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Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon
38 Misterton St., Lvl. 1, Fortitude Valley, Queensland
5 | 3 Reviews
18 Questions Answered
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QUESTIONS ANSWERED

Hi there.  I do not treat mid face hypoplasia but can give you some safety pointers.  The first thing to remember is that it isn't a disease but a description and it is not essential  to have surgery for it.  Dry eyes can be managed without cheek surgery.

If you do opt for treatment to bring the midface forward, I have seen much better long term results from craniofacial plastic surgeons who move the bones or graft natural bone on the surface than I have from surgery to insert a facial implant.  You are young and a facial implant has many years to erode your bone and migrate and get infected.  As I said, I don't do the surgery but if you are looking to decide an appropriate course, I would seek an opinion from a Plastic Surgeon with Craniofacial specialization.


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Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews
I agree with the other surgeons who think you will need a lift to get a good result.  I think you should be wary of choosing a big implant (540 is big).  Someone who has already overstretched their skin will have long term problems with skin thinning and visibility of folds and creases in the implants and this is worse with a bigger implant.  The dermis never recovers after there are splits in it.
provider-Dan Kennedy, MBBS, FRACS (plast)-photo

Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews
Your nipples don't appear low overall but they may be low in relation to your infra-mammary crease.  Lowering the infra-mammary crease can sometimes be the right solution but it is a natural structure and once divided, it is hard to reconstruct it.  Alternatives that can work are: choosing a smaller implant so it is not forced up too high (resulting in an upper pole bulge and a downward pointing nipple) or placing the implant in front of the muscle.  This avoids the "double bubble"deformity that can arise when the infra-mammary crease is lowered and a sub-muscular pocket is used.  There are lots of factors to consider but we do try to choose an option that will avoid any need for nipple repositioning.  I would suggest you discuss pre-pectoral placement.

Dan Kennedy
provider-Dan Kennedy, MBBS, FRACS (plast)-photo

Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews

Is it possible to repair my ptosis?

Asked By:AnonymousANSWERS (1)
You need a sub-specialist in congenital ptosis and you may already have found one in your surgeon.  It is not the sort of repair that "any" surgeon should undertake.  It is quite possible  that you might never get to the outcome you would like but an accomplished surgeon will be able to tell you when revisions are worthwhile and when they are not.  Remember that skin excess must be assessed in the "eyes closed" position.
provider-Dan Kennedy, MBBS, FRACS (plast)-photo

Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews
You should probably go back to your treating specialist for a discussion. It is usually possible to create an eyelid fold but it is dependant on a functioning levator attachment and you don't seem to have one.  This is a sub specialised area and requires knowledge of what you have previously had done.
provider-Dan Kennedy, MBBS, FRACS (plast)-photo

Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews
I recommend silicone gel for most people and silicone sheeting for those who have a strong tendency to make a thick scar. Time is the most important factor in scar quality. 
provider-Dan Kennedy, MBBS, FRACS (plast)-photo

Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews
We know that this won't work for you.  If you watch someone with Parkinson's disease they have reduction in their wrinkles because they have less movement but they don't sag because they don't lose tone.  There are plenty of examples of how facial expression increases the lines on the face rather than decreasing them. Facial palsy patients might have their face sag because they have no tone in their muscles of facial expression but they also lose all their "lines".  They show us that muscle activity induces lines.
provider-Dan Kennedy, MBBS, FRACS (plast)-photo

Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews
It looks like you need your stitches out straight away.  Contact your surgeon.  Retained suture material irritates the healing wound and promotes local contamination and infection of the wound.  Wounds like these should settle after removal of the sutures.
provider-Dan Kennedy, MBBS, FRACS (plast)-photo

Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews
It is usual to be able to return to a job with light duties such as a desk job after two weeks.  You will still feel sore and stiff but should be able to manage without difficulty.  If you have a brow lift or lower eyelid surgery at the same time, add a week to this.  Winter is easier than summer as clothing and makeup suit the camouflage of bruising and healing wounds.  Wound infection rates are lower in winter also.
I recommend that people who lift heavy loads or have a vigorous job take four weeks off.  
Gentle exercise can start at three weeks and heavy exercise at six weeks.  

Avoiding blood thinners pre-operatively reduces your post op bruising and risk of a blood collection in the cheek.

If you have an important event (such as your daughter's wedding), give yourself a 2 month recovery to feel confident.
provider-Dan Kennedy, MBBS, FRACS (plast)-photo

Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews
I advise you to avoid steroid injections to the scar unless it starts to get lumpy. Steroid can make the skin thin and atrophic and then the vessels will show through excessively. Most eyelid scars end up doing very well. Silicone gel scar treatment (a very small amount of gel) may help the scar to mature faster. 
provider-Dan Kennedy, MBBS, FRACS (plast)-photo

Dan Kennedy, MBBS, FRACS (plast)

Specialist Plastic Surgeon

5 | 3 reviews

Dan Kennedy, MBBS, FRACS (plast) reviews

Dan Kennedy, MBBS, FRACS (plast)

RATING DETAILS

5.0
3 reviews

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Dan Kennedy, MBBS, FRACS (plast)
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3 Results
Lower Facelift
JesseJack10

JesseJack10

My expectations met

I felt comfortable with Dr Kennedy and his team, all questions answered lots of information given, all went to plan. I had a lower facelift, neck lift and upper eyelid reduction. Realistically I think you need 4 weeks recovery if going back to work. My girlfriend had hers done in Thailand. I'm glad that I opted for Australia.

Breast Reconstruction

thisaccount

a journey worth travelling - Brisbane, AU

The decision to undergo breast reconstruction was one that I contemplated over many many years. I knew it was something I would always do - but deciding when to do it was the biggest decision. Mother Nature got it a bit wrong with me, and I was born with Poland's Syndrome. Born without a right pectoralis major muscle I was sentenced to a life of gross breast asymmetry (in the absence of surgery.) Not much fun growing up - being fitted for a breast prosthesis in my early teens, I lived with the challenges of my "little secret", and hoping that my prosthesis wouldn't disappear when in the pool or swimming at the beach. I suppose prior to my reconstruction I knew nothing else, that was my normal. After weaning our final child, I decided that the time was right for reconstruction - I owed it to my teenage self from all those years ago, and booked another consult. A very productive appointment - I basically advised Dr Kennedy that psychologically I couldn't contemplate multiple procedures and informed him that he had "one shot at it" - looking back now that was a pretty selfish request from me -to expect him to implant one side and reduce the other side to match all in one theatre session! My fears were many - past anaesthetic complications certainly heightened my anxiety but I had nine months to prepare so I focussed on shedding the kgs, to be my ideal weight for life by the surgery date. I did struggle getting the weight down and believe perhaps I may have been subconsciously sabotaging my own pre-surgery preparation. Finally three months before the surgery the adrenaline kicked in and I broke through the weight and psychological plateaus of the previous months. I was on fire, in "the zone", pumped for reconstruction and raring for a new chapter in my life. After a few hours in theatre, I finally woke up, firstly relieved that I was alive and then excited at the wonderful bulge on the RHS of my chest, seen through groggy eyes. Although my breasts felt numb they looked bloody impressive from where I lay. After a dose of "Zofran" I was up and feeling amazing. I don't know how many times I palpated my chest that afternoon and evening - eager to visualise Dr Kennedy's handiwork. I felt so incredibly proud and excited - a new chapter in my life had just commenced. Who needed heavy pain relief? The excitement and euphoria were the best analgesia ever!! Thankfully I recorded my experience all those years ago as I didn't want to forget the amazing journey I travelled. Sure there were times after surgery when some dark memories from the past surfaced and needed to be dealt with. There were those "why me" moments when I recalled the awkwardness of school swimming lessons, slumber parties and being fitted for prostheses all those years. I was so outcome focussed leading up to the surgery that I didn't ever imagine what life would be like post -surgery. I have come so far! I am now 7 years post op and still travelling strongly. As I remember the years past I remember how Dr Kennedy advised that his goal was to get me "looking good in a bra" - he smashed that goal - my breasts look great in a bra or without.

Breast Reduction

1happylady

63 Yr Old with Shoulder and Back Pain - Brisbane, AU

THANK YOU DR KENNEDY! Deciding to have you do the breast reduction was MY BEST decision ever! I feel SO much better -health and self image- vastly improved. One year on, my only thought is, 'Why didn't I go to you sooner?' The lead up appointments with nurse and you were very helpful. Operation, I was told, wouldn't be too painful. From the moment I woke up I felt next to no pain. Recovery was a breeze. I followed recuperation instructions and was back to doing all I did before the operation and more in a short amount of time. I would wholeheartedly recommend this operation to anyone with large breasts that cause pain, embarrassment, rashes etc.