Body

About breast surgery +

Surgery of the breasts may be cosmetic when performed for changes to aesthetically enhance, augment or reduce breast size. Reconstructive surgery of the breasts is performed to address defects resulting from breast cancer surgery, or of disproportionately large breasts which may cause physical impairment or discomfort. Both men and women benefit from breast surgery which is performed under general anaesthetic by Mr Yang, using the latest techniques and most up-to-date implant technology.

Breast lift (Mastopexy) +

For women who are happy with their breast size, but desire a firmer, lifted appearance. Occasionally a small silicone implant is used to enhance shape.

Am I a Candidate?

A breast lift may be suitable if you are satisfied with the proportions of your breasts and cup size but are unsatisfied with where your breasts sit.

Suitable candidates are women who:

• Have breasts that are sagging, but satisfactory in size.
• Are over 18 years old. (Breasts may continue to grow up until the age of 18.)
• In good overall health, and at or near their goal weight.
• Has no serious medical issues.
• Has areolas and nipples that point downward.
• Is knowledgeable about how the procedure is administered.
• Have breasts without unexpected lumps, bumps, or firmness.

Breast augmentation +

For women who are not satisfied with their breast size, shape or balance due to insufficient breast growth, disease, trauma, or volume loss following pregnancy and breast feeding. Surgical enlargement of breasts is usually achieved with artificial implants, although in selected cases other methods such as fat transfer may be suitable.

Am I a Candidate?

A breast enlargement may be suitable if you want to increase the volume and improve contour or balance of your breasts.

Suitable candidates are women who:

• Are over 18 years old. (Breasts may continue to grow up until the age of 18.)
• In good overall health and at or near their goal weight.
• Have no serious medical issues.
• Is knowledgeable about how the procedure is administered.
• Understands the limitations of artificial breast implants.
• Appreciates that both breasts, nipples and areola are never exactly the same size or shape.
• Have breasts without unexpected lumps, bumps, or firmness.

Breast reduction +

Many people view breast reduction as a cosmetic surgery, but this could not be further from the truth. Lifestyle and everyday activities can be severely limited in people suffering from large and heavy breasts, ranging from neck/back strains to skin care issues, difficulties with clothing as well as social stigma. Mr Yang believes breast reductions to be a functional surgery, and many of his patients describe it as life changing. A large breast that is also sagging may benefit from a combined breast lift. Mr Yang was trained in different breast reduction techniques and aspires to aesthetically pleasing breast shapes after surgery.

Am I a Candidate?

A breast reduction may be suitable if you have large and heavy breasts causing one or more of the following:

• Pain, especially around menstruation.
• Causing strains on your neck and back
• Restricting physical activities
• Limiting clothing options
• Affecting self-confidence.
• Suitable candidates are women who:
• Have breasts that are large and/or heavy.
• Are over 18 years old. (Breasts may continue to grow up until the age of 18.)
• In good overall health and at or near their goal weight.
• Have no serious medical issues.
• Are knowledgeable about how the procedure is administered.
• Understands that breast size can change with body weight and pregnancy.
• Breast feeding is not an absolute future consideration.
• Have breasts without unexpected lumps, bumps, or firmness.

Inverted nipple correction +

This procedure has both cosmetic and health benefits especially if they plan to breastfeed in the future. The results are often permanent, but can relapse depending on the severity of the inversion.

Some of the potential benefits from this procedure are:

• A more naturally shaped nipple
• The corrected nipple(s) may be better suited for sexual stimulation and breastfeeding

Male breast reduction +

Gynaecomastia is swelling of the glandular breast tissue affecting 30-40% of boys or men. It is caused by an imbalance of hormones which can sometimes be a temporary phase through parts of normal growth in the newborn, boys during puberty, and ageing in men (physiologic). Teenagers may sometimes grow out of physiologic gynaecomastia over a couple of years, or by age 20. However, other causes also exist including liver disease and medications. Persistent male breast enlargement, especially if occurring with pain and discharges, should be reviewed by a family doctor and/or a hormone physician (endocrinologist). It is important to undergo the appropriate investigations and receive corrective treatment (including medications) if warranted. Men and boys with gynaecomastia can have discomfort in their breasts and may feel embarrassed or even distressed. Those with gynaecomastia who have normal or corrected hormone levels may consider gynaecomastia reduction surgery if recommended by your family doctor or hormone physician. In this case please contact Mr Yang for a gynaecomastia surgery consultation.

Am I a Candidate?

A male breast reduction may be suitable if you are concerned about enlarged breasts in one or both sides, persisting more than two years, despite normal or corrected hormone levels and health checks by your family doctor or endocrinologist.

Suitable candidates are males who:

• Are in good overall health.
• Are knowledgeable about how the procedure is administered.
• Have realistic expectations about what the surgery can achieve.

Pseudogynaecomastia +

Pseudogynaecomastia is caused excess fat deposits on the chest, giving the appearance of enlarged breasts. Boys and men with pseudogynaecomastia can also feel embarrassed and even distressed, and be the recipient of bullying and jokes. Please contact Mr Yang for a surgical consultation to learn about options for treating pseudogynaemastia.

Tummy tuck (Abdominoplasty) +

There are many reasons why people are not happy with their tummy area which may be as the result of pregnancy, weight loss or gain, ageing, or their own natural shape. These changes can be related to problems of the skin (looseness, stretch marks, irritation dermatitis or intertrigo), problems of fat and fat distribution (uneven fat distribution, loose apron, contour changes, buttock volume loss), and changes to the muscle (loss of muscle tone, muscle separation called rectus divarication). There are several techniques to address individual concerns and conditions, which Mr Yang considers with your optimal outcome in mind, and when changes can no longer be made through diet and exercise.

Most of the changes in the tummy’s appearance are commonly most pronounced centrally in the abdomen, and an abdominoplasty is a common procedure that addresses these changes. Abdominoplasty is designed to remove excess fat and skin, while surgically tightening sagging muscles to improve the abdominal wall’s function and appearance.

Addressing changes following severe weight loss

Many of these changes can also occur following significant weight gain and subsequent weight loss and are frequently greater when pregnancy is associated with weight gain and weight loss. Under these conditions changes occur in multiple areas of the body and it is common to address changes in more than one area at the same time. These are often referred to as massive weight loss (MWL) surgeries. In some media the term ‘mummy makeover’ is used when breasts and body are addressed together. These problems can occur in both men and women with significant weight loss. MWL patients often have more substantial concerns although the abdomen is usually still the most affected area. The difference is that the looseness goes all the way round the body rather than simply in the abdomen. Consequently many of these patients will consider a circumferential waist tuck, sometimes incorporating a lower body lift that addresses the abdomen, flanks, outer thigh, buttocks and lower back rather than just the abdomen. A number of different procedures may be considered as part of massive weight loss surgeries. How they may be combined safely into the same surgical session or staged as separate surgeries will need to be individualised following careful assessment and planning.

These procedures may include:

• Abdominoplasty
• Lower body lift
• Brachioplasty (upper arm lift or arm reduction)
• Breast augmentation surgery
• Breast reduction surgery
• Mastopexy or breast lift (with or without breast implants)
• Thighplasty (thigh reduction)
• Face and neck lift
• Liposuction
• And others

Body contouring surgery and surgery after major weight loss +

Body contouring surgery is not a single type of surgery, but an approach which utilises different surgeries and techniques to contour various parts of the body by removing or tightening excess skin, often after significant weight loss. The most common areas to benefit from these surgeries are the waist, abdomen, thighs, buttocks, upper torso and upper arms. With an increasing number of people affected by obesity, so too are more people motivated to undertake the difficult task of losing massive amounts of body weight to address their related health issues. Many have managed with successful dieting, while others choose bariatric surgery. Unfortunately loose skin on various parts of your body often linger after massive weight loss, causing rubbing and irritations with movement and exercises. These may interfere with personal hygiene and routine exercise, while causing poor posture, chronic rashes and infections in the tissue folds.

Body contouring surgeries may include:

• Abdominoplasty
• Lower body lift
• Brachioplasty (upper arm lift or arm reduction)
• Breast augmentation surgery
• Breast reduction surgery
• Mastopexy or breast lift (with or without breast implants)
• Thighplasty (medial thigh lift or thigh reduction)
• Face and neck lift
• Liposuction
• And others Which surgeries will suit depend on your goals and general health. How they may be combined safely into the same surgical session or staged as separate surgeries will need to be individualised following careful assessment and planning.

Body sculpting / contouring (Liposuction and fat grafts) +

Liposuction can help you achieve more smooth and toned body contours by removing fat that persists despite dieting and exercises. In some cases, your own fat may also be transferred to other parts of the body (as fat grafts or lipoinjection) to achieve a more balanced contour silhouette. Liposuction can also be used as a less invasive form of tummy contouring and breast reduction surgery. In addition to improving your appearance, fat removal through liposuction may also help refresh your commitment to a healthier diet and a more active lifestyle to help maintain the results. With proper care, your results can last for many years to come.

Common reasons for liposuction:

• To improve body shape and skin contour, including at the site of previous surgery or trauma
• To remove benign fatty tumours (lipomas)
• To complement other surgical body contour procedures (such as abdominoplasty, breast reductions, and so on)

Common areas for liposuction:

• Legs (ankles, calves, knees, inner thighs, outer thighs)
• Buttocks and hips
• Waist and abdomen
• Breasts, chest and back
• Over developed male breasts (gynaecomastia)
• Back of the upper arms
• Neck and chin

Upper arm lift (Brachioplasty or arm reduction) +

An upper arm lift reduces and reshapes the tissues hanging from the under-surface of your upper arms when the arm is held out from the body. This is an area that can be unsightly and unfortunately attracts a number of unflattering descriptions such as ”bat wings”. The problem is generally worse in people who have lost significant amounts of weight, but can also develop with ageing. Liposuction is used in combination with skin reduction to achieve the best outcomes.

Am I a Candidate?

You may have a combination of physical and aesthetic concerns from the excess tissue on your arms:

• Chafing (intertrigo) - this create challenges for skin care and disrupt daily activities and exercises due to rubbing and discomfort.
• The shape of the arms is dominated by underarm skin laxity.

Suitable candidates are people who:

• Are in good overall health and have a stable weight.
• Have no serious medical issues.
• Have realistic goals and expectations
• Understand the risks of surgery, the likelihood of complications, and what is required to manage them.
• Are knowledgeable about what it is required to achieve the best outcome from surgery both in preparation for surgery and recovery from surgery.

Labiaplasty +

Performed for both reconstructive and/or cosmetic reasons, this procedure is concerned with reducing the size of elongated labia in women and can be performed under either local or general anaesthetic. The condition may occur due to damage during childbirth and reduces discomfort caused by this.

Am I a Suitable Candidate?

Women experiencing different degrees of labial hypertrophy or elongation with irritation, are often suitable candidates for this surgery. Most patients want labiaplasty surgery to decrease the size of their labia minora. Suitable candidates are women who:

• Have concerns about the appearance of their labia.
• Have a large labia and loose minora.
• Are emotionally and physically healthy.
• Have realistic expectations.
• Are wanting a Labiaplasty for their own reasons, not someone else’s.

Fat-grafting (Lipomodelling) +

This procedure is used primarily to transfer volume (fat) from one area of your body to another. Typically the fat is taken from the tummy and thighs and transferred to breasts, chins, cheeks and forehead. Small top ups may be required to achieve the desired outcome. Fat grafting requires detailed planning with specific goals in mind, and Mr Yang will make a careful assessment to determine how this procedure might work for you.

Liposuction +

Often referred to as ‘lipo’ or ‘liposcupture’, this procedure is commonly used in cosmetic plastic surgery. Fat is removed from areas such as neck, ankles, back, abdomen, thighs, hips and buttocks, when diet and exercise have reached their efficacy, or to achieve contouring or sculpting in a specific area. Because a cannula (hollow thin tube) is used to suction the fat, the work can be very precise. This is not a weight loss treatment, and it does not treat stretch marks or cellulite. Liposuction is performed under general anaesthetic and compression garments may be advised for optimal results.