PAGE 8 … Paying the price: the real cost of cheap surgery

PAGE 10 … Global standard: a round-up of overseas trends

PAGE 15 … All about eyes: how to look refreshed

PAGE 20 … The new frontier: surgical innovations

PAGE 24 … Keep smiling: secrets to bright, white teeth

PAGE 31 … Australia’s top medi-spas: must-visit destinations

PAGE 41 … Crowing glory: the treatment for a high hairline

PAGE 43 … Update your fragrance: find the perfect scent

PAGE 47 … Make over your make-up: four tricks to try

PAGE 51 … Make over your skincare: powerhouse products

PAGE 54 … Make over your hair: an expert’s essential tips

PAGE 61 … What’s new: skincare stars and fresh treatments

PAGE 64 … Finding a balance: improve your body proportions

PAGE 69 … Photo evidence: before and after success stories

Discover the latest updates from the experts in Australia’s cosmetic enhancement industry.

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DR WARWICK NETTLEMBBS, FRACS (Plastic Surgery)

DR KOUROSH TAVAKOLIMBBS, BSc (Med), MS (UNSW), FRACS (Plastic Surgery)

DR SARKIS NALBANDIANBDS, D. Clin Dent (Implants), M. Clin Dent (Prosth), cosmetic dentist

DR ANH NGUYENMBBS, FRACS (Plastic Surgery)

LARA SROKOWSKINational make-up artist for Lancôme Australia

DR HUGH ROBERTSMBBS, Fellow of the Australasian College of Dermatologists

VINCENT NOBILE Hairdresser and Redken global artist

RICKY ALLENEditor

Cosmetic Enhancement and Anti-ageing Biannual

BSc, BHSc, Dip PA, Dip HM

TONY TROVATO Group Sales Director – Prestige

(02) 8045 4987

EXPERT ADVISORY BOARD

DR ANTHONY KANE Guest editor and president of the Australian

Society of Plastic Surgeons MBBS, FRACS (Plastic Surgery)

COSMETIC GUIDE 20 COSMETIC GUIDE 21

In the future: Breast augments that are tailor-made to the individual’s specific anatomical needs.For further information, visit www.drtavakoli.com.au; www.brisbaneplasticsurgery.com; www.cosmeticsurgeryforwomen.com.au.

Breast reductionOverly large breasts can have a negative impact on a woman’s physical and psychological wellbeing. Until a few years ago, however, breast-reduction surgery was a highly complicated procedure requiring a lengthy recovery time, which deterred many women from even considering it as an option. Thanks to dramatic improvements in surgical techniques, that’s all changed. Multiple incision lines are still required, but surgical advances mean the scars are more likely to fade and, in many cases, disappear over time. In the future: Surgical procedures will be further refined to cut down on the number of incisions that are required.For further information, visit www.drcharlescope.com.au.

AbdominoplastyExercise can only do so much to address overstretched or damaged abdominal muscles and loose skin resulting from pregnancy, a caesarean or substantial weight loss, and for many women, abdominoplasty – aka the tummy tuck – has been a godsend. In addition to traditional techniques, two methods are now available: the mini-abdominoplasty, which primarily removes skin and fat with little or no muscle work; and the full abdominoplasty, in which skin and fat are removed and the muscle is re-joined and lifted.

In the future: Tissue engineering will allow for better reconstruction of the nose. For further information, visit www.drshahidi.com.

Facelift A good facelift should look totally natural – not tight and pulled. The lateral superficial muscular aponeurotic system (SMAS) procedure is designed to achieve this by lifting and re-aligning the facial muscles and ligaments rather than removing a lot of skin. Adding fat grafting to a facelift produces a more natural look. If any stem cells have been preserved in the fat-harvesting process, they’ll contribute to improvements to the patient’s skin and facial contours over time. Hairline lowering, brow lifts and neck lifts can now also be incorporated into a facelift procedure.In the future: The short incision lift will be fused with deep plane lifting, giving a better result with a shorter healing time.For further information, visit www.silkwoodmedical.com.au; www.drcharlescope.com.au; www.cosmeticsurgeryforwomen.com.au.

Breast augmentation With so many shapes and textures to choose from, breast augmentation now looks more natural than ever. Safety levels are also at their highest. Today, most breast augmentations are performed as day-only procedures. Placement is generally behind the muscle, unless the patient has a highly developed pectoral muscle. The safest and most appropriate insertion method is through an incision in the crease under the breast, which also reduces the chances of residual scarring. Breast augmentation is now often used if a woman needs a minor breast lift.P

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Rhinoplasty Closed rhinoplasty with cartilage grafting is the latest way to reshape the nose. Incisions are placed internally, and the patient’s own cartilage and tissue, instead of artificial material, is used to reshape the nose. A greater understanding of anatomy and wound healing, as well as access to advanced technology, means that doctors are able to deliver better-than-ever results. Greater accuracy also allows for improvements to the sinuses, turbinates and the lining of the nose to improve breathing and air flow.

FRONTIERCosmetic-enhancement surgery techniques are getting

better all the time. Here are the latest advances.

the new

COSMETIC GUIDE 22

For further information, call the Australian Society of Plastic Surgeons information hotline on 1300 367 446 or visit www.plasticsurgery.org.au.

In the future: A surgical procedure incorporating laparoscopic, or keyhole, surgery, which leaves a much smaller incision.For further information, visit www.drmilovic.com.au or www.silkwoodmedical.com.au.

BrachioplastyThis procedure, which lifts and removes excess skin and fat in the upper arm area, is growing in popularity. Until recently, brachioplasty scars were often highly visible as time and gravity gradually stretched them out and weighed them down. However, new techniques allow for a much smaller incision line placed discreetly in the armpit. The results are excellent, and for women with very loose upper arm skin this procedure can make a dramatic difference.

In the future: As this is one of the newer cosmetic procedures, new techniques and technologies are being developed all the time. For further information, visit www.drmilovic.com.au or www.dranh.com.au.

Mummy makeoverTo address the two major areas of many women’s post-pregnancy concerns, this procedure combines a breast augmentation or minor lift with an abdominoplasty. This combination approach was devised just few years ago, when anatomical know-how led to better surgical techniques. Mummy makeovers are best performed once a woman has had all of her children, and when her youngest child no longer needs to be picked up, to allow for four to six week’s recovery after surgery.

In the future: Improvements in general anaesthetics will ensure a faster post-surgery recovery.For further information, visit www.silkwoodmedical.com.au.

Leg veinsNo matter how toned and trim your legs are, you’ll still want to hide them if you have broken capillaries or varicose veins. If you are a smoker, overweight or have had multiple pregnancies, you are at a higher risk for developing varicose veins. According to Dr John Rophael, a vascular surgeon and laser expert, accurate diagnosis using an ultrasound followed by the appropriate treatment are the essential steps to a good, long-lasting result. About 80 per cent of small capillaries can be removed either by laser or injections. In the future: Laser technology to remove deep varicose veins is being researched for future development.For further information, visit www.victorianvascular.com.au.

The mummy makeover was

devised just a few years ago, when

anatomical know-how led to better

surgical techniques.

COSMETIC GUIDE 41

If you have a relatively flexible scalp – meaning you can wiggle it back and forth quite easily – you’re a good candidate for this surgery. “If the scalp is not flexible, however, it can be more difficult to advance it to reduce the forehead, and sometimes two-stage surgery is needed,” says Dr Nettle. Genetics, hair loss, hair thickness, cowlicks and widow’s peaks also need to be taken into consideration.

The surgery, which usually lasts two hours, can be performed under a general anaesthetic or intravenous sedation, and the patient stays in hospital for the day. Stitches are removed from three to seven days after surgery and are well hidden. Within weeks many patients are able to wear their hair pulled back. “In my experience the procedure is typically very well tolerated,” says Dr Nettle.

Hairline lowering can be performed at any age – and can be done at the same time as a brow lift. It gives a permanent improvement and doesn’t need to be repeated.

GLORYAre you always trying to cover up your high forehead? Hairline lowering

is a subtle surgical procedure that can make a huge difference.

crowning

A ccording to leading cosmetic surgeon Dr Warwick Nettle, a high hairline or elongated

forehead can make a woman appear older and more masculine. It’s all about harmony and balance – two key elements in our perception of beauty. Ideally, a woman’s hairline should start between four and six

centimetres above the eyebrows, around the point where the forehead starts to slope back towards the scalp.

If your hairline starts any higher than this, you may feel self-conscious about wearing your hair pulled back, and find yourself favouring hairstyles with fringes to cover up your forehead.

To contact Dr Warwick Nettle, call 1300 745 596 or visit www.silkwoodmedical.com.au.

A high hairline or elongated forehead can make a woman

look older and more masculine. It’s all about harmony

and balance.

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Specialties: mummy makeovers and breast surgery. Call (02) 9387 3900 or visit www.silkwoodmedical.com.au.

Specialties: breasts and faces. Call (02) 9908 3033 or visit www.drcharlescope.com.au.

DR CHARLES COPE Cosmetic plastic surgeon

These before and after images show that Australia’s cosmetic doctors and dentists are among the world’s best.

DR JOSEPH GEORGHY Cosmetic physician

EVIDENCEphoto

BEFORE BEFORE

AFTER: non-surgical treatmentsAFTER: non-surgical treatments

DR ALICIA TESKACosmetic physician

DR AMIRA SANKICosmetic plastic surgeon

Specialties: cosmetic injections, laser treatments and peels. Call (03) 9867 2992 or visit www.skintemple.com.au.

Specialties: body contouring and treatment of skin imperfections. Call (02) 9956 7200 or visit www.northshorecosmetic.com.au.

BEFORE AFTER: abdominoplasty

AFTER: facelift

BEFORE

Results may vary from person to person. Photographs on these pages are actual patients.PH

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Specialties: faces and bodies. Call (02) 9389 9065 or visit www.drmilovic.com.au.

Specialties: breast and abdominal surgery; Fraxel treatments. Call (08) 9271 8624 or visit www.dranh.com.au.

Specialties: faces, eyes and rhinoplasty. Call (02) 9387 3900 or visit www.silkwoodmedical.com.au.

Specialties: dental implants and all cosmetic dental work. Call (02) 9953 4189 or visit www.designersmiles.com.au.

DR ANH NGUYEN Cosmetic plastic surgeon

BEFORE AFTER: abdominoplasty

DR VLAD MILOVIC Cosmetic plastic surgeon

DR SARKIS NALBANDIANCosmetic dentist

AFTER: breast augmentationBEFORE

DR PHILIP RICHARDSONCosmetic plastic surgeon

AFTER: facelift and eyelid surgery

DR WARWICK NETTLE Cosmetic plastic surgeon

Specialties: breast augmentations, lifts and reductions. Call 1300 789 240 or visit www.brisbaneplasticsurgery.com.

BEFORE

AFTER: cosmetic dental work

BEFORE

AFTER: tummy tuck

BEFORE

COSMETIC GUIDE 72

Specialties: Fraxel and Liposonix treatments. Call (02) 9665 3247 or visit www.drting.com.au.

Specialties: vascular and laser surgery for varicose veins. Call (03) 9894 5886 or visit www.victorianvascular.com.au.

MR JOHN ROPHAEL Vascular, endovascular and laser surgeon

DR SHAHRAM SHAHIDI Facial plastic and ENT surgeon

Specialty: rhinoplasty. Call (02) 9419 5477 or visit www.drshahidi.com.

DR MISAGH HABIBICosmetic dentist

Specialties: dental implants, sedation dentistry. Call (08) 9381 2880 or visit www.perthimplantdentistry.com.

DR KOUROSH TAVAKOLI Cosmetic plastic surgeon

Specialties: breast augmentation and rhinoplasty. Call 1300 368 107 or visit www.drtavakoli.com.au.

AFTER: rhinoplasty

BEFORE

AFTER: rhinoplasty.BEFORE

AFTER: varicose vein removal

BEFORE

MR CRAIG RUBINSTEINCosmetic plastic surgeon

Specialties: breast augmentation, lifts and reductions. Call (03) 9429 8363 or visit www.cosmeticsurgeryforwomen.com.au.

AFTER: breast augmentationBEFORE

DR JACK TING Cosmetic physician

BEFORE

AFTER: Fraxel treatment

AFTER: All-On-4 dental implantsBEFORE