The Conventional Face & Neck-Lift

With excision of excess skin in front of the ear. This is the traditional face-lift but I always preserve the side-burn and make the incisions in the most concealed position going behind the tragus of the ear. There is minimal scarring behind the ear. I have always done lifting of the deeper tissues of the

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forehead

The Brow Lift

THE BROW LIFT for lifting brows that are too low. The brows are lifted by nylon-type threads implanted through minute incisions using a needle. The threads are durable and will ensure a lasting result. The hairline is not pulled backwards and hair growth is not affected. The scars are within the hairline and are each

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Upper Blepharoplasty

To correct the upper eyelids This is the well-known operation to remove excess skin on the upper eyelid once the brows are in their correct position. In some people the excess skin is removed by lifting the brows (so only a brow-lift is required) whereas in others the brows are in their correct position and

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Scarless Midface-Lift

To lighten the creases from the nose and soften the “tear-trough” from the medial eye to the cheek. Click to see more detailed notes The lower eyelid is virtually always treated together with the midface. This is another operation that I have pioneered. I realised that the conventional lower eyelid operation which I used to

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The Virtually Scarless Lower Face & Neck-Lift

In some people with lesser changes the lower face and the neck can be corrected without doing a full face-lift. Generally tiny incisions in the temple are used in combination with an incision behind the ears. This is the perfect solution for people who are considered too young for a face lift but want to

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Rhinoplasty

The operation to improve the shape and function of the nose This operation can be done under local anaesthesia with conscious sedation or with general anaesthesia.  I generally prefer the open approach so that I can sculpt the nose more accurately under direct vision. The incision is mainly within the nose, but there is a

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ear

Otoplasty

To correct prominent ears This operation is virtually always done with local anaesthesia with or without conscious sedation. I shape the ears with permanent sutures and the small scars are in the usual position on the back of the ear.

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Fat Grafting or Lipo-Sculpture

I started doing fat grafting in 1987 and can claim to be one of the pioneers of this type of surgery in South Africa. (Click for more details) We are learning a great deal about fat grafting and we now believe that the fat cells themselves do not really survive but the result comes from

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Percutaneous Collagen Induction (PCI)

This is a procedure that I have pioneered as an alternative to laser resurfacing and it has been featured in the Hot Topics of the Journal of the American Aesthetic Association, a Chapter in an aesthetic surgery textbook (edited by Manders and Peled), a chapter in the Yearbook of Maxillofacial and Oral Surgery devoted to

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pillow-for-sore-neck

The Better Pillow

I know that most people think that gravity is the cause of sagging facial tissues but I realised that the way we sleep has an enormous impact on how we age. As we sleep on our sides we press the tissues downwards and towards the nose for prolonged periods and that creates the heavy naso-labial

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des

About Me

I qualified M.B.; B.Ch. at the Witwatersrand University and then became a fellow of the Royal College of Surgeons at Edinburgh. I left South Africa to start training in Plastic Surgery but trained in Cardio-thoracic surgery and returned to Cape Town to work with Prof. Christiaan Barnard for several years and was involved in the first double heart transplant. However after completing my trai...

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Contact Me

Surgery

The Conventional Face & Neck-Lift

forehead

The Brow Lift

Upper Blepharoplasty

Scarless Midface-Lift

The Virtually Scarless Lower Face & Neck-Lift

Rhinoplasty

ear

Otoplasty

Fat Grafting or Lipo-Sculpture

Percutaneous Collagen Induction (PCI)

pillow-for-sore-neck

The Better Pillow

Latest Publications

Esthetic Surgery of the Face

Chapter on needling by Dr Fernandes included in “Esthetic Surgery of the Face” by Isaac J Peled and Ernest K Manders and published by Martin Dunitz – 2004.

Aesthetic Plastic Surgery Journal

Aesthetic Plastic Surgery Journal 2002 (May/ June issue) – “Percutaneous Collagen Induction: An Alternative to laser Resurfacing”.

Find Me

Contact Details

Tel: 021 424 4868
Fax: 021 424 3997
Email: info@drdes.co.za

3F Renaissance Body Institute
Bree Street
Cape Town
8001