Popularity of cosmetic surgery nose dives in UK

The British Association of Aesthetic Plastic Surgeons (BAAPS) recently revealed that the popularity of cosmetic surgery in the UK took a nose dive in 2014. The reported number of procedures performed during the year was down by 9% from 50,122 in 2013 to 45,406 with the greatest decline in breast implants and nose jobs.


Following the 16.5% rise in the number of procedures in 2013, which BAAPS said was “the most impressive rise in demand since the start of the recession in 2008”, clinical negligence law firm Penningtons Manches believe that one reason for this unexpected reversal of the upward trend could be the intense scrutiny that the industry has been under during the last 12 months and the calls for tighter regulations.


While breast augmentation remained the most popular procedure in 2014 with 8,619 procedures being performed, this was 23% down on the 2013 figure of 11,135. This could be partly due to the PIP implant scandal which resulted in a large number of women having their implants replaced. The 2013 figures may, therefore, have been artificially inflated.

Nose jobs also fell out of favour with only 3,690 procedures in 2014, down 24% from 2013. Tummy tucks were also down 20% with just 2,713 procedures in 2014. The “tweaked, not tucked” look appears to have become the new aesthetic ideal with an increasing demand for more subtle and understated procedures.

For the second year running, the next most popular procedure for women was blepharoplasty (eyelid surgery) with 7,752 procedures, a small 1% droop in the 2013 figures. However, eyelid surgery was the most popular operation for men in 2014 overtaking rhinoplasty (nose job). The number of brow lifts also fell by 7%.


There was a 1% increase in the number of face and neck lifts to 6,402 while breast reduction surgeries were also up 1% to 5,528. The biggest increase was for body contouring procedures – particularly liposuction – which rose by 7% in 2014 to 4,627. Although the rise was comparatively insignificant compared with the 43% increase in 2013, liposuction continues to be a popular procedure. This is probably because it has a proven track record, can be done as an outpatient procedure, and delivers immediate results.


  • Breast augmentation – down 23% to 8,619
  • Eyelid surgery – down 1% to 7,752
  • Face and neck lifts – up 1% to 6,402
  • Breast reduction – up 1% to 5,528
  • Liposuction – up 7% to 4,627
  • Nose jobs – down 24% to 3,690
  • Fat transfer operations – down 4% to 3,155
  • Tummy tucks – down 20% to 2,713
  • Brow lifts – down 7% to 1,978
  • Ear corrections – down 20% to 942


It is anticipated that more than 25 million cosmetic surgical and non-surgical procedures were performed worldwide in 2014. In 2013, the United States topped the international chart with almost four million people going under the knife or needle, followed by Brazil with more than two million procedures. The country trends are expected to remain similar this year but countries like South Korea and Dubai should move up the ranks. At the end of last year, the Dubai Health Authority set a target to attract 500,000 medical tourists a year by 2020.

The United States is still the most popular country for body contouring procedures and Italy continues to be the main location for anti-ageing cosmetic procedures such as Botox injections and injectable fillers. The most common cosmetic surgeries done in Brazil are breast implants and liposuction while Taiwan is the country where cosmetic surgery is mainly done on the face.

Countries offering the cheapest price for procedures in 2014 included Thailand and the Dominican Republic – but even these cannot match India which offered the lowest price due to the country’s cheap economy.


Looking at the 2014 UK figures overall, the number of female cosmetic surgery patients decreased by 9% and the males by 15% despite the boom over the past decade in male surgery. While 2014 saw a reduction in the popularity of cosmetic surgery in the UK, the global numbers of cosmetic surgeries are expected to continue their upward trajectory. This begs the question – are more Britons going abroad for treatment?

Experts attribute the new trends in the UK to an increasingly educated public who have a greater awareness of the associated risks and dangers and realise that surgery is rarely a quick fix. Whatever the reason, the age of the ‘less-is-more’ look appears to have arrived and the Penningtons Manches team welcomes the new trends which suggest that people are adopting a more cautious, sensible and rational approach to cosmetic surgery.

Facial plastic surgeon Costas Papageorgiou – from Beverly Hills to London

Costas Papageorgiou has recently set up a facial cosmetic surgery practice in London after a move from Beverly Hills.

In this interview he answers Elixir’s questions on his personal philosophy and ethic around cosmetic surgery:

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What are your professional qualifications?
I am a UCLA trained Oculofacial Plastic Surgeon specialising in minimally invasive surgical techniques and facial aesthetics.
What is your personal belief (ethic) around cosmetic surgery?
Over the last decade the increasing social acceptance of facial cosmetic surgery has nurtured an unregulated market, where patients are targeted by aggressive business models and questionable approaches. I encourage patients to do extensive research prior to treatment or surgery and I work with each patient to improve and enhance so that changes are subtle rather than dramatic. Don’t forget our face is our identity and our personality which is why it is so special.

At what age do you think men/women should first consider facial surgery?
Changes start to occur in the mid-30s and I believe this is the appropriate age for patients to start adopting minimally invasive interventions to delay the impact of aging in a subtle fashion. I believe in gradual interventions/treatments. Of course genetics have a critical role in our appearance but nowadays we have the ability to enhance our facial features and counteract aging by fusing surgery with technology.

What is the youngest age you would operate facially on someone and why?
I prefer to look at the clinical indication related to each patient. We have to acknowledge that we live in a society obsessed with perfection and beauty and this can certainly push boundaries, but there are situations where facial features and noticeable asymmetries can have a significant impact on the psychology of younger patients. It is best to address these features at an earlier stage before they start affecting their self-confidence and esteem.

The decision has to be balanced and take into consideration several factors related to each patient. Age is definitely not a limit or a risk. The risk relates to who is performing the treatment and based on what criteria.

What is your signature procedure?
Although patients and media love to talk about trends and signature treatments in the cosmetic surgery industry, the truth is there is no singular treatment that can address all the multi-layered changes affecting our face. However, if I have to choose, I favour my eyelid lift which enhances the lost volume in the eye area, combined with a short incision facelift for a naturally rejuvenated face.

If someone does decide they would like to start tweaking – what are the steps and what aesthetics and surgery would you recommend?
Technological innovations and our advanced understanding of facial aging have advanced our ability to counteract aging. I think hyaluronic acid fillers combined with energy based devices like Ultherapy and Silhouette Soft threads are a “soft” way to start enhancing facial features.

In Los Angeles, Hyalu-blepharoplasty is a celebrity favourite of rejuvenating the eyelids by replacing volume and smoothing hollow contours and dark circles without having to rely on surgical blepharoplasty.

What is your best advice in maintaining a youthful face?
Research, patient education, prevention and gradual approaches are my philosophy. Of course genetics have a critical role in our appearance but we have the ability to enhance our facial features and counteract aging by choosing a healthy lifestyle, avoiding sun exposure and above all adopting aesthetic interventions that enhance rather than transform.
Costas Papageorgiou can be contacted here:London Medical

49 Marylebone High Street
London W1
Email md@facialplasticslondon.com

Face the Facts: The Truth About Facial Plastic Surgery

Face the Facts:  The Truth About Facial Plastic Surgery – Procedures that Do And Don’t Work

by Andrew Jacono MD


Dr Jacono Book Cover [640x480].jpgThis is an easy to read and clear book designed to demystify and define the latest surgical and non-surgical cosmetic facial treatments for ageing.  It is written by a top New York surgeon, Dr Andrew Jacono – so you can be sure he knows what he is talking about with great accuracy.


Filled with up to the minute information, helpful analogies, top notch before and after photos and descriptive illustrations, this crash course in facial plastic surgery, dermatology and skincare helps readers make educated decisions about the techniques they are considering.

The book helps readers avoid common pitfalls, like choosing the wrong procedure to achieve a desired effect and identifies procedures which have been popularised by the media, but don’t really work.  Throughout the book the author, Dr Andrew  Jacono shares  “Pearls of Wisdom” – garnered from his extensive training and stellar expertise in the field including information on: 

·    FACIAL COCKTAILS 101:  What they are, what they treat, how they work and how long they last
·    LASER TRUTHS:  Fraxel works / Thermage does not…
·    THE BOTOX LIFT:  Non Surgical Lifting
·    PROCEDURES FOR CELEBRITY FEATURES (Lip Augmentation Techniques for lips like Angelina, etc.)
·    THE TRUTH ABOUT SKINCARE INGREDIENTS: What you need based on the scientific facts

FACE THE FACTS is available on Amazon.com and at Barnes & Noble. The book retails for $ 15.95 (£8, €12) and ten percent of the proceeds from each book go to “FACE TO FACE,” a US project offering free consultation and reconstructive surgery to victims of domestic violence.  Dr. Jacono has been highly recognized for his work with “FACE TO FACE” and other charitable organisations   

Andrew Jacono M.D., F.A.C.S:  is a Dual Board Certified, Facial Plastic and Reconstructive Surgeon and Assistant Clinical Professor, Division of Facial Plastic and Reconstructive Surgery at The New York Eye and Ear Infirmary, Dr. Jacono is also the Director of The New York Center for Facial Plastic and Laser Surgery in Great Neck, NY.                        

With surgical privileges at six New York area hospitals, an extensive background in Head and Neck Surgery with a subspecialty training in Facial Plastic Surgery, Dr. Jacono is recognized amongst his peers for his innovative surgical techniques and skills.   His clinical research has been presented at several national meetings and symposiums and he has authored numerous manuscripts and published articles in leading medical journals on a variety of surgical techniques, including minimally invasive endoscopic facial plastic surgery, which has become one of the specialties at his thriving practice.    Dr. Jacono is adored by his high profile patients (including television news personalities, models and actresses) who turn to him for his masterful cosmetic and corrective work, flawless results and soothing bedside manner. 

To buy the book:
Face the Facts: The Truth about Facial Plastic Surgery Procedures That Do and Don’t Work

To learn more about Dr. Jacono and his practice, visit www.newyorkfacialplasticsurgery.com

Italian surgeon unveils stem cell facelift pictures


Dr. Renato Calabria, pioneer of the Stem-Cell Enhanced Facelift has unveiled before and after pictures of the procedure he performed in Florence, Italy earlier this Spring. While it’s still early, the results will only get better over time!

Here Dr Calabria explains the procedure:

For decades plastic surgeons have been looking to restore a more youthful look on the face. Surgical techniques have been improving, newer lasers have been used in order to achieve a goal that seemed unreachable. Comparing the post-operative results with the pictures of the patients when they were younger, it appeared that there was something missing: a younger face had more volume and the skin just looked fresher.

Dr. Calabria always thought that with the advent of stem cell research, plastic surgery could beneficiate from it. Using stem cell as a mean to jump start the regenerative process in our own body was definitely a very attractive proposition.

We knew that the fat in our body contained adult stem cell along with other regenerative cells. Dr. Calabria has been using fat grafting ( therefore containing adult stem cells) on the face with the distinct purpose to rejuvenate the skin and adding volume.

But was not till the develop of a new device, the Celution Device, that facial rejuvenation could taken to the next level and finally create a really amazing result.

Dr.Calabria has called this new way of the future the “cell-enhanced face lift”.

The (stem) cell-enhanced face lift is a new procedure used to volumizing the face and create a more youthful look.

Beverly Hills Plastic Surgeon Dr. Renato Calabria believes that traditional face lift should be a thing of the past: they caused the so called “wind tunnel “look by pulling tight the skin in the wrong direction. Adding volume to the face has always been Dr. Calabria’s goal. First with the Vertical Face lift, by moving the patient’s own tissues in a vertical direction and therefore repositioning it to the original and more natural position, Dr Calabria has been creating a more youthful look. And now with the (stem) cell-enhanced face lift, Dr. Calabria think he has definitely found the answer.

The (stem) Cell-Enhanced face lift not only restores the volume in the face but also adds regenerative cells which are believed to be beneficial to the rejuvenation process.

Dr. Calabria has developed a technique by which the cells are injected into the SMAS and underneath the facial musculature to create a more youthful volume adding result.

The (stem) cell-enhanced face lift combines soft tissue that is transferred from one part of the body to the face with the patient’s own adipose tissue-derived stem cells and regenerative cells.

The technique first consists of harvesting the cells ( Usually from the lower abdomen). Liposuctioned fat is rich with regenerative cells which include adult stem cells, blood vessel producing cells, growth factor secreting cells. Once the fat is harvested, it is treated through a device to isolate the cells.

Celution® Technology – How it Works
First, adipose tissue is taken from the patient by a low volume tissue collection procedure. Next, the collected tissue is placed in the Celution® Device, which processes each patient’s tissue with a single-use, application-specific consumable set that easily attaches to the Celution® Device.

The Celution® Device liberates the stem and regenerative cells from the adipose matrix; the cells are then separated, washed, and concentrated in the collection container. This real-time processing takes place in a closed environment to minimize the risk of exposure to contaminants and can be completed within the timeframe of a single surgical procedure.

Next, a syringe is used to collect the cells that are to be redelivered to the same patient. The cells may be injected directly into a site or implanted with a delivery matrix or scaffold to improve performance, such as combining the cells with an adipose tissue graft in reconstructive surgery procedures.

Following re-infusion into the body, it is thought that environmental cues from the damaged and surrounding tissue guide the stem and regenerative cells to the area of damage and help facilitate a natural healing response. The cells may respond by a variety of mechanisms, which promote tissue survival, graft retention, and/or differentiation of progenitor cells into the appropriate cell type.

Then, during the face lift, the regenerative cells tissue embedded in fat is then gently placed with a blunt cannula in layers of facial tissues like the SMAS, under the muscles, etc…. Once the fat is placed, symmetry is checked and then the skin is redraped and approximated, the excess skin excised and then anchored in a vertical direction and closed in layers. The key is to place this regenerative tissue in a precise location in order to enhance the volume of the face in areas previously volume deprived.

After the cell-enhanced face lift, the patient exhibits a dramatic improvement not only in the underlying soft tissue contouring of the face but the skin itself. The growth factors contained in these cells induce the skin and the other tissues to produce more cells of their own by basically initiating a signal to the local stem cells as well as the transplanted adult stem cells to restore them self and multiply.

Others techniques of stem cell face lift inject the cells directly in the face,( without surgery) but in Dr. Calabria’s opinion is not as effective in voluminizing the face that the cell-enhanced ( stem cell) face lift and it does not address the laxity of the skin.

Also the cells have not been isolated with the celution device which Dr. Calabria thinks is essential to the final result.

The regenerative cells, by secreting growth hormone and other factors, are also beneficial to create a more youthful look, diminishing the aging process. The procedure restores the youthful contour and shape of the face as well as skin tightness and evens out color irregularities caused by aging and sun damage.

The cell-enhanced (stem cell) face lift is the new frontier of face lifting and Dr. Calabria is definitely writing a new chapter in facial rejuvenation.

The Celution device is not available in the US yet but has been approved for clinical use in Europe and it is available in Dr. Calabria’s Milan and Rome locations and he will bring the technology to the U.S. as soon as next year.

Find more information on Dr Calabria’s website www.drcalabria.com

Dr Raj Chopra MD

Discount to be advised

Dr Rajesh Chopra is a renowned Harvard-trained facial plastic surgeon pracitising in Beverly Hills, California. Aesthetic, facial plastic surgery are a passion for Dr Chopra. This includes all aspects of facial and neck rejuvenation including the most modern minimally invasive techniques.

Visit www.rajchopramd.com

How to get the Brazilian Buttock


Singer and actress J-Lo has the most talked about derriere on the planet. And the term “J-Lo Bum” is used to describe a large but pert rear. The “Jo-Lo” which is more commonly known as the Brazilian Buttock Lift is a cosmetic surgery procedure that is becoming increasingly popular as the focus has recently shifted from boobs to bums for celebrities.

The emphasis on the bum and not the boob is highlighted by the increasing number of actresses competing for the best bum in the business by being photographed showing off their gluts on the red carpet at premieres.

The most recent best bum revealers – Goldie Hawn’s daughter, actress Kate Hudson, Kill Bill beauty Uma Thurman, Victoria Beckham , Kate Moss, Cameron Diaz, Denise Van Outen, Welch diva Charlotte Church, hotel heiress Paris Hilton, Mariah Carey and Beyonce Knowles. Further proof that fulsome derrieres are on the way up was Kylie Minogue’s bustle outfit.

So what exactly is the “J-Lo?” Leading cosmetic surgeon, Dr. Luiz S. Toledo, who is a member of the British Association of Aesthetic Plastic Surgeons says the procedure which is also performed on men, is desirable for those who have little definition or who want a more pert look.

In the procedure the surgeon uses a mixture of liposuction and fat grafting to get the ideal look.

Dr Toledo explains: “There are two main body types: “gynoid”, with a concentration of fat below the waistline and “android”, which concentrates fat above the waistline. Both types can benefit from this type of surgery. The gynoid type usually needs liposuction of the hips, thighs, legs, tummy and fat injection in the buttocks. The android type will usually need liposuction of the arms, back, hips, tummy and breasts. Fat is injected into the buttocks and often the inner thighs as well.”

To lift the buttock the surgeon makes an incision in the hip area and the buttock for the liposuction or liposculpture procedure. The fat is then reinjected increasing the volume of the buttock.

“In many cases simply the removal of the excess fat will bring about a major improvement in the area,” says Dr Toledo.

This operation takes from one to three hours and is carried out under local anesthetic together with a sedative. Usually patients are not required to stay in hospital unless the procedure is extensive.

After the operation an elastic girdle is worn which helps stablise the new shape and minimize swelling. This is usually worn for a few weeks. Lymphatic drainage using a light massage is encouraged in the liposuction areas about 24 hours after the operation. Mobility is essential so walking is encouraged from day two increasing the distance each day.

Walking is essential from day two, increasing the distance covered each day. This assists with swelling, water retention and the circulation. Strenuous exercise such as running and weight lifting are allowed one month after surgery.

Some postoperative procedures such as low frequency ultrasound to correct any hardened areas may be recommended and carried out under the supervision of the surgeon.

Stitches are removed between the 5th and 7th day and you can return to work after two to three weeks. Fading and flattening of the little scars can take three months and up to two years.

Risk of this surgery
Significant complications from liposculpture and fat injection are infrequent, says Dr Toledo.

Potential complications are asymmetry, rippling, and pigmentation of the skin, bleeding, infection and problems with the anesthetic. Temporary numbness of the skin and hematomas (blood accumulations) are possible mild complications. Irregularities of the skin can happen in some patients, but can be treated if necessary. More serious complications are very rare.

The results may take a few months to show because of fluid retention following surgery swelling. Sometimes the fat injection procedure has to be repeated because there is a limit to the amount of fat that can be injected in one stage. Occasionally, a secondary procedure, or “touchup” may be required to improve certain areas

Duration of the Results:
After sixth months there should be no more reabsorption of the injected fat and the result should remain stable. If the weight remains the same results should be permanent, especially when combined with diet and exercise. Cost £5-10,000. Dr. Luiz S. Toledo practices in Dubai and London. Tel: +9714 2699717 www.luiztoledo.com Email Posted in Cosmetic Surgery, News | Tagged , , ,

Madonna’s eyebrows and Halle Berry’s lashes – the new cosmetic surgery must have


Eyelash and eyebrow transplant surgery are set to become the new must-have procedure for women — and the occasional man.

Using procedures pioneered by the hair loss industry for balding men, surgeons are using “plug and sew” techniques to give women long, sweeping lashes once achieved only by glued on extensions and thick lashings of mascara.

In the procedure for lashes, a small incision is made at the back of the scalp to remove 30 or 40 hair follicles which are carefully sewn one by one onto the patient’s eyelids. Only light sedation and local anesthetics are used and the cost is around £2,000 an eye. In the case of eyebrows the surgeon removes about 200 hairs and the cost is £2,500 for both eyebrows.

The technique was first confined to patients who had suffered burns or congenital malformations of the eye. But word spread and about 80 percent are now done for cosmetic reasons.

The most popular requests from women are for Madonna’s eyebrows and for men footballerDavid Beckham’s. And for eye lashes for women the most sought after are those like Penelope Cruz and Halle Berry.

Cosmetic surgery is becoming increasingly popular in the UK with more than 22,000 cosmetic surgery operations carried out last year – an increase of 35% on the previous year.

In the US more than 10 million cosmetic procedures — from tummy tucks to botox — were performed n 2005, according to the American Society of Plastic Surgeons. The figure represents a 38 percent increase over the year 2000.

The surgery is not for everyone. The transplanted eyelashes grow just like head hair and need to be trimmed regularly and sometimes curled. Very curly head hair makes for eyelashes with too much kink.

Dr Yannis Alexandrides, MD, a member of the American Academy of Plastic Surgeons who now practices in London’s Harley Street performs is already performing cosmetic eyebrow transplants said: “It is a solution for men and women who have naturally thin eyebrows or who may have overplucked them and weakened the hair follicle root. At the moment we take the hair from the scalp which means like head hair it keeps on growing and has to be trimmed but in future we will be able to clone actual brow and eyelash hairs and this is not far away.”

Beauty fixes to turn back the clock

London:The popularity of cosmetic surgery continues to grow. Aside from the medical risk that these invasive procedures pose – and many do go wrong – do we really want to loose our personalities in the process?

We only have to look at the celebrity exponents of cosmetic procedures such as Joan Rivers, Anne Robinson, Cher, Dolly Parton, Jackie Stallone and the hideous looking “Bride of Wildenstein” to be convinced that cosmetic surgery should be the beauty treatment of last resort.

These days there are ever more sophisticated alternatives to cosmetic surgery utilising natural substances found in the human body, including collagen, hyaluronic acid, our own fat and cells, substantially decreasing the likelihood of nasty avoid allergic reactions, such as actress Leslie Ash’s infamous“trout pout”. There are also lasers and radio frequency treatments which stimulate the production of collagen, plumping out the skin. One of the most exciting new anti-ageing treatments for the face is Isolagen, in which a patient’s own cells are cultivated and reinjected into lines and wrinkles. Another is Thermage in which radio frequency is used to stimulate new collagen. The only downside to natural treatments is that they are financially high maintenance because the effects eventually wear off and regular treatments may be need to keep the effects.

There are now several clinics offering these treatments in the City so it is possible to have a lunch-time beauty fix. Although these procedures are usually non-invasive, they should still be carried out by a qualified medical doctor or by a nurse under the supervision of a doctor. Always ask about qualifications and inspect their public/professional liability insurance certificate so that you will at least have financial redress should anything go wrong. Also check if they are registered with the Healthcare Commission, although this is voluntary at the moment it does demonstrate a commitment to professional ethics.

Bioskin Jetting

BioSkinJetting is one of the newest non-surgical procedures and ideal for wrinkles and frown lines. A microprobe is used to separate the wrinkle from the underlying skin which stimulates the growth of new collagen fibres, plumping and firming the skin. Each treatment lasts between 15 to 40 minutes and can be taken individually or as part of a package. A 15 minute treatment for a forehead wrinkle would cost between £35 and £55 and a 40 minute treatment for say lines around the mouth of eyes is about £75-£100. A bonus is that the facial muscles can move freely and are not ‘frozen’, making the overall impression much more natural, yet younger looking.
Practitioner: Chandra Curniff at Elite Beauty Services, Suite 511, 5th Floor, 5 St Helen Place, Bishopsgate, London EC3 T: 020 7686 7234. Information: www.skinbysterex.com


Botox was first used to treat medical neurological conditions, such as facial spasms. In cosmetic treatments highly diluted doses are injected into the muscle causing it to relax, which softens lines and contours. The most popular areas to have treated are crow’s-feet, forehead lines, neck muscles, the corners of the mouth and upper lip lines. Several injections are usually needed at specific sites and may take a few days to take effect and lasts for about three months. Costs from £200 for each area treated.
Practitioners: Dr John Moran, 30A Wimpole Street, W1. T: 020 7935 4870 doctor@hmc-holistic.demon.co.uk; City SkinKlinic, 12 Brushfield Street,E1. TL 020 7655 6920, email info@cityskinklinic.co.uk


Evolence is a new collagen-based injectable filler which lasts for 12 months or more. Evolence uses organically sourced collagen, which is purified and transformed to accurately mimic human collagen. Evolence is injected into wrinkles, such as nasiolabial folds, where it binds naturally with the skin. Treatment costs about £450 per injectable syringe. Practioners: City SkinKlinic, 12 Brushfield Street,E1. TL 020 7655 6920, email info@cityskinklinic.co.uk
Further information at www.evolence.com.

Fat Grafting

Fat is taken from different parts of the body – bottom, hips or thighs, processed in a centrifuge and reinserted into creases, lips and and ageing hands that need plumping. Although there may be some swelling and bruising, there is likely to be no allergic reaction. The results last between a few months and several years. The treatment costs from £2,000 for an entire face. Practitioners: The London Clinic of Dermatology, 60 Grove End Road, NW8 T: +44 (0)20 7266 8200;Dr Andrew Markey, The Lister Hospital, Chelsea Bridge Road, SW1 T: 44 (0)20 7730 1219.

Lasers and Light rejuvenation

There are two kinds of lasers: ablative laser that will give you a peel and burn off surface layers of skin and a non-ablative laser to give a form of face-lift, minimising wrinkles, increasing collagen production and tightening skin. Intense pulsed light (IPL) is used in hair removal and to treat pigmentation, thread veins, rosacea, acne and wrinkles. IPL and non-ablative laser treatment usually require no downtime, although there may be some redness. Ablative laser treatments can leave darkened areas for 7-10 days. Skin photorejuvenation costs from £300 for each facial treatment and £150 for each facial vein treatment. Practitioners: City SkinKlinic, 12 Bushfield Street, E1, T: 020 7755 6920,
email info@cityskinklinic.co.uk


In this treatment the skin receives intense multiple injections of rejuvenating vitamins. It can be used in conjunction with other skin treatments such as Botox. Mesotherapy is a similar treatment for sculpting the body and removing cellulite.

Practitioners: City SkinKlinic, 12 Bushfield Street, E1, TL 020 7655 6920 info@cityskinklinic.co.uk; Dr Georges Roman, Devonshire Medical Chambers, W1, T: +44(0)20 7323 2123


A chemical solution is applied to the cleaned skin and left on for a specified period of time to make the skin smoother and reduce the appearance of lines and wrinkles. . Light peels require no downtime and can be done in a lunch hour. Deeper peels will result in flaking or peeling and will require a week to heal. Peels From £100 depending on the type and amount of treatment needed. Practitioners: Dr Penelope Tympanidis, 19 Wimpole Street, W1; 020 7462 0030, www.renascence.co.uk


Restylane is a synthetic filler containing hyaluronic acid, a naturally occuring substance in the body and is free of animal proteins. Restylane is used in different thicknesses for treating different problems – fine lines and wrinkles, creases and folds and adding definition. It lasts about two years during which time it gradually breaks down. Several treatments may be required across a two month period, followed by top sessions. It costs from £270 for a 1ml syringe a session and several are required in the first two months followed by top up sessions. Practitioners: City SkinKlinic, 12 Brushfield Street, London E1. T: 020 7655 6920, emailinfo@cityskinklinic.co.ukCosmedics, Reaqua Spa, 12 Gravel Lane, E1 and The Gentry Salon, Canary Wharf, E14 T: 020 7386 0464


Thisnew treatment is the result of work by South African cosmetic surgeon Des Fernandes. The skin is rejuvenated using a roller which creates tiny pin pricks all over the area being treated stimulating the formation of new collagen. As well as the face the procedure which is carried out under sedation and local anaesthetic, it can also be used on the body. For example, on stretch marks on the abdomen and sagging arms. The procedure takes about one hour, slightly longer for both arms. Costs vary but about £1,000 for the face and between £500-£1,000 for the body. A mini Roll-CIT can also be bought for home treatment. For more information on the Roll-CIT procedure telephone 020 8450 2020 and www.vivida.co.za Practitioner: Dr Lucy Glancey, Glancey Medical Aesthetics, Grove Farm, Grove Hill, Langham, Essex, 0870 458 5483
email: info@glanceymedical.co.uk


Sculptra is made from crystalised poly L-lactic acid and is used to treat sunken cheeks and sculpt features such as the cheek or chin. Injected into the skin it stimulates new collagen production, plumping out nearby areas which may have sagged because of ageing. There can be some swelling following treatment but this usually goes after two days. Three treatments up to six weeks apart are recommended and the result lasts for two years. It costs from £300 a treatment.
Practitioners: London: Cosmedics, Reaqua Spa, 12 Gravel Lane, E1 and The Gentry Salon, Canary Wharf, T: 020 7386 0464



Thermage® uses radio frequency energy to heat the collagen and elastin below the dermis causing a tightening effect and stimulating new collagen growth. It is used for full face treatments as well as arms, tummy, eyes and legs. Results will vary from patient to patient. Some patients see an immediate response whilst most others may take up to 6 months, after just one treatment. It can be used to tighten tissue anywhere on the body. Prices will vary according to what you are having treated and generally start at approx. £1500.

Practitoners: Dr Nicholas Lowe, Cranley Clinic in London T: + 44(0)20 7499 3223
email: cranleyuk@aol.com
Further information at www.thermage-treatment.co.uk


Threadlift is used to treat mildly sagging facial skin and uses a barbed medical thread which is inserted under the skin. The barbs lie flat in insertion and are then pulled in the opposite direction, hooking into the facial tissue, lifting the skin. The threads are left in place and there may be some swelling but after a few months the skin will have lifted. Patients, it is claimed, achieve between 30 and 70% of the result of a surgical face lift. It costs from £1,000. Practitioner: Dr Lucy Glancey, Glancey Medical Aesthetics, Grove Farm, Grove Hill, Langham, Essex. T: 0870 458 5483.
email: info@glanceymedical.co.uk

The world’s top cosmetic surgeons revealed

London:The world’s top surgeons are the experts who count celebrities, royalty and the rich among their clientele. These doctors carry out subtle surgery rather than radical procedures and is the reason they are most in demand.



Dr Carl Troilius, Director of the International Society of Aesthetic Plastic Surgery, in Malmo has a celebrity following because of the privacy afforded in Sweden. He uses state-of-the-art, cohesive gel implants which are made to last and not leak. The operation is carried out through an incision high in the armpit, leaving a small 3cm scar. The operation costs from around £4,000.
Contact details:
Plastikkirurgicentrum, Regementsgatan 35, S-21753 Malmo. Tel: 00 46 40 263000.



Dr Leslie Stevens of Beverly Hills, California is known as the ‘King of Nip and Tuck’ and specialises in liposuction, treating all areas of the body – knees, chin, cheeks and neck, hips, thighs and buttocks. He uses a process known as ‘tumescent
technique’, in which a solution of saline and painkillers is injected into the area to loosen the fat, making removal both easier and less painful. Liposuction costs from £1,900 plus £1,000 for anaesthesia.

Contact details:
Lasky Clinic, 201 South Lasky Drive, Beverly Hills, California 90212. Tel: 001 (310) 556 1003.



Dr Nelly Gauthier is a Paris surgeon who works with fillers and injectibles including Botox. She believes that clients should not undertake extreme procedures and uses long-lasting formulas. A consultation costs about £70 with a Botox injection costing from £200.

Contact details:

9 Rue de Marignan, 75008 Paris. Tel: 00 33 1 53 75 04 60.



Dr Alan Matarasso of Manhattan is renowned for his subtle, face rejuvenating surgery. He performs short scar facelifts, which use less incisions that are usually carried out in this type of treatment. He also carries out a . He also uses a preand post-treatment regime using vitamins and homeopathic remedies to reduce inflammation and bruising. The cost of a face lift by Dr Matarass is from £6,500.

Contact details:

1009 Park Avenue, New York. Tel: 001 212 249-7500.


Reconstructive Surgery

Dr Javier de Benito. Barcelona who specialises in reconstructive surgery including reversing ageing and rebuilding the face as a result of disease or injury. In particular he has a reputation for designing implants to add volume to the face, putting fullness back into sunken cheeks and redefining the chin. He has recently developed a neck and face lift, using Gore-Tex (flexible stitches) to create a ‘supportive bra’, pulling slack muscles back into shape for a firmer, more defined profile. An face and neck lift cost about £4,050 and £6,080 respectively.

Contact details:

Instituto Dr Javier de Benito, Marquesa de Vilallonga, Barcelona. Tel: 00 34
932 530 282 or www.institutodebenito.com


Eyelid surgery

Dr Nick Metaxatos of Athens who was trainined in the UK offers up-to-the-minute
‘procedures’ at a fraction of the price charged by U.S. and British surgeons.
His main specialism is blepharoplasty (eyelid surgery to remove sagging skin) which extracts less fat that usual and gives a more flattering finish. He also offers healthcare packages including surgery, five-star accommodation and aftercare,
with lymph drainage massage to speed recovery. A blepharoplasty operation costs from £700.

Contact details:

5-7 Skoufa Street, 10673 Athens.


Bottom lift

Dr Ivo Pitanguy, known as the ‘The king of plastic surgery’ is based in Rio De Janeiro. He is credited with inventing the ‘bottom lift’, which he calls the Pitanguy
Lift. Since multiple procedures are ususally performed prices are available direct from the clinic.

Contact details:

Ivo Pitanguy Clinic, Rua Dona Mariana, 65, Botafogo, Rio de JaneiroTel: 0055 212266 9500, or www.pitanguy.com.br

Cosmetic ops increase by 35% in UK

London:More than 22,000 cosmetic surgery operations were carried in the UK last year – an increase of 35% on the previous year.

The British Association of Aesthetic Plastic Surgeons www.baaps.org.uk said:

22,041 surgical procedures were carried out by BAAPS members, up 34.6% from 2004

While the majority of cosmetic surgery continues to be carried out on women, the number of men having aesthetic procedures rose from 1,348 in 2004 to 2,440
From representing only 8% in 2004, men now account for 11% of the total procedures

Women had 19,601 procedures in 2005, up from 15,019 the previous year. The top procedure for women was breast augmentation, with 5,646 carried out – a 51% rise since 2004, when 3,731 were performed

Rhinoplasty continues to be the top procedure for men, with 735 undertaken by BAAPS members, up from 462 performed in 2004

Anti-ageing procedures (facelifts, eyelid surgery and brow lifts) showed a
considerable rise in popularity in the last year, increasing by 42.1%, 50.2% and 34.8%, respectively.

According to Mr. Adam Searle, consultant plastic surgeon and President of the BAAPS:

“These figures appear to represent a growing acceptance of aesthetic surgery, particularly in maintaining appearance with age and the number of men choosing to undergo surgery. With the increasing media coverage that provides the public with ever more information on what surgical procedures might achieve, it is essential that our members continue to promote responsible practices. At the BAAPS we are committed to educating people considering plastic surgery by providing independent and serious advice to assist in sensible decision-making.”

The figures in full:

A total of 22,041 procedures were carried out this year by BAAPS members in their private practices, compared to 16,367 in 2004. 2005 results indicate that surgical numbers continue to grow, with a 34.6% rise over the previous year.

The top ten surgical procedures for men & women in 2005 were, in order of popularity:

Breast augmentation: 5,655 – up 51.4% from last year
Blepharoplasty (eyelids): 3,415 – up 50.2%
Breast Reduction: 2,700 – up 9.3%
Face/Neck Lift: 2,279 – up 42.1%
Rhinoplasty: 2,268 – up 34.7%
Abdominoplasty: 1,869 – up 24.4%
Liposuction (major): 1,436 – up 24.9%
Otoplasty (ears): 1,176 – up 28.1%
Liposuction (minor): 663 – up 9.6%
Brow lifts 580 – up 34.8%

Women had 89% of all cosmetic procedures (19,601, up from 15,019 in 2004). The top five surgical procedures for women in 2004 were: breast augmentation (5,646), blepharoplasty or eyelid surgery (2,868), breast reduction (2,593), face/neck lift (2,135), and rhinoplasty (1,533).

Men had 2,440 cosmetic procedures, an increase of 1,092 from 2004. The top five surgical procedures for men in 2005 were: rhinoplasty (735), blepharoplasty (547), otoplasty (526), liposuction (220), and face/neck lift (144).

According to Mr. Douglas McGeorge, consultant plastic surgeon and President-Elect:

“These increases maintain a solid trend – evidently, the British public want to feel good about the way they look as they age. A growing awareness of the procedures available and their continued safety are all contributors to the popularity of cosmetic procedures. When performed under the right circumstances, aesthetic surgery can have a very positive psychological impact and improve a patient’s quality of life.”

Mr. Rajiv Grover, consultant plastic surgeon and BAAPS Council member responsible for the UK aesthetic surgery audit said:

“I was not surprised at the continued rise in numbers, especially in the area of anti-ageing surgery such as eyelid surgery and facelifting. With these procedures it is essential to be selective in choosing the right practitioner, as the results are long lasting but complications can be permanent. Patients have come to view the BAAPS as the ideal destination to find out more about the possibilities and realities of aesthetic surgery.”

Face transplant ethical says top surgeon

Beverly Hills: Renowned plastic surgery expert says face transplants are “Absolutely Ethical.” Nationally recognized authority on plastic surgery, Dr. Anthony Griffin, is speaking out in support of face transplant technology. The first human transplant was recently performed in France, and many groups have questioned whether the procedure is ethical.

Los Angeles, CA (PRWEB) December 9, 2005 — Nationally recognized authority on plastic surgery, Dr. Anthony Griffin, is speaking out in support of face transplant technology. The first human transplant was recently performed in France, and many groups have questioned whether the procedure is ethical.

“What is not ethical about helping to restore a person’s quality of life?” Says Dr. Griffin, Director of the Beverly Hills Cosmetic Surgery Institute and star of ABC’s hit show Extreme Makeover. “Face Transplants are an outstanding part of the future of Plastic Surgery. We have the technology and we will use it, and it is absolutely ethical. However, the debate as to whether or not it is appropriate will continue to rage on.”

As the author of “Surgery Without Scars: A Worry-Free, Multi-Cultural Guide to Plastic Surgery Today,” Dr. Anthony Griffin specializes in minimally invasive procedures that minimize scars, and emphasizes procedures that result in a natural appearance. A diplomat of the American Board of Plastic Surgery, Dr. Griffin has more than 17 years of training and experience in plastic surgery. He is board certified and an active member of the American Society of Plastic and Reconstructive Surgeons and a fellow of the American College of Surgeons. Dr. Griffin has published many scientific articles and has made numerous presentations throughout the United States and abroad. He is currently writing a new book, “Extreme Satisfaction,” that will explore the trend of plastic surgery and offer tips and advice for those seeking these procedures.

Demand for cosmetic surgery in New Zealand doubles

Christchurch: Dr Martin Rees, president of the New Zealand Foundation for Cosmetic Plastic Surgery, said surgeons throughout the country reported a growth in operations of 30 and 50 per cent in the last two years.

The doctors put this dramatic growth down to popular TV programmes such as Nip?Tuck and Extreme Makeover which make cosmetic surgery seem as simple as home improvements.

Rees said surgeons needed to be careful to point out to potential patients that cosmetic surgery was not nearly as instantaneous as it appeared on shows such as Extreme Makeover.

“It’s all condensed. It’s a bit like Mitre 10 Home Improvement with your house fixed in half an hour.”

Christchurch-based Californian plastic surgeon Howard Klein said the industry’s local growth reflected a global increase in cosmetic surgery, and there was no question it was influenced by shows such as Nip/Tuck and Extreme Makeover.

Klein said the programmes were helpful in that they generally portrayed cosmetic surgery in a good light.

“They reflect some people’s genuine satisfaction with cosmetic surgery – that positive `I’m really thrilled, this has changed my life’ thing. That’s how I see cosmetic surgery working in practice.”

Klein thought the programme Nip/Tuck – with its catchphrase “appearance is everything” – helped New Zealanders overcome their long-held ambivalence about plastic surgery.

“It’s not that Kiwis have been less interested than my patients in California, but they were uneasy in admitting the fact they were interested,” he said.

Christchurch now has six cosmetic surgeons and a growing band of less-qualified people – mainly GPs and nurses – offering such things as Botox injections, dermal filling, laser resurfacing and skin peels.

AdvertisementAdvertisementA local dental group advertises in the Yellow Pages under the heading Extreme Dental Makeovers.

Merivale plastic surgeon Stewart Sinclair said he was booked up until July.

Although the number of surgeons in Christchurch had increased, he had not experienced any drop in demand.

“I would have expected my practice to decrease but that hasn’t happened. I can’t get much busier,” he said.

Sinclair did not think highly of the TV programmes.

“That Nip/Tuck thing. It’s not real – all those sexual relationships with the patients.”



Richard W. Street, MD
Box 100 – Gypsy Lane
Blythe, Ont. N0M 1H0
T: 519-523-4433


Sanjay Mohan Ram, N.D.
Panacea Preventative Medicine Center
#102-13777 Commerce Parkway, Richmond BC, V6V-2X3, Canada
T: 604-304-6010


J.W. LaValley, MD
Box 2020
Chester, NS B0J 1J0


Steven K.H. Aung, MD, OMD, PhD
9904-106 St.
Edmonton, AL T5K 1C4
e-mail: skha@aung.com


Pierre Cloutier, MD
2457 Du Versant
Magog, PQ J1X 5Y3
T: 819847-8478
F: 819 847-8478
Email: pierre.cloutier@cgocable.ca


Anke Zimmerman, ND
Natural Health Direct
17665 Leslie St. No1
Newmarket, Ont. L3Y 3E6
T: 905-853-0172


Dr. John Gannage, MD
300 Main St N
Markham, ON L3P 1Y8
T: 905-294-2335

Dr Gannage has diplomas in homotoxicology and homeopathy, chelation therapy. He specialises in nutritional therapies – oral and intravenous; toxic immune syndromes; toxic metal excretion; detoxification; dysbiosis/autointoxication; integrative medicine. Nutraceuticals, herbs, hormones, homeopathics and pharmaceuticals.

Ahmad Nasri
Nasri Chelation
730 Essa Rd
Barrie, ON L4N 9E9

T: 705-735-2354
F: 705-735-2716
email: Ahmadnasri@rogers.com

Gabriella Novak
Oakville Naturopathic Clinic
127 Trafalgar Rd
Oakville, ON L6J 3G4
T: 905 844-7718


Jean Yves Perreault, MD, DC
2935 Long Champs
St. Foy, PQ G1W 2G2
St. Foy
T: 418-651-6408


Dr Fred Hui
421 Bloor St East. Toronto, Ontario
F: 416-920-4204
Email: fred.hui@utoronto.ca or drhui@drhui.com
website: http://www.drhui.com
Naturopathic Medicines, Nutraceuticals, Natural hormones, Chinese herbs, and Chelation therapy. Specializes in : Post herpetic neuralgia, angina, claudication, diabetes. Former president and current examiner for the Acupuncture Foundation of Canada, Member of ACAM, diplomat of the International Board of Chelation Therapy.


Jim Chan, ND
Champion-Medical/Dental Building
101-3380 Maquinna Dr.
Vancouver, BC V5S 4C6
T: 604-435-3786

Svetlana Korkuczanska, MD, FRCPC
Dr S Korkuczanska Inc
S700 837 W Hastings
Vancouver, BC V3C3N6
T: 604 606-5500
F: 604 606-5509

Saul Pilar, MD, DC
2786 W. 16 Ave. No205
Vancouver, BC V6K 4M1
T: 604-739-8858

Donald W. Stewart, MD
2184 W. Broadway No 435
Vancouver, BC V6K 2E1


Kevin Worry, MD
Dr. Kevin Worry Inc.
216 – 531 W. Bay Terrace
Victoria, BC V9A 5R3
T: 250 383-4500
e mail: personalexcellence@shaw.ca


Roman R. Rozencwaig, MD, CM
Westmount Medical Bldg.
5025 Sherbrooke St. W. No 355
Westmount, PQ H4A 1S9
T: 514-487-0439


Gregory P.J. Kos, B.A. B.Sc. D.C.
1868 Portage Ave.
Winnipeg, MB Canada
R3J 0H2
T: 204-831-8000
e-mail: gkos@pangeaca.com

Injectable fillers and implants

All of these treatments are best used for deeper lines such as deep mouth to nose and around the lips. Aimed at individuals who would prefer to avoid surgery, such as a facelift.

Autologous fat

Fat is taken from the stomach, thights or bottom and after being processed is can be injected into lips, hands, nose to mouth lines, cheeks or acne scars. The results last up to two years.

Arteplast (Artecol)

A combination of collagen and polymermethyl-methacrylate used on superficial facial lines such as the forehead.


A connective substance found naturally in the skin and which helps it maintain elasticity. As you get older it diminishes giving way to to lines, particularly around the mouth and eyes. In these procedures the collagen is created from bovine sources, steralised and suspended in saline. It is injected, using a fine needle, into the required areas that need plumping out. The effect lasts for several months and treatments can be repeated time and time again. Anyone considering this would need to have an allergy
test beforehand. About $400 to $500 for each area.


One of the new permanent injectable skin fillers that is awaiting FDA approval is polymethylmethacrylate, made from a mixture of micronized plastic spheres and bovine collagen. When polymethylmethacrylate is injected into the skin, the collagen works by holding the synthetic spheres in place until it dissipates after injection — leaving the spheres behind to prop up the wrinkles. These spheres stimulate the body’s own production of collagen, which then forms around the spheres.

One side effect of polymethylmethacrylate include permanent or long-term lumps and temporary swelling and redness, especially when used in the lips.

Hydroxyapatite with a Methylcellulose Vehicle

For patients looking for longer-lasting results than collagen but not the permanent results of polymethylmethacrylate, a new filler known as hydroxyapatite with a methylcellulose vehicle — which is currently FDA approved for other purposes — is being studied as an injectable skin filler. The synthetic compounds used in this filler contain beads of calcium hydroxyapatite, which is a substance used to replace missing bones.

Hydroxyapatite with a methylcellulose vehicle provides a temporary correction of wrinkles that lasts about one year, but the exact duration of this filler has not been demonstrated yet. If not injected properly, the calcium beads could clump together and result in lumpiness in the treated area.

Poly-L Lactic Acid

Poly-L lactic acid is not really considered a skin filler, but a “dermal stimulator” because it stimulates the skin cells to make collagen — providing a slow correction over time. Patients are treated every month for four to five months until the correct results are achieved, results typically last one to two years.

Research studies of poly-L lactic acid for FDA approval of wrinkles are just beginning and it could be a new option for patients looking for a safe, long-lasting fix for wrinkles.

Before considering any skin filler treatment, it is recommended that patients ask the following questions:

1. Are the results permanent or temporary?
2. What are the potential side effects?
3. Is the filler approved by the FDA for this use?
4. How long has the physician used the filler? How many patients has
the physician treated? Are before and after photos available?


Cells are taken from behind the patient’s ear, where there is less sun damage, and cultured in a laboratory and then injected back six to eight weeks later into the face. Isolagen was launched in the UK in 2003 and although the results are not immediate it appears that top up injections are not needed as the results last.It has also proved successful in treating acne, scars and burns. It may also be used to help receding gums. It has yet to get the go-ahead of the FDA in the US. www.isolagen.com

Hyaluronic Acid Fillers

Recently approved by the FDA as a skin filler, hyaluronic acid is a naturally-occurring component of the skin that functions by holding together collagen and elastin, providing a framework for the skin. When injected into the skin in gel form, hyaluronic acid binds to water and provides volume to easily fill in larger folds of skin around the mouth and cheeks. Patients notice an immediate plumping of the skin in the treated areas.

One of the main advantages of hyaluronic acid gel is that it does not pose an allergy risk for patients and there is no risk of transmitting animal diseases by injection. Since a skin check for allergies is not required with hyaluronic acid gel, patients can be treated on their first visit to the dermatologist. The results of hyaluronic acid last approximately four to six months and require less volume to fill wrinkles and hard-to-treat skin folds compared to collagen. The main brands are Restylane and Perlane which is a stronger version.

These are used to fill out lines as a result of ageing where the skin has lost its elasticity. The target areas include eyes lines, mouth lines, smile lines and frowns between the eyebrows. Treatment takes 10-20 minutes and results last for up to nine months before a top up treatment is necessary. There may be some redness and swelling after treatment but this normally goes in a couple of days.


Newfill is a way of resculpting the face without surgery, using an injection which consists of a saline gel with a product called Newfill, a naturally occuring polylactic acid which stimulates the body to produce its own collagen. Initially the gel fills the wrinkles and hollows, but soon disperses in the body and the patient’s own collagen is given a kick-start.

Patients usually have two sessions, at least 15 days apart, and the final result can be seen 20 days later. Results from most fillers, such as Restylane, last only three or four months, But the improvement from Newfill typically lasts for a year or longer.Th amazing thing is that Newfill has been used in surgery for the last20 years, and as a polylactic acid is found naturally in the body, and as a a result allergic reactions are rare.Unlike collagen it is not derived from animals.It can be used to treat lines on the neck as well as to rejuvenate hands, knees and ankles.

Permanent/Semi Permanent Fillers


Banned in the US because of the risks of infection and scarring but it is still used in the UK, although increasingly less so. The liquid is injected straight into wrinkles, is permanent but there is a greater risk of hard lumps.


This is a man-made breathable membrane, is used as a permenant wrinkle-filler and comes in several differnt forms such as, sheets, strips and tubes. Since it is porous the skingrows into it. Used to correct wide scars and deep wrinkles.


Made in the US from a natural deep-layer skin collected from corpses, purified and freeze-dried. Prior to use it is reconstituted using saline and implanted in sheets or strips,acting as a frame for the patient’s skin. Overtime it may be partially reabsorbed but there is little risk of rejection. A similar treatment using pig tissue is also being developed.

There is always a risk of rejection with foreign materials. The injected collagen eventually breaks down and fades away. Top-up treatments will be needed every few months, dependingon the individual. Some people develop an allergy – a test is made prior to the treatment, and a furtherone percent may show a reaction is excessive redness and swelling after treatment.
Three months and silicon and Gortex are permenant. Alloderm is semi-permanent. Recovery is immediate with perhaps some redness and swelling which will go down after a few days.Discomfort is minimal as the procedures are carried out with local anaesthetic.A hospital stay nnecesssary as it can be done in a lunch hour and is available at various clinics.
The Collagen Information Service Freefone is run by Collagen (UK) 0800 888 000.

Cosmetic Surgery

Cosmetic surgery is a skilled procedure and anyone contemplating surgery should check that their surgeon has undergone a professional training programme and has a successful reputation in this area. Your personal physician or doctor can advise but do also ask the surgeon the name of the professional body to which he or she belongs and double-check credentials with them. A list of professional bodies whose aim is to promote the highest standards in the profession are detailed on How to find a professional cosmetic surgeon

Make sure you know as much as possible about the procedure you are wanting -you will be in a better position to judge just how professional your surgeon is. The British Association of Cosmetic Surgery has a guide for the layman – this costs £9.99 + postage and can be bought on line at www.b-a-c-s.co.uk

ElixirNews is an independent information source and is not paid to list surgeons or endorse them. We will however write independent editorial on good and bad experiences that come to our attention. Please let us know about your experiences with cosmetic surgery.

Anyone contemplating surgery should be aware that there are various actions they can take to improve the outcome of their operation, this includes giving up smoking for several weeks beforehand – smoking interferes with blood circulation and therefore healing. Also there are a number of medications such as aspirin, Brufen and Ibuprofen, and herbal remedies/nutritional supplements (vitamin E, evening primose oil and fish oils) that may also cause problems with surgery. You should tell your doctor/surgeon which medications and supplements you are taking.

The following is guide to the main types of plastic surgery, what to expect in the way of discomfort and healing.

The UK’s Department of Health has some useful online information, including questions you should ask your surgeon and a guide to procedures for anyone considering surgery. Here are links to their guides:
Considering Cosmetic Surgery?
Considering Non-Surgical Cosmetic Procedures?
A-Z of Cosmetic Procedures
Qualifications and What They Mean

There is also more useful information about procedures on the Which? magazine web site: