Please be advised that Dr Tiong did not used these implants in any of him patients. But if you wish to be sure, please call 43404888 and provide your name or contact him through our contact form and he will double check the record and get back to you.

Other surgical treatment such as Thoracic Sympathectomy  is to cut and burn or clamp the thoracic ganglion on the sympathetic chain that run alongside the spine or  percutaneous sympathectomy with phenol ( stripping agent) as been tried  This is a delicate surgery done only at hospital and with long recovery period and a team of highly trained and skill personals , Despite surgery, there is a risk of recurring in 20% to as high as 80 % as reported in literatures.

Before Images

After Images

Varicose veins are dilated, tortuous veins that can occur in the legs. They varies from  small, thin purple-coloured lines (called Spider veins) that lie just below the skin surface,  to a bigger ones which are  thick, bulging or knotty.

Lots of people may regards  varicose veins as  a cosmetic issue and not to worry about them. However , they may be serious problem associated with venous reflux due to incompetent valves inside the veins. It is best to have this problem confirmed by an experience Ultrasound Specialist doctor and appropriate treatment can be recommended.

How common are varicose veins and venous reflux disease?

Varicose veins are a common medical condition affecting   40% of women and 25% of men in Australia . It is an heredity problem , and usually one of your parents or grandparents have it. Other contributing factors are obesity, pregnancy, ageing  process. Other factors aggravating and make the veins worse, including prolonged standing, obesity.While they looks benign , it is best to get them treated as nowadays, it is really simple to treat these veins. You DO not need major surgery and can be treated by injections, external laser or more severe cases , by ultrasound guided injections and Endovenous Ablative Laser treatment as an walk in and walk out Office, out patient procedure.

What are the symptoms of varicose veins? Will they get worse?

Common complaints from patients are  feeling tight and  heavy. Sometimes they are itchy or throbbing slightly painful. Swelling of the legs or ankles are also common complaints especially after a long day of standing on their feet. Left untreated, the skin changes such as discoloration, inflammation, eczema, pigmentations, and then fibrosis of subcutaneous tissue  and eventually leg ulcers. By this stage , it become problematic , and high labour intensive nursing care or personal care and can even be smelly when the ulcers get infected.

What is the best approach ?

It is best get the diagnosis done and treated early before complications set in.

How can varicose vein be treated?

A. Simple, injection with sclerosant. This can be done in the doctor’s room as shown in the image below:

B. Sometimes a larger vein requires ultrasound guided injections. Larger varicose veins can be treated with Endovenous Ablative laser as shown in the image:

Over 1,000 Australians are treated for skin cancer every day and over 1,600 Australians die from skin cancer each year. In 2005, 245 Victorians died from melanoma.

The major cause of skin cancer is exposure to ultraviolet (UV) radiation from the sun and other artificial sources, such as solariums.

The good news is that skin cancer is the most preventable form of cancer in Australia. Skin cancer can also be cured if detected and treated early.

Skin Cancer Types

There are three main types of skin cancer.

Basal cell carcinoma occurs in the basal cells (small, round cells in the base of the outer layer of skin). This treatable carcinoma is the most common type of skin cancer.

Squamous cell carcinoma occurs in the squamous cells (flat cells that form the surface of the skin). Actinic keratoses (rough, scaly, slightly raised growths that range in color from brown to red and from about 1 mm to 1 inch in diameter) may be the earliest form of squamous cell carcinoma. These cancers are also considered extremely treatable.

Melanoma is a potentially fatal skin cancer that forms in melanocytes (skin cells that make pigment). If caught early and treated aggressively, melanoma can be cured.

Skin Cancer Treatment and Tumor Removal

Skin cancer treatment is often a more involved process than the simple removal of the visible lesion. Subdermal cancerous tissue underneath the growth must also be removed to make sure that we get all of the cancer cells.

To do this, a frozen section may be ordered in which the cancer is removed and microscopically examined by a pathologist before closing. This helps assure that the excision has gone deep enough, and removed all of the cancerous cells. In clinical terms, this success is called a “clear margin.” The tissue excise is continued until the entire region has a clear margin. When clear margins are found, the wound is reconstructed.

Skin Cancer Removal Types

There are many types of surgery to remove skin cancers from your body. The most appropriate surgical treatment is determined on the size, location and type of your skin cancer.

In some cases, the tumor may be cut from the skin along with some of the normal skin around it.

During Mohs surgery, the tumor is cut out layer by careful layer. Each layer is viewed through a microscope to check for cancer cells. This will continue until there is a clear margin. Mohs surgery is often used to remove skin cancers on the face.

Other skin cancer removal surgeries include:

Shave excision. During this procedure, the tumor is shaved off of the skin with a small blade.
Electrodesiccation and curettage. This procedure involves cutting the tumor from the skin with a sharp, spoon-shaped tool (curette) and zapping the area with a high-frequency electric current to stop the bleeding and destroy any remaining cancer cells.
Cryotherapy. This procedure involves freezing and destroying skin cancer.
Lasers. Certain lasers may destroy and vaporize skin cancer tissue.
Dermabrasion. This procedure involves the use of a wire brush or a diamond wheel with rough edges to basically sand off the upper layers of the skin. This is a much more aggressive form of the common anti aging treatment known as microdermabrasion.

After surgery to remove the cancer, reconstruction of the wound site may be needed. Scars are usually cosmetically acceptable when small skin cancers are removed. If the tumors are very large, however, a local flap that repositions the adjacent tissue over the wound may be needed. A skin graft, in which healthy skin is removed from one area of the body and relocated to the wound site, may also be needed after skin cancer removal surgery.

Some forms of skin cancer may also require additional treatment such as radiation therapy (radiotherapy) and chemotherapy to prevent spreading, and make sure any errant cancer cells are destroyed.

Skin Cancer Risks and Prevention

Excessive exposure to the sun and its ultraviolet (UV) rays can cause skin cancer. Getting sunburned or tanned in childhood more than doubles the chances of developing potentially fatal melanoma later in life. People with light skin are much more likely to have sun damage, and are at greater risk of developing skin cancer than their darker-skinned counterparts.

Prevention and sun safety are the best ways to stave-off skin cancer. The Skin Cancer Foundation suggests:

• Seeking the shade, especially between 10am and 4pm.
• Avoiding burns.
• Avoiding tanning and UV tanning booths.
• Using sunscreen with a sun protection factor (SPF) of 15 or higher every day.
• Applying two tablespoons total of sunscreen to all exposed areas, 30 minutes before going outside. Reapply every two hours or immediately after swimming or excessive sweating.
• Covering up with clothing, including a broad-brimmed hat and UV-blocking sunglasses. Your eyeglasses should block 99 percent to 100 percent of UVA and UVB radiation. Check the label.
• Keeping newborns out of the sun and using sunscreens should be used on babies over the age of six months.
• Examining your skin from head-to-toe every month.
• Seeing your physician every year for a professional skin exam.

Here are a few reasons:

• Remember tweezers, shaving, waxing, and depilatory creams? Their disadvantage is that hair usually returns within three to seven days.
• Electrolysis provides longer-lasting results than conventional methods. For many, however, electrolysis is too painstaking as it treats one hair follicle at a time. Compared to electrolysis, laser hair removal typically requires fewer treatment sessions, less time per session, and minimal discomfort.
• Oral medications such as Spironoolactone (a diuretic) and proscar have also successfully treated unwanted hair. But oral medications may not be appropriate for everyone.

Laser treatment can remove hair from many areas of the body, including the face, upper lip, bikini line, and neck area. The results of the laser can last for many weeks before hair is even slightly visible.

• Results in the upper-body last from seven to 11 weeks.
• Mid-body results last from ten to 16 weeks.
• Leg treatments last from 11 to 17 weeks.

How is it done?
A numbing lotion will first be applied to the targeted area. During the procedure, a laser is used to dispense a fine intense beam of heated light that removes the hair follicles, but preserves the skin in the surrounding area. Unlike electrolysis, which requires the removal of each hair follicle, the laser scans a wide area of the body in the removal process.

How long does the procedure take?
Depending upon the extent of the treatment, time in treatment ranges from one hour to several hours. Keep in mind that multiple sessions may be necessary.

What should I expect after treatment?
Patients return home immediately following the treatment. Normal activities can be resumed immediately; however, exercise, Jacuzzi use, and sun tanning are not recommended for at least 24 hours. No waxing or depilatory creams can be used after laser hair removal.

Depending upon your personal anatomy, instruction compliance and the type of laser used, healing begins within a few days of treatment. Most often, discomfort is minimal and does not require medication. The number of sessions varies depending on individual characteristics and which area was treated. Additional sessions should not begin until hair has time to regenerate under the skin, which generally takes up to 12 weeks.

What are the costs involved?
Prices start from $176* per area including GST.

*The cost of cosmetic surgery can vary (higher or lower), depending on the complexity of the procedure, the required results, cost of implants, aftercare treatment and the area of the body where the surgery is being performed. Further costs may be incurred for anaesthetist and hospital fees if applicable. For specific pricing information, please arrange a consultation with Dr. Tiong.

There may be alternative treatment options, depending on your condition. Other minimally invasive procedures include Botulinum Toxin Injection and fat transfers, to name just a couple. For severe signs of aging, surgical procedures may be more appropriate, such as a facelift, brow lift, and eyelid surgery. Additional treatments may also be recommended in conjunction with Restylane, such as chemical peel, laser skin resurfacing, or microdermabrasion.

How is it done?
Restylane injections are most often performed with local anaesthesia, especially if the lip is being treated. Since Restylane contains no lidocaine like collagen, patients may experience some pain and discomfort from the needle during injection. This is minimised with nerve block like going to dentist or often some “Gas ” to breath and topical local anaesthetic cream

How long does the procedure take?
Depending upon the extent of the treatment, the procedure can take from a few minutes up to 30 minutes. Patients return home shortly after the procedure.

What should I expect during recovery?
Swelling may be pronounced, lasting for two or three days. Normal activities can be resumed immediately, though patients are advised to stay out of the sun. Unmanageable pain, as well as symptoms that are progressive or abnormal, should be reported to the doctor immediately.

Results are fully evident within one week with some treatments reducing wrinkles by about 80 percent

Restylane is a temporary solution and follow-up treatments may be needed.

What are the costs involved?
Prices start from $385* including GST.

*The cost of cosmetic surgery can vary (higher or lower), depending on the complexity of the procedure, the required results, cost of implants, aftercare treatment and the area of the body where the surgery is being performed. Further costs may be incurred for anaesthetist and hospital fees if applicable. For specific pricing information, please arrange a consultation with Dr. Tiong.

Botulinum Toxin Injection combats wrinkles that are created when nerve cells within the muscles beneath the skin release a chemical called acetylcholine. This chemical triggers a muscle contraction that creates wrinkles. The Botulinum Toxin Injection product, is an injectable compound that disrupts the release of acetylcholine, which essentially paralyzes the muscle and stops the contraction. Results are fully evident within one week after treatment and remain for a minimum of three months.

Botulinum Toxin Injection typically reduces wrinkles by 80 percent. Patients are typically between the ages of 35 and 60. Results vary among individual cases, and are temporary.

How is it done?
A numbing cream is applied to the treatment area. Patients may experience some minimal discomfort from the needle injection.

The selection of injection points is critical to the success of the procedure. The points of injection are first scored with a marking pencil. The doctor may select numerous injection points for each location to be treated. These points may not be located on the wrinkle itself, but at the area where the muscle contracts. Antiseptic is also applied.

The Botulinum Toxin Injection filler is then injected into the marked points beneath the skin. The toxins in Botulinum Toxin Injection fasten to the muscles’ nerve endings, which inhibits the release of the chemical acetylcholine. This will stop the muscle contractions that wrinkle the skin.

How long does the procedure take?
Depending on the extent of treatment, the procedure can take from a few minutes up to 20 minutes. Generally, patients will be able to return home shortly after the treatment is complete.

What should I expect after treatment?
You can resume normal activities immediately, but you may be advised to stay out of the sun.

Results are usually evident within one week and last about three to five months.

What are the costs involved?
Prices start from $300* per area ($14 per unit) including GST. Very affordable and competitive price.

*The cost of cosmetic surgery can vary (higher or lower), depending on the complexity of the procedure, the required results, cost of implants, aftercare treatment and the area of the body where the surgery is being performed. Further costs may be incurred for anaesthetist and hospital fees if applicable. For specific pricing information, please arrange a consultation with Dr. Tiong.

Labiaplasty is a surgical procedure to trim down and shape the inner lips (labia minora) or outer lips (labia majora) of the vagina or both. The labia minora is the inner flap of skin that covers the clitoris and vagina. The labia majora is the part of the labia on the outside of the body.

The reasons that the labia may be elongated or assymetrical vary. It could result from sexual intercourse, childbirth, genetics or the aging process.

This is not the only type of cosmetic surgery that can be performed on the vagina. Vaginal rejuvenation, for example, involves tightening the vaginal and perineum area, which can become stretched during childbirth.

How is it done?
Labiaplasty usually requires a local anaesthetic. During labia reduction surgery, larger or uneven inner vaginal lips are cut and shortened using specialized scissors, a scalpel or a laser. In addition, the labia majora, on the outside of the body, can be reduced with either surgery or liposuction if needed. A hoodectomy, which exposes the clitoris in an attempt to increase sexual stimulation, may be performed at the same time.

The appropriate incision location depends on many individual factors, including the configuration, texture and size of the labia. The incision is then closed with dissolvable stitches.

How long does the surgery take?
Labiaplasty surgery takes about two hours depending on the complexity of the procedure.

What should I expect during recovery?
After surgery, you can’t have intercourse for about four weeks, and your genitals will be tender and swollen for several weeks. What’s more, your labia and the surrounding area may be slightly bruised. Oral medications can be prescribed to reduce pain.

You will be asked to stop any heavy, strenuous exercise for three or more weeks after labia reduction surgery. Also you cannot use tampons for 10 days afterward. While recovering, you will need to wear a pad for one week or less, due to the bleeding that results.

What are the costs involved?
Surgeon fees start from $3,850*including GST.

*The cost of cosmetic surgery can vary (higher or lower), depending on the complexity of the procedure, the required results, cost of implants, aftercare treatment and the area of the body where the surgery is being performed. Further costs may be incurred for anaesthetist and hospital fees if applicable. For specific pricing information, please arrange a consultation with Dr. Tiong.

Like breast implants, buttock implants come in different sizes and shapes, and can even be customized. In general, these natural-feeling implants help round out the upper and outer parts of the buttocks; but not the lower parts.

Sometimes butt implants are paired with liposuction of the lower back to yield more balanced results. Other times, liposuction with fat injections are used to shape and contour the entire buttock area. The latter procedure should not be done at the same time as buttock implant insertion because the fat injections can contaminate the implant, resulting in infection. What’s more, the pressure from the implant can destroy the fat.

How is it done?
Buttock implantation is performed under general anaesthesia. A pocket for the solid silicone implant is created and then inserted through this incision. The implant is positioned between muscle and fat. Sometimes the implant is placed in the main buttock muscle. This area will form scar tissue that should help keep the implant in place.

How long does the surgery take?
Buttock implantation usually takes about two or three hours to complete.

What can I expect during recovery?
There is usually some postoperative pain that can be managed with medications. Abdominal binders are generally worn for six weeks to help prevent fluid buildup and provide support during the healing process. Swelling may last for up to three months, and the full cosmetic results are visible within a year.

What are the costs involved?
Surgeon fees start from $7,150* including GST.

*The cost of cosmetic surgery can vary (higher or lower), depending on the complexity of the procedure, the required results, cost of implants, aftercare treatment and the area of the body where the surgery is being performed. Further costs may be incurred for anaesthetist and hospital fees if applicable. For specific pricing information, please arrange a consultation with Dr. Tiong.