Trends in aesthetic surgery

The special Guest of the show “Seize the Day” for its health segment was Dr. Nemanja Gajdobranski, a specialist in aesthetic surgery at Atlas General Hospital. In this excerpt you can look at the aesthetic interventions that are most sought after, the percentage of men and women who decide upon these corrections, what are the biggest fears of patients and what is the key to good results in aesthetic surgery.

What is most important when someone wants to do an aesthetic intervention?

  • The most important thing is that there is a real aesthetic problem, that there is a way to solve this problem and to choose a real doctor and the right hospital with the adequate conditions.

dr Nemanja Gajdobranski - Atlas General Hospital

What are the most popular interventions done at Atlas General Hospital?

  • These are generally surgeries involving surgery breast enlargement, nasal surgery, upper eyelid surgery, and what has been the growing trend in recent years – is an increase in the buttocks or breasts using their own fat tissue. Increasingly, there are more frequent interventions where their own fat tissue is used to compensate for the volume in some missing regions.

Is the fat tissue operation the same as when the implants are concerned? Is it equally permanent?

  • In principle, it is durable, although there is one small difference – about 40 percent of the fat is resorbed, which is why the patient is always given a bit more fat, since we take into calculation that part of the fat will be absorbed.

In recent years, more and more men have been using aesthetic surgeons. What intervention are they mostly going for?

  • There is a trend in the growth of male patients for aesthetic surgeons. They mostly talk about hair loss problems, as well as minor face-to-face interventions that require Botox, liposuction, and a growing trend in that of gynecomastia- which is a reduction in the chest region, or a breast reduction if their chest resembles that of a woman’s.

What does the breast surgery in Atlas look like? What is your initial contact with a patient?

  • If a patient is from abroad, which is quite often lately, communication starts with e-mails and video calls, where we listen to her wishes and make an initial plan of operation. If she is a patient from Serbia, she comes to consult with us at the hospital where we discuss all the details. The next step is to arrive at a preoperative preparation at the hospital, which usually occurs in the morning on the day of surgery. This includes ultrasound of breasts, X-ray of lungs, an examination by the internist, laboratory analysis, anesthesiologists … Then the final agreement with the aesthetic surgeon is followed in terms of marking the breast and making a detailed intervention plan. After surgery, the patient usually sleeps at the hospital and goes home the next day. Of course, patients receive instructions and advice on how this postoperative course should look. On every second or third day they come for a control and a re-bandage. Depending on the stitching that is used, it is removed in about 7 to 12 days. Next we have regular controls in terms of appointments as scheduled with the aesthetic surgeon, and also an ultrasound of the breasts.

How do you determine the size of the implants that will be placed in the breast?

  • It depends on the dimensions of the patient’s chest. The pocket that is made in the breast where the implant is placed has certain dimensions. Second, it is always necessary to take care of the patient’s wishes, but also its about proportions – how tall and how heavy she is.  It is always the goal of the ultimate aesthetic results that the breasts fit proportionally to that of the patient’s body. In 90% of cases, our opinion and recommendations coincide with the patient’s wishes.

Is it possible to breast-feed a baby with a breast that has an implant? Is it safe?  

  • Of course it is, especially when the implant is placed under the muscle. In this case, the gland is not disturbed, so there is no obstacle for breastfeeding. What I do not advise patients is to put implants directly before they plan to get pregnant.

Which patients are candidates for eyelid surgery, since this surgery is not just an aesthetic one?

  • The candidate is anyone who has excess skin above the eye, which interferes with the field of vision. There is usually a genetic predisposition for this, most often through the mother. In addition to giving a great aesthetic result of intervention, this functional problem is also solved.

In the case of less invasive aesthetic interventions, which regions are Botox treated and which Hyaluron?

  • It’s easy to make a generalization, although some deviations always exist. That is to say that the upper third of the face is Botox, and the bottom two-thirds are hyaluronic filers. Most often, Botox solves wrinkles between the eyebrows, wrinkles on the forehead and wrinkles around the eyes, while Hyaluron is used to enlarge the lips, filling nasolabial wrinkles and enlarging the cheekbones.

In which areas do you enjoy doing aesthetic interventions the most?  

  • I like to do antiaging, breast surgery and hair transplantation. I am fortunate to be part of the Atlas General Hospital team composed of great doctors such as Igor Georgijev, Lazar Pajević and Nataša Popović, from whom I can learn a lot both professionally and privately.