Procedures routinely undertaken
- facelift (harmonic scalpel)
- forehead lift
- blepharoplasty (eyelid rejuvenation)
- prominent ear correction
- breast augmentation (implants)
- breast reduction and uplift
- correction developmental breast problems (asymmetry)
Body contouring surgery including following massive weight loss:
- abdominoplasty (tummy tuck)
- inner arm, thigh and buttock lift
- liposuction (fat removal) using Bodyjet™ system
Non-surgical cosmetic treatments
- skin rejuvenation (Medik8 system & Obagi Nuderm system)
- Collagen Induction Therapy (Dermaroller)
- chemical peels (Obagi blue peel)
- filler injections (Restylane)
- botulinum toxin injections
The cosmetic consultation will include discussion of what features you particularly like and dislike. You will be asked what it is that you wish to achieve from surgery or non-surgical procedures. Professor Lees will listen to your reasons for considering treatment and will check that your expectations are realistic.
It is important from a physical point of view you are in the best medical condition for any proposed surgery. It is important that you are frank about your previous medical history so that surgical safety is maintained. You should mention previous cosmetic work that you have had done. Remember, major surgery can be physically and emotionally stressful. Professor Lees will need to ask you some personal questions about work, home-life and your relationships. This is to ensure that any proposed surgery takes place at an appropriate moment in your life. If you are going through emotional upheaval then it may be better to postpone surgery to a later date.
At the consultation digital photographs are taken as part of the treatment record.
Professor Lees will not normally undertake cosmetic surgery on patients whose Body Mass Index (BMI) is greater than 30 – for reasons both around anaesthetic safety and the effect of excess weight on the results this type of surgery. She is happy to consult on a provisional basis before weight has actually been lost and to advise on a suitable target weight. Similarly, smokers will normally be asked to stop smoking before surgery again for safety of the anaesthetic and to prevent problems with healing of the wounds.
Any proposed surgery will be discussed in detail and will include an assessment of the likely outcome and recovery time in your particular case, as well as discussion about possible risks and limitations of the procedure. Where appropriate, we are able to show you before and after photographs of patients who have had similar surgery to yourself, so that we can demonstrate the type of result that can be achieved, the nature of the scarring that will result this and how the final result will look over time. We can also put you in touch with previous patients who have undergone the same surgery, so that you may discuss with them, in confidence, the actual experience of surgery from a patient’s perspective and the practicalities of the recovery period, which may help you to plan the timing of your surgery to fit into your own lifestyle.
You will receive an information leaflet about the procedure(s) with a clear quotation of the costs involved. This will allow you to digest the information given to you. There will normally be a second consultation if you decide in principle that you wish to proceed and to give you a further opportunity to ask questions and ensure that your decision is suitably informed. The Patient Liaison Group of the Royal College of Surgeons of England has a booklet that suggests questions you might want to ask [Download PDF].
If you have particular questions prior to the consultation then it may be helpful to write these down and bring them with you as it is easy to forget what you intended to ask. It is often helpful to have a friend or relative accompany you.
Further information and downloads
Generic advice regarding the various operations can be obtained from many sources but one good link is to the web sites of the British Association of Aesthetic Plastic Surgeons www.baaps.org.uk British Association of Plastic, Reconstructive and Aesthetic Surgeons www.bapras.co.uk and the American Society of Plastic Surgery www.plasticsurgery.org