Plastic Surgery in Nairobi, Kenya.

Plastic surgery is much more than cosmetic surgery, or what people refer to as “beauty surgery”. The speciality of Plastic Surgery consists of four main components: reconstructive plastic surgery which is all about restoring appearance and function to the human body after illness or accident, aesthetic plastic surgery (also called “cosmetic surgery”) which is done to change the appearance from choice, hand surgery which deals with all conditions affecting the soft tissues and bones on hand and fingers, and burn surgery, where patients receive surgical help either during the acute stage of the injury, or later, when deformities caused by burn wounds need to be reconstructed.

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All four fields form part of the surgical expertise a qualified and certified specialist in plastic surgery displays and uses during everyday practice. Although you hear people mostly talking about cosmetic plastic surgery, the main work of the modern plastic surgeon is reconstructive: covering all aspects of wound healing and reconstruction after congenital, acquired and traumatic problems, for the restoration of function and appearance. Aesthetic surgery plays an important part in the working week, depending on the special interests, expertise and skills of the surgeon.

At Valentis Beauty, our extensive experience of reconstructive plastic surgery techniques informs our practice when we engage in aesthetic surgery.  In turn, our work on form, shape and appearance helps us when we are carrying out reconstructive procedures. Etymologically, the adjective “plastic” in plastic surgery stands for “sculpting, modelling or moulding” and derives from the Greek word plasticos.

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Facelift Surgery

A face-lift (also sometimes known as a rhytidectomy) is a rejuvenation procedure that is performed to restore a patient’s face and neck to a more youthful – but still natural looking – version of themselves. A face-lift is used to address age-related problems with the lower half of the face, from the eyes and ears downwards. Anything above the eyes is treated with a brow-lift.

Brow Lift

Also known as a forehead lift, a brow lift minimizes the creases that develop across the forehead, or those that occur high on the bridge of the nose; it improves what are commonly referred to as frown lines; and repositions a low or sagging brow.

Eyelid Surgery

Upper or lower eyelid surgery in Kenya

Upper blepharoplasty is an eyelid surgery procedure used to remove excess skin and puffiness from the upper eyelid – the area that makes you look tired and worn out. Lower blepharoplasty involves reducing the depth of your teartrough area, reducing puffiness (“baggy eyes”) and wrinkling from below your eyes.  After blepharoplasty, your eyelids will look fresher and more youthful.

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Ear Correction

If protruding or disfigured ears bother you or your child, you may consider plastic surgery. Ear surgery — also known as otoplasty — can improve the shape, position or proportion of the ear. It can correct a defect in the ear structure that is present at birth that becomes apparent with development or it can treat misshapen ears caused by injury.

The goal of corrective ear surgery is to restore balance and proportion to the face and shift unwanted attention away from prominent or misshapen ears. Correction of even minor deformities can have profound benefits to appearance and self-esteem.

Neck Lift

Sometimes a necklift forms part of a face lift, where sagging skin and soft tissues of your face are redraped in order to restore volume and smooth out the features of your face. The same can be done with the neck individually, as age often shows first here. If you are concerned about wrinkling, sagging or unnatural vertical lines on your neck and below your jaw line, a neck lift procedure can restore the contours and tighten the skin.

Skin Lesions

Surgery for harmless moles or skin cancer

The incidence of most skin cancers increases the older we get.  They tend to occur on sun-exposed parts of the body.  Often sun exposure early in life will result in a skin cancer many years later.  Plastic surgeons commonly treat skin cancer because they have the techniques to close wounds sometimes by skin grafts or flaps, but often by simpler means.  This means that we can confidently remove the tumor knowing that the wound can be repaired.  The priorities for treatment are complete removal of the cancer, achieving rapid healing, getting you back to normal and getting the best possible appearance.

The same can certainly be done for harmless lesions on your body, that are aesthetically unpleasing and which you want removed with minimal scarring.

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Breast Augmentation (Enlargement)

Also known as augmentation mammaplasty, breast augmentation surgery involves using implants to fulfill your desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy.

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Breast Augmentation (Enlargement)

Also known as augmentation mammaplasty, breast augmentation surgery involves using implants to fulfill your desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy.

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Breast Uplift

Commonly referred to as a breast lift or boob lift, mastopexy surgery raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.

Breast Reduction

Patients who undergo breast reduction surgery frequently are seeking relief from physical symptoms  caused by the excessive weight of large breasts. Breast reduction usually can solve these problems as well as improve the size and shape of your breasts. Following breast reduction, your breasts will be more proportional to the rest of your body, and clothes will fit you better.

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Nipple Surgery

  • Inverted Nipple
    Inversion of nipples is a very common condition, which can be quite disturbing to the patient. Many people do not realise that inverted nipples can be corrected simply under local anesthetic.

  • Nipple Reduction
    Enlarged nipples occur in both men and women and can cause significant embarrassment particularly when wearing close fitting clothing. It is possible to suffer from enlargement of the nipple itself or the brown area around the nipple (the areola). Abnormalities of the nipple can be treated with:
  • Reduction in the size of the areola
  • Surgery to make the areola more rounded
  • An operation to reduce the tissue beneath the areola and reduce its domed appearance

Breast Implant Revision

You may have previously undergone breast surgery with implants and now feel that you want to change the size or shape, or have the implants removed or changed. This can be out of cosmetic reasons, but often also due to medical reasons. In capsular contracture for example, a tight band around your implant forms which makes the shape unsightly, and sometimes the breast painful. Surgery for breast implant revision will take all these items into consideration.

Breast Asymmetry

Breast asymmetry is a size or shape difference between your breasts. It can be improved with surgery which may include a breast uplift, reduction or enlargement.

Breast Reconstruction

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.

Reconstructive breast surgery is a multi-disciplinary treatment, coordinated with cancer surgeons and cancer specialists (known as oncologists).  Reconstructive surgery aims to rebuild the breast, either wholly or partially, to normalise the look of the breast and leave the patient with a symmetrical bust.  It also aims to improve the patient’s body image and self-esteem, helping the process of recovery on a physical, emotional and psychological level. Breast reconstruction can be a complex procedure, often involving microsurgery techniques.

Tuberous Breast Correction

Tuberous breasts (also known as Tubular / Constricted breasts) are an abnormality in the breast shape. This condition is genetic and characterised by a tightened, narrow base to your breast.

Many people do not realise they have this condition, so if you are concerned about the appearance of your breasts it may be best to schedule a consultation to discuss the options for you.

Male Breast Reduction

Gynecomastia is a relatively common and emotionally distressing condition, causing prominent male breasts or “man boobs”. Gynecomastia surgery uses a variety of cosmetic surgery techniques like excision and liposuction in order to resore the shape and size of the male chest.

Tummy Tuck

A tummy tuck is also known as an abdominoplasty procedure. This is an operation normally aimed to remove the excess skin and tissue from the lower part of the abdomen. There are a variety of abdominoplasty procedures available, and operations are being tailored to suit a patient’s wishes and needs. Generally speaking, tummy tucks are most commonly carried out to remove excess skin n, for example after substantial weight loss, for to remove unwanted scars, stretch marks or excess fat.

Abdominoplasty is not an operation for people who are overweight, or as an attempt ata weight loss tool losing weight. However,  Inin appropriate patients who have already lost some weight, an abdominoplasty can have a very marked effect  and is, in our experience, associated with high patient satisfaction, enabling a healthier lifestyle.

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Liposuction

If you are considering losing weight and shaping up, and have been doing your best to lose those kilos, but cannot get rid of the last pockets of fat, then liposuction is a procedure which can give you the shape that you envision. It is important to remember that this treatment is not a cure, but can help to correct and improve bodily contours in areas that are resistant to weight loss.  As a surgical technique, liposuction works by removing pockets of fat in areas that are beyond the reach of diet and exercise. It should not be thought of as a substitute for losing weight.

The areas that are most commonly treated by liposuction are:

  • The tummy and flanks (“love handles”)
  • The thighs (“sattlebags”)
  • The buttocks
  • The knee and lower leg areas
  • Upper arm area
  • The neck
  • Excess tissue in men and women in the breast and chest area

Arm Lift

Arm lift surgery is also known as brachioplasty. The operation can remove excess skin and fat, leaving the upper arms with a slimmer, more pleasing and youthful contour. As a person ages, upper arm skin often becomes loose and flabby.  brachioplasty, or upper arm reduction surgery, involves reducing this skin through an incision that runs on the inner part of the upper arm all the way from the elbow to the axilla, often crossing into the arm pit.

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Thigh Lift

A thigh lift 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.

In thigh lift surgery, the tissue of your inner and outer thigh regions are pulled upwards and inwards.  The potential results can be simulated by pulling up the skin of your inner and outer thigh with your hands (rather like pulling on a pair of stockings).  You can see the wrinkles and excess tissue disappear.

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Body lift surgery

Body lifts are a plastic surgery procedure that’s purpose is to tighten, tone, and lift the abdomen, buttocks, breasts, and thighs. Excess sagging fat and skin are removed to treat conditions caused in part by poor tissue elasticity. A well-toned body with smooth contours often is a sign of fitness achieved by healthy diet and exercise.

But exercise cannot always achieve desired results for people who have loose, sagging skin and uneven contours. Aging, sun damage, pregnancy and significant fluctuations in weight as well as genetic factors may contribute to poor tissue elasticity and can result in sagging of the abdomen, buttocks, thighs and upper arms.

Excess sagging fat and skin are removed to treat conditions caused in part by poor tissue elasticity. In addition, the procedure(s) can improve a dimpled, irregular skin surface, commonly known as cellulite.

A body lift may include these areas:

  • Abdominal area, locally or extending around the sides and into the lower back area
  • Buttocks, that may be low, flat or shaped unevenly
  • Groin that may sag into the inner thigh
  • Thigh, including the inner, outer, or posterior thigh, or circumferentially

What it won’t do

  • Body lifts are not intended strictly for the removal of excess fat.
  • Liposuction alone can remove excess fat deposits where skin has good elasticity and is able to naturally conform to new body contours.
  • In cases where skin elasticity is poor, a combination of liposuction and body lift techniques may be recommended.

Genital procedures

Labia minora reduction surgery or labiaplasty is a surgical procedure meant to reduce the size or change the shape of a woman’s labia minora (the inner vaginal lips). It is often performed on women who feel that their labia minora are uneven or too large. Enlarged labia minora is a medical condition known as labial hypertrophy, and can cause discomfort while performing certain activities or wearing tight clothing as well as embarrassment with a sexual partner.

This can be caused by childbirth, age, and hormonal changes, or it may simply be present from birth.

Labia minora reduction surgery does not mean that the enlarged labia is removed altogether. Instead, the labia minora are contoured, reshaped, and reduced in size with as little cutting as possible.

Fat grafting / Lipofilling

Fat grafting, also known as fat injections or fat transfer, can provide long-lasting facial rejuvenation without relying on manufactured substances. Fat grafting involves taking excess fat cells from a donor area of your body and injecting them into facial areas targeted for rejuvenation, or other areas of your body that need to be enhanced. The procedure can be very useful for smoothing out wrinkles and fine lines, as well as adding volume to facial features such as the lips and cheeks. Fat grafting can sometimes be combined with a liposuction procedure, which can provide the fat for the facial rejuvenation procedure. The harvested fat is purified after removal, and then injected into the target areas. Although results vary with each patient, the effects of fat grafting can last for years.

  • Bro-tox
  • Abdominoplasty
  • Liposuction (Fat removal)
  • Male Chest Reduction (Gynaecomastia)
  • Lower Facelift & Neck
  • Blepharoplasty(Eyelid/Eyebag Surgery)

Gynaecomastia surgery:

Gynaecomastia surgery in Kenya

Gynaecomastia is a common condition characterized by the benign enlargement of breast tissue in males and can occur at any age. It may occur transiently in newborns. Half or more of adolescent boys have some breast development during puberty. Newborn males frequently experience temporary gynaecomastia due to influence of maternal hormones, male adolescents also frequently experience a temporary form of gynaecomastia during puberty, and older males often experience a longer-term form of gynaecomastia.

The condition can be the result of hormonal changes or an imbalance of the hormones
estrogen and testosterone, heredity, obesity, or the use of certain drugs.

Gynaecomastia may arise as an abnormal condition associated with disease, such as metabolic disorders, as a side-effect of medication such as anti-ulcer drugs or medication for heart disease, illegal drugs, such as cannabis or anabolic steroids, drinking too much alcohol, a health abnormality such as kidney failure or liver disease, lumps or infection in the testicles or Klinefelter syndrome.

Patients who undergo gynaecomastia surgery frequently are seeking relief from emotional discomfort caused by overly large breast. Gynaecomastia surgery usually can solve these problems. The surgery will improve your overall body proportion and increase your social confidence.

Am I a good candidate for Gynaecomastia Surgery?

Gynaecomastia is characterized by:

  • Excess localized fat around the breasts
  • Excess glandular breast tissue development
  • Sometimes excess breast skin
  • Presence unilaterally (one breast) or bilaterally (both breasts)

You may be a good candidate for gynaecomastia surgery if you have one or more of the following conditions:

    • Your condition cannot be corrected through alternative medical treatments.
    • Healthy individual who do not have a life-threatening illness or medical conditions that can impair healing.
    • Non-smokers and non-drug users.
    • You have a positive outlook and specific goals in mind for improving the physical symptoms of gynaecomastia.
    • You are physically healthy and of relatively normal weight.
    • You have realistic expectations.
    • Your breast development has stabilized.
    • You are bothered by the feeling that their breasts are too large.

Gynaecomastia surgery can be performed at any age, adolescents may benefit from surgery,although secondary procedures may be needed in the future should breast development continue. Commonly you will have experienced a life-long struggle with all the problems associated with overly large breasts, and now you feel it is time to do something about it. Ideally, you should have stabilized your weight.

During the consultation, you will be asked about the results you would like to achieve from your gynaecomastia surgery. This will help us to understand your expectations and determine whether they realistically can be achieved.

Preparing for gynaecomastia surgery

In preparing for gynaecomastia surgery, you may be asked to:

    • Get lab testing or a medical evaluation.
    • Take certain medications or adjust your current medications.
    • Stop smoking.
    • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

The success and safety of your gynaecomastia procedure depends very much on your
complete candidness during your consultation. You’ll be asked a number of questions about your health, desires, and lifestyle.Dr Stasch might ask you to get the following results from your blood test that you can do with your GP or endocrinologist:

  • Renal function, Liver function test
  • T4, TSH
  • Hormone profile:
  1. Estradiol
  2. Testosterone
  3. Prolactin
  4. Beta-hCG level
  5. Alpha-fetoprotein (AFP)
  6. Luteinising hormone (LH)

Other tests you might be asked to do after the initial consultation are:

  • Ultrasound of breasts in all cases of suspicious or unilateral breast enlargement.
  • Ultrasound of testes if there is any abnormality on examination, or if there is a raised beta-hCG or AFP.
  • CXR if a lung lesion is suspected.

Gynaecomastia – the operation

There are a number of different techniques used to perform a gynaecomastia surgery,
depending on the size, amount of ptosis and your expectations of the results.

Liposuction Technique

Excision techniques are recommended where glandular breast tissue or excess skin must be removed to correct gynaecomastia. Excision also is necessary if the areola will be reduced or the nipple will be repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference.

MOST of the time the HORIZONTAL scar is avoided altogether, and you will only have the circular scar around your areola.

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Excision Technique

In cases where gynaecomastia is primarily the result of excess fatty tissue, liposuction
techniques alone may be used. This requires insertion of a cannula, a thin hollow tube,
through several small incisions.

The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction.

There are various liposuction techniques that may be used; the technique most appropriate in your case will be defined prior to your procedure.

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Combination of liposuction & excision techniques

Most commonly, gynaecomastia is treated with both liposuction and excision.

After the Gynaecomastia surgery- your recovery

  • You will be admitted on the day of surgery, and your length of stay depends on your recovery. Usually, you will stay in the hospital for 1 – 2 nights.
  • You will have tape dressings applied to stabilize your breasts. A small drain (plastic tube attached to a suction bottle) might have been placed to drain excess wound fluid and blood. This is not always necessary. The drains will usually be removed after 2-3 days. Most people do not find gynaecomastia surgery to be painful.
  • On the day following surgery, we will encourage gentle movements. You will also be fitted with a special support garments which you will be encouraged to wear for 12 weeks following the operation to minimize swelling and support your new chest contour as it heals after surgery.
  • You will be mobile from day one and should be back to full exercise within six weeks. Stitches will need to be removed after 2 weeks. Most people have approximately
  • weeks off work following a gynaecomastia surgery, depending on the type of work you do. It is important in the first 4 weeks to avoid any strenuous activities which can cause stretching to the incisions and disturbance of the new shape.

We will keep a close eye on you after your surgery and would normally see you for your follow-up appointments at regular dressing clinics every 2-3 days and then 6 weeks following surgery, at which point your post-operative photographs will be taken.

Results after Gynaecomastia surgery

Gynaecomastia surgery results are immediate. Most men feel very pleased with the results of surgery, they often start to exercise again and enjoy new hobbies. Satisfaction will continue to grow as you recover from the surgery.

A gynaecomastia surgery is considered a permanent solution unless you gain or lose a
significant amount of weight.

Any surgical treatment to correct gynaecomastia will require incisions. While most incisionmlines are concealed within natural contours, some may be visible and are a necessary result of male breast reduction surgery.

All gynaecomastia surgery scars are permanent, even though some scars may be concealed in the natural contours of the breast. Your improved upper body will likely enhance your selfimage and confidence, whether in a shirt, t-shirt, or baring your chest at the beach.

Any scar goes through a maturation process, which takes a year to complete.

Gynaecomastia surgery risks and safety

The decision to have plastic surgery is extremely personal, and you will have to decide if the benefits will achieve your goals and if the risks and potential complications of gynaecomastia surgery are acceptable.

Whilst these operations are generally safe in the hands of a qualified and experienced plastic surgeon and regarded to be highly successful, there are, as with any operation, risks involved and the possibility of complications that patients need to consider. These risks and others will be fully discussed prior to your consent. It’s important that you address all your questions directly with your plastic surgeon.