Aesthetic Surgery Options in Ottawa

Understanding Aesthetic Surgery

Aesthetic surgery, also known as cosmetic surgery, focuses on improving a person's appearance. It can involve various procedures that target different areas of the body. The goal is to improve or change the body and face, ensuring that the results look natural and harmonious.

It is important that the decision to undergo surgery is your own, and only yours.

Popular Aesthetic Surgery Options

There are numerous aesthetic surgery options available today. Here are the procedures I offer. Please click on the procedure to read more.

1. Abdominoplasty

2. Eyelid Surgery

3. Liposuction

4. Mastopexy/Breast Lift

5. Arm Lift

6. Thigh Lift

7. Gynaecomastia

8. Botox and Fillers

   
   

1. Liposuction

Liposuction is a body contouring procedure that removes excess fat from specific areas, such as the abdomen, thighs, and arms. It is not a weight-loss solution but rather a way to sculpt the body when you have attained a steady weight.

Benefits of Liposuction:

• Targeted fat removal

• Improved body shape

  
  

Liposuction can be combined with other procedures for more comprehensive results. It is essential to maintain a healthy lifestyle post-surgery to keep the results.

2. Abdominoplasty

Abdominoplasty is an operation to tighten the skin on the abdomen, get rid of excess fat, and reshape the waist, for instance after childbirth or weight loss. There are different types of abdominoplasties:

1. Full Abdominoplasty: Removal of skin and fat from above the pubic area up to the rib cage, with tightening of abdominal muscles.

2. Mini-Abdominoplasty: Removal of a smaller amount of skin/fat, typically only below the belly button.

3. Extended or Fleur-de-lis Abdominoplasty: For patients with more extensive skin excess, including side-to-side/vertical excisions.

   
   

The scars from an abdominoplasty run from hipbone to hipbone, just above the pubic hair and partially hidden inside the umbilicus.

Abdominoplasty is performed under general anaesthesia and takes approximately 2 ½ hours. Internal stitches tighten your abdominal muscles, bringing in the waist and flattening your abdomen. Excess fat is removed from the skin of your abdomen and can be combined with liposuction of the flanks. You may have two drains (thin plastic tubes to drain away excess tissue fluid), which are usually removed the next day if inserted. For the first 3-5 days, you will not be able to stand up straight as your skin is too tight.

The sensation of your skin, between your scar and your belly button, is permanently altered, similar to after a caesarean section.

You can go home the same day or stay overnight. You will be given a prescription for painkillers and antibiotics to take home.

The wounds are taped, and you are advised to wear supportive pants/compression garments for at least the next 6 weeks (preferably for the next 3-6 months at nighttime).

Depending on your job, you should take 2-3 weeks off work. You won’t be able to drive for 2-3 weeks until you can comfortably have a seatbelt on, are no longer taking your stronger painkillers, and can make an emergency stop. You should not engage in vigorous exercise, stretching, or yoga for 6 weeks postoperatively.

Potential Complications from Abdominoplasty Surgery:

• Bad scars (keloids, hypertrophic, uneven scars, etc.)

• A bleed under the abdominal skin, necessitating a return to the operating room for removal.

• A seroma (a collection of the fluid component of blood under the abdominal skin, which is easily drained as an outpatient and rarely means a return to the operating room).

• Infection.

• Wound dehiscence/skin loss (the wound may come apart in some areas, especially if you smoke, which is why I do not perform abdominoplasties on smokers).

• A deep vein thrombosis (DVT) and subsequent pulmonary embolus (PE), which is a very serious complication but fortunately very rare. A PE can be fatal, and a DVT can lead to a permanently swollen leg. Therefore, you should drink plenty when you are discharged from the hospital and keep compression stockings on until you are fully mobile.

  
  

Long-Term Considerations:

• Scars may take 12–18 months to fade.

• Maintain a stable weight to preserve results (i.e., you can carry a pregnancy to term after an abdominoplasty, but because I have tightened your abdominal wall muscles, your abdomen may expand less than normal).

  
  

When to Seek Medical Advice:

Contact your surgical team or family physician if you experience:

• Excessive swelling or bleeding

• Fever, redness, or discharge from the wound

• Pain in the leg or swelling (possible DVT)

• Difficulty breathing or chest pain

  
  

If you have any questions, please feel free to contact our office.

3. Arm Lift

Arm lifts get rid of the excess skin and fat mostly on the upper arms. The operation is done under general anaesthetic as a day case. The goal is to have firm upper arms, with a hidden scar on the inside or back of the arms.

Indications for Surgery:

• Significant weight loss

• Saggy or loose skin of the upper arms

  
  

The Procedure:

• Incisions are made in the upper inner arm area or, if the patient wishes, more posteriorly on the arm.

  
  

Potential Risks and Complications:

As with any surgery, an arm lift carries risks:

Common Risks:

• Swelling and bruising

• Pain or discomfort

• Scarring

• Temporary or permanent numbness

• Fluid accumulation (seroma)

  
  

Uncommon/Rare Risks:

• Infection

• Bleeding

• Poor wound healing

• Asymmetry

• Blood clots (DVT)

• Need for revision surgery

  
  

Aftercare:

• You need to wear a compression garment to support the area and reduce swelling.

• Avoid strenuous activity and heavy lifting for at least 6 weeks.

• Keep the incision sites clean and dry.

• Wound care is important, and you may be given antibiotics to ensure you do not get an infection.

  
  

Recovery Timeline:

• Week 1–2: Initial swelling and bruising

• Week 2-4: Gradual return to light activity

• Week 6: Resume normal activities and non-strenuous exercise

• 3–6 Months: Final results become more apparent as swelling subsides

• 12 Months: Scars begin to fade

  
  

When to Seek Help:

Contact me or the nearest Emergency Department if you notice:

• Fever or signs of infection

• Increased redness, swelling, or discharge

• Severe pain not relieved by medication

• Sudden swelling or pain in the legs

  
  

Outcomes:

Most patients are satisfied with the results of their arm lift. The improvement in contour is typically long-lasting, but only when combined with a stable weight and healthy lifestyle. Scars are permanent, usually fade over time, and are mostly hidden.

4. Thigh Lift

A thigh lift is a surgical procedure designed to improve the appearance of the thighs by removing excess skin and fat. This surgery is often performed after significant weight loss or to address age-related skin laxity. The goal is to create smoother, firmer, and more contoured thighs.

Indications for Surgery:

• Loose or sagging skin on the thighs

• Excess fat deposits in the thigh area that cannot be addressed satisfactorily with liposuction

• Poor skin elasticity that does not respond to diet and exercise

  
  

The Procedure:

• Incisions are made in the groin area and/or the buttock creases, and the thigh skin is rotated. The excess is removed and stitched in place. In some cases, the scar may extend down the inner thigh, depending on how much skin needs to be removed.

  
  

Potential Risks and Complications:

As with any surgery, a thigh lift carries risks:

Common Risks:

• Swelling and bruising

• Pain or discomfort

• Scarring

• Temporary or permanent numbness

• Fluid accumulation (seroma)

  
  

Uncommon/Rare Risks:

• Infection

• Bleeding

• Poor wound healing

• Asymmetry

• Blood clots (DVT)

• Need for revision surgery

  
  

Aftercare:

• You may need to wear a compression garment to support the area and reduce swelling.

• Avoid strenuous activity and heavy lifting for at least 6 weeks.

• Keep the incision sites clean and dry.

• Wound care is important, and you may be given antibiotics to ensure you do not get an infection.

  
  

Recovery Timeline:

• Week 1–2: Initial swelling and bruising

• Week 2-4: Gradual return to light activity

• Week 6: Resume normal activities and non-strenuous exercise

• 3–6 Months: Final results become more apparent as swelling subsides

• 12 Months: Scars begin to fade

  
  

When to Seek Help:

Contact me or the nearest Emergency Department if you notice:

• Fever or signs of infection

• Increased redness, swelling, or discharge

• Severe pain not relieved by medication

• Sudden swelling or pain in the legs

  
  

Outcomes:

Most patients are satisfied with the results of their thigh lift. The improvement in contour is typically long-lasting, but only when combined with a stable weight and healthy lifestyle. Scars are permanent, usually fade over time, and are mostly hidden.

5. Eyelid Surgery

Blepharoplasty is an operation to tighten the skin and the muscles around the eyes, get rid of the bags over and under the eyes, and remove any excess fat around the eyes or redistribute it for a more youthful look.

The scars from a Blepharoplasty include:

• For an upper blepharoplasty: in the upper eyelid crease with a short extension into the crow’s feet.

• For a lower blepharoplasty: just under the lower eyelashes with a short extension into the crow’s feet.

• For certain lower eyelids, the scar can be hidden inside the lower eyelid only.

  
  

I will discuss the different options with you on an individual basis. Blepharoplasty is performed under general anaesthesia, although upper blepharoplasty only can be done under local anaesthesia.

Upper blepharoplasty is usually performed as day surgery, but a lower blepharoplasty may require an overnight stay in the hospital. You will be prescribed painkillers and antibiotics to take home. If you have external scars, the stitches are removed in 3 days. If you only have a scar inside your lower eyelids, the stitches are dissolvable. It does take some time before the scars settle down, but around the eye, the scars are very fine. Your eyelids will be swollen and bruised for the next two weeks. Sometimes, the fine cover of the eyeball itself and the inside of the lids (conjunctiva) becomes very swollen and is treated with a short course of steroid eye drops.

In the first couple of weeks after a lower blepharoplasty, your eyes will have an upward slant, as I have tightened the attachment of the corners of the eye to the bony eye sockets to support the lower eyelids while they heal. If this is not done, the lower eyelids can hang away from the eyeball.

It is important to remember that when you have had your eyelids operated on, you will look different. This is not just because the fat and the bags have been removed, but also because the slant of your eyes is changed, and the lower eyelid may appear shorter and the eye smaller.

Potential Complications from Blepharoplasty:

• Blindness (0.01-0.04%)

• A bleed behind the eye, necessitating a return to the operating room for removal (very rare)

• Bruising

• Infection

• Transient ectropion (lower eyelid hangs away from the eyeball)

• Asymmetry

• Transient excessive tear production (epiphora)

  
  

6. Mastopexy/Breast Lift

A breast uplift lifts the breasts without reducing their size. This can be done on its own or with breast augmentation. The scars from a breast uplift depend on the degree of droopiness of the breasts:

• Around the nipple for a small droop

• Around the nipple and down the front of the breast for a medium droop

• Around the nipple, down the breast, and under the breast for medium to large droop

  
  

We will discuss and explain the best option for you during the consultation. Breast uplift is performed under general anaesthesia and takes approximately 2 ½ hours. You can go home the same day, and I generally do not use drains, but you will have painkillers and antibiotics to take home.

The wounds are taped, and you are advised to wear a supportive sports bra for the next 6 weeks, during which time you should avoid vigorous exercise. You are advised to bring a pillow to cushion you from the seatbelt when you leave the hospital in a car. Remember, you will not be able to drive yourself for at least two weeks. You will not be able to lift heavy objects for at least two weeks after the operation. Depending on your job, you should take 1-2 weeks off work.

Potential Complications from Breast Uplift Surgery:

• A bleed in the breast that necessitates a return to theatres for removal

• Bad scars (you will have scars, but they are usually not bad)

• Infection

• Wound dehiscence (the scar opens, usually minor and is allowed to heal before a scar revision)

• Nipple loss (definitely if you are a smoker; otherwise, it depends on how far up the nipple needs to be moved)

• Altered nipple sensation or even complete loss of sensation

• Asymmetry

  
  

7. Gynaecomastia

Gynaecomastia is a benign (non-cancerous) enlargement of breast tissue in males. It can affect one or both sides and may cause tenderness, firmness, or a noticeable lump beneath the nipple.It is common and can occur at any age.

What causes gynaecomastia?

1. Hormonal changes

A natural imbalance between oestrogen (higher) and testosterone (lower) can cause breast tissue to grow.This can happen:

• During puberty

• With ageing

• After rapid weight changes

  
  

2. Medications

Some medicines can trigger gynaecomastia, including:

• Certain heart medications (e.g., spironolactone, calcium channel blockers)

• Anti-androgens

• Some antidepressants

• Anabolic steroids

• Medicines for prostate enlargement or cancer

• Ulcer medications (e.g., cimetidine)

3. Health conditions

• Thyroid disorders

• Liver disease

• Kidney disease

• Testicular conditions

• Obesity (increases oestrogen levels)

4. Lifestyle factors

• Alcohol

• Cannabis

• Some gym supplements or performance-enhancing drugs

5. “Pseudogynaecomastia”

This is breast fat without enlargement of breast gland — common in men who are overweight.It is different from true gynaecomastia but may look similar.

How does gynaecomastia present?

You may notice:

• A firm, rubbery lump behind or under the nipple

• Breast swelling on one or both sides

• Tenderness or sensitivity

• A feeling of heaviness

• Asymmetry (one side larger than the other)

It is usually painless, but mild tenderness is normal.

Is it dangerous?

Gynaecomastia is not cancer.Male breast cancer is rare, but your clinician may investigate if:

• The lump is hard and fixed

• There is nipple discharge (especially bloody)

• There is skin dimpling

• Only one side is affected with unusual features

How is gynaecomastia assessed?

Your clinician may perform:

• A physical examination

• Blood tests (to check hormone levels, liver/thyroid function, usually done by your FP before I see you)

• Ultrasound or mammogram (if the lump needs imaging)

• Review of medications and lifestyle factors

  
  

What are the treatment options?

1. Observation (watchful waiting)

In many teenagers and young adults, gynaecomastia improves on its own within 12–24 months.

2. Treating the underlying cause

Stopping the triggering medication, treating a hormone imbalance, or addressing weight gain may reduce breast size.

3. Surgery

Surgery is considered when:

• The gynaecomastia is long-standing

• It affects confidence, clothing choices, or emotional wellbeing

• Non-surgical treatments have not helped

Types of surgery

a) LiposuctionUsed when the enlargement is mainly fat. Small incisions are made, and fat is suctioned out.

b) Gland excision (subcutaneous mastectomy)Removal of firm gland tissue using a small incision around the nipple.

c) Combination of liposuction and gland excisionMost common approach, as many patients have both fat and gland enlargement.

Anaesthesia

• Usually performed under general anaesthetic

• Occasionally local anaesthetic for small areas

Recovery

• Mild discomfort, bruising, and swelling for 4-6 weeks

• Compression garment worn for 4–6 weeks

• Return to work in a few days (depending on job)

• Avoid gym/weights for 4–6 weeks

Scarring

• Usually minimal and placed around the areola

• Scars fade over several months

Risks of surgery

All surgery carries some risk. Possible complications include:

• Bruising or bleeding

• Infection

• Asymmetry

• Over- or under-correction

• Sensation changes around the nipple

• Very rarely loss of nipple

• Contour irregularities

• Need for revision surgery

Your surgeon will discuss these with you before the operation.

When to seek medical advice

Contact your clinician if you notice:

• A rapidly growing lump

• Nipple discharge

• Severe tenderness

• Skin changes on the chest

• Hard, fixed lumps

• Unexpected swelling after surgery

Summary

• Gynaecomastia is a common, benign enlargement of male breast tissue.

• It can be caused by hormones, medications, medical conditions, or lifestyle factors.

• Treatment ranges from observation to surgical correction.

• Surgery is safe and effective when needed and usually produces excellent cosmetic results.

8. Botox and Fillers

While not traditional surgery, Botox and dermal fillers are popular non-surgical options for enhancing facial features. Botox relaxes muscles to reduce wrinkles, while fillers add volume to areas like the cheeks and lips.

Benefits of Botox and Fillers:

• Quick procedures with minimal downtime

• Immediate results

• Non-invasive options for enhancement

  
  

Factors to Consider Before Surgery

Before deciding on any aesthetic surgery, it is crucial to consider several factors:

1. Research

You should only have surgery with someone who is Board certified in the surgery they offer.

2. Consultation

Schedule consultations with a Board-certified plastic surgeon. Discuss your goals, concerns, and expectations. A good surgeon will provide honest feedback and help you understand what is achievable.

3. Risks and Recovery

Every surgical procedure comes with risks. It is essential to understand potential complications and the recovery process. Ask your surgeon about what to expect during recovery and how long it may take.

4. Cost

Aesthetic surgery can be a significant financial investment. Consider the costs involved, including the procedure, anaesthesia, and post-operative care. Check if your insurance covers any part of the procedure.

5. Emotional Readiness

Ensure you are emotionally prepared for the changes that come with surgery. Aesthetic surgery can enhance your appearance, but it is essential to have realistic expectations about the outcomes. The surgery is for you, and no one else.

The Importance of Choosing the Right Surgeon

Choosing the right surgeon is one of the most critical steps in the aesthetic surgery process. Here are some tips for finding a qualified professional:

• Check Credentials: Ensure the surgeon is Board-certified in plastic surgery and has a good reputation.

• Look for Experience: Choose a surgeon with extensive experience in the specific procedure you are considering.

• Read Reviews: Look for patient reviews and testimonials to gauge the surgeon's skill and patient satisfaction.

• Ask Questions: During your consultation, ask about the surgeon's approach, techniques, and what you can expect from the procedure.

  
  

For more information, please feel free to reach out to our office. Your journey towards enhanced confidence and beauty begins here.