Project Description

The cornerstone of every plastic surgery practice is skin cancer excision. Dr Taylor specialises in removal of skin lesions, in reconstructive surgery for scar revision, and in hand microsurgery.

As reconstructive surgery can take on many forms, it is beneficial arranging an initial consult with Dr Taylor to discuss your specific needs.

 

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Any Surgery no matter how minor must be &
be entered into with careful thought and planning.

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Types Of Reconstructive Surgery

I’ve been performing reconstructive surgery Canberra for over 15 years.  I excise about 600 malignant skin tumours each year.  Even though a skin lesion might not be life threatening, its growth can destroy surrounding healthy tissue.  Many of the lesions I remove are on the face, and the excision must be as inconspicuous as possible, both from an aesthetic and clinical viewpoint.  Small skin flaps or grafts may need to be transferred into the excised site to prevent facial distortion.  These procedures will be discussed with the patient following an assessment of the size, location and likely pathology of the tumour.

Lesion removal may be performed in our accredited minor operations theatre downstairs in Sole’vita Surgery.  All surgery is performed in a licensed and accredited theatre with a full surgical team involved. 

Scars from accidents, illness or previous surgery can be of aesthetic concern or create a functional problem, for instance a pulled down eyelid can cause permanent watering.  Scars can be improved by re-excision, realignment, or by rebuilding the contour of underlying tissue in the case of depressed scars.  Functionality can be restored by freeing up dense, binding scar tissue.  Re-excision will create a new scar and the quality of this scar is dependant on the nature of the original injury, its location, and the patient’s healing ability.  It is rare I find a problematic scar that can’t be improved by surgery or the application of silicon pads.
Dr Taylor performs hand microsurgery for correction of problems such as Dupuytren’s contraction and release of carpal tunnel.  
In the day where cosmetic surgeries are getting bigger, it is refreshing to see a simple procedure making such huge impact.

The Lip Lift can take downward sad looking lips and turn them into a smile.   Dr Alastair Taylor, Plastic and Cosmetic Surgeon performs this procedure under local anaesthetic at The CAPS Clinic, an accredited day surgery.   Simple and cost effective this procedure is growing in popularity.  For more information contact Lissa on 6282 1177.

Considerations

Many surgeons perform this type of surgery in a private hospital but there are some who will operate in their own private rooms.  Hospitals should be state and federally licensed to operate, they should also have accreditation with an external body such as ISO or ACHS.  Private rooms often do not have this form of license or accreditation and therefore may not be able to provide adequate support in the case of emergency.  So the questions you should be asking are:

  • Where is the surgery performed?
  • Does the hospital hold a State Licence and is it Accredited, or will your surgery take place in the your surgeon’s rooms?  (Consulting rooms often do not have appropriate equipment or adequate drugs to handle medical emergencies).
  • Will the surgery be performed under sedation or general anaesthetic?
  • Is there a qualified anaesthetist present or is the Surgeon managing your anaesthetic as well as your surgery?
  • Are there adequate staff present to handle an emergency (either medical or environmental)?
  • Will qualified nurses be taking care of you post operatively or will you be left unsupervised as you recover from your anaesthetic?

Answeringthese questions should reassure you both the surgeon and the facility can manage any unexpected situations and significantly reduce the risk of your surgery.

The world is moving towards to ‘shorter stay’ surgery but is this really what we want as patients?  Certainly some surgeries are minor, require simple anaesthetic and minimal recovery, these surgeries are well suited to a ‘day stay’ procedure.  However the issue faced by these facilities is the ‘what if’.

  • What if the patient does not recover well from surgery?
  • What if the patient is nauseous after surgery?
  • What if the patient cannot cope with the pain of the surgery?
  • What if something happens in theatre which may delay the recovery of the patient?

Surgery should only be performed as day case if the hospital has the ability to keep the patient overnight or transfer them to a private licensed hospital.  The patient should be made aware of any costs incurred if this is required.

Some surgeons prefer to perform this surgery as a day case, at CAPS we believe in providing an overnight stay.  We want our patients to take their time to rest and recover.  It also provides us an opportunity to ensure their pain relief and post op nausea (if present) is well controlled before being discharged to the care of their family or friends. 

Dr Taylor uses drains postoperatively.  The use of the drains provides a number of benefits to the patient.

Following surgery, fluid builds up around the implant, drains remove this fluid and therefore the swelling and stretching is reduced as is the pain associated with this.  The fluid can hinder the attachment of the implant to the breast and therefore the risk of rotation is lower and finally the drains provide Dr Taylor with a clear picture of what is happening inside – if there is a problem it can be seen in the drain and acted on immediately rather than when you are at home and not sure what to do.

In the excitement of the surgery patients often overlook the importance of preparing for it.  What  patients do in the lead up to surgery and knowing how to plan appropriately for your recovery can make the difference between an anxious process or a more relaxed one.

Because we were frequently approached by patients who wanted to know what they could do in preparation for the surgery we put together a “pre-surgery program”.  Now seven years later we know the value of this program and offer it to our patients as part of the service we provide.

If your surgeons doesn’t offer this then you can do it yourself.  We use a multivitamin to ‘detox’ the body which aids recovery getting patients back on their feet faster.  We also use a herbal medication to reduce the bruising and swelling associated with the surgery, again we have found this to be highly effective.

Knowing what to expect is vital to the planning of your recovery.  Understanding what you can and cannot do will ensure you are not put in a position where you put yourself or the success of your surgery at risk.  All this will depend on your personal situation.  How much time do you need off work? Do you need to drive?  Do you live alone?  Do you have a family that relies on you? Do you have small children? Do you have to lift children or heavy objects in your day to day life? Do you play sport? What is going on in your life for the first six weeks after surgery?

Again answering these questions will ensure you have planned appropriately for your surgery and your recovery.

With the operation behind you, you may be feeling sore and anxious about how you will cope over the next few weeks. The best thing you can do is REST. The body cannot heal and function at the same time – that is why you need to SLEEP.

Taking regular pain medication will ensure you remain comfortable – follow the instructions given to you at discharge – DON’T BE HERO – there are no prizes for not taking it.

Results may be compromised by complications, always contact us if you;

  • are unable to cease or slow bleeding of the wound after applying pressure to the area.
  • feel any heat or increasing pain developing in your wound.
  • notice excessive swelling and bruising accompanying pain and tenderness.

Rapid intervention will reduce the chance of a complication becoming a real issue.  Ensuring you have planned appropriately for your recovery will make an enormous difference.

Most importantly – Relax and ENJOY IT.  When else are you going to get the opportunity to catch up on the lastest DVD series or read that book getting dusty in the corner?

 

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Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner (eg. your GP).