Mr Nigel Horlock

Consultant Plastic & Reconstructive Surgeon

New US figures show male cosmetic surgery is on the rise

Cosmetic surgery is often perceived as the preserve of women, but figures released recently by the American Society of Plastic Surgeons point to a surge in men opting for aesthetic work. It’s true that women still outnumber men by 10 to 1 when it comes to getting work done but the report shows a 29% increase in male cosmetic surgery between 2000 and 2017 with 1.3 million men undergoing a procedure last year alone. Some surgeries are even reporting as much as a tenfold increase in the number of men approaching them for cosmetic work. It’s hard to point to any specific reason but it certainly seems to be true that men are becoming more body conscious.  The report indicates that up to 31% of men would consider a cosmetic procedure.  Maybe this change can be partly attributed to the rise of social media and the associated selfie phenomenon, with men simply becoming more aware of their appearance. It might also be the result of an increasingly competitive and youthful workplace where experienced executives find themselves competing with younger co-workers and feel the need to opt for some anti-ageing work. Male cosmetic surgery no longer stigmatised Another reason for the increase could be that male cosmetic work is no longer stigmatised in quite the way it was. It may not have become completely acceptable but it’s becoming quite commonplace for celebrities from the sport and entertainment world talking openly about work they’ve had done. According to the Society’s President, Jeffrey Janis, “Men were a little bit more reluctant to talk about it,” he said. Now, that’s no longer the case.” In the US, there’s also been a drive to open male only surgeries which create a more comfortable environment for men to talk openly about any aesthetic work they might be considering. From a male receptionist to surgeons specifically trained on the male anatomy this type of surgery is helping to make the whole process of cosmetic work more enticing to men. Actually finding a surgeon that specialises in the male anatomy is quite important. Procedures can vary dramatically between men and women. Rhinoplasty, for example, requires a very different approach when creating a strong masculine nose as opposed to a delicate female one. When it comes to injectables much larger volumes are required simply because men have larger muscles. Top four male cosmetic surgery procedures Although there are...
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Fifty per cent of women would like to ‘turn back the clock’ on facial ageing

A recent survey of 2,000 women in the UK found that 46% wanted to “turn back the clock” on the ageing process and recover the looks they had in their 20s. The peak age for this seems to be about 45 with many women reporting a feeling of becoming invisible and less alluring to men. With this in mind, it’s hardly surprising that more and more women are turning to facial rejuvenation surgery to turn back time. Here are some of the most popular facial rejuvenation procedures available: Eyelid Surgery: Also known as blepharoplasty, this procedure is designed to tackle the problems of eyebags and droopy or puffy eyelids which can create an unwelcome ageing effect. The procedure involves the removal of sagging tissue from around the eyes and the transforming results should be noticeable after just a few weeks. After this period, when any swelling has subsided you should really be able to see the difference.   Facelift: Perhaps the most well-known procedure, the facelift typically takes around three to four hours under a general anaesthetic. Although there are a number of techniques, generally incisions are made along the hairline and the skin and muscles are lifted and tightened and any excess skin is removed to restore a more refreshed look. Although some people might be concerned that they might end up with an awkwardly stretched appearance, a good facelift will normally look completely natural and the results can easily knock up to 10 years off you. Whilst you can’t stop the ageing process in its tracks, you will continue to look younger than if you hadn’t had the facelift.   Brow Lift: Similar to the facelift, a brow lift focuses on the forehead area where saggy skin can result in wrinkles, a lowered brow and a generally aged appearance.   Neck Lift: The neck can be particularly sensitive to the effects of ageing as gravity takes hold and the skin loses its elasticity creating a generally saggy appearance, sometimes with unwelcome drooping jowls. In some cases, liposuction might be used to tackle the problem and this can be done under local anaesthetic but often a full procedure is required under general anaesthetic. Like the facelift, incisions are made which allow the tissues to be lifted and tightened.   Like all surgery, facial rejuvenation procedures are invasive and shouldn’t be entered into lightly. It’s important to discuss aftercare...
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7 things to know before having a breast reduction

Breast reductions are normally in the top 10 cosmetic procedures carried out it any year and not surprisingly they’re often perceived as a routine operation. It’s generally not complicated and normally you’re back home on the same day. That doesn’t mean that it’s a walk in the park though. These are some of the things to consider before you elect for the procedure. You may think that you’re just having your breasts reduced but actually to get the desired results you might be advised to have other procedures. It’s possible, for example, that you may need liposuction in other areas such as under the armpits. Your surgeon would discuss and advise on this. A breast reduction is typically a straightforward procedure and you will usually return home on the same day, but that doesn’t mean you’ll be back to work the next day. It’s still surgery after all. Most surgeons agree that strenuous exercise and lifting is to be avoided for at least six weeks after the operation. You will probably also be advised to wear a sports bra or post-surgery bra for up to three months. Like all surgery, it can leave you feeling tired whilst the body focuses on healing itself. It’s critical to listen to your surgeon’s advice on this. It may be possible to get a breast reduction through the NHS. NHS rationing has limited the amount of funding for operations such as a breast reduction, but it may be possible to prove that you need this surgery for important health reasons. That means a history of back pain or other complications that couldn’t be sorted out by a professionally fitted bra or physiotherapy. It could affect your ability to breastfeed. Anyone who’s considering more children should speak to the surgeon about the likely effect on milk production. Depending on the extent of the surgery then some milk ducts and glands may be removed which is why some women leave breast reduction surgery until they’re sure they’ve completed their family. Don’t splash out on new clothes immediately. Whilst it may be tempting to hit the high street with your new shape it’s probably best to wait a couple of months until everything has settled down as there’s bound to be some swelling after the procedure. Your nipple sensitivity might change. This can be quite unpredictable. Sometimes there is reduced sensitivity for a while which may...
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Cosmetic surgeon choice: how to avoid the common mistakes

Choosing a surgeon for cosmetic surgery could be one of the most important decisions you make. You’re putting your looks, your health and a significant sum of money in the hands of another person and the results can often be life-changing. When you’re searching for a cosmetic surgeon and arranging consultations, here are some of the fundamental factors you should take into account. 1. Make sure that the cosmetic surgeon your speaking to is accredited. It may seem obvious, but they should be listed on the General Medical Council’s list of specialist plastic surgeons and it is advisable that they are also a member of either the British Association of Plastic and Cosmetic Surgeons or the British Association of Aesthetic Plastic Surgeons. It also makes sense to stay in the UK, too. Temptingly cheap operations in places like Eastern Europe and Turkey have become increasingly popular but bring their own risks. These countries don’t always carry the same safeguards in place and it is highly unlikely that you will receive the same level of care and attention from your cosmetic surgeon as you would in the UK. 2. Avoid the hard sell. If you feel the surgeon is pushing you into a certain type of treatment rather than listening to what you want, then you probably need to go somewhere else. It’s really important that they cover all the potential risks with you, as well as discuss the likely outcome of the work. Bear in mind also that their view of what’s appropriate might be different to yours so ask to see photos of their work and get references. 3. Check out the facilities. It’s not just about the cosmetic surgeon. It’s also about the hospital or clinic where your procedure will be performed. Travelling a long distance, even within the UK, might add additional stress to an already traumatic experience. 4. Get a second opinion. This is a significant investment of time and money and so a good cosmetic surgeon will. Not be surprised or offended if you get a second opinion. Also, don’t be afraid to ask questions even ones that may seem a bit rude. Make sure that the cosmetic surgeon is specialised in the area you’re looking at. A surgeon with a great reputation for rhinoplasty might not be the best place to go for liposuction, for example. 5. Talk about the recovery period. Cosmetic...
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Which are the five most popular male cosmetic surgery choices?

As we draw closer to the third decade of the 21st century the landscape of cosmetic surgery for men is beginning to change.  Once regarded as an almost exclusively female option aesthetic work is becoming increasingly common amongst men. There are no exact figures for the cosmetic surgery industry in the UK but every year, the British Association of Aesthetic Plastic Surgeons (BAAPS) releases figures from their members, including Mr Nigel Horlock. Last year alone, BAAPS reported that 2,471 had some kind of cosmetic procedure in the UK. Men and women opting for different cosmetic surgery procedures It’s not just simply a case of the playing field levelling itself out between the sexes, though. The report also indicates that men and women aren’t necessarily opting for the same kinds of procedures. The stats would suggest that women seem to be much more body conscious whilst men are focused on the face when it comes to getting work done. According to BAAPS here are the five most popular procedures with UK men last year: Rhinoplasty: Nose jobs are steadily on the increase in the UK with a 5% increase between 2016-17. There isn’t really a single standard approach to this procedure as it might be carried out for a whole range of reasons from purely cosmetic enhancement to correction of a sporting injury.  With 554 men opting for rhinoplasty last year it’s the number one procedure on our list. Otoplasty: Ear correction came in a close second in 2017 with 419 men undergoing some work last year.  A relatively minor procedure (which doesn’t typically require a general anaesthetic) the process involves the removal of some of the cartilage so that the ears move closer to the head and don’t stick out. There has been an almost imperceptible dip in the number of procedures between 2016-17 and the expectation is that it will continue to be steady moving forward. Blepharoplasty: Eyelid reduction, on the other hand, has seen a dramatic increase of 25% between 2016-17.  This anti-ageing procedure is designed to tackle the sagging effect caused by the skin losing its elasticity and the wrinkles and crow’s feet that build up over time. The procedure can be carried out on upper, lower or both eyelids and 403 men opted for it in 2017. Gynaecomastia: Male breast reduction remains relatively stable although there was a slight decrease of 6% between 2016 and...
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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
Sophie Freud - CLINIC APPOINTMENTS: 02380 914 504
Julie Martin: 02380 764 969