Dr Winkler | Aesthetic Surgery
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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 


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 


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


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.