Mr Nigel Horlock

Consultant Plastic & Reconstructive Surgeon

What’s the difference between a breast lift and breast reduction?

Breast augmentation has remained one of the most popular cosmetic procedures for decades. Used to increase the size of the breasts, it can also be effective at creating much better alignment and symmetry. However, for those looking to reshape or reduce the size of their breasts, a breast reduction or breast lift would be the better option. There is some confusion over how a breast lift and breast reduction procedure differ. If you’re trying to determine which procedure is right for you, here you’ll discover the main differences between a breast lift and breast reduction. What is a breast lift? Breast uplift procedures are designed to reshape and lift the breasts. It’s a particularly ideal option for women experiencing sagging in the breasts, whether due to age or breastfeeding. The volume and shape of the breasts will be restored, and the nipples and areolas will typically be repositioned, as well as made smaller to produce more natural results. With this procedure, the surgeon only removes excess skin, rather than breast tissue. What is a breast reduction? A breast reduction is designed to purely reduce the volume within the breasts. Rather than simply eliminating excess skin, the surgeon will also remove excess breast tissue, as well as fat. A lot of patients also experience a more lifted appearance once the size of the breasts has been reduced. They can also choose whether or not they want to reduce the size of their areolas too. It is largely beneficial for women who want or need to reduce the size of their breasts to correct medical issues, or for personal preference. Larger breasts can be uncomfortable, adding a lot of extra weight the body has to carry. So, a reduction can help to ease the pain, helping patients resume normal activities. How to choose the right cosmetic breast procedure for you The type of procedure that’s right for you will depend upon what you’re looking to achieve. If you simply want to make the breasts appear perkier and more youthful, a breast lift would be ideal. However, if you’re looking to significantly reduce the size of the breasts, a breast reduction is the best option. In some cases, a breast lift and reduction can be carried out simultaneously. Your surgeon will discuss the options available to you during an initial consultation. After talking through your expectations and desired results, they will inform...
read more

Is There a Right Age to Have Cosmetic Surgery?

Cosmetic surgery has significantly increased in popularity over the past decade. The number of patients, both male and female, opting to go under the knife has risen dramatically due to pressures of social media and the increase in acceptance towards cosmetic procedures. However, not all patients actually need cosmetic surgery, and many are left confused over whether now is the right time to go under the knife. Many patients worry they are too old, while a lot of younger people are opting to have anti-ageing treatments they don’t need. So, is there a right age to have cosmetic surgery? Guidelines for anti-ageing cosmetic surgery Anti-ageing procedures such as a facelift, eye bag removal or brow lift are some of the most common procedures carried out. However, there is a lot of misunderstanding regarding when these types of procedures should be carried out. In terms of an upper age limit, if you’re fit and well and have realistic expectations of what the final outcome will be, then excellent results can be achieved for women in their 60s or even 70s. Women in their 30s typically do not require a facelift or other anti-ageing cosmetic surgery, but there are non-surgical facial rejuvenation treatments, such as Botox and dermal fillers, that can help preserve a more youthful appearance for longer. Interestingly, women in their 40s will often get a better, longer-lasting result than patients who delay surgery until later as the skin is more elastic. Body contouring surgery guidelines Cosmetic breast surgery procedures such as the breast augmentation or breast lift are very popular with women of all ages. It’s true that breast augmentation is popular with younger women who may have always been dissatisfied with their breast development, but older women who have seen changes to their breast shape and volume due to the ageing process or pregnancy are often keen to have a discreet enhancement later on. Breast lift patients tend to be older, as the sagging of skin and breast tissues usually happens over time, but we also see younger women who have experienced extreme weight fluctuations that wish to lift and reshape their breasts once they have achieved a stable body weight. A tummy tuck, on the other hand, would be best carried out at age 35 and over. This is because the procedure is best suited to those who aren’t looking to have any children in the...
read more

Government Urges Cosmetic Clinics to Screen for Mental Health Problems

Cosmetic clinics which are members of the Joint Council for Cosmetic Practitioners (JCCP), will now need to screen patients for mental health problems. After meeting with NHS England, the JCCP agreed to include the new measures within its practice. The move comes as an increasing number of young people suffering from mental health issues, turn to plastic surgery to attempt to overcome their body hang-ups. Under the new guidelines, cosmetic clinics will screen patients for mental health issues, referring them to the NHS for treatment where necessary. Quick fix cosmetic procedures don’t help solve mental health issues The new screening procedure guidelines are set to help those who are psychologically vulnerable. In particular, patients suffering from conditions such as Body Dysmorphic Disorder (BDD), often turn to cosmetic surgery in the hope of fixing what they perceive to be wrong. However, in most cases, the perceived physical flaws these patients think they are suffering with, are purely in the mind. This means, even when the appearance is altered, it won’t change how the patient feels about their looks. In some cases, it could even make the condition worse. A top doctor from the NHS claims cosmetic clinics aren’t doing enough to protect these patients, calling for screening to be introduced. New measures hope to combat issues early Experts hope the new measures introduced for members of JCCP will help to combat issues with mental health early on. If patients are assessed and found to be suffering from mental health conditions, they can be referred to the relevant NHS facilities if required. This will help to ensure more patients are receiving help early on, rather than the NHS being left to pick up the pieces from patients who have undergone surgery which has further impacted their mental health. The new measures will include practitioners undergoing online training to recognise the symptoms and signs of mental illness. Government urges all clinics to follow suit At the moment, only members of JCCP are required to carry out mental health screening. Therefore, the government is urging independent clinics to follow suit. It’s not just surgical procedures practitioners should screen for either. Doctors claim even non-invasive procedures such as Botox and lip fillers shouldn’t be carried out before screening is completed. This is because a lot of patients suffering from mental health disorders are likely to start by undergoing simple, non-invasive procedures. All patients need...
read more

Blepharoplasty is in Top 5 Cosmetic Procedures Last Year

New figures have recently been released in the US, highlighting the most popular cosmetic procedures of 2018. While the majority of surgical procedures focused on the body, there were a couple of facial procedures which made it to the top five. Blepharoplasty, or eyelid lift surgery, came in at number three, with a staggering 206,529 procedures carried out. Although this is a 1% decrease from the year before, it shows just how popular the procedure still is. What is blepharoplasty surgery and what are its benefits? Blepharoplasty is a type of surgery used to enhance the appearance of the eyelids. It can be carried out on the upper, lower, or both eyelids. It can be used to simply alter the cosmetic appearance of the eyelids, or to improve functionality. The surgery can be used to correct a number of issues, including loose or sagging skin, dropping lower eyelids, fatty deposits which result in puffiness underneath the eyes, and for excess skin or wrinkles in the lower eyelid. It’s common for the eyelids to sag with age as the skin loses its elasticity. Generally speaking, surgery on the upper eyelids can help you to appear more youthful as well as improve vision, while surgery on the lower eyelids can reduce puffiness and wrinkles. Understanding eyelid lift surgery Blepharoplasty surgery can be carried out under either general or local anaesthetic. Cuts will usually be made along the natural line of the eyelids. Then, the surgeon will remove excess skin, sagging muscle and extra fat if required. Afterwards, the skin will be stitched up. It’s a fairly straightforward procedure, though it is recommended you choose a surgeon who has extensive experience in this type of surgery. Choosing the right surgeon will ensure you experience the best results and reduce the risks and complications associated with the procedure. The risks and complications Like any surgical procedure, there are risks and complications of blepharoplasty that you need to be aware of. Scarring is one of the leading concerns, although most will fade within 12 to 18 months after the surgery. There is the risk that instead of fading, the scarring could become thicker, painful or red and additional surgery may be required to correct it. Other risks and complications include: Bleeding Swelling, pain and bruising Infection Healing troubles Mr Nigel Horlock will run through all of the risks and complications involved during your consultation....
read more

New device could minimise cosmetic surgery scarring

When patients undergo surgical cosmetic surgery, one of the biggest concerns is scarring. All cosmetic surgery procedures involve incisions made into the skin so you will always be left with a scar, which will hopefully flatten and fade over time but will never disappear entirely. Now, researchers from the Binghamton University, of the State University of New York, have come up with a new device which could help to minimise scarring from cosmetic surgery. So, what is this new device and how likely are we to see it on the market? The device is said to be able to determine the orientation of skin tensions lines. Skin tension lines are used to aid cosmetic surgeons to make the least conspicuous cuts. If a cut is made in the wrong place or direction, it could lead to the development of keloid scarring. However, if cuts are made in the right place, it helps the wounds to heal quicker and scarring will be minimised. That is where this new device comes in. It is able to accurately measure the skin’s tension lines. While there are other devices which can currently do this already on the market, they typically need more than one measurement. The devices which do only require one measurement, are also limited to measuring an accuracy of 45 degrees. So, this new device is considered much more accurate and reliable than the existing methods. The new device is capable of providing accurate measurements, unique to each individual patient, within just a few seconds. How can it help with cosmetic surgery scarring? At the moment, surgeons rely upon either manual manipulation or skin tension line maps. There are a lot of different skin tension line maps to choose from and manual manipulation can be inaccurate However, there is still a way to go before the device will hit the market. Further trials involving an increased number of patients will be required to determine just how effective it is. Researchers are then hopeful that it will enter the mainstream market, becoming a commonplace piece of equipment in operating theatres. In the meantime, there are certain steps your cosmetic surgeon will make to minimise scarring. How your cosmetic surgeon minimises cosmetic surgery scarring During your consultation, Mr Nigel Horlock will take a full medical history to rule out any pre-existing medical conditions, such as certain thyroid problems or diabetes, that could affect the...
read more

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