Mr Nigel Horlock

Consultant Plastic & Reconstructive Surgeon

How Quickly Will I Recover from a Labiaplasty?

Undergoing a labiaplasty can be incredibly daunting, but it’s typically a fairly quick and straightforward procedure. Carried out to reduce the size, or appearance of the labia, the procedure has become increasingly popular in recent years. If you’re considering undergoing a labiaplasty, it’s a good idea to learn everything you can about the procedure, including the recovery process. In order to get the best results, it’s crucial you follow the labiaplasty recovery instructions provided by the surgeon. While each patient’s recovery is slightly different, here, you’ll discover how quickly you can expect to recover from a labiaplasty. How long will a labiaplasty take to heal? In total, it usually takes up to six weeks to heal fully from a labiaplasty. For the first few days after the procedure, you may experience some pain and discomfort. You’ll also likely experience bruising and swelling, though pain medication may be prescribed to help make the pain and discomfort more manageable. During these first few days, it’s crucial you get plenty of rest and walk around as little as possible. Within a week, some bruising and swelling may still persist, but any pain should have largely subsided. You’ll usually be able to return to work within a week, and normal physical activity may be resumed. You may experience a lot of itchiness at this point, though it’s really important to avoid scratching the area while it heals. Within three to four weeks after the surgery, you’ll be able to resume more strenuous physical activities. If you have dissolvable stitches, these should also have gone by this time. You may still be advised to avoid sexual intercourse and the use of tampons up until week six. On week six, you should be 90% healed, and you’ll get to see part of the final results of the surgery. However, be aware that you won’t see the full results of the labiaplasty until around four to six months. Will there be scarring after a labiaplasty? Minor scarring will be present due to the small incisions made during the surgery. However, you’ll typically find that the scars blend into the labia tissue, as well as hide behind natural folds and wrinkles. Top labiaplasty recovery tips to follow The above advice is just a general outlook of what to expect from labiaplasty recovery. All patients recover differently, so it’s important to follow the advice given to you by...
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New research into risks of smoking and cosmetic surgery

Cosmetic surgery has become extremely popular in today’s society, helping patients to alter or enhance practically any aspect of their appearance. However, as more people choose to go under the knife, it’s become more important than ever before to look into what makes an ideal candidate for surgery. Did you know that certain lifestyle factors, such as smoking, for example, can impact the success of cosmetic surgery? While it is widely known that surgeons do ask patients to stop smoking prior to their procedure, few people actually know why. Now, new research has been carried out to determine the risks of smoking and cosmetic surgery. Here, we’ll look at what the research revealed, and the risks smoking presents when you go under the knife. What did the research reveal? The results of the new research, published within the Aesthetic Surgery Journal in January 2019, revealed that smokers were more likely to experience complications after surgery. Researchers analysed data from 129,007 patients, with just 8.2% of patients claiming to be smokers. They discovered that smokers were at an increased risk of developing major complications. Those having body procedures, such as buttock augmentation and abdominoplasty procedures, experienced a complication rate of 2.9%, which is slightly higher than the 1.9% risk for non-smokers. The most significant risks identified were in smokers who underwent thigh lifts, with a major complication risk of 23.8% compared to just a 3.6% risk for non-smokers. It was also revealed that smoking increased the risk of infections in the wound by a staggering 61%. Interestingly, there wasn’t an increased risk identified in smokers undergoing breast or facial cosmetic procedures. Understanding nicotine and tissue necrosis Surgeons have long known that smoking increases the risk of complications, which is why they always advise patients to stop smoking before and after the procedure. The question is, why does smoking increase the risks? The main problem smoking can lead to after cosmetic surgery, is tissue necrosis. Although it is rare, smokers do need to be aware of the risks if they don’t quit prior to and after the procedure. It occurs when nicotine reduces, or completely stops, the blood flow to the tissues that were operated on. In the worst-case scenario, this can cause the tissue to die and simply fall off. Combined procedures should be avoided The new research also reveals the dangers of smokers undergoing combined procedures. Surgeons are advised to...
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Fit for cosmetic surgery? 3 health considerations you should take into account

Thanks to significant improvements within the industry over the past decade, cosmetic surgery is now considered a largely safe and common thing to have done. However, even the non-surgical procedures can still present numerous risks. If you’re thinking of undergoing cosmetic surgery, there’s a lot of factors you’ll need to consider. One of which, is whether you’re actually fit enough for the surgery. Here, you’ll discover three health considerations you should take into account before opting to go under the knife. Your BMI If you want to get the best possible outcome from your surgery, your BMI should ideally be below 30. Patients who are overweight are more susceptible to the risks and complications of surgery. Not only does the procedure itself pose more of a risk if you’re carrying excess weight, but the anaesthesia is riskier too. So, if you are overweight, it would be a good idea to lose some before going under the knife. That way, the risks will be greatly reduced and you’re more likely to recover quickly. Existing health conditions If you suffer from existing health conditions, these will need to be taken into account before you have cosmetic surgery. The two main conditions to be mindful of are diabetes and asthma. If you suffer from diabetes, it can lead to issues with either high or low blood glucose after the surgery. This can impact how quickly the wounds heal. So, you’ll need to make sure your blood glucose levels are well controlled going into the surgery. Those with asthma will also need to make sure the condition is under control. If it’s not, you could experience a flare up either during or after the surgery. It’s best to see your doctor a week prior to the surgery to ensure you’re in the best possible health to go ahead with it. Smoking and drinking If you smoke, you’re going to need to stop at least six weeks prior to the surgery. You’ll also need to continue to not smoke for six weeks after the surgery. There have been a lot of studies carried out which have shown smokers need an average of 33% more anaesthetic and 23% more pain medication after surgery than non-smokers. Nicotine is known to constrict the blood vessels and restrict blood supply to the tissues and organs which can significantly slow down wound healing. If you drink a lot of...
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RealSelf release list of 2018’s most researched cosmetic surgery ops

Leading cosmetic surgery information site RealSelf, has revealed a list of the most researched cosmetic surgery ops in 2018. Entitled ‘The RealSelf 2018 Aesthetics Trend Report’, it highlights the increase in popularity of non-surgical procedures such as anti-wrinkle injections and dermal fillers. It also goes on to list the top ten surgical procedures researched throughout the year. Here, we’ll look at the results of the report, along with some of the key procedures patients are most interested in. Most popular cosmetic surgery procedures Breast augmentation: It’s unsurprising breast augmentation was one of the most researched procedures in 2018. It has been one of the more popular surgical procedures carried out for decades. These days, the techniques used to enhance the breasts have changed dramatically, with more natural methods favoured. Tummy tuck: The abdominoplasty also remains a popular procedure, enabling patients to eliminate excess skin and fat in the abdominal area. It provides more significant results than liposuction alone, though it should never be used as a replacement for proper diet and exercise. Brazilian butt lift: One of the newest procedures to trend last year was the Brazilian Butt Lift. Celebrities such as Kim Kardashian made the procedure famous, though patients do need to be aware that it comes with significant risks and the advice from leading plastic surgery organisation is not to undergo this procedure at this time. Rhinoplasty: Nose jobs are another procedure which has remained consistently popular over the years. Rhinoplasty procedures can help to alter the size, shape and volume of the nose. When performed correctly, a rhinoplasty can change your entire facial appearance and the results are long-lasting. Liposuction: When it comes to fat removal, liposuction is one of the best procedures to have done. However, these days most surgeons focus on targeted liposuction which aims to contour the body, rather than eliminate a large amount of excess fat. If you are considering having liposuction, you need to understand that it isn’t designed to help you shed a lot of weight. Instead, it is better used to combat stubborn pockets of fat which aren’t shifting with diet and exercise alone. Eyelid surgery: Eyelid lift surgery is designed to reduce bagginess under the eyes, as well as remove excess skin from the top eyelid. It can be particularly useful for older patient as it can help to improve the eyesight. Breast reduction: While many patients are...
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WWI and its impact on cosmetic surgery

Cosmetic surgery has become deeply ingrained within society today, allowing us to change practically any aspect of our appearance. From rhinoplasty and liposuction to breast augmentation or the facelift – there’s a huge choice of procedures available. However, did you know that many of the procedures that are so popular today, were developed and benefited greatly from advances made in World War I? Here, we’ll look at how WWI impacted cosmetic surgery, turning it into the phenomenon it is today. How modern cosmetic surgery was born The events of World War I had a horrific impact on humanity and have recently been the focus of much renewed interest as we celebrate the 100 year anniversary of the end of the war. Although the exact figure is unknown, it is estimated that a staggering 20 million lost their lives and a further 21 million were wounded. It was the worst event in human history and surgeons were required to develop new techniques in order to deal with the catastrophic injuries presented. By the time the war had ended, 735,487 British troops were discharged due to severe injuries. Of these, 16% of the injuries affected the face, with over a third being classified as severe. This often left the survivor with serious deformities, making it difficult for them to eat, drink and even breathe properly. It was Harold Gillies, a young New Zealand Ear, Nose and Throat surgeon, who decided to develop new techniques to repair these severe deformities. So, in 1916, he set up the first plastic surgery centre in Aldershot within the Cambridge Military Hospital. Expecting around 200 patients upon its opening, Gillies was instead met with over 2000 patients to treat. A process of trial and error Although some work that was carried out at the centre was based on previous work in India, the majority of techniques were developed via trial and error. This led to one of the main techniques, the pedicle skin graft, to be introduced. The graft involved separating a piece of skin without detaching it, from a healthy area of the body. It was then stitched inside a tube, before being attached to the affected area. The patient would need to wait for a set amount of time for the blood flow to develop before the suture was detached and the tube was opened for the flat skin to be stitched over the...
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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