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Monday 08:00 - 17:00 Tuesday 08:00 - 17:00 Wednesday 08:00 - 17:00 Thursday 08:00 - 17:00 Friday 08:00 - 17:00

Dr Edward Ngwenya

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Dr Edward Ngwenya

Dr Edward Ngwenya is a plastic and reconstructive surgeon.

His interests include breast surgery (cosmetic and reconstructive), body contouring surgery (body shaping procedures), onco-plastics surgery (cancer surgery) and aesthetic medicine.

15/02/2026

Reconstructive surgery is designed to last.
In areas exposed to movement, pressure or repeated stress, the primary goal is durability rather than surface appearance.

Skin, muscle and underlying structures must withstand daily use without breaking down, tightening excessively or losing function. In these cases, prioritising strength and reliability protects long-term comfort and mobility.

While appearance is always considered, reconstructive decisions are guided by how tissue will behave over months and years, not just how it looks in the immediate healing phase.

Durable reconstruction supports independence, function and quality of life long after surgery is complete.

14/02/2026

Valentine’s Day is often associated with romance, but at its heart, it is about care, trust and connection.

In medicine, these values matter deeply. Every consultation, every procedure and every decision is built on a relationship of trust between patient and surgeon. That trust allows honest conversations, thoughtful planning and care that respects both body and wellbeing.

Surgery is never just technical. It involves listening, reassurance and understanding the person behind the condition.

Today is a reminder that compassion is as important as skill, and that caring for people is at the centre of good medical practice.

13/02/2026

Surgical planning begins long before the day of an operation. Consultations, examinations and imaging allow a surgeon to anticipate anatomy and potential challenges. However, the body does not always behave exactly as predicted once surgery begins.

Scar tissue, variations in anatomy, unexpected bleeding patterns or changes in tissue quality may only become apparent during the procedure itself. When this happens, the surgical plan may need to be adjusted in real time.

These decisions are not made lightly. They are guided by experience, anatomical knowledge, team work, and a clear priority: patient safety and long-term outcome. Adapting a plan in theatre is not a sign of uncertainty, but of sound clinical judgment and responsiveness to what the body presents.

Good surgery is not rigid. It requires the ability to assess, adjust and act thoughtfully in the moment, always with the patient’s wellbeing at the centre of every decision.

11/02/2026

Before surgery, skin quality is carefully assessed. Thickness, elasticity and blood supply all influence healing, scarring and long-term outcomes.

Healthy, well-vascularised skin tolerates surgery more predictably and heals more reliably. This assessment may influence both timing and technique.

Surgery is planned around the patient’s tissue, not only the procedure.

10/02/2026

Pain is not a reliable indicator of whether a surgical procedure has been successful. Some patients experience minimal discomfort after complex surgery, while others may feel more pain following relatively minor procedures.

What defines success is safe healing, restored function, stable anatomy and long-term comfort. Pain levels vary according to individual biology, nerve sensitivity and healing response, rather than surgical quality alone.

Surgical planning focuses on durability, safety and recovery, rather than short-term discomfort.

29/01/2026

The nose is more than a central facial feature — it plays a vital role in breathing, smell and structural support of the face.
When the nose is affected by trauma or the removal of skin cancer, reconstruction must first restore airflow, stability and internal support.

Successful nasal reconstruction requires rebuilding the framework that keeps the nasal passages open and functional. Only once breathing and support are re-established can aesthetic refinement be carefully considered.

This step-by-step approach ensures results that not only look natural, but work naturally as well.
Because breathing comfortably, sleeping well and maintaining normal nasal function are just as important as appearance.

In reconstructive surgery, function always leads — and form follows.

26/01/2026

Diastasis recti occurs when the abdominal muscles separate, most commonly after pregnancy or significant weight changes.
This separation weakens the core and can lead to a persistent abdominal bulge, lower back pain, poor posture, and reduced functional strength — even in patients who are otherwise fit and active.

Surgical repair brings the muscles back together, restoring internal support to the abdominal wall.
This improves core stability, posture and physical comfort, while also refining abdominal contour.

Diastasis recti repair is not about achieving a “flat stomach” alone — it’s about function, strength and long-term body support.

24/01/2026

Skin cancers such as basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are common and, when detected early, highly treatable.
Surgical removal is often recommended to ensure the cancer is completely cleared and to reduce the risk of recurrence.

Because these lesions frequently occur on visible or delicate areas — such as the face, ears, nose or hands — surgery must balance oncological safety with careful reconstruction.
After excision, the remaining defect is reconstructed with attention to preserving function, protecting nearby structures, and achieving the most natural appearance possible.

Early diagnosis allows for smaller excisions, simpler reconstruction and better outcomes.
If a suspicious skin lesion changes in size, colour or texture — or fails to heal — prompt assessment is essential.

Early treatment matters — for both health and healing.

22/01/2026

Burn Contractures — Restoring Movement After Injury

After a burn injury, scar tissue can tighten as it heals.
When this tightening restricts movement across a joint or area of the body, it is known as a burn contracture.

Burn contractures can limit everyday activities — from bending an arm or leg to turning the neck or opening the hand. Over time, they may also cause discomfort, pain, and changes in posture or function.

Reconstructive surgery aims to release these tight scars, improve range of motion and restore functional movement. Each procedure is carefully planned to respect the surrounding tissue, protect healing skin, and create durable results that allow the body to move more freely again.

This type of surgery is not about cosmetic change — it’s about mobility, comfort, independence, and quality of life.
For many patients, it marks an important step forward in recovery after a life-altering injury.

19/01/2026

How Surgeons Think in Layers

Surgery is never just about what’s visible on the surface.
Beneath the skin lies a complex system of fat, muscle, connective tissue and structural support — and each layer plays a critical role in both healing and long-term results.

True surgical planning considers how these layers interact.
Skin quality affects scarring and tension.
Fat distribution influences contour and balance.
Muscle and deeper structures determine strength, function and durability.

Focusing on only one layer may create a short-term change, but lasting, natural results come from respecting all of them.
This layered approach is what allows surgery to look refined, feel comfortable, and age well over time.

Good surgery isn’t superficial — it’s structural, thoughtful and precise.

16/01/2026

What Makes a Surgical Result Age Well

Good surgery is not designed for the moment — it’s designed for the years ahead.

A well-executed surgical result continues to look natural, balanced and appropriate as the body changes with time. That’s why proportion, structural support and restraint matter far more than trends or extremes.

Ageing is inevitable. Gravity, skin quality and lifestyle all play a role. Thoughtful surgical planning anticipates these changes, rather than fighting them.

True success is when a result still feels comfortable, functions well and looks harmonious long after the healing phase is over.
Longevity, not immediacy, defines quality surgery.

12/01/2026

Patients often focus on size or shape.
Surgeons look at skin quality, symmetry, tissue strength and long-term stability.
Beautiful results come from seeing the whole picture, not just one detail.

Address

Life Fourways Hospital, Suite C39, Cedar Road & Cedar Avenue West
Sandton
2055

Opening Hours

Monday	08:00 - 17:00
Tuesday	08:00 - 17:00
Wednesday	08:00 - 17:00
Thursday	08:00 - 17:00
Friday	08:00 - 17:00

Telephone

+27119221583

Website

http://www.drngwenya.co.za/

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