FAQs

Pain following surgery varies greatly between patients and between left and right breasts. A sub-glandular augmentation is generally less painful than sub-muscular implants.

During surgery liberal use of local anesthetic ensures most patients wake up with very little discomfort.

Pain following surgery varies greatly between patients and between left and right breasts. A sub-glandular augmentation is generally less painful than sub-muscular implants.

During surgery liberal use of local anesthetic ensures most patients wake up with very little discomfort.

Most patients will be able to breastfeed after a breast augmentation as there is no disruption of the breast ducts and glands or innervation. A peri-areolar approach is generally considered to carry a higher risk, albeit uncommon, of impaired breast feeding. It is important to appreciate that up to 20% of un-operated women will not successfully breastfeed.

Most patients will be able to breastfeed after a breast augmentation as there is no disruption of the breast ducts and glands or innervation. A peri-areolar approach is generally considered to carry a higher risk, albeit uncommon, of impaired breast feeding. It is important to appreciate that up to 20% of un-operated women will not successfully breastfeed.

Breast augmentation is very rarely associated with loss of nipple sensation. It is important however to be aware that any breast surgery carries a risk of altered or absent sensation.

Breast augmentation is very rarely associated with loss of nipple sensation. It is important however to be aware that any breast surgery carries a risk of altered or absent sensation.

The incision is typically placed in the infra-mammary fold. In some cases where either an areolar reduction or areolar lift is performed, the peri-areolar approach will be used.

The incision is typically placed in the infra-mammary fold. In some cases where either an areolar reduction or areolar lift is performed, the peri-areolar approach will be used.

There is no standard technique as each patient has different requirements and different tissue characteristics. Both the sub-fascial and sub-muscular dual plane techniques are used. Round and anatomical (tear-drop) silicone implants are used.

There is no standard technique as each patient has different requirements and different tissue characteristics. Both the sub-fascial and sub-muscular dual plane techniques are used. Round and anatomical (tear-drop) silicone implants are used.

Although patients may experience some discomfort, most have no significant pain.

Although patients may experience some discomfort, most have no significant pain.

Bruising and swelling is quite variable but most patients will be able to resume their normal schedule within 10 -14 days without obvious signs of surgery. Return to light exercise can commence after 2 weeks.

Bruising and swelling is quite variable but most patients will be able to resume their normal schedule within 10 -14 days without obvious signs of surgery. Return to light exercise can commence after 2 weeks.

No, in all cases local anesthesia is used. Most patients will have a ‘pre-med’ (dormicum) and further light sedation is available for the more anxious patient.

No, in all cases local anesthesia is used. Most patients will have a ‘pre-med’ (dormicum) and further light sedation is available for the more anxious patient.

What is more remarkable is that this is a surgical procedure performed in an hour

What is more remarkable is that this is a surgical procedure performed in an hour

Fat grafting sessions can be performed every 4- 6 months. These sessions can also be spaced out over years.

Fat grafting sessions can be performed every 4- 6 months. These sessions can also be spaced out over years.

Breast augmentation with fat is an appealing alternative to breast implants however sufficient donor site fat is required and between 2-4 separate surgical sessions are required. Between 250-350ml of fat is injected per breast per session.

Breast augmentation with fat is an appealing alternative to breast implants however sufficient donor site fat is required and between 2-4 separate surgical sessions are required. Between 250-350ml of fat is injected per breast per session.

Fat is removed (from areas of excess) by low pressure (mini) liposuction, processed and then re-injected into the breast. Typical donor areas include the hip and loin region, inner knees and thighs, outer thighs and lower abdomen.

Fat is removed (from areas of excess) by low pressure (mini) liposuction, processed and then re-injected into the breast. Typical donor areas include the hip and loin region, inner knees and thighs, outer thighs and lower abdomen.

A vertical scar breast lift maintains it’s shape for many years. Follow up of our previous vertical scar breast lifts has demonstrated this technique to be extremely reliable in maintaining shape and symmetry. 

Major weight fluctuations may result in some loss of breast projection and shape. Similarly after many years the breast can be expected to lose some projection and shape.

A vertical scar breast lift maintains it’s shape for many years. Follow up of our previous vertical scar breast lifts has demonstrated this technique to be extremely reliable in maintaining shape and symmetry. 

Major weight fluctuations may result in some loss of breast projection and shape. Similarly after many years the breast can be expected to lose some projection and shape.

Breast surgery is a ‘trade-off’; enhanced breast shape with a scar. The vertical scar technique (lollipop scar configuration) is advantageous in that it limits the extent of breast scars whilst optimising breast shape.

Scars are prominent in the first few months, particularly redness, and the final appearance can be expected after two years. An individuals genetic predisposition also has a significant bearing on the final scar quality. 

Our scar management protocol is initiated immediately after surgery. It will continue until we have achieved the least conspicuous scar possible.

Breast surgery is a ‘trade-off’; enhanced breast shape with a scar. The vertical scar technique (lollipop scar configuration) is advantageous in that it limits the extent of breast scars whilst optimising breast shape.

Scars are prominent in the first few months, particularly redness, and the final appearance can be expected after two years. An individuals genetic predisposition also has a significant bearing on the final scar quality. 

Our scar management protocol is initiated immediately after surgery. It will continue until we have achieved the least conspicuous scar possible.

Sensory loss to the nipple is extremely uncommon. The vertical scar technique using a supero-medial pedicle typically preserves the major nerve supply to the nipple.

Sensory loss to the nipple is extremely uncommon. The vertical scar technique using a supero-medial pedicle typically preserves the major nerve supply to the nipple.

Resumption of exercise is phased in over 3 months. In the first 3 weeks no exercise is permitted Light exercise without the use of the arms is permitted from 3-6 weeks (walking / stationary bike cycling). 

A detailed discussion will precede surgery regarding your recovery and exercise resumption.

Resumption of exercise is phased in over 3 months. In the first 3 weeks no exercise is permitted Light exercise without the use of the arms is permitted from 3-6 weeks (walking / stationary bike cycling). 

A detailed discussion will precede surgery regarding your recovery and exercise resumption.

In most cases patients can resume driving 10 days after surgery.

In most cases patients can resume driving 10 days after surgery.

The decision to do a breast lift and with implants depends on your desired outcome. If you desire a larger breast, fuller and rounded upper breast then implants should be considered.

The decision to do a breast lift and with implants depends on your desired outcome. If you desire a larger breast, fuller and rounded upper breast then implants should be considered.

Surgery involves removal of almost all gynaecomastia tissue. A small disc of tissue remains behind the areolar to prevent an indented nipple. Stimulation by drugs may rarely cause enlargement of residual tissue.

Surgery involves removal of almost all gynaecomastia tissue. A small disc of tissue remains behind the areolar to prevent an indented nipple. Stimulation by drugs may rarely cause enlargement of residual tissue.

No exercise is permitted for the first 3 weeks. Light exercise commences at 3 weeks. In most cases normal activity is resumed between 6-8 weeks.

No exercise is permitted for the first 3 weeks. Light exercise commences at 3 weeks. In most cases normal activity is resumed between 6-8 weeks.

In most cases the cause is unknown and notably unrelated to an underlying disorder.

On occasion gynaecomastia may develop after taking certain medications, drug abuse or more rarely be associated with a medical condition. This may warrant further investigation.

In most cases the cause is unknown and notably unrelated to an underlying disorder.

On occasion gynaecomastia may develop after taking certain medications, drug abuse or more rarely be associated with a medical condition. This may warrant further investigation.

No, rhinoplasty is contra-indicated in smokers.

Smoking or the use of any nicotine products carries a high risk of serious complications. Abstinence for a period of 4 weeks before and 4 weeks after surgery is mandatory to minimize risks.

No, rhinoplasty is contra-indicated in smokers.

Smoking or the use of any nicotine products carries a high risk of serious complications. Abstinence for a period of 4 weeks before and 4 weeks after surgery is mandatory to minimize risks.

Nasal functional surgery is frequently performed simultaneously with aesthetic nasal refinement.

Nasal functional surgery is frequently performed simultaneously with aesthetic nasal refinement.

Yes. Nasal splints (Doyle splints) are frequently inserted into the nose at the end of the surgery to support the airway. Breathing channels allow you to breathe through the nose. The splints are removed after 3-7 days.

Yes. Nasal splints (Doyle splints) are frequently inserted into the nose at the end of the surgery to support the airway. Breathing channels allow you to breathe through the nose. The splints are removed after 3-7 days.

Rhinoplasty is typically not a very painful procedure although each individual experiences pain and discomfort quite variable. Typically patients have a sensation of ‘nasal congestion’ or pressure for the first few days after surgery. Anti-inflammatory medications will be prescribed for the first few days.

Rhinoplasty is typically not a very painful procedure although each individual experiences pain and discomfort quite variable. Typically patients have a sensation of ‘nasal congestion’ or pressure for the first few days after surgery. Anti-inflammatory medications will be prescribed for the first few days.

In cases of nasal airway obstruction due to septal deviations or nasal valve pathology a letter of motivation requesting authorisation for the functional elements of the surgery will be provided for to you to submit to your medical insurance.

A CT scan of the nasal airway together with nasal rhinometry (airflow tests) will also frequently be required. 

Your medical insurance will not cover any costs relating to nasal aesthetic enhancement.

In cases of nasal airway obstruction due to septal deviations or nasal valve pathology a letter of motivation requesting authorisation for the functional elements of the surgery will be provided for to you to submit to your medical insurance.

A CT scan of the nasal airway together with nasal rhinometry (airflow tests) will also frequently be required. 

Your medical insurance will not cover any costs relating to nasal aesthetic enhancement.

The recovery time after rhinoplasty varies and is dependent on the surgical techniques. Patients are typically away from work for 10-14 days and can resume light exercise after 3 weeks. Return to normal exercise is generally 6-8 weeks but may vary according to the procedure performed.

The recovery time after rhinoplasty varies and is dependent on the surgical techniques. Patients are typically away from work for 10-14 days and can resume light exercise after 3 weeks. Return to normal exercise is generally 6-8 weeks but may vary according to the procedure performed.

The supero-medial pedicle techniques of breast reduction preserves nipple sensation in the majority of cases. It should be remembered that with any breast surgery loss of nipple sensation is possible and this cannot be determined pre-operatively.

The supero-medial pedicle techniques of breast reduction preserves nipple sensation in the majority of cases. It should be remembered that with any breast surgery loss of nipple sensation is possible and this cannot be determined pre-operatively.

Scars on the breasts are inevitable however the advantages afforded by a breast reduction make this one of the most successful and rewarding procedures I perform.

Scars on the breasts are inevitable however the advantages afforded by a breast reduction make this one of the most successful and rewarding procedures I perform.

In most large breast reductions a ‘wise-pattern’ breast reduction with supero-medial pedicle is used. For smaller reductions a vertical scar technique may be possible.

In most large breast reductions a ‘wise-pattern’ breast reduction with supero-medial pedicle is used. For smaller reductions a vertical scar technique may be possible.

Whilst lactation is likely after a breast reduction the volume produced is usually inadequate and will necessitate supplementary bottle feeding.

Whilst lactation is likely after a breast reduction the volume produced is usually inadequate and will necessitate supplementary bottle feeding.