Breast augmentation, when performed by an experienced accredited specialist plastic surgeon, can enhance smaller breasts, accentuate existing breast tissue, symmetrise breasts if one breast is larger than the other or totally change the shape and position of one’s breasts if there are structural issues relating to normal breast development e.g. Poland syndrome. Adequate assessment and implant selection is paramount to give you your chosen result while providing you with expert advice to reduce complications, unsatisfactory aesthetic results and long term issues.

A breast lift is also called a mastopexy. This roughly translated means “masto” (breasts) and “pexy” (to lift). It is designed to recreate the appearance of firm and more youthful breasts using your own tissue and without the use of implants. Often women do not want implants placed inside their bodies and this is a good alternative especially if there is not a lot of weight involved. Whether the sagging of ones breasts is from childbirth and breastfeeding, changes in weight, gravity, or the natural aging process, this occurs due to the skin losing its elasticity and firmness, a stretching of the normal breast's suspensory ligaments and a general loss in volume which all lead to a condition known as ptosis.

Women who seek a mammoplasty reduction generally have significantly enlarged breasts that they describe as heavy and cumbersome and effect their physical, psychological and emotional wellbeing. Enlarged breasts can also affect everyday normal activities of daily living, work, social and sporting activities and lead to pain, discomfort, skin irritation, shoulder bra indentations and neck and shoulder pain.   

Breast implants may experience issue with regard to abnormal positioning, migration, contractures or rupture. We offer an extensive service for the removal of breasts implants and capsular resection. Some instances we are able to replace these implants or perform a mastopexy to improve the altered breasts. 

Gynaecomastia is the presence of an abnormally large amount of breast tissue within a male. This can be unilateral or bilateral. It is often accompanied by pain and social embarrassment. The abnormal breasts tissue can result in sagging of the male breasts/chest, puffy nipples as well as stretching and darkening of the areola. Common associations related to this breasts tissue excess include puberty, weight gain, genetic/hereditary conditions, hormonal changes (normal and abnormal), prescription medications side effects or the use of unregulated (anabolic steroids) or recreational drugs (marijuana).

Abdominoplasty surgery is colloquially known as a ‘tummy tuck’. This surgery is usually performed on patients who take issue with excess abdominal skin, excess abdominal fat, weak core muscles or all of the above combined. These changes may be as a result of pregnancy, weight changes or the aging process. Correction of these issues often involves surgical removal of the excess skin and subcutaneous fat while also tightening the core abdominal muscles to flatten the abdomen and restore the integrity of the front wall of the abdomen. There are many derivatives of an abdominoplasty (mini, radical, fleur-de-lis, corset) and the type and technique are usually discussed and determined through detailed history taking, examination and collaboration with your surgeon. 

A body lift is usually reserved for patients who have experienced a significant amount of weight loss and who have been left with excess skin and very little suspensory integrity across their lower body circumferentially. This procedure aims to remove the excess skin and subcutaneous fat, while incorporating an abdominoplasty into resuspending the front, side and posterior thighs and buttocks. There may also be need to address additional skin around the thoracic region which may be required to correct excess skin in your flanks (lower back) and thorax (chest). There are many derivatives of this procedure (corset, circumferential corset, partial corset, fleur-de-lis, high lateral suspension) and type and technique are usually discussed and determined through detailed history taking, examination and collaboration with your surgeon. This procedure aims to improve functional, hygiene and aesthetic concerns related to the excess around the mid-section of the body circumferentially.

A thigh lift and arm lift (brachioplasty) are usually performed within the context of significant weight loss to address the excess skin and subcutaneous tissue that may occur. This procedure aims to remove the excess using a combination of liposuction with surgical excision followed by compression and drainage to alleviate functional and aesthetic concerns. 

Gender affirming surgery is a collective of procedures specifically catering for the LGTBQI community. We are a trans and gender diverse practice and offer various procedures. TOP surgery refers to all procedures related to affirmation of gender diverse ideals within the chest area. This includes breast augmentation, mastectomy and nipple repositioning and other combinations. We also offer facial feminisation surgery which encompasses brow and forehead contouring, brow lift, orbital aperture opening, canthopexy, blepharoplasty, malar augmentation, jaw contouring and chondrolaryngoplasty.  We also offer both functional and aesthetic septorhinoplasty surgery which is often used to also feminise the nose. 
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Dr Knight does not perform BOTTOM surgery but we are part of an extensive network and would be happy to assist with facilitating contacts. 

Our practice covers a broad range of hand surgery services. These services cover hand skin cancer removal and reconstruction all the way through to complex functional reconstruction following trauma, work place accidents as well as age/ repetitive use inflammation, infection and structural compromise. These services include carpal tunnel release, cubital tunnel release, trigger finger, Dupuytrens disease, soft tissue and bone tumour resection, and all injuries such as fractures, avulsions, soft tissue loss, lacerations, nerve injuries, burns, tendon injures and ligament/ joint compromise.

We perform many procedures related to the diagnosis, evaluation and removal of all forms of skin cancer and other skin related complaints. We provide a very specialised set of skills usually required to deal with skin cancers in aesthetically sensitive and difficult to access or correct areas. This can be anywhere on the body but we are often asked to assist with removal and reconstruction of surgery on the face and neck region as well as with larger and more difficult areas. We endeavour to primarily remove the cancer while preserving as much of the aesthetic and functional integrity of the body and this often involves detailed discussion and face to face consultation. Our surgeons are Specialist Plastic and Reconstructive Surgeon’s who are Fellows of the Royal Australian College of Surgeon’s (FRACS(Plast)) and are fully trained and experienced in the removal of Non-Melanoma skin cancers (NMSC), (Basal Cell Carcinomas (BCC), Squamous Cell Carcinoma (SCC)) and Melonoma (MSC) skin cancer.

Skin at ISPA Clinic operates within ISPA Clinic and naturally works synergistically with the doctors at ISPA Clinic to offer a holistic approach to patient care. Surgery may not be always be the best option in every instance, so we are proud to be able to offer an alternative approach.
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Services include:

• IPL for redness and pigmentation
• Ablative and Non- Ablative laser resurfacing
• Chemical Peels
• Plasma Pen
• Skin Pen Medical Microneedling
• Healite LED
• Skin care advice

Please note that all skin services begin with a skin consultation with our registered cosmetic nurse. This is essential component of any skin improvement journey and priced at $100 consists of a 60 minute appointment to discuss skin concerns, skin goals, your skin and medical history, along with contributing lifestyle factors and current skin care products and practices. The best treatment options available, associated risks, skin preparation and costs are also discussed during this appointment.