tummy tuck or lipo

If you’re looking to achieve a flat, toned stomach, cosmetic surgery can help. Thousands of people go under the knife each year to eliminate excess pockets of fat which don’t resolve through diet and exercise alone. However, if you want to get the best results, it’s crucial you make sure you’re choosing the right procedure.

The two most common procedures carried out to achieve body contouring are a tummy tuck and liposuction. So, how do you know which one is right for you? Below, you’ll discover how to tell which procedure will generate the best results.

Tummy tuck or lipo: where do you want to lose fat?

A tummy tuck only focuses on the abdomen area, whereas liposuction can be used to eliminate from the flanks, back, hips or thighs where localised pockets of fat are often stored and the skin is typically quite tight. Liposuction can be performed on the abdominal area, but a careful appraisal of skin elasticity and muscle laxness during your consultation is essential to ensure you will be able to achieve the results you’re hoping for.

Tummy tuck or lipo: is there a loss of skin elasticity?

Unlike other areas of the body, there is often an excess of loose skin and marked muscle laxness in the abdomen, either from ageing, pregnancy or because of weight gain. In those cases, a tummy tuck is the most appropriate cosmetic surgery choice.

This is because the procedure focuses on not just eliminating the fat, but it also tightens the skin and muscles in the area too. Liposuction, on the other hand, only eliminates the fat and if you did have liposuction in an area where there is a loss of skin elasticity, you would more than likely end up with sagging skin as a result of the procedure.

Tummy tuck or lipo: how much fat do you need to lose?

Finally, the amount of fat you’re looking to lose will also determine which procedure is right for you. It’s worth noting that both a tummy tuck and liposuction are not designed to remove large sections of fat. Liposuction in particular, is only used as a contouring procedure, removing small pockets of fat at one time. So, a tummy tuck will typically have more drastic results.

Deciding on whether a tummy tuck or lipo is the best procedure for you will depend on a number of factors. During your cosmetic surgery consultation with Mr Paul Tulley, he will perform a comprehensive physical assessment, listen to your concerns and expectations and, from there, can offer you unbiased and expert advice on which procedure – or even a combination of abdominoplasty and liposuction – is best for you.

To arrange a body contouring surgery consultation with Mr Tulley, call 020 7183 1559.

London cosmetic surgeon in Tatler Beauty and Cosmetic Surgery Guide 2019

Mr Paul Tulley was delighted to be included in the Tatler Beauty and Cosmetic Guide 2019 in conjunction with W1 Knightsbridge. The annual guide brings together the best cosmetic doctors, dermatologists and cosmetic surgeons, praising them for their work in rhinoplasty procedures, facelifts and their cosmetic breast surgery work.

breast implant safety

Breast augmentation with implants is one of the most common cosmetic procedures carried out throughout the world and it has remained one of the most popular procedures for decades, but once again breast augmentation and breast implant safety has hit the news for their potential risks for patients.

The British Association of Aesthetic Plastic Surgeons (BAAPS) has recently provided a statement following the removal of Allergan’s Natrelle implants from the market. As the implants failed to gain the CE mark of approval, surgeons are no longer able to use them until further notice. So, should patients who have these implants be worried about their sudden removal from the market and should it make patients think twice about undergoing breast enlargement?

Why have Allergan’s Natrelle breast implants been removed?

Allergen Natrelle implants have been removed from the market due to concerns over their textured surface.

Over the years, there have been numerous studies conducted to determine the risk between implants with a textured surface and a condition known as Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). Although the condition is rare, affecting approximately 1 in every 24,000 breast implant procedures, measures still need to be taken to monitor textured implants to ensure they meet recommended guidelines.

All textured implants are manufactured differently, with some posing more of a risk than others. The Allergen Natrelle implants have been identified as posing a potentially increased risk, which is why the CE mark has been withdrawn.

What BAAPS has to say on breast implant safety

The BAAPS has released a statement following the removal of the Allergen Natrelle implants, claiming patients shouldn’t be too alarmed. The removal of the implants has been done as a precautionary measure until further data is provided by Allergen. The BAAPS has also advised its members not to use these implants until further notice.

The smooth implants supplied by Allergen have had their CE mark renewed, meaning they don’t pose any risks. They were also keen to point out that textured implants from other manufacturers aren’t affected.

Are breast implants really safe?

Although the news that Allergen’s Natrelle implants have been temporarily removed from the market may be concerning to patients, on the whole textured implants are safe to use. There are fewer risks and complications associated with the procedure today than there ever has been.

Those thinking of undergoing breast augmentation, should book a consultation with a qualified cosmetic surgeon. They will be able to explain the type of implants they will be using and highlight any risks and complications you need to be aware of before you make an informed decision on whether to go ahead or not.

Mr Paul Tulley on Channel 4's How to Lose Weight Well

London Cosmetic Surgeon on TV's How to Lose Weight WellDr Xand van Tulleken is well known for presenting popular TV programmes with his identical twin brother Dr Chris van Tulleken.

The series looks at a number of different types of diets and their effectiveness. In episode 2 of the current series, How to Lose Weight Well, a patient is shown undergoing extensive VASER liposuction with significant fat grafting, to improve and optimise the contours of his trunk and arms. London cosmetic surgeon Mr Paul Tulley was asked to discuss briefly the benefits and risks of VASER.

The patient shown on the program underwent extensive VASER (ultrasound assisted) liposuction with fat grafting. This is a more aggressive and much longer procedure than standard tumescent liposuction. It is useful in slim patients who desire a ‘ripped’ gym/muscular/athletic look. However, it carries more risks in terms of visible irregularity (and fat embolism in the case of fat grafting). It should only be performed by surgeons with significant experience of its use, and care must be used in slimmer patients particularly women.

For most patients, tumescent liposuction is an effective and safe procedure when performed by an experienced surgeon, and produces very good results.

VASER carries the risk in slim women of producing significant irregularities that are very difficult to correct with further surgery, if not performed in the correct manner.

Brazilian Bum Lift

Madonna has never been a stranger to controversy and at 60 years old she’s still grabbing the headlines. After videos were released of the singer performing live on stage on New Year’s Eve, it appeared as though the star’s rear had been enhanced.

Now, fans are questioning whether Madge could have had bum implants or a Brazilian bum lift to achieve her impressive rear. So, which procedure could the Queen of Pop have undergone to enhance her buttocks?

Could Madonna be the latest celeb to undergo bum implants?

Looking at the photos, it does appear the unusually shaped bulge on Madonna’s rear is most likely down to a battery pack or sound equipment. However, it’s certainly possible the singer could have undergone a rear enhancing procedure as this is not the first time there’s been speculation about Madonna and changes to the appearance of her rear.

Performing with her son, the 60-year-old singer did appear to be sporting a curvier look and Madonna herself has done nothing to quiet the speculation as she posted on her Instagram the following message: “Desperately Seeking No Ones Approval………………. And Entitled to Free Agency Over My Body Like Everyone Else!! Thank you 2019 ! Its Going to Be an amazing Year!! ! #2019 #freedom#respect #nofear #nodiscrimination.”

Understanding bum enhancing procedures

Bum enhancement procedures are becoming increasingly popular in the UK and US. Expert London plastic surgeon, Paul Tulley, states: “Insertion of buttock implants is a procedure that has been performed in relatively small numbers in recent years. It involves the insertion of a silicone implant (firmer than a breast implant), into the buttock to improve volume and contour, for patients wanting to improve their buttock shape”.

He also goes on to highlight the potential dangers of the procedure:

“However, it has significant risks and is a more problematic procedure than many other cosmetic surgery procedures – there are significant risks of infection, implant extrusion, and persistent post-operative pain after surgery with a long recovery. For these reasons it has been replaced by fat transfer in the majority of patients – those who have spare fat available.”

Even though fat transfer procedures are generally safer, they still pose a risk of fat embolisms; a problem which can prove to be deadly. So, while these procedures can enhance the bum when performed by a qualified surgeon, patients do need to be aware of the risks involved.

If you are interested in a bum enhancing procedure, it is crucial you book a consultation with an expert plastic surgeon. They will be able to run through all of the risks and complications involved and help you to determine whether it is right for you.

cosmetic surgery trends

Cosmetic surgery procedures have come a long way over the past decade. However, a recent survey conducted by the American Society of Plastic Surgeons has revealed that surgeons are now hungry for further developments.

Each year, the demand for cosmetic procedures increases. Over 17.5 million procedures, both surgical and non-surgical, were performed in 2017 in the United States alone. Now, plastic surgeons are keen to know what developments are in the pipeline to help meet the rising demand. So, what could be the next big thing in cosmetic surgery?

Cosmetic surgery trends: artificial intelligence

One of the most exciting developments within the cosmetic surgery industry is the use of AI and augmented reality. These will be able to help surgeons prepare for complex surgeries through imaging and surgery simulation technologies.

While imaging is currently available to help patients see how breast implants and facial reconstructive surgery could look, improvements being made will make these systems much more realistic. This will give patients a much better idea of how their results would look.

Cosmetic surgery trends: CRISPR gene editing

Another potential exciting development is CRISPR Gene editing. This technique, when fully developed, will be able to help with the introduction of new rejection-free transplant techniques, therapeutic skin grafts and help to prevent craniofacial malformations. It will have a huge impact on the plastic surgery sector thanks to its low cost, simplicity and efficiency.

Which areas do cosmetic surgeons want to see developments in?

According to the latest survey by the American Society of Plastic Surgeons, there are some particular areas surgeons want to see developments in. These include fat grafting, skin tightening and scar management. They also want to see an improvement in training, with certification becoming more crucial in the field.

The good news is, improvements within the cosmetic surgery sector are continuously being made. The introduction of artificial intelligence and CRISPR gene editing could have a major benefit within the industry

non-surgical facelift

For men and women wanting to reverse the signs of facial ageing, the facelift has long been their only option. However, the surgical procedure is invasive, with potential risks and it involves a prolonged recovery time and so we have entered an exciting new phase in anti-ageing, in which newer, less invasive techniques and products have been developed.

The aim of the non-surgical facelift is to make you appear fresher and more rejuvenated, without the downside of surgery, but is a non-surgical facelift actually possible?

Does a non-surgical facelift exist?

Non-surgical facelifts do exist, and they’ve been performed for many years now. It combines a number of non-surgical techniques, each designed to refresh and rejuvenate the appearance, although every aesthetic practitioner will have a preferred approach. The non-surgical facelift can entail muscle relaxing injections, dermal fillers or laser skin rejuvenation.

No hospital stay is necessary, and incisions and a general anaesthetic aren’t required. This means the risks and the recovery period are generally much more minimal and shorter than they are with a traditional surgical facelift.

What benefits does it have over a traditional facelift?

A non-surgical facelift has many benefits over a traditional surgical facelift. The fact the procedure is much faster and requires very little downtime is a major plus point. It also produces much less discomfort and is a great way to try out a different look without committing to a more permanent change.

As general anaesthetic isn’t required, a non-surgical facelift is conducted on a walk-in, walk-out basis. However, despite the fact they do have major benefits, there are some potential downsides patients will need to be aware of.

What are the potential downsides?

The main disadvantage of a non-surgical facelift is that it is unlikely to produce as dramatic a transformation as the surgical alternative. It is, therefore, best suited to men and women that have just started to see the signs of facial ageing and do not have a marked degree of skin sagging or volume loss. So, if you are looking for a more radical change, you may not get the results you require without undergoing a surgical facelift.

Also, these results typically aren’t as long-lasting. This means patients will require repeat procedures in the future to maintain their results. This also means the cost of having the non-surgical facelift will not necessarily prove cheaper in the long run.

As you can see, there are pros and cons to both options. Therefore, it is recommended talking through your options with a surgeon prior to deciding which one is right for you.

importance of the cosmetic surgery consultation

In this digital age, it’s not uncommon for patients to search for cosmetic surgery information online. You can find out practically anything with a quick Google search. However, as a recent study discovered, websites aren’t generally the best place to get an overall picture of what cosmetic surgery procedures involve.

The research, carried out by the Brighton and Sussex Medical School, discovered many websites are offering incomplete information to prospective patients. This highlights the importance of the cosmetic surgery consultation. Here, you’ll discover why having a consultation is essential and what you can expect during the appointment.

Why book a cosmetic surgery consultation?

Regardless of which type of procedure you’re considering, a consultation is crucial. It gives you the opportunity to discuss the procedure and find out more about the risks and complications which could arise.

Being aware of the risks is important, as too is having realistic expectations. It could be that the procedure you’re considering isn’t actually the best one to help you achieve your desired results. In this instance, your cosmetic surgeon will advise you of your options and which treatments they feel would benefit you the most.

You’ll get to know your cosmetic surgeon and determine how experienced and qualified they are. Finding a surgeon who you can trust is paramount as even non-invasive procedures can go wrong if performed incorrectly.

These are just some of the reasons a consultation is important. It may come at an additional cost, but the peace of mind it can provide and help you to ensure you’re undergoing the right procedure makes it more than worthwhile.

What can you expect?

So, what can you expect when you have a cosmetic surgery consultation? Well, firstly you’ll need to talk about the things you want to change and why you want to change them. Ask your cosmetic surgeon whether the procedure you’re considering is ideal for your circumstances and make sure they fully explain all potential risks and complications.

Ask to see before and afters of previous patients who have undergone a similar procedure to you as this can be a good indication that they can produce the results you’re hoping for. Check how much experience they have in the particular procedure you’re contemplating and how they would address any issues that could occur.

You can also find out what will happen during the procedure, as well as what to expect from the recovery. It’s a good idea to take a list of questions with you so that you don’t forget to ask anything.

If you’re thinking of undergoing cosmetic surgery, the information we provide on this website is just a brief outline of the procedures we offer. Book a comprehensive, expert and unbiased consultation with Mr Tulley to find out if cosmetic surgery is the right choice for you.

Top 5 Cosmetic Surgery Procedures

A new survey has revealed the top 5 cosmetic surgery procedures planned in the UK over the next 12 months. Conducted on behalf of RealSelf by The Harris Poll, the survey also revealed that a staggering 40% of Brits are considering having surgery within the next year.

So, which cosmetic surgery procedures are topping the polls? Find out below…

1 Tummy tuck

The tummy tuck came in first place, with 31% considering this body reshaping procedure. It’s not surprising that the tummy tuck is so popular – weight fluctuations, pregnancy and ageing can all result in lax muscle tone, sagging skin and stubborn pockets of fat which diet and exercise fail to fix.

A recent study found that an abdominoplasty can also have medical benefits, helping to alleviate back pain and incontinence.

2 Facelift

Twenty-eight per cent of respondents stated that a facelift was their top cosmetic surgery choice. In recent years, non-surgical treatments such as dermal fillers and anti-wrinkle injections have surged in popularity, but there is a limit to what they can achieve and for many patients, a facelift is required to reset the ageing clock.

3 Liposuction

Level pegging with the facelift is liposuction. New techniques and technical understanding have transformed how the procedure is performed and the results that can be achieved, meaning that lipo has become a great choice for men and women wishing to improve their body shape.

4 Chin and neck lift

Close behind at 23% was the chin and neck lift. As humourist Nora Ephron once wrote “our faces are lies and our necks are the truth” and it is true that we often neglect this area that is typically one of the first places to show the signs of ageing.

5 Breast augmentation

The breast augmentation remains one of the most popular cosmetic surgery procedures worldwide as it appeals to so many women of all ages. From young women who are unhappy with how their breasts have developed and looking for a confidence boost, to older women who have seen unwelcome changes due to pregnancy, breastfeeding, weight fluctuations or just thanks to the ageing process and want to restore a more youthful and aesthetically pleasing appearance to the breasts.

Interestingly, the survey also asked respondents what their main motivations were. To improve self-confidence, and to look good came out above losing weight or to combat ageing – if you’d like to find out whether cosmetic surgery could boost self-esteem, call us on 0207 183 1559 to arrange a consultation with London plastic surgeon Mr Paul Tulley.

the Keller Funnel


The world of breast augmentation surgery is ever changing. The procedure has come a long way since the first modern breast implants were used in 1962, but developments continue to be made to improve both the results and the experience, ensuring it holds onto its number one position in the field of cosmetic surgery.

Here, we’ll take a look at some of the newest developments in boob jobs and what they mean for patients.

The Keller Funnel

In the placement of silicone gel implants, Keller Funnel is considered state-of-the-art technology and has a number of benefits for patients, so is becoming increasingly popular with plastic surgeons.

Once the pocket for the breast implant has been made, the surgeon places the implant inside the funnel and then gently applies pressure to push the breast implant into the pocket. With the Keller Funnel, implants can be inserted quickly and more comfortably than ever before.

This, in turn, lessens the risks associated with inserting these types of implants:

• Reduces the force applied to the implant shell for better results in the long term
• Reduces the incision length that is required to insert the implants
• Reduces trauma to the patient’s own breast tissue for a shorter recovery
• Reduces the risk of capsular contracture as it is a sterile, ‘no touch’ approach

Stem cell breast augmentation

One ‘development’ in recent years has been stem cell breast augmentation. This term is a misnomer because it’s not possible to inject stem cells alone in the hope that they become breast tissue. So, a stem cell breast augmentation is really an autologous breast augmentation, where fat – with any stem cells present – is taken from one part of the body and injected into the breasts. This naturally builds up volume and poses very few risks compared to implants.

While a fat transfer breast augmentation has many advantages, it’s unlikely to replace the traditional breast augmentation procedure as it’s not possible to achieve the same increase in size that you are able to do with implants.

Gummy bear implants

Gummy bear implants started out in the USA, but they’re now available worldwide. They are silicone implants which are designed to maintain their shape, even if they are cut in half. What this means is, the risk of them leaking out if they do rupture, is greatly reduced. So, like the Keller Funnel method, gummy bear implants are considered safer than traditional implants.

These are just a small selection of the developments being made within the industry. Boob jobs have changed significantly over the years and as developments continue, it’s likely that techniques and methods will be further improved with each passing year.

During your breast augmentation consultation with Mr Paul Tulley, he will explain which implants and techniques are best suited to produce the results you desire and answer any questions you may have on this continually-evolving procedure.