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Facelift Surgery (Rhytidectomy)

The facelift (also spelt 'face lift' and scientifically known as a rhytidectomy) is one of the most popular cosmetic surgery procedures in the UK today. Thanks to growing media publicity about celebrities who have had the procedure, many patients are familiar with the concept of face lift surgery and now consider it an option as they get older and their face begins to lose its youthful shape.

 
 
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    PIP Implants Removal and Replacement Surgery

    11th January 2012

    Facelift Surgery

    Watch a PIP Breast Implants removal and replacement surgery operation performed by renowned plastic surgeon Adrian Richards of  Aurora Clinics in Northampton, UK. The 350cc PIP implants were not ruptured in this case so after removal of breast implants they were replaced with 4th generation cohesive gel Nagor Implants, 460cc. Before and after surgery photos of this patient will soon be found on our website. For more information, or should you wish to book a free consultation with our expert surgeons at Aurora Clinics in Northampton, London, High Wycombe or Buckinghamshire, please call our Free contact number: 0800 328 5743 or fill in the contact forms.

    Transcript

    Adrian Richards:            Our patient today is having exchange of her breast implants that she’s had in for about ten years. She feels they’ve changed, particularly on this side. She feels she’s lost volume here, lost volume here, and the implant’s sitting a little bit high. So I’ve got no idea, really, what I’m going to find. I’m going to open her up, remove the implants, which may or may not be ruptured, and then exchange them for slightly larger implants, and free this area up so we’re going to get great fullness in this region.

     

    So I’ve just cut down onto the implant. You can see it’s quite a textured implant, but it is intact. I can see it’s intact. So I’ll just remove that now. You have to grab it and then pull it out. There’s an implant, issue right, is it a 340? It’s a PIP implant. Yes, it’s a 350 actually. I don’t know if you can see that, a 350 cc PIP implant, which is one of these implants they have had a lot of problems with, but it’s not ruptured at any rate. So now I’ll free up the area and go for a slightly larger implant.

     

    So I’m just increasing the volume now to 460. So I’ve put a temporary inflatable implant in. We have gone to 460, and I think that fills out quite nicely that top bit there. So I think, Cess [SP], we’ll go to 460.

     

    So I’ve put the implant in that side, gone to 460, and that’s made it larger and much fuller. Now we’ve just opened up this side and I’m pleased to say that this implant is well, which again, is a PIP implant, I think. It’s likely that if the left one is, that the right one is.

     

    We’ll show you this in a minute, but it’s PIP 350 cc implant. So again, intact, which is good, but the gel bleeds, and if you feel it, it’s sort of sticky. Feels sticky doesn’t it? So there’s a bit of gel bleed, but at least the implant was still intact, so that’s good.

     

    I’m going to do exactly the same on this side, just bring everything up on this side, putting an inflatable sizer in, and then probably going a little bit bigger, like on that side.

     

    So the team here is Cess, who’s a great scrub nurse. Where are you from, Cess?

     

    Cess:            Philippines.

     

    Adrian Richards:            Whereabouts?

     

    Cess:            Manilla. You do more as a scrub nurse here because you can assist here, whereas back home we always get interns and registratrs filling in. Here you can have a one-to-one with the surgeon as an assistant, whereas back home you’re concentrating on the instruments.

     

    Adrian Richards:            So you just do the instruments.

     

    Cess:            Instruments, yeah.

     

    Adrian Richards:            This is the appearance at the end of the operation. You can see I’ve tried to improve the cleavage and the volume at the top. So we’ve gone up from a 350 PIP implant to a 460. So that’s 110 cc increase, and we’ve got the brown tape on the scar. So it’s probably a good thing to have the PIP implants removed anyway for this lady, and she’s just gone that little bit bigger.

     

    So here are the implants I’ve removed. This was the right side. This was the left side. Now, see how the implants don’t feel that great? They feel a bit coarse when you feel them. They’re not very soft. At least they were intact. I don’t know whether you can see that there at all. That does say PIP 350 cc, and then there’s a lot number, 03605244. So that’s the implant. But they just don’t feel like great implants. The texturing is a bit coarse. This is a very similar size on the back. They just feel a bit coarse, a bit prone to wrinkles. The texturing is a bit rough. So really, I don’t really like them very much as implants. They’re probably not really inherently that unsafe, but if you have got them, many people are considering having them replaced, like our lady today.

     

    Here we are, everyone hard at work moving the patient. Special laminar air flow theatre. You can see that canopy there. That’s the laminar air flow, so the air comes down through there and then is sucked out. So the air in this theatre is changed at least every minute or a couple of times a minute. There’s Cess. There’s Badrew [SP] clearing up. So we’re just getting ready for the next case. There’s Dr. (_________). James is our ODA, and there are two of our helpers