What is the ideal weight for Plastic Surgery?

What is the ideal weight for Plastic Surgery?

When attending your consultation, along with discussing your expectations and the result you wish to achieve you will also be asked a series of questions that relate to your medical health. It is important to answer these questions openly and honestly as these provide vital information for your surgeon and anaesthetist. Your responses to these questions will highlight any issues that will help assess your suitability for surgery and any issues that should be monitored whilst under anaesthetic and post surgically.

In order to assess your suitability for surgery your BMI will be calculated, to work out your BMI (Body Mass Index) you should divide your weight in Kilograms by your height in Metres then divide the answer by your height again. The NHS provide an online tool to help calculate this should you wish:

If your BMI is: below 18.5 – you’re in the underweight range, between 18.5 and 24.9 – you’re in the healthy weight range, between 25 and 29.9 – you’re in the overweight range and between 30 and 39.9 – you’re in the obese range.

Why is weight such an important factor when considering surgery?

Weight is a major factor when determining a patients’ suitability for surgery, not just for those who maybe overweight but for those underweight patients too. It is not uncommon for a surgeon to request a patient either loses or gains weight prior to surgery being undertaken. It is important to understand that this is for your own benefit, to ensure your body is in the optimum condition prior to surgery, so that your procedure is carried out with as little risk of complication as possible and to promote a speedy recovery post operatively.

Not only is it important that you are within the boundaries of a healthy weight for medical reasons but also from an aesthetic perspective too. Maintaining a stable weight and healthy diet post operatively will mean the result your surgeon has achieved is long term as any weight gain or loss following surgery will undoubtedly affect this result.

If you are considering surgery and would like to arrange a confidential no obligation consultation at one of my clinics in Warwick, Coventry or Nuneaton please call 07468 418 419 or for more information visit my website

How important is it to have support when undergoing elective surgery?

How important is it to have support when undergoing elective surgery?

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Undergoing Cosmetic Surgery is a lifechanging decision, some patients choose only to discuss their plans for a procedure with those closest but one thing is for sure, it is important to have ‘someone’ to support you through your experience.

You may have grown up feeling self conscious of a body part or your decision maybe the result of weight loss or childbirth so those closest to you will generally be aware of how your confidence or body image has been affected and want to support you through your experience.

I always recommend that a friend or relative should come along to consultations with my patients, whilst they maybe asked to step outside during any personal examinations, it is always good for another person to be there and to hear the expectational advice and information given during the appointment.

We have strict guidelines as to the period of time given between the consultation and the booking of surgery to allow patients to discuss their thoughts and decision to proceed for exactly this reason, having a friend who has also heard the advice means they can give a subjective opinion, one that is not influenced by emotion. This period of time sometimes known as a ‘cooling of period’ is an opportunity to really gather thoughts, to ensure that patients are certain of what they are about to undertake and to even use support platforms and forums to read about other patients experiences. I offer my patients the option of speaking to one of my previous patients who has consented to talking with prospective patients, if they wish.

When patients do decide to proceed with surgery, it is good to have that support on the day of surgery and we insist that there is someone around for at least 24 hours following surgery in the event that patients require any assistance during their immediate recovery.

What to expect from the cosmetic surgery journey

  1. Making an initial enquiry is an opportunity to ask questions, you will usually speak to the medical secretary so the advice will be non clinical however some background information will be gathered including date of birth, weight/BMI and the procedure of interest, an appointment will then be offered if appropriate.
  2. The consultation will always be with me, the surgeon. It is an opportunity to discuss expectations and any concerns, to go through the patients medical history and for an examination to be carried out. At this stage patients will be given the relevant information about the procedure and the costs involved.
  3. When patients have made the decision to proceed with surgery, several things will happen, an appointment will be made for a pre anaesthetic screening, some patients may require bloods to be taken prior to surgery, and advice will be given relating to medication being taken and any pre surgery guidance given that patients should be aware of.
  4. On the day of surgery it is important to remember that each procedure is unique whether it be that the procedure will be carried out as a daycase or an overnight stay, using local or general anaesthetic. Patients will have been given as much information as possible prior to surgery however it is important to remember that if questions arise at any point, just to ask the team.
  5. Patients recovery is almost as important as the surgery itself, following the guidance given is paramount to ensure a speedy and comfortable recovery. There will be a post-operative appointment made at discharge to see the nurses to remove any sutures if appropriate and you will see your surgeon in the coming weeks too. Contact information will be given should they be needed at any stage, whether for medical support or just to ask questions from an advisory and supportive perspective.

If you are considering Surgery and would like more information, please visit or to arrange a consultation at one of my clinics in Warwick, Coventry or Nuneaton, please call 07468 418 419

The top 5 things male patients ask at consultation

In 2015 it was reported by BAAPS that over 51,000 cosmetic procedures were carried out, a 13 % increase compared to the previous year. Of those over 4,100 were carried out on men, almost twice the number compared to a decade ago.

One US Plastic Surgeon has reported the 5 most popular things males ask for when visiting his clinic, which I think apply in most practices, here’s my opinion.


I would agree with this in both male and female surgery, patients are always looking for a treatment that affects their day to day routine as little as possible, from the procedure itself to the speed of recovery.

 ‘A banging Body’

Whilst ladies tend to invest more in facial procedures, I would say men are more focused on procedures to their body for example liposuction fat removal techniques and male breast reduction although I think Facial Aesthetics is becoming more popular in male patients. This is probably because that stigma of having anti wrinkle treatments for example has become less and less over recent years
To look natural

Whilst a proportion of patients prefer their Cosmetic Treatments to be obvious I would say most are looking for a more natural look, this is shown particularly in the recent increase of ladies who are looking for more natural breast augmentation. These days everyone wants a natural look, so people can’t tell they’ve have a treatment, this is more so the case in male patients.

No Pain

The degree of pain involved in a treatment is always a key question in consultation, women I would say are more understanding of the pain for beauty scenario, whereas men are less so in my experience. Like with any operation there is always a degree of discomfort involved but our medical team are well versed in keeping this to a minimum with setting the expectation and providing pain relief to keep this under control. Most patients expect the worst and unaware of their own pain threshold so are usually surprised how well they cope post operatively or post treatment.
To look younger

Whilst women in my experience seem to want to just slow or halt the ageing process, men want to look younger and more attractive – Non surgical treatments and fat removal are key in providing this.

If you are considering Surgery and would like more information, please visit or to arrange a consultation at one of my clinics in Warwick, Coventry or Nuneaton, please call 07468 418 419



What is Hypospadias

What is Hypospadias?

Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urethral meatus (opening). Instead of opening at the tip of the penis, a hypospadic urethra opens anywhere along a line running from the tip along the underside of the shaft to the junction of the penis and scrotum or perineum. A distal hypospadias may be suspected even in an uncircumcised boy from an abnormally formed foreskin and downward tilt of the glans.


The urethral meatus opens on the glans penis in about 50-75% of cases; these are categorized as glanular hypospadias. Hypospadias of the shaft (when the urethra opens on the shaft), and peroneum (when the urethra opens on the perineum) occur in up to 20 and 30% of cases respectively. The more severe degrees are more likely to be associated with chordee or curvature. Undescended testes and hernias can be associated with hypospadias.


Incidence of hypospadias

Hypospadias are among the most common birth defects of the male genitalia but widely varying incidences have been reported from different countries, from as low as 1 in 4000 to as high as 1 in 125 boys.There has been some evidence that the incidence of hypospadias around the world has been increasing in recent decades.


Causes of hypospadias

Most hypospadias are sporadic, without inheritance or family recurrence. For most cases, no cause can be identified.

Genetic factors are likely involved in at least some cases, as there is about a 7% familial recurrence risk.


Treatment of hypospadias

Glanular hypospadias are primarily a cosmetic defect and have little effect on function except for direction of the urinary stream. If uncorrected, hypospadias can make male urination messy, necessitate that it be performed sitting, impair delivery of semen into the vagina (possibly creating problems with fertility), or interfere with erections. Surgical repair of hypospadias is nearly always successful in one procedure and can usually be performed in the first year of life or at age 3. When the hypospadias is very proximal, or there are associated birth defects such as chordee, the best management can be a more complicated decision. It often requires a 2 stage repair. The foreskin is often used for grafting and circumcision should be avoided prior to repair.


Currently, I operate in the first year of life and the majority of children have 1 operation. The more severe cases have 2 procedures. The majority require a catheter or stent for 1 week but usually go home after approximately 3 days to return after 1 week for removal of the stent. They are then seen in the clinic 6 weeks later.


In a minority of patients surgery produces unsatisfactory results, such as scarring, curvature, or formation of urethral fistulas (leak) or strictures. A fistula is an unwanted opening through the skin along the course of the urethra, and can result in urinary leakage or an abnormal stream. A stricture is a narrowing of the urethra severe enough to obstruct flow. In my hands, fistula occurs in approximately 5% of cases and strictures very rarely. They usually require further surgery.


If you would like more information, please visit or to arrange a consultation at one of my clinics in Warwick, Coventry or Nuneaton, please call 07468 418 419

So often we read articles about the latest celebrity to have Cosmetic Surgery, but is this really news?

So often we read articles about the latest celebrity to have Cosmetic Surgery, but is this really news?

Patients undergo Cosmetic Surgery for many reasons, we mostly assume its for vanity and sometimes it is about enhancing a feature, but there are other reasons a patient chooses to have a procedure

Changing a feature they have never liked: This is often the case with Breast Enlargement, Breast Reduction and Rhinoplasty. If a patient has grown into the adult world flat chested or even with larger breasts or a hump in their nose, it can often cause self image issues, in some cases the patient may have been the victim of taunts or bullying. The option to change this feature can help regain that confidence.

Changes in the body as the result of weight loss or pregnancy: Often patients who have had a baby, breastfed or have stretched skin as a result of the pregnancy will want to have a procedure to regain their pre baby body shape. Pregnancy and breastfeeding can leave a lady with a lack of volume in the breasts, with sagging and in the case of Abdominoplasty (Tummy Tuck) the patient no matter how much exercise they do can have a loose area of sagging skin sometimes referred to as a pouch.

Medical Reasons: A patient with larger breasts can often suffer with back pain caused by the weight of the breasts, a lady will change their posture to compensate for this weight which in extreme cases can cause spinal problems. This example also applies to blepharoplasty procedures, in some cases the sagging eyelid can prohibit clear vision which can make driving a car for example dangerous.

It is important to remember that every patient has their own reasons to have surgery, to not cast judgement but to remember that if something makes a person happier or gives them confidence then taking the step to have surgery is very brave.

If you are considering a cosmetic surgery procedure and would like a confidential no obligation consultation at one of my clinics in Warwick, Coventry or Nuneaton, please call 07468 418 419 or for more information please visit my website

Facelift – What are the options?

Facelift – What are the options?

A Facelift ( technically known as Rhyidectomy (from the Ancient Greek words that mean Wrinkle and Excision) is a Cosmetic procedure carried out to give the face a more youthful appearance.

There are several types of Facelifts available, some using non surgical techniques and others using surgical procedures.

According to the most recent 2015 statistics released by The British Association of Aesthetic and Plastic Surgeons (BAAPS) Facelift/Necklift surgery accounted for 7,419 of all procedures, an increase of 16% compared to 2014.

Surgical procedures usually involve the removal of excess skin with the tightening of underlying tissue depending on the type of surgery recommended, for a more effective result this is can be combined with Blepharoplasty (Eyelid) surgery.

What are the differences between these procedures?


A patient recommended for a Full Face Lift would present with substantial skin laxity and droopiness in the neck. A full or “traditional” facelift addresses the sagging upper and lower neck skin and (platysmal) vertical neck bands, jowls, lower and mid nasolabial folds and marionette lines. It involves incisions from the temple scalp, along the front of the ear (inside the mid part for women), behind the ear into the crease then along or into the scalp hair behind the ear towards the back of the neck with undermining of the skin and tightening of underlying support tissues.

Mini Facelift

The Mini Facelift is recommended for a patient who describes minimal signs of ageing in the forehead and neck area but is concerned about skin laxity in the cheeks and loose skin in the mid face and jaw region. A patient suitable for a mini-facelift would have relatively good skin elasticity and relatively mild changes in the lower third of the face and neck. The surgery involves incisions from the temple scalp, along the front of the ear (inside the mid part for women) but ending at the level of the earlobe (in front or in back) – as much as 40% less scarring respectively, the recovery time is shorter compared to a full face lift.

If you are considering Facelift Surgery and would like more information, please visit to arrange a consultation at one of my clinics in Warwick, Coventry or Nuneaton, please call 07468 418 419

Breast Implants – Your questions answered!


Often when patients attend their consultation for Breast Augmentation (often referred to as Boob Job) Surgery they have an idea of what size implant they’d like, sometimes they have seen a celebrity whose implant size has been reported or a friend has had surgery and they think that size would be perfect for them, however it is important to recognise the many factors that contribute to the overall result of breast surgery.

A certain implant size in one patient may look very different in another, why is this?

By understanding a patients anatomical structure, by measuring the base width, the thickness of the breast tissue, and the degree of sagging (ptosis), it will become clear which implants will be suitable for your body shape and whether this will result in the look you are hoping to achieve.

At your consultation you will be given the opportunity to try gel sizers that will give an idea of the result you are likely to achieve, however prior to your consultation the rice test can help give an approximate indication of the size, this involves filling a stocking as below

Amount of Dry Rice
(cups) to Implant Volume Simulated in cubic centimeters
0.53 cup 125 cc
0.63 cup 150 cc
0.74 cup 175 cc
0.85 cup 200 cc
0.95 cup 225 cc
1.06 cups 250 cc
1.16 cups 275 cc
1.27 cups 300 cc
1.37 cups 325 cc
1.48 cups 350 cc
1.59 cups 375 cc
1.8 cups 425 cc
2.01 cups 475 cc
2.22 cups 525 cc
2.43 cups 575 cc
2.64 cups 625 cc
2.96 cups 700 cc

There are also variations in the profile of implants available, a low profile, moderate or high profile. Again these options will determine the result, a low profile will give a flatter result, a moderate a more natural look and high profile will give a fuller and rounder looking breast. A high profile does not mean it sits higher on the chest it means the implant will project forward the most.

Like with all Cosmetic Surgery it is best to attend your consultation with an open mind and a realistic approach but there is no harm in doing your research before you attend, this will give your surgeon the best idea of whether the result is one that’s achievable and in line with your expectations.

If you are considering Breast Augmentation and would like more information, please visit or to arrange a consultation at one of my clinics in Warwick, Coventry or Nuneaton, please call 07468 418 419