Fillers
While formal surgical procedures, Botox®, and laser treatments have been known to be effective treatments for treating facial wrinkles to conceal the effects of aging, injections of dermal fillers have also proven to be an effective outpatient method of treating facial wrinkles.
Choices of Dermal Fillers
There are two types of dermal fillers, which are synthetic or biocompatible. They can be marketed separately or as a combination. Biocompatible fillers are resorbable, meaning they can be broken down and assimilated back into the body, and they also have a perceived safety record. The benefit of this type of filler is limited, however, normally only lasting around 6 months. Synthetic fillers are a permanent treatment but are unable to change in conjunction with the aging of the face and have been known to be rejected in some instances, as well as result in granuloma formation and migration. In the event that the patient has an adverse reaction to this type of filler, removal is virtually impossible. This is why synthetic fillers are only included as a reference and are not a recommended treatment for correcting wrinkles.
Collagen Implants
There are three sources from which collagen implants are prepared, which are autologous, human, and bovine. Fibroblast stimulation or the injection of cultured cells can help increase collagen synthesis. Autologous preparations require skin harvest that is processed into a collagen suspension for injection and will require 2 to 3 treatments over a period of 3 months. It has been reported that this results in a correction of better than 75 percent for over one year. Human preparations come from screened donors and is a preparation of elastic fibres, human collagen, and other dermal components. The effects can last anywhere from 3 to 12 months and no pre-treatment skin testing is needed. Bovine preparations are mixed with a local anaesthetic and come in a monomolecular or highly purified form. A test dose will be required as around three percent of patients will demonstrate a sensitivity to the injection while around one percent of patients will develop sensitivity with treatment. Within 3 to 6 months the preparation will be completely resorbed by most patients.
Injectable Fibroblasts require a test dose that will be monitored over the course of one month and can be cultured from a small skin biopsy. Following the test dose three injections will be given in two week intervals. There will be a gradual improvement over six months and repeat injections can be prepared from the original biopsy as required. Fibroblast production is stimulated by polylatic acid and while the effects may take around 4 to 6 weeks, the results can last for a number of years. Fibrous nodules can result that can be difficult to treat if this should be injected superficially.
Hyaluronic acid preparations are cross linked to varying degrees in order to maximise viscoelasticity and persistence. They are obtained from an avian source or by bacterial synthesis. This preparation will last anywhere from 6 to 9 months and while the vast majority of patients find the treatment tolerable, around one percent will experience adverse reactions that can include sterile abscesses and granulomatous inflammation.
Permanent Dermal Fillers
There are three types of synthetic permanent dermal fillers. Methylmethacrylate has been used in joint replacement surgery as bone cement for many years. This may occur in inflammation, skin redness, and infection, however. Microspheres of Methymethacrylate can be suspended in Hyaluronic acid or bovine collagen to permit even distribution with a series of injections required to achieve the final result. Allergic reactions to the collagen may occur, however. Polyacrylamide Gel is another type of synthetic permanent dermal filler that can be used in combination with polyvinyl microspheres or independently. While the augmentation of this treatment can be permanent there may also be a need for future injections. Polyacrylamide gel has been known to act as a reservoir for bacteria, however, and poses a significant delayed infection rate. The third type of these fillers are silicone injections, which have now been banned in most countries due to the fact that inflammation and migration are practically inevitable and the surgery that will be required to correct these symptoms will result in greater deformity than the patient was experiencing prior to the treatment.
Our Practices
Mr Fourie practices at Nuffield Health Hospital, Leeds, conveniently situated in the city centre near Leeds General Infirmary and at Barnsley Medical Consulting Rooms in central Barnsley.
Cosmetic Surgery Procedures
Mr LeRoux Fourie offers a wide range of cosmetic surgery and non surgical treatments and below is a brief outline of each
Inverted Nipple Correction
Many women find their nipples to be a great cause of embarrassment as they do not project past the breast and remain inverted. Mr Fourie is able to correct this problem using a quick and reliable treatment that can be done in as little as thirty minutes
Prominent Ear Correction
Although having prominent ears typically causes no physical discomfort as such they can sometimes lead to a lack of self-confidence and be on the receiving end of cruel jokes. Sometimes just one ear is the problem but usually both will be pinned back. It is also possible to perform other types of ear surgery to the lobes depending on the complexity of the case.
Male Breast Reduction
Gynecomastia is the medical term for male breasts and can be a very humiliating condition for men and can make them very self-conscious. Because of this, some individuals decide to undergo a male breast reduction procedure in order to remove the excess tissue and, occasionally, even skin from the area of the breasts.
Liposuction / Liposculpture / Body-Jet Lipo
You can now experience the latest advancements in cosmetic surgery with the revolutionary Body-Jet Water-jet assisted liposuction procedure. The gentle water jet washes away the fat without damaging the underlying structures such as the blood vessels and nerves which means less recovery time and bruising.
Non Surgical Treatments
Antiwrinkle Injections
It is inevitable that as we age lines and wrinkles will become visible and to some this is of concern. Lines around our eyes can develop as can lines on the forehead. The prescription injection treatment we all know as BOTOX® is now formally approved for cosmetic use and is called a new name which is VISTABEL®. VISTABEL® is a treatment that is used to relax the frown lines that can trouble our forehead as well as crows feet which can develop around the eyes.
Excessive Sweating
Our body uses sweating to help control body temperature and is normal human function however some people suffer from excessive sweating which can lead to severe embarrassment and anxiety. Following a consultation if your suitable we can provide a treatment that will prevent your excessive sweating that involves BOTOX® being injection into your arm pit.
DermaRoller
Genuine Dermaroller™ Therapy™ can offer a significant improvement in appearance for those who suffer from acne scars, sun damaged skin, fine lines and wrinkles and stretch marks. The DermaRoller procedure stimulates your skin to help with the regeneration and repair of itself and is a natural and safe way to create smoother, brighter and healthy skin.
Fillers
Dermal fillers can be used for many different non surgical enhancements and anti ageing treatments. They can be used for lip enhancement to create subtly increase the volume of the lips, smoothing lines around the lips, nose and cheeks as well as many other areas of the face and body to improve the appearance of the skin.
Mole Removal
It is very common for moles, lesions or cysts and can appear in many different places on the face and body. Sometimes they can be in a prominent position which can cause frustration or self awareness. Mr Fourie is able to assist in many different types of these problems and would be happy to perform many of these in the minor theatre or treatment room if he is able.
Mr Fourie
About Mr Le Roux Fourie
Mr Le Roux Fourie is a Cosmetic and Reconstructive Plastic Surgeon based in West Yorkshire. Mr Fourie was born and raised in South Africa and underwent his medical and post graduate training in South Africa, obtaining his basic Medical Degree in 1979. Thereafter he served as a Medical Officer in the South African Defence Force Medical Corp, before starting training as a registrar in Plastic Surgery at the University of Stellenbosch in CapeTown. He qualified as a Plastic Surgeon in 1987 and was appointed a Consultant Plastic Surgeon at Number One Military Hospital in Pretoria, where he served as full-time Consultant for three years reaching the rank of a Lieutenant Colonel.
In 1991 and 1992 he was in full-time Cosmetic Surgery Practice in Pretoria.
In 1993 Mr Fourie joined the Department of Plastic Surgery and Burns at Pinderfields General Hospital as the second consultant to be appointed after the tragic murder of the two previous Plastic Surgeons. He helped establish the current Department of Plastic Surgery from two members to the current seven consultants. During his time in Pinderfields General Hospital he established a Breast Reconstructive Surgery Service, which works mostly with the Breast Surgeons in dealing with primary breast reconstructions and delayed breast reconstructions after breast cancer.
Mr Fourie has been in part-time Private Cosmetic Surgery Practice in Methley Park Hospital, Nr Leeds since 1993.
Since April 2008 Mr Fourie has been in full-time Private Cosmetic Surgery Practice in Methley Park Hospital.
Special Interests
Mr Fourie is an experienced Breast Surgeon dealing with congenital breast problems, acquired breast problems such as breast reconstructions after cancer surgery (both immediate and delayed) and cosmetic breast surgery.
He has published articles regarding nipple areola reconstruction and has developed a tattooing technique which is now used by Cosmetic Tattooists in the UK.
He has been involved with the Allergan Implant Corporation in a ten year follow-up study of the long term effects of silicone breast implants which was published in the International Journal of Plastic and Reconstructive Surgery.
Mr Fourie further specialises in Facial Aesthetic Surgery and is one of the first surgeons to use the MACS (Minimum Access Cranial Suspension) face lift technique in the UK in October 2002. His long term results using the MACS face lift were presented at the Summer Meeting of the British Association of Plastic Surgeons in Dublin in 2005.
Publications and Presentations
Mr Fourie was awarded the BAPRAS prize for the best clinical paper read at the British Association of Plastic and Reconstructive Anaesthetic Surgeons Summer Meeting in Windsor in 2005.
He was awarded the BAAPS prize for the best paper read at the 2007 Conference in London. The Hackett Prize for the best paper at the BAAPS Conference 2007 was awarded to Mr Fourie.
Mr Fourie has lectured on nipple areola reconstruction and tattooing techniques, the treatment of pressure sores, wound infections and wound problems, facial aesthetic surgery and body contour surgery.
Mr Fourie has appeared in the Discovery Channels series on cosmetic surgery. He also featured on BBC's Inside Out in October 2007.
Mr Fourie has published papers in International Peer Review Journals on topics such as Breast Reconstruction, Breast Implants, Cosmetic Breast Surgery, Nipple Reconstruction and Facial Plastic Surgery
Charity Work
Mr Fourie does voluntary charity work in Africa as part of the Facing Africa Team involved in the treatment of noma (www.facingafrica.org). This is based at Yakatit 12 Hospital in Addis Abbaba, Ethiopia where reconstructions are done on patients suffering from Noma
Qualifications
MBCHB.
FCS (SA) PLAST
FRCS
BAPRAS (British Association of Plastic, Reconstructive and Aesthetic Surgeons)
BAAPS (British Association of Aesthetic Plastic Surgeons)
BAHNO (British Association of Head and Neck Oncologists)
GMC Specialist Register - Registered as a Specialist Plastic Surgeon on GMC full registration. The GMC registration is 3633562.
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