Breast Fat Grafting

If you want to improve the shape and volume of your breasts without implants, breast fat grafting may be an ideal solution.
This relatively new technique is revolutionizing the cosmetic surgery sector.

So, what is it and why should you consider breast fat grafting over implants? Find out everything you need to know about this great procedure below.

What is breast fat grafting?

A breast fat graft involves using your body’s fat cells to boost the volume of the breasts. Fat is taken from a donor site, before being re-injected into the breasts.

This natural procedure is a great alternative to implants. With implants, you typically need to replace them several times. However, with a fat graft, you won’t need to undergo further extensive procedures.

How does it work?

To perform a breast fat graft, the surgeon harvests fat from another part of the body such as the abdomen. This is done via liposuction before a small incision is made to inject the fat into the breasts. The incision site is closed with sutures, with minimal scarring expected.

Not all of the fat that is transferred will survive. For this reason, the surgeon will usually insert more than what is needed.

The pros and cons of breast fat grafting

There are several pros and cons of undergoing a breast fat graft procedure. The pros include:

  • You won’t need to have implants
  • It can improve the contour of other areas of the body
  • It produces fewer risks than breast implants

The fact you won’t need to have implants inserted and there are fewer risks involved makes a breast fat graft a great alternative. As your body already recognises your own fat, it isn’t going to view it as a foreign object.

So, what about the downsides? Well, there is only so much fat that can be taken from the body. Therefore, if you want to significantly boost the volume of the breasts, implants may be more suitable. It is also more expensive than breast implants initially. However, you will save money over time as breast implants need to be replaced several times.

Overall, a breast fat graft can be an ideal option for those looking to add a little volume to their breasts. It can also help to firm up the area and may be carried out alongside a breast lift for best results. To find out if breast fat grafting is right for you, book a consultation with Mr Tulley today.

Dermal Fillers

Looking to refresh your look in 2022? You might want to consider dermal fillers. This non-invasive treatment provides remarkable results and requires practically zero downtime.

Like Anti-Wrinkle Injections, dermal fillers can be used to combat a range of ageing concerns. However, there are some differences between them. Here, you’ll discover more about dermal fillers and how they differ from Botox.

What are dermal fillers?

Also referred to as soft tissue fillers, dermal fillers are designed to add volume for a youthful look. They are injected into the body, and they provide temporary, lasting around six to twelve months.

There are different substances used to create them including:

  • Hyaluronic acid
  • Calcium hydroxyapatite
  • Polylactic acid
  • Polyalkylimide
  • PMMA (Polymethyl-methacrylate Microspheres)

The type you need will depend upon the issue you are trying to correct. Mr Paul Tulley only uses the leading dermal filler brands which include Juvederm and Restylane. Both use hyaluronic acid which is a substance naturally found within the skin.

What can they help with and what are the risks?

Dermal fillers can help with a wide range of issues including thinning lips and shadows under the eyes. Additionally, they can be used to fill in wrinkles on the face, as well as help to add volume to the chin.

Like any type of cosmetic procedure, there are some risks to be aware of. In some cases, you may experience a rash, redness, bruising, or an explosion of pimples. Wrinkles may also become overcorrected, and you may be able to feel the filler underneath your skin.

Provided you get it done by a skilled cosmetic surgeon, the risks are minimal compared to surgical procedures.

Because they are only temporary, an increasingly popular alternative to facial fillers is fat transfer. Mr Tulley will utilise your own fat, harvested from elsewhere on the body, to fill lines and folds and restore volume.

How are they different from Anti-Wrinkle Injections?

Both dermal fillers and Botox are injected into the body to produce a younger appearance. However, there are several differences between the two.

With Botox, the substances work by freezing the muscles. This eliminates wrinkles and reduces facial expressions. Over time, Botox has become more natural-looking, making it more difficult to tell it has been done.

Dermal fillers work by plumping up the area in areas where elasticity and volume have been lost. They don’t freeze the muscles, instead, smoothing out the skin by inserting more volume into it.

You can undergo Anti-Wrinkle Injections and dermal fillers at the same time to produce a fully rejuvenated appearance. For advice on which is the best facial rejuvenation procedure for you, book a consultation with Mr Paul Tulley today.

Post Weight Loss Surgery

When the world locked down at the start of the coronavirus pandemic, millions of people were forced to work from home. This led to a rise in Zoom video calls, drawing a lot more attention to the face. As a result, more people than ever before looked to facial cosmetic procedures to enhance their looks. Now, another trend is on the rise for 2022 and that’s post weight loss surgery.

With more time on their hands and a need to get healthier, many Brits turned to work out more. After losing a lot of weight, many patients are left with sagging skin and stubborn pockets of fat. This is leading to an increase in post weight loss surgery procedures.

Here, we will look at the post weight loss surgeries that are likely to see a huge rise in 2022.

Tummy Tuck

After losing a lot of weight, you may find you are left with saggy or loose skin around the abdomen. This is because when you are overweight, the muscles of the abdomen stretch, causing them to weaken. When you lose weight, it doesn’t tighten up the muscles. However, a tummy tuck, or abdominoplasty, can help to tighten up the area, as well as eliminate any stubborn pockets of fat. This will improve the outline and overall contour of your abdomen.

Face Lift

When you lose weight, it shows everywhere. You may find that you look older now that you have shed the excess weight. Or you may have excess skin sagging down at the jowls, neck and face. A facelift procedure can eliminate any excess skin, as well as tighten up the muscles. This leaves you with a dramatically younger appearance.

Breast Lift

Weight loss can also lead to saggy breasts. As they lose excess fat, the skin of the breasts won’t always stretch back into place. Instead, they may appear droopy. If your breasts are saggy, a breast lift can help. The procedure raises the breasts to provide a tighter, natural, and youthful look.

Arm and Thigh Lifts

Two areas that are particularly affected when you lose weight are the arms and thighs. The top of the arms tends to leave behind excess saggy skin after dramatic weight loss. An arm lift helps to remove this excess skin, leaving behind a toned appearance.
Likewise, excess skin can also hang down from the thighs after weight loss. A thigh lift eliminates the skin, tightening up the area. These procedures help to contour the body, helping you to feel more confident in your new skin.

If you have lost a significant amount of weight and you need to eliminate saggy skin and stubborn pockets of fat, book a consultation with Mr Tulley today. You may find that a combination of different treatments can help to give you the results you desire.

Breast Implant Removal

Breast implants are a popular cosmetic procedure, helping to increase the size of your breasts. However, for a number of reasons, there may come a time when you consider breast implant removal.

A breast implant removal procedure is straightforward, but there are always risks that need to be considered. If you want to ensure you achieve your best results, it all starts with preparation. Here, you’ll discover what it is and the best ways to prepare.

What is breast implant removal?

The surgery aims to remove implants inserted from a previous breast reconstruction or augmentation procedure. The surgeon can either remove them completely or replace them with new implants.

Incisions will be made around the nipple or underneath the breasts, giving the surgeon access to the implants. In some cases, a breast lift is carried out in conjunction with the implant removal procedure.

There are several reasons why patients choose to have their implants removed. It could be that they are causing pain, or the patient may change their mind and want a more natural look. Whatever the reason, it can help to get the breasts back to their natural state.

How can you prepare for breast implant removal?

The procedure is straightforward. However, it doesn’t come without its risks. If you want to increase the chances of a successful recovery, it’s a good idea to prepare for the procedure in advance. The best ways to prepare include:

  • Checking that your medications are safe
  • Quitting smoking
  • Not taking any herbal supplements, aspirin, or anti-inflammatory medication
  • Make sure you have somebody to take you home

Undergoing a medical assessment

If you are taking any medications, it is important to ensure they are safe to continue taking in the lead-up to the procedure. You can chat with the surgeon to see what they recommend when preparing for breast implant removal.

Smoking is known to increase the risk of complications. So, if you are a smoker, you will be advised to stop before undergoing the surgery. One of the main things to focus on is making sure you have plenty of time to rest and recover after the procedure. The body will need time to heal before you resume daily activities.

Overall, a breast implant removal procedure can help to combat pain, achieve a more natural look, and reduce the risks of complications. Book a consultation with Mr Tulley today to discuss the procedure and the results you can expect to experience.

after a tummy tuck

A tummy tuck, or abdominoplasty, is a major procedure that can produce excellent results for patients. Helping you to achieve a flatter, more defined stomach, this effective procedure can boost confidence and improve your quality of life. However, it is also known for its lengthy, and often painful, recovery period.

If you want to ensure a fast, comfortable recovery, it is important to follow your surgeon’s aftercare instructions. Here, we share some of the best ways to recover from a tummy tuck after you arrive home.

Managing the pain after a tummy tuck

After a tummy tuck, many patients report feeling mild to moderate levels of pain. This can last up to two months after the surgery, though most pain will be felt during the first week of recovery.

If the pain is intense, medication can be prescribed until it eases off. Those who undergo a mini-tummy tuck will feel hardly any pain during week two. However, patients who undergo a full tummy tuck can expect to experience mild pain during this period.
If the pain doesn’t seem to be easing even with medication, let your surgeon know. There may be an underlying issue that needs to be resolved.

What to expect

As well as experiencing some level of pain, there are other things to focus on during your recovery.

As the procedure requires general anaesthetic, you can expect to be in hospital for two to three days after. You should ensure that you have somebody to drive you home when you are ready. You’ll need to avoid showering for up to 48 hours. Dressings will be changed after a week and you will need to wear a support corset for six weeks.

It is also advised that you rest as much as possible. Most patients are advised to take it easy for a couple of weeks, so taking time off work is recommended. With that being said, it is important to move around during this time to keep the blood flowing throughout the body.

You will experience the best results if you follow a healthy, reduced salt diet, packed full of nutrients. This helps to promote faster healing, keeping the body topped up with what it needs to function well.

These are some of the best ways to recover after a tummy tuck. Above all else, follow the instructions provided by the surgeon to guarantee a comfortable and fast recovery.

If you want to find out more about a tummy tuck procedure, then book a consultation with Mr Paul Tulley. If you are concerned about the recovery process and the surgery involved for a tummy tuck, then you can also discuss other less invasive treatment options, such as liposuction or a mini-tummy tuck, that can give you the results you are hoping for.

facial surgery

Facial surgery has boomed in popularity since the start of the pandemic. Fuelled by an increase in the number of people working from home, we have seen an increase in requests for procedures like facelifts and brow lifts.

So, why has the working from home trend led to an increase in facial surgery? And which procedures are dominating the sector?

Why has working from home led to more patients seeking facial surgery?

Working from home could be seen as one of the benefits that came out of the pandemic. It has proved so successful that many businesses are continuing with more remote working options for staff.

While there are undoubtedly a lot of benefits of working from home, there has also been a real disadvantage. That is, the rise in video calls.

To stay connected, businesses opted to host regular video call meetings. During video calls, you can see your own appearance on the screen in front of you. This has caused many to scrutinise their facial features such as their nose, chin, and eyes.

Facial surgeries may also have increased due to the increased use of masks, which has brought people’s attention to their eyes and forehead. Furthermore, the recovery time needed from surgery can be easier to combine with a working from home arrangement, especially if there is help around the house from a partner that also works from home.

Which procedures are proving popular?

All types of facial surgeries have boomed in popularity since the pandemic. However, there are three that are proving to be the most requested. They include a facelift, brow lift, and neck lift.

Facelift – This procedure has been one of the most popular cosmetic surgeries for a long time now. However, in recent years they have been overtaken by temporary treatments like Anti-Wrinkle Injections. Since the pandemic, patients have once again turned to a more permanent solution. The techniques used to perform a facelift have also improved dramatically. Patients can now choose from a traditional or a non-invasive facelift procedure.

Brow lift – The brow lift is a popular alternative procedure to a facelift. By raising the brows, it can help smooth out the forehead while giving you a wide-awake appearance. The procedure can be carried out using several techniques and it takes a couple of hours to complete.

Neck lift – The neck lift procedure is used to combat signs of ageing around the jawline and neck. It is often carried out in conjunction with a facelift procedure for best results. Mr Tulley will eliminate any excess fat using liposuction, alongside loose skin. It is a straightforward procedure, known to produce excellent results.

These are some of the most popular surgeries patients are requesting as a result of working from home. To find out which facial surgery procedure might be right for you, book a consultation with Mr Tulley today.

Popular cosmetic procedures

Thanks to a successful vaccination program, things are now starting to slowly return to normal. We are now delighted to be welcoming back patients into the surgery for face-to-face appointments.

During lockdown, we saw an interesting change in the procedures being requested. Driven by an increase in Zoom video calls, patients were most concerned about changing their facial appearance. Now, as we return face to face, let’s look at some of the most popular cosmetic procedures patients are requesting and the reasons behind them.

Study reveals most common appearance concerns

A recent study published within the International Journal of Women’s Dermatology has revealed the top appearance concerns women have since the lockdown. Some of these concerns include:

  • Weight gain – 37.11%
  • Skin discolouration – 32.36%
  • Wrinkles – 24.45%
  • Acne – 14.85%

It’s no surprise weight gain was cited as the leading concern. During lockdown, a lot of people fell into unhealthy eating patterns and exercised less. This led to weight gain, which they may now be struggling to get off.

Interestingly, the study showed that a staggering 83% of women use filters when they post a picture of themselves to social media. Perhaps unsurprisingly, increased use of social media was shown to worsen self-perception.

Popular cosmetic procedures

In light of these common appearance concerns, clinics are seeing an increase in requests for certain cosmetic procedures.

For those worried about weight gain, liposuction may be seen as an ideal solution. However, it’s worth noting here that this is only ideal for those with stubborn pockets of fat. It is not a weight-loss treatment and cannot be used to remove large portions of fat. It is more of a contouring surgery, helping you to achieve a tighter, firmer look.

Scar revision surgery is also booming in popularity. This is a good option for those who have acne scarring, as well as those who have scars caused by trauma. It takes approximately 18 months for a scar to heal. The procedure aims to make the scar less noticeable, though there is a risk it could make it more prominent.

Anti-aging treatments are also popular, such as anti-wrinkle injections and dermal fillers. The two are often used together to enhance results and knock years off your appearance.

If you are concerned about your appearance, there are a range of cosmetic procedures you can undergo. To understand more about your best treatment options and whether you are a good candidate for the surgery you are considering, book a consultation today with Mr Tulley.

Breast reconstruction

If you have been diagnosed with breast cancer, or you have a high chance of developing it in the future, you may need to undergo a Mastectomy. Losing one or both of your breasts can be a traumatic and upsetting experience. However, there are options to help rebuild the breasts and help you regain your confidence.

Breast reconstruction surgery is an effective procedure that has helped thousands of women live a better quality of life. Here, you’ll discover your breast reconstruction options to help you decide which is right for you.

The different types of breast reconstruction surgery

There are two main types of breast reconstruction you can undergo. These include implant-only reconstruction and flap reconstruction. The type that is right for you will depend upon multiple factors. Here’s a brief rundown of both techniques.

Implant only reconstruction surgery

If you have smaller breasts or you are looking to undergo a simple procedure, implant-only reconstruction surgery is ideal. It involves inserting an implant under the pectoral muscles, taking a total of two to three hours to complete.
This procedure can be carried out in one or two steps. If you opt for the one-step procedure, a permanent saline implant will typically be inserted. With a two-step procedure, a temporary implant is used to stretch the chest over time. It will then be replaced by a permanent silicone implant once it has reached its ideal size.
An implant-only reconstruction offers a shorter recovery process than the Dorsi flap method. However, it is mostly suitable for patients who have had tissue removed, rather than the entire breast.

Latissimus Dorsi Flap surgery

The Latissimus Dorsi Flap procedure is used when the breast has been removed completely. The surgeon reconstructs the breast using the Latissimus Dorsi muscle as a donor site.

An incision will be made near your shoulder blade on the back. A piece of oval-shaped skin will be removed, alongside blood vessels, fat, and muscles. Using a tunnel underneath the skin, they will be slid around to the chest. Once in place, the surgeon will reshape them into a breast.

It takes between three to four hours to perform, and it will require a longer recovery process. It is recommended you take around a month off work, giving the body plenty of chance to heal

What type of results can you expect?

Both breast reconstruction options are known to provide excellent results. Most patients report being satisfied with their new breasts. You can also undergo a nipple reconstruction to enhance your results, as well as a breast lift to ensure maximum symmetry.

To discover more about the type of results you can expect, book a consultation with Mr Tulley today.

Droopy Eyelid

Droopy eyelids, a type of eyelid malposition, can be so much more than an aesthetic issue. Over time, eyelid malposition can lead to serious problems for the eye, including the development of corneal ulceration.

If you have a droopy eyelid, there are treatments available. Below, you’ll discover more about eyelid malposition and the most effective treatment available.

What is eyelid malposition?

Eyelid malposition is a term used to describe a variety of conditions that cause the eyelids to be in the wrong position. This includes eyelids that turn outwards or inwards, alongside droopy eyelids.

Often, it occurs with age due to natural sagging of the skin. If the upper eyelid starts to droop, it can lead to ptosis (or blepharoptosis), which is a medical condition. If the lower eyelid droops, it can cause tears to frequently run down the face. Although it does largely occur in older age, some children can also be born with the condition.

Symptoms and risks

In mild cases, you may not experience any symptoms. However, moderate to severe cases of ptosis may cause the following:

  • The upper field of your vision is partially blocked
  • A tired, aching feeling around the eye
  • Eyesight becomes completely blocked

If you notice any issues with your eyesight, you will need to seek immediate treatment. Droopy eyelids can actually be a symptom of other medical conditions. They can also occur after cataract surgery or LASIK eye surgery. In some cases, droopy eyelids can be a sign of something more severe such as cancer, or neurological disorders.

What treatment options are available?

There are several treatment options to help correct droopy eyelids. The treatment best suited to you will depend upon several factors.

If they are caused by something else, treating the underlying problem will typically correct the droopy eyelids too. If they are caused by older age and they start to affect the eyesight, surgery may be recommended.

Blepharoplasty, or an eyelid lift, is the main surgical procedure used to correct the problem. It can involve removing excess fat, skin, and muscle. You can have it carried out on one, or both eyelids. If there is drooping of the eyebrow, you might choose to have an eyebrow lift at the same time (or instead), to maximise results. Mr Tulley can advise on which procedure/s will deliver the best results for you.

A non-surgical option is anti-wrinkle Injections (such as Botox) to help tighten and smooth the skin around the eyes. However, this is only a temporary solution if done as a standalone treatment, and it will need to be carried out on a regular basis to ensure the results last. But this can also be done in combination with facial surgery to produce optimal results.

To find out which treatment option is best for you, book a consultation with Mr Tulley today.

Breast Implants

Breast augmentation is one of the most popular cosmetic surgeries worldwide. Helping to enlarge and alter the shape of the breasts, this effective procedure has come a long way since it was first introduced.

Improvements in techniques haven’t just made breast implants safer, but they also last longer too. Here, we’ll look at how long breast implants typically last and the factors that can impact their longevity.

Understanding the different types of implants

How long your breast implants last will partly be determined by the type of implants you have. You can choose from different manufacturers, alongside different shapes.

There are round and teardrop-shaped implants available. The round ones are better suited to patients with well-developed breasts. The teardrop-shaped ones, on the other hand, are ideal for those with underdeveloped breasts. The latter also tends to produce more natural-looking results.

The implants are usually made from silicone and are much safer today thanks to advancements in technology. Mr Tulley uses implants from the safest and best manufacturers such as Motiva, B-Lite, Nagor, Mentor, and Sebbin. All these brands are known for their long-lasting results.

How long do implants typically last?

On average, breast implants last anywhere from 15-25 years. However, their exact lifespan will depend upon a variety of factors. They will need to be replaced as no implant will last a lifetime. It is also worth noting that advancements in implant technology will continue to improve the lifespan of implants moving forward.

The factors that can impact how long your implants last

There are several things that can impact how long your breast implants last. These include:

  • Pregnancy and breastfeeding
  • Weight fluctuations
  • Capsular contracture
  • The surgeon’s experience

Although it is still possible to breastfeed after having implants, it can alter the shape of the breasts. For this reason, it is recommended you wait until after having children to undergo the procedure. Similarly, weight fluctuations can also cause the breasts to alter in size and shape.

Capsular contracture may also occur. This is a common risk associated with breast implants, causing fibrous scar tissue to surround the implant. It can become quite painful, as well as cause the breasts to become deformed. It is a rare complication, but it is something you need to be aware of.

Finally, the surgeon’s experience will also make a difference. Make sure you are choosing a fully qualified and skilled surgeon to ensure the best results. Mr Tulley has extensive experience in cosmetic breast surgery, and he can advise on the treatment options including which shape and profile of breast implant are most suited to you during your consultation.

For more advice on breast augmentation and what to expect from having breast implants book a consultation with Mr Tulley today by calling 020 7183 1559 or using the contact form.