Non Surgical Facial Rejuvenation – The Taylor Clinic
October 8th, 2011
Introducing the newest and most comprehensive specialised clinic thats focus is a pure non-surgical approach to facial rejuvenation and skin care. The Taylor clinic combines expert medical experience with longstanding experience in injectable fillers and skin care to give a holistic approach to preventing and treating the ageing process. If its simple advice on skin care to long term fillers or skin rejuvenation The Taylor Clinic can provide a specifically tailored program to the needs of each individual. Unlike other non-surgical clinics The Taylor clinic works closely with leading Facial Plastic Surgeon Dr Tobias Pincock, so that in cases where a surgical approach is a better solution for the patient then surgical planning can be introduced seamlessly over time.
For more information please visit http://www.taylorclinic.com.au or call 1300 658 968
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Sydney Rhinoplasty Surgeon Dr Tobias Pincock – Modern Day Revision Rhinoplasty Techniques
September 3rd, 2011
As I have mentioned before, Revision rhinoplasty is a challenging procedure for both the patient and the surgeon. For the patient because its often an emotional experience to go through another surgical procedure when they had hoped the first procedure would yield the perfect result and also for the surgeon because a) Revision rhinoplasty is a technically demanding procedure and b) managing the patients expectations and anxiety about a second procedure.
First and foremost it is extremely important that the patient wait an appropriate time between their primary procedure and a secondary or revision rhinoplasty. It is surprising despite how many times I inform patients about the time taken for subtle swelling to settle down, many patients will ask within the first month after a rhinoplasty if the nose is still swollen – of course ! I also get many second opinions from patients who have recently undergone surgery with another surgeon and are unhappy with the results and are disbelieving of the surgeon that the nose is still swollen. It is imperative that the patient understand that the healing process takes time and although most of the swelling settles by 3 months very subtle changes continue for up to 18-24 months.
If a patient seeks a revision or secondary rhinoplasty, as always it is important to make sure patient and surgeon “are on the same page” as far as desired outcome and whether that is a realistic outcome.
common revision rhinoplasty problems and the approach to correction
- further change to nasal shape – usually the result of surgeon wanting to be conservative or patient stating they did not want a major change when in fact they did. It is important to use computer imaging here to make sure both parties are aware what the desired outcome is and whether it is achievable. in particular patients will often feel their nose is over-projected after surgery. It can take some time for the nose to settle after surgery.
- asymmetry – if it is bony it is fairly straight forward and can be approached by an endo-nasal approach. if it is tip asymmetry this is more complex and will require an external approach. tip asymmetry within the first 12 months of surgery can still be related to differential rates of tip oedema resolution. Bony asymmetry can be addressed early if obvious, tip asymmetry should be delayed till at least 12 months after initial surgery unless its clear it will not resolve
- irregularity of underlying bone – this can be a common cause for patients to seek a referral or be concerned post-operatively. it is very common after surgery for there to be irregularity at the sites of bony osteotomy. These settle with time. It only needs to be addressed in the case of osteoma formation or if the irregularity is visible
- over-resection of nose – fake appearing nasal shape – this is unfortunately still a common occurence, the nose is small, very upturned and often blocked. This is almost always the result of a closed rhinoplasty technique with over-resection of lower lateral cartilages or “cephalic trim”. This needs to be corrected via an external approach rhinoplasty with an alternate source of cartilage stock. either ear or rib cartilage. Surprisingly I do occasionally get asked to achieve this look for some patients, in this situation most people will realise its not a desirable appearance after some explanation.
- post rhinoplasty nasal obstruction – very rare when performed by an ENT trained facial plastic surgeon, and most general plastic surgeons specialising in rhinoplasty recognise the at-risk patient prior to surgery. most rhinoplasty involved making the nose smaller and this can reduce airflow in a patient with a marginal nasal airway. This can be corrected quite easily by an ENT (ear, nose and throat surgeon) and does not require an external incision.
Undergoing rhinoplasty can be an extremely positive experience. It is imperative that a patient choose their rhinoplasty surgeon wisely. Visit http://www.rhinoplastysydney.net.au or call us at Sydney Facial Plastics on 02 88833699 if in Australia or +61 288833699 from overseas for more information about making a consultation regarding rhinoplasty.
Tags: revsion rhinoplasty, Rhinoplasty, rhinoplasty expert, rhinoplasty specialist, rhinoplasty sydney, secondary rhinoplasty, sydney rhinoplasty
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Dr Pincock gains International Certification as a Facial Plastic Surgeon
April 22nd, 2010
Dr Pincock has recently been certified by the IFFPS (International federation of Facial Plastic Surgeons), this is a federation of several Facial Plastic Societies across the world. The criteria for admission is strict with candidates having to do a recognised facial plastic fellowship, pass a 2 day exam that tests the candidates knowledge in the super-specialty of Facial Plastic Surgery, have completed an ENT Head and Neck Surgery or general plastics basic training as well as logbook requirements. Please click link below to see Dr Pincock’s certification.
http://www.iffpss.org/certificants.html
for more information please see the attached certification criteria
UNIFIED INTERNATIONAL CERTIFICATION PROGRAM
WHO IS CERTIFIED
Unified International Certification in Facial Plastic Surgery Diplomates
(UIC in FPS Diplomates)
The international certification process is aimed at setting similar standards of knowledge in the area of facial plastic surgery worldwide. The only established certification in the area of facial plastic surgery is that offered by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). Specialists who have trained outside North America are not eligible for ABFPRS certification. Keeping this in mind, and with the support of the ABFPRS and the AAFPRS, a Unified International Certification Program in Facial Plastic Surgery was developed. Eligibility criteria were established following the standards of excellence established by the ABFPRS. Today, if international specialists fulfill the criteria, they may be eligible for the Unified International Certification Program sponsored by the International Federation of Facial Plastic Surgery Societies (IFFPSS) and the national facial plastic surgery society in their country or geographic area.
To achieve international certification the surgeon must:
Have completed an approved residency program in otolaryngology/head-and neck surgery or plastic surgery.
Have earned prior certification by the National Examining Body in Otolaryngology/Head-and Neck Surgery or Plastic Surgery.
Have been in practice a minimum of two years.
Have 100 consecutive operative reports (in the area of facial plastic and reconstructive surgery) performed in a two-year period, accepted by a peer-review committee.
Successfully pass a two-day written and oral examination in the specialty.
Hold the appropriate licensure and adhere to the IFFPSS Code of Ethics.
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Revision Rhinoplasty in Sydney
August 16th, 2010
Revision rhinoplasty is one of the most difficult facial reconstructive procedures. Often a secondary, tertiary or quaternary rhinoplasty has already been performed leaving the nasal cartilaginous framework ravaged and the skin overlying it scarred and abnormal.
This is one reason to get your rhinoplasty performed in Sydney by a well qualified rhinoplasty expert. This is either an ENT trained Facial Plastic Surgeon such as Dr Pincock or a Plastic surgeon who specialises in the face.
If you have already had a primary rhinoplasty and are unhappy with the results its always best to discuss this with your original surgeon first. You should not be embarrassed or reluctant to bring up certain issues with your rhinoplasty. The best rhinoplasty surgeon in the world has revision rhinoplasty patients and it is therefore not a reflection on your surgeon if you have an issue BUT how he deals with it.
If you are unhappy with seeing your primary surgeon again or have lost rapport, then seeing another surgeon may be necessary.
Remember although choosing your surgeon wisely for a first time rhinoplasty is important it is imperative that you do your research before seeing someone for a secondary rhinoplasty.
Your secondary rhinoplasty surgeon should not be contradictory to your original surgeon or make disparaging comments about your original surgery. It is impossible for the second surgeon to have an understanding of all the factors that led to the issue or have a complete understanding of the conditions of the original surgery.
Revision surgery may simply involve taking down a dorsal hump down a little further or filing down some unevenness from the osteotomies OR it may require a full reconstructive rhinoplasty requiring ear cartilage grafts, rib or even artificial material.
Remember that the nose is not just for looking good so at any stage of rhinoplasty, maintenance of a good nasal airway should be a primary goal for all rhinoplasty surgeons. If you get a blocked nose from a rhinoplasty it will drive you crazy!!!, luckily nasal obstruction following rhinoplasty or “post rhinoplasty nasal obstruction” is relatively easy for an Ear, Nose and Throat surgeon to correct.
For more information please visit www.rhinoplasty.org.au or
http://www.sydneyfacialplastics.com.au/reconstructive_surgery.html#revision
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revision rhinoplasty and preventing revision nasal surgery of the dorsum
November 11th, 2011
One of the most common causes of concern after rhinoplasty is a rough dorsum or palpable ridges. These are common after dorsal humpectomy and osteotomies, particularly in thin skinned individuals. I have been using a new product whch is a collagen matrix which acts as a very thin spacer between the bone and skin with excellent results. This product (Integra) prevents and treats dorsal irregularity and is a fantastic addition to the armamentarium of the modern Rhinoplasty surgeon.
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Sydney Browlift (Brow Lift, Forehead Lift) Surgeon Sydney
October 28th, 2011
The eye-brow complex is an extremely important element to the ideal facial aesthetic. Many people are unhappy with the position of their eyebrows. Whether it is an inherited trait or due to a facial nerve paresis or palsy a low brow either unilateral or bilateral can contribute to an aged or angry appearance.
Many of my patients do not express a desire to look younger but want a fresher look and to not look as tired or angry. women and increasingly men can pluck their eyebrows to get some height and if further elevation is required then botox or a similar ant-wrinkle muscle relaxant can be used to raise the brow by weakening the brow depressor musculature. please see http://www.taylorclinic.com.au for more on non-surgical browlift
For patients with significant brow ptosis then surgical intervention may be required. this can be done via a direct, trans-blepharoplasty or most commonly an endoscopic approach.
I use the endoscopic technique in combination with the medtronic bone bridge, endotine or ultratine systems to achieve permanent accurate brow lifting position.
So if it is to restore your brow position after a Bell’s palsy or to achieve a more exotic look, or simply to look a little more fresh a brow-lift can help achieve your cosmetic goals.
please visit http://www.sydneyfacialplastics.com.au/cosmetic.html#browlift or paste it into your browser to learn more about this exciting procedure.
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New Clinic for Botox and Dermal Fillers – The Taylor Clinic
October 11th, 2011
Introducing the Taylor Clinic,. Dr Pincock has joined with several of Sydneys most experienced cosmetic injecting specialists to offer a total non-surgical solution for your face.
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Cosmetic Surgery Reversal
September 10th, 2011
It is an unfortunate reality that there are many people that are unhappy with the results of their cosmetic surgery. Often these patients have seen Cosmetic Surgeons that are not appropriately qualified or had “overseas” cosmetic surgery holidays. There are many reasons that this is not a great idea but for patients that have already had the surgery and are unhappy with the results this advice may come a little late.
Surgery that has been performed may be able to be completely or partially reversed or certainly improved. Patients seeking Facial Plastic/Cosmetic procedure reversal or revision should make an appointment to see Dr Pincock at Sydney Facial Plastics at 02 88833699 or for overseas patients +61 2 88833699
For patients seeking revision or reversal of a body procedure they should make arrangements to see Dr Tavakoli – please visit his webpage by pasting the following address in your browser http://www.drtavakoli.com.au
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Posted in Blepharoplasty, Breast and Body Cosmetic Surgery, Facelift, Otoplasty (Ear Reshaping), Rhinoplasty, Uncategorized | Post Reply »
nasal surgery to correct nasal obstruction
August 14th, 2011
Anyone that has had a bad cold or flu knows how frustrating nasal obstruction can be. Human beings are obligate nasal breathers which means that breathing through the mouth is possible but not preferable which is why nasal blockage is so annoying. There are five main reasons a nose may be blocked
1) deviation of the nasal septum
2) turbinate enlargement
3) nasal mucosal lining inflammation
4) adenoidal enlargement (most commonly in children)
5) external nasal deformity (including alar and tip collapse)
It is imperative that a correct diagnosis is made for your nasal obstruction as treatment needs to be directed at the exact problem. For example. performing septal surgery on someone with bad hay fever/allergic rhinitis is a waste of time. Similarly giving nasal steroid spray to someone that has an extreme septal deviation is not going to work.
An examination of the nose must be performed initially to assess the cause of nasal obstruction. Mucosal irritation can be treated with nasal sprays, immunotherapy or UV light therapy (rhinolight). Anatomical abnormalities such as adenoid enlargement, deviated nasal septum, turbinate hypertrophy pr external nasal issues are all treated surgically.
I often see desperate patients who have had 3 operations on their septum that clearly have unaddressed mucosal disease or an external nasal deformity such as alar collapse that is easily rectified.
I am dedicated to correctly diagnosing the cause of a patients nasal obstruction and treating it appropriately. Please call 02 88835368 to book a consultation for nasal obstruction. For any cosmetic disorders of the nose please call 02 88833699 or visit htttp://www.sydneyrhinoplastyexpert.com
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Dorsal Hump surgery – Rhinoplasty Surgery in Sydney
July 7th, 2011
The dorsal hump or “high nasal bridge” is the most common developmental deformity that brings people to seek rhinoplasty. Many times potential rhinoplasty patients feel that it is relatively easy to just “shave it off”. Removal of a dorsal hump is actually quite easy to do, but making it look natural and smooth is the challenge. This is particularly the case in thin skinned individuals where any irregularity can be seen through the often paper thin skin that covers the dorsal hump.
Dorsal humps can be either bony or cartilaginous but most often are a combination of both. My technique is to expose the hump completely and then take it down by shaving it about 1/2 mm at a time. I think this a good way to make sure not too much is removed which results in a very artificial overdone appearance.
So what is the ideal dorsum?, well it differs for everyone and is a combination of several factors including skin type, facial bone structure, cultural background and personal preference. This is where computer imaging is very beneficial as many patients think they want a certain profile but realise it does not suit them after seeing the imaged profile. Personally I think a straight or very slightly convex dorsum is desirable in a male and a straight or very gentle concavity is desirable in a female.
It is very important to identify a low nasal takeoff or nasal radix on initial assessment as this can lead to over aggressive dorsal humpectomy if not recognised. In these cases a small radix graft with crushed cartilage and a conservative rasping of the dorsal hump yields a very natural result. This is especially true in asian rhinoplasty where the nasal take off point is often very shallow.
To discuss the possibility of dorsal hump surgery you should see a trained rhinoplasty surgeon, which is either an ENT surgeon with specialised training in facial plastic surgery or a general plastic surgeon with an interest in facial surgery. Make sure your surgeon has an FRACS qualification.
please visit http://www.rhinoplastysydney.net.au for more detailed information on rhinoplasty.
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Dr Pincock expands practice to Wollongong and the South Coast
June 25th, 2011
Dr Pincock has always travelled to Wollongong in the Illawarra to consult patients in a combined clinic with Dr Stuart Mackay of Illawarra ENT and Head and Neck. He has recently extended his commitment to the Illawarra region by seeing patients at least once per fortnight and operating on patients at either one of two excellent medical institutions in the area, either Wollongong day surgery or Figtree Private Hospital. For more information on making an appointment to see Dr Pincock in the Illawarra region please paste the following address in your browser: http://www.illawarraent.com.au/ or visit www.illawarraent.com.au
Appointments can be made by calling Sydney Facial Plastics on 02 88833699 or calling Illawarra ENT, Head and Neck on 02 42261055
Dr Pincock has a pure facial plastic and reconstructive practice in the Illawarra and therefore only see’s patients for the following issues there
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Posted in Blepharoplasty, Botox, Facelift, Facial Implants, Fillers, Functional Rhinoplasty, Necklift, Otoplasty (Ear Reshaping), Rhinoplasty, Skin resurfacing | Post Reply »
Facial and Neck Liposuction in Sydney, Bella Vista, Double Bay and Wollongong
June 25th, 2011
Sometimes no matter how close and how long you have been to your ideal weight range, we have stubborn deposits of fat. For some people this may be their tummy, buttocks or hips. In some people it just happens to be the neck or other facial region. Most commonly the sub-mental neck region can be a very stubborn place for fat to remove by diet and exercise alone.
If this is the case for you then you may want to consider facial or neck liposuction. This is a very quick, easy and minimally invasive way to get results fast. Dr Pincock reccomends being at or close to your ideal weight before considering this procedure. This is not the weight you were at in high school or the weight you would love to be, it is the weight you think you can healthily maintain long term.
Young patients benefit from skin elasticity which can give their neck an entire lift by re-draping the skin of the neck effectively across the whole neck. For patients that are older or with a heavy neck it can be combined with a number of “corset” techniques to redesign the neck to achieve a more youthful contour.
Operative time ranges from 30 minutes for simple sub-mental liposuction to 2 hours for a full neck lift with corset platysmoplasty.
Downtime is from as little as 3 days.
For more information please paste this link into your browser: http://www.sydneyfacialplastics.com.au/cosmetic.html#necklift
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Posted in Necklift, liposuction (neck and face) | Post Reply »
