The aesthetic surgery options I provide include the following procedures: liposuction, abdominoplasty, breast, arm, thigh and mons lifts, ear reduction or prominent ear correction for adults, eyelid surgery, and correction of gynaecomastia. Lowering of hairline, reduction of earlobes, and lip lift.

I focus on achieving natural-looking results that enhance your appearance and boost your confidence.

When you can comfortably wear the seatbelt and when you no longer require strong painkillers

Please bring a pillow to put over your tummy and under the seatbelt

All surgical procedures carry risks. Some potential risks include: prolonged swelling, asymmetry, scarring, irregularities, nerve and vessel damage, infection, bleeding, blindness (eyelid surgery), delayed healing, deep vein thrombosis, and pulmonary embolism.

Smoking significantly increases the risk of complications and delayed healing, so it is crucial to stop smoking before any elective surgery.

Anesthesia-related complications should be discussed with your anesthesiologist.

What is a scar?

A scar forms as your skin heals after an injury, surgery, or burn. This is a normal part of healing.

Scars change over time and may take many months to over a year to fully mature.

How do scars heal?

Early Healing (0–6 weeks)

• The wound closes and new tissue forms

• The scar may appear:

• Red or pink

• Raised or firm

• Tight or itchy

Remodelling Phase (2–6 months)

• The body reorganizes the scar tissue

• The scar:

• Becomes softer

• Flattens

• Starts to fade in colour

Mature Scar (6–18 months)

• The scar becomes:

• Softer and smoother

• Closer to your natural skin colour

• Some scars may remain slightly raised or darker

Does skin type matter?

All skin types heal in a similar way, but:

• Some people may develop darker or thicker scars

• Individuals with darker skin tones may be more prone to noticeable pigmentation changes or raised scars

How can I improve my scar?

Sun protection

• Use SPF 30–50 sunscreen daily for at least 12 months

• Sun exposure can cause scars to become darker or more noticeable

Moisturizing

• Use a non-perfumed moisturizer once the wound has healed

• Keeps the skin soft and comfortable

Scar massage

• Start after the wound is healed and stitches are removed

• Massage gently twice daily for 5–10 minutes

• Helps soften and flatten the scar

Silicone therapy

• Silicone gel or sheets can:

• Reduce redness

• Improve thickness and texture

• Use daily for several months

Additional treatments (if needed)

These are usually recommended for thicker or more noticeable scars:

• Pressure garments:

• Used mainly for larger or burn scars

• Worn under specialist guidance for several months

• Steroid injections:

• Can help reduce raised scars (hypertrophic or keloid scars)

• Laser or light treatments:

• May improve colour and texture after the scar matures

When should I seek medical advice?

Contact your doctor if your scar:

• Becomes very painful or itchy

• Becomes thick, raised, or firm

• Grows beyond the original wound (keloid scar)

• Develops dark or uneven colour changes

Key points to remember

• Scars take time to mature (up to 12–18 months)

• Daily care makes a significant difference

• Sun protection, moisturizing, and massage are important

• Every scar heals differently

If you have concerns about how your scar is healing, please speak with your doctor.

If you’d like, I can add post-operative scar protocols (e.g., after breast reduction, skin cancer excision, or hand surgery) or format this with your clinic branding.

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

Indications for Surgery

- Loose or sagging skin on the thighs

- Excess fat deposits in the thigh area

- Discomfort or hygiene issues due to skin folds

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

The Procedure

- Anaesthesia: The surgery is typically performed under general anaesthesia.

- Technique: Incisions are made in the groin area and or the buttock creases, and in some cases, may extend down the inner thigh. Excess skin and fat are removed, and the remaining skin is tightened. It all depends on how much skin needs to be removed.

- Duration: The procedure usually takes 2–3 hours.

Benefits

- Improved contour and firmness of the thighs

- Reduction in skin irritation caused by folds

- Enhanced appearance in clothing

- Boost in self-confidence

Potential Risks and Complications

As with any surgery, thigh lift carries risks:

Common Risks:

- Swelling and bruising

- Pain or discomfort

- Scarring

- Temporary numbness

- Fluid accumulation (seroma)

Uncommon/Rare Risks:

- Infection

- Bleeding

- Poor wound healing

- Asymmetry

- Blood clots (DVT)

- Need for revision surgery

Aftercare

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

- Avoid strenuous activity and heavy lifting for at least 4–6 weeks.

- Keep the incision sites clean and dry.

- Follow your surgeon’s instructions regarding wound care and medications.

Recovery Timeline

- Week 1–2: Initial swelling and bruising; gradual return to light activity.

- Week 4–6: Resume normal activities and non-strenuous exercise.

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

- 12 Months: Scars begin to fade.

When to Seek Help

Contact your healthcare provider if you notice:

- Fever or signs of infection

- Increased redness, swelling, or discharge

- Severe pain not relieved by medication

- Sudden swelling or pain in the legs

Outcomes

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

An arm lift offers a more toned arm contour, boosts your confidence, and lets you enjoy a wider range of clothing styles. It can also ease discomfort and improve hygiene by removing excess skin.

The recovery process after an arm lift typically involves some swelling, bruising, and discomfort, which can be managed with pain medication. Patients are usually advised to avoid strenuous activities for 4-6 weeks and to wear a compression garment to support the healing process.

Full recovery can take several months.

As with any surgical procedure, an arm lift carries potential risks and complications, including infection, bleeding, scarring, asymmetry, and changes in skin sensation. It is important to discuss these risks with your surgeon and follow all pre- and post-operative instructions to minimize complications.

An arm lift (brachioplasty) removes excess skin and fat from your upper arms, often after weight loss or aging. The goal? A smoother, more toned arm contour that boosts your confidence.

To prepare for an arm lift surgery, you should follow your surgeon's instructions, which may include stopping smoking, avoiding certain medications, and arranging for someone to help you during the initial recovery period. It is also important to maintain a stable weight and follow a healthy lifestyle to achieve the best results.

1. To improve vision (functional)

As we age, the eyelid skin stretches and droops (dermatochalasis). In some people it becomes so heavy that it:

• Hangs over the eyelashes

• Blocks the upper and outer part of the visual field

• Makes reading, driving, and computer work difficult

• Causes brow fatigue and headaches from constantly lifting the brows

This is a medical indication and is often covered by OHIP if visual field testing confirms obstruction.

2. To look less tired or heavy-eyed (cosmetic)

Even without vision loss, excess upper-lid skin can make people look:

• Tired

• Sad

• Angry

• Older than they feel

Upper blepharoplasty restores a clean eyelid crease and a brighter, more open eye without changing your identity.

3. To help makeup and glasses

Heavy lids can:

• Make eyeshadow smear

• Push lashes down

• Make glasses sit awkwardly

• Irritate the skin

What the operation involves

1. Pre-op marking

With you sitting upright, and I will marks:

• The natural eyelid crease

• How much skin can be safely removed The goal is to never make the eye look hollow or unable to close.

2. Anaesthetic

Usually done under:

• Local anaesthetic (numbing injections)

• Sometimes with light oral or IV sedation

You are awake but comfortable.

3. The incision

A fine incision is made in the natural eyelid crease so the scar is hidden when your eyes are open.

4. What is removed

Depending on your anatomy:

• Excess skin

• A thin strip of muscle

• Sometimes small bulges of fat

Nothing essential to blinking is removed.

5. Closure

The incision is closed with:

• Very fine sutures or

• Skin glue

The whole procedure usually takes 30–60 minutes.

Recovery

First week

• Swelling and bruising (often looks worse days 2–4)

• Eyes may feel tight or dry

• Ice packs help

• Stitches out at 5–7 days (if used)

2–3 weeks

• Most bruising gone

• You can usually return to social activities

6–12 weeks

• Final shape and scars settle

• Scars fade into the crease and are usually barely visible

Risks (uncommon in expert hands)

• Bruising or bleeding

• Infection

• Temporary dry eyes

• Asymmetry

• Very rarely: difficulty closing the eye (usually temporary)

Serious complications like vision loss are extremely rare.

The result

A good upper blepharoplasty:

• Makes the eyes look more open and rested

• Improves peripheral vision if it was blocked

• Keeps you looking like yourself, just less tired

If you’d like, you can tell me:

• Is this for vision, appearance, or both?

• Are you noticing brow droop as well?

That helps determine whether you would benefit from just eyelids or also a brow lift.

What is a mastopexy?

A mastopexy, or breast lift, is a surgical procedure to raise and reshape the breasts. It removes excess skin and tightens surrounding tissue to improve breast position and contour.

This procedure does not significantly increase breast size. If you want fuller breasts, an implant may be considered at the same time.

Why consider a breast lift?

You may consider mastopexy if you have:

• Drooping or sagging breasts (ptosis)

• Downward-pointing nipples

• Loss of breast shape after pregnancy, breastfeeding, or weight loss

• Uneven breast position

What does the surgery involve?

• Performed under general anaesthesia

• Excess skin is removed and the breast is reshaped

• The nipple and areola are repositioned higher on the breast

• Incisions may be:

• Around the areola

• Vertical (down the breast)

• Sometimes along the fold under the breast

The exact technique depends on your anatomy and goals.

After surgery

Recovery

• You will go home the same day or the next day

• A support bra is worn for several weeks

• Swelling and bruising are common in the first few weeks

• Most patients return to light activities in 1–2 weeks

• Avoid heavy lifting and strenuous activity for 4–6 weeks

Wound care

• Dressings will be applied after surgery

• Stitches may dissolve or be removed in clinic

• Keep incisions clean and dry as instructed

Scars

• Scars are permanent but usually fade over time

• They may be red and firm initially, improving over 6–18 months

• Scar care (moisturizing, massage, silicone, sun protection) is important

Expected results

• Breasts will appear lifted and firmer

• Shape improves over several months as swelling settles

• Results are long-lasting but may change with:

• Aging

• Weight changes

• Pregnancy

Possible risks and complications

All surgery carries some risk. These include:

Common risks

• Swelling and bruising

• Scarring

• Temporary changes in nipple sensation

Less common risks

• Infection

• Bleeding or hematoma

• Delayed wound healing

• Asymmetry (uneven breasts)

• Loss of nipple sensation (usually temporary, rarely permanent)

Rare risks

• Partial or complete loss of the nipple or areola

• Blood clots

Important considerations

• Smoking increases the risk of complications and poor healing

• Future pregnancy and breastfeeding may affect results

• Mastopexy may affect the ability to breastfeed

• This procedure is usually considered cosmetic and is not covered by OHIP unless medically indicated

When to seek medical attention

Contact your surgeon or seek care if you have:

• Increasing pain, swelling, or redness

• Fever

• Drainage from the wound

• Sudden breast swelling or firmness

Follow-up care

You will have follow-up visits to:

• Monitor healing

• Remove sutures if needed

• Review scar care and recovery

Key points

• Mastopexy improves breast position and shape

• It does not significantly increase size

• Recovery takes several weeks, with full results over months

• Scars improve with time and proper care

What is an abdominoplasty?

An abdominoplasty, or “tummy tuck,” is a surgical procedure to remove excess skin and fat from the abdomen and tighten the abdominal wall muscles. It improves the shape and contour of the abdomen.

This procedure is not a weight-loss surgery.

Why consider an abdominoplasty?

You may consider this procedure if you have:

• Loose or excess abdominal skin (e.g., after pregnancy or weight loss)

• Weakened or separated abdominal muscles (diastasis)

• Stretching or sagging of the abdominal wall

• Difficulty achieving a flat abdomen despite diet and exercise

What does the surgery involve?

• Performed under general anaesthesia

• Excess skin and fat are removed

• Abdominal muscles may be tightened

• The belly button is usually repositioned

• A horizontal incision is made low on the abdomen (hip-to-hip), often hidden below underwear

In some cases, liposuction may be performed at the same time to improve contour and we will discuss whether this is suitable for you at your consultation.

After surgery

Recovery

• You may go home the same day or stay overnight

• You will need to walk slightly bent forward at first to reduce tension on the incision

• Most patients return to light activities in 2–3 weeks

• Avoid heavy lifting and strenuous activity for 6 weeks

• Full recovery may take several months

Dressings and drains

• Dressings will be applied to the incision

• Drains may be placed to remove fluid and are usually removed within 1–2 weeks, Sometimes I quilt the abdominal skin with dissolvable sutures which removes the need for drains.

• A compression garment is worn for several weeks (12 minimum) to reduce swelling and support healing

Wound care

• Keep the incision clean and dry

• Can shower after 5 -7 days

• I will tell you about your dressing changes when I see you for follow up

• Stitches are dissolvable

Scars

• The scar is permanent but usually fades over time

• It may appear red and firm initially, improving over 6–18 months

• Scar care (moisturizing, massage, silicone, sun protection) is recommended

Expected results

• A flatter, firmer abdomen

• Improved contour and waistline

• Results are long-lasting if weight is stable

Changes can still occur with:

• Weight gain or loss

• Aging

• Future pregnancy

Possible risks and complications

All surgery carries some risk.

Common risks

• Swelling and bruising

• Pain or discomfort

• Scarring

• Numbness above the scar and under the bellybutton

Less common risks

• Infection

• Bleeding or hematoma

• Fluid collection (seroma)

• Delayed wound healing

Rare but serious risks

• Blood clots (deep vein thrombosis or pulmonary embolism)

• Skin loss or poor wound healing

• Asymmetry or contour irregularities

Important considerations

• Smoking significantly increases the risk of complications

• You should be close to your ideal weight before surgery

• Future pregnancy can reverse the results

• This procedure is usually cosmetic and not covered by OHIP, unless medically indicated

When to seek medical attention

Contact your me or seek care if you have:

• Increasing pain, redness, or swelling

• Fever

• Sudden swelling or fluid buildup

• Shortness of breath or chest pain (seek urgent care)

• Drainage from the wound

Follow-up care

You will have follow-up appointments to:

• Monitor healing

• Remove drains if present

• Review activity progression and scar care

Key points

• Abdominoplasty improves abdominal shape and contour

• It is not a substitute for weight loss

• Recovery takes several weeks, with full results over months

• Maintaining a stable weight helps preserve results

What is an earlobe reduction?

Earlobe reduction (lobuloplasty) is a minor surgical procedure to reduce the size of the earlobes or reshape stretched, elongated, or torn earlobes. This may be done for cosmetic reasons or to repair damage from earrings, trauma, or aging.

Why is this procedure done?

You may consider earlobe reduction if you have:

• Large or elongated earlobes

• Stretched piercing holes (from heavy earrings or gauges)

• Split or torn earlobes

• Asymmetry between earlobes

How is the procedure performed?

• The procedure is usually done in a clinic under local anesthesia (freezing).

• A small portion of the earlobe is removed.

• The remaining tissue is reshaped and carefully sutured.

• The procedure typically takes 30–60 minutes, depending on complexity.

What are the benefits?

• Improved appearance and symmetry

• Repair of torn or stretched earlobes

• Ability to re-pierce ears in the future (if desired)

What are the risks?

All procedures carry some risks. These may include:

• Bleeding or infection

• Scarring (usually minimal)

• Asymmetry or contour irregularities

• Recurrence of stretching if heavy earrings are worn again

• Need for revision surgery (uncommon)

• Numbness

What should I expect after surgery?

• Mild swelling, redness, or discomfort for a few days

• Stitches are usually removed in 5–7 days (or may dissolve)

• A small scar will form and fade over time

Aftercare instructions

• Keep the area clean and dry for the first 24–48 hours

• Gently clean as instructed by your surgeon

• Avoid pressure on the ears (e.g., sleeping on them) for several days

• Do not wear earrings until advised

When can I re-pierce my ears?

• Re-piercing is usually possible after 12 weeks, once healing is complete

• It should be done slightly away from the scar

When should I seek medical attention?

Contact your doctor if you notice:

• Increasing pain, redness, or swelling

• Pus or discharge

• Fever

• Wound opening

Cost and coverage

• Earlobe reduction is typically considered a cosmetic procedure and is not covered by OHIP unless performed for medical reasons (e.g., traumatic tear).

Follow-up

A follow-up visit is usually scheduled within 1 week to assess healing and remove sutures if needed.

What is gynaecomastia?

Gynaecomastia is a benign (non-cancerous) enlargement of breast tissue in males. It can affect one or both sides and may occur at any age.

It is caused by an imbalance between hormones (estrogen and testosterone), leading to growth of breast tissue.

Common Causes

• Normal hormonal changes

• Newborns

• Teenagers (puberty)

• Older men

• Medications

• Some heart, prostate, or psychiatric medications

• Anabolic steroids

• Medical conditions

• Liver or kidney disease

• Hormonal disorders

• Substances

• Alcohol

• Cannabis

• In many cases, no specific cause is found

Symptoms

• Enlargement of breast tissue

• Tenderness or sensitivity

• Firm or rubbery tissue under the nipple

• Usually not painful, but can be uncomfortable

How is it diagnosed?

Your doctor may:

• Perform a physical examination

• Order blood tests (if needed)

• Request imaging (e.g., ultrasound or mammogram in select cases)

Is it dangerous?

• Gynaecomastia is not cancer

• Male breast cancer is rare, but should be considered if there are:

• Hard, irregular lumps

• Skin changes

• Nipple discharge (especially bloody)

Treatment Options

1. Observation (No treatment)

• Common in teenagers

• Often resolves within 6–18 months

2. Medical Treatment

• Occasionally used if caused by hormonal imbalance

• Most effective early

3. Surgery

Considered if:

• Persistent (usually >1–2 years)

• Painful

• Causing psychological distress

• Significant size

Surgical options include:

• Liposuction (removes fatty tissue)

• Excision (removes glandular tissue)

• Combination of both

If You Are Having Surgery

Before Surgery

• Stop smoking (improves healing)

• Review medications with your doctor

• Avoid certain blood thinners if advised

After Surgery

Pain Control

• Mild to moderate discomfort is expected

• Use:

• Acetaminophen (Tylenol)

• Prescribed medications if needed

Dressings & Garment

• A compression garment is usually worn for:

• 6-12 weeks

• Helps reduce swelling and improve contour

Activity

• Light activity: within a few days

• Avoid:

• Heavy lifting

• Chest exercise

• Strenuous activity for 4-6 weeks

Return to Work

• Desk work: 1 week

• Physical work: 2–4 weeks

Recovery

• Swelling and bruising are common

• Final results may take 3–6 months

• Scars will fade over time

Risks of Surgery

• Bleeding or hematoma

• Infection

• Scarring

• Uneven contour or asymmetry

• Nipple sensitivity changes

• Rarely, need for revision surgery

When to Seek Medical Attention

Contact your doctor if you develop:

• Increasing swelling or pain

• Sudden enlargement of the chest (possible bleeding)

• Redness or drainage

• Fever (>38°C)

Follow-Up

• Usually 1–2 weeks after surgery, then as needed

Important Notes

• Results are generally long-lasting

• Maintaining a stable weight helps preserve results

• Avoid anabolic steroids and substances that may trigger recurrence

•