Meet Doctor Nkhensani Chauke-Malinga

Dr Nkhensani Chauke-Malinga is a Plastic and Reconstructive Surgeon with special
interest Rhinoplasty and Nasal Reconstruction. She obtained fellowship in Plastic and
Reconstructive Surgery in 2017 from the Colleges of Medicine South Africa, but cut her teeth
in rhinoplasty as a fellow under Professor Enrico Robotti in Italy in 2018-2019 at Villa
Sant’apollonia.
As part of her fellowship in plastic and reconstructive surgery, she also rotated at Villa Bella
clinic for Aesthetic breast surgery, oculoplastic and body contouring training by Drs Giovani
and Chiara Botti and botox and filler training from Dr Frédéric Braccini in Milan

Dr Chauke-Malinga is an active member of the South African Rhinoplasty Society, the
European Rhinoplasty Society, the International Society of Aesthetic Plastic Surgery and the
European Academy of Plastic Surgery Society.
A graduate of the Medical University of South Africa (MEDUNSA), Dr Chauke-Malinga
passed her MBcHB in 2003 with distinctions in Obstetrics, Gynecology, Family Medicine and
Internal Medicine. She also obtained the Smith and Nephew student of the year award in
orthopaedics in 2003.

Her academic roots are in Bachelor of Medical and Laboratory science where she majored
in Virology at the University of Limpopo, previously known as University of the North in 1998.

She also holds an Advanced Business Management certificate obtained from Manchester
University in 2006.

Her academic publications include:
• “A delayed presentation of Ameloblastic fibrosarcoma in an African patient” published in
the British Medical Journal, 2017
• “Metastatic Trichillema Carcinoma in a patient with breast cancer” published in the British
Medical Journal, 2016

Procedures


We believe in our clients being the best versions of themselves and we offer surgical and non surgical procedures to achieve those physical goals

Facial

Face lift/neck lift

This procedure will help to reduce the signs of aging, through tightenig and removal of saggy skin.

  • More Information on Facelifts and Neck Lifts

    A neck and face lift is a procedure whereby your facial muscles are tightened or stretched and the removal of excesses fat from the neck and face, to give the patient a more youthful look. A neck and face lift can be done independently, but they are commonly done in one procedure. 

    How are they performed

    • A traditional face lift incision:
      • The incision begins in the hairline above the temple and continues behind the ears until it reaches the lower scalp. In cases where a neck lift is required this will include an incision under the chin.
    • A limited incision:
      • Is similar to a traditional one, however it does not proceed to the lower part of the scalp.

    What are the advantages?

    A neck and face lift will help modify age related changes that occur the older we get, such as sagging, decreased elasticity and fat composition changes in the face and neck. The appearance of other features may also improve such as the folds of the sides of the nose and mouth.

Brow/forehead lift

With our brow/forehead lift, we remove the deep “worry” lines that run accross the forhead for a firmer and younger look.

  • More Information on Brow and Forehead Lifts

    A brow and forehead lift corrects the flowing:

    • Creases in the forehead.
    • Hooding of the upper eyelids
    • Sagging of eyebrows

    These corrections are achieved by removing or raising the muscle tissue or skin in the forehead region. This muscle tissue or skin is responsible for wrinkles/deep frown lines and any drooping.

    How is this procedure performed?

    • There are two primary procedures:
      • The classical (coronal) lift:
        • An incision is made in the forehead area extending from one ear to the other. In other cases, it is done in the hairline to to deal with the correction of issues with a high forehead (a large space between the top of the head and the eyebrows).
      • The endoscopic lift:
        • This is a less invasive method in which smaller incisions are made in the forehead to pass through a thin tube mobilized with a camera to view the tissue and muscle. Simultaneously another device is placed through another incision to make the alterations.

    What are the advantages?

    • The forehead is given a more refreshed look.
    • Improvement of the appearance of frown lines.

Blepharoplasty ( eye lift )

By reducing or eliminating fold, wringles and saggy skin within the tissues surrounding the eyes, you will have a more firmed and youthful face.

  • More Information on Blepharoplasty (Eye lift)

    An eye lift is a procedure that aims to correct deformities, defects, the sizes of the eyelids and to aesthetically modify the eye region of the face. This may involve the removal of excess fat, skin or muscle both in the upper and lower lid of the eye.

    How is it performed?

    An eye lift can be done on both the upper and lower lid:

    • On the upper lid an incision is made along the folds of the eyelids to extract the excess skin, fat or muscle.
    • On the lower lid an incision is made underneath the lashes in the natural crease.

    Other eyelids problems such as an eyelid that droops excessively affecting a patient’s vision may require an additional procedure called Ptosis (this provides additional support to the eyebrow muscle).

    What are the advantages?

    • Improvement of baggy/droopy upper eyelids.
    • The removal of any excess skin that may interfere with peripheral vision or result in any other eye difficulties.

Rhinoplasty

( nose: full rhinoplasty / tip only )

Chin, Cheekbone and other augment

  • More Information on Rhinoplasty

    A rhinoplasty is a procedure aimed at correcting and reconstructing the nose. The motivation behind rhinoplasty can be characterized as reconstructive surgery and cosmetic surgery , as it is focused on the alteration of either the bone, cartilage, skin or all three.

    How is this procedure performed?

    It is highly dependent on the area of the nose that requires alterations resulting in a tip only or full rhinoplasty.

    • Tip only rhinoplasty:
      • This procedure is done to improve the shape or look of the nose to deal with issues such as any drooping, asymmetry, a bulbous tip and a hanging columella.
    • Full rhinoplasty:
      • A full rhinoplasty modifies the bone and cartilage in the nose through an incision made at the base of the nose. Cartilage and bone may be utilized from other parts of the body to meet the desired look. For the purpose of improving a patient’s breathing a Septoplasty can be performed to straighten the nasal septum (the wall dividing the nasal passage into a left and right side).

    What are the advantages?

    • Aids breathing difficulties.
    • Slight changes can improve the look of the nose.
    • Can improve the disruption of snoring.
    • Deals with injuries such as a broken nose.
    • Improves confidence as it can provide an aesthetical identity.

Lip enhancement

Make your lips look naturally fuller with our lip enhancement surgery 

  • More Information on Lip Enhancement

    A lip enhancement is also commonly known as a ‘lip augmentation’it is a surgical or non-surgical procedure that aims to change the appearance of the lips by altering the shape, structure and volume of the lips thus creating lips that are visually fuller.  

    How is it performed?

    There are a variety of methods that can be used to achieve a desired look and feel such as:

    • Lip fillers:
      • Are often made from injectable dermal substances (which are taken from the patient’s skin) that can be absorbed by the body at a quicker rate than others such as hyaluronic acid and collagen. These are then injected either in your lips or around the mouth.
    • Fat grafting/transfer:
      • This is done through the harvesting of fat from other parts of the body such as the abdomen; it is then purified and then injected into the lips.
    • Lip implants:
      • Are used as an alternative to temporary lip fillers.
      • Once the lips are anesthetized and sterilized a cut is made in the corners of the mouth to create a tunnel the shape of the lip which is then used to insert the implant.

    What are the advantages?

    • Patients are able to see the results right away.
    • With lip filler the amount of substance inserted can be controlled, and the treatment can be supplied in gradual doses over a specific time.
    • Certain types of Lip implants are solid and therefore are less prone to leaking or rupturing.
    • Fat grafting/transfer often last for 5 years or longer at the most.

Fat injections

Removal of unwanted fatty from the specified area.

  • More Information on Fat Injections

    Fat  injections can also be referred to as ‘autologous fat transportation’ that uses body fat as a filler agent. This is done to re-contour the face, reduce frown lines, crow’s feet, smile lines (nasolabial folds), and to give definition to the cheeks and chin. Fat injections can also be used in other parts of the body to fill depressed scarred areas.

    How is it performed?

    A donor site (where the fat will be extracted) and a treatment site (the body part receiving the filler) need to be located. These sites are then both injected with a local anesthetic, and then an IV (intravenous fluid) is injected into the donor site only to facilitate fat collection. The fat is then processed to remove unwanted fluids and is injected into the treatment site in multiple thin strands.

    What are the advantages?

    • It is natural; non allergic.
    • Injections may last for several months.
    • Little to no downtime.
    • Usually no pre-testing required because the fat is from the patient’s body.

Breasts

Augmentation

Increasing the size of the breast

  • More Information on Breast Augmentation

    Breast augmentation is a procedure done to make small breasts larger, correct volume loss associated with post breast feeding and age-related deflation. Implants can also be used to correct birth deformities and for breast reconstruction.

    How are the implants inserted?

    • The most common way is by cutting a very small incision under the breast.
    • Other incisions that can be used are; on the edge of the areolar, from your axilla and from the belly button.

    Where is the implant placed?

    • An implant can be placed:
      • Under the breast tissue (sub-glandular)
      • Under the muscle (sub-pectoral)
      • or Most popular would be an interphase between the two (dual plane)

    Which implant filler is most commonly used?

    • Most common type is silicone, which gives the breast a more natural feel to touch and is associated with less chance of rippling and deflation as compared to saline filled implants

     What are the advantages of having a breast augmentation?

    • Enhances self-confidence and self-image
    • Improved cleavage
    • Enhances your figure

Reduction

Reducing the size of the breast

  • More Information on Reduction

    Big female breasts/ Macromastia are defined as disproportionally enlarged, sagging breasts where more than 500g (macromastia) or or > 1000g (gigantomastia) is expected to be excised from each breast.

    What are the benefits of having a breast reduction?

    • Improvement posture (kyphosis)
    • Improves back pain related to heavy breasts
    • Can improve quality of sleep and breathing due to reduction of the weight from the chest area
    • improves neck pain and shoulder strap notching related to Bra straps
    • Improvement of infra-mammary skin excoriation / intertrigo.
    • Has been shown to improve self-esteem, especially of adolescents.
    • Easier to find well-fitting clothes and brassieres
    • Improves physical activity, as in some patients, enlarged breasts can cause restrictions in physical activities and sports
    • Can improve neuropathic pain caused compression of the brachial plexus by Bra straps

Lifting ( Mastopexy )

We lift the breast through contouring and elevations of your breasts

  • More Information on Lifting ( Mastopexy )

    A mastopexy is commonly known as a breast lift. This is a surgical procedure performed by a plastic surgeon to change the shape of your breasts. During a breast lift, excess skin is removed, and breast tissue is reshaped to raise the breasts.

    What are the advantages of having a breast lift?

    • You might choose to have a breast lift if your breasts sag or your nipples point downward.
    • A breast lift might also boost your self-image and self-confidence.
    • A breast lift won't significantly change the size of your breasts, however, a breast lift can be done in combination with breast augmentation or breast reduction.
    • A breast lift can reduce sagging and raise the position of the nipples and the darker area surrounding the nipples (areolae). The size of the areolae can also be reduced during the procedure to keep them in proportion to the newly shaped breasts.

    Why it is done:

    As you get older, your breasts change — losing elasticity and firmness. There are many causes for these kinds of breast changes, including:

    • Pregnancy:
      • During pregnancy, the ligaments that support your breasts might stretch as your breasts get fuller and heavier.
      • This stretching might contribute to sagging breasts after pregnancy — whether or not you breast-feed your baby.
    • Weight fluctuations:
      • Changes in your weight can cause your breast skin to stretch and lose elasticity.
    • Gravity:
      • Over time, gravity causes ligaments in the breasts to stretch and sag.

Combine Augmention and Lifting ( Augmentation Mastopexy )

Combinations surgery which includes changing the size, contour and elevating your breasts to a pre specified shape

  • More Information on combined Augmention and Lifting ( Augmentation Mastopexy )

    A breast augmentation combined with breast lift (mastopexy) can help women achieve breasts that appear fuller, rounder, perkier, and more youthful. The processes is performed simultaneously to position the nipples of the patient in a more youthful, centralized location. An implant adds volume to the breast, particularly its upper pole, when a breast lift alone may not be enough to meet a woman’s aesthetic goals.

    How is it performed:

    • Incisions are made, including one around the areola (the pigmented circle surrounding the nipple) and a vertical one from the low part of the areola to the base of the breast and this removes excess skin. 
    • Implants are placed through these same incisions and are typically positioned under the pectoral chest muscle.
    • As in a standard breast augmentation, implants may be silicone or saline.

Breast and Nipple Reconstruction

Nipple reduction can improve the appearance of larger nipples and the areolas to be the size that you want

  • More Information on Breast and Nipple Reconstruction

    Majority of patients when undergoing a mastectomy, the nipple and areola are removed. Therefore, many patients choose to undergo nipple reconstruction surgery. 

    Surgery Methods:

    Several approaches can be used in the reconstruction of your nipple, depending on the condition of your new breast tissue and your surgeon’s preferences.

    Skin Flap:

    • Small flaps of skin from your reconstructed breast are folded and sutured together to build a mound that becomes the nipple.
    • The skin is manipulated to give the nipple an elevated appearance compared to the breast mound.
    • Additional skin, fat, or synthetic fillers are sometimes used to make the nipple more erect.

    Skin Graft:

    • If there isn’t enough tissue to create a nipple from the new breast, your surgeon may use a skin graft.
    • Grafts are usually taken from the abdomen, thigh, the crease of the buttocks, or the groin where legs and torso meet.

    Autologous graft / Nipple Sharing:

    • If the nipple on your unaffected breast is large enough, a portion of it may be grafted onto your new breast. 

    Medical tattooing:

    • Tattooing is widely used to recreate a natural-looking areola and nipple.
    • Skin grafts may also be used in addition to the tattoo procedure.
    • Women who want to avoid additional surgeries may choose to have only a tattoo.
    • It’s important to note that in this situation the nipple will not be elevated.

     Breast reconstruction:

    • The goal of breast reconstruction is to reform or reshape the breast after mastectomy or lumpectomy.
    • A mastectomy is a surgical procedure that removes the entire breast, usually including the nipple and areola, in order to treat or prevent breast cancer.
    • A lumpectomy is the removal of a piece of the breast where there is a smaller tumor.
    • While many factors determine what kind of breast reconstruction surgery would best suit an individual, there are two main types of breast reconstruction surgery: 
      • Implants or prosthetic involves surgery using silicone or saline implants.
        Autologous or skin flap surgery is a method where tissue from another area of the body is used 
      • In some cases, a combination of both techniques may be used to reconstruct the breast more naturally.

     

Male Breast ( gynecomatia) correction

Gynecomatia is when a male has bigger than normal breasts due to homone imbalance or hormone therapy.

 

  • More Information on Male Breast ( gynecomatia) correction

    Gynaecomastia (Man boobs) is an enlargement of male breast tissue to a point where it becomes noticeable. Medically its defined as the presence of palpable sub-area gland and duct tissue are bigger then 2 cm.

    Who gets it?

    Gynaecomastia is common and is thought to be present in at least a third of men in their lifetime.

     What does a gynaecomastia surgery involve?

    There are two options depending on the type of excess tissue you have:

    • Liposuction:
      • Liposuction is performed if you have excess breast fat.
      • Liposuction for treating gynecomastia is typically performed using local or general anaesthetic.
      • The process involves a small incision on each side of your chest, the edge of your areola or within your armpit.
      • Through these incisions your cosmetic surgeon will insert a thin tube to loosen the excess fat and remove it using a high-power vacuum and sculpt a new more natural chest contour.
    • Male breast reduction:
      • A male breast reduction is performed if your breast gland tissue is in excess.
      • Male breast reduction surgery is usually carried out under general anaesthetic.
      • The process involves making a cut around your nipple that allows your surgeon to remove the tissue.
      • Cuts may be extended and your nipples re-positioned if you have a lot of tissue to remove.
      • The procedure will typically take 90 minutes.
      • The cosmetic surgeon will take care to place incisions so that the resulting scars are as inconspicuous as possible.

    Liposuction and breast reduction surgery can be performed at the same time if you have an excess of both fatty and glandular tissue.

    The befits of gynaecomastia:

    • The benefits of gynaecomastia surgery are that it will restore a naturally masculine appearance to your chest. 
    • With a firmer, flatter and better shaped chest, men often feel more confident with increased self-esteem and are able to wear more fitted tops and reveal their chests when they want.
    • Gynaecomastia surgery is typically a short procedure with a quick recovery and virtually invisible scars.

Fat injection

Control the shape and size of your breasts with our fat injections, by removing unwanted from unwanted fatty areas and using it to increase the size / improve shape and make your breasts smoother

  • More Information on Fat injection

    Fat injection, also known as fat transfer or fat grafting, is a procedure that improves the body’s contours and proportion by removing fat from one or more areas and injecting the fat into another area to add volume and reshape specific areas of the body. Common areas that are treated with fat injection include the face, buttocks, breasts and to reconstruct contour problems in any area of the body after weight loss, accidents or previous surgery.

     

    What is the process:

    • Fat injection is invasive surgery that aims to improve the body’s contours by adding volume and reshaping specific areas of the body.
    • Fat is removed by liposuction from one area of the body and injected into another area to add volume and reshape that area.
    • Depending on the amount required and number of areas that require treatment, repeated treatments may be necessary.

Correction of inverted nipple

To make you breasts look more symmetrical and to make the nipples more projected

  • More Information on Correction of inverted nipple

    Nipple inversion, which can also be called nipple retraction or invaginated nipple, is a condition where the nipple is either flat or i