Mr Nigel Horlock

Consultant Plastic & Reconstructive Surgeon


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

Posted by on Dec 5, 2018 in blog | Comments Off on What’s the difference between a breast lift and a breast reduction?

When it comes to altering the breasts, there are several cosmetic breast surgery procedures available to patients. Breast augmentation with breast implants remains the most popular procedure in the UK, but the breast lift and breast reduction are excellent options for women looking to change the position of the breasts or alter their size and shape.

The question is, how can patients tell which procedure they need? To help you make the best decision, below you’ll discover the difference between a breast lift and a breast reduction.

What is a breast lift?

Also referred to as mastopexy, a breast lift is used to correct sagging breasts. The procedure supports and reshapes the breast tissue, helping to produce a more youthful look and it can be used to restore shape and volume after breastfeeding, due to age or after weight loss.

The position of the breasts is altered and can result in the breasts appearing smaller. No tissue is removed, only excess skin and the nipples and areola are also typically moved and made to look smaller for a more natural finish.

What is a breast reduction?

Also referred to as a reduction mammoplasty, a breast reduction significantly reduces the volume of the breasts. The procedure involves the removal of breast tissue, excess skin and fat.

Once the procedure has been performed, many women notice a lift in the breasts too. Like a breast lift, the areola can also be reduced.

The difference between a breast lift and a breast reduction

As both a breast lift and a breast reduction can result in smaller, perkier breasts, how can you tell which one is right for you? Well, it all comes down to your reasons for wanting the procedure.

If your breasts are typically quite heavy, a breast reduction would be the best option. This is because it would remove much more volume than a breast lift, which largely aims to lift up the breasts, rather than minimise them. If the issue is more to do with correcting sagging of the breasts rather than their size, then a breast lift procedure would be the better option.

It’s worth noting that you can undergo a combination of a breast lift and a breast reduction. Many women find that a combination approach gives them the results they are looking for. However, in order to determine which one is right for you, it is important to undergo a consultation. Southampton plastic surgeon Mr Nigel Horlock will be able to assess your needs and identify the best procedure to help you achieve the desired results.

Forty Percent of UK Adults Considering Undergoing a Cosmetic Surgery Op

Posted by on Nov 21, 2018 in blog | Comments Off on Forty Percent of UK Adults Considering Undergoing a Cosmetic Surgery Op

Southampton cosmetic surgeryA new survey has revealed 40% of UK adults are considering undergoing a cosmetic surgery op in the next 12 months. The survey, conducted by The Harris Poll for RealSelf, shows that millennials are driving the trend, with 62% of adults aged 18-34 considering non-surgical treatments in the next year.

Here, we’ll look at why cosmetic surgery rates are increasing and the types of procedures which are proving to be the most popular.

Why are cosmetic surgery rates increasing?

There are a number of factors driving the increase in cosmetic surgery popularity. Firstly, procedures and techniques have been consistently improved and developed over the years. This means going under the knife is no longer as risky as it used to be. Many treatments are also non-invasive, meaning they’re quick and simple to carry out and require very little downtime.

The younger generation is also helping to improve attitudes toward cosmetic procedures. While it was once something to be ashamed of, these days it’s common for young people to undergo numerous procedures. There is less and less stigma related to cosmetic surgery these days and even the rates of male plastic surgery are increasing year upon year.

Social pressures, such as social media, also play a role. The selfie generation has placed a lot of pressure onto young people to always look their best. Cosmetic surgeons have seen a huge increase in the number of people enquiring about procedures which will make them look better in selfies.

Non-invasive treatments lead the way

The study revealed that the top treatments Brits are considering undergoing in the next 12 months are laser hair removal and cosmetic dentistry. Approximately 44% of those surveyed claimed they were looking into cosmetic dentistry such as teeth whitening, while 29% were considering laser hair removal. Other non-surgical treatments leading the way include facial aesthetic treatments such as dermal fillers and muscle relaxing injections.

It is unsurprising non-invasive treatments topped the list due to both how they are perceived and the minimal recovery times experienced.

Tummy tuck and facelift top surgical procedures

In terms of surgical procedures, the tummy tuck leads the way with 31% considering the treatment. This is followed closely by a facelift, liposuction, neck lift and breast augmentation. Improvements within the techniques used for surgical procedures are largely behind their increase in popularity.

Things to consider before undergoing cosmetic surgery

While cosmetic procedures have improved over the years, it is still important to think carefully before going under the knife. When done for the right reasons, cosmetic surgery can boost confidence, help to eliminate embarrassment and help to give you a greater quality of life. However, when done for the wrong reasons, patients could end up regretting their decision.

It’s also crucial to ensure you’re choosing a reliable, qualified cosmetic surgeon. Any type of surgery is risky, and an inexperienced surgeon puts you at even greater risk. So, be sure to opt for a plastic surgeon who has an exceptional reputation and years of experience.

If you’re thinking of undergoing a cosmetic procedure, book a consultation today to discuss your options.

Plastic Surgery Adverts Banned by ASA

Posted by on Nov 9, 2018 in blog | Comments Off on Plastic Surgery Adverts Banned by ASA

Cosmetic surgery advert bannedThe breast enlargement adverts shown in-between this year’s TV hit Love Island, caused outrage across the country. Now, the ASA has banned the plastic surgery advert from ever being aired again, claiming they contribute towards a woman’s poor self-image, glamourizing surgery.

Below, we’ll look at why plastic surgery ads are potentially harmful and what led to the ban being enforced.

Why all the controversy?

Attitudes towards cosmetic surgery have changed dramatically in recent years. It has become much more acceptable for both men and women to go under the knife to alter their appearance. However, while the stigma behind having plastic surgery may have disappeared, care still needs to be taken to protect young, vulnerable patients.

The MYA cosmetic surgery ad ran from May to June during the ad breaks for popular series Love Island. It showed young women dancing, laughing and posing around a swimming pool, on a boat and on a beach. Its voiceover declared that all of the women had undergone breast enlargement surgery and now felt amazing.

It managed to receive 17 complaints, one of which came from the Mental Health Foundation. It was claimed that the ad exploited the insecurities of young women, as well as trivialising the procedure. It gave the impression that women wouldn’t be happy and live the kind of carefree life shown in the ad, unless they underwent the surgery. The ASA agreed with the complaints, banning the ad completely.

How plastic surgery ads could prove harmful

The main risk these types of adverts pose according to the BAPPS, is the damage to the body image of vulnerable and young patients. With so much pressure placed onto young people to look perfect, the last thing they need is to be bombarded with ads regarding cosmetic surgery.

While there is no denying that plastic surgery can be a positive, life-changing experience, when carried out for the wrong reasons it can prove potentially damaging; especially to those with mental health issues. Often, surgery doesn’t fix the underlying issues when patients are suffering from a mental illness. This means they could end up regretting their decision, or it could even potentially make them feel even worse about themselves.

Patients need to be aware of how serious cosmetic surgery is

Another issue with the breast augmentation ad, was that it trivialised the procedure. It may be one of the most commonly performed treatments, but it is still a major surgery. Like any procedure, it comes with risks and complications. It isn’t a small decision to make and that really does need to be made clearer to patients considering having it done.

When performed for the right reasons, plastic surgery can be extremely beneficial. Due to the sheer number of different treatments available these days, patients are able to alter practically every aspect of their appearance. However, it needs to be their choice, without any external pressures, to go through with the procedure. The banning of ads such as the one shown during Love Island, can therefore only be a positive thing.

Danger of cosmetic surgery abroad still high

Posted by on Oct 22, 2018 in blog | Comments Off on Danger of cosmetic surgery abroad still high

danger of cosmetic surgery abroadAfter the recent death of British woman, Leah Cambridge, the dangers of having cosmetic surgery abroad have once again been pushed back into the limelight.

Thousands of women fly to foreign countries each year to undergo cheaper cosmetic procedures. However, many don’t fully realise the dangers they are putting themselves in. The tragic story of 29-year-old Leah Cambridge should, therefore, serve as a serious warning to those considering travelling abroad for surgery.

Here, we’ll look at the dangers of cosmetic surgery abroad and the things you need to consider before going ahead.

Why is cosmetic surgery abroad considered dangerous?

As the cost of cosmetic surgery abroad can save patients anything from 40% to a staggering 80%, it’s easy to see why so many are tempted. However, what you need to realise is that it isn’t just the cost you need to consider when undergoing a cosmetic procedure.

All cosmetic surgery is risky. Each procedure poses its own risks and complications, even when carried out by a highly-qualified surgeon. However, in the UK the industry is highly regulated. This means, practising surgeons are required to have in-depth training and experience. Sadly, you don’t get the same level of regulation in most other European countries. This means, there are a lot of inexperienced surgeons operating abroad.

When you undergo cosmetic surgery with an inexperienced surgeon, the risks and complications are greatly increased. In some cases, like that of Leah Cambridge, the results can even prove to be deadly.

Understanding what could go wrong

What can go wrong will largely depend upon the procedure you’re looking to undergo. In Leah’s case, she underwent the popular Brazilian Butt Lift procedure.

Made famous by celebrities such as Kim Kardashian and Jennifer Lopez, the Brazilian Butt Lift is currently considered one of the most dangerous procedures to undergo.  If the injections aren’t done correctly, they can trigger a fat embolism which travels up to the lungs, leading to premature death. It requires an expert surgeon who knows exactly what they’re doing.

Other risks of having cosmetic procedures carried out abroad, include infection and the chance it could go completely wrong. Many patients have had to undergo additional procedures in the UK after having botched procedures carried out abroad.

The importance of choosing an experienced surgeon

Due to the advancements in the cosmetic surgery field, the risks of modern-day procedures should not be life-threatening. If patients take the time to research the clinic and surgeon they are thinking of using, they will clearly be able to see whether or not they are reliable and experienced.

You should always look for a surgeon who is properly trained, experienced and registered. Of course, it’s also recommended patients use the services of a local surgeon, rather than travelling abroad in the first place. You may save money, but the risks certainly aren’t worth the lower cost. Undergoing any procedure is a major deal and there will always be some level of risk involved. However, with a qualified, highly-trained surgeon, these risks are greatly reduced.

Do I need a boob job or breast lift or both?

Posted by on Oct 10, 2018 in blog | Comments Off on Do I need a boob job or breast lift or both?

When you think of cosmetic surgery, breast augmentation is likely one of the first procedures which springs to mind. There’s no denying the boob job has always been one of the most popular cosmetic procedures carried out. However, thanks to developments in technology, numerous different types of procedures have been introduced to achieve the same, if not better, results as the traditional methods.

Breast lifts are often considered an alternative to a boob job. The question is, which one do you need? A boob job, a breast lift or both? Below you’ll discover everything you need to know in order to make the best decision.

breast augmentation or breast uplift

Do you want bigger or perkier boobs?

The main question that’s going to help you to decide which procedure is right for you, is whether you want bigger or perkier breasts. If you want bigger breasts, a boob job would be the best option, whereas if you just want to correct sagging breasts, a breast lift would be more appropriate.

If you want bigger and perkier breasts, a combination boob job and breast lift would be the best choice.

What’s the difference between a breast lift and a boob job?

A boob job, or breast augmentation, places an implant inside the breasts to enlarge them. These come in a wide variety of different sizes and shapes in order to produce a natural result. A lot of things need to be considered such as the current size of your chest, the shape of your body and your lifestyle, before the right implants can be chosen.

A breast lift involves re-shaping the breasts to lift them up and correct sagging. It doesn’t increase the size, it just focuses on breast position. So, if you want to increase the size, a breast lift won’t help you to achieve this in its own.

Both procedures will require an incision to be made, though the placement of the incision will depend upon numerous factors.

Why a combined approach is often used

Many women choose to have a combined breast lift and breast augmentation procedure. If you currently have sagging breasts, a boob job alone won’t offer aesthetically pleasing results. Therefore, a breast lift would be required to ensure your new breasts look natural and aesthetically pleasing.

There are also times where, even if you didn’t plan on increasing the volume of the breasts, it would prove to be your best option for achieving the results you’re hoping for. For example, you may undergo a breast lift which successfully eliminates sagging, but if they don’t have enough volume, they’re not going to look youthful. So, a boob job would complete the transformation.

Overall, if you want to determine which procedure is right for you, you need to take into account the results you’re hoping for. A qualified surgeon will be able to help you determine which procedure is right for you and whether a combined approach could be worthwhile. Book a consultation today to discover more about each procedure and assess which is right for you.

Brow lift or blepharoplasty? Which is the best treatment for ageing eyes?

Posted by on Sep 22, 2018 in blog | Comments Off on Brow lift or blepharoplasty? Which is the best treatment for ageing eyes?

sagging eyelid treatmentIt’s said the eyes are the window to the soul. This may well be true but they’re also one of the strongest indicators of ageing. Droopy eyelids could eventually happen to us all as we grow older so it’s perhaps comforting to know that there is a range of aesthetic solutions to the problem.

Two of the most common are the brow lift or the eyelid lift (otherwise known as blepharoplasty). Both treatments can have a startling effect on ageing, taking years off you without actually looking like you’ve had work done. It’s very common for friends to comment how youthful you’re looking without actually being able to pinpoint why.

What is involved in the treatment?

A brow lift is focused only on the upper face and forehead. Classically, an incision is made on or above the hairline and the skin is pulled taut to help remove the sagging. These days most surgeons prefer a less invasive method known as an endoscopic brow lift.

Blepharoplasty involves removing or repositioning tissue from the upper eyelid and around the eyes, including any unsightly bags. There will be some scarring, but the thin skin on the eyelids typically heals very well and any incisions are typically hidden in the normal folds of the eye, so are to all intents and purposes invisible.

Although both procedures are routine they are invasive surgery and will usually be carried out under a general anaesthetic. Recovery times are similar in both cases with full recovery normally taking four to six weeks.

Which is the best treatment for sagging eyelids?

This is probably the wrong question. It probably makes sense to ask, “which treatment is more appropriate for me?” The fact is that sagging eyelids can be caused by a number of things so it’s vital to identify the source of the problem before choosing the solution. Ageing eyes can be caused by excess skin around the eyelids, a drooping forehead or a combination of both.

Determining the root cause should define the most appropriate treatment which might well be a brow lift and blepharoplasty together. It’s not just the ageing effect either that might prompt treatment. Some people are born with naturally drooping brows and there’s even a medical condition which prevents the eyelids from opening as wide as they should. In some cases, surgery may even be required to help with impaired vision where the need isn’t driven primarily by cosmetic considerations.

Your cosmetic surgeon will normally be able to tell immediately which procedure is most appropriate for you but if you want to get an indication yourself before a consultation you can try this simple test. In front of the mirror raise your forehead, using your fingers to what you feel is a natural level. If your drooping eyelids have disappeared, then you will probably just require a brow lift. If that doesn’t solve it then you might want to consider blepharoplasty too. You need to trust your own eyes sometimes.

Should I wait until after I have had children before having a breast augmentation?

Posted by on Sep 12, 2018 in blog | Comments Off on Should I wait until after I have had children before having a breast augmentation?

breast augmentation timingThere really isn’t a complete consensus amongst breast surgeons when it comes to answering this question on breast augmentation timing. The reality is that no two cases are the same and there are many variables to consider before making the decision to undergo a breast augmentation prior to completing your family.

Breast augmentation has little impact on pregnancy

The good news is that the procedure has little impact on a pregnancy. In a number of studies, including a ten-year one carried by the American FDA, the procedure has been proven to have no impact on fertility and in no way affects the gestation period (no threat of miscarriages) or cause birth defects.  There is evidence to suggest that in a few cases breast augmentation may cause difficulty in breastfeeding, but this is hard to prove definitively and it has been suggested that in these cases the reason is more likely to be psychological than physiological.

One of the first questions to ask yourself is how soon are you planning to get pregnant? If it’s in the next 12 months, then it might be better to hold off from the surgery. Whilst it’s not likely to have an effect on the pregnancy or the baby after childbirth the size and shape of the breast will change for the majority of women and this should be a consideration before embarking on a procedure that might need further work after having your family.

Whilst breastfeeding, the breasts will swell and when they reduce back to their pre-pregnancy size they often tend to sag and lose some of the perkiness. It’s quite possible that a woman who’s had a breast augmentation before giving birth will still be happy with the results later, but many women choose to return for a further operation. In these cases, larger implants may be fitted to fill out the stretched and saggy skin or a combination breast uplift and augmentation is performed.

There isn’t really any way of predicting how breasts will change after childbirth. Some surgeons recommend looking at the mother’s body shape as a guide, but this can be taken as no more than a loose indication. For some women the changes are minimal whilst for others, it can be dramatic and life-changing. The length of time spent feeding on the breast and the number of children can all have an effect too.  It’s different for every woman.

Discuss the pros and cons with the surgeon

The best way to make the decision is to discuss the situation in detail with the surgeon prior to committing. For some women, the risks of a second post-partum operation are far outweighed by the impact the procedure will have on their self-confidence and general happiness in the meantime. Mr Nigel Horlock will carefully weigh up the facts and offer you expert, unbiased advice tailored to your circumstances.

Return on your investment: how to maintain your facelift results

Posted by on Aug 19, 2018 in blog | Comments Off on Return on your investment: how to maintain your facelift results

In today’s society, the pressure to look young and dynamic is a huge motivating factor in the drive to undergo anti-ageing cosmetic surgery procedures such as the facelift, as a recent investigation by the Nuffield Bioethics Council found.

A successful facelift should aim to make you look younger and more refreshed. In a 2012 study at the University of Toronto, researchers analysed before and after photos of cosmetic surgery patients to try and find a more precise reckoning of how many years you could lose if you underwent a facelift or eyelid surgery.

Images of 60 plastic surgery patients, between the ages of 45 to 72, were analysed in the study. In most cases, their real age in the before photos was correctly guessed and then the volunteers studied photos of the patients who had undergone either a facelift, neck lift, eyelid surgery, or a combination of procedures.

The first group, that had undergone a facelift and neck lift, were guessed to be 5.7 years younger. The second group, who had also had an eyelid lift at the same time, were seen to be 7.5 years younger and the last group that had undergone the most surgery, including a brow lift, were perceived to be 8.5 years younger than their actual age.

So, when it comes to facial rejuvenation surgery, the greater the investment, the bigger the return. But how do you protect that investment? A facelift can’t stop the ageing process entirely so here are our top five tips on how best to maintain your facelift results when the clock restarts:

# 1: Maintaining your facelift results: get serious about sun damage

It’s thought that sun damage is the cause of 90% of what is perceived as facial ageing, including lines and wrinkles, poor skin tone and discolouration. Protecting your skin at all times – even in the midst of winter – is probably the most important factor in maintaining your facelift results.

# 2: Maintaining your facelift results: protect your skin from the inside out

If you’re serious about looking your best after a facelift, then consider your diet. A healthy and well-balanced diet is always important, but recent research has flagged just how damaging sugar can be. Sugar triggers a chemical process known as glycation which produces sugar-bonded proteins. These proteins produce free radicals which deplete collagen and elastin levels in the skin. This causes skin to look less firm and increase the appearance of lines and wrinkles.

# 3: Maintaining your facelift results: give up smoking

Southampton plastic surgeon Mr Nigel Horlock always gives his facelift patients comprehensive aftercare advice that includes giving up smoking before and after surgery. Nicotine in cigarettes acts as a vasoconstrictor, in that it reduces blood flow and compromises the healing process among other risk factors, but even after you’re fully healed it’s important you don’t restart the habit as smoking will accelerate the ageing process.

# 4: Maintaining your facelift results: invest in skincare

As well as adopting good lifestyle habits, it’s important to invest some money in good skincare products. Cosmeceuticals or medical-grade skincare products contain active ingredients such as retinoids, antioxidants and peptides that can produce a radiant and clear complexion that is very anti-ageing.

# 5: Maintaining your facelift results: combine with aesthetic treatments

A facelift can lift, reposition and reshape facial tissues to produce a more youthful appearance, but there are certain things it can’t do. Dynamic wrinkles that typically appear in the upper third of the face can be treated with muscle relaxing injections that smooth the skin. Once you’re fully healed, skin rejuvenating treatments such as laser rejuvenation or chemical peels can greatly improve skin texture and tone.

To find out what facelift surgery can do for you, call us on 023 8076 49 69 to arrange a consultation.

Survey finds one in ten Love Island viewers now want breast augmentation

Posted by on Jul 31, 2018 in blog | Comments Off on Survey finds one in ten Love Island viewers now want breast augmentation

As this season’s Love Island comes to an end, it’s interesting to note that the popular reality TV programme has a profound impact on viewers, with one in ten women who watch the programme claiming that it has left them considering undergoing a breast augmentation.

Carried out by YouGov, the survey found that almost half of all female viewers, aged between 18 to 34, felt self-conscious about their looks after watching the programme. This led to eight per cent considering breast enhancement surgery, 11% of them planning anti-wrinkle treatments and lip fillers and seven per cent contemplating liposuction.

A number of the girls that appeared on the show have undergone breast augmentation procedures which they freely admitted and that, coupled with the cosmetic surgery adverts that were shown in the ad breaks, have sparked fears that cosmetic surgery has become ‘normalised’. Breast augmentation is very popular, and it can produce fantastic, life-enhancing results, but it’s also a serious surgical procedure and it’s essential that prospective patients are fully informed about all the pros and cons before they decide to go ahead. Here’s everything you need to know about breast augmentation.

The consultation process: making the decision to go ahead with a breast augmentation

The consultation is an essential part of the process, as it gives you the opportunity to become fully informed about the procedures and that means being aware of all potential risks as well as the possible results. Your consultation is also the chance to meet your plastic surgeon and ensure that you fully trust them and are confident in their ability to look after you.

Important decisions are made in terms of implant type, shape and size and where the implant will be located in relation to the muscle. The location of the incision will also be discussed.

Am I the ideal candidate for a breast augmentation?

Breast augmentation is a relatively straightforward cosmetic surgery procedure and if you are in good health and have realistic expectations about what can be achieved then you should be suitable.

There are certain considerations that might mean your plastic surgeon advises you to consider another procedure or delay surgery at this time. If you have undergone pregnancy or weight fluctuations, for example, you may have a degree of ptosis or sagging in the breast tissues that may become more pronounced after augmentation. In this instance, a mastopexy or breast uplift may be advised, with or without implants. On the other hand, if you’re planning a pregnancy in the imminent future then it might be advisable to delay surgery until after that point.

Understanding breast augmentation risks

This is essential as any surgical procedure entails some risks and there are also possible complications specific to the breast augmentation procedure. Typically, a breast augmentation is performed under a general anaesthetic and there are anaesthesia risks to take into account. Post-surgery there are risks of bleeding or haematoma as the wound heals and any surgical incision that is made will result in some degree of scarring.

Breast augmentation complications include implant rupture, changes to nipple or breast sensation, capsular contracture and the likely possibility that you will require revision surgery at some point in the future.

All these potential risks will be discussed in full at the consultation before you make the decision to go ahead. If you have any more questions or would like to organise a breast augmentation consultation at Mr Horlock’s Southampton plastic surgery practice, call us on 023 8076 49 69.

New US figures show male cosmetic surgery is on the rise

Posted by on Jul 19, 2018 in blog | Comments Off on 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 some differences in the type of procedures carried out on both sexes the main areas are broadly aligned according to the society’s report. The top four for men and women are nose jobs, eyelid surgery liposuction and breast reduction. After this comes a male-specific procedure in hair transplants, although this is hardly surprising given that at least half the male population has a hair loss problem by the time they hit 50. There’s also a noticeable difference between the types of work carried out dependent on age. Younger men tend to favour body sculpting and toning procedures whereas as older men are opting for anti-ageing work.

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.

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