Thu 28 September 2023
Fat grafting to the face under local anaesthesia offers a range of compelling benefits for individuals seeking facial rejuvenation. Firstly, this minimally invasive procedure enables patients to achieve natural and long-lasting results without the need for general anaesthesia, reducing the associated risks and recovery time. By using local anaesthesia, patients can remain awake and comfortable during the procedure, while the surgeon carefully harvests fat from areas with excess, such as the abdomen or thighs, and skilfully injects it into the targeted facial regions. This not only ensures a safer experience but also allows for precise contouring, addressing issues like sunken cheeks, deep wrinkles, or hollow eye areas. Moreover, fat grafting utilises the patient's own fat, minimising the risk of allergic reactions or rejection, and it often provides more natural-looking outcomes compared to synthetic fillers. Depending on what part of the fat is injected there are also benefits to be had with the overall quality of the skin. Fat grafting under local anaesthesia presents a safe, versatile, and lasting solution for those seeking facial rejuvenation with added body contouring benefits. The procedure takes about 60 minutes and if you’re interested book in for a consultation with Mr David Gateley who would happily explain the treatment in more detail.
Thu 18 May 2023
We receive lots of requests for management of the neck and this presents to a woman as either a small central area of fat under the chin, or a more global area of fat in the neck itself. The first scenario with central fat is easily treated using a local anaesthetic procedure at Nakedhealth MEDISPA, Wimbledon by infiltrating that area with local anaesthetic and then removing the fat using a cannula attached to a suction device. The procedure takes about 30 minutes via one small access incision, just under the chin, which cannot be seen, this is then closed with a small stitch, which is removed at one week. Patients need to wear a compression neck support for a week, 24/7 and then just at night, for 3 months to improve the contour. The most important issue of course is that once the fat has been removed the skin has to contract, depending on the elasticity of the skin, that may or may not happen to the level that the patient requires. This is really the crux of the conversation one has with our patients. There is a direct relationship between age and skin elasticity, and that is something that each patient needs to be examined for and a discussion had. If you are thinking about having small amounts of fat removed from your neck then do contact the office to arrange a consultation.
BREAST CANCER RECONSTRUCTION
Wed 27 November 2019
A patient of Miss Victoria Rose speaks to the Daily Mail about her experience of breast cancer surgery with immediate reconstruction:
COUNTDOWN TO CLIPPER RACE
Wed 21 August 2019
Fifteen days to go before the race begins in London! At this stage one is thinking about packing, what to bring, and keeping under the weight limit that is required per crew member, and then thinking through the daily events on board: the watch system, the evolutions of the sail changes and reefs that will be required and the speed with which we will need to do them as we are racing.
BREAST IMPLANT RISKS
Fri 30 November 2018
WOMEN NEED TO BE MORE CONSCIOUS OF BREAST IMPLANT RISKS
Mon 12 November 2018
Historically patients complaining of excessive sweating, particularly under the arms, has been both a big problem and one that has been difficult to properly treat. Historically this often would involve surgery into the armpit to try and disconnect the sweat glands from the skin and invariably they would grow back. A more aggressive approach is by carrying out a sympathectomy to the cervical sympathetic chain, which is quite a major procedure, not without risk, performed by a vascular surgeon.
Wed 10 October 2018
September saw the First Congress of the Pan Arab Federation for Reconstructive Microsurgery and the Lebanese Plastic & Reconstructive Microsurgery Conference.
UPDATE ON ALCL
Tue 12 June 2018
I was invited to another meeting on 4 June 2018 organised by Mentor, a subdivision of Johnson & Johnson, who are a major provider of breast implants. The meeting was moderated by Mr Paul Harris, Consultant Plastic Surgeon, and the main speaker was Roger Wixstrom, PhD. Effectively this was an overview of what we currently know about ALCL and its possible causes. We still believe that there is a genetic component and also a linkage between a subclinical bacterial infection around the implant and the development of ALCL.
Tue 14 November 2017
Each year I travel to Kathmandu in Nepal to work at a local hospital on the outskirts in one of the suburbs of Kathmandu called Kirtipur. The team of plastic surgeons there number 5 attendings and 4-5 trainees. They are supported by a hand therapy unit and a burns intensive care unit. They do great work there under very difficult financial conditions.
POLYTECH BREAST IMPLANTS
Wed 11 October 2017
I have just got back from the POLYTECH Health & Aesthetics factory in Germany near Frankfurt, having spent a day looking around their breast implant manufacturing facility. I was interested to go because they are one of the few companies that now manufacture polyurethane coated breast implants. Of course, with the concerns around Anaplastic Large Cell Lymphoma, I was keen to understand from POLYTECH their view on the current scientific data out there and what their thoughts are in terms of the use of a polyurethane surfaced implant as opposed to a silicone textured implant. They manufacture smooth walled implants, silicone textured implants and polyurethane textured implants. They are well positioned within the market to have a view on the entire range of breast implants available for patients wishing to consider breast augmentation.
Thu 27 July 2017
Why do women request Labiaplasty procedures?
Tue 27 June 2017
The American Association of Plastic Surgeons reported that transgender-related surgeries have risen nearly 20 percent from 2015 to 2016. There is definitely a similar expansion in the UK. The British Association of Gender Identity Specialists was established in 2014 to promote research and to exchange knowledge of gender dysphoria and transgender health. Although they do not publish operation numbers at present they do advise NHS England on commissioning and there has been an expansion in the number of Gender Identity clinics across the UK. Care is managed with input from healthcare professionals across a wide range of disciplines with the aim to provide an entire package of medical, surgical and psychological input.
SCOTTISH CLINICS OFFERING INJECTABLES
Fri 16 June 2017
Well done to the Scottish for leading the way in regulating private clinics offering dermal fillers and skin relaxing injections. Such clinics must be registered, commit to an agreed level of care and be staffed by doctors, dentists and nurses. Failure to comply will result in prosecution. Come on England and Wales.
COSMETIC SURGERY PROCEDURES FALL IN UK BY 40%
Fri 16 June 2017
Reports recently published by British Association of Aesthetic Plastic Surgeons (BAAPS) would seem to suggest a drop in cosmetic procedures by 40%. Having seen a steady growth in surgery over the last 10 years, last year saw a decline below 31,000. Slightly more of a decline in men than women.
CONDOLENCES - 22 May 2017
Thu 25 May 2017
It is with great regret that we acknowledge the terrible events in Manchester this week. Our hearts go out to those who have lost loved ones or whose family members have been injured.
Thu 25 May 2017
It is with great pleasure that we welcome to the DRG team Ms Patience Wellbeing. Patience may be know to some of you as she is no stranger to the world of plastic surgery. She is as glamorous as she is elusive and we are delighted that she has agreed to contribute to our new blog.