'Plastic Surgery'

Sydney plastic surgeon Dr Kourosh Tavakoli’s case study shows how cosmetic procedures can be combined.

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-20s, 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 for her recovery time.

‘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 envious 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 in total 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.

Dr Tavakoli 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 says she has always desired.

‘From the moment I woke up until now, which is five weeks later, I’ve had no real pain at all, just a little tenderness with my nose,’ says the patient. ‘even Dr Tavakoli has been impressed by the speed of my recovery.’

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 about a week.

Her breast augmentation incisions were relatively small and are healing well. 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. acsm

Toni went to see Sydney plastic surgeon Dr Kourosh Tavakoli to have her breasts rejuvenated following two pregnancies.

Following considerable weight fluctuations and breastfeeding associated with her two pregnancies, Toni noticed significant sagging and volume loss in her breasts. ‘My self-esteem was so low, I didn’t want to wear revealing tops and I basically had to wear industrial strength bras to get any lift – I was desperate to get my pert breasts back!’ she says.

Toni researched the procedure and possible surgeons for seven years prior to taking the plunge and found Sydney plastic surgeon Dr Kourosh Tavakoli through a friend’s recommendation. ‘Dr Tavakoli’s reputation is that he is precise, caring and strives to get great results for each of his patients,’ she says. ‘His team is professional, cohesive and make you feel confident about your procedure.’

Toni and her husband attended her initial consult, where they discussed the breast lift and augmentation she wished to undergo with Dr Tavakoli. ‘We had a talk about my concerns, then after he conducted an examination and took some measurements we looked through pictures of his previous work and discussed how we could achieve the best results.’

Toni says the whole process was easier than she imagined it would be, and describes the pain following as minimal. ‘It was similar to the discomfort and tingling when you first begin to breastfeed. For me, it was very manageable and had disappeared within a few days,’ she says.

‘Now, you wouldn’t even know I’ve had the surgery done! My new breasts are perky and natural-looking and the scars have faded to a vague silver,’ she says. ‘Importantly, my self-esteem has returned, I feel beautiful again and having such a positive experience has really changed my outlook.’

Gabriella went to see Sydney plastic surgeon Dr Kourosh Tavakoli to have her uneven breasts corrected.

Jessica rule reports.

Gabriella’s breasts developed unevenly during puberty and were consequently significantly uneven. ‘I was extremely self-conscious about the big difference in my breasts – one was a small C and the other a large D cup,’ says Gabriella. ‘I didn’t want to wear revealing tops or bikinis and I had trouble bra shopping because of the size difference.’

Gabriella says she thoroughly researched the procedure and possible doctors. The first surgeon she saw was unsure about how to proceed with her breasts, but when she saw Sydney plastic surgeon Dr Kourosh Tavakoli at their first consultation her confidence was gained.

‘Dr Tavakoli made me feel safe that he knew what he was doing. He had a previous case like mine and had achieved good results, so he was confident he could achieve the outcome I wanted,’ she says.

Gabriella didn’t want to use breast implants to remedy the size difference, so Dr Tavakoli recommended a reduction in her larger breast, along with a slight reduction in her smaller breast.

Gabriella attended her initial consultation with Dr Tavakoli, where they discussed the breast procedure she wished to undergo. ‘We had a talk about my concerns, then after he did an examination and took some measurements we looked through pictures of his previous work and discussed how we could achieve the best results for me.’

Gabriella says she was initially nervous going in to the procedure, but it happened quickly and was easier than she imagined it would be.

‘I was in pain following the surgery for about a week, which I was able to manage with pain killers,’ she says. ‘Within three weeks I was back at university and it has now been two months since the operation so I have resumed gentle exercise.’

‘As for the results, I now can’t imagine having my old breasts – this just feels like it’s the way I was meant to look,’ she says. ‘The scars are healing very well and I think they will be barely noticeable, which was one of my key concerns.’

Gabriella says her family and friends are also very pleased with the success of her results. ‘They can see that my confidence has returned,’ she says. ‘My mum is especially happy for me because she can tell how positive the impact has been on how I feel about my body.’

Video games offering plastic surgery services is another example how far cosmetic surgery culture has come in the past few years.  Users can upload photos and imagine themselves having various procedures such as Breast augmentation, rhinoplasty etc…

Apple has embraced this idea in the new iphone format and is available for users  from November on.

Click here to read more!

The butt enhancement has certainly taken off with a lot media attention given to this procedure. There are 2 types of buttock augmentation, one using a silicone implant placed behind the gluteal muscle. Secondly is fat injection using patient’s own tissue.

The procedure is very successful and is best suited with women who have very flat buttocks with poor projection. The downtime is 2 weeks and the cost around $15,000.

To read this article click here

Nicole Kidman’s nose is definitely a favourite of my patients in Sydney followed by Ashlee Simpson and  Jessica Alba. The most important thing in looking at celebrity noses is that they match the individual’s facial shape and ethnicity.

As Dr Rey commented celebrities are commonly used as models in the quest for cosmetic surgery.

To read this article click here

Gail is a 51-year-old operating theatre nurse with two small children. She decided some time ago that she was unhappy with the overall appearance of her face. After careful reflection and much research she went to see Sydney plastic surgeon Dr Kourosh Tavakoli.

‘I’d been thinking about getting something done for some time,’ says Gail. ‘I didn’t get married until I was 40 years old and so had my first child at 40 and my second at 43. Even though people used to tell me that I looked quite young for my age, I still felt that time had taken its toll. There were a few things about my face that I just didn’t like, especially around the mouth – the jowls were sagging a bit – and I’ve always hated my nose,’ she explains.

Many patients opt to undergo one procedure at a time but as a veteran theatre nurse Gail was experienced enough to know how to do her research and confident enough to undergo all the procedures she wanted at once.

‘I thought, if I’m having an operation on my face I might as well have everything I want done at the same time,’ she says.

Gail began her search for the right doctor by asking her colleagues for advice. ‘I knew a few doctors and I asked around for their recommendations,’ she says.

‘Then I looked up each doctor’s website and narrowed it down to just two, then saw both for a consultation. I chose Dr Tavakoli because he has a very good reputation.’

Nine months after her initial consultation, she returned to Dr Tavakoli and booked herself in for the surgery.
Dr Tavakoli perfomed a six-hour operation to rejuvenate her face and refine her nose, comprising a short scar facelift, upper and lower blephroplasty, rhinoplasty, lip augmentation and finishing with Botox injections in her forehead.

Gail says she was very bruised immediately after the procedures but her profession had prepared her to expect this as a first result.

It’s now been five months since her surgery. She says an operation of this scope was bound to take some time to recover from and, though the recovery process has been a gradual one, it was well worth it.

‘When I look at myself now I’m really pleased with the result,’ she says.

However, it wasn’t until she saw Dr Tavakoli’s final set of ‘after’ photos that she realised the full extent of the dramatic changes to her appearance.

‘People I haven’t seen in a long time know there’s something different but can’t quite put their finger on what’s changed. That’s a good thing! I didn’t want to look like someone else – I still wanted to look like me but maybe better, or younger and healthier,’ Gail says.

‘Dr Tavakoli’s work on my nose was very subtle, but I really like the result. I have no regrets, I’d do it all over again!’

In the first of a two-part series, Sydney plastic surgeon Dr Kourosh Tavakoli explains the key elements of a natural-looking breast augmentation.

The number of breast enlargement operations is on the increase, and the demand for natural-looking results is even more apparent. As a plastic surgeon specialising in breast augmentation and lifting procedures, I have been privileged to treat a large number of patients every year in my Sydney clinics. Therefore, I have drawn from this wide experience to develop the formula for successful and attractive breast augmentation.

Telltale signs

There are three main telltale signs of unnatural-looking breast augmentation to be avoided:

1. Breast implant margin:

This should be soft and imperceptible, as obvious implant edge visibility, especially in the midline, will resemble the look of Tori Spelling or Posh Spice’s implants.

2. Breast implant size:

An implant that is too large for a small frame is usually an obvious giveaway that a patient has had a breast augmentation. The best example of this is Pamela Anderson-style breasts. Women wanting to go from an A cup to a full D cup need to understand this point.

3. Perkiness:

An augmented breast that is too perky will tend to look fake, as a small amount of droop is natural. When a patient lies on her back, the breast implants should roll to the side like natural breast tissue and not sit up in rigid peaks.

Before undergoing surgery, it is beneficial for the patient to review photographic examples of the breasts they would like and to convey their wants to the surgeon so there is a clear, visual understanding of the desired result.

Clinical parameters and key considerations

There are six main clinical parameters for breast implants on initial consultation:

• Patient’s body build and height
• Natural breast size, shape and symmetry
• Nipple position in relation to the breast
• The quality of breast skin
• Chest wall shape and dimension
• Patient’s desire for new cup size and shape

After establishing the crucial parameters in the clinical examination, the process of tailor-making the right breast augmentation begins.

I believe there are six key considerations for a surgeon when customising a breast augmentation to gain a naturallooking result:

1. Incision placement

There are three choices about where to make the skin incisions for breast enlargement. They can be in the breast fold (inframammary), around the nipple (periareolar) or underneath the arm (transaxillary). These incisions can all produce scarring. Although patients may voice some initial concerns about the location of their scars, they are ultimately far more concerned with the final shape and size of their breasts.

2. Breast implant shape

The choice of implant varies from round to teardrop shapes. The round implant comes in both low and highprofile varieties. The shape variation is in the width and projection of the implant for any given size. The spectrum of breast implants available to the surgeon can therefore provide great versatility in achieving a more natural look.

Use of the teardrop (anatomical) shape depends on the patient’s desired outcome, as well as her breast shape. In general, there are two groups of women who benefit from teardrop-shaped breast implants. It can be the ideal choice for women who have droopy or tuberous breasts. Mild elevation of the nipple in relation to the breast mound can be achieved without the need for extra scars on the actual
breast (unlike breast lift scars). In these cases, the implants will be inserted in a subglandular or subfascial pocket (under the breast tissue). In severe cases of droopiness, breast lift must be performed to restore aesthetic shape.

Secondly, some patients specifically want less fullness in the upper quadrant. Teardrop breast implants certainly offer less fullness in these particular situations. It should be noted, however, that this request tends to be very personal, as most women are seeking breast augmentations in order to obtain upper pole fullness.

It should be noted that teardrop or anatomical implants do have tendency, estimated at about 5 percent, to rotate. Unfortunately, this problem can only be corrected by secondary surgery.

3. Breast implant fill

I use both the cohesive silicone-gel and saline-filled breast implants. The new generation silicone-gel breast implant is very safe and generally feels and looks more like a natural breast. The gel is always my first preference.

The gel usually comes in low and high cohesiveness (soft or firm), and patients should ask their plastic surgeon for different samples at the time of the consultation so that they can make the most informed choice possible.

Welcome to the next generation of cosmetic treatments. Subtle changes that equal major impact, courtesy of groundbreaking technology and these doctors.

The best breasts

For many women, our breasts symbolise our most feminine physical characteristic. But for various reasons — lack of development, postpregnancy changes resulting from breastfeeding, radical weight loss, ageing — you may be considering breast augmentation.

A successful breast augmentation shouldn’t necessarily look obviously different… in fact, the success hinges on the doctor’s surgical technique and attention to detail. Renowned Sydney plastic surgeon Dr Kourash Tavakoli has developed a specialised breast practice and his reputation is based on understanding the essentials of natural breast augmentation.

Dr Tavakoli uses his extensive experience to treat not only poorly developed or shaped breasts, but also sagging breasts, common in women after breastfeeding and/or weight loss.

The Australian-trained plastic surgeon also promises minimal scarring and ensures his patients feel comfortable with what is an intimate procedure. Further reason why Dr Tavakoli has one of this country’s busiest breast implant practices.

A patient with a disfiguring condition went to Sydney plastic surgeon Dr Kourosh Tavakoli to have her breasts transformed. Lauren Alexander reports.

Sydney plastic surgeon Dr Kourosh Tavakoli’s patient approached him for surgery to correct her abnormally shaped breasts. He assessed her as having grade three to four tuberous breasts, an unusual condition that affects the way breasts develop.

The patient says she was concerned about the shape of her breasts and felt they didn’t look normal. She says their condition prevented her from wearing v-necked styles of clothing and that she didn’t feel comfortable wearing a swimsuit and avoided going to the beach.

She had an initial consultation with another doctor who told her what needed to be done but, she says, ‘I didn’t feel comfortable with him so I started looking on the internet. Dr Tavakoli was the only doctor who had before and after surgery photos of tuberous breasts like mine.’

She says when she met Dr Tavakoli he immediately put her at ease and she was impressed by his friendly manner and felt confident about his ability to help her. Dr Tavakoli took her through two consultations. During the first he assessed her breasts and explained what would be needed to correct the tuberous condition and talked her through the whole procedure.

Then she says he showed her with the implants in her bra what the final result would look like. She could see that they would provide a solution to her problem and decided to have the surgery.

During the second consultation Dr Tavakoli talked her through the procedure again, asking her if she had any questions about the surgery before going ahead with the procedure.

The procedure took place at a private hospital and required an overnight stay. Dr Tavakoli’s patient says her recovery was very straightforward. ‘I was fine; there were no side effects. The first thing I did when I regained consciousness was to ask for food!’

She says she only needed to take painkillers at night for three days and after that experienced minor discomfort. ‘I thought it was going to be a lot worse.’

Dr Tavalkoli’s clinic recommended some gel patches to assist with healing and she is now using a specially formulated oil to help the scars disappear completely.

She says her new breasts have helped her to feel much more confident and that she immediately went shopping for new clothes. ‘I’d recommend the procedure to anyone with a condition like mine. They look so natural that no one beyond my immediate family and boyfriend can tell that I’ve had it done.’