Secondary rhinoplasty implies a redo procedure on the nose. These procedures are often associated with a less than optimal outcome from the primary rhinoplasty.

A feeling of disappointment is often associated with the patient who requires additional surgery.

Computer imaging allows for a review of the concerns and reflects the improved result with the additional surgery. Importantly defining a strategy to achieve the end result can have a positive affect on the emotion that follows a sense of failure.

Whilst small adjustment after a quite satisfactory Nose procedure are a reported as 1:15, Secondary Rhinoplasty demands special consideration.

The procedure differs from the initial procedure: The underlying supporting cartilage is often weakened, deformed, malpositioned or removed. Scarring within the nose is also common and may pose limitations on the desired correction.

One of the challenges in secondary rhinoplasty is in finding adequate replacement for the structures that have been weakened or removed. Septal cartilage works great and is always a first choice but frequently inadequate owing to its sub-total or partial removal at the initial operation. In these cases I will recommend ear cartilage or rib cartilage as a substitute. When structural support is needed, my strong preference is for rib. The rib once removed is shaped and softened so it is flexible and stable in the desired shape or fill.

Creating a surgical alternative is an essential part of a secondary rhinoplasty and I personally find the process to be one of the most challenging and satisfying of surgical procedures.

The Sunday Age 08/04/2007
For some, vaginal rejuvenation is the West’s latest hot trend. Others condemn it as female circumcision. Michelle Griffin reports. New statistics from the American Society of Plastic Surgeons identify “vaginal rejuvenation” as the fastest-growing form of plastic surgery in the US. Operations increased by 30 per cent between 2005 and 2006.

Peter Dixon is quoted in the article by Michelle Griffin:
The clinic has had a recent increase in Women requesting labioplasty with correction of the vulva and related areas.

Whilst some would consider the procedure unnecessary, Patients report that surgical repair and adjustment meets their individual needs of confidence and comfort with this surgery.

Natasha Hughes
May 6, 2007

DEMAND for luxury skincare is soaring in Australia, as women snap up creams and serums that cost hundreds of dollars for tubs that contain 100 millilitres or less.
Full article

But skin specialists say nobody should pay astronomical sums for skincare products. Prahran plastic surgeon Peter Dixon says “fundamentally all creams are unproven” except for Retin-A, a prescription-only Vitamin A cream which sells for about $25 and treats both acne and aged skin. “People do want to buy a miracle in a tightly wrapped cellophane box with nice writing on it,” he says. “A tube of Retin-A isn’t very appealing. But if you’re spending $900 on a miracle pot, one has to question what clinical evidence there is to support that product being better than a $60 one.”

Sunday Age