Dr Anazarut Plastic Surgery Duncan
Dr Anzarut is a board certified cosmetic surgeon in Duncan, British Columbia.
Duncan Cosmetic Surgeon
At Dr Anzarut Plastic Surgery in Duncan, we pride ourselves on providing individualized treatments and outstanding results.
Learn more about our cosmetic surgery services at our Plastic Surgery Clinic in Duncan, BC.
Contact Us
Dr Anzarut Plastic Surgery Duncan
149 Ingram St Suite 204
Duncan, BC, V9L 1N8
Canada
Phone: 778-455-3223
Fax: 250-597-1297
Email: dralex@dranzarut.com
Office Hours: Monday to Friday 9.30am to 4.00pm
Face and Neck
Body Sculpting
Minimally Invasive Treatments
Frequently Asked Questions (FAQ)
1. Do I need to travel to Victoria or Nanaimo for plastic surgery?
No. You can access world-class plastic surgery services right here in Duncan, BC. We offer comprehensive consultations, pre-operative planning, and post-operative care at our clinic in the heart of the Cowichan Valley. While some major surgical procedures may be performed at accredited private surgical facilities in nearby hubs (depending on the complexity), your entire patient journey—from the initial visit to your final check-up—is managed locally, saving you from navigating the Malahat or highway traffic during your recovery.
2. How do I choose the best plastic surgeon in the Cowichan Valley?
Verify that your surgeon is a Fellow of the Royal College of Physicians and Surgeons of Canada (FRCSC) specializing in plastic surgery. This is the gold standard for certification in British Columbia. Additionally, look for a surgeon who understands the Duncan lifestyle—someone who listens to your goals, whether it’s returning to hiking Mount Tzouhalem or feeling confident at the lake. A local surgeon offers better continuity of care compared to “flying in” for a procedure.
3. What is the average cost of a Tummy Tuck (Abdominoplasty) in Duncan?
In the Duncan and Cowichan region, a tummy tuck typically costs $13,000 CAD on average. This cost varies based on whether you need muscle repair (for diastasis recti) or combined liposuction. The fee generally includes the surgeon’s fee, anesthesiologist, facility costs, and follow-up care. We provide a detailed, all-inclusive quote during your consultation in Duncan so you can plan your finances without hidden surprises.
4. Is plastic surgery covered by MSP in British Columbia?
Generally, cosmetic surgery (like breast augmentation or facelifts) is not covered by the Medical Services Plan (MSP). However, procedures deemed “medically necessary”—such as Breast Reduction for chronic back pain, Panniculectomy after massive weight loss, or skin cancer removal—may be fully or partially covered. We can assess your eligibility for MSP coverage during your visit and handle the necessary pre-authorization paperwork with Health Insurance BC.
5. Can I get Breast Augmentation near me in Duncan?
Yes. Breast augmentation is one of our most requested procedures. We offer a full range of saline and cohesive silicone gel (“gummy bear”) implants. During your consultation in our Duncan office, we use sizing sizers to help you visualize your result. We guide you through choices like profile (moderate vs. high) and incision placement to ensure your new look complements your body frame and lifestyle in the Valley.
6. Do you perform Mommy Makeovers in Duncan?
Yes. A Mommy Makeover is a customized combination of procedures—typically a tummy tuck, breast lift (with or without implants), and liposuction—designed to restore your pre-pregnancy body. By combining these surgeries, you have a single recovery period. We help local mothers from Ladysmith to Mill Bay regain their confidence. We will discuss safety limits and staging options to ensure your well-being is prioritized.
7. What are my options for financing plastic surgery?
We understand that surgery is an investment. Our practice partners with reputable Canadian medical financing companies like Beautifi and Medicard. These services offer flexible monthly payment plans with competitive interest rates. Our patient coordinator in Duncan can assist you with the application process, allowing you to schedule your surgery sooner and pay over time.
8. Where will my surgery be performed?
Minor procedures (like mole removal or scar revision) may be performed under local anesthesia in our dedicated procedure room. For major surgeries requiring general anesthesia (like facelifts or breast surgery), we operate at fully accredited Non-Hospital Medical and Surgical Facilities (NHMSFAP) or, in some reconstructive cases, at Cowichan District Hospital. We prioritize facilities with board-certified anesthesiologists to ensure your safety and comfort.
9. How long is the recovery for Eyelid Surgery (Blepharoplasty)?
Most patients in Duncan feel “socially presentable” within 10 to 14 days after eyelid surgery. You may experience some bruising and swelling, which can be managed with cold compresses. We recommend taking a week off work. Whether you work in a downtown office or outdoors, we provide a customized recovery plan to protect your incisions from the sun and elements common to Vancouver Island living.
10. Can I drive home after my surgery?
If you undergo surgery with general anesthesia or IV sedation (twilight), you cannot drive yourself home. You must have a responsible adult pick you up and stay with you for the first 24 hours. Since our clinic serves the wider region, including Chemainus and Cobble Hill, we recommend arranging your ride in advance. For out-of-town patients, we can suggest local accommodations for your initial recovery night.
11. Do you treat Hand Injuries or Carpal Tunnel in Duncan?
Yes, as a fully trained plastic surgeon, hand surgery is a core part of our expertise. We treat conditions like Carpal Tunnel Syndrome, Dupuytren’s Contracture, and Trigger Finger, as well as trauma (cuts, tendon injuries). Many of these functional hand surgeries are covered by MSP or WorkSafeBC. We aim to restore full function so you can get back to your work and hobbies on the Island.
12. What is the difference between a Dermatologist and a Plastic Surgeon?
While both treat skin conditions, a Plastic Surgeon is a surgical specialist trained in complex reconstruction and aesthetic contouring. If you have a skin cancer lesion (like basal cell carcinoma) on a sensitive area like the face or nose, a plastic surgeon is best equipped to remove it and reconstruct the defect using advanced flap or graft techniques to minimize scarring and preserve your appearance.
13. How do I prepare for my consultation?
To get the most out of your visit to our Duncan clinic, bring a list of your current medications and medical history. If you are interested in cosmetic surgery, bringing “wish list” photos can help us understand your aesthetic goals. We will review your BMI and overall health to ensure you are a safe candidate for surgery. Honesty about smoking and lifestyle is crucial for a safe surgical plan.
14. Do I need a referral from my GP?
For cosmetic procedures (like liposuction or Botox), you do not need a referral; you can contact us directly to book. For MSP-covered medical procedures (like breast reduction, hand surgery, or skin cancer removal), a referral from your Family Physician or a Walk-In Clinic in the Cowichan Valley is required to access coverage. We will coordinate with your GP to ensure they receive a full report of your treatment.
15. What happens if I have a complication after hours?
Patient safety is our top priority. We provide all surgical patients with post-operative contact instructions. For urgent concerns, we are available to guide you. In the rare event of a medical emergency, Cowichan District Hospital provides 24/7 emergency care, and as a local specialist, we can coordinate with the ER team to ensure your surgical site is treated appropriately.
16. Can you fix a “botched” surgery from another clinic?
Yes, revision surgery is a complex area where we have significant expertise. If you had surgery elsewhere (or abroad) and are unhappy with the results or are experiencing complications, we can assess you. We serve patients from Lake Cowichan to Crofton seeking corrective work. We will provide an honest assessment of what can be achieved to improve your outcome and comfort.
17. Is Liposuction a weight loss solution?
No, liposuction is a body contouring procedure, not a weight loss tool. It is best for removing stubborn pockets of fat (like love handles or saddlebags) that resist diet and exercise. The ideal candidate in Duncan is within 10-15 lbs of their goal weight. For patients who have lost significant weight (e.g., post-bariatric surgery), we offer Body Lift procedures to remove excess skin.
18. How soon can I exercise after surgery?
This depends on the procedure. For minor surgeries, you may return to light walking on the Cowichan Valley Trail within a few days. For major surgeries like a tummy tuck or breast lift, you must avoid heavy lifting and strenuous cardio for 4 to 6 weeks to prevent bleeding and ensure proper healing. We will give you a specific timeline based on your progress during your follow-up visits.
19. Why should I choose a local Duncan surgeon over travelling to Vancouver?
Choosing a local surgeon eliminates the stress of ferry travel and long drives while you are recovering. Post-operative complications, though rare, are easier to manage when your surgeon is minutes away rather than a ferry ride away. We offer the same high standards of safety and aesthetic excellence found in big cities, but with the personalized, neighborly care that defines the Cowichan Valley.
20. Do you offer non-surgical treatments like Botox or Fillers?
Yes. We offer a full suite of medical aesthetic treatments, including Botox Cosmetic and Dermal Fillers (Juvéderm/Restylane). These are administered by our expert team to smooth wrinkles and restore volume with natural-looking results. It’s a convenient way to refresh your look without downtime, right here in Duncan.
Book a Consultation Today
Service Area Locations
Looking for a cosmetic plastic surgeon near me in Duncan, BC?
Dr Anzarut Plastic Surgery serves Victoria, Nanaimo, Courtenay, Campbell River, Parksville, Port Alberni, Ladysmith, Cowichan Valley, Comox Valley, Salt Spring Island on Vancouver Island.
Things to Consider When Choosing Cosmetic Plastic Surgery in Duncan, BC
Whether you are seeking cosmetic enhancement or reconstructive care in the Cowichan Valley, this comprehensive checklist covers every critical aspect of your journey—from vetting your specialist to managing your recovery in Duncan.
I. Surgeon & Facility Vetting (The Local “Who”)
- FRCSC Certification: Verify your surgeon is a Fellow of the Royal College of Physicians and Surgeons of Canada in Plastic Surgery. This is the gold standard for specialists in BC.
- “Cosmetic” vs. “Plastic”: Beware of GPs marketing themselves as “cosmetic surgeons.” Look for specific plastic surgery residency training.
- Local Privileges: Does your surgeon have admitting privileges at Cowichan District Hospital (CDH)? This ensures continuity of care in emergencies.
- NHMSFAP Accreditation: Any private surgical facility (even in Duncan or Nanaimo) must be accredited by the Non-Hospital Medical and Surgical Facilities Accreditation Program.
- Anesthesia Provider: Is your anesthesia administered by a Board-Certified Anesthesiologist (FRCPC) or a GP-anesthetist?
- Experience Volume: Ask specifically: “How many [specific procedure] cases do you perform monthly in the Cowichan Valley?”
- Island Context: A local surgeon understands the lifestyle (active, outdoor, marine) and logistics of Island patients better than a mainland provider.
- Consultation Depth: Did they physically examine you and discuss your medical history in detail?
- Revision Policy: If you need a touch-up, is the surgeon’s fee waived? (Standard practice for trustworthy surgeons).
- After-Hours Care: Who do you call at 2 AM on a Saturday? Ensure there is a direct line to the surgeon, not just a call center.
- Gallery Authenticity: Look for “Before and Afters” with consistent lighting and backgrounds, ideally taken in their Duncan office.
- CPSBC Standing: Check the College of Physicians and Surgeons of BC directory for any disciplinary history.
- Technique Variety: Do they offer a range of options (e.g., implants vs. fat transfer) or just one “cookie-cutter” approach?
- Honesty on Limits: Did they refuse to perform a surgery if you aren’t a good candidate? This is a sign of integrity.
- Staff Tenure: Long-serving nursing and administrative staff indicate a stable, safe practice environment.
II. Logistics & Location (The Island Advantage)
- Malahat Avoidance: Choosing a Duncan surgeon saves you the stress and nausea of driving over the Malahat (Hwy 1) immediately after surgery in Victoria.
- Ferry Travel: Eliminates the risk of missing a ferry or getting stuck in terminal lineups while recovering.
- Local Accommodation: If you live in Lake Cowichan or Ladysmith, stay in a Duncan hotel (e.g., Best Western Cowichan Valley) for the first night.
- Ride Home: You cannot take a taxi or BC Transit alone after sedation. Arrange a reliable escort.
- Pharmacy Access: Fill prescriptions at a local Duncan pharmacy (e.g., Rexall, Shoppers, or independent) before surgery.
- Lab Work: Complete blood work at LifeLabs (Duncan, Chemainus, or Mill Bay) 2 weeks prior to check hemoglobin.
- Follow-Up Ease: Post-op checks are minutes away, not hours. Crucial if you have a concern like a seroma or infection.
- Weather: Island weather can be damp; ensure you have warm, loose clothing for recovery walks.
- Privacy: Duncan is a small community. Ask about private exits or discretion protocols at the clinic.
- Support Network: Ensure you have a friend or family member who can stay with you for at least 24-48 hours.
III. Financials & Insurance (MSP vs. Private)
- MSP Coverage (Reconstructive): Breast Reduction, Panniculectomy, and Skin Cancer removal may be covered by MSP if medically necessary.
- MSP Coverage (Cosmetic): Breast Augmentation, Facelifts, and Liposuction are private pay and never covered by MSP.
- Referral Requirement: You need a GP referral for MSP-covered procedures. You don’t need one for cosmetic surgery.
- Consultation Fees: Is the consult fee deductible from the surgical cost?
- Cost in Duncan: Prices are often competitive with Victoria/Vancouver but save on travel costs.
- GST: Add 5% GST to all cosmetic surgical quotes.
- Financing: Does the clinic work with Medicard or Beautifi for monthly payment plans?
- Hidden Fees: Ask if the quote includes the compression garment, anesthesia, facility fee, and follow-ups.
- Deposit Policy: Understand the non-refundable deposit (usually $500-$1000) to book your OR time.
- Tax Credits: Generally, cosmetic surgery is not a tax-deductible medical expense in Canada.
IV. Procedures: Breast Surgery
- Implants: Saline vs. Silicone (“Gummy Bear”). Ask to feel the difference.
- Incision Options: Inframammary (fold), Periareolar (nipple), or Axillary (armpit). Fold is most common in BC.
- Placement: Submuscular (under muscle) is standard for natural results on leaner Island patients.
- Lift vs. Augmentation: If your nipples point down, implants alone won’t fix it. You need a Mastopexy (Lift).
- Reduction: Reduces back/neck pain. Often covered by MSP if volume removal requirements are met.
- Sizing: Don’t obsess over “cc” numbers. Focus on cup size and proportion to your chest width.
- Mammograms: You can still have mammograms, but must inform the technician (Eklund displacement views).
- Breastfeeding: Most women can breastfeed after surgery, but discuss incision risks with your surgeon.
- Capsular Contracture: The risk of scar tissue hardening around the implant. Massage helps prevention.
- Implant Warranty: Ask about manufacturer warranties (Allergan, Mentor) for rupture.
V. Procedures: Body Contouring
- Tummy Tuck (Abdominoplasty): Removes excess skin and tightens muscles (diastasis recti).
- Liposuction: Contours fat, does not tighten loose skin.
- Mommy Makeover: Combining Breast + Tummy surgery. Efficient but longer recovery.
- Arm Lift (Brachioplasty): Trades “bat wings” for a scar on the inner arm.
- Thigh Lift: Removes chafing skin on inner thighs.
- Body Lift: For massive weight loss patients. Circumferential removal of skin.
- Scar Placement: Ensure scars are low enough to hide under your preferred swimsuit/underwear.
- Drains: You will likely have drains for Tummy Tucks. Learn how to empty them.
- Compression: Essential for 4-6 weeks to reduce swelling.
- Navel: Ask to see photos of belly buttons. A natural-looking umbilicus is a sign of a skilled surgeon.
VI. Procedures: Face & Skin
- Facelift: Tightens jowls and neck. “Deep Plane” techniques last longer.
- Blepharoplasty (Eyelids): Upper lids open eyes; lower lids remove bags.
- Brow Lift: Fixes a heavy/angry forehead.
- Skin Cancer: Basal/Squamous Cell Carcinoma removal. Plastic surgeons minimize facial scarring.
- Mole Removal: Cosmetic removal of benign moles.
- Hand Surgery: Carpal Tunnel, Trigger Finger, Dupuytren’s. Often MSP-covered.
- Botox/Fillers: Non-surgical options for maintenance.
- Chemical Peels/Laser: Improve skin texture and sun damage common in outdoor workers.
- Otoplasty (Ears): Pinning back prominent ears. MSP covers for children; private for adults.
- Rhinoplasty (Nose): Cosmetic or functional (deviated septum).
VII. Preparation (The Weeks Before)
- Nicotine Cessation: You MUST stop smoking/vaping 4 weeks prior. Nicotine causes skin necrosis (death).
- Supplements: Stop Vitamin E, Fish Oil, Ginseng, and Garlic supplements 2 weeks prior (bleed risks).
- Weight Stability: Be within 10-15 lbs of your goal weight before body contouring.
- Hydration: Drink 3L of water daily for a week pre-op.
- Chlorhexidine Wash: Shower with Hibiclens soap the night before to reduce infection risk.
- Bed Prep: Put a plastic sheet under your linens if having body surgery (leaking fluid).
- Clothing: Wear loose, dark sweatpants and a zip-up hoodie. Avoid tight waistbands.
- Grocery Shop: Stock up on low-sodium foods at Save-On-Foods or Superstore. Salt worsens swelling.
- Childcare: You cannot lift children >10lbs for 4-6 weeks after breast/body surgery. Plan accordingly.
- Pet Care: Dog walking might be impossible for a few weeks. Hire a walker or ask a friend.
VIII. The Surgical Experience
- Marking: The surgeon will draw on your skin while you stand.
- Anesthesia: General (asleep) vs. IV Sedation (twilight) vs. Local (awake). Know what you are getting.
- Warming: Operating rooms are cold. You will have warming blankets.
- Duration: 1 hour (eyes) to 5+ hours (Mommy Makeover).
- Recovery Room: You stay until stable (1-3 hours).
- Nausea: Ask for a patch or IV medication if you are prone to motion sickness.
- Pain Control: You will leave with a prescription. Fill it before going home.
- Discharge: You go home same-day for most procedures.
- Post-Op Instructions: Read them before surgery when you are lucid.
- Emergency Contact: Know who to call if you have bleeding or severe pain.
IX. Recovery & Risks
- Infection: Rare (<1%), but keep incisions clean.
- Hematoma: Blood collection under skin. Needs drainage.
- Seroma: Fluid pocket. Common in tummy tucks. Drained in-office.
- DVT/PE: Blood clots. Walking early and often is mandatory to prevent this.
- Scarring: Scars take 12 months to mature. Silicone gel (Biocorneum) helps.
- Numbness: Sensation changes are common and usually temporary.
- Depression: “Post-op blues” at Day 3-5 are normal due to anesthesia and swelling.
- Swelling: Pecks at Day 3. Resolves over 3-6 months.
- Activity: No heavy lifting (gym, groceries, kids) for 4-6 weeks.
- Driving: No driving while on narcotics or if mobility is restricted (approx. 1-2 weeks).
X. Making the Final Decision
- Realistic Expectations: Surgery improves, it doesn’t perfect.
- Timing: Winter is great for surgery in Duncan (hide recovery under layers).
- Second Opinions: It is okay to consult with two surgeons (e.g., one in Duncan, one in Nanaimo) to compare.
- Trust Your Gut: If the clinic feels “salesy” or pushy, walk away. This is medical surgery.
- Confidence: The goal is to feel comfortable in your own skin.
