For Patients

Questions and Answers

The questions in this section have been asked on the website over the past year. For detailed questions and answers covering all aspects of plastic surgery and also important disclaimers you are welcome to access the American Plastic Surgery Information Service - click here.

Please revisit this page as we will be adding new content regularly.

Cosmetic Surgery

Cost of Surgery
  • Q: How can I find the cost of plastic surgery procedures?
  • A: It has been deemed illegal to compare or fix prices for elective surgery. It is important to discuss an estimate of costs carefully with your surgeon before embarking on a procedure. Overall costs may include the surgical fee, hospital and anaesthetic costs, cost of pathology or prostheses.

Face Lift
  • Q: Can you recommend a surgeon who specialises in face lifts.
  • A: All our members are well trained in the various aspects of plastic surgery and we do not have particular "specialists" in face lifts. You can use the regional address list on the website to find one of our members near to you. Have a consultation and ask any questions you may have. Be sure you feel comfortable with the surgeon and have a second consultation if necessary.

  • Q: My breasts are droopy. Can this be fixed?
  • A: Breast droop or Ptosis is usually surgical correctable by either a mastopexy (skin tightening and lift) or augmentation or both. Choosing the correct option is very important. Your surgeon will discuss this with you.

Suspension Sutures
  • Q: What are suspension sutures?
  • A: Suspension sutures are barbed sutures use for localised lifting of the face and brow. They can usually be placed with a local anaesthetic.

Wrinkle Fillers
  • Q: I have heard of a wrinkle filler called Perlane. Is it safe?
  • A: Many fillers are currently available. Restylane/Perlane fillers consist of Hyaluronic acid and have been subjected to clinical trials. More information is available from the Q-med website on the home page of our website.

  • Q: I have bags under my eyes. Can anything be done about this?
  • A: Bags under the eyes are treated by removing or repositioning the fat pads that occur there and tightening the skin if necessary. Bags and excess skin folds in the upper lids can also be treated surgically. The effects of blepharoplasty are confined to the area within the bony eye socket and the procedure does not tighten the rest of the facial skin.

Breast Augmentation
  • Q: Silicone implants were banned a while ago. Is silicone safe?
  • A: You are correct. Cosmetic augmentation with silicone implants was banned by the FDA at one stage. More recently the restriction has been fully lifted and the Institute of Medicine of the Academy of Sciences has declared silicone implantation to be safe. You will find more information on this issue on the website.
  • Q: Where is the incision made to place the implants?
  • A: There are several alternatives and you need to discuss this carefully with your surgeon. An incision underneath the breast gives very direct access to the space behind the breast and is used in many cases. An incision in the armpit area gives easy access to the space behind the muscle but may be difficult to use with pre-filled textured implants. A nipple incision is also a possibility and even an incision in the umbilicus. Each approach has some advantages and some disadvantages.

Breast Reduction
  • Q: Where will the scars be?
  • A: There are several alternatives regarding scar placement and you need to discuss this carefully with your surgeon. The scar may be in the form of an inverted T or “anchor” or may be more confined to the under surface of the breast. Full scar settling takes many months to occur.
  • Q: Will I be able to breast feed after the operation.
  • A: Some women are unable to breast feed even without any surgery. Many methods of breast reduction do not disturb the connection of the nipple to the breast tissue by using a carefully designed pedicle and breast-feeding should then be possible. It is unfortunately not possible to guarantee this however.

  • Q: Is liposuction safe?
  • A: Worldwide there have unfortunately been some major complications from liposuction but in almost all of these cases the surgery was performed by inadequately trained individuals and large amounts of fat were removed without adequate fluid replacement. All the members of the APRASSA are fully trained in liposuction and with careful patient selection and correct surgical technique this is regarded as a very safe procedure. The ideal candidate is close to goal weight and needs correction of problem areas.

Reconstructive Surgery

Breast Reconstruction
  • Q: How soon can I have a breast reconstruction after a mastectomy?
  • A: The timing of reconstruction is an important decision that needs to be made in consultation with your surgeon, the oncologist and the plastic surgeon. Immediate reconstruction may be an option or delayed reconstruction might be advised according to you exact situation.
  • Q: What kind of breast reconstruction can I have?
  • A: The decision regarding the most suitable form of reconstruction needs to be taken in conjunction with yourself, your surgeon, the oncologist and the plastic surgeon. In general there are two main types of reconstruction using either a silicone implant or various flaps consisting of your own tissue. It is important that you are fully informed about the alternatives so that you can make your own decision about the chosen method.