your

new
body

your

new
body

Dr Greyvensteyn

“I strive to give people the best surgical outcome that is both functional and aesthetically pleasing to improve their quality of life by using various surgical and non-surgical techniques together with a spirit of excellence.”

Breast augmentation

Improves the size and appearance of the breasts by implanting saline or silicone breast implants.

Breast lift

Breast lift surgery, also called mastopexy, removes excess skin in and around the breast and improves breast shape.

Breast reduction

Reduces breast size and improves physical and emotional symptoms caused by very large breasts.

Tummy tuck

A procedure where excess fat and skin is removed and muscle is tightened to help flatten the abdomen.

Body contouring

Often required after major weight loss. Removes sagging skin & extra fat to improve shape and tone of underlying tissue.

Labioplasty

Reshapes a stretched or enlarged inner labia. Can be performed for cosmetic reasons, or to reduce vaginal discomfort.

Liposuction

Liposuction uses a suction technique to remove fat from, and shape (or improves the contour) of specific areas of the body.

Arm lift

A surgical procedure to reshape and provide improved contour to the upper arms and connecting area of chest wall.

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procedure

Arm
Lift

Procedure overview
Brachioplasty reduce excess skin and fat of the upper arm which leads to a reduction of the circumference of the upper arm. When there is good skin tone or minimal skin sagging, fat deposits can be reduced by liposuction alone. But marked skin redundancy or laxity can only be improved by the resection of both excess skin and fat. The skin incision is usually placed in the inside of the upper arm to hide the scar and this generally leads to an excellent cosmetic appearance and contour of the arm.
Surgery takes approximately two to three hours.
The anesthesia can be general or local with sedation.
Usually this is an inpatient procedure and the patient is discharged the following day.
In some cases edema or lymphoedema of the arms can result.
Infection, bleeding, bruising, wound breakdown, skin necrosis (skin loss), asymmetry and scars.
The healing process may take seven to ten days. An elastic bandage or compression garment may be recommended for several months.
Good and stable results can be achieved in young patients with adiposities and good skin tone as well as in adults of older age, sometimes with the help of several months of postoperative elastic compression.

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procedure

Breast Lift
Surgery

Procedure overview
Breast lift surgery, also called mastopexy, removes excess breast skin that has been stretched during pregnancy or weight fluctuations. Breast implants may also be used in conjunction with this procedure to achieve the desired result.
The procedure usually requires two to three hours of operating time depending on the size of the breasts.
General anesthesia is administered and the patient is completely asleep. The procedure can also be performed under intravenous sedation and local anesthesia.
Depending on the size of the breasts, type of anesthesia selected, and length of the surgical procedure, patients may return home on the same day as their surgery or be discharged from hospital the following morning.
Temporary bruising, swelling, some mild discomfort, numbness, and dry/tender breast skin.
Unfavorable scarring with keloid formations is possible. In addition skin loss, infection, wound breakdown, unevenly positioned nipples (asymmetry), and the possibility of permanent loss of feeling in the nipples and/or the breasts.
The patient can return to work within one week or more and may resume strenuous activities after one month. The fading of scars may take several months to one year.
The outcome varies from patient to patient. Other factors that may influence results are: breast skin quality, gravity, pregnancy, aging, and weight changes which may cause new sagging. Results may last longer or be enhanced when breast implants are inserted as part of the procedure adding support to the newly positioned breast tissue.

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procedure

Breast
Augmentation

Procedure overview
Breast augmentation, also called breast enlargement, improves the size and appearance of the breasts by implanting silicone breast implants either under or over the chest muscle, thus producing a cosmetic enhancement.
This procedure takes approximately one and a half to two hours.
The procedure is done under sedation or general anesthesia combined with local anesthesia.
The procedure can be done as a day procedure or the patient can be admitted overnight and discharged the following morning.
Mild, temporary discomfort, mild to moderate swelling, a change in nipple sensation (either increased or decreased), and temporary bruising. Breasts may be sensitive to stimulation for a few weeks.

Either one breast implant or both may need to be removed and/or replaced to treat problems including: deflation, implant rupture, the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard, bleeding and/or infection. Other risks are an increase or decrease in sensitivity of the nipples or breast skin, which occasionally may be permanent. ALCL (anaplastic large cell lymphoma) may occur after one year but is extremely rare.

Dr Greyvensteyn will discuss acute and chronic complications in detail during the consultation.

The patient can return to work within a few days. Strenuous activity should not be done for six weeks. Scars should fade and flatten anywhere from three months to two years after surgery, depending upon how the individual patient heals.
The outcome varies from patient to patient. However the overall effect is enhancement of breast size for improved appearance.

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procedure

Breast
Reduction

Procedure overview

Breast reduction surgery, also referred to as reduction mammoplasty, reduces the size and improves the shape of the breasts and reposition the nipple areola complex. Women with large breasts often have physical symptoms related to the weight or shape of their breasts and may complain of back pain, neck pain, bra strap grooves in the shoulders and skin infection on the lower portion of their breast skin. Patients may also suffer emotional discomfort due to the size of their breasts.

The incisions vary based on the breast size before the operation and the final post-operative size.

An incision is made around the nipple and areola accompanied by a vertical incision below the areola with or without a horizontal incision made in the crease below the breast.

For reduction of very large breasts, in some cases the nipple and areola may need to be surgically removed and reapplied as a graft. Removing and reapplying the nipple/areola tissue will result in the loss of nipple sensation and the inability to breastfeed.

The procedure usually requires two to three hours of operating time depending on the size of the breasts.
The procedure is typically performed under general anesthesia supplemented with local anesthesia.
Depending on the size of the breasts, type of anesthesia selected, and length of the surgical procedure, patients may return home on the same day as their surgery or may be discharged the following morning.
Risks associated with breast reduction include: unfavorable scarring, loss of nipple sensation, loss of ability to breastfeed, loss of nipple and breast tissue, unsatisfactory shape, and failure to achieve aesthetic goals.
Common complications include infection, bleeding, wound breakdown, skin necrosis (loss of skin), loss of nipple sensation, decrease or inability to breastfeed, decrease or absent nipple sensation and poor quality scar tissue formation.
Typically recovery requires one to two weeks and most patients will be able to go back to work during this time period. Strenuous physical activities should be avoided for six weeks after the surgery.

Most patients who undergo a reduction mammoplasty are pleased with the size and the shape of their breasts and are delighted with the improvement and lessening of the symptoms of pain and discomfort that they experienced due to the weight of their breasts. Breast reduction makes physical activities easier and patients enjoy their new appearance and ability to wear clothing that was uncomfortable or unattractive before the surgery was performed.

Over time gravity, hormonal fluctuations, weight gain/loss and poor quality underwear may lead to a gradual sagging of breast tissue.

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procedure

Body
Contouring

Procedure overview
The surgical procedures improves the appearance of skin and tissue after major weight loss. It usually involves various areas of the body including upper arms, abdomen, breasts and thighs.
Multiple surgeries are often required and the time for the procedures hence vary widely. Surgery can be performed on one area of the body alone or combination procedures can be done simultaneously.
The procedure is usually performed under general anesthesia.
Usually this is an inpatient procedure and the patient is discharged the following day.
Temporary discomfort, post-operative swelling, soreness or tenderness in the surrounding areas, numbness of skin and bruising are possible side effects.
Infection, bleeding, wound breakdown, skin necrosis, long scars, formation of a seroma (fluid build up in the tissue), asymmetry or unsatisfactory results. Specific complications per anatomical area will be discussed by Dr Greyvensteyn during the consultation.
The healing process may take one to two weeks with full recovery in 6 weeks depending on the anatomical areas on which surgery was performed.
Results are typically very gratifying with the body contour being corrected by tightening tissue and reducing loose skin and fat resulting in patients generally feeling a lot more confident and looking much better in clothes.

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Tummy tuck
Surgery

Procedure overview
Abdominoplasty, also called tummy tuck surgery, surgically removes the excess skin and fat that lies between the umbilicus and the overhanging skin (or to a cesarean scar) from the abdominal area and tightening of your abdominal muscles. The incision is a half-moon shape (length is dependent on the mass of skin and fat to be removed) in the lower abdomen with or without repositioning of your umbilicus (navel).
Surgery takes approximately two to three hours.
General anesthesia is administered and the patient is completely asleep.
Usually this is an inpatient procedure and the patient is discharged the following day.
Temporary discomfort, low back pain, post-operative swelling, soreness or tenderness in the surrounding areas, numbness of abdominal skin and bruising are possible side effects.
Infection, bleeding, wound breakdown, pulmonary embolism (a blood clot that travels to the lung), scarring (keloids), asymmetry, delayed healing, or the need for a second reversionary operation are potential risks and widening of the scars.
The patient may return to work within one to two weeks. Upon re-evaluation by the physician, the patient may return to activity that is more strenuous after approximately four to six weeks. Scars should fade and flatten anywhere from three months to one year after surgery. Patients are asked to wear an abdominal binder for at least four weeks.
The result will last many years, unless the patient gains weight or becomes pregnant.

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procedure

Liposuction
Surgery

Procedure overview

Liposuction surgery removes areas of unwanted fat with a tube and a vacuum device. Liposuction techniques, including tumescent or super-wet, typically are performed after targeted fat cells are infused with a saline solution containing a local anesthetic and adrenalin to decrease blood loss. Benefits of this liposuction technique include increased safety, easier fat removal, as well as diminished postoperative discomfort. This also reduces post-operative bruising and swelling.

The most common locations for liposuction are the chin, cheeks, neck, and upper arms, the area above the breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankles.

There are several techniques commonly used including the “Traditional Technique”, “Laser Technique,” and the “Ultrasonic Technique (UA).” The Traditional Technique utilizes a hollow tube to remove the fat and the Laser and Ultrasonic Technique utilizes laser or ultrasonic energy to dissolve that fat before it is removed. See your physician regarding which technique would be best for you.

Surgery takes approximately one to two hours.
General anesthesia can be used or intravenous sedation and local anesthesia are used.
Usually this is an inpatient procedure and the patient is discharged the following day.
Temporary bruising, swelling, numbness, soreness or burning sensations. Drainage of infiltration fluid through small skin incisions are common 24 - 48hrs after surgery.
Infection, asymmetry, rippling of the skin, pigmentation changes (hypo/hyper), injury to the skin, unsatisfactory results, fluid retention and/or excessive loss of blood and fluids.
The patient usually returns to work after five to fourteen days. More strenuous activity may be resumed after two to four weeks. Full recovery from swelling and bruising may take one to six months depending upon the amount of fat that is removed and the areas that were treated.
The effect is permanent and must be augmented with a sensible diet and consistent exercise.

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procedure

Labioplasty
Surgery

Procedure overview

Labia minora reduction surgery, or labiaplasty, is a remodelling of the enlarged inner lips of the vulva. Enlargement of the labia minora may be apparent from childhood, but most often it is acquired, caused by childbirth, age or infection. It may bother the patient in a functional (wearing clothes, during sports) or in an aesthetic way. The procedure removes skin and mucosa in a way that the scar is barely visible. The procedure may be combined with a clitoral hood reduction (removal of the skin excess around the clitoris) and labia majora surgery.

The procedure typically takes between one to three hours, depending on whether it is performed with additional procedures.
For better results and more comfort, general anaesthesia is the rule for this surgery. However, in some patients, a local anaesthesia may be chosen.
The patient can leave the surgical facility the same day after recovery from anaesthesia.
When the meticulous technique is applied, labia minora reduction is without major side effects. Sometimes (< 5% of cases) breakdown of the wound may occur but healing with local wound care resolves the problem. In some patients, the scar tends to broaden, which can be corrected later.
No important risks are correlated to this type of surgery.
The area may be swollen for 4-6 weeks. Depending on the technique, there may be a colour mismatch that tends to fade after some time. Return to work is possible after one week. Sexual activity is allowed after six to eight weeks.
With the good surgical technique, the results are very satisfying with an improved body image and greater physical comfort.

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