Procedures

Dr Paul Pienaar uses only the latest, state-of-the-art technology and equipment, allowing him to make plastic surgery affordable for more people.He is passionate about helping people love the body they are in, with his main focus on female patients. He has much experience in surgical procedures that help woman regain their confidence after pregnancy, such as Labia Rejuvenation, Breast Augmentation and Abdominoplasty (Tummy Tuck).

Certain procedures are also available under Local Anaesthetic where the patient will be under conscious sedation. This will be in accordance with the patient’s preference.Dr Pienaar also specialises in treating patients with vascular malformations and has acquired much success and admiration within the industry throughout the past decade.

Mini facelift surgery is the most common type of facelift surgery performed today. It addresses wrinkles and sagging skin on the lower third of the face using small incisions placed around the ears. It restores definition to the chin by removing excess tissue and artfully tightening remaining tissue. A skilled plastic surgeon can tailor a mini facelift procedure to give you a youthful, more refreshed appearance that accentuates your natural beauty and boosts your confidence. Mini facelift surgery appeals to many men and women because it can address some of the most prominent signs of aging. For example, some people experience hormonal changes, or are genetically predisposed to losing definition in their jaw. Many patients turn to mini facelift surgery to restore this definition. If you have noticed a loss of definition in your jaw due to sagging skin or excess fat tissue and you would like to restore a youthful appearance, you may be a candidate for a mini facelift. By familiarizing yourself with the basic principles of this surgery, you can engage your surgeon in an informed consultation and outline a treatment plan that can provide beautiful, natural-looking results.

Rhytidectomy or face lift is a surgery that is designed to remove wrinkles. It can be performed alone or with an eyelid lift, neck lift or brow lift. A face lift places facial skin and muscles in a way that gives the face a more youthful shape that age, environment or weight loss have changed. Excess skin is lifted and then removed; inner support sutures are placed to maintain the results. Fat tissue can also be removed to sculpt and detail the face.
Incisions are placed on front of and behind the ears towards the hairline; and from the ear up towards the head, also behind the hairline. In some cases this last incision can be continued to the top of the head to lift the forehead, too. They are hardly visible after healing. The results of a face lift can last seven to ten years, in some cases less time. Results also depend on how much patient takes care of their skin with proper skin care products for home use and professional treatments as follow up. Sun block as well as proper nutrition is very important.

The lip augmentation can be performed with local anesthesia if the patient prefers. It increases the size of the lips and can be done on men or women. This lipaugmentation is performed with fillers, which are temporary, lasting about 9 months to a year, in some people a little longer.

Also known as dermal fillers and soft tissue fillers. Fillers are a type of minimally invasive aesthetic medicine used to add volume, alter the contours of the face, and fill in wrinkles. Common areas to inject fillers are in the face, neck, and hands, resulting in a fuller, smoother and more youthful appearance. Dermal fillers are among the most popular aesthetic procedures because they carry immediate results, very few risks and little recovery time.

Otoplasty or pinning of the ears is a procedure that is performed to place the ears close to the head. Most commonly performed in children, but can be performed in adults, too. It can be done under local or general aneasthetic. Incisions are placed in back of the ears and disappear with time. Sports or activities where the ear can be forced forward should be avoided.

Also known as mastopexy and breast lift surgery A breast lift addresses sagging and uneven breasts, decreased breast volume and drooping nipples and stretched areolas (the darker area surrounding the nipples), recreating a youthful shape and lift to your breasts. If there is too little or too much breast volume, a breast augmentation or breast reduction might be recommended in addition to a lift. Every year, thousands of women undergo successful breast-lift surgery, experience no major problems and are pleased with the results.

Breast augmentation, also referred to as a “breast enlargement” or “boob job” , involves using breast implants  to increase the size of your breasts, to restore breast volume lost after weight reduction or pregnancy, to achieve a more rounded shape and to improve natural breast size with asymmetry. The result of a augmentation can Increase fullness and projection of your breasts and enhance your self-image and confidence.

You may be a candidate for breast augmentation surgery if :

  • You are physically healthy and you aren’t pregnant or breastfeeding
  • You have realistic expectations
  • Your breasts are fully developed
  • You are bothered by the feeling that your breasts are too small
  • You are dissatisfied with your breasts losing shape and volume after pregnancy, weight loss, or with aging
  • You are unhappy with the upper part of your breast appearing “empty”
  • Your breasts are asymmetrical
  • One or both breasts failed to develop normally or have an elongated shape

Also known as lipoplasty and body contouring surgery

Liposuction surgery sculpts your body, eliminating unwanted pockets of exercise and diet-resistant fat from the buttocks, hips, love handles, saddlebags, thighs, calves, ankles, breasts (including male breasts), back, arms and neck. Liposuction is often combined with other procedures to create a desired shape and is one of the safest and most popular cosmetic procedures.

Also known as female genital plastic surgery or aesthetic vaginal surgery Vaginal rejuvenation usually combines vaginoplasty (“tightening” of the vagina) and/or labiaplasty or vulvaplasty (reshaping of the vulva or labia, the outer and inner lips of the vagina). It has become an increasingly popular option for women. For individuals who desire recontouring after childbirth, significant weight loss, aging or injury to genital structures, vaginal rejuvenation offers increased self-confidence and comfort.

Also known as abdominoplasty Tummy-tuck surgery or abdominoplasty, can flatten your abdomen by removing loose, excess fat and skin and tightening muscles in the abdominal wall. It can also remove some if not all of the stretch marks in your lower abdomen. It is popular following pregnancy, massive weight loss or whenever a flabby abdomen with weak muscles impairs body contour. Most patients report improved self-esteem as a result of this procedure.

Also known as Botox or Botulinum Toxin Type A Botulinum toxin (Type A) is a cosmetic injection that blocks the nerve signals that cause muscles to contract. This effect relaxes and smooths the look of lines and wrinkles caused by repetitive movements on the face—most commonly, between the brows, crows-feet around the eyes, and horizontal forehead creases. Botulinum toxin is also used cosmetically to balance facial asymmetry and relax tight neck bands, as well as medically to reduce perspiration and to treat migraine headaches and muscle spasticity.

Breast reduction surgery will make your breasts smaller and firmer. Without the excessive weight of large breasts, you may find greater enjoyment in playing sports and engaging in physical activity. Breast reduction often makes a dramatic change in your appearance. For this reason, it may take some time to adjust to your new body image. Most women, however, eventually become comfortable with their smaller breasts and feel very pleased with the results of surgery. In fact, the level of patient satisfaction resulting from breast reduction is among the highest of any plastic surgery procedure. 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 breast reduction before having children and feel that they can address any subsequent changes later. If you plan to breast-feed in the future, you should discuss this with your plastic surgeon.

An eyelid lift or blepharoplasty corrects upper and lower droopy eyelids, bags under the eyes and deep crow’s feet. This plastic surgery procedure removes excess skin and fat pads that protrudes. Incisions on upper eyelids are placed on the fold, and are not visible after healing. On the lower lids, incision in placed directly under the eyelashes; it can also be performed through the inside of eyelid. Recovery from eyelid lift is a week to ten days. Exercise can be initiated after a month, and sun needs to be avoided for two more weeks.

Dermapen’s advanced skin needling technology uses multiple needles that vertically pierce the skin with an automatic vibrating function. When moved across the skin’s surface it stimulates natural collagen reproduction, whilst allowing fine channels to be created in the skin. The channels can carry up to 80% more topical nutrients, allowing for treatment delivery deep into the skin’s fibroblasts to feed the underlying cells found in the dermis and basal layer. This increased absorption of active ingredients into the skin creates stimulated repair and faster resurfacing results.More informaton