Peninsula Plastic Surgery – Dr. Warwick Harper MB BS FRACS – 02 99 77 2286

Facial ageing appears in the skin and with the sagging of soft tissues. Correction is achieved by both medical and surgical techniques.

Ageing of the skin is seen as wrinkled unhealthy skin, pigmentation, spots, surface veins, lumps and bumps. The sagging down of soft tissues due to gravity with loss of facial fat and is seen as eyebrow droop, excessive skin folds in upper and lower eyelids, bags in the lower eyelids, heavy naso-labial folds, jowls and neck folds.

To look good both have to be corrected. Correction of the skin ageing is discussed under the heading "Looking good without surgery". Many patients only consider this in seeking correction.

Correction of the sagging downwards of the facial tissues and loss of facial fat is discussed under the heading of "Looking good with surgery"

As each new procedure is discussed firstly please read about that procedure on the Australian Society of Plastic Surgeons Website: www.plasticsurgery.org.au.

For further information and costs, please ring the Manly rooms on (02) 99771275 to arrange a consultation.

"Looking Good" without surgery

Chronic sunlight exposure, smoking, poor nutrition and health, lack of hormone replacement are all factors in the ageing of the skin.

As the skin ages:

Rejuvenation of the skin - a clean, clear, pink smooth and soft skin is obtainable.

Techniques

OBAGI® - A medical programme of creams/motions to correct ageing and sun damaged facial skin.

Developed by American dermatologist Dr Zein Obagi using medicines Retin A, Hydroquinone, Vitamin C, lactic and glycolic acid. These medicines penetrate the skin to act on:

To correct:

Correction of skin problems is obtained by applying the creams morning and night to face, neck and chest over a period of 4-6 month, then *maintained for life, by applying 2x week at night - easy no trouble or problem - a very affordable programme that works.

Results:

Consultation and instructions on the use of Obagi products is through the Manly rooms.

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DERMAROLLER - A technique for skin rejuvenation

Uses skin needling (painless and bloodless to stimulate skin rejuvenation to correct wrinkles, open pores pigmentation problems, dull and lifeless skin back to normal. New collagen and elastic fibres are grown in the skin, becoming thicker, soft, glowing correction the wrinkles without the need for dermal fillers or laser resurfacing.

Easy, painless, the whole face needled over ½ hour under a local anaesthetic cream on the face. No downtime, go to work the next day. Works over 3 to 4 months to see excellent results.

Works by releasing wound healing growth factors as well as electrical stimuli.

Both layers of skin, epidermis and dermis re-grow.

Used to correct the very *specific problem of *extensive and deep ficaial wrenkling seen in sun damaged skin.


*Leverage peni oval wrenkling

Problem areas marked for dermaroller

The Dermaroller Operation

Performed on 3 occasions 6 weeks apart, to obtain the maximum improvement. La procedure through the Day Surgery Manly.


Preparation by Nursing sister. Local anaesthetic cream applied to face - then wait 20 minutes.

Dermaroller applied to face (areas marked)

Post operative appearance - face red/flushed for about 1-2 hours, then back to normal. Make up applied. No downtime.

The dermaroller procedure is performed on 3 occasions 6 weeks apartunder local anaesthetie in the *Ray Suergery *Unit *Manly

The patient is on the Obagi medical creams programme. *M is obtained by the continuing to apply Obagi creams 3x *weekly then using the home dermaroller (easy and no *discomfort) over *period of 10 months

Consultions and instructions through the Manly Rooms,

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Muscle Toxins - To correct wrinkles and sagging of skin

French technique of Claude Le Lauran of Paris is used with superior results obtained. Toxin is concentrated, used with adrenalin and placed directly into muscle origin using an avanced technique of injection resulting in less complications, less bruising, longer action and quicker reversal of muscle spasm.

Muscle Toxings injected correct:


Facial Muscles

Frown

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Lipostructure - fat filament injections for adding fullness

The loss of *subentareans fat is a major factor in ageing, due to *chronic sun exposure and smoking.

This loss produces *diepnase - *labial grooves, then *lips and *bitterness grooves from *corners of mouth, loose skin at corners of mouth.

This loss is *repliced by harvesting fat *belamets and *stem cells from the abdomen, and *injecting as a fat *graft into the cheeks, *leps and *chin. ***a ray only proced taking about 1 hour.

*Hallous, deep grooves, loose *lox skin *bolds are corrected and health of skin greatly improved by *stem all activity.

The fat *filements can also be injected into the *derms as a filler to improve superfiacial wrenkling.


Pre operative

Post operative

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For further information about eyelid surgery, facelift, a chin implant or another cosmetic procedure contact our Sydney area practice, Peninsula Plastic Surgery today.






Peninsula Plastic Surgery
7 West Promenade
Manly NSW, Australia 2095

Phone: (02)9977 1275
Fax: (02)9976 2802

infowharper@
ppsurgery.com.au