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New year, new eyes: all about eye rejuvenation

They say that the eyes are the windows to the soul. But what surrounds the eyes also reveals a lot about a person. Things like dark rings, eyelid bags and crows’ feet are the normal telltale signs of ageing, made worse by factors like smoking and dehydration.

As you get older, muscles lose their tone and the skin around your eyes decrease in elasticity. This causes folds to appear on your upper eyelids and deep creases under your lower lids. It’s also normal for eyebrows to start thinning over time.

While these changes are part of growing old, there are a number of options available to you if you feel you are starting to look old in the eye area. When you consider eye rejuvenation surgery, it’s important to remember that the eye area is more than just the eye and the eyelid. It includes your eyebrows, your upper and lower eyelids and the area where your lower eyelids meet your cheek.

Treatment of one area impacts on another, so the entire eye area needs to be evaluated and treated as a whole. A consultation and examination by your plastic surgeon is essential before embarking on any treatment, so that we may create a tailor-made plan for you. As with most of our procedures, a combination of surgery and non-surgical treatments will give you the best results.


Excess upper eyelid skin

The only treatment for excess skin on the upper eyelid is surgery. An upper eyelid blepharoplasty will remove the excess skin, muscle and any excess fat (if deemed necessary). This can be done under local or general anaesthesia. Expect your eyes to be bruised and swollen for at least a week. Stitches are removed five days after the surgery. Keep in mind that a drooping eyebrow may need to be fixed before or at the time of surgery.


Lower eyelid bags and dark circles

The lower eyelids are the most complicated part of the eye area with regards to rejuvenation. However, if you opt for surgery, a number of ‘problems’ can be addressed in one operation (e.g. it may be combined with a mid-facelift). 

There are numerous factors that need to be considered, such as skin excess, fat in the lower eyelid bags and the loss of fat and volume over the cheek. The tension of the lower eyelid and its position in relation to the eyeball are other factors that may need to be treated. 

If you only have minor dark circles and small bags to treat, these can easily be masked with dermal fillers, which will address the volume loss to create an even surface. 


Laugh lines or crow’s feet

Wrinkles around the eyes are usually etched into the skin, typically caused by smiling/laughing and squinting, and exaggerated by volume (fat) loss over the cheeks. Compare your skin to a balloon that slowly deflates – the deflation cause wrinkling to something that was previously taut. The best solution in this case would be Botox injections over the outer part of the eye or filler over the outer cheek.



If your eyebrows start to droop, the skin excess of the upper eyelid can give someone a tired and sad look. Others develop deep grooves between the brows, resulting in a stern, angry and unapproachable look.

Depending on the severity of the grooves, brows can be lifted with Botox, Silhouette Soft Threads, filler or with a surgical brow lift. If you are experiencing thinning brows, consider microblading tattoos, where each hair is tattooed onto the brow. 


Not sure which type of treatment is right for you? Then please get in touch with us to set up an appointment with Dr Winkler.



Tel: +27 (0) 87 630 0183

Email: dr@drwinkler.co.za 


4 Commandments of Safe Summer Skin Care

There are few things more glorious than spending a few hours on the beach soaking up the sun and getting that signature holiday glow. But these days, with the sun’s rays getting harsher and harsher, it’s a luxury none of us can afford.

South Africa has one of the highest rates of skin cancer in the world and the main cause is chronic exposure to sunlight. That red or brown ‘glow’ that looks great on a selfie now could be the precursor to skin cancer. What’s more, too much sun can cause damage to the structure of skin cells and cause premature ageing.

While we’re not saying you should miss out on all the fun, be sun smart this summer and follow these four commandments to safely catch your daily dose of Vitamin D.


1. Never forego sun protection

Sunscreen is not just for beach days and UV rays are not the same as heat. In other words, you can get sunburnt through your car window or on a cool, overcast day. Look for a CANSA-approved SunSmart sunscreen with broad spectrum sun protection (UVA and UVB). Products usually expire within two years so never use a product that has been opened and used after a year has passed. Be sure to apply sunscreen 20 minutes before venturing out into the sun, and keep reapplying throughout the day. Always wear a hat, sunglasses and protective clothing.

Worried about sun damage to your skin? We offer a number of skin renewal therapies such as chemical peels to rejuvenate sun damaged skin on the face, neck and décolletage. 


2. Fake it till you make it

With the number of excellent self tanning products available on the market, there really isn’t an excuse to overdo it in the sun. Whether you opt for an at-home version, a professional spray tan or even body make-up, no-one will know that you weren’t really just in St Tropez! A fake tan is a great way to appear slimmer and hide things like cellulite and varicose veins.

Know what else is great at dealing with imperfections? Dermapen is a great treatment for things like acne scars and stretchmarks. A roller containing numerous fine needles punctures the upper layers of the skin to create controlled micro ‘injuries’. By harnessing the skin’s natural ability to repair itself, this therapy encourages it to release growth factors that naturally stimulate new collagen production.


3. Keep hydrated

One of the biggest favours you can do for your skin – besides getting enough sleep! – is to hydrate, hydrate, hydrate. Especially if you are going to be active or hang out in the sun, drinking enough water will help keep skin supple and prolong your tan. Also use a rich moisturiser in summer to feed and nourish dry skin and prevent peeling.

Did you know? As your skin ages, it gradually starts to produce less and less collagen – the framework that supports your skin. If you want to regain your youthful, plump look, dermal fillers can add back hydrolic acid to dry, sagging, thin-looking skin to make it appear youthful and plump again.


4. Do a monthly skin self-exam

Just as important as your monthly breast check, so is a regular monthly skin self-examination to check for any changes or irregularities in moles or other parts of your body (such as small grazes that won’t heal). 

CANSA recommends the A, B, C, D, E warning signs for early detection of melanoma (skin cancer):

A – Asymmetry: When one half of a mole is unlike the other half (should be symmetrical)

– Borders: Irregular, scalloped, or poorly defined border.

– Colour: Varied from one area to another (shades of tan or brown, black, red, white, or blue).

– Diameter of 6mm or larger (size of a pencil eraser) should be of concern.

– Evolution: Looks different from the rest, or is changing in size, color, or shape.


If you would like to speak to a specialist about removing any unsightly moles or if you are considering any cosmetic surgery, please get in touch with us to set up a consultation with Dr Winkler.



Tel: +27 (0) 87 630 0183

Email: dr@drwinkler.co.za 


Dreaming of a facelift? What you need to know

Once we get past a certain age, most of us start investigating ways to look and feel more youthful – or at least ways to look as young as we feel! With a number of wonderful non-surgical procedures like Botox and dermal fillers out there, you can start turning back the clock in your 20s and 30s already.

However, as you age, your facial muscles will loosen and skin will become less elastic, creating folds and lines. This is when a facelift operation or rhytidectomy is an ideal procedure for a more alert and youthful appearance. Let’s look at how a facelift can reduce saggy skin and those dreaded wrinkles.


How a facelift can create a more youthful look

You may have read about types of facelifts such as mini and full facelifts. The first thing to note is that, at our practice, a facelift always entails surgery under full anesthetic. We refer to a facelift as a procedure that rejuvenates the mid-face, in other words the cheeks, jowels and neck but not the mouth and chin, and also not the brows or eyes. 

There may be a difference in the way scars are treated, which all depends on how much loose skin a person has on his/her neck. If possible scars will be hidden in the hairline – for a short scar face lift, the scar will be in the hairline and the front of the ear, and for a full facelift the scar will be in the hairline and behind the ear. Scars are usually very well hidden, and tend to fade significantly over time.

Eyes and brows are treated with specific targeted surgery, while the mouth area is best rejuvenated with dermal fillers. We often combine a facelift with other procedures, such as a filling procedure where fat transfers are put in the cheeks for a plump, more youthful look – never tight – or liposuction to remove fat from a person’s neck area. Surgery is also a good opportunity to perform a chemical peel to a person’s skin, improving the appearance of pigmentation, pores and wrinkles.


Am I too young… or too old for a facelift?

If you are under the age of 40, it might be best to delay a facelift for 5-10 years while you can still rejuvenate your skin with non-surgical procedures like Botox, Dermal Fillers or the Silhouette Soft Thread lift. If you feel that surgery is too invasive, thread lifting offers an effective, minimally invasive alternative that is used to treat sagging on the facial contours, jaw line, cheeks, neck and eyebrows in just 40 minutes. 

From the age of 50 onwards, provided you are a non-smoker and in good general health, you will achieve great results from a facelift. The effects usually last for seven to ten years, but remember that your face will continue to age. You will get the best results if you maintain a stable body weight, don’t smoke, and have skin with good levels of elasticity and good bone structure.

Facelifts are not just done for vanity’s sake – it can also be used reconstructively after someone has experienced a stroke, to improve the alignment of the face. What’s more, facelifts are not just for women – we have many male patients who want a more youthful look after a certain age.

Whatever result you desire from your surgery, work with your surgeon to plan a procedure tailored to your needs. This is not a one-size-fits-all procedure, but anyone can benefit not only from a rejuvenated appearance, but also an increase in confidence and self-esteem.

You can expect a 2-3 week recovery time and up to three months for swelling to completely subside. If you want to find out if a facelift is right for you, please get in touch with us to set up an appointment with Dr Winkler.


Tel: +27 (0) 87 630 0183

Email: dr@drwinkler.co.za 


Be more breast aware in the fight against cancer

Breast cancer is one of the most prevalent cancers amongst South African women, which is why October is the month for all things pink and becoming more breast aware. The good news is that there are lots of options should you detect a lump early on or if you’re concerned about your family history of cancer. Here are the need-to-knows to help you stay safe.


Do your monthly breast check 

We recommend that you examine your breasts every month. The best time is just after your period and if you are no longer menstruating, a date at the beginning of each month is ideal.

If you have very large breasts, it can be difficult to do a self-examination. Luckily there are many nursing sisters at local clinics who are trained to perform these examinations and who will be happy to help you get some peace of mind.

Here’s how to do your self-examination:

  1. Stand in front of a mirror, looking out for any visible changes to your breasts. For example, can you see any puckering, dimpling or other changes in skin texture? 
  2. Your nipples: Can you see any changes to the shape or texture of your nipples? Gently squeeze each nipple and look for discharge.
  3. Now put your hands on your hips, over your head and at your side and check for any changes. 
  4. Raise your right arm and use your left hand to examine every part of your right breast. Move in small circles, using the pads of your index and middle fingers, working from the outside in.
  5. Press gently to feel for any lumps or thickenings. You can also use some body lotion to make it easier to massage the area next to your breast and under your arm. 
  6. Now repeat the steps above with the opposite arm and breast. 
  7. Lie flat on your back, put a pillow under your right shoulder and place your right hand behind your head. Again, gently massage and examine your breast for lumps or any other changes.


If you find a lump, don’t panic!

  1. Not all lumps are malignant. Certain lumps or adenomas – for example fibroadenoma – feel like a firm, smooth or rubbery lumps, are painless and move easily when touched. These are common in younger women and may be caused by reproductive hormones.
  2. Make an appointment with your GP, who will refer you to a general surgeon for a biopsy – removing a small piece of the lump in order to examine its cause. 
  3. You will be referred for a mammogram or breast sonar.
  4. Depending on the results, your surgeon will discuss various options with you such as chemotherapy or surgery. Take some time before you make any decisions. Get a second opinion and discuss all treatment options, and ask for a referral to a plastic surgeon to discuss your reconstructive options.
  5. Rally support. Reach for Recovery is an organistaion that provides a wide network of support services. They can be contacted on 083 306 1941 (Cape Peninsula) or 082 357 0497 (Stellenbosch/Somerset West). Visit www.reach4recovery.org.za for more info.


When a lump isn’t bad news

Not all lumps are cancerous, which is why it’s important not to panic when you discover one. Take your time to get tested, speak to different professionals and consider next steps carefully. It’s your body and your future – only you can decide what’s best for it. 

What feels like a lump can be a cyst – fluid filled lumps that develop under the skin – or an absess – when pus builds up within the breast. An abscess can develop as a result of a bacterial infection, for example in breastfeeding women when bacteria enters the breast tissue or if the milk ducts become blocked.


Book a regular mammogram

If you’re on a medical aid, there is a good chance that you will be entitled to a free annual or biannual mammogram from the age of 40. Even if you’re not, it’s a good idea to start documenting the health of your breast in case there are any changes later on. Early detection, diagnosis and treatment can make all the difference when it comes to successful recovery.


Know your family history

We all know that breast cancer can be hereditary so it’s important to know your family medical history. For example, if you’ve had one first-degree female relative (sister, mother, daughter) diagnosed with breast cancer, your risk of getting breast cancer is doubled. If two first-degree relatives have been diagnosed, your risk is five times higher than average. 

A strong family history of breast cancer is linked to having an abnormal gene associated with a high risk of breast cancer, such as the BRCA1 or BRCA2 gene. If you are concerned about your family history, look into getting genetic counselling and testing from a reputable clinic such as Cape Town Genetic Counselling.

If you’ve been diagnosed with breast cancer and want to find out more about reconstructive surgery, please get in touch with us to set up a consultation with Dr Winkler.

If you want to find out more about any of our treatments, please get in touch with us to set up a consultation with Dr Winkler. She offers a range of treatments that can have you looking your best, whatever your age.



Tel: +27 (0) 87 630 0183

Email: dr@drwinkler.co.za 


Botox vs fillers: What’s right for me?

Both Botox and fillers are used in the fine lines that appear on your skin over time. But which one is right for your needs? Let’s look at the differences between the two types of treatments.

There are so many skin rejuvenation treatments available these days, it can be confusing to know which one is right for you. Botox and dermal fillers are often mentioned together as they are both injectables, however they have very specific – yet complementary – roles to play.


Botox relaxes muscles while fillers plumps skin

In a nutshell, Botox works well for lines of expression – in other words in parts of the face that move (furrow, forehead and crow’s feet) – while lines at rest need fillers to plump them up (e.g. laugh and lip lines).

Botulinum toxin or Botox is a temporary muscle relaxant that is injected into the muscle beneath a wrinkle that is causing the lines (whether it’s to frown, smile, etc). It is a natural, purified protein that is also used to treat medical conditions, from migraines to excessive sweating. It has been around for decades and is the most tested product on the market, certified in the medical and cosmetic field.

It works by partially blocking the nerve impulse to the muscle with the effect of decreasing the contraction of the muscles. Less muscle contraction results in less wrinkling of the skin. The great thing about Botox is that it takes only a few minutes to do and there is no real downtime. Some people may experience slight bruising and swelling afterwards but this can easily be masked by make-up. Compared to fillers though, the effects of Botox don’t last as long and most people need a top-up after about four months.

We usually advise patients who are pregnant or breastfeeding to hold off on treatment until they are finished nursing.


Fillers help restore the elasticity of your skin

As your body ages, it starts to produce less and less collagen – the framework that supports your skin. If you imagine the scaffolding under your skin breaking down, skin will naturally start to sag, look dry and appear thinner and less elastic. Hyaluronic Acid (HA) – the ingredient of fillers – is a naturally occurring ingredient of the skin that dermal fillers add back to make it appear youthful and plump again.

The procedure entails the injecting of skin with HA through a tiny needle to fill in and smooth away facial wrinkles and folds and redefine lips. Fillers can also to add structure or volume to the cheeks, brows, and lips. The effects of fillers last for up to a year. Like Botox, treatments like dermal fillers are not suitable for pregnant women.


So to sum up: Botox works wonders for treating lines and wrinkles while fillers work for loss of volume. The two treatments can work beautifully together if you consult with an experienced doctor like Dr Winkler, who will create a tailormade treatment plan for your skin goals.


If you want to find out more about any of our treatments, please get in touch with us to set up an appointment with Dr Winkler. She offers a range of treatments that can have you looking your best, whatever your age.


Tel: +27 (0) 87 630 0183

Email: dr@drwinkler.co.za 


Treatments to make you look and feel great at any age

Nurturing your skin from a young age is one of the best secrets to looking and feeling great later in life. But, over time things get somewhat out of control and you may find yourself with spots, scars, wrinkles or sagging. Things you feel you didn’t sign up for!

Fortunately, with new advancements in skin care technology, there are new things to try every day. You might even say people are getting (looking!) younger by the day. Some say 40 is the new 30…or is 50 the new 40? Regardless of your age, celebrate your beauty and take a look at the treatments we recommend to revamp your look.


In your 20s

You probably think that you have years ahead to get a proper skincare routine perfected and you’re not wrong. But whatever you do now will determine how you age and how good your skin will look in later years.

If you struggle with pigmentation, a chemical peel treatment from our partner clinic, Dermalaser, offers great results. During this skin-resurfacing procedure, a chemical solution is applied to the skin to peel away the accumulation of dead cells on the surface of the skin, enhancing cell renewal and increasing the moisture content of the skin. This type of treatment will also help those who suffer from acne scars left behind from teenage years.

Never tried Botox before? You can never start too early and fans say that if you ‘teach’ your face not to frown, you will never develop frown lines. Botox works by partially blocking the nerve impulse to the muscle with the effect of decreasing the contraction of the muscles. 

If you choose to enhance your beauty, you could also plump up your lips with lip fillers. Popular with celebs, fillers not only adds volume to lips but can also be used to correct asymmetry.


In your 30s

Your thirties are the time when skin starts to lose its elasticity and dark sun spots start to appear. You may want to consider laser resurfacing therapy or Dermapen (medical needling), both of which naturally stimulate new collagen production.

The thirties are also when most women decide to have children and when pregnancy wrecks havoc with your body, causing stretch marks, sagging and weight gain. This might be the time to consider a mommy makeover such as liposuction or a tummy tuck for a more svelte body.

Liposuction is a surgical technique that can help you rid specific areas of your body of fatty deposits – areas that you cannot diminish through diet and exercise. A tummy tuck specifically targets the abdominal area, removing excess fat and skin from the abdomen and flattening the abdominal profile.


In your 40s

If you haven’t spent anything on yourself yet, your forties are definitely the time to start! Your kids are probably older now and you have more time to exercise and get into shape. Many women take this opportunity to indulge in a breast lift or implants, while others turn to non-invasive therapies such as thread lifting.

Thread lifting provides an effective, minimally invasive alternative to a facelift. A thread lift is a unique solution with immediate, natural effects used to treat sagging on the facial contours, jawline, cheeks, neck and eyebrows.


In your 50s & 60s

As you get older, your skin typically starts to droop around your eyelids, which is why many women achieve a more youthful, ‘open-eye’ look through eyelid surgery. Others go for the full monty – a facelift – which will give you a more alert and youthful appearance by reducing saggy skin and wrinkles. Choose from a whole face (a full facelift) or just your brow area, lower face or neck.

You can also go a step further by opting for hand rejuvenation therapies. Using a combination of volume enhancing fillers to moisturise and plump up skin, and chemical peels to treat age spots or liver spots, you can give your hands a more youthful appearance.


If you want to find out more about any of our treatments, please get in touch with us to set up an appointment with Dr Winkler.


Tel: +27 (0) 87 630 0183

Email: dr@drwinkler.co.za


Scarring – which treatment is right for you

Unless you go through life wrapped in cotton wool, chances are that you have a scar or two. Everyone has one somewhere, whether it’s from a childhood tumble, having a mole removed or the dreaded stretch marks most of us suffer from after childbirth or losing weight.

The good news is that all scars naturally improve with time. Secondly, there is always something you can do to remedy scars (even if it’s a bit of self tan!), but it’s important to understand at what stage of the healing process you are. On the flip side, everyone’s skin is different and people heal in different ways so one can’t take a one-size-fits-all approach to treating scars. Age, skin tone and genetics all play a role in how your scar will appear.


The earlier you treat a scar, the better

With treating a scar, we don’t mean slathering on oils and booking your appointment with a plastic surgeon a week after your fall or surgery. Scars take time to heal. Even if they look ‘ready’ on the surface, you need to give your body a chance to repair all the tissue underneath.

We often compare the healing process of a scar with that of building a road. There are months of prep work involved in laying the foundations and lots of stages to go through. If you think of how much need to happen before you paint the stripes onto the road, that’s how much is involved in the healing of your skin. And that’s why it’s important to stay patient and let your body complete its natural healing process. Therefore, as a rule, we advise patients to wait at least one year before commencing any treatments.


During that time, apply the 4 M’s of early scar management:

  1.  Moisture: Keep the wounds closed until they are healed and sealed, ± 2 weeks. Then apply aqueous cream (no Vitamin E oils at this stage). Products that can be used once the wound is sealed:
    – Retinoid creams
    – Scar Science or other wound healing creams
    – Silicone plasters or gel
  2.  Massage: Massage and pressure dressings speed up the maturation of the wound.
  3.  Micropore tape. Taping the wound for up to 3 months prevents friction across the wound.
  4.  Meticulous sun care. Sun exposure will darken the scar and a dark scar is more obvious and more difficult to camouflage compared to a light scar.

Recent scars and the types of treatments available

As we mentioned before, scars that are about six months to one year old are seen as new scars and will usually still be red. They respond well to these types of laser treatments:

  • Fractional laser resurfacing: With this treatment, the laser penetrates the skin and stimulates new collagen production and collagen remodeling, resulting in a faster healing process.
  • Pulsed dye laser (PDL): The PDL works by delivering an intense beam of light to the redness in the blood vessels on or just below the skin. This light is converted to heat which causes the blood vessel to shrivel, decreasing the redness of the scar.


Treating older scars

Even scars that are a number of years old can be rejuvenated or, if necessary, surgically removed or disguised.

  • Surgical scar revision: Sometimes, the angle of a scar can be improved upon – for example, disguising it in a wrinkle or crease. Your plastic surgeon can surgically remove an old scar and even out any lumps and bumps. This is only done once the scar has matured.
  • Medical needling (Dermapen): A roller containing numerous fine needles punctures the upper layers of the skin to create controlled micro ‘injuries’. By harnessing the skin’s natural ability to repair itself, this therapy encourages it to release growth factors that naturally stimulate new collagen production.


Keloid scars: a combination of treatments

Keloid scars are notoriously difficult to treat and no single treatment has been proven to work in all cases. Keloid scars develop during the healing process after a skin injury. They are mainly composed of collagen and have a rubbery, shiny, raised appearance. We usually advise a combination of treatments, many of which slows down the ‘overhealing’ process to stop inflammation to the skin area. These include steroid injections, needling and silicone gel pressure dressings.


If you’d like to find out which treatment is right for you, please get in touch with us to set up an appointment with Dr Winkler.


Tel: +27 (0) 87 630 0183
Email: dr@drwinkler.co.za


Restore & improve your post-pregnancy body

By Dr Cordula Winkler

Morning sickness. Heartburn. Fatigue. Cravings. Weight gain and skin changes. The joys and demands of pregnancy and motherhood do take their toll on our bodies and may make us feel as if they no longer belong to us.

Unfortunately, even after some normality returns to our lives, our bodies don’t just snap back into shape. As a result, an increasing number of mothers are turning to cosmetic surgery to assist them to look and feel their best. The so-called “Mommy Makeover” is a marketing term and not a surgical one and as such should not be misunderstood.



Plastic surgery procedures for mothers are designed to counteract the physical effects of childbearing, while restoring and enhancing your body. Due to the nature of pregnancy, the most common areas that need to be addressed are the breasts and abdomen.

In general, the surgeries most required and requested by moms are breast augmentation, breast lift (mastopexy), tummy tuck (abdominoplasty) and liposuction.

A plastic surgeon can help you devise a personalised makeover plan that targets your areas of concern. This will include a discussion regarding your needs and expectations and the options available to you. Since each woman is unique, it is important for the surgeon to advise you on the treatments best suited to your body.

As an example, some moms need a breast augmentation to correct severely deflated breasts, while others may need breast implants in combination with a breast lift. More voluptuous women may desire a breast reduction with a lift.

In the tummy area, many women need a full abdominoplasty with removal of excess skin and fat, while others may only need a mini-abdominoplasty.

Most women will also benefit from body sculpting – using liposuction to target the back, hips and thighs and enhance the overall changes.



In general, I recommend that moms wait six months or more after having a baby before considering cosmetic surgery. This allows time for your body and your life to normalise. Some other practical questions for mothers to ask themselves before deciding to embark on a makeover are:

Do you intend to have more children? If you plan to have more children, wait. The muscles in the abdomen (which are tightened during a tummy tuck) can re-separate and the shape of your breast will certainly be affected.

Is your weight stable? While you may not achieve your pre-baby weight, diet and exercise before having plastic surgery can help maximise the results and being at a stable weight before surgery is important.

Are you still breastfeeding? You should wait until you are finished breastfeeding before having any breast surgery, because the enlarged ducts and increased blood vessel activity of the breast during nursing increases bleeding and the risk of infection.



Being a mom is a full time job and with little ones to care for or older children to look after, understanding the restrictions of the recovery process is vital. The recovery process will vary based on your specific makeover surgery, but moms should consider some practical aspects to ensure the recovery goes as smoothly as possible:

    • Consider selecting a facility that offers a surgical retreat where you can spend at least the first 24 hours after surgery. This will obviously require that you arrange a sitter to assist with the children.
    • Driving is usually not allowed for two weeks post-surgery, so alternative transportation arrangements should be planned.
    • Heavy lifting, including of children, and vigorous physical activity should be avoided for up to two weeks. You can expect to return to your pre-surgery fitness regime after three months.
    • Wound dressing and care are important to minimise scarring and ensure infection control. A surgical chaperone who can assist with proper wound care, especially in hard-to-reach places, can be a godsend for pre-occupied moms.
    • You will need to visit your surgeon for a follow-up within a week and probably on a weekly basis for a month thereafter. You should make allowance in your schedule for this when planning the surgery.

The hype around the “Mommy Makeover” has made this type of surgery fashionable and much information is readily available on the Internet, often overlooking the reality of motherhood and the practical implications and options that mums should consider. A consultation with a plastic surgeon is the best way to obtain advice, fully understand your options and ensure that an appropriate surgical plan is agreed upon.


Silhouette soft thread lift

Silhouette soft thread lift
By Dr Cordula Winkler

Women and men, between the ages of 40 and 50, have a number of choices with regards to non-surgical facial rejuvenation procedures. The better-known options, such as Botox and facial fillers, offer fantastic results. But with increased signs of facial ageing, many women are left with difficult decisions about what to do next to prolong the need for surgical intervention. Thread lifting provides an effective, minimally invasive alternative for a better, younger you.

A thread lift is a unique solution with immediate, natural effects used to treat sagging on the facial contours, jaw line, cheeks, neck and eyebrows. Best of all, the procedure can be done quickly and painlessly in the practitioner’s rooms in a short 40-minute procedure.

What is the procedure?

No special preparation is required prior to treatment. However, you need to inform your doctor of any treatment you have already received and any medications you are currently taking.

A small amount of local anaesthetic is administered, followed by the insertion of the threads with a microneedle. Once all the threads have been placed, they are tightened creating an immediate natural lifting effect.

Silhouette Soft is a tailor-made treatment, adapted to your needs and wishes. It can be used as a stand-alone treatment or in conjunction with fillers and Botox.

The regenerating effect is gradual. By resorbing, the Poly-L-lactic acid in the thread acts on the deeper layers of the skin and stimulates the body to produce its own collagen. This action, which continues over time, helps increase the volume and restores the shapeliness of the face.

What do I need to do after the procedure?

Slight swelling and bruising may occur. Sometimes a slight depression or surface irregularity may appear at the entry points. These inconveniences disappear a few days after treatment.

  • Apply cold packs after the procedure to minimise swelling and reduce discomfort.
  • Avoid excessive facial and neck movements for two weeks.
  • Avoid face and neck massages for two weeks.

For best results, Silhouette Soft threads must be performed by a doctor who has undergone specific training for this procedure.


5 Things to do when you find a lump

By Dr Cordula Winkler


  1. Don’t panic – take a deep breath.
  2. Make an appointment with a general surgeon. After your examination, the surgeon will remove a small piece of the lump in order to examine its cause.
  3. You will be referred for a mammogram or breast sonar.
  4. Take some time before you make any decisions. Get a second opinion and discuss all treatment options. These include a lumpectomy and full mastectomy. Ask fo a referral to a plastic surgeon to discuss your reconstructive options.

Rally support. Reach for Recovery is an organistaion that provides a wide network of support services. They can be contacted on 083 306 1941 (Cape Peninsula) or 082 357 0497 (Stellenbosch/Somerset West). Visit www.reach4recovery.org.za for more info.