Mr Nigel Horlock

Consultant Plastic & Reconstructive Surgeon


Pregnancy planning and the tummy tuck

Tummy tucks remain one of the most common surgical procedures carried out on patients across the globe. However, if you’ve been pregnant, or if you’re planning on getting pregnant, it’s important to understand how it can affect the results of the procedure. Here, you’ll discover everything you need to know about pregnancy planning and the tummy tuck. Pregnancy known to alter abdominal muscles Pregnancy is known to cause changes within the abdominal muscles. In a recent study, it was discovered that women who have undergone multiple pregnancies experience a widening as well as thinning of the abdominal muscles. Published within the Plastic and Reconstructive Surgery Journal in August, the results of the study show this could be a reason behind patient dissatisfaction after a tummy tuck procedure. It also revealed a new potential technique which could be used to correct the changes within the muscles prior to a tummy tuck. The researchers from the Northwestern Memorial Hospital in Chicago looked at CT scans from 60 women. They were split into four different groups based on how many pregnancies they’d gone through. It was revealed that it’s the first pregnancy which causes the widening of the muscles. Multiple pregnancies didn’t appear to widen the muscles further. Childbirth is also responsible for the changes. This widening and thinning of the muscles is referred to as rectus diastasis and it can make it difficult for women to regain core muscle strength after they’ve been pregnant. Will pregnancy after a tummy tuck affect the results? The majority of studies look into how previous pregnancies can impact tummy tuck results. So, what if you get pregnant after a tummy tuck? Unsurprisingly, getting pregnant after having a tummy tuck procedure can impact the results. This is because the skin stretches significantly and there’s weight gain around the abdomen. After giving birth, many women find the results of the tummy tuck have been lost or negatively impacted. There’s also still the risk the muscles could alter in shape and size, causing permanent unflattering results. For this reason, it’s recommended patients only undergo a tummy tuck once they’ve finished having children. Otherwise, the procedure may need to be carried out again if you want to regain the results after pregnancy. Does a tummy tuck impact your chances of getting pregnant? Although a tummy tuck can be impacted by pregnancy, it won’t affect your chances of getting pregnant....
read more

Is Age Discrimination Driving Demand for Cosmetic Surgery?

These days, equality has improved drastically compared to how it used to be. However, discrimination isn’t totally dead. Women are still fighting to be treated equal within the workplace and a driving demand for cosmetic surgery is being led by age discrimination. A preliminary report has shown that many patients seeking cosmetic procedures believe they’ve been discriminated against because of their age. Here, we’ll look at how age discrimination is driving the demand for cosmetic surgery. What the latest cosmetic surgery study tells us The new study carried out by the University of Pennsylvania is the first to look into age discrimination as a driver for cosmetic surgery. It surveyed 50 patients over the age of 18, at the university’s cosmetic surgery clinic. Two-thirds of these patients were undergoing anti-ageing treatments. Over 30% of the participants claimed they had been discriminated against because of their age. They claim they have been treated poorly at restaurants and are treated with less courtesy and respect than others because of their age. The study also found a link between self-rated health and age discrimination. It also found those who had experienced age discrimination, expected to face it again in the future. This ultimately leads to much lower self-esteem, which is what could be driving the cosmetic surgery trend in older patients. Should patients be referred to mental health professionals? The researchers are hoping the findings of this study will help dermatologists and cosmetic surgeons to better treat older patients. Those who are undergoing treatment because of age discrimination should be educated on the realistic results they can expect from the procedure. In some cases, it may even be beneficial for surgeons to refer older patients to mental health professionals. If age discrimination is driving their need for surgery, it might not provide them with the results they are expecting. Any patient suffering from mental health issues should seek help before deciding whether or not surgery is right for them. The importance of realistic expectations Anti-ageing procedures can significantly help patients to feel much more confident. However, the results will depend upon numerous factors. No anti-ageing procedure is a miracle cure. They also don’t stop the natural ageing process. Those who are seeking cosmetic surgery due to age discrimination might not feel differently about themselves after the procedure. This is something many older patients don’t understand. As well as changing the outer appearance,...
read more

How the Facelift Has Evolved

The facelift has always been a popular cosmetic procedure. Helping patients to look sometimes decades younger, its results can last for years. The way in which facelifts are performed has changed dramatically over the decades. Thanks to advancements within facial aesthetic surgery, newer techniques have helped to produce more natural-looking results. Here, we’ll look at how the facelift has evolved and what you can expect from the procedure today. The beginning of the facelift The facelift procedure was developed just over 100 years ago. Due to how secretive the procedure used to be, it’s difficult to pinpoint its exact origins. However, it is known that both American and European surgeons were experimenting with facial lifting techniques in the early 1890s. The results of these early facelift procedures were much different from what we see today, however. Although it started out as a secretive procedure, results were anything but natural. Elliptical incisions were used in earlier facelifts, along with fat excisions. It was down to World War I that facelift procedures really started to take off. A greater need for facial reconstructive surgery meant the facelift evolved at record speed. Improvements within anaesthesia also aided in the progression of the treatment. The difficulty with earlier facelifts is that they largely only addressed the skin. This meant that the results were short-lived. Over time, surgeons began focusing on the underlying tissue to produce longer-lasting results. It was in 1976 that the SMAS technique was introduced as the standard facelift technique, developed by Tord Skoog. This was the first significant change within the industry in more than 50 years. The development of the modern facelift The modern facelift procedure emerged in the 80s and 90s. After the development of the Deep Plane Rhytidectomy technique, surgeons became more focused on minimally invasive techniques. Previous techniques required a long operating time and an extensive recovery period. So, surgeons wanted to develop a technique that would reduce both the surgery and the recovery time, while still producing great results. A demand for less downtime saw more minimally invasive procedures be introduced including the thread lift which became particularly popular in the late 1990s. Here, barbed threads were placed into the subcutaneous, then pulled to achieve a tighter lift. However, this technique also provided limited results. In recent years, it is claimed that a non-surgical facelift can be achieved by combining energy-based skin treatments, dermal fillers...
read more

C4 Cosmetic Surgery Show Comes Under Fire for Exploitation

A new cosmetic surgery show due to be hosted on Channel 4 has come under fire for exploitation. The show, which sees a panel vote on whether participants should undergo cosmetic surgery, is being dubbed by MPs as “tawdry and exploitative”. Alex Mahon, the chief executive of Channel 4, alongside its chairman, Charles Gurassa, were both questioned by the Commons culture select committee. They asked whether the broadcaster had forgotten its responsibilities to the public in favour of titillating and voyeuristic viewing. Why is the Surjury show is causing controversy? The new show, dubbed Sujury, is due to be aired on Channel 4 sometime in 2020. There is set to be 12 jury members who will vote on whether members of the public who applied to the show could use the procedure they are considering. These jury members are made up of both experts and peers. The reason the show has come under fire is that it is taking people who already have low self-esteem, and potentially encouraging them to undergo a serious surgical procedure. This could in fact make their self-esteem issues even worse. Channel 4’s chief executive, Mahon, claims the show is helping to raise awareness of an important issue. He claims it isn’t intended to be a tawdry program. Instead, it is there to highlight the issue of how common cosmetic surgery is today. However, this hasn’t done anything to diminish the controversy surrounding the program. Trivialising cosmetic surgery The main concern is that Surjury is going to trivialise serious surgical procedures. A responsible cosmetic surgeon will always evaluate their patient’s expectations and reasons for surgery and will advise the patient that cosmetic surgery is not appropriate at this time. It is important for patients to be aware of how life-changing cosmetic surgery can be. The majority, especially invasive procedures, cannot be reversed. This means without fully understanding the procedure and its risks, patients could end up regretting their decision to go under the knife. Cosmetic surgery of any kind is a big deal and it should never be rushed into. The importance of cosmetic surgery preparation Patients who are considering undergoing a cosmetic procedure are advised to review the guidelines provided by the BAAPS. The first guideline laid out by the professional body is to ensure it is you who is making the decision, nobody else. They also recommend doing as much research as you...
read more

Study Finds the Male Facelift Makes Men More Likeable and Trustworthy

A new study has revealed that men who undergo a facelift appear more trustworthy and likeable. It also interestingly showed that they appear as though they have better social skills. Here, we’ll review the study and its findings and also take a look at how male facelifts differ from female facial surgery procedures. Results of a male facelift analysed The new study included 24 men who underwent a facelift procedure and had an average age of 49. They each consented to have their before and after surgery photos shown to 145 respondents who were aged from 25 to 34 years old. The respondents were asked to rate how extroverted, attractive, sociable, masculine, trustworthy, risk-seeking and aggressive the men appeared. However, they weren’t told about the surgery or the purpose of the study in order to rule out any risk of bias. There was a total of six surveys created for the study, and the respondents didn’t see both photos. Some were shown the before photos, while others were shown the after photos. The results of these surveys revealed that after surgery, the men were rated more trustworthy, likeable and attractive. Interestingly, surgery didn’t appear to alter the men’s masculinity ratings. There was also a more significant link between upper eyelid surgery and increased trustworthy and likeability ratings. Men who choose to undergo a facelift, tend to have upper eyelid lifts, nose reshaping, chin implants, neck lifts and brow lifts. How do male and female facelifts differ? In general terms, the same approach is employed – the aim of facelift surgery is always to enhance the patient’s natural appearance and subtly rejuvenate the face – yet there are certain considerations that plastic surgeon Mr Nigel Horlock will take into account when approaching male facelift surgery in order to cater to their masculine features. Facial hair is one thing which needs to be taken into account. When choosing an incision placement, the surgeon needs to ensure they aren’t damaging any of the hair follicles. There are also some anatomical differences between female and male faces. Males tend to have stronger ligament and skeletal structures, making it slightly more difficult to manipulate them surgically. Male facelifts often focus more on the lower portion of the face due to the thicker skin present in the area. Women tend to have a more delicate facial appearance while men have stronger features; whereas a female...
read more

Proof that women age faster than men

Although men and women share many similarities there are some things that are undeniably different and one of these things is how well we age. Aside from some of the physical changes that happen to our bodies as we get older, differences in the way the skin is made up mean that men and women age differently – there is no getting around this. Ladies, the bad news is that when it comes to the appearance of our skin, it is women whose skin ages faster than men’s. New research looking at differences in how men and women age The University of Vienna has been conducting an in-depth study focussed on evaluating the ageing process of men and women. They have found that “there is a noticeable acceleration of the appearance of wrinkles and sagging around the age of 50” and not only that, “they discovered that eyes appear smaller, nose and ears lengthen and faces become flatter due to loss of fat and thinning of the skin”. The factor that researchers feel is most likely to be contributing to this is the menopause, which typically begins around this age. One of the hormonal changes that take places when the menopause begins is the reduction of oestrogen in the body. This hormone is important as it is responsible for helping the skin create collagen, which is a clever component within the skin that gives it its natural elasticity. Oestrogen reduces significantly during the first five years or so of the menopause, which can leave skin looking saggy, wrinkled and dull. At the same time as this, the cheekbones begin to become less defined. It is believed that the bones actually begin to be re-absorbed by the body. Although this bone re-absorption affects both sexes, when it is coupled with the effects of the menopause the net effect is that women begin to age faster than men once they get to around 50 years old. This research is supported by the US National Library of Medicine National Institutes of Health, which reports that up until around age 50, men and women typically age at a very similar rate. They concur that once the menopause kicks in the ageing process is accelerated for women. Help is on hand There are a variety of cosmetic surgery procedures that can help women who feel they have been unfairly aged by the menopause. Procedures...
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.

CONTACT MR HORLOCK
Spire Southampton Hospital
Chalybeate Close,
Southampton,
Hampshire
S016 6UY
CLINIC APPOINTMENTS: 02380 914 504
Julie Martin: 02380 764 969
info@nigelhorlock.co.uk