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| Cosmetic Surgery South London, Cosmetic Surgeons North, East, West London Cosmetic Surgery: Breast, Nipple Reconstruction Treatments After Cancer in North, East, South, West London Cosmetic Surgery: Breast Asymmetry Treatments in South, East, North, West London Cosmetic Surgery: Breast Enlargement, Breast Augmentation in West, South, North, East London Cosmetic Surgery: Breast Reduction in North, South, West London, East London Mammoplasty Cosmetic Surgery: Breast Uplift, Mastopexy in West, South, East, North London Cosmetic Surgery: Endoscopic Brow Lift Surgery in South, North, West, East London Cosmetic Surgery: Chin & Cheek Augmentation in South, North, East, West London Cosmetic Surgery: Eyelid, Eyebag Surgery in North, East London, Blepharoplasty in South, West London Cosmetic Surgery: Facelift, Mini Rhytidectomy in South, East, North, West London Cosmetic Surgery: Lip Enhancement, Lip Augmentation in South, North, West, East London Cosmetic Surgery: Male Breast Reduction in South, North, East, West London Cosmetic Surgery: Inverted Nipple Correction in South, West, North, East London Cosmetic Surgery: Nipple Reduction Surgery in North, South, West, East London Cosmetic Surgery: Rhinoplasty Surgery, Nose Re-Shaping in South, East, North, West London Cosmetic Surgery: Post Pregnancy Surgery in East, West, South, North London Cosmetic Surgery: Pinnaplasty, Ear Correction Surgery in North, South, West, East London Cosmetic Surgery: Arm Lift, Thigh Lift East, North, West London, South London Brachioplasty Surgery Cosmetic Surgery: Fat Grafting Surgery in East, West London, Fat Injection South, North London Cosmetic Surgery: Labiaplasty Surgery East London, North, South, West London Labial Reshaping Cosmetic Surgery: Liposuction Surgery in North, West London, Body Contouring South, East London Cosmetic Surgery: Post Pregnancy Surgery in North, East, West, South London Cosmetic Surgery: Post Weight Loss Surgery in South, North, West, East London Cosmetic Surgery: Tummy Tuck Surgery, Abdominoplasty, South, North, East, West London |
Breast Enlargement
BREAST ENLARGEMENT / AUGMENTATION / “BOOB JOB” Cosmetic Surgeons London strive to achieve the best for all their patients by providing as much detailed information about their chosen procedure. Breast enlargement (also known as breast augmentation, augmentation mammaplasty and in the media as “boob job”) is a procedure undertaken to enhance the appearance of the breasts creating larger, soft, natural breasts. The procedure involves the placement of implants underneath the breast tissue or the under the chest wall muscles (pectoral). This may help balance the size and shape of the breasts in relative proportion to the rest of the lady’s body. Am I a good candidate for breast augmentation/enlargement? Your surgeon will discuss with you in an unhurried manner your reasons for considering breast augmentation. Breast enlargement is for ladies who:
Are silicone implants safe?
Silicon implants have been in use for many years. In the 1990s concerns were raised about the use of such implants. Consequently, many large international studies were undertaken and it has been shown that there is NO association with breast cancer or with connective tissue diseases. For further information on these studies and others please consult the Department of Health website below: What types of implants are available? Implants vary according to content (silicone or saline), shape (round or teardrop), surface (textured or smooth), projection (low, medium, high profile). Where will the breast implants be placed? Your surgeon will make a detailed assessment at the time of your initial consultation as to where your implant should be positioned (i.e which pocket). Generally, there are 3 locations: Subglandular: This means "on top of the muscle" but “underneath the breast (gland)”. This is used when there is sufficient breast tissue to cover the silicone implant. On occasion it may be used to produce an enhanced look. Subpectoral: This means "under the pectoral muscle". This is used in women who have insufficient breast tissue and therefore the muscle provides soft tissue coverage of the silicone breast implant which makes it much less noticeable in everyday life. Dual Plane: The dual plane technique is a combination of subpectoral and varying degress of subglandular pockets. It involves releasing the muscle partially at the appropriate point so that you can have the benefits of having some of the implant above the muscle and some of the implant below it. What size should I have? London Cosmetic Surgeons provides a comfortable setting in which you may trial various sizes of implants. These trial implants are provided by Mr Sojitra and placed inside your bra. This allows you to get an idea as to what size is right for you. The surgeon will guide you on implant size with regard to your body proportions but ultimately the choice of size is up to you, the patient! How long do they last? Breast implants are not permanent devices and all will need to be replaced at some point in the future. Modern day implants tend to last on average 10-12 years. Some may last more and some less. Some may need to be changed earlier due to capsular contracture or you may wish to change your implant size through personal choice. Where will the scars be after breast augmentation? Scars can be in a number of places. The most common placement by Mr Sojitra will be in the crease underneath your breast (via inframammary incision). Alternatively, it can be placed at the border of the nipple-areola and skin (periareolar incision). Will I be able to breastfeed after breast augmentation? Breast feeding tends not to be affected by the placement of silicone implants. Also there is no evidence to suggest that the baby would receive large amounts of silicone through the breast milk. There is more silicone present in the environment and the teats of feeding bottles than in the milk of implant mothers. Will the implants interfere with mammographic screening? Breast implants may interfere with mammography and the detection of breast cancer. It is therefore important to let Mr Sojitra know if there is a family history. When having a mammogram it is important you inform the radiographer that you have breast implants so that special views can be undertaken in order to optimize the mammographic process. Breast implants do NOT increase the risk of breast cancer. You (the Patient’s) Journey Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. The operation will take approximately 1-1.5 hours and you will wake up with dressings in place before being taken to the ward. In general, breast augmentation is performed as a day case procedure. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. You may need to stay in hospital overnight if your operation is done later in the day, if you feel too tired to go or if drains are used. Recovery You will experience varying degrees of bruising, swelling, and some tenderness all of which improve by the day. Breast implants placed under the muscle are associated with a little more discomfort than when placed under the breast tissue only. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. You will be up and moving on the day of surgery. It is important not to get the dressings wet after surgery and you will be advised on showering. Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting or strenuous exercise for 6 weeks. It will take approximately 3 months before the swelling completely subsides and the final size seen. The scar will continue to improve for up to 18 months and you are encouraged to firmly massage the scar after 4 weeks. Your surgeon will see you 1 week after surgery at which point the dressings will be reduced and again at 2 weeks. At 2 weeks the stitches, which are dissolvable, will be trimmed flush with the skin so they cannot be seen. All dressings will be discarded at this stage. Your surgeon will closely follow your recovery to ensure you are able to resume normal exercising and activities. It is suggested you wear a sports support bra for 6 weeks. Safety and potential complications? Scars Scarring on the whole is not problematic. A scar will always exist and will be hidden in the curve underneath the breast or at the junction of the areola and the skin. Certain individuals e.g. afro-carribean races and red haired individuals are at a higher risk of forming excess scar tissue (keloid or hypertrophic scars). Should these scars develop excellent advice and treatment will be provided by Mr Sojitra. Infection This is an uncommon event and occurs in perhaps less than 1% cases. If it does occur and the implant gets infected then the implant may have to be removed and remain out for 3 months. Once everything has settled a fresh implant will be replaced into the breast. Antibiotics are given during induction of anaesthetic and a short course of tablets afterwards. Bleeding Rarely, small blood vessels that have been cauterised during surgery open up afterward. This results in a collection of blood (haematoma) that needs to be removed. This involves a return to the operating theatre where the breast implant is removed, the blood collection washed out and the implant replaced. There are no permanent side effects due to this occurrence should it occur. Capsular contracture When a foreign material (silicone breast implant) is placed inside the body, the body’s natural response is to react against this and to form a layer around the implant known as the “capsule”. This is entirely normal and in the majority of patients this capsule is soft and cannot be felt. In a minority of patients, this capsule is much thicker and can cause discomfort and alter the shape of the breast. These patients may require further surgery to correct this. Asymmetry Most ladies have breasts which are slightly asymmetrical. The surgeon will point out any small differences between the two breasts to you before your surgery as often these small differences become more apparent following surgery. Nipple sensation Most ladies experience some alteration in the sensation around the nipples following breast augmentation. They may become over or under sensitive. In the majority of patients sensation becomes normal over time. Rippling/Wrinkling of the implant Breast implants can become palpable over time if the soft tissues become stretched over the implant with time and if the skin is relatively thin. At the same time rippling can also be seen in certain ladies. Implant rupture & silicone leakage Modern day silicone breast implants are made out of a “cohesive” gel which resembles the texture of jelly. If such implants leak the silicone does not leak like a runny fluid (as was the case in the older implants 20 years ago) but rather it stays near its original position. This potentially minimises that spread of silicone around the body. Deep Vein Thrombosis (DVT) Any general anaesthetic procedure is associated with a small risk of DVT which can potentially move to the lungs (Pulmonary Embolus). Here at Cosmetic Surgeons London we attempt to minimise this risk by the use of compression stockings before and after surgery, use of pneumatic compression devices during surgery and motivating the patient to mobilise as soon as possible after surgery. Summary Operation Time 1-1.5 hours Anaesthetic General Anaesthesia Nights in hospital Day Case / 1 night How much time off work? 1-2 weeks When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Breast Reduction Many ladies have breasts which are out of proportion to the rest of their bodies. The majority of these ladies suffer from many problems which interfere with their quality of life on a day-to-day basis and often do not seek help for a number of reasons. Here at Cosmetic Surgeons London help is available for all ladies suffering with the problems associated with large breasts. Breast reduction is a procedure to reduce the size of your breasts and change their shape. Cosmetic Surgeons London offer corrective (revisional) surgery for failed breast reduction operations. Usually a correction after a failed breast reduction involves several operations and the best result is often not as good as a first time successful breast reduction. Therefore please choose your original plastic surgeon carefully! Is breast reduction surgery for you?
Problems experienced due to large breasts (macromastia or gigantomastia) Physical
Where will the scars be after breast reduction surgery?
There will always be scars after you have had breast reduction surgery and the exact location of them will depend on which surgical technique is used. However, there are methods of minimising these. Always be sceptical if any surgeon talks you about scar-less surgery. One of the techniques used by Mr Sojitra involves a scar that lies at the junction of the areola (the area around the nipple) and skin and then travels vertically down into the crease under the breast (infra-mammary fold). The scar resembles the shape of a lollipop. This technique is known as the “vertical scar” or “minimal scar” breast reduction and can be employed in suitable ladies. Your surgeon will decide whether this technique is suitable for you and depends on a number of factors such as patient age, skin quality and breast size. In circumstances where this is not possible there is an additional scar that joins the “lollipop” scar to lie in the infra-mammary fold. The scar therefore looks like an anchor or “inverted-T”. The lower part of this scar is hidden beneath the natural lower curve of the breast. The scars fade over many months and you will be provided with excellent scar management advice. Here at Cosmetic Surgeons London we ensure that the most optimal technique will be used for your breasts and we aim to create soft, natural looking breasts which will improve your quality of life. Will I be able to breast feed after surgery? The answer often is yes. However, this is never a guarantee and the milk flow may be altered in some form. You (the Patient’s) Journey Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. You will be required to have a general anaesthetic. The operation will take approximately 2 - 3 hours. Your surgeon will reduce the volume of your breasts, re-shape your breasts and lift the nipple to a more aesthetic position on your breast. All the stitches used will be dissolving in order to maximise comfort for you. Stitch removal may cause discomfort for some patients. Cosmetic Surgeons London always puts your comfort first. You will wake up with dressings in place before being taken to the ward. A drain on each side will be used. In general, for a breast reduction you will stay in hospital overnight. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. Recovery You will experience some degree of bruising, swelling, and discomfort all of which improve by the day. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. You are encouraged to walk around the ward as soon as you feel up to it. It is important not to get the dressings wet after surgery and you will be advised on showering. Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting or strenuous exercise for 6 weeks. It will take approximately 3 months before the swelling completely subsides and the final size seen. The scar will continue to improve for up to 18 months and you are encouraged to firmly massage the scar after 4 weeks. Your surgeon will see you 1 week after surgery at which point the dressings will be reduced and again at 2 weeks. At 2 weeks the stitches, which are dissolvable, will be trimmed flush with the skin so they cannot be seen. All dressings will be discarded at this stage. Your surgeon will closely follow your recovery to ensure you are able to resume normal exercising and activities. It is suggested you wear a sports support bra for 6 weeks. In the majority of cases, our patients are extremely happy with their results and go on to lead transformed lives. There are some potential risks which you need to be aware of. All risks tend to increase in those patients who are overweight and smoke in the 2 weeks before and after surgery. Safety and potential complications? Scars Scarring on the whole is not problematic. A scar will be visible but in the majority of patients fade with time. Certain individuals e.g. afro-carribean races and red haired individuals are at a higher risk of forming excess scar tissue (keloid or hypertrophic scars). Should these scars develop excellent advice and treatment will be provided by Mr Sojitra. Infection This is an uncommon problem in breast reduction surgery. However, antibiotics are given during the operative procedure. Nipple Sensation Most ladies experience a reduction in the sensation around the nipples following breast reduction. Nipples can become over sensitive in some patients. In the majority of patients there will be some form of altered sensation. Delayed wound healing Occasionally some of the areas take longer to heal than usual. An area which tends to be affected in this way is the “T-junction” (where the vertical scar meets the horizontal scar in the breast crease) due to a number of reasons: the skin is thinner here, the entire breast weight places tension on this area during the course of healing. Treatment involves skilful dressing changes by the nurse and often this heals by its own accord. Asymmetry Rarely are anyone’s breasts identical and often there are degrees of asymmetry. We certainly aim to create maximum symmetry. Bleeding Rarely, small blood vessels that have been cauterised during surgery open up afterward. This results in a collection of blood (haematoma) that needs to be removed. This involves a return to the operating theatre where the blood collection is washed out and the breast sutured back. There are no permanent side effects due to this and your ultimate breast shape will not be affected. Areola and nipple necrosis Rarely, part of the areola or nipple may lose its blood supply during the process where the nipple areola complex is moved. The risk of this is very low. Fat Necrosis After the operation, over the ensuing weeks tender firm areas may be felt in parts of the breast. These are referred to as fat necrosis and the majority of these smooth out over time. Deep Vein Thrombosis (DVT) Any general anaesthetic procedure is associated with a small risk of DVT which can potentially move to the lungs (Pulmonary Embolus). Here at Cosmetic Surgeons London we attempt to minimise this risk by the use of compression stockings before and after surgery, use of pneumatic compression devices during surgery and motivating the patient to mobilise as soon as possible after surgery. Overall, ladies undergoing breast reduction are extremely satisfied with their eventual result and can continue to enjoy an improved quality of life after surgery. Summary Operation Time 2 - 3 hours Anaesthetic General Anaesthesia Nights in hospital 1 night How much time off work? 1-2 weeks When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Breast Asymmetry Breast asymmetry is a difference in breast size or shape or both. If you are one of those unfortunate ladies affected by breast asymmetry then Cosmetic Surgeons London can help you. Many ladies have a degree of breast asymmetry which goes largely unnoticed (i.e. does not need corrective specialist plastic surgery). Your breasts start to grow during the pubertal growth spurt under the influence of oestrogen. During this time it is normal that your breasts may differ from one another in size or shape. During the growth period your breasts often become of the same or very similar size or shape. If this does not happen, it is not likely that the size and shape of your breasts will change until pregnancy or the beginning of menopause. You may have co-existent syndromes involving underdevelopment of the chest wall (Poland’s Syndrome) or an abnormally shaped ribcage contributing to your breast asymmetry. Surgery is sometimes required to make your breasts more equal and ultimately to improve your quality of life and self-confidence. At Cosmetic Surgeons London we offer an unhurried consultation discussing any procedures which may require being undertaken. Breast asymmetry correction can entail multiple procedures depending on the assessment made by Mr Sojitra. It may involve a combination of Breast Enlargement, Breast Reduction and Breast Uplift. London Cosmetic Surgeons always puts your comfort and safety first! Breast Uplift In many ladies, as they grow older, factors such as pregnancy, breast feeding, and gravity take their toll on their breasts. As the skin loses its elasticity, the breasts often lose their shape and pertness and begin to sag. A breast uplift, or mastopexy, is a cosmetic procedure designed to lift and reshape sagging breasts for a more youthful appearance. Mastopexy can reduce the extra skin present and give your breasts a more firm shape and feel. In some ladies, breast implants are inserted at the same procedure. This allows patients the ability to increase breast size in addition to obtaining a shapelier, firmer look. This is called breast augmentation-mastopexy. Cosmetic Surgeons London will assess you and guide you as to the optimal treatment for your breasts. Who is breast uplift (mastopexy) for? Breast uplift is for ladies who are happy with the size of their breasts but want an uplift to raise and reshape them. Some ladies are not happy to find that they have lost a significant amount of breast volume over the years due to ageing. In these ladies, Mr Sojitra can insert implants to increase breast size while, at the same time, enhancing the shape and position of the breasts. If the following apply to you then a breast uplift (mastopexy) may be what you need:
Where will the scars be?
Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. You will be required to have a general anaesthetic. The operation will take approximately 1 - 2 hours. Your surgeon will re-shape your breasts and lift the nipple to a more aesthetic youthful position on your breast. All the stitches used will be dissolving in order to maximise comfort for you. Stitch removal may cause discomfort for some patients. Cosmetic Surgeons London always puts your comfort first. You will wake up with dressings in place before being taken to the ward. A drain might be used. You may need to stay in hospital overnight if your operation is done later in the day, if you feel too tired to go or if drains are used. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. Recovery You will experience some degree of bruising, swelling, and discomfort all of which improve by the day. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. You are encouraged to walk around the ward as soon as you feel up to it. It is important not to get the dressings wet after surgery and you will be advised on showering. Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting or strenuous exercise for 6 weeks. It will take approximately 3 months before the swelling completely subsides. The scar will continue to improve for up to 18 months and you are encouraged to firmly massage the scar after 4 weeks. Your surgeon will see you 1 week after surgery at which point the dressings will be reduced and again at 2 weeks. At 2 weeks the stitches, which are dissolvable, will be trimmed flush with the skin so they cannot be seen. All dressings will be discarded at this stage. Your surgeon will closely follow your recovery to ensure you are able to resume normal exercising and activities. It is suggested you wear a sports support bra for 6 weeks. In the majority of cases, our patients are extremely happy with their results and go on to lead transformed lives. There are some potential risks which you need to be aware of. All risks tend to increase in those patients who are overweight and smoke in the 2 weeks before and after surgery. Safety and potential complications? Scars Scarring on the whole is not problematic. A scar will be visible but in the majority of patients fade with time. Certain individuals e.g. afro-carribean races and red haired individuals are at a higher risk of forming excess scar tissue (keloid or hypertrophic scars). Should these scars develop excellent advice and treatment will be provided by Mr Sojitra. Infection This is an uncommon problem in breast uplift surgery. However, antibiotics are given during the operative procedure. Nipple Sensation Most ladies experience a reduction in the sensation around the nipples following breast uplift. Nipples can become over sensitive in some patients. In the majority of patients sensation will recover however numbness can rarely occur. Delayed wound healing Occasionally some of the areas take longer to heal than usual. An area which tends to be affected in this way is the “T-junction” (where the vertical scar meets the horizontal scar in the breast crease) due to a number of reasons: the skin is thinner here, the entire breast weight places tension on this area during the course of healing. Treatment involves skilful dressing changes by the nurse and often this heals by its own accord. Bleeding Rarely, small blood vessels that have been cauterised during surgery open up afterward. This results in a collection of blood (haematoma) that needs to be removed. This involves a return to the operating theatre where the blood collection is washed out and the breast sutured back. There are no permanent side effects due to this and your ultimate breast shape will not be affected. Deep Vein Thrombosis (DVT) Any general anaesthetic procedure is associated with a small risk of DVT which can potentially move to the lungs (Pulmonary Embolus). Here at Cosmetic Surgeons London we attempt to minimise this risk by the use of compression stockings before and after surgery, use of pneumatic compression devices during surgery and motivating the patient to mobilise as soon as possible after surgery. Overall, ladies undergoing breast uplift are extremely satisfied with their eventual result and can continue to enjoy an improved quality of life after surgery having recaptured their youth. Summary Operation Time 1 - 2 hours Anaesthetic General Anaesthesia Nights in hospital Day case / 1 night How much time off work? 1-2 weeks When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Breast Reconstruction After Cancer
When should breast reconstruction be done?
Which is the best option for me? Cosmetic Surgeons London will ensure you have been informed about the pros and cons of each procedure. Your surgeon will engage in a detailed discussion with you and advise you on the most favourable breast reconstruction procedure. The optimal reconstruction for you will be discussed in detail with you by Mr Sojitra. Your surgeon is fully qualified in all the above surgical techniques. When is nipple reconstruction performed? Nipple reconstruction is often performed as the final procedure in your series of breast reconstruction procedures once all minor adjustments have been carried out. It can be carried out under local anaesthesia as a day case procedure. What techniques are used for nipple reconstruction? There are a variety of techniques described for nipple reconstruction. More accurately, we tend to refer to reconstructing the nipple-areolar complex (i.e. the nipple itself and the surrounding areola). Techniques involve using:
What techniques are used for areolar reconstruction? The gold standard technique is that using tattooing. Areolar tattooing provides the best colour match and has superseded mediocre old techniques using full thickness skin grafts. Areolar tattooing can be carried out under local anaesthetic or sometimes without. More than one session of tattooing is often required to get the best colour match. You (the Patient’s) Journey Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. You will be required to have a general anaesthetic. Depending on which breast reconstruction procedure has been chosen, the operation can vary from 1 - 9 hours. All the stitches used will be dissolving in order to maximise comfort for you. Stitch removal may cause discomfort for some patients. Cosmetic Surgeons London always puts your comfort first. You will wake up with dressings in place before being taken to the ward. Drains may be used depending on the reconstructive procedure carried out. In general, you will need to stay in hospital at least 1-2 nights and maybe 1 week depending on the procedure undertaken. You will need to have a friend or family member to drive you to and from the hospital. Recovery You will experience some degree of bruising, swelling, and discomfort all of which improve by the day. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. You are encouraged to walk around the ward as soon as you feel up to it - this may be the same day or a few days later depending on the procedure undertaken. It is important not to get the dressings wet after surgery and you will be advised on showering. Depending on your type of work and the operation undertaken you may return to work between 7-14 days after your procedure. No heavy lifting or strenuous exercise for 6 weeks. It will take approximately 3 months before the swelling completely subsides and the final result seen. The scar will continue to improve for up to 18 months and you are encouraged to firmly massage the scar after 4 weeks. Your surgeon will closely follow your recovery to ensure you are able to resume normal exercising and activities. It is suggested you wear a sports support bra for 6 weeks. Further details and risks of the procedures will be discussed in detail at the consultation with Mr Sojitra. Breast reconstruction is a physically and emotionally rewarding procedure for a lady. The reconstruction of a new breast can significantly improve your self-image, self-confidence and quality of life. Summary Operation Time 1 - 9 hours (variable) Anaesthetic General Anaesthesia Nights in hospital 1-7 nights (variable) How much time off work? 2-6 weeks (variable) When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Nipple Reduction NIPPLE / AREOLA REDUCTION Long or oversized nipples can be a great source of embarrassment for both ladies and gentlemen. Many ladies request a nipple reduction because breast feeding has permanently altered the shape and size of their nipples, making them longer and somewhat droopy. They can be very obvious in tight fitting clothing and may be considered an embarrassment by some ladies. Many people confuse the areola (the darker pigmented area around the nipple) with the nipple (the central projecting part). Some ladies dislike the “puffy” appearance (protuberant areola) to their areola. Nipple reduction is a procedure offered by Cosmetic Surgeons London. The operation is used to reshape nipples that are overly projecting and may be combined with an areola reduction. What does nipple reduction surgery involve? The nipple reduction procedure can be performed under either a local or general anaesthetic. The incision is made on the nipple and the excess nipple is removed. Your nipple sensation and ability to breastfeed tends not to be affected following nipple reduction surgery. How long does nipple reduction surgery take? Nipple reduction is a surgical procedure that usually takes about 1 hour. It can be done either as a local or general anaesthetic day case procedure. Cosmetic Surgeons London recommends that the surgery be carried out under local anaesthetic. What is the recovery like? Your nipples will feel a little tender for a few days and this can be managed by paracetamol. There will be some swelling and bruising which will subside with time. You will have a small dressing over the nipple which will need to be kept dry for 1 week. After 1 week, your dressing will be removed and the wound cleaned. What is the recovery time? Most patients are able to go back to work after a few days. It is advisable you do not do anything strenuous for 14 days. The average recovery time is between 1-2 weeks. Cosmetic Surgeons London find that the majority of patients are pleased with the outcome and find they gain a feeling of increased self-confidence. Summary Operation Time 45 mins Anaesthetic Local or General Anaesthesia Nights in hospital Day Case How much time off work? 2 - 3 daysweeks When can I exercise? After 2 weeks Cosmetic Surgeons London always puts your comfort and safety first! Inverted Nipple correction Inverted nipples are a common problem in ladies and may cause functional and emotional problems. An inverted nipple can look flat or a slit like hole at the normal nipple location. Cosmetically, the appearance of the nipple can influence the partner life of a lady. They can also cause frustration with breastfeeding, infections, or other discomfort. Most ladies do not know that this is an easily correctable problem. Cosmetic Surgeons London can help ladies with this problem and reduce the emotional embarrassment that accompanies inverted nipples. What causes inverted nipples? The cause of nipple inversion is usually congenital. This means that you are born with the problem. In most ladies it is due to shortening of one or more of the milk ducts that run from the breast tissue to the nipple. In some ladies, it may be secondary to prior surgery, an infection in the ducts or due to breastfeeding. This short duct tethers the nipple and pulls it inward. What does inverted nipple correction procedure involve? Correction of inverted nipples is carried out under local anaesthetic. It involves a small incision at the junction of your nipple and areola. The milk ducts are commonly divided and your nipple is brought out to its “normal” position. Are there any risks? In general, the procedure is relatively risk free. The most common risk is that of a recurrence of the original problem. In which case, a repeat procedure would need to be carried out. Other risks are bleeding, infection, nipple necrosis and inability to breast feed. Do I have to take time off work? Recovery is quick with a return to work and most activities within hours. You will experience minimal pain or swelling. Sensation to your nipple is normal immediately or returns fully within several days. Summary Operation Time 1 hours Anaesthetic Local Anaesthesia Nights in hospital None How much time off work? 1 day When can I exercise? After 2 weeks Cosmetic Surgeons London always puts your comfort and safety first! Post-Pregnancy SurgeryPost-Pregnancy Surgery (“Mummy Makeovers”) Having a baby is probably one of the most fulfilling experiences a lady can have. A new baby brings joy and life to the mother and all those around her. Some ladies, however, feel self-conscious about the effects that pregnancy has had on their bodies. The stretching of breasts can lead to loose and sagging skin and stretch marks. Many of today’s mums don’t feel they should sacrifice the way they look just because they’ve had children. Cosmetic Surgeons London will help you mummies achieve your pre-baby appearance Cosmetic Surgeons London always puts your comfort and safety first! Breast Reduction Many ladies have breasts which are out of proportion to the rest of their bodies. The majority of these ladies suffer from many problems which interfere with their quality of life on a day-to-day basis and often do not seek help for a number of reasons. Here at Cosmetic Surgeons London help is available for all ladies suffering with the problems associated with large breasts. Breast reduction is a procedure to reduce the size of your breasts and change their shape. Cosmetic Surgeons London offer corrective (revisional) surgery for failed breast reduction operations. Usually a correction after a failed breast reduction involves several operations and the best result is often not as good as a first time successful breast reduction. Therefore please choose your original plastic surgeon carefully! Is breast reduction surgery for you?
If you answered “yes” to any of the above questions then you maybe suitable.
Psychological
There will always be scars after you have had breast reduction surgery and the exact location of them will depend on which surgical technique is used. However, there are methods of minimising these. Always be sceptical if any surgeon talks you about scar-less surgery. One of the techniques used by Mr Sojitra involves a scar that lies at the junction of the areola (the area around the nipple) and skin and then travels vertically down into the crease under the breast (infra-mammary fold). The scar resembles the shape of a lollipop. This technique is known as the “vertical scar” or “minimal scar” breast reduction and can be employed in suitable ladies. Your surgeon will decide whether this technique is suitable for you and depends on a number of factors such as patient age, skin quality and breast size. In circumstances where this is not possible there is an additional scar that joins the “lollipop” scar to lie in the infra-mammary fold. The scar therefore looks like an anchor or “inverted-T”. The lower part of this scar is hidden beneath the natural lower curve of the breast. The scars fade over many months and you will be provided with excellent scar management advice. Here at Cosmetic Surgeons London we ensure that the most optimal technique will be used for your breasts and we aim to create soft, natural looking breasts which will improve your quality of life. Will I be able to breast feed after surgery? The answer often is yes. However, this is never a guarantee and the milk flow may be altered in some form. You (the Patient’s) Journey Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. You will be required to have a general anaesthetic. The operation will take approximately 2 - 3 hours. Your surgeon will reduce the volume of your breasts, re-shape your breasts and lift the nipple to a more aesthetic position on your breast. All the stitches used will be dissolving in order to maximise comfort for you. Stitch removal may cause discomfort for some patients. Cosmetic Surgeons London always puts your comfort first. You will wake up with dressings in place before being taken to the ward. A drain on each side will be used. In general, for a breast reduction you will stay in hospital overnight. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. Recovery You will experience some degree of bruising, swelling, and discomfort all of which improve by the day. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. You are encouraged to walk around the ward as soon as you feel up to it. It is important not to get the dressings wet after surgery and you will be advised on showering. Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting or strenuous exercise for 6 weeks. It will take approximately 3 months before the swelling completely subsides and the final size seen. The scar will continue to improve for up to 18 months and you are encouraged to firmly massage the scar after 4 weeks. Your surgeon will see you 1 week after surgery at which point the dressings will be reduced and again at 2 weeks. At 2 weeks the stitches, which are dissolvable, will be trimmed flush with the skin so they cannot be seen. All dressings will be discarded at this stage. Your surgeon will closely follow your recovery to ensure you are able to resume normal exercising and activities. It is suggested you wear a sports support bra for 6 weeks. In the majority of cases, our patients are extremely happy with their results and go on to lead transformed lives. There are some potential risks which you need to be aware of. All risks tend to increase in those patients who are overweight and smoke in the 2 weeks before and after surgery. Safety and potential complications? Scars Scarring on the whole is not problematic. A scar will be visible but in the majority of patients fade with time. Certain individuals e.g. afro-carribean races and red haired individuals are at a higher risk of forming excess scar tissue (keloid or hypertrophic scars). Should these scars develop excellent advice and treatment will be provided by Mr Sojitra. Infection This is an uncommon problem in breast reduction surgery. However, antibiotics are given during the operative procedure. Nipple Sensation Most ladies experience a reduction in the sensation around the nipples following breast reduction. Nipples can become over sensitive in some patients. In the majority of patients there will be some form of altered sensation. Delayed wound healing Occasionally some of the areas take longer to heal than usual. An area which tends to be affected in this way is the “T-junction” (where the vertical scar meets the horizontal scar in the breast crease) due to a number of reasons: the skin is thinner here, the entire breast weight places tension on this area during the course of healing. Treatment involves skilful dressing changes by the nurse and often this heals by its own accord. Asymmetry Rarely are anyone’s breasts identical and often there are degrees of asymmetry. We certainly aim to create maximum symmetry. Bleeding Rarely, small blood vessels that have been cauterised during surgery open up afterward. This results in a collection of blood (haematoma) that needs to be removed. This involves a return to the operating theatre where the blood collection is washed out and the breast sutured back. There are no permanent side effects due to this and your ultimate breast shape will not be affected. Areola and nipple necrosis Rarely, part of the areola or nipple may lose its blood supply during the process where the nipple areola complex is moved. The risk of this is very low. Fat Necrosis After the operation, over the ensuing weeks tender firm areas may be felt in parts of the breast. These are referred to as fat necrosis and the majority of these smooth out over time. Deep Vein Thrombosis (DVT) Any general anaesthetic procedure is associated with a small risk of DVT which can potentially move to the lungs (Pulmonary Embolus). Here at Cosmetic Surgeons London we attempt to minimise this risk by the use of compression stockings before and after surgery, use of pneumatic compression devices during surgery and motivating the patient to mobilise as soon as possible after surgery. Overall, ladies undergoing breast reduction are extremely satisfied with their eventual result and can continue to enjoy an improved quality of life after surgery. Summary Operation Time 2 - 3 hours Anaesthetic General Anaesthesia Nights in hospital 1 night How much time off work? 1 - 2 weeks When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Brow Lift (Forehead Lift)
What is an endoscopic brow lift? Traditionally, brow lifting used to involve a long scar across the top of the head going from one ear to the other. Nowadays, the keyhole method (endoscopic brow lift) is used to most patients which involves the placement of 4 small scars which are well concealed in the hairline. Therefore, in men who have receding hairlines this may not be a suitable procedure. How is endoscopic brow lifting performed? Endoscopic brow lifting is performed under general anaesthesia with all the scar hidden inside the hairline. You (the Patient’s) Journey Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. You will be required to have a general anaesthetic. The endoscopic brow lift will take approximately 1 - 2 hours. Your surgeon will mark on your forehead and scalp and inject local anaesthetic and adrenaline. This helps reduce bleeding during your operation as well as reducing pain and improving your post operative comfort. Cosmetic Surgeons London always puts your comfort first. The wound will be closed with fine clips. It is best you take it easy and stay in hospital overnight. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. Recovery You will experience some degree of bruising, swelling, and discomfort around your forehead, eyes and cheek all of which improve by the day. The bruising should subside after 1 week. Your forehead will feel numb for a while. You may put make-up on after a few days if you wish. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. You are encouraged to rest the first night in hospital. It is important not to get the dressings wet after surgery and you will be advised on showering. Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting, straining or strenuous exercise for 6 weeks. The clips will be removed around 10 days. Your surgeon will closely follow your recovery. Safety and potential complications? Scars Scarring on the whole is not problematic and the scars are hidden inside the hairline. Bleeding Rarely, small blood vessels that have been cauterised during surgery open up afterward. It is commoner in males and in patients who take blood thinning medications such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol). This results in a collection of blood (haematoma) that needs to be removed. This involves a return to the operating theatre where the blood collection is washed out. There are no permanent side effects due to this and your ultimate brow lift result will not be affected. Numbness and nerve injury Numbness in the forehead and scalp area is common in the early stages following brow lifting surgery. This tends to be temporary and sensation starts to return to normal as the weeks go by. You may experience a sensation of “pins and needles” which is a sign of recovery. Sensation is usually normal by 3 months. Damage to the nerves supplying the facial muscle is reported in the literature but is extremely rare. Infection This is an uncommon problem in brow lift surgery. As with any surgical procedure, if infection does occur it may be treated with antibiotics. Hair Loss Hair loss is uncommon and may occur in and around the scar and temple areas. No hair is cut during the procedure. Any hair loss resulting is usually temporary. Delayed wound healing Rarely, a small part of the scar behind the ear may take a little longer to heal. This is sometimes the case in smokers. Cosmetic Surgeons London can improve the most visible signs of ageing on your forehead by lifting your forehead skin and eyebrows and giving you a fresher youthful look. Summary Operation Time 1 - 2 hours Anaesthetic General Anaesthesia Nights in hospital 1 night How much time off work? 2 weeks When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Facelift / Necklift Ageing affects all of us at some stage of our lives. However, the rate at which we age varies from one individual to another and is determined genetically although it may be accelerated by certain lifestyle factors. Exposure to the sun and the stresses of daily life can be seen in all our faces. Our skin progressively loses its elasticity and our facial muscles tend to loosen along with a loss of volume from the face. This leads to deep creases forming between the nose and mouth and the definition of the jaw disappearing. This leads to the formation of jowls and the skin of the neck appears loose with visible areas of fat. Cosmetic Surgeons London can help improve the appearance of your face and neck by addressing the most obvious signs of ageing. Your surgeon will explain in that a facelift (or rhytidectomy) and necklift tightens underling facial muscles, removes excess fat and re-drapes the skin over the face and neck in a more aesthetic manner. This will make your face look much fresher, younger and give you more confidence. Is facelift and necklift surgery for me? Facelift (rhytidectomy) and necklift surgery aim to provide you with a more youthful fresher face. Do you suffer from:
If this is you then Cosmetic Surgeons London can help you look much younger, fresher and give your self-confidence a boost.
Beneath the skin of the face lies a deeper layer to which the muscles and soft tissue is attached (Superficial Musculo-Aponeurotic System - SMAS layer). This layer can be used to elevate the soft tissues of the face to provide a longer lasting result than with the skin only facelift. This can be achieved by a number of methods. A portion of SMAS can be removed and tightened (SMASectomy Facelift) or just tightened only (SMAS plication) or by elevating a portion of the SMAS itself (the extended SMAS Facelift). All these techniques of facelift help to correct jowling and skin laxity around the neck as well as redistributing tissue volume to the cheekbone area.
This can sometimes improve facial appearance when the loss of volume is primarily in the midface and cheek regions. It involves incisions in the hairline and the fat is repositioned over the cheekbones.
This technique involves the standard scar in front of the ear while the rest of the scar behind the ear is omitted. It is suitable for patients with mild jowls. However, this technique is limited in that it cannot correct loose skin around the neck area. Anybody with a moderate amount of loose skin in the neck will be better served with a slightly longer scar to accommodate this. However, if tightening is required mainly in the face it provides a useful alternative. The recovery is quick but the result may not be as long lasting as the SMAS type facelifts.
Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. You will be required to have a general anaesthetic. The operation will take approximately 3 - 4 hours depending on whether any adjunctive procedures are carried out. Your surgeon will place pen marks on your face and while you are asleep inject local anaesthetic and adrenaline. This helps reduce bleeding during your operation as well as reducing pain and improving your post operative comfort. Cosmetic Surgeons London always puts your comfort first. The incision is made and your skin is lifted off the cheek. The SMAS layer and underlying facial muscles are tightened. The excess skin and fat you have are removed. Your skin is closed with a combination of fine dissolvable and non-dissolvable sutures. You will wake up with a light head bandage with or without eyepads depending on whether you have chosen to have adjunctive eye rejuvenating procedure (blepharoplasty) Some patients require an endoscopic browlift at the same time. Having had a restful night in hospital, the bandages will be removed the following morning. It is best you take it easy and please note that it is normal for your face to be bruised and swollen. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. Recovery You will experience some degree of bruising, swelling, and discomfort around your eyes and cheek all of which improve by the day. The swelling will tend to increase over the first 48 hours and then gradually subside over the next 2 weeks. You may put make-up on after a few days if you wish. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. You are encouraged to rest the first few nights. It is important not to get the dressings wet after surgery and you will be advised on showering. Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting, straining or strenuous exercise for 6 weeks. It can take a few months before the swelling completely subsides. The fine stitches will be removed in 5-7 days. You will be seen 7-14 days after surgery. Your surgeon will closely follow your recovery. Safety and potential complications? Scars Scarring on the whole is not problematic. A scar will always exist and will be in front of the ear an hidden behind the ear. Certain individuals e.g. afro-carribean races and red haired individuals are at a higher risk of forming excess scar tissue (keloid or hypertrophic scars). Should these scars develop excellent advice and treatment will be provided by your surgeon. Bleeding Rarely, small blood vessels that have been cauterised during surgery open up afterward. It is commoner in males and in patients who take blood thinning medications such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol). This results in a collection of blood (haematoma) that needs to be removed. This involves a return to the operating theatre where the blood collection is washed out and the skin sutured back. There are no permanent side effects due to this and your ultimate facelift result will not be affected. Numbness and nerve injury Numbness in the face and ear area is common in the early stages following facelift surgery. This tends to be temporary and sensation starts to return to normal as the weeks go by. You may experience a sensation of “pins and needles” which is a sign of recovery. Sensation is usually normal by 3 months. Damage to the nerves supplying the facial muscle is reported in the literature but is extremely rare. Infection This is an uncommon problem in facelift surgery. As with any surgical procedure, if infection does occur it may be treated with antibiotics. Hair Loss Hair loss is uncommon and may occur in and around the scar and temple areas. No hair is cut during the procedure. Any hair loss resulting is usually temporary. Delayed wound healing Rarely, a small part of the scar behind the ear may take a little longer to heal. This is sometimes the case in smokers. Cosmetic Surgeons London can improve the most visible signs of ageing by removing excess fat, tightening underlying muscles, and re-draping the skin of your face and neck. Summary Operation Time 3 - 4 hours Anaesthetic General Anaesthesia Nights in hospital 1 night How much time off work? 2 weeks When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Chin & Cheek Augmentation
If this is you then you may be an ideal candidate for cheek augmentation.
Both these procedures have their pros and cons and Mr Sojitra will explain this to you during your unhurried consultation. There is no visible external scarring for cheek implants and for fat grafting there is a very small scar hidden inside your tummy button.
What is involved in chin and cheek augmentation surgery? You (the Patient’s) Journey Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. You will be required to have a general anaesthetic. The operation will take approximately 1 - 2 hours. Your surgeon will inject local anaesthetic and adrenaline when you are asleep. This helps reduce bleeding during your operation as well as reducing pain and improving your post operative comfort. Cosmetic Surgeons London always puts your comfort first. All the stitches used will be dissolving in order to maximise comfort for you and they will be inside your mouth and hidden inside your tummy button (for fat grafting technique). It is best you take it easy and stay in hospital overnight. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. Recovery You will experience some degree of bruising, swelling, and discomfort around your cheek and chin all of which improve by the day. The bruising should subside after 1 week. You may put make-up on after a few days if you wish. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. You are encouraged to rest the first night in hospital. It is important not to sleep and put pressure on your cheeks or chin. It is vital you maintain good oral hygiene with regular mouthwashes and teeth brushing. Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting, straining or strenuous exercise for 6 weeks. It can take a several weeks before the swelling completely subsides and the final result seen. The stitches will dissolve on their own. Your surgeon will see you 7-10 days after surgery. Your surgeon will closely follow your recovery. Safety and potential complications? Scars Scarring on the whole is not problematic. It is hidden inside the mouth and if fat grafting is carried out then a small scar within the tummy button. Bleeding Rarely, small blood vessels can open up after surgery. If this occurs then the blood collection may need to be washed out. Infection This is not common. If it occurs the implants may need to be removed if the infection does not settle. Antibiotics by tablet are given for all patients for 1 week Numbness or altered sensation of the lower lip or cheek Numbness of the cheek or lower lip is a well recognised complication. Usually, it is temporary but may be permanent. Implant migration and extrusion Cheek and chin implants can sometimes move within their pocket and occasionally come out (extrude). This may require a further operation. Damage to roots of the teeth During genioplasty there is a small risk of damage to the roots of the teeth nearby. Cheek and chin augmentation surgery can help achieve facial harmony and boost your confidence. Cosmetic Surgeons London offers an unhurried thorough consultation. Summary Operation Time 1 - 2 hours Anaesthetic General Anaesthesia Nights in hospital 1 night How much time off work? 2 weeks When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Eyelid & Eyebag Surgery (Blepharoplasty)
What does blepharoplasty surgery involve? Blepharoplasty is a term for many surgical procedures which can be applied to the upper and lower eyelids to give them a younger appearance. It can be carried out under local anaesthesia for the upper eyelids. General anaesthesia is preferred for the lower eyelids to give the patient a more comfortable and a safer experience. You (the Patient’s) Journey Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. You will be required to have either a general or local anaesthetic. The operation will take approximately 1 - 3 hours depending on whether upper and/or lower eyelids and/or browlift is carried out. Local anaethetic is injected while you are asleep as this helps reduce bleeding during your operation as well as reducing pain and improving your post operative comfort. For upper lid blepharoplasty, the incision is hidden in the crease of the upper eyelid. In lower lid blepharoplasty, the incision is placed just below the eyelashes and is therefore well hidden. In patients who have no lower eyelid skin excess but just “lower lid bags” then the incision can be placed inside and therefore no external scar seen (transconjunctival blepharoplasty). Cosmetic Surgeons London always puts your comfort first. You will wake up with eyepads which are left in place for 2 hours. Some patients require an endoscopic browlift at the same time. It is best you take it easy and please note that it is normal for your eyes and cheeks to be bruised and swollen. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. Recovery You will experience some degree of bruising, swelling, and discomfort around your eyes and cheek all of which improve by the day. The swelling will tend to increase over the first 48 hours and then gradually subside over the next 2 weeks. Your eyes can sometimes feel a little gritty for the first few days. You may put make-up on after a few days if you wish. Our consultant anaesthetist will prescribe you adequate medication (eye drops and tablets) to take home to alleviate any discomfort you may experience. You are encouraged to rest the first few nights. It is important not to get the paper tape wet after surgery and you will be advised on showering. Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting, straining or strenuous exercise for 6 weeks. It can take a few weeks before the swelling completely subsides. The fine stitches will be removed in 5-7 days. You will be seen 7-14 days after surgery. Your surgeon will closely follow your recovery. Safety and potential complications? Scars Scarring on the whole is not problematic. A scar will always exist unless surgery is done from inside and will fade with time. Certain individuals e.g. afro-carribean races and red haired individuals are at a higher risk of forming excess scar tissue (keloid or hypertrophic scars). Should these scars develop excellent advice and treatment will be provided by Mr Sojitra. Bleeding Rarely, small blood vessels that have been cauterised during surgery open up afterward. It is commoner in males and in patients who take blood thinning medications such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol). This results in a collection of blood (haematoma) that needs to be removed. This involves a return to the operating theatre where the blood collection is washed out and the skin sutured back. There are no permanent side effects due to this and your ultimate blepharoplasty result will not be affected. Gritty or Watery eyes This may occur during the first few days after surgery and often tends to settle down completely after a few weeks. Lower lid drooping In some cases, the lower lid may sag a little in the early post-operative period due to swelling and heaviness. This tends to correct itself. Occasionally, a minor corrective procedure may be required. Cosmetic Surgeons London can help improve the appearance around your eyes giving you a fresher, rested and youthful look. Summary Operation Time 1 - 3 hours Anaesthetic General Anaesthesia (Local for Upper) Nights in hospital 1 night How much time off work? 2 weeks When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Lip Enhancement (LIP AUGMENTATION) Ageing can have a significant impact on the appearance of your lips. With age, lips tend to thin and lose their definition. You may find that your lips have always been thin and you are looking for them to be fuller. Fine lines can form as part of the ageing process and cause lipstick to “bleed” into them. Cosmetic Surgeons London can help enhance the appearance of your lips and give them a natural fuller, plumper and luscious look. Your surgeon will use a dermal filler to give you the appearance you want. What are dermal fillers? Dermal fillers are substances used to make the overlying skin firmer and smoother. They are injected beneath the skin to give the effects desired. There are many dermal fillers on the market. Cosmetic Surgeons London use fillers that consist of hyaluronic acid. Hyaluronic acid is a substance that is naturally found in the body and skin and therefore is subject to natural breakdown with time. It is less likely to produce allergic reactions compared to collagen Are dermal fillers safe? We use dermal fillers that are safe and have a very low incidence of allergic reaction. Cosmetic Surgeons London put your comfort and safety first. There is always a very small risk of an allergic reaction. What does lip enhancement involve? Lip enhancement involves the use of local anaesthetic by way of either topical creams and/or additional injections. As soon as the lip is numb the dermal filler is injected. The procedure itself takes around 20 minutes. How long does lip enhancement last? In most people the effects of the dermal filler last between 6-9 months. There are differences between individuals as we all vary in the way our bodies break down and absorb the filler. With no further injections, your lips will return to their previous appearance. Are there any other methods for lip enhancement? Your surgeon also offers other methods for lip enhancement which you may prefer. These include harvesting your own body fat and injecting this into your lips (Fat Transfer / Fat Grafting). Summary Operation Time 20 minutes Anaesthetic Local Anaesthesia Nights in hospital 0 How much time off work? 1day When can I exercise? After 2 days Cosmetic Surgeons London always puts your comfort and safety first! Nose Reshaping / Rhinoplasty / Nose Job Your nose is a very prominent part of youe face and many of you may not like the appearance of it. It may be the size or shape you may not like. You may have a hump on your nose or your nostrils may be too wide. Disproportion in any of its parts will result in deformity of some degree. All these features may make you self conscious and affect your confidence in everyday life. Cosmetic Surgeons London can help you. Nose reshaping or rhinoplasty or “nose job” can be carried out to improve the relation of your nose to your facial features. You no longer have to keep the features you have inherited from your parents. You only have to keep the good ones! Is rhinoplasty for you? Rhinoplasty is generally carried out to balance the shape and size of your nose in relation to the rest of your face.
How is nose reshaping or rhinoplasty performed? Rhinoplasty can be performed by “closed” (where the scars lies inside your nose and cannot be seen) or “open” means (where the scars lie inside your nose and a small scar on your columella which is the skin area underneath your nose). This small scar on your columella heals very well and is almost invisible. You (the Patient’s) Journey Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you and make some marks on your skin with pen. You will be required to have a general anaesthetic. The operation will take approximately 1 - 3 hours. Your surgeon will mark on your nose where the incision lines will be and inject local anaesthetic and adrenaline. This helps reduce bleeding during your operation as well as reducing pain and improving your post operative comfort. Cosmetic Surgeons London always puts your comfort first. All the stitches used inside your nose will be dissolving in order to maximise comfort for you. Some fine stitches will be used that will need to be removed in 5 days. You will wake up with a plastic moulded splint taped to your nose to help reduce swelling and keep the shape of your new nose. It is best you take it easy and stay in hospital overnight. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. Recovery You will experience some degree of bruising, swelling, and discomfort around your eyes and cheek all of which improve by the day. The bruising should subside after 1 week. You may put make-up on after a few days if you wish. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. You are encouraged to rest the first night in hospital. It is important not to get the dressings wet after surgery and you will be advised on showering. Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting, straining or strenuous exercise for 6 weeks. It can take several months before the swelling completely subsides and the final result seen. The stitches will be removed around 5 days. Your surgeon will see you 7-10 days after surgery at which point the plastic splint will be removed and you will be able to first look at your new nose. Your surgeon will closely follow your recovery. Safety and potential complications? Scars Scarring on the whole is not problematic. Bleeding Rarely, small blood vessels can open up after surgery. This may come to light as a small nose bleed and often settles itself. Infection This is an uncommon problem in nose reshaping or rhinoplasty surgery. Antibiotics rarely need to be given. Alteration in sense of smell Your sense of smell can be altered in the early post operative period. Normally, this returns to normal reasonably quickly. Alteration in skin sensation over tip of nose The area over the tip of the nose where the skin has been lifted is often numb immediately after surgery. This gradually recovers back to normal as the swelling subsides. Revisional Procedure In approximately 5% patients a further procedure will be required to correct minor irregularities. ose reshaping surgery can have dramatic effects on your appearance. Even the slightest alteration to your nose can make a remarkable difference. The primary goal of rhinoplasty is to create facial harmony so the most prominent feature, the nose, is in perfect proportion to the rest of your face. Summary Operation Time 1 - 3 hours Anaesthetic General Anaesthesia Nights in hospital 1 night How much time off work? 2 weeks When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! Prominent Ear Correction (Otoplasty / Pinnaplasty)
What does prominent ear correction surgery involve? Otoplasty can be performed using local or general anaesthetic. General anaesthesia is preferred for young children. You (the Patient’s) Journey Before the operation You will have seen Mr Sojitra on more than one occasion to fully answer all your questions. It is important to avoid medications, if possible, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) e.g Ibuprofen (Nurofen), Sodium Diclofenac (Voltarol) for 1 week before surgery. These tablets may increase bleeding during and after surgery. It is advisable to stop smoking 2 weeks before and after surgery from both a wound healing and an anaesthetic perspective. The operation You will be admitted to hospital on the morning of surgery and Mr Sojitra along with his consultant anaesthetist will come and discuss the surgical plan again with you. You will usually be required to have a general anaesthetic. The operation will take approximately 1 hour. Your surgeon will inject local anaesthetic and adrenaline around your ear once you are asleep. This helps reduce bleeding during your operation as well as reducing pain and improving your post operative comfort. Cosmetic Surgeons London always puts your comfort first. The incision is made behind the ear and the scar will lie in the crease behind your ear. The ear is re-shaped by moulding the cartilage using permanent stitches which remain under the skin. All the stitches used on the skin behind the ear will dissolve to maximise comfort for you. You will wake up with a head bandage. You will need to have a friend or family member to drive you to and from the hospital and to look after you for the first 24-48 hours following surgery. Recovery You will experience some degree of bruising, swelling, and discomfort around your ears. Our consultant anaesthetist will prescribe you adequate medication to take home to alleviate any discomfort you may experience. It is important not to get the dressings wet after surgery and you will be advised on showering. It is important to realise that should one ear become more uncomfortable than the other under the bandages then you must return to hospital to ensure that there is not an underlying blood collection (which can happen on rare occasions). Depending on your type of work, you may return to work between 7-14 days after your procedure. No heavy lifting, straining or strenuous exercise for 6 weeks. Your surgeon will see you 7days after surgery at which point the head bandage will be removed and you will be able to first look at your new set of ears. Your surgeon will closely follow your recovery. You must wear a head band (like a tennis band) for 6 weeks at night. Safety and potential complications? Scars Scarring on the whole is not problematic. A scar will always exist and will be hidden in the crease behind the ear. Certain individuals e.g. afro-carribean races and red haired individuals are at a higher risk of forming excess scar tissue (keloid or hypertrophic scars). Should these scars develop excellent advice and treatment will be provided by Mr Sojitra. Bleeding Rarely, small blood vessels can open up after surgery. This may come to light in the first 24-48 hours by a feeling that one of the ears is more uncomfortable than the other. If this is the case you must come to the hospital and be assessed. If it is found that you have a collection of blood (haematoma) then this is washed out in the operating theatre. No permanent side effects will occur and your otoplasty result will be unaffected. Infection This is an uncommon problem in ear correction surgery. Antibiotics rarely need to be given. Alteration in skin sensation over the ear The area over the ear where the skin has been lifted is often numb immediately after surgery. This gradually recovers back to normal as the swelling subsides. Revisional Procedure In approximately 5% patients a further procedure will be required to correct minor asymmetries. Cosmetic Surgeons London can improve the appearance of your ears in relation to the rest of your facial features and carries a high satisfaction rate. Summary Operation Time 1 hour Anaesthetic General or Local Anaesthesia Nights in hospital 0 How much time off work? 7-14 days When can I exercise? After 6 weeks Cosmetic Surgeons London always puts your comfort and safety first! ARM LIFT (BRACHIOPLASTY) and THIGH LIFT
If this is you then you may be an ideal candidate.
You (the Patient’s) Journey
If this is you then Cosmetic Surgeons London may be able to help.
If this is you then Cosmetic Surgeons London may be able to help give your labia a more aesthetic appearance.
If you answered “Yes” to these then you may be a good candidate. It is important to understand that cellulite cannot be corrected by liposuction. If your skin is not elastic then you may require a skin tightening procedure instead or in addition. At Cosmetic Surgeons London, Mr Sojitra will make a detailed assessment at your consultation and give you an honest opinion as to what is the best way to proceed. How is fat removal performed?
If you answer “Yes” to any of the above then body contouring surgery may be for you to help achieve your goals. Cosmetic Surgeons London will guide you and tailor your treatments according to your needs. Let Cosmetic Surgeons London refine your body and help you enjoy your everyday activities.
If you answer “Yes” to any of the above then tummy tuck surgery or abdominoplasty may be the procedure for you to help get that flatter tighter tum. Cosmetic Surgeons London will guide you and tailor your treatments according to your needs.
The tummy tuck procedure can be either a:
Where will the scars lie?
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