Mr Nigel Horlock

Consultant Plastic & Reconstructive Surgeon

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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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...
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Forty Percent of UK Adults Considering Undergoing a Cosmetic Surgery Op

A 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...
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Plastic Surgery Adverts Banned by ASA

The 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...
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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