Dr Jonathan Toogood | Procedures
Plastic surgery Cape Town, South Africa - Dr Jonathan Toogood, Plastic & Reconstructive Surgeon,offers a wide range of cosmetic surgical and other non-invasive aesthetic procedures with state-of-the-art equipment.
plastic, surgery, south, africa,cosmetic, surgeon, cape, town, breast augmentation, implant, enlargement, liposuction, rhinoplasty, face, lift, procedure,Dr Jonathan Toogood
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I refuse to compromise
on the following:

– Thorough consultation‬‬‬
– ‪Comprehensive information‬‬‬
– ‪Patient safety‬‬‬
– ‪Appropriate and meticulous surgery‬‬‬
– ‪‪Optimal pre-operative care‬‬‬
– ‪‪Confidentiality‬‬‬
– ‪‪Accessibility‬‬‬

SURGICAL PROCEDURES

The quality of the process determines the excellence of the result

Facial surgical enhancement aims to restore and modify undesirable facial features towards a perceived aesthetic ideal. Changes due to facial ageing can be reversed and natural youthful features restored without altering natural appearance and function.

Face

  • Face/neck lift
  • Blepharoplasty/eyelid lift
  • Brow lift
  • Facial and neck liposuction
  • Facial fat filling
  • Mid-face lift
  • Lip dermal grafts
  • Upper lip lift

Rhinoplasty/nose job

Cosmetic rhinoplasty or a ‘nose job’ aims to alter the shape and size of the nose and improve nasal appearance in order to restore balance and harmony to one’s face.

Chin augmentation

A receding chin may be augmented by placing a small implant on the chin or by surgically advancing the jaw bone. A less invasive technique could involve injecting fat into the chin.

Otoplasty/ear correction

Prominent ears may be corrected by an otoplasty operation to set the ears back against the head in a natural way.

Cosmetic surgical enhancement of breasts aims to restore and modify undesirable breast size and shape as required by an individual towards a perceived aesthetic ideal. Changes due to pregnancy, the effects of gravity and ageing can be reversed in most patients and more youthful breasts restored without altering natural appearance or function.

Breast cosmetic procedures

Breast cosmetic procedure options are as follows:

 

Breast reduction

 

Breast reduction is a surgical procedure performed in order to decrease the size of the breasts.

 

Breast augmentation

 

This procedure enlarges breasts that are small, underdeveloped or have lost size and shape after childbirth.

Enlargement of the breast is aided by the insertion of prosthetic silicone implants behind each breast. An incision is made either under the breast, around the areola or in the axilla/armpit, and a pocket is created for the implant either behind the glandular tissue or muscle between the breast and chest wall.

 

Mastopexy or breast lift

 

This is a surgical procedure to lift up a sagging breasts – there should be little to no change in the size of the breast after the procedure, merely an improvement in breast position, projection and appearance.

Breast reconstruction after mastectomy

The extent of the breast reconstruction operation is determined by the extent of the cancer surgery, which varies from partial mastectomy/lumpectomy (removing part of a breast only), subcutaneous mastectomy (removing the internal breast tissue but leaving the skin envelope and nipple/areola) to complete mastectomy (removing all breast tissue with nipple/areola and a varying amount of skin). In some cases it is possible to do an immediate reconstruction at the time of mastectomy, but in other cases reconstruction is best delayed until all cancer treatment is complete.

 

Breast reconstruction options are as follows:

 

Immediate breast reconstruction

 

  • Prosthetic placement with or without tissue expanders.
  • Latissimus dorsi back flap with breast implant placement.
  • Abdominal DIEP free flap.

 

Delayed breast reconstruction

 

  • Prosthetic placement with or without tissue expander.
  • Latissimus dorsi back flap with breast prosthesis placement.
  • Abdominal TRAM flap.
  • Abdominal DIEP free flap.

 

Breast cancer patients have to deal with the threat and implications of the cancer, potential mutilation of their breasts and a sense of loss of womanhood, all of which could result in a period of emotional upheaval after the cancer surgery. Breast reconstruction can help patients to work through some of these issues and restore a sense of self-esteem and confidence.

Cosmetic surgical enhancement of one’s torso aims to restore youthful contours and modify a body shape that is undesirable for the particular individual. Changes due to ageing, weight loss and pregnancy may be reversed and youthful body contours restored.

Body contouring procedures

  • Abdominoplasty (tummy tuck)
  • Liposuction/liposculpture
  • Thigh lift
  • Gluteoplasty (buttock lift)
  • Brachyplasty (arm tuck)
  • Structural fat grafting – face, body & hands
  • Labioplasty/vulvoplasty – female genital surgery
  • Post weight-loss surgery

Reconstructive

Plastic surgical reconstruction of deformities takes many forms, deals with problems in many different anatomical areas and involves a variety of tissue types. Plastic surgeons are trained to apply their skills and techniques in original ways to solve each particular reconstructive problem, taking into account the state of the tissues, general health of the patient, function of the various structures and organs involved. The ability to perceive and plan three-dimensional structures and a sense of aesthetic appreciation help plastic surgeons to restore patients’ deformities to the best possible outcome.

 

Whereas cosmetic surgery is principally concerned with appearance and function an essential secondary consideration, reconstructive surgery aims to restore function with appearance an essential, but secondary concern.

 

The reconstructive operations offered are extremely varied and the following list contains some of the deformities and diseases dealt with:

 

  • Skin cancer surgery
  • General soft tissue reconstruction
  • Reconstruction of facial fractures and deformities
  • Cleft lip and palate/craniofacial surgery
  • Breast reconstruction following mastectomy/deformity
  • Scar revision

NON-SURGICAL PROCEDURES

In expert hands, non-surgical rejuvenation techniques like Botox and filler can have dramatic results with little or no downtime. We have compiled the most frequently asked questions about these techniques.

NON-SURGICAL FAQs

Your questions answered

What is the difference between Botox and filler?

Botox works by partially blocking the nerve impulse to the muscle with the effect of decreasing the contraction of the muscles. Less muscle contraction results in less wrinkling of the skin. Fillers are used to restore your skin’s volume, smooth away facial wrinkles and folds and redefine lips.

Are there any negative consequences to using Botox and filler over the long term?

The effects of Botox last for an average of three to four months. This varies depending on the condition of the skin, area treated and lifestyle factors. The effects of filler last for up to a year. The effects of both filler and Botox are temporary. However, improper use and injection technique may give an inadequate result.

Isn’t Botox a toxin?

Botox contains purified botulinum toxin type A.

What can be done to improve pucker lines/barcode lines around the lips?

The loss of volume in the upper lip can be treated with filler and the surface texture of the lip improved with laser, microdermabrasion, medical needling or chemical peels.

For how long are these treatments effective?

Depending on the type of treatment, the effect may last from three months to longer than a year.

Who is allowed to administer Botox and filler?

Depending on the type of treatment, the effect may last from three months to longer than a year.

What is a ‘liquid face lift’?

A ‘liquid face lift’ is a non-surgical improvement of the face using only aesthetic techniques such as Botox and filler.

Can Botox effectively treat certain types of chronic pain?

Migraines and pain due to chronic muscle spasm affecting the eyes, face and neck are effectively treated with Botox. It is also used to relieve muscle spasm in children with cerebral palsy.

Can Botox effectively treat excess sweating?

Yes, Botox blocks the actions of the nerves that supply the eccrine sweat glands. This prevents the glands from producing sweat. Over a period of 6 to12 weeks, new nerve endings grow to replace the blocked ones. This means that the effects of treatment last for several months, but will eventually wear off.