Dr Kourosh Tavakoli in the Media

A key aspect of rhinoplasty is simply making the decision to have the procedure, says Sydney plastic surgeon Dr Kourosh Tavakoli.

Brenda McCormick reports.

Rhinoplasty is one of the most common cosmetic surgery procedures performed in Australia, although many people take a long time to actually decide to have the surgery, according to Sydney plastic surgeon Dr Kourosh Tavakoli. He says prospective patients often postpone the decision because of self-consciousness, anxiety or a lack of confidence. However, once they have taken the plunge and had the procedure done, many admit they wish they had done it sooner.

One of Dr Tavakoli’s patients is a typical case; she considered rhinoplasty for many years before finally deciding to undergo the procedure. ‘I’ve just always hated my nose’ she says, ‘I was going get a rhinoplasty done when I was 21 and then decided to go overseas instead, so when I was turning 30 I thought, well, I’ve always wanted it done so I started to really look into it.’

After doing a lot of research online, she narrowed her choice of surgeons down to a shortlist of three, but she says that after meeting with Dr Tavakoli her mind was made up. ‘During my first consultation with him he showed me computerised before and after pictures of what a rhinoplasty could do for my nose.’ She also felt comfortable with Dr Tavakoli and his staff, which sealed her decision. ‘They had an opening available so I said, “book me in!”‘

The surgery took about two hours and altogether she spent only six hours in the clinic. She says she felt ‘completely fine’ when she woke up after surgery and suffered minimal swelling. ‘For about three days I had really bad black eyes and some swelling, but I was back at work two weeks later and no one even knew.’

Dr Tavakoli’s patient says she feels very lucky to have had such a positive experience and straightforward procedure. She says having the opportunity to see the digital ‘after’ shots at the consultation stage meant she had realistic expectations of what the surgery could achieve and that she is very happy with the result.

Sydney plastic surgeon Dr Kourosh Tavakoli outlines the options available to get your pre-pregnancy body back. Francis Herron reports.

For many women, having a baby takes a toll on their body and the shape they are left with post-pregnancy can be a cause of concern, affecting self-esteem and confidence levels. In a study by United Kingdom Mother & Baby magazine, 86 percent of women surveyed said they felt less attractive post-pregnancy, while a similar number were unhappy with their weight and shocked by the changes to their body after having a baby.

“Yummy mummy” celebrities such as Katie Holmes, Heidi Klum and Jennifer Garner seem to regain their postbaby figures in double-quick time, and now it appears that here in Australia women are equally determined to take steps to restore both their pre-baby body and confidence. In fact a large number are choosing cosmetic surgery to help restore their shape and are taking the opportunity to correct long-standing problem areas, which may have become more prominent during pregnancy.

Sydney plastic surgeon Dr Kourosh Tavakoli estimates up to 30 percent of his female patients have come to see him because they want to improve their bodies after childbirth. All of these women, he says, have a specific goal in mind and, somewhat surprisingly, it is not one that involves an idealised ‘new’ body or perfect physique. Their aim is restoration, not transformation. ‘These women are not wanting to create something new, they want to restore what they had previously,’ Dr Tavakoli explains. ‘They have 50 or 60 years ahead of them and want to keep looking their best.’

There are numerous options available to women who want to tackle post-pregnancy problems such as excess fat and skin around the abdomen and drooping, sagging breasts. Troublesome areas that have caused some concern before pregnancy, such as love handles, can be exacerbated after giving birth. However, these issues can be addressed with surgery, and according to Dr Tavakoli,

the top three procedures requested by mothers who come to see him are breast enhancement, abdominoplasty and
liposculpture.

Breast enhancement

The degree of change experienced in the breasts depends on whether patients have breastfed and, if so, for how long. ‘The more a woman has breastfed, the more dramatic the changes that occur in her breasts usually are,’ says Dr Tavakoli. Most women opt for a breast augmentation procedure but if there is no change to the volume of the breast, a breast lift might be enough to achieve the result they want. However other woman may require both a breast reduction and lift procedure to obtain their desired shape, he says.

Abdominoplasty

According to Dr Tavakoli, the abdomen is the area most affected by pregnancy as the abdominal wall becomes lax due to stretching. An abdominoplasty procedure, also known as a tummy tuck, can restore a woman’s post pregnancy tummy and the procedure can be combined with liposculpture to offer an even better result. ‘Abdominoplasty, when combined with liposculpture, can remove excess skin and fat from the abdomen, repair any underlying damage to the abdominal muscles and reposition the umbilicus,’ says Dr Tavakoli.

Liposculpture

As well as being effective when combined with abdomnioplasty, liposculpture can be used alone to treat common problem areas such as love handles and inner and outer thighs. As Dr Tavakoli explains, ‘These could be areas that troubled the patient prior to pregnancy but they may have become more prominent postpregnancy.’ The most important thing, according to him, is that the treated area remains in proportion with the rest of the patient’s body.

While these procedures can offer great results for women who want to restore their pre-pregnancy body, Dr Tavakoli stresses that those who undergo an abdominoplasty or liposculpture procedure need to commit to a healthy lifestyle, involving a sensible diet and exercise regime, to maintain the results.

He screens prospective patients to ensure they are not suffering from post-natal depression and has a policy of not operating on recently pregnant women until the mother’s last child is at least 18 months old. ‘I usually advise patients to complete all their pregnancies before commencing surgery,’ he says. ‘As long as the expectations are realistic I find the overall satisfaction rate in this group of patients is very high.’

It’s clear that for some women who are unhappy with their post-pregnancy appearance, a cosmetic surgery procedure could offer the ideal way to restore their figure and confidence levels.

One of the most commonly performed cosmetic surgery procedures is the rhinoplasty. This procedure represents
the greatest fusions between art and science. Sculpting a new nose requires an in depth knowledge of nasal anatomy and function as well as a true sense of the patient’s sense of beauty and ethnicity. The nose you end up with should fit
easily into the shape of your face and in fact should not be distinguishable from any other feature.

A well recognized successful rhinoplasty is that of Ashley Simpson, American Pop star. Her new nose was so right for her face that it really accentuates its true beauty.

Rhinoplasty can improve the tip of the nose and its projection and the removal of the hump on a nose can change the length as well as the shape of that nose. Most Rhinoplasty procedures can be performed as day only cases requiring a week off work.

Successful rhinoplasty is a combination of careful patient selection and planning, accurate operative technique and thorough postoperative care.

Sydney plastic surgeon Dr Kourosh Tavakoli’s case study shows how cosmetic procedures can be combined to reduce costs, anaesthesia and recovery times. Gillian Samuel reports.

Sydney plastic surgeon Dr Kourosh Tavakoli’s patient says she had a bump high on the bridge of her nose that, while it didn’t bother her unduly, always caught her eye when she saw herself in a mirror.

She says the bump is a family feature shared by her father and aunt and as she found herself noticing it more and more in her mid-twenties, she began to think about having it corrected. When she consulted Dr Tavakoli about a rhinoplasty, she mentioned during their discussion that she had always wanted a breast augmentation. At more than 180cm tall, she says she has always felt she was completely flat-chested.

Dr Tavakoli explained she could have both procedures at the same time and the convenience strongly appealed to
her, so she made arrangements to take two weeks off work in August this year.

‘The breast augmentation is something I’d always thought about. I used to talk about it with my mum and we’d joke that we’d do it together,’ she says, adding with a laugh that her mother is jealous of her now she has gone from an A to a D cup.

She said that Dr Tavakoli reassured her there wasn’t any extra risk involved with undergoing the two procedures simultaneously. Her rhinoplasty and breast augmentation operations took about three hours and she says she went into day surgery at 7am and was at home by 2pm.

Dr Tavakoli removed the bump from the bridge of her nose and also performed a septoplasty to narrow it. She says she is very happy with the result.

He also inserted high profile, round silicone-filled implants behind the pectoral muscle to provide some forward projection and to give her fullness in the upper pole of her breasts, giving her the bustline she had always dreamed of having.

She says that even Dr Tavakoli has been impressed by the speed of her recovery. ‘From the moment I woke up and he was holding my hand and telling me that everything had gone very well until now, which is five weeks later, I’ve had no pain at all, just a little tenderness with my nose.’

She says she took a prescription painkiller for a week and a half after the surgery and that although all the work on her nose was internal, she did have bruises over her upper eyelids, which faded in a week.

Her breast augmentation incisions were relatively small and are healing very nicely. Overall she is extremely pleased with the outcomes of both procedures.

‘I don’t think it’s changed me as a person, I just feel so much more comfortable when I look in the mirror and the breast augmentation has given me a lot more confidence about wearing summer clothes,’ she says. ‘I haven’t needed to buy more clothes, the ones I have still fit, they just look better!’

Dr Tavakoli says the safety of modern procedures and technologies means patients can combine procedures for two-in-one cosmetic results.

For many women, our breasts symbolise our most feminine physical characteristic. But for various reasons — lack of development, post- pregnancy changes, weight loss — you may be considering breast augmentation.

A successful procedure shouldn’t necessarily look obviously different … in fact the success hinges on the doctor’s surgical technique and attention to detail. Sydney’s Dr Kourosh Tavakoli aims to achieve a natural fullness, with gentle sloping off the chest wall. Natural cleavage is a must, while the right degree of perkiness can make all the difference.

Dr Tavakoli uses both saline-filled and cohesive silicone-gel implants, adding that the new-generation silicone-gel version is very safe and feels and looks more like a natural breast. The Australian-trained plastic surgeon is also obsessed with minimal scarring. Just another reason why Dr Tavakoli has one of this country’s busiest breast implant practices.