Procedures

Leading Sandton Plastic Surgeon, Dr. Ridwan Mia, performs numerous types of reconstructive and aesthetic plastic surgery. However, each one differs when it comes to the nature, duration, and recovery period. Some of Dr. Mia’s procedures include:

Procedures

Facelift Surgery

A facelift is an operation during which the loose muscles of the face and neck are tightened, the skin is re-draped, and the excess skin is removed in order to improve the contour of the face. This procedure results in a rejuvenated and younger appearance.

Various factors will be assessed to decide whether you are a candidate for surgery:

  • The thickness, texture, and elasticity of your skin
  • Severity of wrinkles and folds
  • Hairline will be examined to determine where incisions can be discreetly placed
  • Bone structure and underlying tissue

One thing to remember is that it is not possible to remove all the folds of the skin or to eliminate all the wrinkles. Occasionally additional procedures may have to be done at the same time as the facelift, such as eyelid surgery, neck surgery, or fat fillers. However, these options will be discussed in full prior to the surgery.

Additional Information:

Duration of Operation: 3 hours
Anaesthetic: General Anaesthetic is required
Hospital Stay: 1 - 2 nights
Driving: 3 - 5 days
Back to Work: 1 - 2 weeks
Exercise: 4 weeks .
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Facelift Surgery

Facelift Surgery

Blepharoplasty

Aesthetic eyelid surgery is performed on adults of all ages. Some people have eyelid surgery to correct problems that are a result of ageing, while others have inherited traits that require eyelid surgery. During the initial consultation, you may be asked to look in a mirror and point out exactly what you would like to see an improvement in after the procedure.

It is important for both the patient and the surgeon to understand what the patient expects from the operation so that a decision can be made regarding the realistic nature of the patient’s desires. Patients need to arrive at the consultation prepared to discuss his/her medical history, medical conditions, previous surgeries, and current medications. It is also important to provide complete information regarding any medical conditions such as high blood pressure, thyroid problems, and diabetes.

Additional Information:

Duration of operation: 20 minutes - 2 hours
Anaesthetic: Local or General Anaesthesia
Hospital stay: Go home after surgery
Recovery: 5 - 10 days
Driving: 3 - 7 days
Back to work: 3 - 7 days
Exercise: 7 days .
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Blepharoplasty

Blepharoplasty

Rhinoplasty

It is recommended that patients wait until they are at least 14 or 15 years of age, possibly older for boys, before undergoing Rhinoplasty. This is owing to the fact that the nose may not be fully developed at a younger age.

Rhinoplasty is often performed in conjunction with a facelift or other rejuvenative surgery. Rhinoplasty is intended to correct the changes that occur to the nose over time, for example a drooping tip or a nose that a patient is unhappy with in terms of shape or size. This surgery can be performed together with nasal septum surgery for airway problems.

Additional Information:

Duration of operation: 2.5 hours
Anaesthetic: General Anaesthetic
Hospital stay: 1 - 2 nights
Driving: 1 week
Back to work: 1 - 2 weeks
Exercise: 4 - 6 weeks .
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Rhinoplasty

Rhinoplasty

Otoplasty

Prominent Ear surgery involves the correction of various cosmetically sensitive abnormalities of the outer ear. It is usually performed prior to school-going age, but it can also be performed at any age thereafter.

Additional Information

Duration of operation: 2.5 hours
Anaesthetic: General Anaesthetic
Hospital stay: 1 - 2 nights
Driving: 1 week
Back to work: 1 - 2 weeks
Exercise: 4 - 6 weeks .
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Otoplasty

Otoplasty

Most women who have their breasts enlarged do so because they are unhappy with their present bust line. In some situations, one or both breasts have not developed to the size expected. In addition to this, weight loss, childbirth, or the ageing process can alter breast size and shape. 
Breast augmentation can enhance your breast size and shape, and give you a more proportional figure.

Additional Information

Duration of operation: 1 - 2 hours
Anaesthetic: General Anaesthetic
Hospital stay: 2 hours (go home after anaesthetic wears off)
Driving: 7days
Back to work: 5 - 7 days
Exercise: 2 - 4 weeks .
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Breast Augmentation

Breast Augmentation

Breast Reduction

Patients who undergo breast reduction surgery are most commonly having physical symptoms that make them uncomfortable. Undergoing a breast reduction can usually solve these problems, as well as improve the size and shape of your breasts. In most situations, a breast reduction will allow for better fitting clothes and a more proportional look to the rest of the body.

Breast reduction can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Childbirth and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo a breast reduction before having children and believe that they will be able to address any subsequent changes later. If you plan to breast-feed in the future, you should discuss this with your plastic surgeon.

During the consultation, you will be asked about your desired breast size, as well as anything else about your breasts that you would like to see improved. This will help your plastic surgeon to understand your expectations and determine whether they are realistically achievable.

Additional Information

Duration of operation: 3 hours
Anaesthetic: General Anaesthetic
Hospital stay: 2 hours (go home after anaesthetic wears off)
Driving: 4 weeks
Back to work: 1 - 2 weeks
Exercise: 4 - 6 weeks .
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Breast Reduction

Breast Reduction

Mastopexy (Breast Lift)

The shape and firmness of your breasts is usually affected by loss of skin elasticity, gravity, weight loss, pregnancy, and breast-feeding. Patients who are generally satisfied with the size of their breasts can have a breast lift in order to gain a firmer, perkier, and more youthful breast contour. Some patients may be unhappy that they have lost a significant amount of breast volume over time. In such cases, implants are inserted in conjunction with a breast lift, which can increase the size of the breast, while simultaneously enhancing the shape and position of the breasts.

Additional Information

Duration of operation: 2 hours
Anaesthetic: General Anaesthetic Hospital stay: 2 hours (go home after anaesthetic wears off)
Driving: As soon as you are off all pain medication
Back to work: 3 - 7 days
Exercise: 3 weeks .
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Mastopexy (Breast Lift)

Mastopexy (Breast Lift)

Nipple reconstruction

During a nipple reconstruction procedure the nipple may be reconstructed from the surrounding skin at the site desired for nipple placement. The surgeon makes small incisions and then elevates the tissue into position, forming and shaping it into a living tissue projection that mimics the natural nipple. Older techniques, which used donor tissue from the genital region or elsewhere, have become less favoured over time. The new nipple can then be tattooed to add colour and the areola around the nipple is created. Three-dimensional colour shading of a fleshy nipple tends to produce a result with both visual and physical depth.

Additional Information

Duration of operation: 30 minutes - 1 hour
Anaesthetic: General or Local Anaesthetic
Hospital stay: If general anaesthetic was used, then the patient must wait a few hours for it to wear off.
Driving: 1 week
Back to work: 1 week
Exercise: 2 weeks .
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Nipple reconstruction

Nipple reconstruction

Breast Augmentation

Without a doubt Breast Augmentation is the most popular cosmetic request. The idea is simple but the execution more specific than it sounds. In essence the procedure involves placing a silicone gel implant into your breasts to make them larger with a more defined shape.

Where most people agree in Breast Augmentation surgery, with the help from the surgeon is that one needs to decide on the size of the implant – this will depend on what you want and what your body will allow. We will also need to discuss placement of the implant and then talk, at length, about the risks of undergoing the surgery.

The procedure will be done in theatre and will take roughly 1 hour. You will need to spend the night in hospital but this is to ensure the first few hours post-surgery are spent with staff to help you adjust to your new breasts.

I want you to feel comfortable at all times and be relaxed enough to ask me any questions you might have, the last thing we want is concern. That is why you are always welcome to book a second consultation free of charge – just to go over the finer points of your surgery.

Duration of operation: 60-90 mins,

Anaesthetic: General anaesthetic 

Hospital stay: 1 night

Driving: 4 - 7 days 

Back to work: 1 - 3 weeks 

Exercise: 6 weeks.


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Breast Augmentation

Breast Augmentation

Arm Lift / Brachioplasty

Brachioplasty is a surgical procedure that reduces excess saggy skin that occurs as a result of weight fluctuations, ageing, and heredity. This is a condition that cannot be corrected through exercise. Arm lift surgery may be right for you if the underside of your upper arms are sagging or appear loose owing to excess skin and fat. The brachioplasty tightens and evens out the underlying supportive tissues that define the shape of the upper arm and it reduces localised pockets of fat in the upper arm region.

Additional Information

Duration of operation: 1 - 2 hours
Anaesthetic: IV sedation, Regional and/or Local Anaesthetic
Hospital stay: If general anaesthetic was used, then the patient must wait a few hours for it to wear off.
Driving: 10 days
Back to work: 3 - 5 days
Exercise: 4 weeks .
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Abdominoplasty /mini abdominoplast

ARM LIFT / BRACHIOPLASTY

Abdominoplasty /mini abdominoplasty

Women and men who have loose abdominal skin and fat that is concentrated in the abdomen can benefit from an abdominoplasty. Sometimes these conditions are inherited, but in other instances substantial weight loss may cause abdominal skin to become flaccid. Abdominoplasty can also tighten muscles that have been separated and weakened by pregnancy. The procedure may somewhat improve the appearance of stretch marks, especially those located below the navel.

Additional Information

Duration of operation: 2.5 hours
Anaesthetic: General Anaesthetic
Hospital stay: 1 - 2 nights
Driving: 1 week
Back to work: 1 - 2 weeks
Exercise: 4 - 6 weeks .
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Abdominoplasty

ABDOMINOPLASTY /MINI ABDOMINOPLASTY

Thigh lift

Thigh lift surgery reshapes the thighs by reducing excess skin, and in some cases fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body. If fitness and weight loss efforts have not achieved your goals for a body that is firmer, more youthful, and more proportionate to your overall body image, then a surgical lift may be right for you.

Additional Information

Duration of operation: 2.5 hours
Anaesthetic: General Anaesthetic
Hospital stay: 1 - 2 nights
Driving: 1 week
Back to work: 1 - 2 weeks
Exercise: 4 - 6 weeks .
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Thigh lift

Thigh Lift

Calf implants

Calf augmentation is a procedure performed to enhance the lower portion of the leg. In people with a shrunken lower leg, as a result of injury or disease, an implant can be inserted in the calf to help minimise the resultant deformity. A cut is made on the posterior aspect of the leg, horizontally in the posterior knee fold. A pocket is made between the lining of the muscle and the calf muscle itself and the implant is then placed in the pocket. The muscle lining is sutured with absorbable sutures and subcuticular sutures are used to close the skin. Over time, the implant becomes surrounded by a scar tissue pocket, where it stays permanently.

Additional Information

Duration of operation: 2 hours
Anaesthetic: General Anaesthetic
Hospital stay: 1 night
Driving: 2 weeks
Back to work: 1 - 2 weeks
Exercise: 8 weeks .
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Calf implants

CALF IMPLANTS

Liposuction

Liposuction (otherwise known as lipoplasty) is particularly well-suited for women and men who are of relatively normal weight, but who have isolated pockets of fat that are resistant to dieting. These fat deposits may cause certain areas of the body to appear disproportionate and these localised fat deposits may sometimes be an inherited trait, which is why they do not respond to dieting or exercise. Liposuction is often the only way to eliminate them. Liposuction is more correctly called “liposculpture”, as it is a technique that helps contour certain fat deposits. Please note that this is not a form of weight loss.

Additional Information

Duration of operation: 1 - 4 hours, depending on the number of areas treated
Anaesthetic: General anaesthetic
Hospital stay: 1 night
Driving: 4 - 7 days
Back to work: 1 - 2 weeks
Exercise: 4 weeks .
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Liposuction

Liposuction

Gynaecomastia surgery

Gynaecomastia correction is a procedure that is used to reduce the breast tissue development on a male torso. The condition has many underlying causes; however, a clinical history is important in this regard. The surgery involves cutting around the areolar area and taking out excess tissue and then restoring the surrounding skin to the areolar.

Additional Information

Duration of operation: 1 - 2 hours
Anaesthetic: General or Local Anaesthetic
Hospital stay: 2 hours (go home after General anaesthetic has worn off)
Driving: As soon as you are off all pain medication
Back to work: 7 days
Exercise: 3 - 4 weeks .
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Gynaecomastia surgery

Gynaecomastia surgery

Reconstructive Surgery

Reconstructive Surgery involves the treatment of open wounds, which are a result of trauma, burns, congenital abnormalities, cancer resection, and other surgical procedures. Reconstructive Surgery procedures include:

  • The repair of open wounds in sensitive areas, such as the face, the hands, and the trunk, is done with meticulous care. It involves timeous debridement, the removal of foreign matter, pressured irrigation, removal of infected or non-living tissue, and then closure by means of stitches. This procedure is performed in layers so that minimal scarring will result. Skin grafting and flap surgery is employed when indicated, although this may involve the use of tissue of differing layers of thickness, which is taken from an alternative site on the body.
  • Lesion removal often results in large defects (including skin and other cancers, benign moles, tumours and congenital masses), which require repairing. This procedure enables us to close these defects by using direct suture closure, flap surgery, or skin grafting.
  • Breast reconstruction, augmentation, and lifts are sometimes done after a mastectomy and a removal of lumps from the breasts. This is done with the intention of preserving the symmetry of the breasts, the renewal of shape and volume, and the restoration of a youthful breast.
  • Open fractures of the lower limbs are reconstructed after fracture reduction for soft tissue cover.
  • Hand injuries that require fracture management, repair of tendons, nerves, blood vessels, and muscles are done with techniques that may involve the use of plates, a microscope, splints and specialised techniques. This ensures that adequate healing and suitable post-operative functions are achieved. This surgery is performed in conjunction with an occupational therapist that has been trained in hand injury rehabilitation.
  • Burn wounds are managed holistically with physiological, medical, and surgical treatment. This involves the resection of all the burnt tissue and all dressings and skin grafting.
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Reconstructive Surgery

Reconstructive Surgery

SILHOUETTE SOFT®

Silhouette soft® procedure is a technological innovation offering women and men a simple way to redefine the face, restored volume and reduced wrinkles in a 30-minute treatment by Dr Mia. Silhouette soft® comes in the form of bidirectional absorbable thread cones. It is made in the United States and its development is based on six years of experience in suture suspension with cones used in reconstructive surgery and cosmetic surgery.
The Silhouette soft® procedure is recommended highly for men and women of 30 and over who are trying to combat effectively the signs of ageing, which do not want any heavy and invasive treatment, but are looking for real and natural results. The procedure is suitable for all Fitzpatrick skin types 1- 6 .

Silhouette soft® is used to treat the following areas:

  • Facial-contour using 2 or 3 sutures on each side, the contour of the face is more redefined, leaving the cheeks looking fuller and helps the skin to regains its firmness.
  • Lower-jaw using 2 sutures on each side, this will redefine the volume of the cheeks and the facial contour regains a defined shape.
  • cheeks and cheekbones using 2 sutures on each side .The process will make the cheeks and cheekbones look fuller and the nasolabial fold is diminished.

Additional Information:

Best results: First treatment and last up to 18 month.
Duration of result : One Treatment
Treatment recovery time : 1-7 days
Risk and complication: Low
Anesthetic : local numbing agent/local anesthetic
Procedure time: 60-120 Mins per area( including preparation )
Skin specialist: Doctor
Down time : No down time. However slight oedema or bruising may occur
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silhouettesoft

SILHOUETTE SOFT®

DERMAPEN

What is Dermapen Skin Needling?
The Dermapen uses multiple needles that pierce the skin vertically with minimal pain compared to traditional Dermaroller rejuvenation. The Dermapen skin rejuvenation treatment has great results and there appears to be much less epidermal damage. The automatic, high speed vibrating function of the Dermapen increases the effectiveness of the treatment by rapidly creating multiple insertions, quickly and clinically, dramatically reducing pain and discomfort for the patient.
The concept of skin needling is based on the skin's ability to repair itself whenever it encounters physical damage such as cuts, abrasions and other physical trauma. Immediately after an injury occurs our skin destroys old damaged tissue such as acne scarring and wrinkles and replaces it with new fresh healthy collagen. Skin needling allows for controlled induction of the skin's self-repair mechanism by creating micro "injuries" in the skin which triggers a whole cascade of events that result in new collagen synthesis. The result is smoother, firmer and younger looking skin down the line. A great treatment for all skin types especially patients with acne scarring, enlarged pores and moderate to severe wrinkling.
Dermapen Skin Needling treats the following concerns: fine lines and wrinkles around eyes, mouth, cheeks, neck and décolleté, abdomen, back of the hands and arms, acne scars, most surgical scars including facelift scars, abdominal scars, breast plastic surgery scars, post liposuction scars, orthopaedic scars, stretch marks , burn contracture scars, stretch marks on the breasts . The Dermapen is also used for full face skin rejuvenation, enlarged pores and surgical scars, keloid scar tissue and pigmentation ,

Additional Information:

Best results: 6-12 Sessions
Treatment frequency: One treatment every 2-8 weeks depending on the indication being treated.
Treatment recovery time: 1-2 days
Risk and complications: LOW
Anesthetic : local numbing agent
Procedure time :60-120 Mins per area( including preparation )
Skin specialist :Therapist
Down time : 12-48 hours (redness)
Dermapen can be safely performed on all Fitzpatrick skin types 1- 6 .
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DERMAPEN

DERMAPEN

Exilis Elite

Exilis Elite is the only monopolar RF (Radiofrequency) system to incorporate ultrasonic energy and controlled cooling in one hand piece. It delivers lasting and measurable results in this breakthrough non-surgical aesthetic system. All areas can be easily treated and improved. Exilis also complements pre and post treatment in invasive liposuction techniques. Exilis treatments can postpone or eliminate the need for invasive surgery. Exilis delivers deep volumetric heating for the reduction of excessive fat deposits. The mechanical effect of ultrasound helps separate the fat cells clusters.
Exceptional Patient Safety: Control of the flow of the Exilis RF energy and constant monitoring of skin temperature to reach therapeutic thermal effect in the shortest amount of time helps ensure maximum well-being without serious or long-lasting side effects.

Additional Information:

Best results: 4-8 Sessions
Frequency of treatment: Once a week to once every two weeks
Duration of treatment: skin tightening up to 2 years, slimming depends from the diet (energy intake and output)
Treatment recovery time: no downtime
Risk and complications: Low
Anesthetic : None
Procedure time :20-30 Mins area
Skin specialist :Therapist
Down time: None
Affordability : An affordable luxury for people of all skin types from all walks of life. .
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Exilis Elite

Exilis Elite

X-wave

Using the powerful energy of acoustic waves, x- wave achieves the best results in non- invasive treatment of cellulite, loose skin, scars and stretch marks.
Scientifically proven and clinically tested The Acoustic Wave Therapy has been scientifically proven for more than 30 years in various medical treatments (e.g. disintegration of kidney stones). In aesthetic medicine, the acoustic radial soft waves were successfully modified to the clinical needs of cellulite therapy and for the treatment of other aesthetic conditions such as scars and stretch marks. In aesthetic medicine, the acoustic radial soft wave was successfully modified to the clinical needs of cellulite therapy (you repeat the previous sentence). A lower energy level is used to avoid tissue damage. The waves are penetrating the tissue affecting a large treatment area. The tissue relaxes and stretches as a result of which the firmness and elasticity of the dermis increases. Blood circulation and collagen production in the tissues is significantly stimulated. Acoustic wave therapy thus has a complex multilayer effect.

Additional Information:

Best results: 6-8 Sessions
Duration of results : it is proven the skin elasticity improves at least 6 months post last session (8 session protocol)
Treatment recovery time : no downtime
Risk and complictaions LOW
Anesthetic : None
Procedure time :10-15 Mins Area
Skin specialist :Therapist
Down time: None
Affordability : An affordable luxury for people of all skin types from all walks of life. .
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X-wave

X-wave

Lymphastim

The lymphatic system is used for removing interstitial fluid from tissues. It absorbs and transports fatty acids and fats throughout the circulatory system and transports antigen-presenting cells to the lymph nodes where the immune response is stimulated. Lymphatic drainage unblocks lymphatic ducts and vessels. This causes the natural flow of the lymph from the peripheral parts of the body and reduces swelling and pain caused by the excessive amount of the lymph, metabolites and toxins in the limbs.

Lymphatic Drainage Treatment:

  • Comfortable Lymphatic Massage
  • Enhances Lymphatic Flow
  • Improves Blood Circulation
  • Body Regeneration
  • Improves Skin Elasticity

Additional Information:

Duration of results : Weekly treatments for 8 weeks
Treatment recovery time: none
Risk and complications: none
Anesthetic: None
Procedure time: 30 Mins Area
Skin specialist :Therapist
Down time: None
Affordability : An affordable luxury for people of all skin types from all walks of life.
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Lymphastim

Lymphastim