# Dr. Gideon Maresky - Full machine-readable content > Practice details, confirmed pricing data, procedure summaries, and a resource directory generated from the same source collections used by doctormaresky.co.za. This bundle is generated from the same approved first-party content used by the website. It does not provide an individual diagnosis or treatment recommendation. Consult the canonical pages and [medical disclaimer](https://doctormaresky.co.za/medical-disclaimer) for context. ## Practice details - Practice: Dr. Gideon Maresky - Training: US-trained plastic and reconstructive surgeon - Board certification: American Board of Surgery, 2009 - Board certification: American Board of Plastic Surgery, 2012 - Medical degree: MBChB, University of Cape Town - Registration: Health Professions Council of South Africa - Hospital: Christiaan Barnard Memorial Hospital - Address: Christiaan Barnard Memorial Hospital, Suite 1516, DF Malan Street, Foreshore, Cape Town 8001, South Africa - Telephone: +27 (0) 21 423 9422 - Email: gideonmaresky@gmail.com - Website: https://doctormaresky.co.za - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ## Procedure pricing - Dr. Gideon Maresky > Indicative procedure pricing in South African Rand, generated from the same confirmed dataset used by this website's procedure and cost pages. US-trained plastic surgeon. Christiaan Barnard Memorial Hospital, Cape Town, South Africa. - Currency: ZAR - Pricing dataset status: confirmed - Dataset confirmed: 2026-04-13 - Consultation fee: R1,495 (non-refundable and credited toward the procedure if you proceed) Prices are estimates, not personalised quotes, and are subject to change. Final pricing is confirmed after Dr. Maresky assesses the individual case. Medical-aid contributions may apply to reconstructive or medically indicated procedures. ### Consultation | Service | Price (ZAR) | | --- | ---: | | [General consultation](https://doctormaresky.co.za/procedure/general-consultation) | R1,495 | ### Body Contouring | Procedure | Indicative price (ZAR) | | --- | ---: | | [Arm Lift (Brachioplasty)](https://doctormaresky.co.za/cost/arm-lift) | R65,000 to R85,000 | | [Body Lift (Belt Lipectomy)](https://doctormaresky.co.za/cost/body-lift) | R150,000 to R200,000 | | [Fat Transfer (Autologous Fat Grafting)](https://doctormaresky.co.za/cost/fat-transfer) | R40,000 to R95,000 | | [Labiaplasty (Vaginal Rejuvenation)](https://doctormaresky.co.za/cost/labiaplasty) | R55,000 to R60,000 | | [Liposuction (Lipoplasty)](https://doctormaresky.co.za/cost/liposuction) | R55,000 to R90,000 | | [Mommy Makeover](https://doctormaresky.co.za/cost/mommy-makeover) | R220,000 to R260,000 | | [Thigh Lift (Thighplasty)](https://doctormaresky.co.za/cost/thigh-lift-surgery) | R85,000 to R100,000 | | [Tummy Tuck (Abdominoplasty)](https://doctormaresky.co.za/cost/tummy-tuck) | R140,000 to R180,000 | ### Breast Augmentation | Procedure | Indicative price (ZAR) | | --- | ---: | | [Breast Enlargement (Augmentation Mammoplasty)](https://doctormaresky.co.za/cost/breast-enlargement) | R85,000 | | [Breast Lift (Mastopexy)](https://doctormaresky.co.za/cost/breast-lift) | R90,000 to R130,000 | | [Breast Reconstruction (Reconstructive Mammoplasty)](https://doctormaresky.co.za/cost/breast-reconstruction) | R120,000 to R200,000 | | [Breast Reduction (Reduction Mammoplasty)](https://doctormaresky.co.za/cost/breast-reduction) | R100,000 to R150,000 | | [Male Breast Reduction (Gynecomastia Surgery)](https://doctormaresky.co.za/cost/male-breast-reduction) | R60,000 to R85,000 | | [Nipple Surgery (Nipple Correction)](https://doctormaresky.co.za/cost/nipple-surgery) | R25,000 | ### Facial Surgery | Procedure | Indicative price (ZAR) | | --- | ---: | | [Blepharoplasty](https://doctormaresky.co.za/cost/blepharoplasty) | R35,000 to R55,000 | | [Chin Augmentation (Mentoplasty)](https://doctormaresky.co.za/cost/chin-augmentation) | R55,000 to R70,000 | | [Eyebrow Lift (Brow Lift)](https://doctormaresky.co.za/cost/eyebrow-lift) | R70,000 to R90,000 | | [Eyelid Lift (Blepharoplasty)](https://doctormaresky.co.za/cost/eyelid-lift) | R55,000 to R130,000 | | [Facelift (Rhytidectomy)](https://doctormaresky.co.za/cost/facelift) | R150,000 to R175,000 | | [Lip Reduction (Cheiloplasty)](https://doctormaresky.co.za/cost/lip-reduction) | R12,000 to R24,000 | | [Neck Lift (Platysmaplasty)](https://doctormaresky.co.za/cost/neck-lift) | R85,000 to R140,000 | | [Nose Job (Rhinoplasty)](https://doctormaresky.co.za/cost/nose-job) | R140,000 to R180,000 | | [Otoplasty](https://doctormaresky.co.za/cost/otoplasty) | R60,000 to R80,000 | ### Hand Surgery | Procedure | Indicative price (ZAR) | | --- | ---: | | [Carpal Tunnel Surgery (Carpal Tunnel Release)](https://doctormaresky.co.za/cost/carpal-tunnel-syndrome) | R30,000 to R60,000 | | [Dupuytren's Contracture (Fasciectomy)](https://doctormaresky.co.za/cost/dupuytrens-contracture) | R60,000 to R90,000 | | [Trauma Surgery (Reconstructive Surgery)](https://doctormaresky.co.za/cost/trauma-surgery) | R15,000 to R100,000 | | [Trigger Finger (Tenolysis)](https://doctormaresky.co.za/cost/trigger-finger) | R15,000 to R30,000 | ### Hand Surgery & Trauma | Procedure | Indicative price (ZAR) | | --- | ---: | | [Scar Revision Surgery](https://doctormaresky.co.za/cost/scar-revision) | R25,000 to R50,000 | ### Non-Surgical Procedures | Procedure | Indicative price (ZAR) | | --- | ---: | | [Facial Fillers (Dermal Filler Injections)](https://doctormaresky.co.za/cost/facial-fillers) | R5,500 to R11,000 | | [Lip Fillers (Dermal Filler Injections)](https://doctormaresky.co.za/cost/lip-fillers) | R5,500 to R11,000 | | [Microdermabrasion (Mechanical Exfoliation)](https://doctormaresky.co.za/cost/microdermabrasion) | R800 to R2,500 | ### Pediatric Procedures | Procedure | Indicative price (ZAR) | | --- | ---: | | [Baby Circumcision](https://doctormaresky.co.za/cost/baby-circumcision) | R4,500 to R8,000 | ### Important information - Published procedure prices include surgeon, anaesthetist, and hospital fees. - Most cosmetic procedures are not covered by medical aid. - Reconstructive procedures may be partially covered; check with your provider. - Accepted payment methods: cash, credit card (VISA, Mastercard, American Express), and EFT. - Payment plans may be available and can be discussed during consultation. - Pricing page: https://doctormaresky.co.za/pricing.md - Book a consultation: https://doctormaresky.co.za/procedure/general-consultation - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ## Procedures ## Arm Lift (Brachioplasty) > **Arm lift**, **arm reduction**, or **Brachioplasty** is a surgical procedure by which excess skin and fat are removed from the upper arms - Canonical page: https://doctormaresky.co.za/procedure/arm-lift - Category: [Body Contouring](https://doctormaresky.co.za/procedure-category/body-contouring) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview An **arm lift**, **arm reduction**, or **Brachioplasty** is a surgical procedure by which excess skin and fat are removed from the upper arms. This procedure can help reduce the signs of sagging skin which is associated with extreme weight loss or aging. ### The procedure An **arm lift surgery** can require a long or small incision, depending on the incision and how much skin and fat are removed. Some cases will require a temporary drainage tube which removes excess liquid from the incision site. ### Candidate information - **Description:** The best candidate for this surgery are those in relatively good shape but bothered by moderate fatty loose skin or fat in their upper arms that exercise and diet alone cannot reduce. These are the characteristics of an **ideal candidate**: #### Criteria - Loss of skin elasticity in older patients - Excess skin or fat in the upper arms - Have realistic expectations - Be in relatively good health - Be determined to maintain their weight, no weight loss or gain as it can affect the surgical outcomes ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare An **arm lift surgery** can require a long or small incision, depending on the incision and how much skin and fat are removed. Some cases will require a temporary drainage tube which removes excess liquid from the incision site. ### Expected results The scarring can be quite extensive depending on the surgeons course of action, with the most invasive removal leaving a scar from the armpit right down the upper arm to the elbow. It can take up to **nine months** before the scars flatten and lighten in colour. ### Risks and considerations #### Normal Side Effects - **Description:** After undergoing the surgery, the patient may feel all or none of these very normal and common side effects: ##### Effects - Swollen sore arms - Discomfort - Scars appear to worsen during the first 6 months post surgery #### Other Side Effects - **Description:** Like all medical procedures, the risk of complications increases when proper aftercare treatment is not followed. These complications include: ##### Effects - Hypertrophic scarring (large fat/ thick scars) - Progressive pain that cannot be addressed with your pain medications - A high fever - Strange discolouration, and or leaking - Infection - Bleeding - Incision site splitting (this is extremely rare) - **Disclaimer:** These risks will be fully disclosed and explained by the surgeon, if at any point post surgery a patient suffers from any serious side effects – please consult your surgeon immediately. ### Frequently asked questions #### How long does arm lift surgery take? The duration of arm lift surgery varies depending on the extent of the procedure, typically ranging from 1-3 hours. #### Will I have visible scars after arm lift surgery? Yes, arm lift surgery does result in scarring. The extent depends on the surgical approach, with scars potentially extending from the armpit to the elbow. Scars typically fade and flatten over 9 months. #### When can I return to normal activities after arm lift surgery? Recovery varies by individual, but most patients can return to light activities within 1-2 weeks and full activities within 4-6 weeks, following surgeon's guidelines. #### Am I a good candidate for arm lift surgery? Good candidates are those with excess arm skin that cannot be improved with exercise, have realistic expectations, are in good health, and are committed to maintaining a stable weight. #### What is the difference between mini and full arm lift? A mini arm lift addresses minor sagging with smaller incisions, while a full arm lift treats significant excess skin with longer incisions for more dramatic results. #### Can arm lift be combined with other procedures? Yes, arm lift is often combined with body lift, thigh lift, or other body contouring procedures for comprehensive results after weight loss. #### How much does arm lift cost in Cape Town? Arm lift costs vary based on the extent of surgery and individual needs. A detailed quote is provided during your consultation with Dr Maresky. #### Will I need drains after arm lift surgery? Some cases may require temporary drainage tubes to remove excess fluid from the incision site, which are typically removed within a few days. ### Indicative pricing - Estimate: R65,000 to R85,000 ZAR - Cost factor: Skin laxity - Cost factor: Scar placement - Cost factor: Combined with liposuction - Detailed cost page: https://doctormaresky.co.za/cost/arm-lift - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Baby Circumcision > **Removal of the foreskin** from the penis in newborn boys - Canonical page: https://doctormaresky.co.za/procedure/baby-circumcision - Category: [Pediatric Procedures](https://doctormaresky.co.za/kids) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Baby circumcision** is a procedure that removes the foreskin from the penis. It is commonly performed for religious, cultural, or health reasons. **Dr. Maresky** provides safe, gentle circumcision procedures for newborns and infants. ### The procedure The procedure is quick, typically taking about **10-15 minutes**. A local anesthetic is used to minimize discomfort. The foreskin is removed using a specialized device, and the area is then bandaged for protection during healing. ### Preparation - **Timeline:** **1-2 weeks** before procedure #### Medical tests - **Ensure** baby is healthy and full-term (at least **37 weeks** gestation) - Baby should be at least **1-2 days** old and medically stable - No bleeding disorders or family history of clotting problems #### Arrangements - Both parents should attend if possible - **Clear** your schedule - allow **1-2 hours** for entire visit - **Plan** quiet time at home after procedure - **Stock** up on petroleum jelly (Vaseline) and gauze for aftercare ### Recovery and aftercare Recovery is usually quick, with the area healing within **7-10 days**. Parents will be given specific care instructions to keep the area clean and prevent infection during healing. ### Expected results The results are **permanent**. Benefits may include easier hygiene, reduced risk of certain infections, and fulfillment of religious or cultural traditions. ### Frequently asked questions #### At what age should circumcision be performed? Circumcision is typically performed within the first **few weeks of life**. However, it can be done at any age if necessary. #### Is circumcision painful for the baby? **Local anesthesia** is used to minimize pain during the procedure. Some discomfort may be experienced during recovery, but this can be managed with proper care and, if necessary, mild pain relief recommended by your doctor. #### What are the health benefits of circumcision? Potential health benefits include easier hygiene, reduced risk of urinary tract infections, reduced risk of sexually transmitted infections later in life, and prevention of problems like **phimosis** (tight foreskin). #### What is the best age for baby circumcision? The ideal time is within the first **1-2 weeks** of life when babies heal quickly and the procedure is simpler. **Dr Maresky** can safely perform circumcision on healthy newborns who are at least **1-2 days** old and medically stable. #### How long does the baby circumcision procedure take? The actual procedure takes approximately **10-15 minutes**. However, you should plan for a total visit time of **1-2 hours** including preparation, the procedure, and post-procedure observation. #### What type of anesthesia is used for baby circumcision? **Dr Maresky** uses a **local anesthetic ring block** or **dorsal penile nerve block** to minimize discomfort. This numbs the area effectively while keeping baby awake and safe. #### How long does it take for a baby to heal after circumcision? Most babies heal completely within **7-10 days**. The area will look red and slightly swollen initially, but this is normal. You'll apply petroleum jelly and gauze with each diaper change to promote healing. #### Can circumcision be done for religious or cultural reasons? Yes, **Dr Maresky** respects and performs circumcisions for religious, cultural, and medical reasons. He understands the significance of this procedure for many families and ensures it's performed with cultural sensitivity. ### Indicative pricing - Estimate: R4,500 to R8,000 ZAR - Cost factor: Age of baby - Cost factor: Anesthesia type - Cost factor: Hospital facility - Detailed cost page: https://doctormaresky.co.za/cost/baby-circumcision - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Blepharoplasty > A **Blepharoplasty** or **eyelid surgery** can dramatically improve the appearance of tired droopy looking eyes. - Canonical page: https://doctormaresky.co.za/procedure/blepharoplasty - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview This is accomplished by removing excess skin and pockets of fat from the upper and lower eyelids. Many patients combine **blepharoplasty** with alternative treatments such as a brow lift or cosmetic dermal fillers used to treat crow's feet. This relatively minor cosmetic surgery procedure can refresh the appearance of the face and leave it looking years younger. ### The procedure Upper eyelid surgery can best benefit patients who have sagging skin reducing their field of vision. This procedure removes fatty deposits and excess skin from the upper eyelid, it can be performed either under **local or general anesthetic**. Incisions are made in the natural crease of the eye. A lower eyelid surgery removes fatty deposits and skin from the lower lid. A small incision is made on the inside of the eyelid to hide the scar. This creates a firmer more youthful look. Lower eyelid surgery allows the surgeon to transfer fat or dermal fillers to hollowed areas under the eye, creating a plump smoother appearance. **Transconjunctival Blepharoplasty** is for patients with less pronounced under eye bags. This procedure alleviates the appearance of bags and sagging by removing fatty deposits without removing any excess skin. Since this is performed through tiny incisions there is minimal to no scarring. ### Candidate information - **Description:** Not everyone is an ideal candidate for eyelid surgery. The right candidate will understand that eyelid surgery is performed exclusively to remove under-eye bags, correct puffy upper eyelids, and restore vision that is obscured by excess skin and fat in the eyelids. Unfortunately, the presence of certain ophthalmic and medical conditions can exclude one from having the blepharoplasty procedure performed. #### Criteria - Puffy upper eyelids - Tired looking eyes - Excess upper eyelid skin - At least 18 years old - In good physical and mental health - Realistic expectations ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Though eyelid surgery is a minimally invasive procedure, there is some pain associated with the post-operative recovery phase. Following eyelid surgery, your eyelids will most likely feel sore and tight while the anesthesia is wearing off. Following eyelid surgery, swelling is likely to occur around the incision areas. Avoiding excessive blinking as well as strenuous activities that increase blood flow to the eyes can help to reduce or even prevent extreme swelling. Recovery time can take anything from **1 week to 4 weeks**. ### Risks and considerations #### Normal Side Effects - **Description:** After undergoing the surgery, the patient may feel all or none of these very normal and common side effects: ##### Effects - Bruising and swelling - General discomfort - Pain #### Other Side Effects - **Description:** As with all surgeries, eyelid surgery comes with risks and potential complications that vary in severity. These complications can result from eyelid surgery, including: ##### Effects - Ectropian (A drooping effect causing the lower lid to invert) - Retinal detachment (Retina is separated from the outer layer of the eye) - Hematoma - Infection - Scarring - Excessive tearing - Adverse reaction to anesthesia - Dryness, burning of the eyes - Formation of whiteheads - Difficulty keeping eyes closed when sleeping - Blurred or double vision - **Disclaimer:** These risks will be fully disclosed and explained by the surgeon. If at any point post surgery a patient suffers from any serious side effects – please consult your surgeon immediately. ### Frequently asked questions #### What is Blepharoplasty Surgery? Blepharoplasty is eyelid surgery that removes excess skin and pockets of fat from the upper and lower eyelids to rejuvenate tired-looking eyes and improve vision obstruction. #### How long is the recovery time? Recovery time can take anything from **1 week to 4 weeks** depending on the procedure chosen and the size of the incision made. #### Will I have visible scars after blepharoplasty? Incisions are carefully placed in the natural crease of the upper eyelid or inside the lower eyelid to minimize visible scarring. Most scars fade significantly over time. #### Can blepharoplasty improve my vision? Yes, **upper eyelid blepharoplasty** can improve vision when excess skin is obstructing your field of vision, making it both a functional and cosmetic procedure. #### What is the difference between upper and lower blepharoplasty? **Upper blepharoplasty** removes excess skin and fat from the upper eyelids, while **lower blepharoplasty** addresses under-eye bags and can involve fat repositioning or removal. #### How much does blepharoplasty cost in Cape Town? Blepharoplasty costs vary based on whether you need upper, lower, or both eyelids treated. A detailed quote is provided during your consultation with **Dr Maresky**. #### Can I combine blepharoplasty with other procedures? Yes, blepharoplasty is often combined with procedures like brow lifts, facelifts, or dermal fillers for comprehensive facial rejuvenation. #### What is transconjunctival blepharoplasty? This technique removes fat from the lower eyelids through an incision inside the eyelid, leaving no external scars. It's ideal for patients with minimal excess skin. ### Indicative pricing - Estimate: R35,000 to R55,000 ZAR - Cost factor: Upper vs lower lids - Cost factor: Amount of skin and fat removal - Cost factor: In-office vs in-theatre - Detailed cost page: https://doctormaresky.co.za/cost/blepharoplasty - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Body Lift (Belt Lipectomy) > A **body lift surgery** removes excess fat and skin caused primarily by extreme weight loss. A body lift helps to improve the shape and tone of the underlying tissue that supports skin and fat - Canonical page: https://doctormaresky.co.za/procedure/body-lift - Category: [Body Contouring](https://doctormaresky.co.za/procedure-category/body-contouring) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **body lift surgery** removes excess fat and skin caused primarily by extreme weight loss. A body lift helps to improve the shape and tone of the underlying tissue that supports skin and fat. During a **tummy tuck surgery**, a plastic surgeon removes loose skin, tightens the abdominal muscles, and eliminates stubborn deposits of fat. ### The procedure During a **tummy tuck surgery**, a plastic surgeon removes loose skin, tightens the abdominal muscles, and eliminates stubborn deposits of fat. This proven surgical treatment can be thoroughly customised to meet the unique needs and goals of each individual patient. ### Candidate information - **Description:** This surgery is highly customizable taking into account the needs of the patient. The ideal patient for this surgery is anyone who has lost between 30 to 50 percent of their body weight. As with all plastic surgery candidates, the patient must have undergone a mental health evaluation and be determined to follow the recovery protocol to the letter. #### Criteria - Weight loss due to Bariatric surgery (Gastroplasty) - Committed to maintaining excellent nutrition and exercise - Do not plan on becoming pregnant after the surgery - Suffer from drooping skin, fat and tissue around the abdomen ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare The recovery time for a full body lift surgery is anything from **4 to 8 weeks**, depending on the patient. During the patients first few weeks post surgery, drainage tubes will be placed to remove excess blood. The surgeon will provide the patient with all the information required for complication-free recovery. ### Expected results Body lift surgery is an extremely invasive operation. The scarring involved in the removal of excess skin is not as easily hidden as with other surgeries. Patients who have undergone a full body lift will have scarring on their back, arms, thighs, and abdominal area. ### Risks and considerations - **Description:** Body lift surgery is an extremely invasive operation. The scarring involved in the removal of excess skin is not as easily hidden as with other surgeries. With all surgery, there are various risks and side effects a patient may suffer from. These include: #### Effects - Hematoma (Bleeding) - Infection - Poor wound healing - Fluid accumulation - Numbness or change in skin sensitivity - Fat necrosis (Fatty tissue under the skin dying) - Pain - The recurrent looseness of skin - Swelling in the legs - Skin discoloration - Asymmetries - Deep vein thrombosis, cardiac and pulmonary complication - Skin loss - Sutures may surface to the skin - Unfavourable scarring - **Disclaimer:** These risks will be fully disclosed and explained by the surgeon, if at any point post surgery a patient suffers from any of these side effects – please consult your surgeon immediately. ### Procedure types - **Description:** There are several variations of a body lift surgery, each designed to target certain areas of the body or specific issues. The various types of body lift surgeries are: #### Types - **Name:** Full Body Lift - **Description:** Includes all the below procedures, surgeons often do full body lifts in stages as the surgery can take up to **7 hours** to be completed. - **Name:** Upper Body Lift - **Description:** Removal of sagging skin, fat, and tissue on the arms, back, and breasts. - **Name:** Torsoplasty (Mid Body Lift) - **Description:** This procedure treats the abdominal area as well as the lower body, that is treated in a Belt Lipectomy. - **Name:** Belt Lipectomy (Lower Body Lift) - **Description:** Removal of lower body skin, lifting of the buttocks and creating flattering contours. ### Frequently asked questions #### How long does body lift surgery take? Body lift surgery can take anywhere from **4-7 hours** depending on the extent of the procedure. Full body lifts are often performed in stages due to the complexity and duration. #### What is the recovery time for body lift surgery? Recovery time is typically **4-8 weeks**, depending on the patient and extent of surgery. Drainage tubes will be placed initially to remove excess blood and fluid. #### Will I have visible scars after body lift surgery? Yes, body lift surgery results in extensive scarring that is not easily hidden. Patients may have scars on their back, arms, thighs, and abdominal area, depending on the type of body lift performed. #### Am I a good candidate for body lift surgery? Ideal candidates have lost **30-50%** of their body weight, are committed to maintaining nutrition and exercise, don't plan future pregnancies, and suffer from drooping skin and tissue. #### What types of body lift procedures are available? There are several types: **Full Body Lift** (comprehensive), **Upper Body Lift** (arms, back, breasts), **Torsoplasty** (mid-body), and **Belt Lipectomy** (lower body and buttocks). ### Indicative pricing - Estimate: R150,000 to R200,000 ZAR - Cost factor: Extent of excess skin - Cost factor: Areas treated - Cost factor: Hospital stay duration - Detailed cost page: https://doctormaresky.co.za/cost/body-lift - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Breast Enlargement (Augmentation Mammoplasty) > A **breast enlargement surgery** is used to increase and create a fuller breast size, many women suffer from a reduced breast size due to breastfeeding or aging. - Canonical page: https://doctormaresky.co.za/procedure/breast-enlargement - Category: [Breast Augmentation](https://doctormaresky.co.za/procedure-category/breast-augmentation) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **breast enlargement surgery** is used to increase and create a fuller breast size, many women suffer from a reduced breast size due to breastfeeding or aging. Some women naturally have smaller breasts, which may cause low self esteem. **Breast implants** are an ideal solution to this. ### The procedure The procedure involves placing an implant in the breast cavity. A surgeon may position breast implants above (**subglandular**) or below your pectoral muscles (**submuscular**), dependant on the implant type and size. The surgeon will discuss the entire procedure with the patient before the surgery. ### Candidate information - **Description:** The ideal candidate would be in generally good health and have realistic expectations with the outcome. **Ideal candidates** are typically: #### Criteria - Over the age of 18 years - In General good health - Stable in weight - Not planning to breastfeed in the near future - Not pregnant ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare The recovery period varies for each patient. To minimize swelling, a compression garment is worn post surgery and vigorous exercise is completely off-limits within the first **3 to 4 weeks**. Drainage tubes are placed to remove excess liquid during the first few days. The total healing time can be anything from **7 weeks to 10 weeks**. ### Expected results Most patients experience **immediate enhancement** in breast size and shape. The final aesthetic results become apparent as swelling subsides, typically within **3-6 months**. ### Implant types - **Silicone Implants:** These implants also have a silicone shell, but they are filled with a smooth saline solution. Silicone implants look and feel more natural than saline implants. - **Gummy Bear Implants or Silicone Gel Implants:** These solid implants keep their shape if cut in half, just like the candy they are named after. ### Frequently asked questions #### What types of breast implants are available? There are primarily **silicone** and **saline implants** available, with variations like **gummy bear implants** that maintain their shape even if the shell is broken. #### How long do breast implants last? Breast implants are not considered lifetime devices, but they don't automatically need to be replaced. Many women keep their original implants for **10-20 years** without issues. #### What are the normal side effects after breast enlargement? Normal side effects include sore breasts, scars, bruising, swelling, general discomfort, and itching. These typically subside within a few weeks. #### What size breast implants should I choose? Implant size is determined during consultation based on your body frame, chest measurements, desired outcome, and lifestyle. **Dr Maresky** will help you choose the most appropriate size. #### Where are the incisions made for breast enlargement? Common incision locations include under the breast (**inframammary**), around the areola (**periareolar**), or through the armpit (**transaxillary**). The best option depends on your anatomy and implant type. #### Can I breastfeed after breast enlargement? Most women can breastfeed after breast augmentation, especially with **submuscular placement**. However, there may be some impact on milk production in some cases. #### How much does breast enlargement cost in Cape Town? Breast enlargement costs vary based on implant type, surgical technique, and individual needs. A detailed quote is provided during your consultation with **Dr Maresky**. ### Indicative pricing - Estimate: R85,000 ZAR - Cost factor: Implant type (saline vs silicone) - Cost factor: Size - Cost factor: Surgical technique - Detailed cost page: https://doctormaresky.co.za/cost/breast-enlargement - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Breast Lift (Mastopexy) > As we age the elasticity of our skin decreases, which can result in some obvious changes for women with large breasts. A **breast lift** allows women to achieve contours by elevating sagging breasts. - Canonical page: https://doctormaresky.co.za/procedure/breast-lift - Category: [Breast Augmentation](https://doctormaresky.co.za/procedure-category/breast-augmentation) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview As we age, skin elasticity changes, and breast position may also change after pregnancy, weight fluctuation, or breastfeeding. A **breast lift** consultation considers anatomy, expectations, scar placement, and recovery. ### The procedure A **breast lift** allows women to achieve contours by elevating sagging breasts and giving them a perkier, more youthful projection. Many women choose to have a breast lift along with a **breast augmentation** to achieve a fully youthful look. ### Candidate information - **Description:** The ideal candidate would be in generally good health and have realistic expectations of the outcome. A **breast lift** may be considered when breast position, skin laxity, or shape are a concern. An ideal candidate should: #### Criteria - Be over the age of 18 years. - Have saggy, drooping breasts - Be in general good health, mentally and physically - Not be pregnant or breastfeeding - Not planning on falling pregnant - Be at a stable, good weight ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare The recovery period varies for each patient. During your first few weeks, you should also avoid bending, and lifting anything; vigorous exercise is completely off-limits within the first **3 to 4 weeks**. If dissolvable stitches were not used, regular stitches are removed in various stages. To minimize swelling, a compression garment is worn post surgery. Drainage tubes are placed and will remove excess fluid during the first few days. The total healing time can be anything from **7 weeks to 10 weeks** dependant on the type of surgery performed. ### Expected results Most patients see **immediate improvement** in breast position, with final results becoming apparent as swelling subsides over **3-6 months**. ### Techniques - **Standard Lift** – Standard anchor shape incisions are used in this technique. This technique leaves permanent scarring. - **Doughnut Mastopexy** – This technique requires one incision and has less scarring and downtime than the other options. This technique is used when a small amount of tissue and skin are removed. - **Lollipop Lift** – This lift is a combination of both techniques. - **Breast Lift with Augmentation (Implants)** – Your surgeon will carefully help you choose your implant type, which will be placed during the augmentation part of your breast lift. ### Frequently asked questions #### Will a breast lift reduce the size of my breasts? A breast lift primarily changes the position and shape of the breasts, not their size. However, some women may perceive their breasts as slightly smaller after a lift due to the more compact, lifted shape. #### Will I have visible scars after a breast lift? Yes, breast lift surgery does result in scars. The extent depends on the surgical technique used. Scars typically fade and flatten over time but will not completely disappear. #### Can I breastfeed after a breast lift? Many women can breastfeed after a breast lift, but it depends on the specific technique used and individual factors. Discuss this with your surgeon if you plan to breastfeed in the future. #### What are the different types of breast lift techniques? Common techniques include the **anchor lift**, **lollipop lift**, and **doughnut mastopexy**. The choice depends on the degree of sagging and desired results. #### Can I combine breast lift with breast augmentation? Yes, many patients combine breast lift with implants to achieve both lifted position and increased volume for optimal breast enhancement. #### How long do breast lift results last? Breast lift results are long-lasting, typically **10-15 years**, though aging, gravity, and lifestyle factors will continue to affect breast shape over time. #### How much does breast lift cost in Cape Town? Pricing varies based on individual needs and the surgical technique required. A consultation is required to assess your specific requirements and provide accurate pricing. Please book a consultation or **Contact for Pricing** at gideonmaresky@gmail.com for personalized pricing information. #### When can I return to exercise after breast lift? Light activities can resume after **1-2 weeks**, but vigorous exercise and heavy lifting should be avoided for **6-8 weeks** to ensure proper healing. ### Indicative pricing - Estimate: R90,000 to R130,000 ZAR - Cost factor: Degree of ptosis - Cost factor: Incision type - Cost factor: Combined with augmentation - Detailed cost page: https://doctormaresky.co.za/cost/breast-lift - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Breast Reconstruction (Reconstructive Mammoplasty) > **Breast reconstruction surgery** is done after either a single or double mastectomy – it is the removal of defective or cancerous tissue and cells from the breast. - Canonical page: https://doctormaresky.co.za/procedure/breast-reconstruction - Category: [Breast Augmentation](https://doctormaresky.co.za/procedure-category/breast-augmentation) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Breast reconstruction surgery** is done after either a single or double mastectomy – it is the removal of defective or cancerous tissue and cells from the breast. The best time for a breast reconstruction surgery is during the mastectomy, the reconstructive surgery will correct all defects in the breast after the mastectomy. ### The procedure There are various types of reconstruction techniques available, these include **implant-based reconstruction** where an implant is placed in the breast pocket, and **flap/autologous reconstruction** where the surgeon uses your own tissue from a harvest site. ### Candidate information - **Description:** The ideal candidate would be in generally good health and have realistic expectations with the outcome. A perfect candidate would need to possess certain qualities. These include: #### Criteria - Coping well with their diagnosis - No additional medical conditions - Over the age of 18 years - Maintain a stable weight - Not planning to breastfeed in the near future - Not pregnant ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Recovery time varies depending on the type of reconstruction performed. **Implant-based reconstruction** typically has a shorter recovery time than flap procedures. Patients can expect some discomfort, swelling, and bruising for several weeks. ### Expected results Breast reconstruction can restore the breast's shape, appearance, and symmetry. While the reconstructed breast will not have the same sensation as the original breast, many women find that reconstruction helps them feel **whole again** after mastectomy. ### Techniques - **Implants:** An implant is placed in the breast pocket and shaped according to the patient's anatomy and reconstruction goals. - **Flap/Autologous Reconstruction:** The surgeon will use your own tissue from a harvest site and place it in the breast cavity for the most natural feeling breast. ### Frequently asked questions #### When can breast reconstruction be performed? Breast reconstruction can be performed **immediately** after mastectomy or **delayed** until a later date. The timing depends on your specific situation and treatment plan. #### Will insurance cover breast reconstruction? In many countries, insurance is required to cover breast reconstruction after mastectomy. Check with your insurance provider about your specific coverage. #### How many surgeries will I need for breast reconstruction? The number of surgeries varies depending on the reconstruction method and individual factors. Some women may need only **one surgery**, while others might require multiple procedures to achieve the desired results. #### What is the difference between implant and flap reconstruction? Implant reconstruction uses **silicone or saline implants**, while flap reconstruction uses your own tissue from another part of your body for a more natural feel. #### Will I have sensation in my reconstructed breast? Reconstructed breasts typically have limited sensation initially, though some feeling may return over time, especially with certain flap reconstruction techniques. #### How long does breast reconstruction surgery take? Surgery time varies from **2-8 hours** depending on the reconstruction method. Implant-based reconstruction is typically shorter than flap procedures. #### How much does breast reconstruction cost in Cape Town? Breast reconstruction costs vary based on the technique used and complexity. A detailed quote is provided during your consultation with **Dr Maresky**. #### Can I have breast reconstruction if I had radiation therapy? Yes, though radiation can affect healing and results. **Dr Maresky** will evaluate your specific situation and recommend the best reconstruction approach. ### Indicative pricing - Estimate: R120,000 to R200,000 ZAR - Cost factor: Unilateral vs bilateral - Cost factor: Technique (implant vs flap) - Cost factor: Staged reconstruction - Detailed cost page: https://doctormaresky.co.za/cost/breast-reconstruction - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Breast Reduction (Reduction Mammoplasty) > A **Mammoplasty** or **Breast Reduction Surgery** is performed primarily to reduce breast size. - Canonical page: https://doctormaresky.co.za/procedure/breast-reduction - Category: [Breast Augmentation](https://doctormaresky.co.za/procedure-category/breast-augmentation) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **Mammoplasty** or **Breast Reduction Surgery** is performed primarily to reduce breast size. There are many reasons why a breast size would need to be reduced, including discomfort. Breast reduction surgery can alleviate pain in the back, neck, and shoulders. ### The procedure During **breast reduction surgery**, the surgeon removes excess breast tissue, fat, and skin to achieve a breast size in proportion with your body. The procedure may also include repositioning the nipple and areola to a more natural position. ### Candidate information - **Description:** The ideal candidate would be in generally good health and have realistic expectations with the outcome. **Ideal candidates** should be: #### Criteria - Patients who suffer from back pain/discomfort associated with large breasts - Patients who want a slimmer appearance (hourglass figure) - Patients with large sagging breasts ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare The recovery period varies for each patient. To minimize swelling, a compression garment is worn post surgery and vigorous exercise is completely off-limits within the first **3 to 4 weeks**. The total healing time can be anything from **7 weeks to 10 weeks**. ### Expected results Most patients experience **immediate relief** from physical symptoms such as back and neck pain. The final aesthetic results become apparent as swelling subsides, typically within **3-6 months**. ### Techniques - **Anchor Pattern Technique:** This technique is ideal for large pendulous breast as the incision sites allow for removal of excess skin - **Liposuction:** This technique is ideal for women with more fatty tissue than glandular tissue, as this leaves no visible scar. ### Frequently asked questions #### Will breast reduction help with back pain? Yes, breast reduction surgery often significantly reduces or eliminates back, neck, and shoulder pain caused by the weight of large breasts. #### Will I be able to breastfeed after breast reduction? While many women can still breastfeed after breast reduction, the ability may be reduced depending on the surgical technique used. #### What size will my breasts be after reduction? The final breast size is determined during consultation based on your body proportions, desired outcome, and medical considerations. #### Will breast reduction affect my ability to breastfeed? Breast reduction surgery may affect breastfeeding ability, as some milk ducts and glands may be removed. Discuss this with your surgeon if you plan to breastfeed in the future. #### Will my insurance cover breast reduction surgery? Some insurance plans cover breast reduction when it's deemed medically necessary to relieve physical symptoms. Documentation of symptoms and prior treatments is typically required. #### What are the normal side effects after breast reduction? Normal side effects include sore breasts, scars, bruising, swelling, and general discomfort. These typically subside within a few weeks. #### How much breast tissue is typically removed? The amount varies based on individual needs, but typically ranges from **200g to over 1000g** per breast, depending on the starting size and desired outcome. ### Indicative pricing - Estimate: R100,000 to R150,000 ZAR - Cost factor: Amount of tissue removed - Cost factor: Complexity - Cost factor: Possible medical aid coverage - Detailed cost page: https://doctormaresky.co.za/cost/breast-reduction - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Carpal Tunnel Surgery (Carpal Tunnel Release) > Surgical procedure to relieve pressure on the **median nerve** in the carpal tunnel - Canonical page: https://doctormaresky.co.za/procedure/carpal-tunnel-syndrome - Category: [Hand Surgery](https://doctormaresky.co.za/procedure-category/hand-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Carpal Tunnel Syndrome** is a common condition that causes pain, tingling and numbness in the hand and arm. This condition occurs when one of the major nerves – the **median nerve** – from the wrist to the hand gets squeezed or compressed. ### The procedure In some cases, surgery is not required, in which case wrist braces and corticosteroids can help. When surgery is required, there are two main options to choose from: **open** and **endoscopic**. In both cases, the surgeon will cut the ligament around the carpal tunnel to relieve the pressure around the median nerve. ### Preparation - **Timeline:** **1-2 weeks** before surgery #### Medical tests - **Blood work** if indicated - **ECG** if over 50 or with cardiac history - Medical clearance for chronic conditions #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **1-2 weeks** prior (with cardiologist approval if applicable) - **Stop** NSAIDs (ibuprofen) **1 week** prior - **Stop** herbal supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - Diabetics: discuss glucose management during surgery #### Lifestyle - **Smoking:** **Quit** smoking at least **3 weeks** before surgery - critical for hand wound healing - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery #### Arrangements - **Arrange** transportation - you cannot drive with hand bandaged - **Arrange** help at home for **3-7 days** (difficulty with daily tasks) - **Prepare** one-handed meal options and setup - **Set up** sleeping area with hand elevation pillows - **Complete** work tasks requiring two hands before surgery - **Arrange** time off work (**1-4 weeks** depending on job) ### Recovery and aftercare You are likely to feel relief from your symptoms soon after your surgery, however, the recovery period could be anything from **2 weeks** to several months depending on the surgery. ### Expected results Most patients experience **immediate relief** from symptoms. The long-term outcome is usually excellent with proper post-operative care. ### Frequently asked questions #### What causes carpal tunnel syndrome? Carpal tunnel syndrome can be caused by repetitive hand motions, certain medical conditions like diabetes or rheumatoid arthritis, or anatomical factors that reduce space in the carpal tunnel. #### Are there non-surgical treatments available? Yes, initial treatments may include wrist splinting, corticosteroid injections, activity modification, and anti-inflammatory medications. #### How long does carpal tunnel surgery take? The procedure typically takes about **15-30 minutes** and is usually performed as an outpatient procedure under local anesthesia. #### What are the symptoms of carpal tunnel syndrome? Common symptoms include numbness, tingling, or burning sensations in the thumb, index, middle, and ring fingers. You may also experience weakness in grip strength, difficulty holding objects, and nighttime hand pain that disrupts sleep. #### When should I consider surgery for carpal tunnel syndrome? Surgery is recommended when conservative treatments fail to provide relief, symptoms significantly impact daily activities, muscle wasting occurs in the thumb area, or nerve conduction studies show severe nerve damage. #### What is the recovery time after carpal tunnel surgery? Most patients can perform light activities within **2-3 days**. Return to desk work is typically possible within **1-2 weeks**, while manual labor may require **4-6 weeks**. Full recovery and maximum strength return within **2-3 months**. #### Will I have a visible scar after carpal tunnel surgery? The incision is typically **2-3cm** long at the base of the palm. While there will be a scar, it fades significantly over time and is usually quite discrete. **Dr Maresky** uses precise surgical techniques to minimize scarring. #### Can carpal tunnel syndrome come back after surgery? Recurrence is rare, occurring in less than **5%** of cases. Surgery permanently releases the compressed nerve. However, maintaining good hand ergonomics and addressing underlying conditions helps ensure long-term success. ### Indicative pricing - Estimate: R30,000 to R60,000 ZAR - Cost factor: One hand vs both - Cost factor: Open vs endoscopic technique - Cost factor: Anesthesia type - Detailed cost page: https://doctormaresky.co.za/cost/carpal-tunnel-syndrome - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Chin Augmentation (Mentoplasty) > **Chin augmentation surgery** to enhance and improve the shape and projection of the chin - Canonical page: https://doctormaresky.co.za/procedure/chin-augmentation - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview Chin augmentation, also known as **genioplasty**, is a surgical procedure designed to enhance the size and shape of the chin. This procedure can improve facial balance and create a more harmonious profile by bringing the chin into better proportion with other facial features. ### The procedure Chin augmentation can be performed using implants or by reshaping the existing bone. The surgeon makes a small incision either inside the mouth or under the chin to place the implant or modify the bone structure. ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Recovery from chin augmentation typically takes **1-2 weeks**. Patients may experience swelling and bruising, which gradually subsides. Most patients can return to normal activities within a week. ### Expected results Chin augmentation is planned around facial proportion, chin projection, and the patient's anatomy. Outcomes and recovery vary by individual. ### Frequently asked questions #### Who is a good candidate for chin augmentation? Good candidates are those with a weak or receding chin, good overall health, realistic expectations, and desire to improve facial balance. #### What types of chin augmentation are available? Chin augmentation can be performed using **silicone implants** or by surgically advancing the chin bone (**sliding genioplasty**). #### How long do chin implants last? Chin implants are designed to be **permanent**, though they can be removed or replaced if desired. #### What is the difference between chin implants and sliding genioplasty? Chin implants involve placing a silicone implant to add projection, while **sliding genioplasty** cuts and repositions your own chin bone for a more natural result. #### How long is the recovery time for chin augmentation? Recovery typically takes **1-2 weeks** with most patients returning to normal activities within a week. Full healing and final results are visible after **6-8 weeks**. #### Will I have visible scars after chin augmentation? Incisions are made either inside the mouth or in a small crease under the chin, making scars virtually invisible once healed. #### Can chin augmentation be combined with other procedures? Yes, chin augmentation is often combined with rhinoplasty, facelifts, or neck lifts to achieve optimal facial harmony and balance. #### How much does chin augmentation cost in Cape Town? Chin augmentation costs vary based on the technique used and individual needs. A detailed quote is provided during your consultation with **Dr Maresky**. ### Indicative pricing - Estimate: R55,000 to R70,000 ZAR - Cost factor: Implant vs sliding genioplasty - Cost factor: Combined procedures - Detailed cost page: https://doctormaresky.co.za/cost/chin-augmentation - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Dupuytren's Contracture (Fasciectomy) > Surgical treatment for abnormal thickening and tightening of connective tissue in the **palm and fingers** - Canonical page: https://doctormaresky.co.za/procedure/dupuytrens-contracture - Category: [Hand Surgery](https://doctormaresky.co.za/procedure-category/hand-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Dupuytren's Contracture** is an abnormal thickening and tightening of the connective tissue beneath the skin of the palm and fingers. In most cases, this is a painless deformity and can successfully be treated with non-surgical procedures. ### The procedure There are certain non-surgical treatments that are recommended in the early stages of Dupuytren's. These include stretching, steroid injections and enzyme injections. If the non-surgical procedures are unsuccessful, there are two surgery options available: **open surgery** and **needle aponeurotomy**. ### Preparation - **Timeline:** **1-2 weeks** before surgery #### Medical tests - **Blood work** if indicated - **ECG** if over 50 or with cardiac history - Medical clearance for chronic conditions #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **1-2 weeks** prior (with cardiologist approval if applicable) - **Stop** NSAIDs (ibuprofen) **1 week** prior - **Stop** herbal supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - Diabetics: discuss glucose management during surgery #### Lifestyle - **Smoking:** **Quit** smoking at least **3 weeks** before surgery - critical for hand wound healing - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery #### Arrangements - **Arrange** transportation - you cannot drive with hand bandaged - **Arrange** help at home for **3-7 days** (difficulty with daily tasks) - **Prepare** one-handed meal options and setup - **Set up** sleeping area with hand elevation pillows - **Complete** work tasks requiring two hands before surgery - **Arrange** time off work (**1-4 weeks** depending on job) ### Recovery and aftercare You are likely to feel relief from your symptoms soon after your surgery, and the recovery time is generally very quick depending on the procedure chosen and the size of the incision. ### Expected results Most patients experience significant improvement in finger movement and hand function. The success rate is high when performed by experienced surgeons. ### Frequently asked questions #### What causes Dupuytren's contracture? The exact cause is unknown, but it's believed to involve genetic factors, age, gender (more common in men), and certain medical conditions like diabetes. #### Can Dupuytren's contracture recur after surgery? While surgery is generally successful, there is a possibility of recurrence, especially in younger patients or those with aggressive disease. #### What is needle aponeurotomy? This is a minimally invasive procedure where a needle is used to divide the contracted tissue, often performed in the doctor's office under local anesthesia. #### What causes Dupuytren's contracture? The exact cause is unknown, but risk factors include Northern European ancestry, family history, age over 50, male gender, diabetes, smoking, and alcohol use. It's caused by abnormal collagen formation in the palm's connective tissue. #### How do I know if I need surgery for Dupuytren's contracture? Surgery is typically recommended when finger contracture interferes with daily activities, you cannot place your hand flat on a table (tabletop test), or contracture exceeds **30 degrees**. Early intervention often leads to better outcomes. #### What is the recovery time after Dupuytren's surgery? Initial healing takes **2-3 weeks**. Hand therapy usually begins within a few days post-surgery. Most patients regain functional use within **4-6 weeks**, though full recovery can take **3-6 months** depending on severity. #### Will my fingers be completely straight after surgery? Results depend on the severity and duration of contracture. Mild to moderate cases often achieve near-complete straightening. Severe or long-standing contractures may have some residual contracture, but function is significantly improved. #### Can Dupuytren's contracture recur after surgery? Recurrence can occur in **10-30%** of cases over **5-10 years**, particularly in younger patients or those with aggressive disease. However, surgery significantly improves hand function and quality of life even if some recurrence occurs. ### Indicative pricing - Estimate: R60,000 to R90,000 ZAR - Cost factor: Number of digits affected - Cost factor: Severity - Cost factor: Surgical approach - Detailed cost page: https://doctormaresky.co.za/cost/dupuytrens-contracture - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Eyebrow Lift (Brow Lift) > **Eyebrow lift surgery** to elevate drooping eyebrows and smooth forehead wrinkles - Canonical page: https://doctormaresky.co.za/procedure/eyebrow-lift - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview An **eyebrow lift**, also known as a brow lift or forehead lift, is a surgical procedure that elevates drooping eyebrows and smooths forehead wrinkles. This procedure can create a more youthful and alert appearance by repositioning the eyebrows to a more aesthetically pleasing position. ### The procedure The procedure can be performed using various techniques, including **endoscopic methods** that use small incisions hidden in the hairline. The surgeon lifts and repositions the eyebrow tissues and may remove excess skin. ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Recovery typically takes **1-2 weeks**, with most swelling and bruising resolving within the first week. Patients can usually return to work within **7-10 days**. ### Expected results Eyebrow lift surgery provides long-lasting results that can make you appear more youthful and refreshed. The results typically last **10-15 years**. ### Frequently asked questions #### Who is a good candidate for eyebrow lift surgery? Good candidates have drooping eyebrows, forehead wrinkles, or a tired appearance due to sagging brow tissues. #### What is an endoscopic brow lift? An **endoscopic brow lift** uses small incisions and a tiny camera to lift the eyebrows with minimal scarring and faster recovery. #### Can eyebrow lift be combined with other procedures? Yes, eyebrow lift is often combined with eyelid surgery, facelifts, or other facial rejuvenation procedures for comprehensive results. #### What are the different types of brow lift techniques? Common techniques include **endoscopic brow lift**, **coronal brow lift**, and **temporal brow lift**, each suited to different patient needs and anatomy. #### How long does eyebrow lift surgery take? Eyebrow lift surgery typically takes **1-2 hours**, depending on the technique used and whether it's combined with other procedures. #### Will I have visible scars after brow lift? Incisions are carefully placed within the hairline or natural creases to minimize visible scarring. Most scars fade significantly over time. #### How much does eyebrow lift cost in Cape Town? Eyebrow lift costs vary based on the technique used and individual needs. A detailed quote is provided during your consultation with **Dr Maresky**. #### When can I see final results from my brow lift? While initial results are visible once swelling subsides, final results are typically apparent after **3-6 months** as tissues fully heal and settle. ### Indicative pricing - Estimate: R70,000 to R90,000 ZAR - Cost factor: Endoscopic vs open technique - Cost factor: Combined with blepharoplasty - Detailed cost page: https://doctormaresky.co.za/cost/eyebrow-lift - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Eyelid Lift (Blepharoplasty) > **Eyelid lift surgery** to remove excess skin and fat from the upper and lower eyelids - Canonical page: https://doctormaresky.co.za/procedure/eyelid-lift - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview An **eyelid lift**, also known as **blepharoplasty**, is a surgical procedure that removes excess skin, muscle, and fat from the upper and lower eyelids. This procedure can correct drooping eyelids and puffy bags under the eyes, creating a more alert and youthful appearance. ### The procedure The procedure involves making precise incisions along the natural lines of the eyelids. Excess skin and fat are removed, and the incisions are carefully closed to minimize scarring. ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Recovery typically takes **1-2 weeks**, with initial swelling and bruising subsiding within the first week. Most patients can return to normal activities within **7-10 days**. ### Expected results Eyelid lift surgery provides long-lasting results that can make you look more rested and youthful. The results can last for many years. ### Frequently asked questions #### Am I a good candidate for eyelid lift surgery? Good candidates have excess eyelid skin, bags under the eyes, or drooping eyelids that affect their appearance or vision. #### Will there be visible scars? Incisions are made along the natural creases of the eyelids, making scars virtually invisible once healed. #### Can eyelid lift be combined with other procedures? Yes, eyelid lift is often combined with facelifts, brow lifts, or other facial rejuvenation procedures. #### What is the difference between upper and lower eyelid lift? **Upper eyelid lift** removes excess skin that may impair vision, while **lower eyelid lift** addresses under-eye bags and puffiness for a more youthful appearance. #### How long does eyelid lift surgery take? Eyelid lift surgery typically takes **1-3 hours** depending on whether upper, lower, or both eyelids are being treated. #### When can I return to work after eyelid lift? Most patients can return to work within **7-10 days**, once initial swelling and bruising have subsided significantly. #### How much does eyelid lift cost in Cape Town? Eyelid lift costs vary based on whether upper, lower, or both eyelids are treated. A detailed quote is provided during your consultation with **Dr Maresky**. #### Will eyelid lift improve my vision? If excess upper eyelid skin is obstructing your vision, an **upper eyelid lift** can significantly improve your field of vision. ### Indicative pricing - Estimate: R55,000 to R130,000 ZAR - Cost factor: Upper vs lower lids - Cost factor: Combined with brow lift - Cost factor: In-theatre procedure - Detailed cost page: https://doctormaresky.co.za/cost/eyelid-lift - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Facelift (Rhytidectomy) > Surgical procedure to reduce signs of aging in the **face and neck** - Canonical page: https://doctormaresky.co.za/procedure/facelift - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **facelift**, or **rhytidectomy**, is a surgical procedure that improves visible signs of aging in the face and neck. This procedure addresses sagging facial skin, deepening fold lines, and fat that has fallen or disappeared, restoring a more youthful appearance. ### The procedure During a facelift, incisions are typically made in front of and behind the ear, extending into the hairline. The surgeon tightens underlying muscles and tissues, removes excess fat, and redrapes the skin for a smoother, more youthful contour. ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Recovery from a facelift typically takes **2-3 weeks**. Bruising and swelling are common but subside over time. Most patients can return to normal activities within **2 weeks**, with final results visible after several months as swelling completely resolves. ### Expected results A facelift can provide a more rested, youthful appearance that can last for years. While it cannot stop the aging process, it can turn back the clock significantly. ### Frequently asked questions #### How long do facelift results last? Facelift results typically last **7-10 years**, depending on factors such as skin quality, lifestyle, and aging process. #### Will I have visible scars after a facelift? Incisions are carefully placed within the hairline and natural contours of the face and ears to minimize visible scarring. #### What is the best age for a facelift? Most facelift patients are between **40-70 years** old, but the procedure can be appropriate for anyone with significant facial sagging, regardless of age. #### What is the difference between a mini facelift and full facelift? A **mini facelift** addresses mild to moderate sagging with smaller incisions and shorter recovery, while a **full facelift** provides more comprehensive rejuvenation for advanced aging signs. #### Can I combine a facelift with other procedures? Yes, facelifts are often combined with procedures like neck lifts, eyelid surgery, or brow lifts for comprehensive facial rejuvenation. #### How much does a facelift cost in Cape Town? Facelift costs vary based on the extent of surgery and individual needs. A detailed quote is provided during your consultation with **Dr Maresky**. ### Indicative pricing - Estimate: R150,000 to R175,000 ZAR - Cost factor: SMAS technique - Cost factor: Mini vs full facelift - Cost factor: Combined neck lift - Detailed cost page: https://doctormaresky.co.za/cost/facelift - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Facial Fillers (Dermal Filler Injections) > Facial rejuvenation through the use of **injectable fillers** involves injecting a substance into the skin to smoothen wrinkles or deep folds such as the nose to mouth line - Canonical page: https://doctormaresky.co.za/procedure/facial-fillers - Category: [Non-Surgical Procedures](https://doctormaresky.co.za/procedure-category/non-surgical-procedures) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Facial fillers** plump up the creased wrinkles and folds in the face when injected beneath the skin. Facial fillers can add fullness to the lips and cheeks and may be used in combination with other surgeries. However, facial fillers are not sufficient when smoothing severe lines and wrinkles in the face. It is best to consult with **Dr Maresky** directly to discuss your goals. ### The procedure In most cases general, a facial filler procedure is performed on an outpatient basis. The number of injections you receive and the depth of insertion depend on the type of filler you request. Fortunately, there is minimal pain involved and patients are able to resume their normal activities almost immediately. ### Preparation - **Timeline:** **1-2 weeks** before treatment #### Medical tests - No routine tests required - Allergy testing may be recommended for certain products #### Medications ##### Medications to discuss stopping - **Avoid** aspirin and NSAIDs **3-5 days** before to minimize bruising - **Stop** vitamin E and fish oil supplements **1 week** before - **Discontinue** retinoids **2-3 days** before treatment ##### Medications to continue - **Inform Dr Maresky** of all medications and supplements - **Inform Dr Maresky** if you have a history of cold sores (prophylaxis may be needed) #### Lifestyle - **Smoking:** **Avoid** smoking **24 hours** before to improve healing - **Alcohol:** **Avoid** alcohol **24-48 hours** before to reduce bruising risk - **Skincare:** Avoid harsh exfoliants, waxing, or laser treatments **1 week** before #### Arrangements - **Arrive** with clean, makeup-free skin - **Plan** for potential redness/swelling - schedule accordingly - **Wear** comfortable clothing - You can typically drive yourself home ### Recovery and aftercare The recovery time varies from patient to patient and will depend largely on what type of filler is used. It is recommended that patients avoid physical activity for the first **24 – 48 hours** to minimize bruising and swelling. ### Expected results Dermal fillers consist of naturally-derived or synthetic material that is directly injected into the skin to plump the area. Depending on the type of filler used, the effects may last anywhere from **six months to two years**. For semi-permanent or permanent fillers, the effects can last for **five years**. ### Frequently asked questions #### Who is a good candidate for facial fillers? Prior to a facial filler procedure, patients will undergo an initial consultation in order to determine their candidacy. The best candidates for facial fillers are non-smokers with realistic expectations of the results. #### How much do facial fillers cost? Pricing varies based on individual needs and treatment plans. A consultation is required to assess your specific requirements and provide accurate pricing. Please book a consultation or **Contact for Pricing** at gideonmaresky@gmail.com for personalized pricing information. #### What are the side effects? It's common to have some mild side effects for a few hours after having a facial filler procedure. These include an 'overfilled' appearance to treated areas, swelling or bruising, temporary numbness, redness or blue tinge, palpable lumps, and hypersensitivity reaction that can seem like an allergic reaction with hives and swelling. #### How long do facial fillers last? Duration varies by filler type and treatment area. **Hyaluronic acid fillers** typically last **6-18 months**. Areas with more movement (like lips) break down faster, while static areas (like cheeks) last longer. **Dr Maresky** will recommend the best filler for your goals. #### What are the different types of facial fillers? Common types include **hyaluronic acid fillers** (Juvederm, Restylane) for volume and hydration, **calcium hydroxylapatite** for deeper wrinkles, and **poly-L-lactic acid** for gradual collagen stimulation. **Dr Maresky** selects the appropriate filler based on your needs. #### Is there any downtime after facial filler injections? Most patients experience minimal downtime. You may have mild swelling, redness, or bruising for **1-3 days**. Many patients return to work immediately. Avoid strenuous exercise for **24-48 hours** and follow **Dr Maresky's** aftercare instructions. #### When will I see results from facial fillers? Results are typically immediate, though initial swelling may obscure final results for **2-7 days**. Some fillers (like Sculptra) work gradually over **2-3 months** as they stimulate collagen production. **Dr Maresky** will explain the timeline for your specific treatment. #### Can facial fillers be reversed if I don't like the results? Hyaluronic acid fillers can be dissolved with **hyaluronidase** if needed, providing a safety net. This reversal can be done within minutes to days if you're unhappy with results. Other filler types cannot be reversed but will gradually absorb over time. ### Indicative pricing - Estimate: R5,500 to R11,000 ZAR - Cost factor: Number of syringes - Cost factor: Filler brand and type - Cost factor: Treatment areas - Detailed cost page: https://doctormaresky.co.za/cost/facial-fillers - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Fat Transfer (Autologous Fat Grafting) > **Fat transfer** or fat grafting is a surgical procedure where both small and large volume defects can be corrected by transferring existing fat into the problem area. - Canonical page: https://doctormaresky.co.za/procedure/fat-transfer - Category: [Body Contouring](https://doctormaresky.co.za/procedure-category/body-contouring) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Fat transfer** or fat grafting is a surgical procedure where both small and large volume defects can be corrected by transferring existing fat into the problem area. This procedure is one of the oldest plastic surgery techniques around and is still widely used today. ### The procedure Autologous fats can be transferred from the back, flank, hips, thighs and tummy area. This fat is then prepared and placed in other areas of the body. The surgeon will use one of four liposuction techniques to ensure the grafting of viable fat cells. ### Preparation - **Timeline:** **1-2 weeks** before procedure #### Medical tests - **Blood work** if indicated - Medical clearance if you have chronic conditions #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **1 week** prior (with doctor approval) - **Stop** NSAIDs (ibuprofen) **48 hours** prior - **Stop** herbal supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** #### Lifestyle - **Smoking:** **Avoid** smoking for at least **2 weeks** before procedure to promote healing - **Alcohol:** **Avoid** alcohol **24 hours** before procedure - **Fasting:** Light meal **2-3 hours** before procedure; avoid heavy meals #### Arrangements - **Arrange** transportation home after procedure - **Wear** comfortable, loose-fitting clothing - **Arrange** for help at home for first **24 hours** if needed ### Recovery and aftercare Fat transfer recovery time usually ranges from **one to three weeks**, with facial fat transfers taking up to **four weeks** for the swelling to completely reduce. During the first few weeks of recovery, patients will experience a large amount of swelling, which is completely normal. ### Expected results Fat transfers are ideal for women who would like a full bust or buttocks without implants. The fat can also be placed in the face, making it an alternative to other treatments by filling fine lines and wrinkles. ### Liposuction techniques - **Traditional Liposuction – assisted liposuction (SAL)** - **Ultrasound-assisted liposuction (UAL)** - **Laser-assisted liposuction (LAL)** - **Mechanically-assisted liposuction** ### Frequently asked questions #### Who is a good candidate for fat transfer? Anyone of legal age is a good candidate for this procedure, however, patients who are pregnant, breastfeeding or have a neurological disease are not advised to undergo a fat transfer. #### How long do fat transfer results last? Fat transfer procedures have minimal scarring as the fat is injected into the new location leaving very little site scarring. Some patients can experience harvest site swelling that can last up to several weeks. #### What are the normal side effects? Normal side effects include facial asymmetry, thin looking lips, difficulty smiling, swelling occurring longer than two days, and fluctuating inflammation and swelling. #### How long do fat transfer results last? Fat that successfully integrates (typically **50-70%** of transferred fat) can last indefinitely as living tissue. Results are visible after initial swelling subsides (**2-4 weeks**), with final results apparent at **3-6 months**. Some patients may need touch-up procedures. #### What areas can be treated with fat transfer? Fat transfer can enhance face (cheeks, under eyes, lips), breasts (augmentation or reconstruction), buttocks (Brazilian Butt Lift), hands, and correct contour irregularities. **Dr Maresky** will determine if you have adequate donor fat for your goals. #### Where is the donor fat taken from? Fat is typically harvested from areas with excess like abdomen, thighs, flanks, or buttocks using gentle liposuction. This provides the dual benefit of contouring the donor area while enhancing the treatment area. #### What is the recovery time for fat transfer? Recovery varies by treatment area. Facial fat transfer has **1-2 weeks** downtime with swelling/bruising. Body procedures may require **2-4 weeks** before returning to normal activities. **Dr Maresky** provides detailed recovery protocols for each area. #### Is fat transfer safe and natural? Yes, fat transfer uses your own tissue, eliminating allergy or rejection risks. It's a natural, biocompatible option for volume enhancement. The procedure has been safely performed for decades with excellent safety profiles when done by experienced surgeons like **Dr Maresky**. ### Indicative pricing - Estimate: R40,000 to R95,000 ZAR - Cost factor: Donor and recipient sites - Cost factor: Volume of fat transferred - Detailed cost page: https://doctormaresky.co.za/cost/fat-transfer - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Labiaplasty (Vaginal Rejuvenation) > A **labiaplasty**, **vaginoplasty** or vaginal rejuvenation is the surgical alteration of the labia minora (inner labia) and/or the labia majora (outer labia). - Canonical page: https://doctormaresky.co.za/procedure/labiaplasty - Category: [Body Contouring](https://doctormaresky.co.za/procedure-category/body-contouring) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **labiaplasty**, vaginoplasty or vaginal rejuvenation is the surgical alteration of the labia minora (inner labia) and/or the labia majora (outer labia). This procedure can be done under local anesthesia with oral sedation or general anesthesia. Many women seek this procedure to address functional concerns such as discomfort during physical activities, or aesthetic concerns that affect their confidence and quality of life. ### The procedure Labiaplasty can be performed using different surgical techniques depending on the patient's anatomy and desired outcome. The **trim method** removes excess tissue from the edge of the labia minora, while the **wedge method** removes a V-shaped piece of tissue to maintain the natural edge. The procedure typically takes **1-2 hours** and can be done under local anesthesia with sedation or general anesthesia. Incisions are carefully placed to minimize visible scarring. ### Candidate information - **Description:** The ideal candidate for labiaplasty is in good physical and mental health with realistic expectations about the outcome. **Ideal candidates** typically experience: #### Criteria - Physical discomfort during activities like cycling, running, or wearing tight clothing - Irritation or chafing from enlarged labia - Self-consciousness about the appearance of their intimate area - Difficulty with hygiene due to excess tissue - Pain or discomfort during intercourse - At least 18 years of age and not currently pregnant - Realistic expectations about surgical outcomes ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare The recovery time for a labiaplasty can be anything **5 weeks to 7 weeks**. Surgeons advise not having intercourse or use tampons from **4 to 6 weeks** post surgery. Patients should expect some swelling, bruising, and discomfort for the first week. Ice packs and prescribed pain medication help manage discomfort. Most patients can return to work within a few days, but should avoid strenuous exercise and heavy lifting for **4-6 weeks**. ### Expected results Labiaplasty may address irritation, discomfort during activities, hygiene concerns, or aesthetic concerns. Final healing can take **3-6 months**, and outcomes vary by anatomy, technique, and recovery. ### Risks and considerations #### Normal Side Effects - **Description:** Normal side effects following labiaplasty include: ##### Effects - Swelling and bruising - Mild to moderate pain - Temporary numbness - Light bleeding or discharge #### Other Side Effects - **Description:** As with any surgical procedure, labiaplasty carries potential risks including: ##### Effects - Infection - Scarring - Asymmetry - Changes in sensation - Painful intercourse - Chronic dryness - Need for revision surgery - Adverse reaction to anesthesia - **Disclaimer:** These risks will be fully discussed during your consultation. If you experience any concerning symptoms post-surgery, contact your surgeon immediately. ### Frequently asked questions #### Who is an ideal candidate for labiaplasty? Ideal candidates are women experiencing physical discomfort from enlarged labia, such as irritation during activities, difficulty with hygiene, or self-consciousness. Candidates should be in good health, have realistic expectations, and be at least 18 years old. #### What are the different surgical techniques for labiaplasty? The two main techniques are the trim method (removing excess tissue from the edge) and the wedge method (removing a V-shaped section while preserving the natural edge). Your surgeon will recommend the best technique based on your anatomy and goals. #### How long does the labiaplasty procedure take? The procedure typically takes 1-2 hours and can be performed under local anesthesia with sedation or general anesthesia, depending on your preference and the surgeon's recommendation. #### What is the recovery process like? Recovery takes 5-7 weeks total. You can return to work within a few days, but must avoid intercourse, tampons, and strenuous exercise for 4-6 weeks. Swelling and discomfort are normal for the first week. #### Will there be visible scarring? Incisions are carefully placed to minimize visible scarring. Most scars fade significantly over time and are typically not noticeable once fully healed. #### When will I see the final results? While initial results are visible immediately, final results become apparent after **3-6 months** when all swelling has completely subsided. #### Can labiaplasty affect sexual sensation? When performed by an experienced surgeon, labiaplasty should not negatively affect sexual sensation. Most patients report improved comfort during intimacy. #### How much does labiaplasty cost in Cape Town? Costs vary based on the surgical technique and individual needs. A detailed quote including all fees is provided during your consultation with **Dr Maresky**. #### Is labiaplasty covered by medical insurance? Labiaplasty is typically considered a cosmetic procedure and is not covered by insurance unless there are documented functional problems causing significant discomfort. #### What should I expect during the consultation? During your consultation, Dr Maresky will discuss your concerns, examine the area, explain surgical options, review risks and benefits, and answer all your questions in a comfortable, private setting. ### Indicative pricing - Estimate: R55,000 to R60,000 ZAR - Cost factor: Trim vs wedge technique - Cost factor: Combined with clitoral hood reduction - Detailed cost page: https://doctormaresky.co.za/cost/labiaplasty - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Lip Fillers (Dermal Filler Injections) > **Lip fillers** are injectable dermal fillers and are the most commonly used method of lip augmentation. The most commonly used substance is similar to **hyaluronic acid**, a natural substance found in the body - Canonical page: https://doctormaresky.co.za/procedure/lip-fillers - Category: [Non-Surgical Procedures](https://doctormaresky.co.za/procedure-category/non-surgical-procedures) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Lip fillers** are injectable dermal fillers and are the most commonly used method of lip augmentation. Nowadays there are many different types of lip fillers available, however, the most commonly used substance is similar to **hyaluronic acid**, a natural substance found in the body. ### The procedure Because of its non-invasive nature, a lip filler procedure is suited to anyone looking to get fuller lips. The procedure is quick and involves minimal discomfort. ### Preparation - **Timeline:** **1-2 weeks** before treatment #### Medical tests - No routine tests required - Allergy testing may be recommended for certain products #### Medications ##### Medications to discuss stopping - **Avoid** aspirin and NSAIDs **3-5 days** before to minimize bruising - **Stop** vitamin E and fish oil supplements **1 week** before - **Discontinue** retinoids **2-3 days** before treatment ##### Medications to continue - **Inform Dr Maresky** of all medications and supplements - **Inform Dr Maresky** if you have a history of cold sores (prophylaxis may be needed) #### Lifestyle - **Smoking:** **Avoid** smoking **24 hours** before to improve healing - **Alcohol:** **Avoid** alcohol **24-48 hours** before to reduce bruising risk - **Skincare:** Avoid harsh exfoliants, waxing, or laser treatments **1 week** before #### Arrangements - **Arrive** with clean, makeup-free skin - **Plan** for potential redness/swelling - schedule accordingly - **Wear** comfortable clothing - You can typically drive yourself home ### Recovery and aftercare Lip filler procedures generally come with very few complications if any, which generally subside after a few days. The recovery time is typically one day, however, patients may find that there will be slight swelling, bruising and soreness for up to **one week**. ### Expected results Lip fillers provide immediate results with fuller, more defined lips. The effects typically last **6-12 months** depending on the type of filler used. ### Frequently asked questions #### Who is a good candidate for lip fillers? Because of its non-invasive nature, a lip filler procedure is suited to anyone looking to get fuller lips. Lip filler procedures are not recommended for anyone who is pregnant or breastfeeding. #### How much do lip fillers cost? Pricing varies based on individual needs and treatment plans. A consultation is required to assess your specific requirements and provide accurate pricing. Please book a consultation or **Contact for Pricing** at gideonmaresky@gmail.com for personalized pricing information. #### What are the side effects? The recovery time is typically one day, however, patients may find that there will be slight swelling, bruising and soreness for up to **one week**. In some cases, patients may form an allergic reaction to the injected substance. #### How long do lip fillers last? Lip fillers typically last **6-12 months** depending on the product used, your metabolism, and lifestyle factors. Lips are a high-movement area which causes fillers to break down faster than other facial areas. Maintenance treatments help sustain results. #### Will lip fillers look natural? When performed by an experienced injector like **Dr Maresky**, lip fillers look very natural. The key is conservative enhancement, proper product selection, and precise injection technique. **Dr Maresky** focuses on enhancing your natural lip shape and proportions. #### How much swelling occurs after lip filler injections? Swelling is normal and peaks within **24-48 hours**. Most swelling resolves within **3-5 days**, though subtle swelling may persist for up to **2 weeks**. Ice packs, elevation, and avoiding blood thinners help minimize swelling. #### Can I choose how full I want my lips to be? Absolutely. During consultation, **Dr Maresky** discusses your desired look and recommends appropriate amounts. Many patients start conservatively and add more later. Your input is essential to achieving your aesthetic goals while maintaining natural proportions. #### What should I avoid after lip filler treatment? Avoid strenuous exercise, alcohol, excessive heat (saunas, hot yoga), and blood-thinning medications for **24-48 hours**. Don't massage the area unless instructed, avoid kissing or pressure on lips for **48 hours**, and stay hydrated to optimize results. ### Indicative pricing - Estimate: R5,500 to R11,000 ZAR - Cost factor: Number of syringes - Cost factor: Filler brand - Cost factor: Top, bottom, or both - Detailed cost page: https://doctormaresky.co.za/cost/lip-fillers - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Lip Reduction (Cheiloplasty) > **Lip reduction surgery** to reduce and reshape overly large lips - Canonical page: https://doctormaresky.co.za/procedure/lip-reduction - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Lip reduction surgery** is the process of reducing and changing the lip shape by placing a scar inside the mouth. ### The procedure This procedure is performed under **local or general anaesthesia**. This procedure can be performed in the surgeon's rooms. ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Lip reduction procedure is considered fairly safe, however, following the procedure the patient will feel very swollen and uncomfortable, the patient may even have trouble eating as the incision is made on the inside of the mouth. Stitches are removed **10 days** after the procedure, full recovery time can be anything from **2 weeks to 4 weeks**. ### Expected results There are very few complications and risks that can occur during this procedure as it is not a surgical procedure. Lip reduction results are **permanent**, however, lip augmentation can still be done after the procedure if patient is not pleased with the results. ### Frequently asked questions #### Who is a good candidate for lip reduction? The ideal candidate would be in generally good health and have realistic expectations with the outcome. Perfect candidates are non-smokers wanting to change their lip shape who are in relatively good health. #### Is lip reduction permanent? Yes, lip reduction results are **permanent**, however, lip augmentation can still be done after the procedure if the patient is not pleased with the results. #### What are the risks? Common side effects include tightness, swelling, bruising, and discomfort. More serious complications can include asymmetry, numbness, lumps, and dissatisfaction with cosmetic results. #### How long does lip reduction surgery take? Lip reduction surgery typically takes **1-2 hours** and can be performed under local or general anesthesia, often in the surgeon's office. #### Will I have visible scars after lip reduction? No, incisions are made inside the mouth along the natural lip line, so there are no visible external scars. #### When can I return to normal activities? Most patients can return to work within a few days, but full recovery takes **2-4 weeks**. Eating may be difficult initially due to swelling. #### How much does lip reduction cost in Cape Town? Lip reduction costs vary based on the extent of reduction needed. A detailed quote is provided during your consultation with **Dr Maresky**. #### Can lip reduction be reversed? While lip reduction is permanent, lip augmentation with fillers or implants can be performed later if desired to increase lip size. ### Indicative pricing - Estimate: R12,000 to R24,000 ZAR - Cost factor: Upper vs lower - Cost factor: Amount of tissue removed - Detailed cost page: https://doctormaresky.co.za/cost/lip-reduction - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Liposuction (Lipoplasty) > **Liposuction** is a surgical procedure that removes excess fat deposits from specific areas of the body to address contours and proportions. - Canonical page: https://doctormaresky.co.za/procedure/liposuction - Category: [Body Contouring](https://doctormaresky.co.za/procedure-category/body-contouring) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Liposuction** (also called lipoplasty or suction-assisted lipectomy) is a surgical technique that removes excess fat deposits from specific areas of the body to improve body contours and proportions. It is **not a weight loss solution** but rather a body contouring procedure for individuals close to their ideal weight who have stubborn fat deposits resistant to diet and exercise. **Dr Maresky** performs liposuction on various body areas including: **Common Treatment Areas**: - **Abdomen** (upper and lower belly) - **Flanks** (love handles) - **Thighs** (inner, outer, front, back) - **Hips** and buttocks - **Arms** (upper arms, "bat wings") - **Back** (bra rolls, lower back) - **Chest** (male breast reduction, gynecomastia) - **Chin and neck** (double chin, jowls) - **Knees** (inner knees) - **Calves and ankles** Liposuction may be considered for localized fat deposits that do not respond to lifestyle measures. It is not a weight-loss procedure, and suitability depends on assessment of skin quality, anatomy, and health history. **Dr Maresky** uses techniques such as **tumescent liposuction** and **VASER (ultrasound-assisted) liposuction** when appropriate for the patient's anatomy and treatment goals. ### The procedure - **Duration:** **1-4 hours** depending on number of areas treated and amount of fat removed - **Anaesthesia:** **General anesthesia** or **IV sedation with local anesthesia** (tumescent technique) depending on extent of procedure - **Location:** **Christiaan Barnard Memorial Hospital** - private hospital facility #### Procedure steps - **Anesthesia**: You're given general anesthesia or IV sedation for comfort - **Marking**: **Dr Maresky** marks treatment areas while you're standing - **Tumescent solution**: A solution containing saline, lidocaine (anesthetic), and epinephrine (to minimize bleeding) is injected into treatment areas - **Incisions**: Small incisions (3-5mm) are made in inconspicuous locations - **Fat removal**: A thin cannula (hollow tube) is inserted through incisions and moved back and forth to break up fat, which is suctioned out using a surgical vacuum - **Contouring**: **Dr Maresky** sculpts the area for smooth, natural-looking contours - **Closure**: Incisions are closed with sutures or left open to drain - **Compression garment**: A compression garment is applied to reduce swelling and support healing - **Technique:** **Dr Maresky** uses advanced liposuction techniques: **Tumescent Liposuction**: The gold standard technique using tumescent solution to minimize bleeding, reduce pain, and improve fat removal. **VASER Liposuction** (Vibration Amplification of Sound Energy at Resonance): Ultrasound energy liquefies fat before removal, allowing for: - More precise fat removal - Better skin tightening - Reduced bruising and swelling - Faster recovery - Ability to treat fibrous areas (male chest, back) **Power-Assisted Liposuction (PAL)**: Mechanically vibrating cannula for easier fat removal in dense areas. ### Candidate information - Adults **within 30% of ideal body weight** with good skin elasticity - Individuals with **localized fat deposits** resistant to diet and exercise - Non-smokers or those willing to **quit smoking 4 weeks** before and after surgery - Those with **realistic expectations** about results - Individuals in **good overall health** without serious medical conditions - Patients with **good skin tone** (skin that can contract after fat removal) - Those committed to **maintaining results** through healthy lifestyle - Non-pregnant, non-breastfeeding individuals ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** - **Pregnancy test** for women of childbearing age #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior - **Discontinue** oral contraceptives if advised by **Dr Maresky** ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) - **Exercise:** Maintain healthy weight - liposuction is not a weight loss solution #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery area at home with pillows, medications, and entertainment - **Purchase** compression garments as recommended by **Dr Maresky** - **Stock** easy-to-prepare meals and plenty of fluids - **Plan** time off work (**1-2 weeks** depending on extent of procedure) ### Recovery and aftercare #### Timeline - **Immediate:** Compression garment applied; mild to moderate discomfort managed with pain medication - **24 48hours:** Drain tubes removed (if used); continue wearing compression garment - **1week:** Sutures removed; most swelling and bruising present; return to light activities - **2weeks:** Significant improvement in swelling; return to work (desk job); continue compression garment - **4 6weeks:** Most swelling resolved; return to exercise gradually; may still wear compression garment - **3months:** **90% of swelling resolved**; results becoming apparent - **6months:** **Final results** visible; all swelling resolved; scars fading - **1year:** Scars mature and fade to thin, barely visible lines #### Restrictions ##### First 24 hours - **Bed rest** with assistance for bathroom - **No** driving - **Keep** compression garment on at all times - **Take** prescribed pain medication as directed ##### First 2 weeks - **Avoid** strenuous activities, heavy lifting, and exercise - **No** swimming or soaking in water (showers okay after 48 hours) - **Wear** compression garment **23 hours/day** (remove only for showering) - **Sleep** with head and torso elevated - **Walk** regularly to prevent blood clots - **Avoid** alcohol and smoking ##### 2 6weeks - **Gradually** resume exercise as approved by **Dr Maresky** - **Continue** wearing compression garment during day - **Avoid** sun exposure to incision sites - **Attend** all follow-up appointments ##### Long term - **Maintain** stable weight through healthy diet and exercise - **Protect** skin from sun damage - **Stay** hydrated and maintain healthy lifestyle - **Pain management:** **Moderate discomfort** for first few days, managed with prescribed pain medication. Most patients describe it as muscle soreness similar to intense workout. Pain significantly improves after first week. - **Scarring:** **Minimal scarring** - incisions are very small (3-5mm) and placed in natural skin creases or inconspicuous areas. Scars fade to thin, barely visible lines within 6-12 months. ### Expected results - **Timeline:** **Initial improvement**: 2-4 weeks **Significant improvement**: 3 months **Final results**: 6-12 months (after all swelling resolves) **Permanence**: Fat cells removed are gone permanently, but remaining fat cells can enlarge with weight gain - **Expectations:** **What Liposuction CAN do**: - Remove stubborn fat deposits resistant to diet and exercise - Improve body contours and proportions - Address localized contour concerns - Refine selected treatment areas when skin quality is suitable - Support longer-term contour changes when weight remains stable - Treat multiple areas in one procedure **What Liposuction CANNOT do**: - Replace healthy diet and exercise - Remove cellulite or stretch marks - Tighten loose, sagging skin (may need skin removal surgery) - Treat obesity or serve as weight loss solution - Prevent future weight gain - Guarantee perfect symmetry (bodies are naturally asymmetric) - **Satisfaction:** Liposuction outcomes depend on skin quality, anatomy, weight stability, and post-operative care. Dr Maresky discusses realistic goals, limitations, and recovery during consultation. ### Risks and considerations #### Common - **Bruising and swelling** (expected, resolves over weeks) - **Temporary numbness** in treated areas (resolves in weeks to months) - **Fluid drainage** from incisions (normal for first few days) - **Soreness and discomfort** (managed with pain medication) - **Temporary skin irregularities** (usually smooth out over time) #### Rare - **Contour irregularities** (lumps, bumps, asymmetry) - may require revision - **Seroma** (fluid accumulation) - may need drainage - **Infection** (rare with proper antibiotic use) - **Skin discoloration** or pigmentation changes (usually temporary) - **Prolonged swelling** in some patients - **Scarring** (hypertrophic or keloid scars in predisposed individuals) #### Serious - **Deep vein thrombosis (DVT)** or pulmonary embolism (rare, prevented with early mobilization) - **Fat embolism** (extremely rare, serious complication) - **Excessive bleeding** requiring transfusion (very rare) - **Skin necrosis** (death of skin tissue) - rare with proper technique - **Perforation of organs** (extremely rare with experienced surgeon) - **Anesthesia complications** (minimized by experienced anesthesiologist) - **Lidocaine toxicity** (rare with tumescent technique, monitored carefully) - **Prevention:** Appropriate specialist assessment, careful patient selection, surgical technique, and post-operative care are essential for managing risk. ### Frequently asked questions #### Is liposuction a weight loss procedure? **No**, liposuction is **not a weight loss solution**. It's a body contouring procedure for individuals close to their ideal weight who have localized fat deposits. You should be within **30% of your ideal weight** before considering liposuction. #### How much fat can be safely removed? For safety, **Dr Maresky** typically removes **up to 5 liters (11 pounds) of fat** in a single session. Larger volumes increase risks. If more fat removal is needed, it may be staged over multiple procedures. #### Will the fat come back? Fat cells removed are **gone permanently**. However, remaining fat cells can enlarge if you gain weight. Maintaining a stable weight through healthy diet and exercise preserves your results long-term. #### Can liposuction remove cellulite? **No**, liposuction does **not remove cellulite**. In fact, it may make cellulite more noticeable if skin elasticity is poor. Other treatments (laser therapy, subcision) may be better for cellulite. #### Will I have loose skin after liposuction? If you have **good skin elasticity**, skin will contract after fat removal. If you have **poor skin elasticity** or significant fat removal, you may have loose skin requiring skin removal surgery (tummy tuck, arm lift, etc.). **Dr Maresky** assesses this during consultation. #### How long until I see results? You'll see **initial improvement in 2-4 weeks** as swelling decreases. **Significant improvement** appears at **3 months**, with **final results** visible at **6-12 months** after all swelling resolves. #### Can I combine liposuction with other procedures? **Yes!** Liposuction is commonly combined with **tummy tuck**, **breast procedures**, **facelift**, or other surgeries. Combining procedures saves time and cost. **Dr Maresky** will discuss safe combinations during consultation. #### What's the difference between liposuction and tummy tuck? **Liposuction** removes fat only. **Tummy tuck** removes excess skin and fat, tightens abdominal muscles, and repositions belly button. If you have loose skin or muscle separation, tummy tuck is better. They're often combined. #### How painful is liposuction recovery? Most patients describe **moderate soreness** similar to intense workout. Pain is managed with prescribed medication and significantly improves after the first week. Compression garments help reduce discomfort. #### When can I return to work? Most patients return to **desk work in 1-2 weeks**. Physical jobs may require **2-4 weeks** off. **Dr Maresky** provides personalized recommendations based on your procedure extent and job requirements. #### When can I exercise after liposuction? **Light walking** immediately (encouraged to prevent blood clots). **Light exercise** at **2 weeks**. **Full exercise** at **4-6 weeks** as approved by **Dr Maresky**. Gradual return prevents complications. #### What is VASER liposuction? **VASER** uses ultrasound energy to liquefy fat before removal, allowing for more precise contouring, better skin tightening, less bruising, and faster recovery compared to traditional liposuction. It's ideal for fibrous areas like male chest and back. ### Indicative pricing - Estimate: R55,000 to R90,000 ZAR - Cost factor: Number of areas treated - Cost factor: Technique add-on - Detailed cost page: https://doctormaresky.co.za/cost/liposuction - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Male Breast Reduction (Gynecomastia Surgery) > A **male breast reduction** is a procedure used to reduce the signs of **gynecomastia**, or enlarged male breasts. - Canonical page: https://doctormaresky.co.za/procedure/male-breast-reduction - Category: [Breast Augmentation](https://doctormaresky.co.za/procedure-category/breast-augmentation) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **male breast reduction** is a procedure used to reduce the signs of gynecomastia, or enlarged male breasts. This surgery removes excess skin, fat and glandular tissue, restoring the breast to a firmer, more masculine shape. ### The procedure The surgeon will use various liposuction techniques to reduce the size of the breast and contour a masculine shape. This process can eliminate creases that form under the male breast due to sagging and size. In cases where there is an excessive amount of skin and fatty tissue a surgeon might perform tissue excision, this will leave more scarring than the liposuction technique. ### Candidate information - **Description:** A male breast reduction is ideal for those who suffer from gynecomastia, these characteristic make the ideal gynaecomastia candidates: #### Criteria - Healthy, emotionally stable men of all ages - Men with larger breasts wanting to reduce them - Men who are self-conscious about their breasts/pectorals - Patients with realistic expectations ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare The recovery period varies for each patient with vigorous exercise being completely off limits within the first **3 to 4 weeks**. To minimize swelling, a compression garment is worn post surgery. The total healing time can be anything from **7 weeks to 10 weeks**. ### Expected results Most patients see **immediate improvement** in chest contour, with final results becoming apparent as swelling subsides over **3-6 months**. ### Frequently asked questions #### What causes gynecomastia? Gynecomastia can be caused by hormonal imbalances, certain medications, health conditions, obesity, or aging. Sometimes the cause is unknown. #### Will the results of male breast reduction be permanent? Yes, the results are typically permanent. However, significant weight gain, steroid use, or certain medical conditions could cause recurrence. #### What are the normal side effects after male breast reduction? Normal side effects include soreness, bruising, swelling, and general discomfort. These typically subside within a few weeks. #### What causes gynecomastia (male breast enlargement)? Gynecomastia can be caused by hormonal imbalances during puberty or aging, certain medications, medical conditions, obesity, or genetics. **Dr Maresky** will evaluate underlying causes during consultation and may recommend hormone testing if appropriate. #### Am I a good candidate for male breast reduction? Good candidates are healthy men bothered by excess breast tissue that hasn't improved with diet and exercise, have realistic expectations, are at a stable weight, and don't smoke. Both teenagers and adults can be candidates depending on individual circumstances. #### What techniques are used for male breast reduction? Treatment depends on tissue composition. Liposuction alone works for primarily fatty tissue. Glandular tissue may require surgical excision through a small periareolar incision. Many cases need a combination approach. **Dr Maresky** customizes the technique to your anatomy. #### How long is recovery after male breast reduction? Most patients return to desk work within **1 week** and resume light exercise at **2-3 weeks**. Compression garments are worn for **4-6 weeks**. Avoid heavy lifting and strenuous chest exercises for **4-6 weeks**. Final results are visible at **3-6 months**. #### Will there be visible scars after male breast reduction? Scarring is minimal with liposuction (tiny 3-4mm incisions). If tissue excision is needed, incisions are placed around the areola border where they're well-concealed. Scars fade significantly within **6-12 months** and are typically very discrete. ### Indicative pricing - Estimate: R60,000 to R85,000 ZAR - Cost factor: Fat vs glandular tissue - Cost factor: Liposuction only vs excision - Detailed cost page: https://doctormaresky.co.za/cost/male-breast-reduction - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Microdermabrasion (Mechanical Exfoliation) > A **non-chemical** procedure that exfoliates the skin and removes the superficial layer of dry, dead skin cells on your face - Canonical page: https://doctormaresky.co.za/procedure/microdermabrasion - Category: [Non-Surgical Procedures](https://doctormaresky.co.za/procedure-category/non-surgical-procedures) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Microdermabrasion** is a non-chemical procedure that exfoliates the skin and removes the superficial layer of dry, dead skin cells on your face. This non-invasive procedure is extremely popular in skin care clinics and is known for its many benefits, including leaving skin looking and feeling rejuvenated. ### The procedure During a microdermabrasion treatment, the clinical technician directs a stream of aluminum oxide crystals into the skin. These crystals exfoliate the skin, while the mild suction created by the microdermabrasion system removes the dead skin cells and crystals. ### Preparation - **Timeline:** **1-2 weeks** before treatment #### Medical tests - No routine tests required - Allergy testing may be recommended for certain products #### Medications ##### Medications to discuss stopping - **Avoid** aspirin and NSAIDs **3-5 days** before to minimize bruising - **Stop** vitamin E and fish oil supplements **1 week** before - **Discontinue** retinoids **2-3 days** before treatment ##### Medications to continue - **Inform Dr Maresky** of all medications and supplements - **Inform Dr Maresky** if you have a history of cold sores (prophylaxis may be needed) #### Lifestyle - **Smoking:** **Avoid** smoking **24 hours** before to improve healing - **Alcohol:** **Avoid** alcohol **24-48 hours** before to reduce bruising risk - **Skincare:** Avoid harsh exfoliants, waxing, or laser treatments **1 week** before #### Arrangements - **Arrive** with clean, makeup-free skin - **Plan** for potential redness/swelling - schedule accordingly - **Wear** comfortable clothing - You can typically drive yourself home ### Recovery and aftercare Microdermabrasion is a safe procedure with very few complications if any, which generally subside after a few days. ### Expected results Microdermabrasion is a non-invasive exfoliation treatment that may help with texture concerns, fine lines, pigmentation, clogged pores, and mild acne scarring. ### Frequently asked questions #### Who is a good candidate for microdermabrasion? Because of its non-invasive nature, a microdermabrasion procedure is suited to anyone with fine facial lines or wrinkles, age spots, sun damage, uneven pigmentation, clogged pores, skin texture problems, or minor scars. #### How much does microdermabrasion cost? Pricing varies based on individual needs and treatment plans. A consultation is required to assess your specific requirements and provide accurate pricing. Please book a consultation or **Contact for Pricing** at gideonmaresky@gmail.com for personalized pricing information. #### What are the side effects? It's common to have some mild side effects for a few hours after having a microdermabrasion procedure. These include skin tightness, redness, minor bruising, skin sensitivity, post-inflammatory hyperpigmentation, small skin abrasions, spots of bleeding, and eye-skin bruising. #### How many microdermabrasion sessions will I need? Most patients benefit from a series of **4-6 treatments** spaced **2-4 weeks** apart for optimal results. Maintenance sessions every **1-3 months** help sustain improvements. **Dr Maresky** will create a customized treatment plan based on your skin concerns. #### What skin concerns does microdermabrasion treat? Microdermabrasion effectively treats fine lines, age spots, sun damage, mild acne scars, uneven skin tone and texture, enlarged pores, and dull complexion. It's excellent for overall skin rejuvenation and improving product absorption. #### Is there any downtime after microdermabrasion? No significant downtime is needed. Skin may appear slightly pink for **1-2 hours** post-treatment, similar to mild windburn. You can return to normal activities immediately and apply makeup if desired. Avoid sun exposure and use SPF 30+ for a few days. #### How does microdermabrasion differ from chemical peels? Microdermabrasion uses physical exfoliation (crystals or diamond tips) to remove dead skin, while chemical peels use acids. Microdermabrasion has no downtime and is gentler but less dramatic. Chemical peels penetrate deeper for more significant results but require more recovery time. #### Can microdermabrasion be combined with other treatments? Yes, microdermabrasion pairs excellently with facials, chemical peels (done separately), LED light therapy, and medical-grade skincare. Combining treatments can enhance overall results. **Dr Maresky** will recommend the best combination for your skin goals. ### Indicative pricing - Estimate: R800 to R2,500 ZAR - Cost factor: Number of sessions - Cost factor: Skin condition - Cost factor: Area treated - Detailed cost page: https://doctormaresky.co.za/cost/microdermabrasion - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Mommy Makeover > **Mommy Makeover** refers to an individualized combination of procedures that may address post-pregnancy changes, commonly including tummy tuck, breast surgery, and liposuction. - Canonical page: https://doctormaresky.co.za/procedure/mommy-makeover - Category: [Body Contouring](https://doctormaresky.co.za/procedure-category/body-contouring) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Mommy Makeover** is an individualized combination of cosmetic procedures that may address post-pregnancy changes after childbearing and breastfeeding. Pregnancy, childbirth, and breastfeeding can affect abdominal skin, abdominal muscles, breast volume, breast position, and localized fat distribution. **Common body changes after pregnancy**: - **Abdominal**: Stretched skin, separated abdominal muscles (diastasis recti), stubborn fat deposits - **Breasts**: Loss of volume, sagging (ptosis), asymmetry, stretched skin - **Body contours**: Fat deposits in hips, thighs, flanks resistant to diet and exercise - **Skin**: Stretch marks, loose skin in multiple areas **Typical Mommy Makeover Procedures**: **Core Procedures** (most common): - **Tummy Tuck (Abdominoplasty)**: Removes excess abdominal skin and fat, tightens muscles - **Breast Surgery**: Breast lift (mastopexy), breast augmentation, or breast reduction - **Liposuction**: Removes stubborn fat from abdomen, flanks, thighs, arms **Additional Procedures** (as needed): - **Arm Lift (Brachioplasty)**: Removes excess arm skin - **Thigh Lift**: Removes excess thigh skin - **Labiaplasty**: Reshapes vaginal area if desired - **Brazilian Butt Lift**: Fat transfer to buttocks for enhanced shape **Dr Maresky** customizes each Mommy Makeover to address your specific concerns and goals. Combining procedures in one surgery reduces overall recovery time, cost, and anesthesia exposure compared to staging procedures separately. **Important**: You should be **finished having children** and at a **stable weight** for at least **6 months** before considering a Mommy Makeover. ### The procedure - **Duration:** **4-7 hours** depending on procedures included (longer than individual procedures due to combination) - **Anaesthesia:** **General anesthesia** (required for combined procedures) - **Location:** **Christiaan Barnard Memorial Hospital** - private hospital facility with overnight stay capability #### Procedure steps - **Anesthesia**: You're given general anesthesia for comfort and safety - **Positioning**: You're positioned appropriately for each procedure - **Tummy Tuck**: Incision across lower abdomen, excess skin and fat removed, abdominal muscles tightened, belly button repositioned, incision closed - **Breast Surgery**: Incisions made according to technique (lift, augmentation, or reduction), breast tissue reshaped, implants placed if desired, nipples repositioned if needed, incisions closed - **Liposuction**: Small incisions made, tumescent solution injected, fat removed from targeted areas, incisions closed - **Final assessment**: **Dr Maresky** evaluates symmetry and contours - **Dressings**: Surgical dressings, drains (if needed), compression garments, and surgical bra applied - **Recovery**: You're monitored in recovery room, typically overnight hospital stay - **Technique:** **Dr Maresky** selects surgical techniques according to the procedures included, anatomy, and recovery plan: - **Low transverse incision** for tummy tuck (hidden under underwear/bikini) - **Minimal scarring techniques** for breast surgery - **Tumescent and VASER liposuction** for precise fat removal - **Layered closure** to support wound healing - **Strategic drain placement** to minimize fluid accumulation ### Candidate information - Women who have **completed childbearing** (not planning more pregnancies) - At least **6 months post-delivery** (longer if breastfeeding) - **Finished breastfeeding** for at least 3-6 months - At or near **ideal body weight** (within 20 pounds) - **Non-smokers** or willing to quit **6 weeks** before and after surgery - In **good overall health** without serious medical conditions - Have **realistic expectations** about results and recovery - Able to arrange **childcare** and help during recovery - Emotionally ready for significant surgery and recovery period - Committed to **maintaining results** through healthy lifestyle ### Preparation - **Timeline:** **4-6 weeks** before surgery (longer preparation due to multiple procedures) #### Medical tests - **Complete blood count (CBC)** - **Comprehensive metabolic panel** - **ECG** (required for combined procedures) - **Chest X-ray if indicated** - **Mammogram** if breast surgery included and over 40 years old - **COVID-19 test if required** - **Pregnancy test** (must not be pregnant) #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior - **Discontinue** oral contraceptives if advised by **Dr Maresky** - **Stop** smoking at least **6 weeks** before (critical for healing) ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **6 weeks** before surgery - smoking significantly increases complications with combined procedures - **Alcohol:** **Avoid** alcohol **1 week** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) - **Exercise:** Maintain healthy weight and fitness - aids recovery #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **1 week** - **Arrange childcare** - you will not be able to lift children for **6 weeks** - **Prepare** recovery area at home with pillows, medications, entertainment - **Purchase** compression garments, surgical bras, and supplies as recommended - **Stock** easy-to-prepare meals and plenty of fluids - **Plan** time off work (**3-4 weeks minimum**) - **Prepare** for limited mobility - place items within easy reach ### Recovery and aftercare #### Timeline - **Immediate:** Hospital stay **1-2 nights**; drains in place; compression garments worn; moderate pain managed with medication - **1week:** Drains removed; sutures may be removed; significant swelling and bruising; very limited mobility; need help with daily activities - **2weeks:** Significant improvement; most sutures removed; reduced pain; can perform light activities; still need help with childcare - **4weeks:** Most swelling improved; return to light work (desk job); can drive if off pain medication; still no heavy lifting - **6weeks:** Cleared for light exercise; can lift children carefully; most restrictions lifted; still some residual swelling - **3months:** **Significant improvement** in appearance; most swelling resolved; scars fading; can resume all normal activities - **6months:** **Near-final results**; continued scar improvement; body adjusting to new contours - **1year:** **Final results** visible; scars mature and fade; full recovery complete #### Restrictions ##### First 2 weeks - **Bed rest** with assistance for first few days - **No** lifting anything heavier than 10 pounds (including children) - **No** driving while on pain medication - **Wear** compression garments and surgical bra **24/7** - **Sleep** elevated (45-degree angle) to reduce swelling - **No** bending, twisting, or reaching overhead - **Walk** regularly (short distances) to prevent blood clots - **No** showering until approved by **Dr Maresky** (sponge baths only) ##### 2 6weeks - **Gradually** increase activity as tolerated - **Continue** compression garments during day - **No** heavy lifting, strenuous exercise, or sexual activity - **Avoid** sun exposure to incision sites - **No** swimming or soaking in water - **Attend** all follow-up appointments with **Dr Maresky** ##### 6weeks 3months - **Gradually** resume exercise as approved by **Dr Maresky** - **Can** lift children and resume normal activities - **Protect** scars from sun with SPF 50+ sunscreen - **Massage** scars as instructed to improve appearance ##### Long term - **Maintain** stable weight through healthy diet and exercise - **Avoid** future pregnancies (can reverse results) - **Protect** skin from sun damage - **Stay** hydrated and maintain healthy lifestyle - **Wear** supportive bras long-term - **Pain management:** **Moderate to significant discomfort** for first 1-2 weeks, managed with prescribed pain medication. Pain from tummy tuck is typically most significant. Most patients describe it as intense muscle soreness. Pain significantly improves after first week. - **Scarring:** **Visible but strategically placed scars**: - **Tummy tuck**: Horizontal scar across lower abdomen (hidden under underwear/bikini), scar around belly button - **Breast surgery**: Scars vary by technique (around areola, vertical, anchor-shaped) - **Liposuction**: Tiny scars (3-5mm) in inconspicuous locations Scars usually mature over 12-18 months. **Dr Maresky** provides scar management instructions to support healing. ### Expected results - **Timeline:** **Initial improvement**: 4-6 weeks **Significant improvement**: 3-6 months **Final results**: 12-18 months (after all swelling resolves and scars mature) **Permanence**: Results are long-lasting with stable weight and no future pregnancies - **Expectations:** **What Mommy Makeover CAN do**: - Address post-pregnancy abdominal skin, tissue, and muscle changes - Remove excess abdominal skin and tighten muscles when appropriate - Address breast volume, shape, and position concerns - Address localized fat deposits - Address several post-pregnancy contour concerns in one surgical plan - Plan combined procedures in one surgical setting when appropriate - Plan proportionate body contouring goals **What Mommy Makeover CANNOT do**: - Guarantee perfect symmetry (bodies are naturally asymmetric) - Remove all stretch marks (some may remain) - Prevent future aging or body changes - Replace healthy lifestyle habits - Guarantee specific clothing size - Eliminate need for supportive undergarments - Prevent effects of future pregnancies (can reverse results) - **Satisfaction:** Patient experience varies. A consultation includes discussion of realistic goals, procedure combinations, recovery demands, scars, limitations, and whether staging procedures may be more appropriate. ### Risks and considerations #### Common - **Significant bruising and swelling** (expected, resolves over weeks to months) - **Pain and discomfort** (managed with medication) - **Temporary numbness** in treated areas (may last months) - **Fluid drainage** from incisions (drains help manage this) - **Fatigue** (major surgery requires significant recovery) - **Emotional ups and downs** (hormonal changes, body adjustment) #### Rare - **Seroma** (fluid accumulation) - may need drainage - **Hematoma** (blood accumulation) - may need surgical drainage - **Infection** (rare with proper antibiotic use and wound care) - **Wound healing problems** (delayed healing, wound separation) - **Asymmetry** (bodies are naturally asymmetric; may need revision) - **Scarring issues** (hypertrophic, keloid, or wide scars) - **Breast implant complications** (if augmentation included) - **Loss of nipple sensation** (usually temporary, rarely permanent) #### Serious - **Deep vein thrombosis (DVT)** or pulmonary embolism (prevented with early mobilization, compression devices) - **Excessive bleeding** requiring transfusion (rare) - **Anesthesia complications** (minimized by experienced anesthesiologist) - **Skin or tissue necrosis** (death of tissue) - higher risk in smokers - **Fat embolism** (extremely rare) - **Cardiac or respiratory complications** (rare, monitored carefully) - **Prevention:** Appropriate specialist assessment, careful patient selection, surgical technique, and post-operative care are essential for managing risk. **Quitting smoking** is critical - smoking dramatically increases complications with combined procedures. ### Frequently asked questions #### When is the best time to have a Mommy Makeover? The best time is when you're **finished having children**, at least **6 months post-delivery** (longer if breastfeeding), at a **stable weight** for 6+ months, and have arranged **childcare and help** for recovery. Most women wait until their youngest child is at least 1-2 years old. #### Can I have a Mommy Makeover if I plan to have more children? It is usually better to wait until you're **finished having children**. Future pregnancies can affect the outcome, especially after tummy tuck surgery. #### How long do I need to stop breastfeeding before surgery? **At least 3-6 months** after stopping breastfeeding to allow breast tissue to stabilize. This ensures accurate assessment and better surgical planning. #### Can I breastfeed after a Mommy Makeover? **Breast lift** usually preserves breastfeeding ability, but **breast reduction** may affect it. However, since you should be finished having children, future breastfeeding is typically not a concern. Discuss with **Dr Maresky** if this is important to you. #### How long until I can care for my children? You'll need **full-time help for 1-2 weeks**. You can perform light childcare at **2 weeks** but **cannot lift children for 6 weeks**. Plan accordingly - this is major surgery requiring significant recovery. #### Can I stage the procedures instead of doing them all at once? **Yes**, but combining procedures is more cost-effective and reduces total recovery time. Staging may be recommended if you have medical conditions or prefer a less extensive surgery. **Dr Maresky** will discuss the best approach for you. #### Will I have visible scars? **Yes**, but scars are strategically placed. Tummy tuck scar is hidden under underwear/bikini. Breast scars vary by technique but are typically around the areola and/or vertical. Liposuction scars are tiny. Scars fade significantly over 12-18 months with proper care. #### How much weight will I lose? Mommy Makeover is **not a weight loss procedure**. You'll lose the weight of removed tissue (typically 5-10 pounds), but the main benefit is **body contouring and reshaping**, not weight loss. You should be at your goal weight before surgery. #### When can I exercise after Mommy Makeover? **Light walking** immediately (encouraged). **Light exercise** at **6 weeks**. **Full exercise** at **3 months** as approved by **Dr Maresky**. Gradual return is essential for proper healing. #### Will insurance cover any part of a Mommy Makeover? Usually **no**, as it's cosmetic. However, **breast reduction** for documented back/neck pain may be partially covered. Check with your insurance provider and discuss with **Dr Maresky**. #### How long do Mommy Makeover results last? Results are **long-lasting** with stable weight and no future pregnancies. The tummy tuck and breast surgery provide permanent structural changes. However, aging, gravity, and lifestyle affect long-term appearance. Maintaining a healthy lifestyle preserves results. #### Is a Mommy Makeover worth the recovery? Recovery is significant, often requiring **3-4 weeks off work** and **6 weeks of limited activity**. Dr Maresky will discuss whether a combined surgical plan is suitable, or whether staged procedures would be safer or more practical. ### Indicative pricing - Estimate: R220,000 to R260,000 ZAR - Cost factor: Combination of procedures (tummy tuck + breast + lipo) - Cost factor: Hospital stay length - Detailed cost page: https://doctormaresky.co.za/cost/mommy-makeover - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Neck Lift (Platysmaplasty) > **Platysmaplasty** surgery to remove excess skin and fat from the neck area - Canonical page: https://doctormaresky.co.za/procedure/neck-lift - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **neck lift surgery** involves removing excess skin and fat deposits from the neck area, the surgeon may also restructure the muscle and jaw to create a more defined smooth look. ### The procedure The entire procedure can last from **2 to 3 hours** and is fairly simple and straightforward. Most patients require local anesthesia combined with a sedative while some choose general anesthesia. ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Typical downtime for a neck lift is anything from **2 weeks to 4 weeks** with results taking up to **6 months** to be apparent. The first few days post surgery should be spent in bed with minimal movement as possible. ### Expected results A neck lift procedure is one of the **safest and reliable forms** of plastic surgery and can be performed with minimal incision and scarring while still producing a natural look. ### Frequently asked questions #### Who is a good candidate for neck lift surgery? An ideal candidate should be between the ages of **40 to 80 years** who wish to correct double chin, loose hanging skin in the neck, sun damage, fatty jowls, or excessive neck fat or skin. #### How long do neck lift results last? Neck lift results are long-lasting, typically **10-15 years**, though individual results may vary based on aging, lifestyle, and skin quality. #### What is the recovery process like? Recovery involves wearing compression garments, avoiding strenuous activity for several weeks, and following specific post-operative care instructions. #### What is platysmaplasty? **Platysmaplasty** is the technical term for neck lift surgery that involves tightening the platysma muscle in the neck to create a more defined jawline and neck contour. #### Can neck lift be combined with facelift? Yes, neck lift is often combined with facelift surgery for comprehensive facial rejuvenation, addressing both the lower face and neck area simultaneously. #### Will I have visible scars after neck lift? Incisions are strategically placed behind the ears and under the chin to minimize visible scarring. Most scars fade significantly over time. #### How much does neck lift cost in Cape Town? Neck lift costs vary based on the extent of surgery and individual needs. A detailed quote is provided during your consultation with **Dr Maresky**. #### What is the difference between neck lift and liposuction? A neck lift addresses excess skin and muscle laxity, while **liposuction** only removes fat. Neck lift provides more comprehensive rejuvenation for significant sagging. ### Indicative pricing - Estimate: R85,000 to R140,000 ZAR - Cost factor: Extent of laxity - Cost factor: Platysmaplasty only vs full neck lift - Detailed cost page: https://doctormaresky.co.za/cost/neck-lift - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Nipple Surgery (Nipple Correction) > A **nipple reconstruction surgery** is done to correct defective nipples. Patients who suffer from inverted, protruding or large areola are candidates for having this procedure. - Canonical page: https://doctormaresky.co.za/procedure/nipple-surgery - Category: [Breast Augmentation](https://doctormaresky.co.za/procedure-category/breast-augmentation) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **nipple reconstruction surgery** is done to correct defective nipples. Patients who suffer from inverted, protruding or large areola are candidates for having this procedure. ### The procedure Nipple reconstruction surgery entails creating skin flaps that will be placed underneath the nipple to better contour the nipple mound depending on the defect. There are various flap techniques used during this procedure, the surgeon will determine the best course of action for the patient's individual issues. ### Candidate information - **Description:** The ideal candidate would be in generally good health and have realistic expectations with the outcome. Most nipple reconstruction patients have undergone a mastectomy, however, women who suffer from damaged breast skin are not good candidates for this procedure. #### Criteria - Patients who have undergone mastectomy - Patients with inverted nipples - Patients with protruding nipples - Patients with large areolas ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Nipple reconstruction surgery is a generally safe and simple procedure, with great care taken to maximize healing. In some cases a nipple flap delay procedure is recommended, this means a few weeks prior to the reconstruction surgery a nipple skin flap will be placed under local anesthesia. Depending on the anesthesia, patients generally leave a few hours after the procedure and will require a few days downtime. The first few days the patient will wear a nipple shield, once the shield comes off they are allowed to shower. Stitches are removed around **2 weeks** post surgery. The nipple shape will be protruded and swollen but after a few weeks, it should start to resemble the results the patient discussed with the surgeon. ### Expected results Most patients see immediate improvement in nipple appearance, with final results becoming apparent as swelling subsides over **2-4 weeks**. ### Techniques - **C-V Flap** - **Star Flap** - **Skate Flap** ### Frequently asked questions #### Will I have sensation in my reconstructed nipple? Reconstructed nipples typically have little to no sensation, as the nerves are not reconnected during reconstruction. However, some patients may regain limited sensation over time. #### How long does nipple reconstruction surgery take? The procedure typically takes about **30-60 minutes** and is usually performed as an outpatient procedure under local anesthesia. #### What are the normal side effects after nipple surgery? Normal side effects include soreness, bruising, swelling, and general discomfort. These typically subside within a few weeks. #### What types of nipple problems can be corrected? Nipple surgery can correct inverted nipples, protruding nipples, large areolas, asymmetrical nipples, and reconstruct nipples after mastectomy. #### Can inverted nipple surgery affect breastfeeding? Depending on the technique used, some inverted nipple corrections may preserve breastfeeding ability, while others may not. Discuss this with **Dr Maresky** during consultation. #### How much does nipple surgery cost in Cape Town? Pricing varies based on individual needs and the type of correction required. A consultation is required to assess your specific requirements and provide accurate pricing. Please book a consultation or **Contact for Pricing** at gideonmaresky@gmail.com for personalized pricing information. #### Will nipple surgery leave visible scars? Incisions are carefully placed to minimize visible scarring, often around the areola border or within natural skin creases. #### How long is the recovery for nipple surgery? Recovery is typically quick, with most patients returning to normal activities within a few days and full healing within **2-4 weeks**. ### Indicative pricing - Estimate: R25,000 ZAR - Cost factor: Inverted nipple correction vs reduction - Cost factor: One side vs both - Detailed cost page: https://doctormaresky.co.za/cost/nipple-surgery - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Nose Job (Rhinoplasty) > **Rhinoplasty** surgery to reshape and improve the appearance of the nose - Canonical page: https://doctormaresky.co.za/procedure/nose-job - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **nose job** or **Rhinoplasty** is one of the most common cosmetic procedures done today. This procedure involves changing the shape of the nose for either cosmetic or medical reasons. Often patients suffering from obscured nasal passages undergo a rhinoplasty to improve their breathing. ### The procedure Rhinoplasty consists of modifying either, or both, bone and cartilage. The upper part of the nose is made up of bone and lower is cartilage. The surgeon will take into account the patient's facial features when planning the nose job. ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Post surgery the patient will be kept with their head raised above their chest, to reduce bleeding and swelling. The patient may feel congested due to splints placed inside the nose during the surgery. Swelling can take up to **a year** to completely diminish as the nose constantly changes shape with age. ### Expected results Rhinoplasty outcomes depend on individual anatomy and goals, and may address facial proportion and breathing concerns where appropriate. ### Frequently asked questions #### How long does nose job recovery take? Initial recovery takes **1-2 weeks** with splint removal. Swelling gradually subsides over several months, with final results visible after **6-12 months**. #### Will rhinoplasty improve my breathing? Functional rhinoplasty can improve breathing by correcting structural issues like deviated septum or enlarged turbinates. #### What age is appropriate for nose surgery? Rhinoplasty is typically performed after nasal growth is complete, usually around age **16-17** for girls and **17-18** for boys. #### What is the ideal age for rhinoplasty? Candidates should be over the age of **17 years** when facial growth is complete, have realistic expectations, and have no medical conditions that would hinder healing. #### How long does recovery take? Initial recovery takes about **1-2 weeks**, but final results may take up to **a year** as swelling gradually subsides. #### Will there be visible scars? Most rhinoplasty procedures are performed through internal incisions, leaving no visible external scars. #### Can rhinoplasty fix a broken nose? Yes, rhinoplasty can correct deformities from previous injuries and improve both appearance and function of the nose. ### Indicative pricing - Estimate: R140,000 to R180,000 ZAR - Cost factor: Open vs closed technique - Cost factor: Primary vs revision surgery - Cost factor: Grafting complexity - Detailed cost page: https://doctormaresky.co.za/cost/nose-job - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Otoplasty > **Ear pinning surgery** to correct protruding ears - Canonical page: https://doctormaresky.co.za/procedure/otoplasty - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Otoplasty**, also known as ear pinning, is a surgical procedure designed to reposition protruding ears closer to the head. It may be considered for children and adults, typically from age **5** and up, after individualized assessment of ear development, anatomy, timing, and family goals. ### The procedure The procedure involves making a small incision behind the ear to access the cartilage. The surgeon then reshapes or removes excess cartilage and uses sutures to hold the ear in its new position closer to the head. Different techniques may be used including cartilage scoring, suture techniques, or cartilage excision depending on the specific ear anatomy. The procedure typically takes **1-2 hours** under local or general anesthesia. ### Candidate information - **Description:** The ideal candidate for otoplasty is someone with protruding or misshapen ears who desires a more balanced facial appearance. **Ideal candidates** include: #### Criteria - Children aged **5 and older** (when ear development is nearly complete) - Adults of any age with prominent or protruding ears - Individuals in good physical and mental health - Those with realistic expectations about surgical outcomes - People who feel self-conscious about their ear appearance - Patients with ears that stick out more than **2cm** from the head - Those with asymmetrical ears or ear deformities ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare Recovery from otoplasty typically takes **1-2 weeks**. Patients wear a protective headband for several weeks to protect the ears during healing. Most people can return to work or school within a week, though contact sports should be avoided for **6-8 weeks**. Initial swelling and bruising subside within the first week, and final results are visible within **3-6 months**. ### Expected results Otoplasty results are typically long lasting once healing is complete. The procedure repositions or reshapes ear cartilage, and the final appearance depends on anatomy, surgical technique, and healing. ### Risks and considerations #### Normal Side Effects - **Description:** Normal side effects following otoplasty include: ##### Effects - Swelling and bruising around the ears - Mild to moderate pain or discomfort - Temporary numbness - Itching as the incisions heal #### Other Side Effects - **Description:** As with any surgical procedure, otoplasty carries potential risks including: ##### Effects - Infection - Bleeding or hematoma - Asymmetry between ears - Scarring (usually hidden behind the ear) - Changes in skin sensation - Suture complications - Need for revision surgery - Adverse reaction to anesthesia - Overcorrection or undercorrection - **Disclaimer:** These risks will be thoroughly discussed during your consultation. If you experience any concerning symptoms post-surgery, contact your surgeon immediately. ### Frequently asked questions #### What is the ideal age for otoplasty? Otoplasty can be performed on children as young as **5 years** old, once the ears have reached nearly full size (about **90%** of adult size). There is no upper age limit for adults. Many parents choose to have the procedure done before their child starts school to prevent potential teasing. #### How long does the otoplasty procedure take? The otoplasty procedure typically takes **1-2 hours**, depending on the complexity of the correction needed and whether one or both ears are being treated. #### Will there be visible scars after otoplasty? Incisions are made behind the ears in the natural crease, so any resulting scars are well-hidden and typically fade significantly over time. Most scars become virtually invisible within a year. #### Is otoplasty painful? Most patients experience mild to moderate discomfort after surgery, which can be managed effectively with prescribed pain medication. Children typically tolerate the procedure very well. #### What type of anesthesia is used for otoplasty? For children, general anesthesia is typically used. Adults may have the option of local anesthesia with sedation or general anesthesia, depending on their preference and the surgeon's recommendation. #### When can I return to normal activities? Most patients can return to work or school within a week. However, contact sports and activities that might injure the ears should be avoided for **6-8 weeks**. Swimming should be avoided for **4-6 weeks**. #### How long do I need to wear the protective headband? A protective headband is typically worn for **1-2 weeks** during the day and for **4-6 weeks** at night to protect the ears while sleeping and prevent accidental injury. #### Are the results of otoplasty permanent? Yes, the results of otoplasty are typically **permanent**. The ears will maintain their new position throughout life, though normal aging processes will continue. #### Can otoplasty be combined with other procedures? Otoplasty is often performed as a standalone procedure, but it can be combined with other facial surgeries if appropriate. This will be discussed during your consultation. #### How much does otoplasty cost in Cape Town? Otoplasty costs vary based on the complexity of the correction needed and whether one or both ears are treated. A detailed quote is provided during your consultation with **Dr Maresky**. #### Will my child miss much school after otoplasty? Most children can return to school within a week of surgery. They'll need to wear a protective headband and avoid contact sports, but can participate in most normal school activities. #### What should I expect during the consultation? During your consultation, **Dr Maresky** will examine the ears, discuss your goals, explain the surgical technique, review risks and benefits, and answer all your questions. For children, it's important they feel comfortable with the decision. ### Indicative pricing - Estimate: R60,000 to R80,000 ZAR - Cost factor: One ear vs both - Cost factor: Age of patient - Cost factor: Complexity of correction - Detailed cost page: https://doctormaresky.co.za/cost/otoplasty - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Scar Revision Surgery > **Scar revision** improves the appearance of scars through surgical and non-surgical techniques, making them less noticeable and more aesthetically pleasing. - Canonical page: https://doctormaresky.co.za/procedure/scar-revision - Category: [Hand Surgery & Trauma](https://doctormaresky.co.za/procedure-category/hand-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Scar revision** encompasses various surgical and non-surgical techniques to improve the appearance or function of scars. While scars cannot be completely removed, they may become less noticeable, smoother, or less restrictive. **Types of Scars Treated**: **Hypertrophic Scars**: Raised, red scars that stay within original wound boundaries **Keloid Scars**: Raised scars that grow beyond original wound boundaries **Atrophic Scars**: Depressed scars (acne scars, chickenpox scars) **Contracture Scars**: Tight scars that restrict movement (burn scars) **Surgical Scars**: Wide, thick, or poorly healed surgical incisions **Trauma Scars**: Irregular scars from accidents or injuries **Stretch Marks**: Atrophic scars from skin stretching **Treatment Options**: **Surgical Techniques**: - **Scar excision and closure**: Removing scar and re-closing with meticulous technique - **Z-plasty**: Repositioning scar along natural skin lines - **W-plasty**: Breaking up straight scars into zigzag pattern - **Skin grafts**: For large scars or contractures - **Tissue expansion**: Growing new skin to replace scarred area **Non-Surgical Techniques**: - **Steroid injections**: Flatten raised scars - **Laser therapy**: Improve color, texture, and thickness - **Dermabrasion/Microdermabrasion**: Smooth surface irregularities - **Chemical peels**: Improve texture and color - **Dermal fillers**: Fill depressed scars - **Silicone sheets/gels**: Flatten and soften scars **Dr Maresky** evaluates your scar and recommends the most appropriate treatment or combination of treatments. ### The procedure - **Duration:** **30 minutes to 3 hours** depending on scar size, location, and technique - **Anaesthesia:** **Local anesthesia** for small scars **IV sedation or general anesthesia** for extensive revisions - **Location:** **Christiaan Barnard Memorial Hospital** or office-based procedure room #### Procedure steps - **Consultation**: **Dr Maresky** examines scar and discusses treatment options - **Anesthesia**: Appropriate anesthesia administered - **Scar excision**: Old scar tissue is carefully removed (if surgical revision) - **Tissue repositioning**: Surrounding tissue is mobilized and repositioned - **Closure**: Wound is closed in layers with meticulous suturing technique - **Dressing**: Sterile dressing applied; silicone sheets may be placed - **Post-operative instructions**: Detailed scar care instructions provided - **Technique:** **Dr Maresky** selects scar revision techniques according to scar type, location, and skin quality: - **Tension-free closure** to minimize new scar formation - **Layered closure** to support wound healing - **Fine sutures** (5-0, 6-0, or smaller) for minimal scarring - **Z-plasty or W-plasty** to reorient scars along natural skin lines - **Dermabrasion** of scar edges for smooth blending - **Combination approaches** (surgery + laser + injections) when appropriate ### Candidate information - Individuals with **scars that are bothersome** cosmetically or functionally - Those with **mature scars** (at least 1 year old for surgical revision) - Non-smokers or willing to **quit 4 weeks** before and after surgery - Patients with **realistic expectations** (scars can be improved, not erased) - Individuals in **good overall health** - Those without **active skin infections** at scar site - Patients not prone to **excessive scarring** (for surgical revision) - Those willing to follow **post-operative scar care** protocols ### Preparation - **Timeline:** **2-4 weeks** before surgery (varies by technique) #### Medical tests - No routine tests for minor revisions - **Complete blood count (CBC)** for extensive revisions - **Allergy testing** if injectable treatments planned #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery (critical for healing) - **Alcohol:** **Avoid** alcohol **48 hours** before #### Arrangements - **Arrange** transportation home if sedation used - **Plan** time off work (varies by extent: **1-7 days**) - **Stock** scar care products as recommended - **Avoid** scheduling before important events ### Recovery and aftercare #### Timeline - **Immediate:** Dressing in place; mild discomfort; swelling and bruising - **24 48hours:** Dressing changed; wound care begins - **5 7days:** Sutures removed (for facial scars); scar care regimen starts - **10 14days:** Sutures removed (for body scars); can resume most activities - **2 4weeks:** Scar begins remodeling; redness improving - **3months:** Scar appearance continues to change as healing progresses - **6 12months:** **Final results**; scar continues to mature and fade - **12 18months:** Scar fully mature #### Restrictions ##### First 2 weeks - **Keep** wound clean and dry as instructed - **Avoid** stretching or tension on scar - **No** strenuous activities or heavy lifting - **Protect** from sun exposure - **No** swimming or soaking in water - **Apply** prescribed ointments and dressings ##### 2 6weeks - **Gradually** resume normal activities - **Continue** scar care regimen (silicone sheets, massage) - **Protect** from sun with SPF 50+ sunscreen - **Avoid** trauma to healing scar ##### Long term - **Daily sun protection** (SPF 50+) for at least 1 year - **Massage** scar as instructed to soften and flatten - **Use** silicone sheets or gels for 3-6 months - **Avoid** excessive sun exposure permanently - **Pain management:** **Minimal to moderate discomfort** depending on extent of revision, managed with prescribed pain medication. Most patients describe it as mild soreness. - **Scarring:** **New scar will form** but should be less noticeable than original. Final scar appearance depends on: - Surgical technique - Individual healing - Scar location - Post-operative care - Sun protection ### Expected results - **Timeline:** **Initial improvement**: 2-4 weeks **Significant improvement**: 3-6 months **Final results**: 12-18 months (scars take time to fully mature) **Permanence**: Results are long-lasting, but scars never completely disappear - **Expectations:** **What Scar Revision CAN do**: - Improve scar appearance - Make scars less noticeable - Improve scar texture and color - Reduce scar width or thickness - Reposition scars along natural skin lines - Improve function if scar restricts movement - Address appearance, comfort, and functional concerns related to scarring **What Scar Revision CANNOT do**: - Completely remove scars (scars are permanent) - Guarantee perfect, invisible results - Prevent all new scar formation - Guarantee no keloid recurrence (in predisposed individuals) - Reverse all effects of severe trauma or burns - Provide immediate results (healing takes months) - **Satisfaction:** Results vary based on original scar characteristics, scar location, individual healing, and adherence to post-operative care. Scar revision can improve appearance or function, but it cannot remove a scar completely. ### Risks and considerations #### Common - **New scar formation** (goal is improvement, not perfection) - **Temporary swelling and bruising** - **Redness** (fades over months) - **Temporary numbness** at scar site - **Itching** during healing #### Rare - **Infection** (treated with antibiotics) - **Wound dehiscence** (wound reopening) - **Hypertrophic or keloid scar recurrence** (especially in predisposed individuals) - **Asymmetry** or irregularity - **Pigmentation changes** (darkening or lightening) - **Unsatisfactory cosmetic result** (may need revision) #### Serious - **Severe infection** requiring hospitalization (very rare) - **Nerve damage** causing permanent numbness or weakness (rare) - **Excessive bleeding** or hematoma (rare) - **Prevention:** Appropriate specialist assessment, surgical technique, wound care, and following post-operative instructions can reduce risk and support healing. ### Frequently asked questions #### Can all scars be improved? Most scars can be **improved**, but results vary. Factors affecting improvement include scar type, location, age, size, and individual healing. **Dr Maresky** assesses your scar and provides realistic expectations during consultation. #### How long should I wait before revising a scar? Scars should be **at least 1 year old** before surgical revision to allow full maturation. However, **non-surgical treatments** (steroid injections, laser) can begin earlier. **Dr Maresky** determines optimal timing. #### Will the new scar be invisible? **No scar is completely invisible**, but revision aims to make it **less noticeable**. The new scar should be thinner, flatter, and better aligned with natural skin lines. Final appearance depends on technique, location, and individual healing. #### Can keloid scars be revised? **Yes, but with caution**. Keloids have high recurrence rates (up to 50%) even after revision. Treatment often combines **surgical excision + steroid injections + radiation therapy** to prevent recurrence. **Dr Maresky** discusses risks and prevention strategies. #### How long until I see final results? Scars take **12-18 months** to fully mature. You'll see **initial improvement at 2-4 weeks**, **significant improvement at 3-6 months**, and **final results at 12-18 months**. Patience is essential. #### Can acne scars be revised? **Yes!** Acne scars respond well to various treatments including **laser resurfacing**, **subcision**, **dermal fillers**, **microneedling**, and **chemical peels**. Severe acne scars may benefit from **surgical excision**. **Dr Maresky** creates a personalized treatment plan. #### Will insurance cover scar revision? Usually **no** for cosmetic revision. However, if the scar **restricts movement**, causes **pain**, or results from **trauma/surgery with complications**, insurance may provide partial coverage. Check with your provider. #### Can I combine scar revision with other procedures? **Yes!** Scar revision is often combined with **laser treatments**, **skin resurfacing**, **fat grafting**, or other procedures for comprehensive improvement. **Dr Maresky** discusses safe combinations. #### What's the most important factor for good results? **Post-operative scar care** is critical! This includes: - Keeping wound clean - Using silicone sheets/gels - Massaging scar - **Sun protection** (SPF 50+ for at least 1 year) - Following all instructions from **Dr Maresky** #### Can stretch marks be revised? Stretch marks are **atrophic scars** that can be improved with **laser therapy**, **microneedling**, **chemical peels**, or **topical treatments**. Complete removal is not possible, but appearance can be significantly improved. #### How soon can I return to work? Depends on extent of revision. **Minor revisions**: **1-3 days**. **Extensive revisions**: **5-7 days**. **Dr Maresky** provides personalized recommendations based on your procedure and job requirements. #### What if I'm not happy with the results? If you're unsatisfied after full healing (12-18 months), **revision surgery** may be possible. However, multiple revisions increase risks. Setting **realistic expectations** initially is crucial. **Dr Maresky** discusses potential outcomes honestly during consultation. ### Indicative pricing - Estimate: R25,000 to R50,000 ZAR - Cost factor: Size and location of scar - Cost factor: Technique used - Cost factor: Single vs multiple stages - Detailed cost page: https://doctormaresky.co.za/cost/scar-revision - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Thigh Lift (Thighplasty) > A **thighplasty** or thigh lift procedure helps to reshape the patient's thighs by reducing the excess fat and skin in designated areas. - Canonical page: https://doctormaresky.co.za/procedure/thigh-lift-surgery - Category: [Body Contouring](https://doctormaresky.co.za/procedure-category/body-contouring) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **thighplasty** or thigh lift procedure helps to reshape the patient's thighs by reducing the excess fat and skin in designated areas. Thigh Lift Surgery creates a beautifully contoured and smooth shape. ### The procedure During a thigh lift the surgeon may also perform liposuction. There are four types of Thighplasty procedures: **Medial Thighplasty (Inner Thigh Lift)**, **Outer Thighplasty**, **Vertical Thighplasty**, and **Spiral Thighplasty**. ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare It can take anything from **3 to 5 weeks** to recover from a thighplasty, drains are places for the first few weeks and left in until the amount of drainage reduces. ### Expected results Thigh lifts are recommended for patients who have experienced weight gain, where liposuction alone would not be sufficient. ### Procedure types - Medial Thighplasty (Inner Thigh Lift) - Outer Thighplasty - Vertical Thighplasty - Spiral Thighplasty ### Frequently asked questions #### Who is an ideal candidate for thigh lift surgery? Someone with a stable weight, patients with excess soft tissue along the inner thigh and/or the outer thigh, healthy individuals without any surgical risks, and those with realistic expectations. #### What are the normal side effects? During the first few days after surgery, tightness, swelling, and pain are completely normal and vary across patients. #### What are potential complications? Complications can include fat necrosis (dead and dying fat cells), skin discoloration, numbness, blood clots, and high fever. #### What types of thigh lift procedures are available? Inner thigh lift addresses loose skin on the inner thighs via incisions in the groin crease. Outer thigh lift treats outer and front thighs, often part of a lower body lift. **Dr Maresky** will recommend the best approach based on your concerns and anatomy. #### How long does thigh lift surgery take? A thigh lift typically takes **2-4 hours** depending on the extent of the procedure and whether it's combined with other surgeries. It's usually performed under general anesthesia as an outpatient procedure or with overnight observation. #### What is recovery like after thigh lift surgery? Expect **2-3 weeks** before returning to desk work and **4-6 weeks** before resuming exercise. Compression garments are worn for **6-8 weeks**. Swelling and bruising peak at **3-5 days** and gradually improve. Avoid sitting or walking extensively for the first week. #### Will I have visible scars from thigh lift surgery? Yes, thigh lift does create scars. Inner thigh lift scars are placed in the groin crease where they're well-hidden. Scars typically extend along the crease and may continue down the inner thigh for extensive lifts. Scars fade significantly over **12-18 months**. #### Can thigh lift be combined with other procedures? Yes, thigh lift is frequently combined with tummy tuck, body lift, arm lift, or liposuction for comprehensive body contouring after massive weight loss. Combining procedures can be more efficient but requires longer surgery and recovery time. ### Indicative pricing - Estimate: R85,000 to R100,000 ZAR - Cost factor: Inner vs outer thigh - Cost factor: Extent of excess skin - Cost factor: Combined with liposuction - Detailed cost page: https://doctormaresky.co.za/cost/thigh-lift-surgery - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Trauma Surgery (Reconstructive Surgery) > Comprehensive surgical treatment for hand injuries including tendon, nerve, and fracture repair - Canonical page: https://doctormaresky.co.za/procedure/trauma-surgery - Category: [Hand Surgery](https://doctormaresky.co.za/procedure-category/hand-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview The hand consists of **27 bones** and hundreds of nerves, arteries, veins, muscles, tendons and joints. This intricate design and function mean that any injury, especially trauma injuries, to the underlying structure could lead to a potentially devastating handicap. **Dr Maresky** specializes in emergency hand trauma surgery, providing assessment and surgical care aimed at function, comfort, and recovery. ### The procedure Due to the range of potential injuries to the hand, a trauma surgery could require anything from a few simple stitches to a complete skin graft or microsurgical reconstruction. During the initial assessment, the surgeon will evaluate the extent of damage to bones, tendons, nerves, blood vessels, and soft tissues. Treatment may involve fracture fixation, tendon repair, nerve grafting, vascular reconstruction, or complex tissue reconstruction using advanced microsurgical techniques. ### Candidate information - **Description:** Hand trauma surgery is indicated for patients who have sustained acute injuries to the hand requiring immediate surgical intervention. **Candidates include:** #### Criteria - Patients with acute hand injuries from accidents, machinery, or sports - Those with deep lacerations involving tendons, nerves, or blood vessels - Patients with hand fractures requiring surgical fixation - Individuals with crush injuries or amputations - Those with burns or high-pressure injection injuries - Patients with infections requiring surgical drainage - Anyone requiring emergency hand reconstruction ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare The recovery from a trauma surgery will depend entirely on the patient and the nature of the trauma. Some hand injuries can heal within a few weeks while others can take several months to heal completely. Early mobilization and hand therapy are crucial for optimal recovery. Patients typically begin gentle exercises within days of surgery, progressing to more intensive rehabilitation as healing allows. ### Expected results With proper surgical intervention and rehabilitation, most patients can expect significant improvement in hand function and appearance. The goal is to restore maximum function while minimizing pain and disability. Early assessment and appropriate surgical planning can support functional recovery. ### Risks and considerations #### Normal Side Effects - **Description:** Normal side effects following hand trauma surgery include: ##### Effects - Swelling and bruising - Pain and discomfort - Stiffness - Temporary numbness #### Other Side Effects - **Description:** Potential complications of hand trauma surgery may include: ##### Effects - Infection - Nerve damage or persistent numbness - Tendon adhesions or rupture - Joint stiffness or arthritis - Chronic pain or complex regional pain syndrome - Need for additional surgeries - Incomplete return of function - Scarring and contractures - **Disclaimer:** The specific risks depend on the nature and severity of the injury. All risks will be discussed in detail during your consultation. ### Frequently asked questions #### What types of hand injuries require emergency trauma surgery? Emergency hand trauma surgery is required for severe lacerations involving tendons or nerves, open fractures, crush injuries, amputations, high-pressure injection injuries, severe burns, and any injury with compromised blood supply to the hand or fingers. #### How quickly should I seek treatment for a hand injury? Hand injuries should be evaluated immediately, ideally within **6-8 hours** of injury. Some injuries, particularly those involving nerve or blood vessel damage, require surgery within hours to maximize the chance of successful repair and function recovery. #### Will I regain full function of my hand after trauma surgery? The extent of functional recovery depends on the severity and type of injury, timing of treatment, and your commitment to rehabilitation. While complete restoration isn't always possible, significant improvement in function can usually be achieved with proper surgical care and therapy. #### What should I do immediately after a hand injury? Control bleeding with direct pressure, elevate the hand, apply ice wrapped in cloth, and seek immediate medical attention. For amputated parts, wrap them in moist gauze, place in a plastic bag, and keep cool (not directly on ice). #### How long will I be unable to work after hand trauma surgery? Time off work varies greatly depending on your job and the extent of injury. Office workers may return within days to weeks with modifications, while manual laborers may need several months. **Dr Maresky** will provide specific guidance based on your injury and occupation. #### Will I need hand therapy after surgery? Yes, hand therapy is typically essential for optimal recovery. It helps restore movement, strength, and function while preventing complications like stiffness and adhesions. Therapy usually begins within days of surgery and may continue for several months. #### What are the signs of complications after hand trauma surgery? Contact **Dr Maresky** immediately if you experience increasing pain, swelling, redness, warmth, discharge, fever, numbness, tingling, or inability to move your fingers. These may indicate infection or other complications requiring prompt attention. #### Can hand trauma surgery be performed under local anesthesia? Simple repairs may be performed under local anesthesia, but complex trauma surgery often requires regional blocks or general anesthesia. The choice depends on the extent of injury, expected duration of surgery, and patient factors. #### How much does emergency hand trauma surgery cost? Costs vary significantly based on the complexity of the injury and required procedures. Emergency trauma surgery may be covered by medical aid or insurance. **Dr Maresky's** team will help coordinate with your insurance provider and discuss payment options. #### What makes Dr Maresky qualified for hand trauma surgery? **Dr Maresky** is a specialist plastic and reconstructive surgeon with extensive training in hand surgery and microsurgery. He has experience treating complex hand trauma cases and uses surgical techniques selected for the injury and patient goals. ### Indicative pricing - Estimate: R15,000 to R100,000 ZAR - Cost factor: Highly variable — depends on injury severity and extent - Cost factor: Often covered by medical aid - Detailed cost page: https://doctormaresky.co.za/cost/trauma-surgery - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Trigger Finger (Tenolysis) > Surgical procedure to release the tendon sheath and allow smooth finger movement - Canonical page: https://doctormaresky.co.za/procedure/trigger-finger - Category: [Hand Surgery](https://doctormaresky.co.za/procedure-category/hand-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview **Trigger finger**, also known as stenosing tenosynovitis, is a condition that causes pain, stiffness, and a sensation of locking or catching when you bend and straighten your finger. It occurs when the tendon sheath becomes inflamed and narrows, restricting the tendon's movement. **Dr Maresky** assesses each case individually and discusses conservative and surgical options where appropriate. ### The procedure Trigger finger release surgery is a minimally invasive outpatient procedure performed under local anesthesia. A small incision (approximately **1cm**) is made in the palm at the base of the affected finger. The constricted portion of the tendon sheath (A1 pulley) is carefully divided to allow the tendon to move freely again. The procedure typically takes **10-15 minutes** per finger and can be performed on multiple fingers simultaneously if needed. ### Candidate information - **Description:** Trigger finger surgery is recommended for patients who have not responded to conservative treatment or have severe symptoms. **Ideal candidates include:** #### Criteria - Patients with persistent finger catching or locking despite conservative treatment - Those experiencing pain that interferes with daily activities - Individuals with finger stiffness affecting work or hobbies - Patients with multiple trigger fingers - Those who have failed steroid injection therapy - Individuals with severe triggering that prevents finger movement - Patients seeking definitive treatment for long-term relief ### Preparation - **Timeline:** **1-2 weeks** before surgery #### Medical tests - **Blood work** if indicated - **ECG** if over 50 or with cardiac history - Medical clearance for chronic conditions #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **1-2 weeks** prior (with cardiologist approval if applicable) - **Stop** NSAIDs (ibuprofen) **1 week** prior - **Stop** herbal supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - Diabetics: discuss glucose management during surgery #### Lifestyle - **Smoking:** **Quit** smoking at least **3 weeks** before surgery - critical for hand wound healing - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery #### Arrangements - **Arrange** transportation - you cannot drive with hand bandaged - **Arrange** help at home for **3-7 days** (difficulty with daily tasks) - **Prepare** one-handed meal options and setup - **Set up** sleeping area with hand elevation pillows - **Complete** work tasks requiring two hands before surgery - **Arrange** time off work (**1-4 weeks** depending on job) ### Recovery and aftercare Most patients can return to light activities within a few days. The small incision heals quickly, and stitches are typically removed after **10-14 days**. Full recovery typically takes **2-4 weeks**, with hand therapy recommended to restore full range of motion and strength. Patients can usually return to desk work within a few days and manual work within **2-3 weeks**. ### Expected results Many patients experience improvement in catching, locking, pain, and function after trigger finger release. Recovery timing and long-term outcomes vary according to the severity of the condition, general health, aftercare, and individual healing. ### Risks and considerations #### Normal Side Effects - **Description:** Normal side effects following trigger finger surgery include: ##### Effects - Mild pain and swelling - Temporary stiffness - Small scar at incision site - Temporary sensitivity #### Other Side Effects - **Description:** Potential complications of trigger finger surgery may include: ##### Effects - Infection (rare) - Nerve injury causing numbness - Tendon injury - Persistent stiffness - Scar tissue formation - Recurrence (very rare) - Chronic pain or sensitivity - **Disclaimer:** Complications are rare with trigger finger surgery. All risks will be discussed in detail during your consultation. ### Frequently asked questions #### What causes trigger finger? Trigger finger is caused by inflammation and thickening of the tendon sheath, often due to repetitive gripping activities, certain medical conditions like diabetes or rheumatoid arthritis, age-related changes, or previous hand injuries. It's more common in women and people aged **40-60**. #### Can trigger finger be treated without surgery? Yes, mild cases may respond to conservative treatments including rest, splinting, anti-inflammatory medications, steroid injections, or hand therapy. Surgery is recommended when conservative treatments fail or symptoms are severe. #### How long does trigger finger surgery take? The procedure typically takes **10-15 minutes** per finger and is performed as an outpatient procedure under local anesthesia. Multiple fingers can be treated during the same session if needed. #### Will I be awake during trigger finger surgery? Yes, trigger finger surgery is typically performed under local anesthesia, so you'll be awake but the area will be completely numb. This allows for immediate testing of finger movement during the procedure. #### When can I return to work after trigger finger surgery? Most patients can return to desk work within **2-3 days**. Those with manual jobs may need **2-3 weeks** off work. **Dr Maresky** will provide specific guidance based on your occupation and healing progress. #### Will I have a scar after trigger finger surgery? Yes, there will be a small scar (about **1cm**) in your palm at the base of the affected finger. The scar typically fades significantly over time and rarely causes functional problems. #### Can trigger finger come back after surgery? Recurrence is very rare after trigger finger release surgery, occurring in less than **2%** of cases. The procedure provides a permanent solution by completely releasing the constricted tendon sheath. #### How successful is trigger finger surgery? Many patients experience relief from catching and locking after trigger finger release. Recovery timing varies, and your consultation will cover expected healing, risks, and return to activity. #### Will I need hand therapy after trigger finger surgery? Hand therapy is often recommended to optimize recovery, restore full range of motion, and prevent stiffness. Most patients benefit from a few therapy sessions, though some may recover fully without formal therapy. #### How much does trigger finger surgery cost? The cost ranges from **R8000-R12000** depending on the complexity and number of fingers treated. This includes the surgical fee, facility costs, and follow-up care. Medical aid coverage may apply - our team will help verify your benefits. #### Can multiple trigger fingers be treated at once? Yes, multiple trigger fingers can often be treated during the same surgical session. This reduces overall recovery time and the need for multiple procedures. **Dr Maresky** will assess your specific situation during consultation. ### Indicative pricing - Estimate: R15,000 to R30,000 ZAR - Cost factor: Number of fingers affected - Cost factor: Open vs percutaneous - Cost factor: Anesthesia type - Detailed cost page: https://doctormaresky.co.za/cost/trigger-finger - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact --- ## Tummy Tuck (Abdominoplasty) > Surgical procedure to remove excess skin and fat from the abdomen and tighten muscles - Canonical page: https://doctormaresky.co.za/procedure/tummy-tuck - Category: [Body Contouring](https://doctormaresky.co.za/procedure-category/body-contouring) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Overview A **tummy tuck**, or **abdominoplasty**, is a surgical procedure that removes excess skin and fat from the abdomen and tightens the abdominal muscles. This procedure is particularly beneficial for those who have experienced significant weight loss or pregnancy. ### The procedure During a tummy tuck, an incision is made from hip to hip just above the pubic area. Excess skin and fat are removed, abdominal muscles are tightened, and the remaining skin is redraped for a smoother, firmer abdominal profile. ### Candidate information - **Description:** The ideal candidate would be in generally good health and have realistic expectations with the outcome. **Ideal candidates** are typically: #### Criteria - At a stable weight for at least **6 months** - In general good health - Non-smoker or willing to quit smoking - Have excess abdominal skin or separated muscles - Not planning future pregnancies ### Preparation - **Timeline:** **2-4 weeks** before surgery #### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** #### Medications ##### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior ##### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation #### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) #### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ### Recovery and aftercare The recovery period for a tummy tuck depends on how many procedures are performed. The recovery time can range anywhere from **2 weeks** (highly suggested downtime) to **6 weeks** in some cases. Parents with young children are advised to arrange assistance during their recovery period. ### Expected results Tummy tuck results are **long-lasting**, especially when maintained with a stable weight and regular exercise. The procedure provides a flatter, more toned abdominal profile. ### Procedure types - **Traditional Tummy Tuck (Abdominoplasty)** – This procedure addresses the patient's entire abdominal area, combined with liposuction - **Mini Tummy Tuck (Partial Abdominoplasty)** – Alterations to the abdominal area below the belly button (navel) - **Endoscopic Tummy Tuck** – This technique is employed for patients who suffer from rectus diastasis - **Extended Tummy Tuck** – This involves the removal of love handles (the fatty tissue and skin around the hips) - **Circumferential Tummy Tuck** – Often sought by patients who have undergone gastric bypass surgery ### Frequently asked questions #### Am I a good candidate for a tummy tuck? Good candidates are in good health, at a stable weight, have excess abdominal skin or separated muscles, and have realistic expectations. #### How long is tummy tuck recovery? Initial recovery takes **2-3 weeks**, with return to normal activities in **4-6 weeks**. Full healing and final results are visible after **3-6 months**. #### Will a tummy tuck help me lose weight? A tummy tuck is not a weight loss procedure but a body contouring surgery. It's best performed when you're at or near your ideal weight. #### Will a tummy tuck remove stretch marks? A tummy tuck can remove stretch marks located on the excess skin that is removed, typically below the navel. Stretch marks above the navel may be improved but not eliminated. #### Can I combine a tummy tuck with other procedures? Yes, tummy tucks are often combined with liposuction or breast procedures as part of a 'mommy makeover' to address multiple areas affected by pregnancy or weight loss. #### What's the difference between a mini and full tummy tuck? A **mini tummy tuck** addresses only the area below the navel with a smaller incision, while a **full tummy tuck** addresses the entire abdomen with muscle tightening. #### How much does a tummy tuck cost in Cape Town? Tummy tuck costs vary based on the extent of surgery and individual needs. A detailed quote is provided during your consultation with **Dr Maresky**. #### When can I return to work after a tummy tuck? Most patients can return to desk work within **1-2 weeks**, while those with physical jobs may need **4-6 weeks** before returning to full duties. ### Indicative pricing - Estimate: R140,000 to R180,000 ZAR - Cost factor: Full vs mini tummy tuck - Cost factor: With vs without muscle repair - Cost factor: With vs without liposuction - Detailed cost page: https://doctormaresky.co.za/cost/tummy-tuck - Final pricing is confirmed after an individual consultation. ### Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact ## Patient resources ## Breast Reconstruction (mastectomy) Pre & Post-Operative Instructions - Canonical page: https://doctormaresky.co.za/resources/breast-reconstruction-pre-post-operative-instructions - Resources index: https://doctormaresky.co.za/resources - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Pre-Operative Instructions - Please advise the doctor if you are taking any blood thinning medication (e.g. Warfarin, Disprin, Aspirin, etc.) - This will need to be discontinued prior to surgery as per doctor's instructions. - Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date. - DO NOT take any of the following medications prior to surgery: - – Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.). - – Homeopathic medications (e.g. Arnica, Rescue Remedy, St John's Wort). - – Vitamin E (oral or topical). - Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ. - Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission. - Do not apply any body lotion. - Regardless of whether you are having a general anaesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery. - If you are a smoker – NO SMOKING for 3 months prior to surgery. - Bring comfortable cotton underwear. ### Post-Operative Instructions - You will need someone to drive you home after your surgery and help you for 1 to 2 days. - You will need plenty of rest. - Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fibre to your diet. - Be sure to increase your fluid intake. - Take pain medication as prescribed. Do not take aspirin or any products containing aspirin. - Do not drink alcohol when taking pain medications. - If you are taking vitamins with iron, resume these as tolerated. - Do not smoke, as smoking delays healing and increases the risk of complications. ### Activities - Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots. - Do not drive until you are no longer taking any pain medications. - Limit use of arms for 4 weeks, i.e. no heavy lifting or raising arms above your head. - Resume sexual activity as comfort permits, usually 2 to 3 weeks post-operatively. - Avoid strenuous exercise and activities for 4 to 6 weeks. - Social and employment activities can be resumed within 7 to 14 days. ### Incision Care - You may shower only after your post-operative appointment (usually 4 days postoperatively). - Avoid exposing your scars to the sun for at least 12 months. - Always use sunblock – regardless of the weather – if you plan to go outdoors or not. - Apply Micropore to the incision lines for 3 months – change every 7 to 10 days. Do not remove the tape every day as it will cause irritation of the surrounding skin. - Keep incisions clean and inspect through Micropore daily for signs of infection or oozing. - DO NOT USE ANY CREAMS CONTAINING VITAMIN E TO TREAT THE INCISION AREAS FOR THE FIRST 3 MONTHS. - Incision areas may be massaged through the Micropore for the first 3 months. - ScarScience, available from the therapists, should be applied from 6 weeks postoperatively – over the Micropore for another 6 weeks – and then on the incision directly for another 3 months post-operatively. - No soaking in the bath while sutures or drains are in place. - Support garments should be worn 24/7 and only removed for short periods while taking a shower. You should wear the post-operative bra day and night for 6 weeks, and thereafter for 6 weeks during the day. ### What To Expect - Discomfort will be maximal in the first 7 to 10 days, improving each day thereafter. - You may experience temporary pain, soreness, numbness, dry breast skin, swelling and discoloration or incision discomfort. - Scars will fade in several months to a year. ### Appearance - Scars will be red for 6 to 9 months. After that, they will fade and soften. ### Follow Up Care - Drains will be removed when drainage is less than 30 ml for 24 hours. - Most of the sutures are buried and will dissolve in 6 to 8 weeks. - Any stitches will be removed in 7 to 10 days. - ScarScience must be applied on the incision from 6 weeks post-operatively to help with the prevention of hypertrophic and keloid scarring. It should be used for at least 3 to 6 months post-operatively. ### When To Call - If you have increased swelling or bruising. - If swelling and redness persist after a few days. - If you have increased redness along the incision. - If you have severe or increased pain not relieved by medication. - If you have any side effects to medications, such as rash, nausea, headache, and vomiting. - If you have an oral temperature over 37°C. - If you have any drainage from the incisions or notice a foul odor. - If you have bleeding from the incisions that does not stop with light pressure. --- ## Eyelid Surgery (Blepharoplasty) Pre & Post-Operative Instructions - Canonical page: https://doctormaresky.co.za/resources/eyelid-surgery-blepharoplasty-pre-post-op - Resources index: https://doctormaresky.co.za/resources - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Pre-Operative Instructions - Please advise the doctor if you are taking any blood thinning medication (e.g. Warfarin, Disprin, Aspirin, etc.) - This will need to be discontinued prior to surgery as per doctor's instructions. - Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date. - DO NOT take any of the following medications prior to surgery: - – Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.) - – Homeopathic medications (e.g. Arnica, Rescue Remedy, St John's Wort) - – Vitamin E (oral or topical) - Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ. - Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission. - Do not apply any body lotion. - Regardless of whether you are having a general anesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery. - If you are a smoker – NO SMOKING for 3 months prior to surgery. - Bring comfortable cotton underwear. ### Post-Operative Instructions - You will need someone to drive you home after your surgery and help you for 1 to 2 days. - You will need plenty of rest. - Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fiber to your diet. - Be sure to increase your fluid intake. - Take pain medication as prescribed. Do not take aspirin or any products containing aspirin. - Do not drink alcohol when taking pain medications. - If you are taking vitamins with iron, resume these as tolerated. - Do not smoke, as smoking delays healing and increase the risk of complications. ### Activities - Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots. - Do not drive until your vision is normal. - Avoid activities that raise your blood pressure, including bending, lifting and rigorous sports. - Keep activities to a minimum for 3 to 5 days. Avoid strenuous activities for 2 to 3 weeks. - You can return to work within 7 to 10 days. ### Incision Care - Avoid wetting your face while showering or bathing for the first 5 days. - Avoid steam baths and saunas for several months. - Avoid exposing your scars to the sun for at least 12 months. - Always use sunblock – regardless of the weather – if you plan to go outdoors or not. - DO NOT USE ANY CREAMS CONTAINING VITAMIN E TO TREAT THE INCISION AREAS FOR THE FIRST 3 MONTHS. - Keep Steri-Strips on (until the doctor says they are no longer necessary). - Keep incisions clean and inspect daily for signs of infection. - Do not cut any stitches shorter. - Use Tears Naturale eye drops during daytime whenever your eyes feel dry or scratchy. - Use DuraTears ointment before going to sleep to keep your eyes moist. - Keep your head elevated – sleep with it propped up. - Wait at least 2 weeks before wearing contact lenses. - You may use cold compresses for comfort and to help decrease the swelling. - You may follow your usual skincare routine – taking care to avoid applying any creams containing Vitamin E in the incision areas. Continue using eye gel or creams once the sutures are removed. - Wear sunglasses as you will have a sensitivity to sunlight, wind and other irritants for several weeks. ### What To Expect - Occasionally, the eyes have to be bandaged for the first night. - Maximum discomfort should occur in the first 48 hours, improving each day thereafter. - Expect temporary swelling of the eyelids, tightness of the lids, bruising, dryness, burning and itching of the eyes. - You may have a minor discharge in the corner of your eyes for approximately 1 week. - For the first few weeks, you may experience excessive tearing, sensitivity to light and double or blurred vision. - You may have difficulty closing your eyes when you sleep. ### Appearance - Bruising and swelling of your eyelids may last 1 to 2 weeks. - Healing is a gradual process and your scars may remain slightly pink for 3 months or more. - Tiny whiteheads may appear after stitches are taken out. These can be easily removed by your surgeon at your follow-up appointment. ### Follow Up Care - All sutures will be removed at your post-operative visit (usually 4 days postoperatively). - The remainder of the stitches will dissolve in 6 to 8 weeks. - An eye cream or gel can be obtained from the practice to assist in the healing process. ### When To Call - If you have increased swelling or bruising. - If swelling and redness persist after a few days. - If you have increased redness along the incision. - If you have severe or increased pain not relieved by medication. - If you have any side effects to medications, such as rash, nausea, headache, and vomiting. - If you have an oral temperature over 37°C. - If you have any drainage from the incisions or notice a foul odor. - If you have bleeding from the incisions that does not stop with light pressure. --- ## Facelift (Rhytidectomy) Pre & Post-Operative Instructions - Canonical page: https://doctormaresky.co.za/resources/facelift-rhytidectomy-pre-post-operative-instructions - Resources index: https://doctormaresky.co.za/resources - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Pre-Operative Instructions - Please advise the doctor if you are taking any blood thinning medication (e.g. Warfarin, Disprin, Aspirin, etc.) - This will need to be discontinued prior to surgery as per doctor's instructions. - Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date. - DO NOT take any of the following medications prior to surgery: - – Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.) - – Homeopathic medications (e.g. Arnica, Rescue Remedy, St John's Wort) - – Vitamin E (oral or topical) - Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ. - Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission. - Do not apply any body lotion. - Regardless of whether you are having general anesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery. - If you are a smoker – NO SMOKING for 1 month prior to surgery. - Bring comfortable cotton underwear. ### Post-Operative Instructions - You will overnight at Christiaan Barnard Hospital. - You will need someone to drive you home after your surgery and help you for 1 to 2 days. - You will need plenty of rest. - Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fiber to your diet. - Be sure to increase your fluid intake. - Take pain medication as prescribed. Do not take aspirin or any products containing aspirin. - Do not drink alcohol when taking pain medications. - If you are taking vitamins with iron, resume these as tolerated. - Do not smoke, as smoking delays healing and increases the risk of complications. ### Activities - Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots. - Do not drive until you are no longer taking any pain medications. - You may tire easily. Plan on taking it easy for the first week. - No strenuous activities, including sex and heavy housework, for at least 2 weeks (walking and mild stretching are fine). - Keep your head elevated at all times – at night on 1 more pillow than usual. - You will be able to return to work within 14 to 21 days. ### Incision Care - You may bath 48 hours after surgery. Avoid steam baths and saunas for several months. - You may shower only after your post-operative appointment (usually 5 days postoperatively). - Avoid exposing your scars to the sun for at least 12 months. - Always use sunblock – regardless of the weather – if you plan to go outdoors or not. - Keep incisions clean and inspect through Micropore daily for signs of infection or oozing. - DO NOT USE ANY CREAMS CONTAINING VITAMIN E TO TREAT THE INCISION AREAS FOR THE FIRST 1 MONTH. - Keep Steri-Strips on (until the doctor says they are no longer necessary). - Keep incisions clean and inspect daily for signs of infection. - Do not cut any stitches shorter. - Keep head elevated – sleep with your head propped up. - Do not use hair dye or have highlights until approved by a doctor (usually 6 weeks postoperatively). - You may use cold compresses for comfort and to help decrease the swelling. - Hair may be washed on the fourth day post-operatively. - The area of the sutures may be gently washed to loosen any blood clots in the hair. - Do not set hair dryer temperature on hot, as you may not have feeling in operated areas. - You may use makeup after the sutures are removed. Be sure to use uncontaminated (new) make-up sponges when applying foundation to cover bruising. Take care to avoid applying makeup over the incisions. It is important to gently remove all makeup with the recommended facial cleanser – splashed off with warm water. - You may follow your usual skincare routine – taking care to avoid applying any creams containing Vitamin E in the incision areas. - ScarScience, available from MASC Laser Clinic, should be applied from 6 weeks postoperatively and directly on the incision for another 3 months postoperatively. ### What To Expect - Discomfort will be maximal in the first 3 days, improving each day thereafter. - Bruising, swelling, numbness, tightness and tenderness of the skin can last for 10 to 14 days or longer. - You may experience tightness in the neck and jaw, as well as have difficulty turning your head to the side for 1 to 2 weeks. - Your skin may feel dry and rough for several months. - Your face and ears may look and feel strange and be distorted from the swelling. - Men may need to shave behind their ears, where the beard-growing skin is repositioned. ### Appearance - A pale, bruised and puffy face for several weeks. - By the third week, you will look and feel much better. - The final result is not fully realised for approximately 6 months. ### Follow Up Care - The drainage tube will be removed within 1 to 2 days. - Facial support bandage may be removed in 1 to 3 days. - Sutures are usually removed from in front of the ear in 7 to 10 days and eyelid sutures in 4 to 5 days. - Staples in the hairline are removed in 10 days post-operatively. - Sutures in the hairline will dissolve within 6 to 8 weeks. - A good skincare range to help maintain and improve the results of the facelift can be purchased from our qualified skin care therapist. ### When To Call - If you have increased swelling or bruising. - If swelling and redness persist after a few days. - If you have increased redness along the incision. - If you have severe or increased pain not relieved by medication. - If you have any side effects to medications, such as rash, nausea, headache, and vomiting. - If you have an oral temperature over 37°C. - If you have any drainage from the incisions or notice a foul odor. - If you have bleeding from the incisions that does not stop with light pressure. --- ## Labiaplasty (Vaginoplasty) Pre & Post-Operative Instructions - Canonical page: https://doctormaresky.co.za/resources/labiaplasty-vaginoplasty-pre-post-operative-instructions - Resources index: https://doctormaresky.co.za/resources - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Pre-Operative Instructions - Please advise the doctor if you are taking any blood thinning medication (e.g. Warfarin, Disprin, Aspirin, etc.) - This will need to be discontinued prior to surgery as per doctor's instructions. - Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date. - DO NOT take any of the following medications prior to surgery: - – Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.). - – Homeopathic medications (e.g. Arnica, Rescue Remedy, St John's Wort). - – Vitamin E (oral or topical). - Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ. - Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission. - Do not apply any body lotion. - Regardless of whether you are having a general anesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery. - If you are a smoker – NO SMOKING for 3 months prior to surgery. - Bring comfortable cotton underwear. ### Post-Operative Instructions - You will need someone to drive you home after your surgery and help you for 1 to 2 days. - You will need plenty of rest. - Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fiber to your diet. - Be sure to increase your fluid intake. - Take pain medication as prescribed. Do not take aspirin or any products containing aspirin. - Do not drink alcohol when taking pain medications. - If you are taking vitamins with iron, resume these as tolerated. - Do not smoke, as smoking delays healing and increase the risk of complications. ### Activities - Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots. - Do not drive until you are no longer taking any pain medications. - Discuss your time off from work with your surgeon; this varies according to the surgery. - Resume sexual activity as comfort permits, usually 4 to 6 weeks post-operatively. ### Incision Care - No soaking in the bath while sutures or drains are in place. - The surgical dressings can be removed anytime they are saturated and then replaced with a sanitary pad. - Discomfort will be maximal in the first 3 days, improving each day thereafter. - You may experience temporary pain, soreness, numbness, and swelling. - You may tire easily for several weeks. - There will be bloody or blood-tinged drainage for a maximum of 1 to 2 weeks following your labiaplasty. ### Follow Up Care - Surface stitches will be removed in 4 to 7 days post-operatively. - Remaining sutures will dissolve 6 to 8 weeks post-operatively. ### When To Call - If you have increased swelling or bruising. - If swelling and redness persist after a few days. - If you have increased redness along the incision. - If you have severe or increased pain not relieved by medication. - If you have any side effects to medications, such as rash, nausea, headache, and vomiting. - If you have an oral temperature over 37°C. - If you have any drainage from the incisions or notice a foul odor. - If you have bleeding from the incisions that does not stop with light pressure. --- ## Male Breast Reduction Surgery (Gynaecomastia liposuction) Pre & Post Operative Instructions - Canonical page: https://doctormaresky.co.za/resources/male-breast-reduction-surgery-gynaecomastia-liposuction-pre-post-op - Resources index: https://doctormaresky.co.za/resources - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Pre-Operative Instructions - Please advise the doctor if you are taking any blood thinning medication (e.g. Warfarin, Disprin, Aspirin, etc.) - This will need to be discontinued prior to surgery as per doctor's instructions. - Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date. - DO NOT take any of the following medications prior to surgery: - – Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.) - – Homeopathic medications (e.g. Arnica, Rescue Remedy, St John's Wort) - – Vitamin E (oral or topical) - Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ. - Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission. - Do not apply any body lotion. - Regardless of whether you are having a general anaesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery. - If you are a smoker – NO SMOKING for 3 months prior to surgery. - Bring comfortable cotton underwear. ### Post-Operative Instructions - You will overnight at Christian Barnard Hospital. - You will need plenty of rest. - Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fiber to your diet. - Be sure to increase fluid intake. - Take pain medication as prescribed. Do not take aspirin or any products containing aspirin. - Do not drink alcohol when taking pain medications. - If you are taking vitamins with iron, resume these as tolerated. - Do not smoke, as smoking delays healing and increase the risk of complications. ### Activities - Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots. - Do not drive until you are no longer taking any pain medications. - Limit use of arms for 4 weeks, i.e. no heavy lifting or raising arms above your head. - Resume sexual activity as comfort permits, usually 2 to 3 weeks post-operatively. - Avoid strenuous exercise and activities for 4 to 6 weeks. - Social and employment activities can be resumed within 7 to 14 days. ### Incision Care - Avoid exposing your scars to the sun for at least 12 months. - Always use sunblock – regardless of the weather – if you plan to go outdoors or not. - Apply Micropore to the incision lines for 3 months – change every 7 to 10 days. Do not remove the tape every day as it will cause irritation of the surrounding skin. - Keep incisions clean and inspect through Micropore daily for signs of infection or oozing. - DO NOT USE ANY CREAMS CONTAINING VITAMIN E TO TREAT THE INCISION AREAS FOR THE FIRST 3 MONTHS. - Incision areas may be massaged through the Micropore for the first 3 months. - ScarScience, available from MASC Laser Clinic, should be applied from 6 weeks post-operatively – over the Micropore for another 6 weeks – and then on the incision directly for another 3 months post-operatively. - No soaking in the bath while sutures or drains are in place. - Support garments should be worn 24/7 and only removed for short periods while taking a shower. You should wear the garment day and night for 6 weeks. ### What To Expect - Discomfort will be maximal in the first 3 days, improving each day thereafter. - You may experience temporary pain, soreness, numbness, dry skin, swelling, discoloration and incision discomfort. - There may be a loss of nipple sensation, which should normalize in time (less than 5% of patients never regain nipple sensation). - Scars will fade in several months to a year. ### Appearance - The breast area will appear flatter. - Scars will be red for 6 to 9 months. After that, they will fade and soften. - Scars might be present around the nipples. ### Follow Up Care - Most of the sutures are buried and will dissolve in 6 to 8 weeks. - Any stitches will be removed in 7 to 10 days. - ScarScience must be applied on the incision from 6 weeks post-operatively to help with the prevention of hypertrophic and keloid scarring. It should be used for at least 3 to 6 months post-operatively. ### When To Call - If you have increased swelling or bruising. - If swelling and redness persist after a few days. - If you have increased redness along the incision. - If you have severe or increased pain not relieved by medication. - If you have any side effects to medications, such as rash, nausea, headache, and vomiting. - If you have an oral temperature over 37°C. - If you have any drainage from the incisions or notice a foul odor. - If you have bleeding from the incisions that does not stop with light pressure. --- ## Otoplasty (Genioplasty) Pre & Post-Operative Instructions - Canonical page: https://doctormaresky.co.za/resources/otoplasty-genioplasty-pre-post-op - Resources index: https://doctormaresky.co.za/resources - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Pre-Operative Instructions - Please advise the doctor if you are taking any blood thinning medication (e.g. Warfarin, Disprin, Aspirin, etc.) - This will need to be discontinued prior to surgery as per doctor's instructions. - Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date. - DO NOT take any of the following medications prior to surgery: - – Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.) - – Homeopathic medications (e.g. Arnica, Rescue Remedy, St John's Wort) - – Vitamin E (oral or topical) - Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ. - Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission. - Hair should be washed the night before or morning of your admission to hospital. - Wash your face thoroughly with antibacterial soap on the morning of your admission to hospital. - Do not apply day cream or make-up. - Regardless of whether you are having a general anesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery. - If you are a smoker – NO SMOKING for 1 months prior to surgery. - Bring comfortable cotton underwear. ### Post-Operative Instructions - You will need someone to drive you home after your surgery and help you for 1 to 2 days. - You will need plenty of rest. - Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fiber to your diet. - Be sure to increase your fluid intake. - Take pain medication as prescribed. Do not take aspirin or any products containing aspirin. - Do not drink alcohol when taking pain medications. - If you are taking vitamins with iron, resume these as tolerated. - Do not smoke, as smoking delays healing and increase the risk of complications. ### Activities - Usually you will be up and about a few hours after surgery. - Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots. - Do not drive until you are no longer taking any pain medications. - You can return to work in 5 days after surgery, depending on your occupation. - You may resume full social activities in 5 to 10 days. - Avoid any activity, such as contact sports in which the ear might be bent, for at least 3 months. Always speak to your doctor about this. ### Incision Care - "Helmet" dressing must not be removed for 7 days. - Avoid exposing your scars to the sun for at least 12 months. - Always use sunblock – regardless of the weather – if you plan to go outdoors or not. - Keep incisions clean and inspect through Micropore daily for signs of infection or oozing. - DO NOT USE ANY CREAMS CONTAINING VITAMIN E TO TREAT THE INCISION AREAS FOR THE FIRST 3 MONTHS. - You may wash your hair once the "helmet" is removed. - You may follow your usual skincare routine – taking care to avoid applying any creams containing Vitamin E in the incision areas. - ScarScience, available from MASC Laser Clinic, should be applied from 6 weeks postoperatively and directly on the incision for another 3 months postoperatively. ### What To Expect - Temporary throbbing and aching in the first hours post-operatively. - Large pressure dressings and bandages are applied around the ears and head, like a helmet. - Some swelling and bruising may last 10 to 14 days. - Some numbness may exist around the operative areas. - Tenderness could last up to 3 months. ### Appearance - Usually, there will be a faint scar behind the ear, but this will eventually fade. - Do not expect both ears to match perfectly, as perfect symmetry is unlikely and unnatural in ears. ### Follow Up Care - All sutures are either removed or they will dissolve in 1 to 2 weeks. - ScarScience must be applied on the incision from 6 weeks post-operatively to help with the prevention of hypertrophic and keloid scarring. It should be used for at least 3 to 6 months post-operatively. ### When To Call - If you have increased swelling or bruising beyond 72 hours post-operatively. - If you have severe or increased pain not relieved by medication. - If you have any side effects to medications, such as rash, nausea, headache, and vomiting. - If you have an oral temperature over 37°C. - If you have any drainage from the incisions or notice a foul odor. - If you have bleeding from the incisions that does not stop with light pressure. --- ## Thigh Lift (Thighplasty) Pre & Post-Op Instructions - Canonical page: https://doctormaresky.co.za/resources/thigh-lift-thighplasty-pre-post-op - Resources index: https://doctormaresky.co.za/resources - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Pre-Operative Instructions - Please advise the doctor if you are taking any blood thinning medication (e.g. Warfarin, Disprin, Aspirin, etc.) - This will need to be discontinued prior to surgery as per doctor's instructions. - Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date. - DO NOT take any of the following medications prior to surgery: - – Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.). - – Homeopathic medications (e.g. Arnica, Rescue Remedy, St John's Wort). - – Vitamin E (oral or topical). - Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ. - Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission. - Do not apply any body lotion. - Regardless of whether you are having a general anesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery. - If you are a smoker – NO SMOKING for 3 months prior to surgery. - Bring comfortable cotton underwear. ### Post-Operative Instructions - You will need someone to drive you home after your surgery and help you for 1 to 2 days. - You will need plenty of rest. - Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fiber to your diet. - Be sure to increase your fluid intake. - Take pain medication as prescribed. Do not take aspirin or any products containing aspirin. - Do not drink alcohol when taking pain medications. - If you are taking vitamins with iron, resume these as tolerated. - Do not smoke, as smoking delays healing and increase the risk of complications. ### Activities - Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots. - Do not drive until you are no longer taking any pain medications. - Discuss your time off from work with your surgeon; this varies according to the surgery. - Resume sexual activity as comfort permits, usually 4 to 6 weeks post-operatively. - Avoid strenuous exercise and activities for 6 weeks. ### Incision Care - You may shower only after your post-operative appointment (usually 4 days postoperatively). - Avoid exposing your scars to the sun for at least 12 months. - Always use sunblock – regardless of the weather – if you plan to go outdoors or not. - Apply Micropore to the incision lines for 3 months – change every 7 to 10 days. - Keep incisions clean and inspect daily for signs of infection or oozing. - Support garments should be worn as directed by your surgeon. - No soaking in the bath while sutures or drains are in place. ### What To Expect - Discomfort will be maximal in the first 3 days, improving each day thereafter. - You may experience temporary pain, soreness, numbness, and swelling. - You may tire easily for several weeks. - Bruising and swelling will gradually subside over several weeks. ### Follow Up Care - Drains will be removed when drainage is minimal. - Sutures will be removed as directed by your surgeon. - Follow-up appointments are essential for monitoring your recovery. ### When To Call - If you have increased swelling or bruising. - If swelling and redness persist after a few days. - If you have increased redness along the incision. - If you have severe or increased pain not relieved by medication. - If you have any side effects to medications, such as rash, nausea, headache, and vomiting. - If you have an oral temperature over 37°C. - If you have any drainage from the incisions or notice a foul odor. - If you have bleeding from the incisions that does not stop with light pressure. --- ## Tummy Tuck (Abdominoplasty, Liposuction) Pre & Post Operative Instructions - Canonical page: https://doctormaresky.co.za/resources/tummy-tuck-surgery-pre-post-op - Resources index: https://doctormaresky.co.za/resources - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ### Pre-Operative Instructions - Please advise the doctor if you are taking any blood thinning medication (e.g. Warfarin, Disprin, Aspirin, etc.) - This will need to be discontinued prior to surgery as per doctor's instructions. - Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date. - DO NOT take any of the following medications prior to surgery: - – Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.). - – Homeopathic medications (e.g. Arnica, Rescue Remedy, St John's Wort). - – Vitamin E (oral or topical). - Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ. - Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission. - Do not apply any body lotion. - Regardless of whether you are having a general anesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery. - If you are a smoker – NO SMOKING for 3 months prior to surgery. - Bring comfortable cotton underwear. ### Post-Operative Instructions - You will overnight at Christiaan Barnard Hospital. - You will need someone to drive you home after your surgery and help you for 1 – 2 days. - You will need plenty of rest. - Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fiber to your diet. - Be sure to increase your fluid intake. - Take pain medication as prescribed. Do not take aspirin or any products containing aspirin. - Do not drink alcohol when taking pain medications. - If you are taking vitamins with iron, resume these as tolerated. - Do not smoke, as smoking delays healing and increase the risk of complications. - Be aware that there will be some sensation loss around the navel for a few months – do not stand too close to or lean against hot surfaces or use a water bottle on your abdomen until sensation has fully returned. ### Activities - Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots. - Do not drive until you are no longer taking any pain medications. - No heavy lifting for 6 weeks. - Resume sexual activity as comfort permits, usually 2 to 3 weeks post-operatively. - Avoid straining of abdominal muscles. Strenuous exercise and activities are restricted for 6 weeks. - Return to work within 2 to 4 weeks - If you have a car with power steering, you can start driving after 2 weeks. ### Incision Care - You may shower only after your post-operative appointment (usually 4 days postoperatively). - Avoid exposing your scars to the sun for at least 12 months. - Always use sunblock – regardless of the weather – if you plan to go outdoors or not. - Apply Micropore to the incision lines for 3 months – change every 7 to 10 days. Do not remove the tape every day as it will cause irritation of the surrounding skin. - Keep incisions clean and inspect through Micropore daily for signs of infection or oozing. - DO NOT USE ANY CREAMS CONTAINING VITAMIN E TO TREAT THE INCISION AREAS FOR THE FIRST 3 MONTHS. - Incision areas may be massaged through the Micropore for the first 3 months. - ScarScience, available from the therapists, should be applied from 6 weeks postoperatively – over the Micropore for another 6 weeks – and then on the incision directly for another 3 months postoperatively. - No soaking in the bath while sutures or drains are in place. - Support garments should be worn 24/7, and only removed for short periods while taking a shower. - Sleep with a pillow under your knees and your head elevated on two pillows. ### What To Expect - Discomfort will be maximal in the first 3 days, improving each day thereafter. - You may experience temporary pain, soreness, numbness of abdominal skin or incision discomfort. - You will have bruising and swelling of the abdomen. The majority of bruising and swelling will subside within 6 to 8 weeks. - You may tire easily for several weeks. ### Appearance - A flatter, firmer abdomen with the narrower waistline. - You will walk slightly bent forward and gradually return to normal posture over a period of 3 weeks. - Scars will be red for 6 to 9 months. After that, they will fade and soften. - The scar will be low on the abdomen and extend from one hipbone to the other and around the navel. ### Follow – Up Care - Abdominal drains will be removed when draining is less than 30 ml over 24 hours. - Most of the sutures are buried and will dissolve in 6 to 8 weeks. - A support garment must be worn 24/7 for 6 weeks post-operatively. - ScarScience must be applied on the incision from 6 weeks post-operatively to help with the prevention of hypertrophic and keloid scarring. It should be used for at least 3 to 6 months post-operatively. ### When To Call - If you have increased swelling or bruising. - If swelling and redness persist after a few days. - If you have increased redness along the incision. - If you have severe or increased pain not relieved by medication. - If you have any side effects to medications, such as rash, nausea, headache and vomiting. - If you have an oral temperature over 37°C. - If you have any drainage from the incisions or notice a foul odor. - If you have bleeding from the incisions that does not stop with light pressure