region, and their expertise is welcomed across wards. Here in New Zealand our frontline staff include 58,206 nurses and just over 3000 midwives, and our health system is ranked in the world’s top 20. Why? New Zealand was one of the first countries to establish a universal, tax-funded national health service, which includes unique features unto its own, this includes our ACC scheme and pharmaceutical management agency – which both ensure we get access to treatment and best value for money medicines.
And as many of us express gratitude in living Down Under – particularly during times such as Covid – we too, here in New Zealand, aren’t exempt from making waves on the global medical stage. We may be a small country, but we certainly punch above our weight in terms of innovation and expertise, here’s why . . .
3D Colour Medical Scanner – Kiwi father-son scientist team, Phil and Anthony Butler, from the Universities of Canterbury and Otago, invented the MARS Spectral X-ray scanner in 2018. The specialist x-ray spectral information measures the different components of body parts such as fat, water, calcium, and disease markers, as opposed to traditional black-and-white x-rays which only allow measurement of the density and shape of an object.
Plastic Surgery – That’s right New Zealand doctor Sir Harold standardised rhinoplasty and facial reconstructive techniques for WW1 soldiers suffering from facial wounds – mostly resulting from gunshots – establishing the discipline we refer to as ‘plastic surgery’.
Respiratory Humidifier – Our very own Fisher and Paykel healthcare forever changed the medical world in 1971 with the development of a world-first respiratory humidification for patients in critical care.
Robotic Exoskeleton – REX – Developed by REX Bionics, it’s a world-first created here in New Zealand! This hands-free robotic device serves disability patients, aiding them to move and walk minus pain and discomfort.
We are a nation of doers, go getters and pioneers – medical fields and beyond – when faced with adversity, we stand proudly Kiwi.
If it’s your decade to tackle weight woes once and for all – you’re not alone, in fact near 45% of us make it a regular resolution to shed the extra when the clock ticks over midnight December 31st – come March it’s a different story for many! However, if you’ve finally kicked fat to the curb and upped the ante on your body makeover, it’s important you think bigger picture beyond just weight loss. Why? Because often major weight loss can result in excess skin and/or pockets of fat that just wont budge.
You may be wondering why certain areas remain stubborn to shift, and you are not alone in your thinking. The fact is that some cells are made for life. And, fat cells aren’t created equal, so trying to shrink those cells in stubborn areas like the thighs, stomach and hips – which have a higher density of alpha receptors – is no easy feat. Researchers have found that the number of fat cells in our bodies is set during adolescence and remains constant through adulthood, regardless of whether you gain or lose weight.
Fortunately, there is another way beyond diet and exercise to permanently remove those fat pockets and sculpt the body. Liposuction and CoolSculpting are two top procedures. Liposuction the surgical and CoolSculpting non-surgical – but both permanently remove fat, it won’t return.
In the case of CoolSculpting, “Applicators – for the arms, thighs, stomach, love handles – deliver precisely controlled – and safer – cooling to targeted fat cells beneath the skin,” explains Bay Plastic Surgery's cosmetic and plastic reconstructive surgeon Adam Bialostocki. “The cells are crystallised and die, and are naturally eliminated from your body over time.”
There are factors to keep in mind before undergoing any contouring, so it’s essential you choose the right surgeon with the expertise to guide and inform – not just to carry out the procedure on the day. A reputable surgeon will discuss key areas before you commit to a procedure i.e. is your weight loss stable, are you healthy enough to undergo contouring procedures, and are you nearly at your ideal body weight.
Feeling great, fit and healthy is what we all deserve, and when you make the choice to step up your body wants and needs, ensure you journey with those that truly support, care and inform.
The thought – not just the feeling – of a lump in your breast, has many of us holding our chests with mouth aghast. So, what can you expect if the unexpected happens to you? Well firstly, many of us may have to brace for more of the unknown – especially in the early days. Why? Because breast cancer is no one-man’s game. There are different types, which grow at different rates – and coupled with this, also many factors that affect growth and possibility of spread.
How fast your breast tumour may grow and metastasize to different body areas depends on how invasive it is. Non-invasive means it hasn’t spread beyond breast ducts, invasive means it’s moved to different parts of the body i.e. lymph nodes. Stage 1 being non-invasive, Stage 4 being most invasive.
Growth in a year can vary greatly, as do factors for that growth – take for example oestrogen factors i.e. if you’ve ever had hormone replacement, menopausal body state, age at time of diagnosis – breast cancers tend to grow more rapidly in younger aged women.
And while the actual time it takes for a breast cancer grow from a single cell is still unclear, certain types of cancer are destined to spread more quicker than others i.e. ductal carcinoma.
The good news is, for women who perform regular self-checks, the average size of tumour when detected is 1cm – as opposed to 2.62cm in women who don’t perform them. Take a closer read here: https://www.verywellhealth.com/breast-cancer-growth-rate-4175666
The outlook for many is positive – even those with Stage 4 cancer, treatment to stop the spread is a positive win, even if it does not rid the body completely. And thanks to the abilities of experienced surgeons - like our own Adam Bialostocki, those who undergo breast surgery, have the fortune of normality beyond as reconstruction techniques are constantly evolving.
Today, restoring, refining breasts post-surgery is carried out to the highest of standards (we engage 3D Vectra technology within the procedure process) achieving a natural look, harmony and balance – and most importantly restoration of the emotional self, alongside the physical. Breast cancer maybe diverse and unpredictable – but treatment and reconstruction are there to meet it.
Summer is here which means fun, sun – and sweat. Which isn’t always an ideal companion – regardless of situation – barbeque, beach or boutique. So, to ensure peace-of-mind no matter where you dwell this sunny season, it’s essential to stop the sweat before it stops you.
And if you thought that excessive armpit perspiration – hyperhidrosis – is just targeting you – you’re not alone. Over 3% of our population suffer at the armpits, with many people shying away from seeking medical treatment because of the stigma associated with sweat. However, no one should have to bear living through several clothes changes a day or left feeling like there is nothing to turn to beyond invasive surgery or constant medication.
Albeit, back in the old days, hyperhidrosis was typically treated with sympathectomy surgery, which involved cutting the nerves that trigger sweating. However, nowadays plastic surgeons and skin specialists take more non-invasive approach – using Botox. And the results speak for themselves – between six and nine months of complete dryness.
So, how does Botox beat the sweat stakes? It is injected into the skin of the armpit superficially – no incisions needed, and although the injections may be moderately uncomfortable, no local anaesthesia is required. The armpits are then free to move, wave about and do as they please for up to nine months. And for those fearing sweat turning up in other places, compensatory hyperhidrosis (whereby sweating breaks out in previously affected areas of the body) is rare following Botox treatment.
So, make it your summer to not shy away from addressing those areas that are letting you down – instead rise up and brace for action minus the sweat stress. Want to know more? Book in for a free consultation with one of our specialists.
Women opting for straighter noses and stronger jawlines, men demanding increased volume in lips and cheekbones – the world of ‘gender neutral’ cosmetic procedures are advancing in popularity the globe over. But the question begs: Are we really wanting to channel the opposite sex in our features, or are we simply wanting to blend better?
Veering away from extreme femininity and masculinity, and favouring more of an ‘androgynous’ look, is a common trend in the US especially, with gender-neutral plastic surgeries and cosmetic procedures becoming ever-popular. And, as backed by LA plastic surgeon, Alexander Rivkin – who pioneered the ‘five-minute non-surgical nose job.’
Rivkin told Sara Radin in her article, ‘The new cosmetic surgery trend is androgynous and gender-neutral procedures’, that “clients are looking for a more modern, custom-tailored look that appears to be gender fluid in appearance.”
And with more than 200,000 surgical procedures performed on men in 2018 in the US alone, with the most popular being rhinoplasty, or nose reshaping, it’s becoming clearer and clearer that cosmetic and plastic surgery is no longer just a female exclusive domain.
However, the ‘gender-neutral’ way isn’t focussed on men and women ‘wanting’ to look more gender-neutral, Rivkin states, rather it’s a more ‘toned down’ follow-on movement, away from the hyper-feminine extremes of later times. i.e. people want bigger lips. In yester times people opted for super large lips, now they’re wanting something more conservative/natural.
And, thanks to millennials, a movement away from traditional views to more binary views of gender, are also encouraging both men and women to reach out for cosmetic and plastic surgeries that play into ‘genderless’ concepts. Christina Zervanos, head of PR of The Phuild Project, reports that "38% of Gen Z-ers 'strongly agree' that gender no longer defines a person as much as it used to, and 27% of millennials felt the same way.”
The upshot of a gender-neutral stance is that men no longer have a taboo holding them back from undergoing surgical procedures – which many may have wanted for a long time, but didn’t have the confidence to follow through with due to societal misconceptions.
This movement to the middle for aesthetic procedures, means women who have previously shied away from procedures such as jawline definition and a sharper nose, now have greater freedom to express themselves because the beauty guidelines have blurred.
And whilst not all Kiwi men may not be rushing out the door to get there fix of Botox and dermal fillers – unlike the 325% increase in US male patients signing up for cosmetic procedures in 2018 – it may be comforting for many to know that the traditional boundary lines of ‘who does what, and who doesn’t’ are well and truly shifting in favour of both sexes.
If you’ve questioned your skin and thought about dermal fillers or asked a friend or two about Botox – you’re not alone – but not everyone has the confidence to seek answers beyond the basics i.e. much often do you get it, how much does it cost, will it hurt?
What many of us really want to know isn’t always broadcast. So, why are Botox and dermal fillers still steadily rising in popularity? Because they don’t just smooth and plump – their benefits boost beyond.
For example, did you know a study published in JAMA Facial Plastic Surgery has shown that Botox could improve the elasticity and pliability of skin for up to four months – smooth plus strength! Not only that, it has been shown it temporarily reverse the damage to skin elasticity caused by Ultraviolet radiation for approximately four months.
If you’re not sold on the promise of oils to aid scarring and creams to fade lines, the future can be smoothed out with the latest scar prevention treatment – Botox that is. According to recent research from Shanghai Jiao Tong University School of Medicine, published in Plastic and Reconstructive Surgery, those patients whose scars were injected with Botox immediately following surgery, were lower and narrower after six months compared to those just treated with a placebo.
So how exactly does Botox help minimise scarring? Well quite simply it acts as a tension reliever. When injected around the scar, it minimises the movement of facial muscles, which allows the surgical scars to heal better as they’re not being stretched.
And, when it comes to dermal fillers, it isn’t about simply filling the gaps. Modern-day fillers work to define and restore definition in your face. Fillers can be used almost anywhere on the body – face, nose, lips, neck, décolletage and hands. And, the filler rejuvenation process isn’t at all a complicated one. In fact, today’s leading dermal fillers are revolutionary gel-like substances which are less invasive and more apt for facial restoration.
Why? Because the safest fillers are created from hyaluronan – which is naturally present in our skin – addressing problems relating to fine lines and the changing contours of the face. And, because these modern fillers are in keeping with our skin’s natural make-up, they last much longer.
So, the word from our team to you this festive season? Don’t be afraid to step up and ask a few questions – it's important to get all the facts before committing to any procedure, and its equally as important to seek the answers from the experts
We’re heading for warmer days and balmy nights which means time out for our skin. But before you start whipping off the layers, sink into a few skin home truths to tuck up your sleeve for summer. Let’s start by exploring the actuality of the sun’s damage, real-time stats around two of our most common forms of skin cancer and how to successfully tune into any changes on your skin.
UVB, UVA – Which is worse?
The integrity of our skin is affected by both UVB and UVA – not either or, which is why it is essential to apply a broad-spectrum sunscreen year-round, not just summertime. To back the facts, a recent study by researchers at Binghamton University New York, found is that no UV range is more harmful than another – in fact, the damage scales with the amount of UV energy that the skin absorbs. They found that UV weakens the bonds between cells in the top layer of skin by affecting proteins in corneodesmosomes that help the cells to adhere together. The result – sunburn that leads to peeling skin. The most important takeaway from study’s like this? That skin protection is important no matter what the season. The stratum corneum is the first barrier to the outside, so we need to protect it to avoid infections and other problems.
Common – And increasing
Downunder, Squamous Cell Carcinoma (SCC) and Basal Cell Carcinoma (BCC) are our most common skin cancers – and they are on the rise. According to 2018 data from the Cancer Society, 90,000 cases of non-melanoma were recorded last year – that’s up from 67,000 in 2006.
Unlike melanoma, our deadliest cancer – which tends to grow aggressively – many SCC swing between a slow growing pattern, or rapid enlargement across a few weeks, and BCC tend to be slow growing with little spread. So, how do you tell the difference between SCC and BCC cancers? And who is more at risk of developing them?
SCC quick facts:
Colourings and size – Typically reddish, crusty lesions which can feel tender to touch, may only be a few millimetres in diameter.
Whereabouts – Typically found in sun exposed places – including the lips, which can be smoking related.
Common in who? – Fair skinned people are dominant candidates, and men are twice as likely to develop SCC lesions. Those who have undergone organ transplants are 250% more at risk of development too.
Treatment – Many surgeries will be minor – requiring just a few stitches, however more complex reconstruction maybe involved (skin grafts or flaps) depending on size and depth.
BCC quick facts:
Colourings and size – Sometimes pearly in appearance, or pale and waxy in texture. But may also appear crusty/scabby.
Whereabouts – Approximately 85% will showcase on the head and neck region.
Common in who? – Fair skinned people and more commonly appears in later life.
Treatment – Minor surgery is the most common treatment, and recurrence is low.
Time to check in
And, just as screen should be worn year-round, it’s important we skin check year-round – no wait until we strip down to our togs or bikinis. Before summer actually arrives is a good time to get a professional skin check. Why? Because moles and lesions tend to show less of the normal signs of sun exposure during the cooler months. In summer, when the skin experiencing new bouts of sun activity and exposure, it can be harder to identify skin lesions that need attention. And in between professional checks, self-screening is a must. Here’s a quick guide to staying in-check . . .
- Choose a full-length mirror and examine all areas of your upper body: head, face, upper shoulders, décolletage and neck. Remember that lesions can form on lips, nasal passages, insides and edges of ears and mouth too. Scalp speak, pull hair up and away from ears, back of neck and thoroughly feel and examine all over – you may need a friend to examine top of scalp.
- Mid-range, examine your torso, belly and sides – also under breast crease. Arm speak remember to check under fingernails and in between fingers.
- Legs and buttocks, check front, back and all areas in between – don’t forget toes.
- Record any suspect spots with date and placement and brief description of appearance. Be sure to bring this with you to your next skin check.
Forget spicing up your life, when it comes to channeling the true you, we’re all for dishing out a few words that have stood the test of time: You can’t always get what you want, but if you try sometimes, you might find that you get the best results for you. So, when it comes to gaining the most from a facelift – it’s best to face a few home truths before undergoing the procedure – so you don’t have to face the strange. There’s value beyond just the ‘lift’, and it begins with a strong platform . . .
Surgeon speak . . .
When it comes to cosmetic and plastic surgery, not every surgeon will be an expert at all procedures, so ensure you choose one who specialises in facelifts and is up-to-date with the latest practises, knowledge and expertise. Such as our very own Adam Bialostocki whose main emphasis is facial rejuvenation (facelifts, mid-face lifts, neck lifts, eyelid surgery, browlifts, rhinoplasty) breast surgery (including breast augmentation, breast lift, breast reduction and breast reconstruction), body contouring (including liposuction and abdominoplasty).
Get a true sense of self . . .
Before undergoing a facelift, it is essential to attune the exact anatomy of your face. A thorough evaluation must encompass questions such as: how much volume loss you have, damage your skin has sustained, and the types of asymmetries your face shows. And, because everyone has asymmetries of the face – no one is perfect – it’s best to assume you won’t become perfectly symmetric after surgery. However, a good surgeon will able to spot these asymmetries and manage them by making adjustments during surgery, to drive the best outcomes.
Turn up the volume . . .
As part of any facelift procedure, surgical rejuvenation must consider volume. Why? Because as we age, we lose fat, resulting in facial sagging – and not just the cheeks and eyes. It’s essential the options for adding volume back into the face are discussed and planned before surgery rolls out. This plan can include filler injections, fat transfer or implant surgery.
Let’s face it, boosting knowledge and guidance ensures the greatest results – and lift – long-term.
The past 10 years has seen cosmetic and plastic surgery procedures soar – and the numbers show no signs of slowing. Americans alone spent over $16.5billion dollars in 2018 on cosmetic procedures, and since 2000, minimally invasive cosmetic procedures have increased 200% since 2000. Still sitting on the most popular list is rhinoplasty – the third most popular in 2018 – and the surgical facelift, and while these two procedures work to achieve greater form, structure and rejuvenation, their function extends beyond aesthetics. So, if you, a friend or loved one is considering greater visible nose correctness, or seeking facial restoration, here’s impetus to dig a little deeper . . .
Removing limitations, restoring functionality and confidence . . .
For allergy sufferers – think Matakana pollen wafting across the Bay of Plenty region in August – the nose can be one of the biggest hurdles you deal with throughout the season. And, despite medicinal intervention, sometimes allergies or sinus infections can remain stubbornly fixed. This is where rhinoplasty slots in, by removing tissue to reduce the size of the soft structures in your lower nasal passages (inferior turbinates) problems that many think they may continue to live with can be remedied in one procedure.
Irrespective of whether you choose to undergo rhinoplasty to straighten or unpinch a nasal tip or a pronounced bump, ultimately rhinoplasty will harmonise the proportions of the nose with the entire face. So, with nasal correctness you’ll also harness greater balance to the eyes, mouth and forehead – making them more relative to one another and correcting any distance metrics.
Losing elasticity, sinking into the sag – bring in the tried and true . . .
While non-surgicals like Botox and dermal fillers remain a popular course of rejuvenation, the aging clock does not stop ticking. And ultimately there’s no greater way to curb the creases than with an expertly performed facelift – especially as elasticity is a battle unto its own. Our skin’s elasticity begins to steadily break down from early-40s onwards. So, undergoing a facelift earlier – as opposed to later – means there is greater elasticity for better results and long-term success.
Two decades ago, those surgeons who performed the ‘tightest’ facelifts may have been considered the best. Nowadays, significant advances in this procedure allows surgeons to achieve far more natural-looking results and minimise scarring and downtime. Instead of simply pulling back and cutting away lax skin, surgeons now lift and reposition underlying muscles. They have also mastered the nuances of replicating facial anatomy, gauging exactly how much skin is needed to lift up and which specific tether points [of the musculature] to snip to bolster everything into correct place.
Regardless of the surgical journey you choose to embark on, aftercare is also essential post-surgery – after all, nothing lasts forever. So, it’s best practise to preserve with expert care and attention to detail. For some this will mean a rehaul of skincare regimes, creating healthy habits and honing skin tightening procedures as needed.
At the forefront of any surgical decisions you make, it’s important to stay informed and be guided by surgeons who have the experience and knowledge to perform – and those who are completely in tune with you.
When you hear the words ‘breast reconstruction’ the physical side of restoration comes to mind, but for those women who undergo reconstruction, the emotional and mental wellness benefits are said to be the greatest rewards. Since, 2016 there has been a steady increase in the number of women – worldwide – choosing breast reconstruction as part of their breast cancer journey. The American Society of Plastic Surgeons reported a 39% increase in procedural volume since 2000, and a 3% increase since 2015.
As many breast cancer survivors who have undergone reconstruction will attest to, the procedure goes beyond inserting generic implants to fill a void following a mastectomy. Instead, today’s technologies and surgical expertise, deliver a far more individual approach to patients. One that is driven by personal preference, wellness, and short and long-term goals and expectations.
So, what are the two many breast reconstructive procedures available to Kiwi women – and how do you know which is best for you?
Breast Flap Reconstruction:
This commonly used technique involves uses flaps of your own tissue – sometimes with the addition of an implant too – to reconstruct your breast/breasts. This includes taking skin, fat and sometimes muscle, from your back, bottom, inner thighs or lower abdomen. The flaps are then reshaped to form a new breast.
When is flap reconstruction most commonly used?
- Typically, it is used in delayed reconstruction – especially if radio therapy has or is being administered. Why not implants? Because radiotherapy may cause the skin around the implants to shrink which can ultimately cause scar tissue and may interfere with healing and potential implant leaks.
- Flap reconstruction is well suited to women with moderate-to-large sized breasts as these have a natural droop.
- For those wanting a good match for their other breast long-term, tissue reconstruction can provide a better partner as this will naturally conform to gravity, weight changes and aging – as opposed to an implant which may end up sitting higher in the chest wall.
Breast implant reconstruction:
The procedure involves inserting an implant under the skin and muscle to restore the shape and volume of your breast. It can be less extensive and involved than flap surgery – no additional tissue requirements needed – and it is often recommended for women with smaller breasts. Breast implant reconstruction lends itself to a more natural breast shape, which is firmer – however it may move less naturally than a flap reconstruction and sit higher – as age, gravity and weight loss affect the other natural breast.
Implant considerations to keep in mind . . .
- As implants have no delegated life span, you will typically need to replace your implant at some point in the future.
- For those opting for delayed breast implant reconstruction, a permanent or temporary tissue expander will be placed behind the chest muscle. Why? This will ensure the implant sits in the right place and will disguise its outline. After several weeks after the expander has been inserted, your surgeon will inject the implant with a saline solution to inflate it.
What are the risks of flap and implant breast reconstruction?
As with any surgery, there are always risks, but ensuring you choose a surgeon – with the expertise and qualifications to carry out a procedure fitted to you – is your best assurance against complications.
In short, risks with breast reconstruction include . . .
- Implants - Infection around the implant, capsular contracture – where scar tissue forms around the implant causing it to lose shape and softness.
- Flap – Small areas of hardness developing in the new breast, temporary loss of movement of the arm on the side of the reconstructed breast, loss of blood circulation at the reconstructed breast.
Want to know more, speak to one of our team for the right advice and guidance about the next step forward.
Although breast augmentation remains top of the world’s most popular cosmetic surgeries – it is a procedure best served with an individual approach. Forget comparison between friends or scrolling online for the results you want, when it comes to truly enhancing your breasts – don’t take input on implants from others.
Just as skin treatment is no over-the-counter solution for all, so to is breast surgery specifics. Especially given that opting to undergo breast surgery is a big step – it’s no time save face and attempt to keep up with the joneses. Breast technologies and developments in this cosmetic field are continually coming to the fore and are within reach with the right advice and surgeon leading the way. And, because there are options for everyone no matter what your shape or size – it’s important to understand every option that can be made available to you, to truly get the most out of your breast journey and ensure greatest results and long-term success.
So, what are some the considerations a surgeon will discuss with you pre-surgery?
If your breasts sag below the crease or your nipples point downwards...
A breast lift in conjunction with breast augmentation may be needed as skin may require additional tightening coupled with extra lift.
Want to take a test – just for fun? Try the pencil test! Place a pencil under your breast crease – where the underside meets the chest wall – if the pencil stays in place by itself, your breasts may be in need of additional lift.
Implant size isn’t as simple as the ‘rice test’ – cleavage is a huge factor too – not just size...
A surgeon won’t just discuss profile, fill and preoperative anatomy factors in relation to size. Cleavage – the space between your breasts – will also have to examined. And, depending on your measurements – including the overall percentage of tissue between your breasts – the pocket for your breast implants may need to be adjusted to bring your breasts closer together – or alternately further apart.
The time factor...
Overtime implants can move/shift on the chest wall, or capsular contracture can push implants upwards – so alongside discussion and analysis, surgeons – like our own Adam Bialostocki – will use 3D imaging as an in-depth way of assessing what your breasts will look like post-surgery.
Your best results don’t depend on others experience or the results they wear. Consultation and guidance from an experienced and qualified surgeon is critical to the best, satisfactory long-term results – and safety – for you. Don’t make light work of your breast – tune into your body’s make up and enhance it with your breast step forward.
The weather’s cooling down but don’t keep your skin under wraps this season. When it comes to targeting skin cancer and suspicious lesions, there’s no better time to focus on skin matters than when summer turns a corner.
Why? Because generally across summer – with increased sun exposure – we have more activity going on with our skin – it can be harder to identify skin lesions that require greater attention. When the weather cools off, moles and potential skin cancers can demonstrate fewer signs of sun exposure – so it’s a good time to get your skin professionally checked and a mole map done.
Just because you can’t see it, doesn’t mean it’s not there. Because we layer up in winter, we’re also less likely to notice changes in moles – or any new moles – and unusual skin behaviour.
In New Zealand, the most common skin cancer is basal cell carcinoma – which is typically slow growing – but squamous cell carcinoma and melanoma can grow rapidly. And, New Zealand has one of the highest rates of melanoma in the world – near 2,500 new melanoma cases are diagnosed every year Down Under.
“The risk of dying from melanoma is intrinsically related to the depth of the cancer – and melanoma can strike at any age,” explains Dr Adam Bialostocki, Bay Plastic Surgery cosmetic and plastic surgeon. “The deeper the tumour growth, the greater the risk of spread. Melanoma can present itself on any part of the body and spread rapidly too – it can be become invasive within three months – which is why skin specialists are so adept at examining all hidden areas.”
And for those of us of relying on our family genes to keep us cancer free, there’s no guarantee. Researchers at Cornell have revealed that certain people have genetic mutations – accumulated in melanocyte stem cells – which can become cells where cancer originates. Meaning, everything could be fine, until you got sunburnt – triggering those cells.
“Skin checks aren’t destined to be a summertime ritual – they’re something that should be conducted regularly, year-round,” advises Adam. “Self-checking for any new spots or changing moles is a must too, so enlisting an experienced team to guide you through the correct measures and means to stay skin aware, is key.”
It’s official – so say global trend reports – that opting for natural-looking results over the filtered look is what everyone’s aiming for in 2019. So, what’s providing us with a little more tweak?
Experts are predicting the Mini Facelift – or Temporal Lift, where the brow is lifted at the corners of the eye – is toted to become a sought-after procedure because it can be carried out under local anaesthetic – so no time off.
Non-surgical procedures – Botox, fillers, nose reshaping – are also topping the popularity because they’re less invasive, less painful, more affordable than ever before – experts are even predicting a new type of Botox B Toxin may enter the market this year, providing longer-lasting results – watch this space.
Breasts procedures are not exempt from the ‘tweakment’ outreach either. With many women opting for breast surgery that gently contours to produce natural results as opposed to plumping and pushing. For those that want increased lift minus implants, breast auto augmentation which uses one’s own tissue to boost volume and fat grafting to naturally shape and position, is fast becoming a popular option.
And body speak, many of us are turning to non-invasive body contouring procedures like CoolSculpting to permanently remove fat in target areas – love handles, inner thighs, muffin tops – without the need for needles and down time. CoolSculpting delivers precisely controlled – and safer – cooling to targeted fat cells beneath the skin. The cells are crystallised and die, and are naturally eliminated from the body over time.
For troublesome areas – like the chin – permanently dissolving unwanted fat is now achievable with non-invasive BELKYRA® injections. This synthetic form of a deoxycholic acid – which our bodies naturally produce – simply melts away fat for good.
Whatever your body goals for the year, don't settle until you've sought an expert hand and trusted advice - seek us.
Aiming for abs or just a little more tummy confidence for summer 2019? Then winter is the best season to send your fat packing. You can undergo abdominoplasty – or a tummy tuck – anytime of the year but the cooler months tick all the boxes. Extra layers enable discreet recovery, shorter days and reduced sun rays means controlled healing temperatures. Winter definitely provides the necessary means to cover up and cuddle up on the couch for a bit of rest and recovery!
Seasoned healing . . .
That summertime heat isn’t going to speed up the healing – in fact it could slow it down. The cooler – more controlled – winter temperature can aid minimising post-op swelling. As for sunlight hours, harsh rays in summer can darken or lighten scars, in winter the sun’s rays are milder – and we’re less likely to expose our skin too.
Coupled with keeping swelling in check and rays at bay, tummy incision wounds will be well on their healing way come spring, so by the time summer hits you’ll be prepared to party – coupled with the energy to do it too!
Cool cover ups . . .
We layer clothing in winter, so it’s the ideal time to add a compression bandage to the mix. Typically, recovering from tummy surgery will involve stitches, bruising and swelling, and compression bandages are needed for support. These help to reduce the risk of seroma (excess serous fluid filling a pocket under the skin), aid comfort and reduce swelling, and provide greater body contouring – to name just a few beneficial reasons. In summer, covering up those bandages can be more difficult and painstaking – winter is a win-win.
Recovery? Or just chilling out . . .
Many of us venture indoors and relish opportune time to stay under wraps as the winter takes hold. If you’re also keen on keeping your tummy surgery under wraps – out of sight and away from prying eyes, winter is the best time to excuse yourself from social occasions and step out in spring with stitches removed and not a bandage in sight.
Whatever your tummy goals, ensuring you have the best guidance and care from a specialist cosmetic and reconstructive plastic surgeon – like our very own Adam Bialostocki – is essential. From consultation to post-op, our team of experts provide a trusted hand across the board.
Penciling in a wee trip abroad for a nip or tuck this year? You may want to rethink your plans. Complications arising from overseas procedures are on the rise – and we want Kiwis to know the facts about this growing concern.
The latest study from US’ Brigham and Women’s Hospital, evaluated 78 patients who had received plastic surgery, in the past seven years, in a developing country. The findings were extensive, these included . . .
- 17 were admitted to an emergency department – eight required immediate intervention.
- 12 went to hospital for infections requiring intravenous antibiotics and treatment of pulmonary embolism and deep venous thrombosis.
- Eight patients required the removal of damaged tissue or foreign objects from the wound site over a series of office visits.
- Six had pain and deformity from silicone granulomas.
- Three patients developed fat necrosis following breast operations.
You don’t have to look far to hear other cases gone wrong. In 2015, an article published by the American Society of Plastic Surgeons reported four deaths in four months amoung young women traveling to the Dominican Republic for plastic surgery.
“I have seen some terrible complications from surgery overseas, ranging from severe infections to deformities,” says Bay Plastic Surgeon’s Adam Bialostocki. In those cases, poor patient selection and/or poor hospital conditions/environment played major roles. Even in patients who did not have an immediate complication, I have seen some terrible aesthetic results. i.e. tummy tuck scars placed where they can be easily seen, poor breast shape, misplaced breast implants, wind-swept/over tightened facelift appearance.”
However, despite increasing complications, medical tourism remains a growing trend worldwide – 15-25% rate – reports Patients Beyond Borders.
But it’s no time to holiday, says Adam.
“There has been a perception that you would have surgery then spend a week holidaying, but the reality has been them lying in pain in a dark hotel room with no respite and getting clots.”
So, if ongoing health concerns aren’t enough to deter you from booking your ticket. Maybe your lack of travel insurance might. Travel insurance exists to typically cover the unforeseen – not the elective. Whilst some providers Down Under will still allow you to buy travel insurance, your cover will most likely be limited to travel delays or personal liability – not claims related to your surgery or complications that arise.
Planning on surgery on home turf? It still pays to do your research - thoroughly - advises Adam.
"Unfortunately, anyone can claim to be ‘cosmetic surgeon’ – which is why so many patients aren’t receiving the expertise and care they deserve," he says.
“The term ‘Plastic Surgeon’ is protected i.e. you need the Royal Australasian College of Surgeons qualification in plastic surgery, but since the term 'Cosmetic Surgeon' is not owned by RACS, there is no control over it. You can literally be a GP and hang a sign up that says 'Cosmetic Surgeon'. A basic medical degree (MBChB) contains “Bachelor of Medicine" and "Bachelor of surgery”, so despite not being a specialist surgeon, a GP can argue he/she has a surgery qualification. For the public, this is very confusing!”
Making sure the training and the qualifications of the cosmetic surgeon stack up and ring true, is essential, Adam advises.
“Remember, cosmetic surgeons with non-plastic surgery qualifications MUST undertake some training in cosmetic surgery because they have had NONE,” cautions Adam. “Plastic surgeons do not need to, it is part of their core training.”
From 2018's ‘hot topic’ BIA-ALCL – Breast Implant Associated Anaplastic Large Cell Lymphoma, to nano-textured implants, to the use of topical tranexamic acid in breast surgery, our cosmetic and plastic surgeon, Adam Bialostocki, attended last year’s Breast Master’s Conference in Sydney which peaked interest and fueled thought across the board.
Here we hone in on BIA-ALCL and take closer inspection of what’s driving discussion amoungst surgeons worldwide.
Firstly, what is BIA-ALCL – Breast Implant Associated Anaplastic Large Cell Lymphoma?
It is a rare type of cancer which usually involves a swelling of the breast typically due to an accumulation of fluid – but it can take the form of a lump in the breast or a lump in the armpit. BIA-ALCL is more of an issue with textured devices, as bacteria may be able to exist for longer periods within a textured surface, somewhat ‘protected’ from the immune reaction to them.
Originally, back in 2011, the U.S. Food and Drug Administration warned of a link between breast implants and a mysterious new cancer – BIA-ALCL, but said the “risk was vanishingly rare.” To back up this ‘rarity’ breast implant maker, Allergan, declared: “A woman is more likely to be struck by lightning than get this condition."
Fast forward seven years, and the general scientific consensus is that implants with textured surfaces – not smooth surfaces – cause the disease. And it isn’t as rare as what it was deemed to be – although it isn’t common either – one in 3,000 women with textured-surface breast implants may develop it. Since 1997, there has been 570 BIA-ALCL cases and 16 BIA-ALCL deaths BIA-ALCL reported worldwide.
So, why have we been using textured surfaces from the beginning?
Texturing – etching chemicals/sugar/salt into the surface of the silicone pouch – was introduced in the early 1990s as a means of reducing breast hardening (capsular contracture), also as a means of preventing the rotation of teardrop implants, and as a way of anchoring the implant in place – as tissue can grow into the crevices of the implant.
Aside from the greater risk of developing BIA-ALCL, textured implants are also being challenged for other reasons, explains Adam.
“I was trained using textured implants – an attempt to reduce the rate of capsular contracture after augmentation – however, newer implants have a nano-texture, and at this stage it appears they also have a very low capsular contracture rate,” he says. “I really like the newer, smoother devices (Motiva Ergonomix) as they seem to be particularly durable as well.”
These Motiva breast implants undergo a controlled manufacturing process, affording a unique nano surface and come without any exogenous materials such as salt or sugar. This ensures a better biocompatibility. Nano surfaces also ensure that the implant optimally adapts to the natural movements of the breast, promoting a natural interaction between the implant and the surrounding tissue.
If you’ve toyed with the idea of a facelift or contemplated liposuction for your mid-section that’s been hanging around since your mid years, or questioned a friend or two about Botox – you’re not alone. The world over cosmetic and plastic surgeries are soaring in numbers and becoming more affordable. In 2017, nearly 1.8million cosmetic surgical procedures were performed, and amongst the minimally invasive sector, 7.23 million Botox (up 2%), 2.69 million filler (up 3%) procedures were performed.
And, it is the minimally invasive cosmetic procedures – like Botulinum Toxin Type A, soft tissue fillers, CoolSculpting – that are growing at a slightly higher rate than surgical procedures – they’ve soared almost 200% in treatment use since 2000. So, why the rise? Well, for some people it’s wanting to take greater pride in their appearance, for others it is the greater affordability and accessibility of treatment, and for others it’s the low-risks associated with non-surgical procedures. The advancements in the technologies used for these treatments is also a huge drawcard, as surgeons and specialised practitioners can achieve maximum looks without the invasiveness.
So, what can you achieve in a lunchbreak that’s going to give you the results you want? Let’s take a look at two of the top five non-surgical procedures topping charts, meeting expectations and maintaining the ‘real’ you.
Dermal Fillers - When it comes to your face, it isn’t about simply filling the gaps. Modern-day fillers work to define and restore definition in your face. isn’t about changing looks or creating a new you – it’s about softening lines and creating fuller areas to restore a more youthful and natural look.
And the filler rejuvenation process isn’t at all a complicated one. In fact, today’s leading dermal fillers are revolutionary gel-like substances which are less invasive and more apt for facial restoration.
Why? Because the safest fillers are created from hyaluronan – which is naturally present in our skin – addressing problems relating to fine lines and the changing contours of the face. And, because these modern fillers are in keeping with our skin’s natural make-up, they last much longer.
Dermal fillers are well suited to target all facial areas, including, jowls, marionette lines, cheeks, lips and forehead.
CoolSculpting – Unwanted fat affects so many of us and it’s a given fact that stubborn fat in areas like the thighs, stomach and hips has a higher density of alpha receptors – cells that are harder to shift – so no amount of gym time is really going to cut it. Previously non-surgical options were limited but the introduction of CoolSculpting, an FDA-cleared technology, is destroying fat for good from the outside in. Forget needles and incisions, this safer, non-invasive treatment gently freezes fat cells, the dead cells are then naturally eliminated out of your body. And, there’s more than one CoolSculpting applicator to target specific areas, which means greater efficiency and ease of treatment, and reduced procedure time and increased comfort.
From the CoolCurve, to CoolMax – the largest applicator which is best for the lower and upper abdomen, to CoolFit – the longer length applicator with greater grab for treating bat wings and inner thighs, to the CoolMini – the smallest of applicators which is ideal for double chin fat reduction. Whatever your target area, just chill, CoolSculpting has you covered.
Skin cancer awareness is gaining momentum, however, winning the long-term battle means developing a deeper relationship with our skin – beyond sliding on the sunblock and UV preventive clothing.
Why? Because we are all at risk from skin cancers – the three major types being basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. It doesn’t matter whether you are male or female, fair headed or dark – skin cancer isn’t a problem we simply pick and choose. Nor does it have an age and time preference – it can lie in wait and strike unexpectedly.
“Research affirms that sunburn in young adulthood leads to a greater likelihood of developing skin cancer,” says cosmetic and plastic surgeon Adam Bialostocki. “A study lead by the Warren Alpert Medical School at Brown University reported at least five blistering sunburns between the ages of 15 and 20 were 80% more likely to develop melanoma.”
Melanoma is hailed as New Zealand’s deadliest skin cancer – over 300 Kiwis die at the hands of this disease each year. And, it is the most common cancer in young people Down Under.
So, we must look at education beyond sunscreen types. We must inform those around us about ‘how’ their skin damage is actually occurring.
“UVB and UVA light damage our skins cells differently. UVB light damages the surface layers of the skin and causes sunburn,” explains Adam. “UVA penetrates the deeper layers of the skins and causes oxidative stress and production of free radicals which contribute to skin cancer and skin ageing. Both are responsible for melanoma.”
Minimising the risk isn’t just about reducing sun exposure, it’s about targeting the damage earlier for a better outcome, says Adam.
“The danger of skin cancer is that it can spread rapidly to other areas of the body. Abnormal cells from a mole can develop and multiple uncontrollably. So, careful monitoring and correct diagnosis are the best way to prevent the cancer growing and spreading.”
Regular skin checks from a trained professional to examine all areas of the body – the hidden ones too such as insides of ears, the scalp, behind the ears, fingernails, butt cheeks, backs of legs – should all be prioritised. Coupled with self-checking for any new spots or changing moles. Tuning into UV apps like uv2Day and GlobalU is also an instantaneous way of staying up with sun play. For further advice and guidance on skin checks and skin cancer information, check in with us at Bay Plastic Surgery.
Creating greater breast awareness – particularly around breast reconstruction – was at the fore of our news coverage this month. Why? Because worldwide, only a third of women who undergo a mastectomy undergo breast reconstruction, and in New Zealand that number stands at just 10%.
We all know someone who has received treatment for breast cancer or undergone a mastectomy, but what many of us don’t know – patients especially – are the specifics of breast reconstruction. Breast reconstruction goes beyond inserting generic implants and hoping they fill a void – a view many of us have subconsciously adopted. Today’s technologies and surgeon expertise, are driven by a more individual approach to ensuring breasts look good in and out of a bra.
So, how are specialist surgeons, like our very own Adam Bialostocki, achieving long-lasting, natural reconstructive results for women? With procedures that go beyond the implants themselves. For example, this can involve using tissue from a women’s own body, such as the abdomen to form a breast, alongside implant use.
What many of us don’t realise, is that breast reconstructive procedures don’t have to be carried out immediately following a mastectomy – reconstruction can happen months, even years, following breast cancer treatment.
No matter the time of surgery, post-breast surgery support and ongoing guidance is as essential to surgeons as it is to patients. An intense level of care is needed following a mastectomy or reconstruction, as many women will likely have surgical drains in place when they wake up.
Therefore, as part of a pointed and well-versed reconstructive approach, today’s surgeons plan ahead with all breast patients to discuss post-operative care and drain management – tracking and emptying, monitoring and movement. To ensuring this stage of a patient’s breast recovery is articulated before the surgery takes place.
Creating greater awareness for breast reconstruction is key to restoring confidence and aiding the healing process for women the world over. Join us in our support.
There are a number of reasons why women choose to add fullness to their bust. It may be due to weight loss, a life-time of feeling flat-chested or because they are unhappy with the size of their bust. It could also be because they have had a mastectomy. Some women are not aware of the options they have. They may think they need a breast augmentation - where an implant is inserted under the muscle and breast tissue, to create a feminine natural shape - where in fact they require a breast lift (mastopexy). There is a current trend for women with larger breast implants to downsize. We invite you to speak with Plastic Surgeon, Mr Adam Bialostocki, to discuss your concerns and optimal outcomes with him. He has a particular interest in breast surgery, regularly performing breast augmentation, reduction, mastopexy and reconstruction procedures. He will carefully explain procedures and advise on an outcome which suits your, your body shape and lifestyle. Keep in mind that breast surgeries generally require the wearing of compression garments, making the procedure more comfortable to have in the cooler months.
Sentinel node biopsy is a surgical procedure used to determine whether cancer has spread beyond a primary tumor into your lymphatic system. It's used most commonly in evaluating breast cancer and melanoma. The sentinel nodes are the first few lymph nodes into which a tumor drains. During the procedure, the sentinel lymph node is identified, removed, and examined to determine whether cancer cells are present. A negative SLNB result suggests that cancer has not developed the ability to spread to nearby lymph nodes or other organs. As a Plastic Surgeon, Mr Bialostocki performs this procedure, under General Anaesthetic, most commonly when dealing with melanoma. The treatment you receive under his care is comprehensive and supported by a team of highly skilled medical specialists.
Having large breasts is not always a positive, in fact a significant number of people (men and women) find life a lot more difficult. Limited clothing choices, interference with physical activity, over-heating, teasing... If you have larger breasts, you've probably been told by well-meaning flat-chested friends that you should "feel lucky". If you don't however, perhaps you should consider breast reduction surgery, which is usually accompanied by a lift. Mr Bialostocki regularly performs this surgery, which requires an overnight stay at Grace Hospital. The recovery is far less significant than many realise and definitely increases the comfort in your life going forward. If you have back or neck pain, if your breasts hurt when you run - whether they are large or medium sized - you fit the bill for a breast reduction. Many young people choose to have reductions, and also older people whose breasts have increased in size over time. Breast feeding is still possible for most people and Mr Bialostocki will discuss this, and the possibility of scarring, and costs with you during your consultation. Wearing compression garments and a soft, well fitted bra post-surgery is important, and can be more comfortable during winter. If you've always thought you'd like a reduction, but are not sure if it's an option for you, call us now for a consultation. Don't sit at home and wonder!
Antioxidants are natural, plant derived compounds that protect our cells from and minimise the damage caused by, free radicals. Eating a balanced, antioxidant rich diet will definitely help protect your skin and do as much as possible for it from within. Look for Vitamin E, lycopene, green tea, coffee berry, Reservatrol, grape seed, Genistein, Niacinamide and Vitamin C in your skincare products, suncreens, juices and smoothies and eat them regularly in your food choices. Eating foods as close to their original source as possible, i.e. not processed, will mean they have optimal levels of nutrient rich goodness in them too. Remember, it's all about being balanced.
Abdominoplasty is the perfect procedure if diet and exercise are not making a difference. This surgical procedure removes excess skin and fat, and tightens the stomach muscles of the middle and lower abdomen area. Enjoy a taut, smooth appearance and say goodbye to loose belly skin evident after weight loss or pregnancy. More and more people are turning to this option, and the cooler months are particularly popular for it; wearing compression garments, which are advised for optimal outcomes, can be a bit snuggly and warm in summer, so that's something to think about. Mr Bialostocki operates at Grace Private Hospital in Tauranga, assisted by his skilled theatre and support team, ensuring your safety, recovery and overall experience are the best they can be. Take action now and reveal your new silhouette this summer!
Among the various instructions you may be given for your recovery, a common recommendation is the use of an elastic compression garment. After most body procedures, Mr Bialostocki will choose to make use of these. These garments are intended to make your recovery easier and promote healing, which is especially important for larger, more invasive procedures. A compression garment has the potential to improve your recovery by holding your bandages and surgical dressings in place. It ensures that incisions are kept clean in the early stages of healing, which reduces the risk of infection. They add to the comfort of the surgical area by minimising movement of the affected tissue. Circulation is improved, which in turn minimises fluid retention and decreases bruising and swelling. The even pressure of these garments promotes skin adhesion and even healing of scars. Whether the procedure you're having involves the removal of excess skin, or fat, a healthy recovery is what the doctor will order!
Do you know we're on Instagram? Yes, we've joined the digital revolution and keep that page, and our Facebook page, regularly updated with news, trends, images and more. Hop on over to @adam_bialostocki and join us, we'd love to see you there.
If you feel that your breasts are overly large and not in proportion with the rest of your body, you are not alone. Many women experience physical discomfort - chafing, back and neck pain. A large bust can also affect your ability to take part in sports activities, can compromise self-confidence, encourage poor posture and limit clothing options. All of these things can benefit from breast reduction surgery. This procedure is becoming increasingly popular and is one which our Plastic Surgeon, Mr Adam Bialostocki frequently performs at Tauranga's Grace Private Hospital. Find out more about your own scenario by scheduling your appointment with him. You will not regret it.
Liposuction is used in a number of areas, either alone, or in conjunction with surgical procedures to ensure the best result is achieved. Is it something you’re considering? Perhaps you’ve tried all manner of diets and exercise, have excess skin post pregnancy or weight loss? This technique is much more common than most people think, and really does provide a 'tidy up' option for many. While some areas require a more significant amount of liposuction, or liposculpture, the technique is also used to even up areas such as thighs. Touch base now to learn about lipo and you - it could be that the work you need done is not as significant as you imagine.
What extent do you go to, in order to disguise something about your face that you don't like, or feel self-conscious about? It is amazing how self-esteem can be affected by appearance whether through your own perception, or that of others. Teasing and bullying can severely affect one's self-confidence, and we often see this in youth with prominent ears. Otoplasty, or pinning back of ears, can be a life-changing procedure, one which is often done under local anaesthetic. Rhinoplasty, the reduction or realignment of the nose for aesthetic or functional purposes, is very popular too, patients reporting that they have never felt so good about themselves. Much can be done about double chins, either surgically, or with the injectable treatment, Belkyra, which permanently 'melts away' the sub-mental fat of the second chin. If you, or someone close to you suffers from self-esteem issues due to their appearance, take a moment to suggest a visit to speak with Mr Adam Bialostocki. There may be options you did not realise were available.
We are delighted to have been awarded the WhatClinic 2018 Patient Service Award. Our patients are our prime focus, and our goals are very simple: to ensure that they receive exceptional care in our state of the art clinic, or at Grace Private Hospital, where Mr Bialostocki operates, supported by his exceptional medical team. Within the care we offer, we strive to provide the realistic outcomes you deserve, as well as safety, respect and consideration. Thanks so much to those of you who took the time to vote and for your kind words. We look forward to offering you exceptional continuing care and enabling you to achieve the goals you have.
A recent UK study of 1000 males, has revealed that there are an overwhelming 36.8% of men who admit to being happy with their bodies, leaving a staggering 63.2% who are dissatisfied with their physique. Does that include you, or the man in your life? It seems that while many men are happy to have hair colour, facials and manicures, when it comes to body shaping procedures, surgical and non-surgical, men shy away. That's the UK!
We're happy to say, that Kiwi men are far more progressive and the number of males scheduling procedures with Plastic Surgeon, Mr Adam Bialostocki, to address body issues they are not happy with, is increasing. These range from abdominoplasty (tummy tucks) and gynecomastia (breast reduction for 'man boobs'), to rhinoplasty (nose job) and appearance medicine treatments. We also have a big uptake of males scheduling the double chin reduction treatment Belkyra, by Allergan. Head over to the Da Vinci Clinic, where Mr Bialostocki's private practice is situated, to learn more about that. Looking as good as you feel is not only the domain of women, men deserve to too.
Like many women, the decision to get breast implants probably came long before your need for a mammogram. However, at some stage the question will come up about whether breast implants interfere with mammograms. Silicone breast implants do reduce the sensitivity of mammograms. If you have breast implants it is important to have screening mammograms as advised by Breast Screening Aotearoa between the ages of 45 and 69. When you go for your mammogram, the radiographer will ask if you have breast implants. Don't worry about this, they will simply perform the mammogram in a different way to protect your implants while still getting a good view of the breast. If you notice any change in your breast or implants, please see Mr Bialostocki for a review.
* Mr Bialostocki does ask patients to have a breast screening mammogram prior to breast implant surgery.
There are many questions around resuming work, travel and daily routines including exercise, after you've had surgery. Surgical procedures do vary in recovery times, as do individual recoveries, but there are some general guidelines. For a tummy tuck (abdominoplasty), Mr Adam Bialostocki encourages his patients to walk very early on, building up the distance over the first few weeks. Generally gym-level workouts may resume at about the six week mark. If you are considering a tummy tuck, or any other surgery, you are given a complete rundown of information about recovery prior to your procedure.
With the new year here, it's a time for many to think about their goals and making positive changes in the months ahead. If you are considering making changes to your face or body, tweaking, adding symmetry, recapturing a more youthful appearance or silhouette, taking charge of weight loss or some other area which you're not happy with, take a moment to check out our website. If you'd like to know more about specific procedures, make an appointment with our Plastic and Reconstructive Plastic Surgeon, Mr Adam Bialostocki. He has many years of experience in all fields of plastic surgery, with a special interest in breast surgery. Make 2018 your year and make this the time you set realistic and achievable goals.
Summer is well and truly here. We are a nation of outdoor loving, sunseeking people, and this of course brings a few guidelines to adhere to. Cover yourself carefully from the sun's harmful rays - with clothes, hats, sunscreen and sunglasses. Don't forget your hands and feet! We find it alarming to still see people with very tanned skin, and are saddened that a deep tan still seems to be something to aspire to. Along with the well known risks of skin cancer associated with sunburn and overexposure to sun, is the fact that the more sun your skin sees, the faster it will age. Have you had your skin checked in 2017? If not, make 2018 the year you start your annual skin check routine - it could save your life.
This procedure is a very common cosmetic surgery option, and removes loose or excess folds of skin above or below the eyes. Some choose to have both eyelids and under the eye bags tightened, others either the top or bottom. For some patients this is a cosmetic procedure, one which subtly enhances and rejuvenates this area leaving a more youthful you! Others have blepharoplasty for functional reasons, when the eyelids impair sight. If this is the case, it may be that your medical insurer will cover it. Blepaharoplasty does not require a lengthy recovery and can sometimes be done at our clinic, under local anaesthetic.
“I only got windburnt, it's fine." It’s something we hear from time to time (and even say ourselves) to explain red, sore, dry skin or lips after being outside. It's particularly difficult to avoid being exposed to harsh winds in NZ - particularly in spring. But be wary of writing windburn off - it is in fact sunburn and is therefore damaging, possibly even more so because protecting yourself from wind is not easy. Sea breezes along our coasts can be lovely and cooling, but this tends to make us less likely to cover up, or retreat to the shade, resulting in more UV exposure. Also in spring there is more UVA in our environment than UVB. Because spring tends to be sunny but cooler than summer, we tend to stay outside for longer. This means we get exposed to more UVA and, if for long enough, to get sun burnt. UVA radiation is known to penetrate more deeply into the skin than UVB meaning UVA reaches the nerve endings where it inflames and damages them (causing pain). Because the nerve endings are deep under the skin, it can take anything from 12 to 24 (or even 36 hours) for the pain and discomfort to be felt – and these symptoms can last for two or three days. In comparison sunburn caused by the higher levels of UVB in summer usually takes just two to six hours for the pain and discomfort to kick in. What to do? Use sunblock, reapply and reduce your exposure time.
While cosmetic and reconstructive plastic surgery is performed year round, there are certain times of the year when the recovery process might be more comfortable for you as a patient. Procedures which require the wearing of compression garments fall into this category. Some people choose to have liposuction and body contouring, abdominoplasty, and breast surgeries during the cooler months. This is sometimes also to ensure they are looking and feeling great for the spring and summer months ahead! In saying this, if you have missed scheduling your procedure, you might be pleasantly surprised about post-surgery recovery times, so make sure you check in with us to learn more.
As the stereotypes around plastic surgery are slowly being broken down, a whole new world is opening up for men who value a refreshed, youthful appearance. Mr Bialostocki regularly consults with male patients, who have as many concerns as women do about facial and body issues they would like addressed. The desired results from most plastic surgery treatments are similar for both men and women though the theory and technique involved will require a unique approach. The bodies of men and women differ and each gender has unique features, including skin thickness and pore size, as well as how they store fat. Successful male cosmetic surgery also focuses on creating or retaining masculine features, which may be sharper or more prominent than those of women. There are several points to keep in mind:
- Plastic surgery does not replace working out
- You need to rest after plastic surgery and men tend to return to work and exercise too quickly
- Non-invasive techniques should be considered too
Book your consultation now to discuss your options with Mr Bialostocki.
If you've made the decision to have breast augmentation surgery, you will be fully briefed by Plastic Surgeon, Mr Adam Bialostocki on what to expect during your recovery which is different for most people. Your breasts will be wrapped in gauze dressings and an elastic bandage or support bra will minimize swelling and support the breasts as they heal. Before leaving Grace Hospital, you will be given specific postoperative instructions and a follow-up appointment. Your prescribed medications may include pain pills and an antibiotic to prevent infection. Wear your support garment around the clock as instructed. Because it is possible to bleed into the pockets around the breast implants for the first several days, take it easy until you have permission to increase your activity level. Acute pain typically subsides after one to five days, but you may experience soreness and swelling for a few weeks. Resume exercise and normal activity according to Mr Bialostocki's instructions and call us if you need any further advice.
While these latest plastic surgery figures are reflective of American statistics, and come to us via The International Society of Aesthetic Plastic Surgery (ISAPS), here in New Zealand we certainly follow the American trends for both surgical and non-surgical procedures. We thought you might be interested in the following percentages...
- Total face & body procedures increased by 7% ( Brow lift 8%; ear surgery 18%; neck lift 14%; rhinoplasty 8%)
- Total breast procedures increased by 11% (Breast augmentation - fat transfer 22%; breast lift 14%; gynecomastia 11%; breast reduction 10%)
- Total body & extremities procedures increased by 8% (Buttock augmentation - fat transfer 17%; buttock lift 20%; lower body lift 29%; upper arm lift 22%; upper body lift 26%; labiaplasty 45%; vaginal rejuvenation 11%)
If you are considering a cosmetic or reconstructive plastic surgery procedure, talk to our NZ trained Plastic Surgeon, Mr Adam Bialostocki who has many years of experience in facial, body, breast and skin cancer surgery.
Do you have what you consider to be unwanted fullness, or fat, under your chin? This is commonly referred to as a “double chin”. It is a particularly common condition, but we know it can cause self-consciousness or lead to unhappiness with your profile and general appearance. Did you know that you can effectively reduce this fat, non-surgically? We’re excited to say we will soon be offering treatments to double chins using FDA approved Belkyra, by Allergan. This is a series of injections to ‘melt’ away sub-mental fat (double chin). It is already being widely used in the USA and Australia, with a significant uptake in males. The treatment can be used for people of all ages. Talk to us about this fantastic new option, and find out if Belkyra is right for you.
*MiniCool – CoolSculpting for chins – is another treatment option, and will also be discussed with you.
Have you met our Cosmetic & Reconstructive Plastic Surgeon, Mr Adam Bialostocki? If you are considering plastic surgery, choose to discuss exactly what it is you wish to achieve, with him. Mr Adam Bialostocki, is well known for his warm and respectful manner, his years of experience in a range of plastic surgery procedures, and his skilled use of state-of-the-art equipment. He is supported by medical professionals who are highly proficient in their own fields, making this experienced, well-qualified and polished team the one to choose when you are considering surgery.
While Mr Adam Bialostocki has a special interest and many years of experience in all breast surgery, he performs a wide range of facial and body procedures. Check out our site for all surgical procedures. He also spends a significant part of his time achieving optimal results in the removal of skin cancers, including melanoma. Choose to see Mr Adam Bialostocki for all areas concerning the detection, removal and treatment of melanoma.
With breast augmentation continuing to be one of the most common cosmetic plastic surgery procedures in the USA, here in NZ we continue to see increased popularity in this procedure too. While trends do influence the look women are drawn to, discussion with Mr Bialostocki who has many years of experience in this specialty field, will guide you in the decision to choose the right look for you.
Things to consider with regards to breast augmentation are:
1. Size. Many women who had breast implants some years ago, when the trend was for size with a capital 'S', are now opting for smaller implants. Larger breasts can impact your life in other ways, and another very popular procedure is breast reduction surgery.
2. Silicone vs saline. While both are available in NZ, Mr Adam Bialostocki uses silicone-filled implants, which have been thoroughly researched, and supplied by the very best manufacturers.
3. The surgical incision. There are a number of techniques and which one is used is determined by a number of factors, such as the current size and shape of your breasts, your skin, and whether you may also require mastopexy (breast lift) too.
4. Shape. This is important - how will you look post-surgery? With many years of experience in this specialty field, and with the use of the 3D imaging camera, you will see yourself as you you will appear, post-surgery.
Ask us now if you are considering breast implants, as the cooler months are the ideal time for this surgery, and will have you ready for spring and summer too! If you have other questions, take a look at our FAQs too.
Come together with friends this May and enjoy a Pink Ribbon Breakfast, whether it's at your place or theirs!
Last year 1.7million was raised from Pink Ribbon Breakfasts - that's a huge contribution towards the support of, and research into, breast cancer in New Zealand. This year, money will fund research projects and medical grants to help improve the survivorship of breast cancer in our country. This affects you, your mother, sister, friend and daughter. Signing up to a Pink Ribbon Breakfast this year, also means you will receive a very special Nadia Lim recipe - because everyone deserves a treat.
Our Plastic Surgeon, Mr Adam Bialostocki, has had many years of experience with breast surgery, and regularly performs breast reconstructions associated with breast cancer. If you would like to learn more about this procedure, we would love to hear from you.
Do you or someone you know have a scar? Have you been told that it’s not noticeable, but to you it feels like it’s the most noticeable thing about you? Perhaps you should consider scar revision.
Scars are visible signs that remain after a wound has healed. They are sometimes unavoidable results of injury, disease or surgery and their development can be unpredictable. Poor healing can contribute to scars that are obvious, which is why infection is treated so carefully after surgery. However, even if a wound heals well, it can leave a scar which might affect your appearance. Whether your scar is raised or recessed, a different colour or texture to the surrounding skin, or particularly noticeable due to size, shape or location, how it makes you feel is entirely personal. While scars cannot be completely erased, they can often be drastically improved. If your injury was originally registered and accepted with ACC, scar revision – surgery to improve the scar – may be funded. Other insurers may also fund this procedure too. However, any claim for revision does need a functional aspect to it, rather than solely cosmetic. If your scar bothers you, make a consultation with Mr Adam Bialostocki to discuss what your options might be.
With the ageing process, comes a loss of volume, the effects of gravity and sometimes smoking, and also changes that occur because of our genetic makeup. Noses may appear to become bigger, chins lose definition, excessive lines and wrinkles prematurely age us. Breasts may sag, increase or decrease in size, and areas of fat around the tummy, thighs and back will just not shift. While a lot can be done with dermal fillers, Botox and the fat freezing technology of CoolSculpting, sometimes surgical options are the best options. If you're thinking about an eye lift (Blepharoplasty), a nose job (Rhinoplasty), a face lift, or perhaps a tummy tuck (abdominoplasty), liposuction or a boob job (breast augmentation, reduction or mastopexy), talk to our Plastic Surgeon, Mr Adam Bialostocki. He will advise you of the latest surgical procedures available, what outcomes you can expect, and all about the downtime involved, costs and more. With autumn upon us, considering surgery in the cooler months is wise, as some surgeries require the wearing of compression garments. Talk to us - don't sit at home and guess.
Ensuring our patients at Bay Plastic Surgery are given the very latest options available when it comes to both cosmetic and reconstructive plastic surgery techniques, is something we take very seriously. As such, our Plastic Surgeon, Mr Adam Bialostocki regularly attends conferences in his specialty fields, as do his specialist nurses.
This week, Mr Bialostocki has been in Melbourne at the 21st Advanced Aesthetic Plastic Surgery Workshop, endorsed by The Australasian Society of Aesthetic Plastic Surgeons, The Australian Society of Plastic Surgeons and approved by the Royal Australasian College of Surgeons. The 2017 Workshop’s extensive program focused on an in-depth study of the most up to date techniques on THE AGEING FACE – NEW HORIZONS. Looking at incorporating concepts for refreshing, rejuvenating and in some cases reconstructing the eyelids, brow, face and neck – including new ideas and as well as ancillary procedures - was at the centre of the conference. The opportunity to discuss procedures with a group of Plastic Surgeons, and share and learn techniques, means that you too are kept up to date with the latest techniques and trends.
If you'd like to learn more about facial cosmetic procedures, click here. Making a consultation to discuss your specific concerns is the best way to take the guess work out of what you think you need. Some people believe a full facelift is the only answer; often, they need a mid face lift, or perhaps blepharoplasty or an eyelift to achieve their desired outcome. Talk to Mr Bialostocki and his team to get the facts.
Ageing happens to us all. Some are happy with the way they age, others are not. If you fall into the second category, and don't look the way you feel, there are things you can do to change this.
A common procedure performed by our Plastic Surgeon, Mr Adam Bialostocki, is a facelift. The most common age group for this is from 40 - 65 years of age. With the increase in popularity of plastic surgery and its acceptance as a 'go to' solution, there is an increase in younger people coming in to have more minor surgery, such as a browlift, "nose job" (rhinoplasty), or an "eyelift" (blepharoplasty). More people are paying attention to their chins too, with the use of chin implants to give more definition, or reducing the appearance of a double chin surgically, or through the use of CoolSculpting.
Facelifts result in a better tone, and a fresher younger looking face. Mr Bialostocki performs this surgery under General Anaesthetic at Grace Private Hospital and it is sometimes combined with brow and eyelid rejuvenation, and microfat grafting to specific areas. To learn more, visit the procedures section of our website. In the past, facelifts were obvious, and we have all seen images of overly taut skin which appears shiny and stretched. Things have come a long way and results these days are subtle, youth-enhancing and refreshing. Want to learn more? You may like to read through our FAQs and for specific questions, contact us.
The skin cancer statistics are frightening in our country, there is no doubt about it. While we hope that younger generations will practice safer sun protection habits than generations have done in the past, it is still frightening to see how many young people see a tan as a must-have. We can change skin cancer and melanoma rates, it is largely a preventable cancer. Have a look at our recent Facebook post on how to do this.
Early intervention of skin cancers gives you the best chance of successful removal and treatment. This means acting immediately if you notice signs of change to an existing freckle or mole, or the development of a new sun spot. Regular skin checks need to be scheduled as part of your health care routine. Our Plastic Surgeon, Mr Adam Bialostocki, spends around 50% of his time working with skin cancer - detection, removal and treatment. He works alongside the dermatology team at the Da Vinci Clinic, where his private practice, Bay Plastic Surgery, is situated. Having a Plastic Surgeon to treat your skin cancer, means that you will also have the very best aesthetic outcome possible, as Plastic Surgeons are trained specifically, and for many years in gaining the optimal outcome in minimal scarring.
While it can be frightening to start the ball rolling with skin cancer checks and removal, delaying will only allow the situation to worsen. Touch base with us now, have confidence in your care and know you are in skilled hands.
As with many things, be it cars, homes, travel and more, in plastic surgery we notice trends too.
Something our Plastic Surgeon, Mr Adam Bialostocki is seeing of late, is a desire to downsize breast implants. There are a number of reasons leading to this decision for women. When breast augmentation surgery - often known as having a 'boob job' - became fashionable, people were keen to conform. Now was their opportunity to have a cleavage and at last, a large bust. But as time has moved on, this fashion has lessened and with the wave of fitness regimes available, bigger breasts can be a hindrance and interfere with exercise comfort and performance. With this said, Mr Bialostocki, who has a special interest and many years of experience in breast surgery, is performing more breast reductions.
There comes a time when breast implants need to be replaced too, as they do wear out over time. Manufacturers suggest around ten years is the average life of a silicone or saline breast implant. As women are having their implants replaced, they are opting to change the size and shape of them in order to best complement their age and figure. Some women have them removed completely, and choose to have a mastopexy, or breast lift of their own breasts in order to restore a firm and natural shape.
At Bay Plastic Surgery, we offer the use of the Vectra 3D imaging camera which allows you to see yourself as you will appear post - surgery. No more guessing! Click here to check out the article on our Facebook page to learn more about that. Should you have any queries about breast implants, downsizing and other breast surgery procedures, contact us. We would love to hear from you.
Are you a magazine reader? If you'd like to keep up to date with more in depth information about the procedures provided by our Plastic Surgeon, Mr Adam Bialostocki, make sure you pick up your copy of lifestyle, health and beauty magazines, The Beauty Book, Ze Magazine and UNO.
We feature regularly in these magazines with information on procedures, trends and more on topics such as blepharoplasty, breast reduction for men and women, breast augmentation and breast lifts, breast reconstruction, liposuction, abdominoplasty or tummy tucks, and of course skin cancer prevention, detection and treatments. We always have copies of these magazines at our Bay Plastic Surgery Clinic, or you can subscribe to them yoursel. You'll find us at the Da Vinci Clinic.
Our Vectra 3D® Imaging Machine is increasingly popular with patients at Bay Plastic Surgery.
For those considering plastic or reconstructive surgery with Plastic Surgeon, Mr Adam Bialostocki, the camera is an excellent tool as it allows you to see yourself, as you will appear post-surgery. No more guessing at the size and shape of your breast implants – under the careful guidance of Mr Bialostocki, you can see the outcome! New software for the Vectra 3D Imaging machine means it will soon be used for the imaging of a wider range of surgical outcomes. Keep an eye on our Facebook page to view videos of what the process involves.
If you have not yet had an annual routine skin check, you may be a little unsure about what to expect. These points below are indicative of a skin check with Plastic Surgeon, Mr Adam Bialostocki.
- A full of review of your medical history, assessing your risk of melanoma
- A systematic review of your skin from head to toe. You will be asked to reveal your skin an area at a time, ensuring your comfort.
- The skin check includes the scalp, behind the ears, the sides of the neck and nose, the trunk, back, legs and toes and soles of the feet, and between your fingers. Mr Bialostocki will use a magnifying and lighting device, known as a dermatoscope.
- Advice will be given immediately on any areas of concern.
Are you concerned about lines around your mouth? Does your lipstick 'bleed'? Lines in this area are a natural sign of aging, but can be exacerbated by smoking. Whatever the reason, those vertical lines, the drooping corners of the mouth and the loss of volume to the lips, can be restored with the use of soft, malleable dermal fillers. We believe in a subtle softening of these lines, not completely erasing them, giving an overly full and unnatural appearance. The use of natural, temporary dermal fillers to subtly hydrate and smooth lines which occur around our lips as we age, is a wonderful treatment. Non-surgical, comfortable and with optimal results, dermal filler adds definition and restores volume where it counts. All new patients will see Mr Bialostocki prior to their treatment with our skilled appearance medicine nurses, meaning your own personalised treatment plan with a Plastic Surgeon who has many years of experience in the field of aesthetic medicine. Learn more about our medical team right here!
Being diagnosed with breast cancer is not only a very difficult time in a woman's life, it is also a time when she is faced with many decisions. It can be over-whelming. Sometimes the thought of more surgery is too much, but the good thing is, breast reconstruction can be done at a later stage. 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 this option due to the type of cancer and 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. During your consultation with Plastic Surgeon, Mr Bialostocki, he will help you understand and determine the best option for you. If breast reconstruction is something you are now considering, we look forward to seeing you and in the mean time, you may wish to read more about this procedure here.
The summer is going to be long and hot and you know what that means - excessive perspiration and all that goes with it! If your brow needs mopping during your recreational activities or while you're at work, we can help. By injecting small amounts of Botox under the skin, this issue is addressed swiftly and with long lasting results. The effects are obvious after around two weeks and can last up to eight months. We have patients who now schedule this fantastic treatment into their pre-summer regime. Used for excessive armpit sweating too, hyperhydrosis need no longer be a problem for you, or your clothes. Book now with our appearance medicine nurses.
Mr Bialostocki will be speaking at the monthly meeting of the Waikato Bay of Plenty Branch of the New Zealand Dental Association, at the end of November. This group is very active in remaining aware of medical procedures and specialist fields which complement their own field. With this in mind, Mr Bialostocki will be talking to attendees - who are from a range of dental disciplines - about a comprehensive range of common aesthetic procedures, the increasingly popular field of injectable treatments as well as covering some reconstructive cases that required cosmetic input.