Mr Nigel Horlock

Consultant Plastic & Reconstructive Surgeon

Understanding Capsular Contracture After Breast Augmentation

Breast augmentation is one of the most popular cosmetic procedures that has been carried out for decades. While its safety has been dramatically improved over the years, there are still risks patients need to be aware of before they undergo the procedure. Capsular contracture is one of the main complications that can occur after breast augmentation. Here, you’ll discover what capsular contracture is and whether it’s possible to prevent it from occurring. What is capsular contracture? When you have any kind of implant inserted into the body, it naturally causes a capsular to develop as part of the healing process. A capsular is a build-up of scar tissue, caused when the body detects a foreign object. The scar tissue acts as a barrier around the implant, which can actually be beneficial in terms of keeping breast implants in place. Capsular contracture occurs when the scar tissue unusually hardens and contracts against the implant. If this occurs, it can cause the aesthetics of the breasts to change, as well as lead to pain in the breasts in severe cases. There are different grades of capsular contractor, ranging from grade 1 to grade 4. Grade 1 capsular contracture is the mildest form, often presenting no symptoms. With grade 2, there may be minor cosmetic symptoms, while grade 3 presents more noticeable aesthetic changes. Grad 4 is the most severe, causing the breasts to become misshapen and hard. Patients who experience a grade 4 capsular contracture tend to also suffer breast soreness and tenderness. What causes it? There is no known exact cause of capsular contracture, although experts do have a few theories. What should be stressed, is that the complication isn’t caused due to dangerous or toxic implants. It occurs in all types of implants, so it isn’t strictly an issue with breast augmentation. It is thought that genetics could play a role, alongside a bacteria layer known as Biofilm. The latter can cause a low-grade infection in the area, potentially leading to a hardening of the scar tissue. However, sometimes the cause isn’t known, and capsular contracture can occur randomly in patients. It is worth noting here, however, that it is rare, and most patients experience either grade 1 or grade 2 cases. Is capsular contracture preventable? While it isn’t possible to prevent capsular contracture in every single patient, there are some measures that can be taken to minimise the...
read more

Body Contouring Surgery Still in Demand According to Latest UK Cosmetic Surgery Figures

The latest figures from the British Association of Aesthetic Plastic Surgeons (BAAPS) has revealed an overall drop in procedures. However, some treatments still remain popular despite the dwindling numbers. Body contouring surgery has proven to be one of the biggest in-demand procedures currently carried out. Popular with both men and women, it was one of the few treatments which experienced an increase in figures. Here, we’ll look at the latest figures released by the BAAPS and why body contouring is still very much in demand. Understanding the latest cosmetic surgery figures The latest figures show that there was a total of 27,000 procedures carried out in the UK in 2019. This sees a 7.5% decrease in overall procedures compared to the year before. Women accounted for 92% of procedures, while men accounted for just 8% of the total. The most popular procedures in women included breast augmentation, breast reduction and abdominoplasty. However, despite their continued popularity, breast augmentation saw a decrease of 11% and breast reductions saw a fall of 2%. Abdominoplasty was the only procedure out of the three to see an increase of 7%. For men, a lower body lift was the most popular procedure, up by 88% from the year before. Other popular treatments include Botox and fillers, helping to provide a younger appearance without going under the knife. These figures clearly show body contouring surgery is the preferred treatment for both men and women. The popularity of body contouring procedures There are a few reasons why body contouring procedures remain popular despite falling figures. The majority of body contouring procedures are minimally invasive. Reduced recovery times and more precise results attract thousands of patients to these procedures. In recent years, there has been a shift to more natural-looking cosmetic surgery results. Body contouring procedures give patients the natural results they’re looking for. While they can’t drastically change their appearance, they can certainly enhance it. Another contributing factor behind the rise in body contouring procedures is that it is virtually painless. Newer methods are being continuously introduced, allowing treatments to be carried out quickly and painlessly. The rise of the lower body lift and abdominoplasty Two body contouring procedures which have experienced the biggest increase in popularity are the lower body lift and abdominoplasty. A lower body lift aims to tighten and sculpt the thighs, buttocks, abdomen and hips. It is a more intensive procedure than...
read more

How Will Weight Loss or Gain Affect My Cosmetic Surgery?

Whether you’re looking to undergo cosmetic surgery, or you’ve recently had a procedure, you may be wondering how weight gain or loss could impact the results. While the answer largely depends upon a number of individual factors, the truth is any change in weight can impact the results. Here, you’ll discover how weight fluctuations could impact your cosmetic surgery. Weight gain after plastic surgery If you’re undergoing procedures such as liposuction, a tummy tuck or a breast reduction procedure, weight gain could impact the results. With liposuction, results are classed as permanent due to the fact that fat cells don’t grow back. However, that doesn’t mean you can’t gain weight. You’ll still gain fat if you eat an unhealthy diet for example. So, if you do experience weight gain, it will simply distribute in different parts of the body. If you’ve undergone a breast reduction, it’s possible the extra weight you gain will distribute within the breasts. You’ll also find if you get pregnant, the breast tissue will grow, causing the breasts to enlarge. Buttock fat transfer results can also be impacted by weight gain. After undergoing the procedure, the area treated will still react to weight gain in the same way it did before. For this reason, patients are advised to maintain a consistent weight after the procedure has been performed. Finally, with a tummy tuck, there’s a certain amount of weight you can gain before it impacts results. Those with a larger frame will typically get away with gaining up to 15 pounds before it shows. However, someone with a smaller frame will find a 10-15-pound weight gain more noticeable. Weight loss after cosmetic surgery Just like weight gain, weight loss can also impact the results of cosmetic surgery. Therefore, patients who are planning on losing a lot of weight should do so before they undergo any procedure. If you’ve undergone a procedure to remove fat, for example, any further weight loss could warp your new appearance. So, if you do want to lose weight after surgery, it’s recommended you do so gradually. Avoid fad diets and excessive exercise routines. If you lose weight at a slower pace, it’s not going show up so significantly in your results. Factors to consider Ideally, you’ll want to discuss weight gain and weight loss with the surgeon during your consultation. They will be able to advise you how it would...
read more

5 Facts About Lipo

If you’re thinking of undergoing liposuction, it’s important to familiarise yourself with the procedure. Like all procedures, lipo does come with some risks and limitations. There are also different types of liposuction you can undergo too. Here are some lipo facts you might not be aware of, although to help you fully understand the procedure – what it can achieve and what it can’t – it’s best to book a consultation with body contouring surgeon Mr Nigel Horlock where he will ensure you’re fully informed. It cannot be used to treat obesity: A common reason people want to undergo liposuction is to lose weight. However, the procedure isn’t suitable for weight loss, and it especially can’t be used to treat obesity. This is because it only removes a small portion of fat. Therefore, it is largely recommended as a contouring treatment. It’s extremely useful for removing pockets of fat that are resistant against diet and exercise. So, if you have a lot of weight to lose, it’s recommended you lose it before undergoing the procedure. It should also never be used as a replacement for a healthy diet and exercise routine. It provides permanent results: Did you know that the results of liposuction are permanent? After undergoing treatment in an area of the body, it won’t generate new fat cells. However, you can still put on weight in other areas. So, if you continue to lead an unhealthy lifestyle, you’ll find the fat gets distributed slightly differently in the body. It can be used to sculpt any area of the body: Liposuction can reshape the body, removing those stubborn pockets of fat that many of us find are resistant to diet and exercise. This can include a double chin, back or bra fat, bingo wings, male breasts, love handles, the belly, muffin top, the outer thighs or saddlebags and inner thighs. Minimally invasive techniques are often used: The way in which liposuction is performed has changed dramatically over the years. These days surgeons follow minimally invasive techniques. This means the recovery and risks of the procedure are reduced. The techniques used are also continually advancing. So, it’s likely the procedure will become even less invasive over the next decade. It benefits from a short recovery time: One of the great things about liposuction is that it now boasts a short recovery time. Most patients find they can return to...
read more

Which tummy tuck is best for me?

Tummy tuck procedures are extremely popular, but there is no one-size-fits-all tummy tuck. These days, patients have a number of options over the type of tummy tuck they want to undergo. Here, we’ll look at the different types of tummy tucks on offer and how to decide which one is right for you. What is a tummy tuck procedure? Weight fluctuations, pregnancy and even the ageing process can all affect the appearance of the abdomen. Sagging skin, excess fat, lack of muscle tone can be treated with a tummy tuck, medically known as an abdominoplasty. There are numerous types of tummy tuck procedures available, each aimed at targeting different areas. Whichever procedure you choose, it can help to tighten up the abdomen, leaving you with flatter, more defined results. What different types are available? In order to achieve the results, you’re expecting, you’ll need to make sure you’re choosing the right type of tummy tuck. Your main options include: Mini tummy tuck Standard with or without muscle repair Extended tummy tuck Circumferential tummy tuck Fleur de lis tummy tuck A standard or full tummy tuck is still the most common procedure carried out. It focuses on improving the entire abdomen area, helping to remove saggy skin and, if required, tighten the abdominal wall muscles which can become stretched. A lengthy incision is made across the abdomen just above the pubic area and Mr Nigel Horlock can target the full length of the abdomen. With a mini tummy tuck, it tends to focus on the part of the abdomen just below your navel. A single incision is made before the skin is smoothed down and adjusted. It can also address muscle tightness in this area, yet it doesn’t produce the same extensive results as a full tummy tuck. An extended tummy tuck is carried out to remove excess skin and fat on the hips and flanks. It tends to involve quite a large incision and this allows Mr Horlock to remove and smooth down large areas of skin easily. It is usually combined with liposuction for the best results. A circumferential abdominoplasty, also known as a belt lipectomy, recontours the whole trunk. As well as treating the abdomen and flanks, it also excises excess skin on the lower back and lifts the buttocks. It is most commonly performed on patients that have lost a massive amount of weight, often as...
read more

Return of the facelift in 2020

The expected cosmetic trends for 2020 have been released by The Aesthetic Society, and it appears the facelift is making a comeback. While facelifts have always been one of the more popular procedures carried out, this year is set to see a rise in the number of patients requesting them. Here, we’ll look at why the facelift is set to experience a comeback and the other procedures set to feature heavily throughout the year. Why is there set to be a rise in facelift procedures? Traditional facelift procedures have decreased in popularity in recent years. This has been down to newer, less invasive treatments being offered. Numerous treatments such as wrinkle treatments and fillers have proven successful at reducing lines and wrinkles quickly and virtually painlessly. However, while these non-invasive treatments can produce fantastic short-term results, they really don’t compare to those experienced via a traditional facelift. Patients are starting to realise that these treatments are more of an enhancement than a replacement for surgery. The biggest improvements come from a cheek and a neck lift, provided they are performed correctly. What does a facelift involve? There are actually numerous different types of facelifts you can undergo. However, a traditional facelift will involve making an incision within the hairline, before the skin is separated from the tissue underneath. Excess fat is removed, and the facial muscles are tightened. When carried out by an experienced surgeon, it can make you look up to 10 years younger. After the surgery, your face will need to be wrapped with bandages in order to promote wound healing and prevent infection. These are typically removed before you leave the hospital. You’ll also have drains situated behind the ears to collect excess fluid and blood. Other methods include keyhole surgery which is typically used for things such as a brow lift. This involves making small incisions then using a telescopic camera inserted into them to show which muscles need to be tightened and where excess fat needs to be removed. What other procedures are set to be big this year? As well as facelifts, The Aesthetic Society also predicts some other procedures set to be huge this year. They include: The daddy makeover Baby Botox Non-invasive treatments More men than ever before are choosing to go under the knife to improve their appearance. This year, it is thought that liposuction and male breast reduction will...
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