Mr Nigel Horlock

Consultant Plastic & Reconstructive Surgeon

C4 Cosmetic Surgery Show Comes Under Fire for Exploitation

A new cosmetic surgery show due to be hosted on Channel 4 has come under fire for exploitation. The show, which sees a panel vote on whether participants should undergo cosmetic surgery, is being dubbed by MPs as “tawdry and exploitative”. Alex Mahon, the chief executive of Channel 4, alongside its chairman, Charles Gurassa, were both questioned by the Commons culture select committee. They asked whether the broadcaster had forgotten its responsibilities to the public in favour of titillating and voyeuristic viewing. Why is the Surjury show is causing controversy? The new show, dubbed Sujury, is due to be aired on Channel 4 sometime in 2020. There is set to be 12 jury members who will vote on whether members of the public who applied to the show could use the procedure they are considering. These jury members are made up of both experts and peers. The reason the show has come under fire is that it is taking people who already have low self-esteem, and potentially encouraging them to undergo a serious surgical procedure. This could in fact make their self-esteem issues even worse. Channel 4’s chief executive, Mahon, claims the show is helping to raise awareness of an important issue. He claims it isn’t intended to be a tawdry program. Instead, it is there to highlight the issue of how common cosmetic surgery is today. However, this hasn’t done anything to diminish the controversy surrounding the program. Trivialising cosmetic surgery The main concern is that Surjury is going to trivialise serious surgical procedures. A responsible cosmetic surgeon will always evaluate their patient’s expectations and reasons for surgery and will advise the patient that cosmetic surgery is not appropriate at this time. It is important for patients to be aware of how life-changing cosmetic surgery can be. The majority, especially invasive procedures, cannot be reversed. This means without fully understanding the procedure and its risks, patients could end up regretting their decision to go under the knife. Cosmetic surgery of any kind is a big deal and it should never be rushed into. The importance of cosmetic surgery preparation Patients who are considering undergoing a cosmetic procedure are advised to review the guidelines provided by the BAAPS. The first guideline laid out by the professional body is to ensure it is you who is making the decision, nobody else. They also recommend doing as much research as you...
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Study Finds the Male Facelift Makes Men More Likeable and Trustworthy

A new study has revealed that men who undergo a facelift appear more trustworthy and likeable. It also interestingly showed that they appear as though they have better social skills. Here, we’ll review the study and its findings and also take a look at how male facelifts differ from female facial surgery procedures. Results of a male facelift analysed The new study included 24 men who underwent a facelift procedure and had an average age of 49. They each consented to have their before and after surgery photos shown to 145 respondents who were aged from 25 to 34 years old. The respondents were asked to rate how extroverted, attractive, sociable, masculine, trustworthy, risk-seeking and aggressive the men appeared. However, they weren’t told about the surgery or the purpose of the study in order to rule out any risk of bias. There was a total of six surveys created for the study, and the respondents didn’t see both photos. Some were shown the before photos, while others were shown the after photos. The results of these surveys revealed that after surgery, the men were rated more trustworthy, likeable and attractive. Interestingly, surgery didn’t appear to alter the men’s masculinity ratings. There was also a more significant link between upper eyelid surgery and increased trustworthy and likeability ratings. Men who choose to undergo a facelift, tend to have upper eyelid lifts, nose reshaping, chin implants, neck lifts and brow lifts. How do male and female facelifts differ? In general terms, the same approach is employed – the aim of facelift surgery is always to enhance the patient’s natural appearance and subtly rejuvenate the face – yet there are certain considerations that plastic surgeon Mr Nigel Horlock will take into account when approaching male facelift surgery in order to cater to their masculine features. Facial hair is one thing which needs to be taken into account. When choosing an incision placement, the surgeon needs to ensure they aren’t damaging any of the hair follicles. There are also some anatomical differences between female and male faces. Males tend to have stronger ligament and skeletal structures, making it slightly more difficult to manipulate them surgically. Male facelifts often focus more on the lower portion of the face due to the thicker skin present in the area. Women tend to have a more delicate facial appearance while men have stronger features; whereas a female...
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Proof that women age faster than men

Although men and women share many similarities there are some things that are undeniably different and one of these things is how well we age. Aside from some of the physical changes that happen to our bodies as we get older, differences in the way the skin is made up mean that men and women age differently – there is no getting around this. Ladies, the bad news is that when it comes to the appearance of our skin, it is women whose skin ages faster than men’s. New research looking at differences in how men and women age The University of Vienna has been conducting an in-depth study focussed on evaluating the ageing process of men and women. They have found that “there is a noticeable acceleration of the appearance of wrinkles and sagging around the age of 50” and not only that, “they discovered that eyes appear smaller, nose and ears lengthen and faces become flatter due to loss of fat and thinning of the skin”. The factor that researchers feel is most likely to be contributing to this is the menopause, which typically begins around this age. One of the hormonal changes that take places when the menopause begins is the reduction of oestrogen in the body. This hormone is important as it is responsible for helping the skin create collagen, which is a clever component within the skin that gives it its natural elasticity. Oestrogen reduces significantly during the first five years or so of the menopause, which can leave skin looking saggy, wrinkled and dull. At the same time as this, the cheekbones begin to become less defined. It is believed that the bones actually begin to be re-absorbed by the body. Although this bone re-absorption affects both sexes, when it is coupled with the effects of the menopause the net effect is that women begin to age faster than men once they get to around 50 years old. This research is supported by the US National Library of Medicine National Institutes of Health, which reports that up until around age 50, men and women typically age at a very similar rate. They concur that once the menopause kicks in the ageing process is accelerated for women. Help is on hand There are a variety of cosmetic surgery procedures that can help women who feel they have been unfairly aged by the menopause. Procedures...
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Baby boomers driving increase in cosmetic surgery for online dating

The baby boomer generation is fuelling an increase in cosmetic surgery as they look to re-enter the online dating game. Procedures such as anti-wrinkle injections and liposuction are proving particularly popular for those aged over 55. Here, we’ll look at the rising trend of baby boomers going under the knife and the main factors driving it. Meeting the pressures of modern technology Technology has changed the dating game significantly over the years. Now, it’s all about finding perfect selfies to highlight our best look. Millions of men and women are signed up to dating sites, which means in order to stand out, a lot of focus is placed onto how we look. Apps such as Tinder, which encourage users to swipe left or right depending upon whether they like the look of a person, have increased the pressure on looking perfect. According to statistics released by the American Society of Plastic Surgeons, almost 50,000 additional procedures were carried out on the baby boomer generation in 2018. However, the pressure of modern technology isn’t the only factor driving the increase in baby boomer cosmetic surgery. Divorce rate is said to have doubled since 1990 It’s not only the pressures of modern technology which is causing the spike in cosmetic surgery in older patients. Divorce rates have also doubled since 1990. As fewer people stay married for life these days, millions of men and women aged over 55 are finding themselves back in the dating game. There are an estimated 20 million baby boomers currently signed up to dating websites. Many can also find getting back into the dating game daunting, so they opt to undergo cosmetic surgery to increase their confidence. It’s not all about boosting confidence, however. A lot of baby boomers today are vibrant and dedicated to living their lives to the fullest. They want their looks to reflect how vibrant and youthful they still feel. They take care of themselves by eating right and exercising regularly and simply want a few tweaks to ensure they look as good on the outside as they feel inside. Which cosmetic surgery procedures are proving most popular? The procedures baby boomers are opting to undergo largely include breast augmentation, hair transplantation, eyelid surgery, facelifts and liposuction. However, there has also been a spike in minimal and non-invasive techniques such as fillers and anti-wrinkle injections. The procedures aren’t being carried out to...
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Latest cosmetic surgery figures shows growth in tummy tucks and lipo

The latest cosmetic surgery figures released by the British Association of Aesthetic Plastic Surgeons (BAAPS), has revealed a small rise in the number of procedures carried out in 2018. According to the figures, tummy tucks and liposuction procedures saw the biggest increases, up by 18% and 12% respectively. The continued popularity of cosmetic surgery is said to partly be down to celebrities being open about the work they’ve had done, while the popularity of shows such as Love Island is also contributing. The new series has just started this week and has already received criticism for a lack of body diversity within its line-up, surgeons are concerned it will spark a fresh rise in those seeking quick fixes. High-street and DIY non-surgical procedures on the rise One of the most worrying things the recent audit revealed, is the rise in high-street and DIY non-surgical procedures. Many patients do not realise the dangers these procedures pose. There is a common misconception that non-surgical procedures are safe and easy to perform such as Botox. However, this couldn’t be further from the truth. Non-surgical procedures still carry a lot of potential risks; particularly if they are performed incorrectly. BAAPS is concerned over the figures and is calling for additional regulations to be introduced for non-healthcare professionals offering these types of treatments. Male cosmetic surgery demand dipping While female cosmetic surgery continues to rise, the number of men going under the knife is falling. According to the audit, male cosmetic surgery fell overall by 4.7% in 2018. However, liposuction remains the most popular procedure, rising 9% across both genders. The figures also suggest that men are opting instead for non-surgical treatments. Botox and minimally invasive treatments that tweak the appearance, rather than dramatically alter it, are becoming more popular with UK males. Patients urged not to undergo cosmetic surgery lightly While cosmetic surgery can deliver many great benefits to patients, BAAPS urges them not to make the decision lightly. Shows such as Love Island are making cosmetic procedures appear trivial and commonplace. However, there are many risks involved and it’s important you’re undergoing a cosmetic surgery procedure for the right reasons and with realistic expectations of what it will achieve. It’s also important to understand all the potential risks and complications of surgery. Patients should also ensure they are choosing a reliable surgeon to carry out the procedure. While DIY and high-street non-surgical...
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Mr Horlock's NHS practice is based in the regional plastics unit at Salisbury District Hospital. He covers Salisbury, Southampton and Dorchester. He sees patients in his private practice at Southampton, Salisbury, Dorchester.

Spire Southampton Hospital
Chalybeate Close,
S016 6UY
Julie Martin: 02380 764 969