Labiaplasty recommendation

“Many thanks, Mr Tulley, for your great work with my labiaplasty! I had a very quick recovery without discomfort, and I’m really pleased with the result – wish I’d done the procedure with you many years before!”

Ms CH, 38 years

Great Service, Fab Results

‘5 stars
Great service, fab results
Really happy with my breast augmentation with Mr Paul Tulley. Right from the beginning he has been really supportive and I have found the whole experience a very positive one. I have recommended him to several people’
Ms A F
Bilateral Breast Augmentation
This 24 – year old lady received 330 cc moderate profile and 300 cc moderate profile, round Nagor breast implants to the right and left sides respectively to increase breast volume, improve shape and correct breast asymmetry. The implants were placed in the dual plane and inserted via an inframammary fold incision.
The patient increased breast size from a small B to a full C cup with improved shape and correction of breast asymmetry. The dual-plane approach was used to produce a natural breast shape with smooth upper poles, without visibility of the implant edge, and a fuller, round lower pole of the breast.
Round, moderate profile implants were selected for this case as the patient had good breast development, was of a reasonable body weight, wanted a moderate volume breast augmentation and had a good chest wall shape.
Moderate profile Nagor implants were used due to the dimensions of the patient’s breast base in relation to the implant, and to produce a natural breast shape.
The patient was assessed for breast augmentation  preoperatively using a number of different implant sizers, together with a trial bra in front of a mirror, so that they could decide on the optimal breast implant volume, shape and  profile for them. It also allowed us to assess the volume difference between the two breasts in order to accurately correct the breast volume asymmetry.
The patient had a dressing applied at surgery which was removed after one week, after which they wore a sports bra to 6 weeks to allow the implants to settle securely in the correct position.

Is Surgery Right for You?

unsureBefore undergoing any type of cosmetic surgery procedure, it’s important to establish whether you’re doing it for the right reasons. Any good cosmetic surgeon will also want to talk about your reasons for having the surgery. Why? Because going under the knife is a major decision and it isn’t one you should take lightly.

There are right and wrong reasons for wanting to change your appearance. If you end up doing it for the wrong ones, you could end up regretting it or at the very least, be unhappy with the results. Below you’ll discover both the right and the wrong reasons to opt for plastic surgery.

Are you doing it for yourself or to please somebody else?

The answer to this question isn’t always straightforward. Initially you might think you’re doing it for yourself, but if deep down the reason you want to change is to look good for other people, it might not be a good idea. You could end up changing one thing and then find you’re unhappy with something else.

Cosmetic surgery can get addictive, especially if you’re focused on pleasing other people. It’s your body so you need to look how you want to look.

How long have you wanted the surgery?

This is another important question you need to ask yourself. If you’ve been longing for bigger breasts for years for example, then a breast augmentation could be a good option. However, if you’ve only just decided to get bigger breasts on a whim, it would be worth waiting a while and doing as much research as you can. Cosmetic surgery on a whim is never a good idea.

Are you expecting the procedure to change your life?

Many people believe once they have the surgery, it will change their life. In some cases this might be true, mostly for those seeking reconstructive surgery. However, a cosmetic surgery in most cases will not magically change your life. All your troubles and worries will still be there; you’ll just look different.

To sum it up, good reasons for having plastic surgery include if it’s purely something you are doing for yourself and you’ve spent years properly considering all the risks and outcomes of the surgery. Bad reasons for having it done include wanting to please others, make yourself more attractive to a partner or if you’re doing it on impulse.

Overall you need to be completely honest with yourself. Never rush into a procedure. Always talk through your reasons with a surgeon prior to booking the surgery.

How Important is it to Choose a Specialist Surgeon?

060522-N-9389D-149 Pacific Ocean (May 22, 2006) - Hospital Corpsman 3rd Class Roland Alferos grabs a suture from a dental tray while assisting with oral surgery aboard USS Kitty Hawk (CV 63).  Kitty Hawk is currently conducting Sea Trials in the western Pacific Ocean, Kitty Hawk demonstrates power projection and sea control as the U.S. Navy's only permanently forward deployed aircraft carrier operating out of Yokosuka, Japan. U.S. Navy photo by Photographer's Mate Airman Benjamin Dennis   (RELEASED)

Once you’ve made the decision to have plastic surgery, one of the most important things you need to do is find a good, reliable and experienced surgeon. This can be a lot more difficult than you think. Unfortunately, not all surgeons are as skilled as they claim to be.

Cosmetic surgery is a very lucrative business so it does attract a minority group of surgeons who are purely in it for the money. There are also many different kinds of plastic surgeons out there. If you want to get the best results, choosing a specialist surgeon is highly recommended.

What is a specialist plastic surgeon?

A specialist plastic surgeon is one that performs a specific type of surgery. They are qualified in numerous procedures, but they specialise in one field. So, say you’re looking to have a facelift. Ideally you want to find a surgeon who specialises in facelift procedures. Or, if you’re wanting breast implants, choose a surgeon who largely focuses on breast augmentation.

Most surgeons tend to dabble in all kinds of plastic surgery and that’s fine if they have years of experience. However, a specialist surgeon is always a good option if you can find one.

The benefits of a specialist surgeon

There are many benefits that come from choosing a specialist plastic surgeon over a general one. One of the biggest advantages is that it lowers the chance of complications arising during the surgery. A specialist surgeon knows exactly what they’re doing and will have performed the same procedure many times over.

The results are obviously another major benefit. You’re guaranteed much better results if you choose a surgeon who specialises in the procedure you’re undergoing. As they do have a lot of experience, they’ll have perfected the surgery to guarantee excellent results. Of course, with any surgery there are always risks and the chance it won’t turn out how you hoped. However, you’re much more likely to get the results you crave by choosing a specialist in the field.

It is sometimes preferable to pick a specialist, but as long as the surgeon has years of experience performing the procedure you’re undergoing, you should end up with good results. Take your time when searching for the right surgeon. Book consultations with at least three so you can compare their skills and experience. You also need to feel comfortable with them as, after all, it’s a major decision that will have a massive impact on your life.

What is the difference between cosmetic and reconstructive surgery?

which wayAre you confused about whether the procedure you’re thinking of having done is considered cosmetic or reconstructive surgery? If so you wouldn’t be alone.

While the two types of surgery are very different, they are often considered one and the same. Whether you want to know out of sheer curiosity, or you need to know because your insurance claim relies upon it, below you’ll discover everything you need to know about the differences between the two types of procedures.

Understanding the main differences

The biggest difference between cosmetic and reconstructive surgery is that one is a choice and the other is actually needed. With cosmetic surgery, it is used to enhance the appearance based upon personal preference. Reconstructive surgery on the other hand is typically carried out to fix a problem.

As reconstructive surgery is something that is medically required, it is often included within health insurance policies and may also be available on the NHS. However, even if you choose to undergo the procedure privately, it is recommended you double check with your insurer before undergoing the surgery as some restrictions may apply. If you’re having cosmetic surgery, this won’t usually be covered as it’s a choice, not a necessity.

You might find it interesting to know that the majority of cosmetic procedures carried out today are actually modified from reconstructive surgery. The majority of reconstructive surgeons are also cosmetic surgeons, though many do prefer to focus solely on reconstructive procedures.

Grey areas do exist between the two

What makes it more difficult to tell the difference between reconstructive and cosmetic surgery is there are a lot of grey areas. For example, if you’ve suffered severe burns to your face after an accident, you’d want to have surgery for cosmetic reasons, to regain a more normal appearance. However, it might also be medically necessary to have surgery, particularly if there’s a high risk of infection or other health issues.

Due to the sheer amount of grey areas that do exist, it’s recommended you contact your insurer to double check if the surgery you require is covered.

Overall if you’re just looking to enhance the size of your breasts because you aren’t happy with their natural size, this is a cosmetic procedure. If, on the other hand, you need surgery to reduce dropping eyelids as they are obscuring your vision, this would be reconstructive surgery.

Your surgeon will be able to tell you exactly what type of procedure you’re having done. Remember, before having any type of surgery you should always research both the risks and benefits associated with the procedure.

Is it safe to have repeat cosmetic surgery soon after the initial procedure?

cosmetic-surgeryIf for any reason you require further cosmetic surgery after an initial procedure, it’s important to know how long you should leave it before going under the knife for a second time. Any kind of surgery is traumatic on the body. Therefore, it’s going to need to recover properly before a repeat procedure is carried out. Here you’ll discover how long you should typically leave it between surgeries.

Waiting for results

Before you even consider another cosmetic surgery procedure, it’s important to ensure you’ve given enough time for the results of the initial one to appear. A lot of people don’t realise that it can take anything up to six months to see the final results of a cosmetic procedure. This is because, depending upon the type of surgery you’ve undergone, it can take six months for swelling to go down and for the body to fully recover.

In the case of breast augmentation, the best plastic surgeons will suggest leaving it at least three months before having a second procedure done. However, whether you’ve had breast augmentation, a tummy tuck or a facelift, six months is generally the minimum amount of time you should wait between procedures.

Even if you’re not 100% happy with the initial results, you’ll still need to wait for six months before booking a corrective surgery.

Understanding the exceptions

There are situations where surgery may be required before the recommended six month waiting period. If you’ve developed an infection, are experiencing unusual symptoms or you’re in severe pain, you may need to have an emergency surgery carried out.

Even the best plastic surgeon can make a mistake. This will usually be discovered pretty soon after the surgery has been conducted. In this instance, they will be able to reschedule a second treatment to fix the problem as soon as it is safe to do so.

Having more than one procedure

If you’re thinking of having two separate procedures such as a facelift and liposuction for example, it would be worth looking in to having them done at the same time. Experienced surgeons will be able to carry out two procedures on the same day. This would prevent you from having to wait six months before having the second procedure.

Overall, six months is the standard level of time to wait between surgeries. However, it will depend on a number of factors. It’s important to talk it through with your surgeon as they will be able to give you a more specific waiting time period.

How Long Will the Benefits of My Cosmetic Surgery Last?

clockWhen you’re paying a lot of money for cosmetic surgery, you obviously want to know you’re getting your money’s worth and the results will last as long as possible. How long the results last will depend upon a wide range of factors. One of the first things to consider is the type of surgery you’ve had performed. Different procedures last for different lengths of time.

So exactly how long can you expect the results to last after your cosmetic procedure? Below you’ll find out everything you need to know.

Understanding facelift results

One of the most common cosmetic procedures these days is a facelift. The results are fantastic, providing you with a fresh, youthful appearance. However, what you need to remember is that while a facelift can produce miraculous results, it sadly doesn’t have the power to stop time.

This means you will continue to age and that can start to show after surgery. You’re still going to look up to ten years younger than you would have done without the facelift, but it is something you need to be aware of.

Of course, there are ways to reduce these natural signs of aging. Many people opt to have either dermal fillers or Botox to retain their new youthful looks. Your lifestyle will also make a significant difference to how long the results last. If you eat healthily, exercise, don’t smoke and you cut back on alcohol, the results will last a lot longer.

Most people find that the results of their facelift last for at least five years. After 10 years you may need to undergo a further procedure.

Understanding breast augmentation results

Breast augmentation is another popular procedure and generally speaking, the results usually last from 10-15 years. However, it is worth noting that there is a very small chance that the implants could last just three years. This largely occurs if the implants have been under filled.

So, the good news is the majority of the time implants will last for at least 10 years. After that you will need a further surgery to maintain results.

Overall a lot of personal factors come into play when determining how long a cosmetic procedure will last. One of the best things you can do to ensure you are left with the longest-lasting results is to choose a reliable, experienced surgeon.

Do I need a GP referral to have cosmetic surgery?

doctorThere are a lot of things to think about when you’re considering cosmetic surgery. If you’ve never gone under the knife, then you may be wondering whether you first need to see your GP. Many people are reluctant to visit their doctor prior to having a procedure out of fear that they will try to talk them out of it. So do you need a GP referral and will your surgeon need to speak to them before they operate?

NHS versus private cosmetic surgery referrals

The majority of cosmetic surgery is carried out privately. However, there are times when the NHS may pay for certain procedures. The only time you may qualify to have free cosmetic surgery using the NHS is if it can be proven you are suffering significant psychological distress because of your appearance. Even then, it’s likely you will need to undergo counselling or psychotherapy before surgery is considered.

If you decide to go through the NHS, you will need a GP referral. If you go to a private clinic, then a referral isn’t required.

Will the surgeon need to talk to my GP?

While you may not need a referral to have cosmetic surgery, your surgeon will need to talk to your GP before they operate. This is because they need to find out more about your medical history for safety reasons.

It could be that you’re on specific medications that could affect the type of treatment you should receive. Or you may have had a recent surgery and having a cosmetic procedure might not be safe for another few months. The surgeon needs to know everything about your recent medical history and whether there’s anything that could affect the procedure.

Of course, there are some surgeons out there who will not chat with your GP first. However, never trust a surgeon who does not carry out proper checks prior to surgery. There are a lot of inexperienced surgeons carrying out cosmetic procedures purely for the money. Going with this type of surgeon increases the chances of something going wrong.

Overall you don’t need a referral unless you’re hoping to have a procedure on the NHS. However, it is highly advised that you chat with your GP before booking a cosmetic surgery consultation. They will be able to establish whether you’re healthy enough for the surgery.

Too much cosmetic surgery choice

I’m considering having cosmetic surgery, so I decided to do a Google search of surgeons in my area, but there seem to be so many I don’t know where to start! How do I choose one?

This is a common problem in this age where information is so readily available through the internet – when you search online for surgeons or clinics, the number of results can be overwhelming and the temptation is to just go for the first one that comes up.

Remember, however, that the surgeon you choose will be responsible for making a lasting change to your body, and to a certain extent for the period that you are on the operating table, your life is in his/her hands. For this reason, among many others, it is important that you make an informed choice. Here are some things to look out for.

#1 Professional qualifications

This is an important one to look out for. There has been a big crackdown in this area lately, but unfortunately there are still some people advertising themselves as cosmetic surgeons who have little or no formal surgical training.

I wrote a blog post last month about the qualifications to look out for. The most important one to look for is “FRCS”, or ideally “FRCS (plast)”. The former means that s/he has passed all the exams to become a Fellow of the Royal College of Surgeons, the latter that s/he has passed the exams to specialise in plastic surgery.

#2 Membership of professional associations

Again, I covered this in last month’s post, but some professional associations s/he might be a member of include BAAPS (British Association of Aesthetic Plastic Surgeons) and BAPRAS (British Association of Plastic Reconstructive and Aesthetic Surgeons).

There are many other professional associations out there – if you see one mentioned on a surgeon’s website that you don’t recognise, it’s a good idea to Google it to find out a bit more.

#3 Before and after photographs

This is another important thing to look out for– most surgeons will have a number of before and after photographs of former patients on their website that they can use to showcase their work. Make sure there are before and after photographs depicting the particular procedure you are interested in, and that you feel the results are of a high quality.

#4 Pick more than one

If you’re feeling torn between two or more surgeons from an online search, don’t worry: go and see both of them. In fact, you should always go and have a consultation with at least two surgeons, ideally three. There are many reasons for this, but not least is that it is important that you feel comfortable with the surgeon who performs your operation.

Surgery abroad – what are the dangers?

Cosmetic surgery abroad has become more and more popular in recent years, as companies offer tempting offers, promising low cost surgery and a holiday in the sun to boot.

So are these offers all they are cracked up to be, or could there be some potential problems lurking beneath the “sun, sea, sand and surgery” veneer?

Who is operating?

One key consideration you should take into account before booking a cosmetic surgery “holiday” is this: who will be performing your surgery? It is important to meet your surgeon for a thorough consultation before undergoing any operation – cosmetic or otherwise – and you should insist that you meet your surgeon in this country before agreeing to fly abroad for surgery.

Where are they operating?

It goes without saying that any clinic where surgical procedures are performed (or even injectables like Botox and dermal fillers) needs to be clean and safe. A photograph in a glossy brochure might not represent reality, and you should be prepared to refuse the surgery should the operating room not be up to standard.

What are the risks of travelling post cosmetic surgery?

When you are recuperating from surgery, you are at increased risk of deep vein thrombosis (DVT) or pulmonary embolism. Flying also increases the risk of developing either of these conditions, so flying post surgery puts you at an especially high risk.

You should always wait at least five to seven days before flying after surgery, so if the clinic suggests flying home sooner than this, you might want to consider whether they have your best interests at heart.

Why is cosmetic surgery cheaper abroad?

In the United Kingdom, surgeons pay a lot of money on insurance, so that in the unlikely event that something does go wrong, it can be rectified quickly and without additional charge. A lot of money also goes on ensuring that the operating room is kept clinically clean, and on additional operating staff, including the anaesthetist, who is on hand to monitor the patient’s wellbeing during and after surgery.

In the UK, you are also paying for aftercare, and for any potential consultations with your surgeon after surgery has taken place, to deal with any concerns you may have.

It is worth considering whether all these things are covered in the cost of your cosmetic surgery abroad.