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.

Facelift with Fat Grafting

Thinking of undergoing a facelift? If so, then you might want to consider a fat grafting procedure.

Cosmetic surgery techniques have improved and evolved over the years. Today, there are more options than ever before to help you turn back the clock and reverse the signs of aging. A fat grafting facelift is one of the latest techniques available. So, what is it and what kind of results can you expect?

What is a facelift with fat grafting?

A fat grafting facelift is a duo procedure, aiming to lift and add volume to the face. A traditional facelift procedure is carried out, followed by the fat grafting procedure.

Fat grafting is a technique that takes fat cells from one part of the body and injects them into another. So, in the case of a facelift, fat will be inserted into the face. It is known to be one of the safest ways to increase volume and it provides long-term results.

How is it performed?

After the facelift procedure has been completed, the surgeon will begin the fat grafting technique. After taking fat cells from the donor site, it is refined and centrifuged before it is injected into the target areas. It is done via a lot of small injections, ensuring the cells can quickly find a new blood supply.

The procedure is commonly used to target the cheeks and mid-face area. Fat can be added to the temples, lower lid – cheek junction, cheeks, nasolabial and jawline areas, and lips depending on the individual patient requirements.

It will be carried out under general anaesthetic and any bruising and swelling should go down within three weeks.

What benefits does it provide?

The main benefits of adding fat grafting to a facelift procedure are that it is safe and effective. As you are taking cells from your own body, it is unlikely to view them as a foreign body when they are injected into the face. This makes it one of the safest volume-boosting procedures.

It adds volume, improves contours, improves the quality of the overlying skin from the stem cells it contains, softens the facial appearance and improves rejuvenation further.

It is also known to produce impressive results. As well as helping to add volume, it will also smooth out any lines. This results in a more youthful appearance, enhancing the results of the facelift. It will also improve the condition of the overlying skin.

During your consultation, Mr Tulley will assess the nature and extent of your facial aging and advise you on whether a facelift with fat grafting is an appropriate option for you. To achieve a full rejuvenation of the face, other treatments can also be included such as an endoscopic brow lift or a neck lift. Book a consultation today to discuss all your options and Mr Tulley can advise on the right procedure for you.

Different sized breasts

Breast asymmetry is extremely common, but it can be more noticeable in some people than others. If your different sized breasts are getting in the way of you leading a happy life, it is possible to get them corrected.

Here, we’ll look at what causes breast asymmetry and how you can correct it through surgery.

What causes different sized breasts?

Breast asymmetry can be caused by many different factors. When you are going through puberty, the left and right breast tend to grow at different rates. This can mean they won’t show as symmetrical until they have stopped growing. However, it’s common for the breasts to remain slightly different in size even after they have stopped developing.

You may also find that your breasts change shape throughout your life, often due to hormonal changes. These include:

  • When you are pregnant or breastfeeding
  • During your menstrual cycle
  • Near or during the menopause
  • When you take hormonal contraceptives

If the change in the size of the breasts is down to hormonal changes, they will usually return to normal when your hormones do. In some cases, the asymmetry may be down to an underlying issue such as Poland Syndrome, or Tubular breasts.

Poland Syndrome is said to affect around 1 in 10,000 people. It is present from birth and can cause underdeveloped breasts in women. With that being said, it is three times more prevalent in men than in women. So, while it is a possibility, your breast asymmetry is most likely going to be down to hormonal changes or due to development during puberty.

One key thing is to check breasts regularly. If the asymmetry is new or changing, it is best to get it checked by your doctor.

Understanding the breast asymmetry procedure

A breast asymmetry procedure aims to make the breasts appear more symmetrical. It can be carried out in several ways. The exact technique will depend upon the severity of the asymmetry, and whether the breasts need to be enlarged or reduced.

If a smaller breast needs to be corrected, implants or expanders can be used. If the breast needs to be reduced, a mastopexy or a breast uplift may also be recommended to help produce the best results. You will be told which treatment best fits you during your consultation.

Whichever technique is being used; it will be carried out under general anaesthetic. The recovery time will vary depending on which treatment you had. However, breast asymmetry treatments typically require at least a two-week recovery period before you return to work. And you should avoid strenuous activity for up to a month.

Different sized breasts can be a concern, greatly impacting your quality of life. A breast asymmetry procedure can help to correct the size difference, giving you back your confidence and self-esteem. If uneven breasts are affecting you, book a consultation with Paul Tulley. You can discuss which breast asymmetry procedure could be the right choice for you.

Defined Jawline

Tik Tok has been responsible for a lot of recent health trends. Users enjoy sharing tips and tricks through the platform, potentially reaching millions of people. However, one of the most recent trends showing people how to get a defined jawline, is being blasted by medical experts.

The perfect jawline tracks offered on the platform have gained a lot of popularity. Now medical experts fear the tricks being offered could lead to Temporomandibular Joint Syndrome (TJS), alongside dental issues. Here, we’ll look at why following these trends is a bad idea, and how you can achieve a safer, defined jawline.

Understanding TJS

Temporomandibular Joint Syndrome affects the movement of your jaw. Although it isn’t typically serious, it can cause pain and discomfort. In some cases, it can last years and it can affect one, or both sides of the face.

The condition is more common between the ages of 20-40, though it can develop at any age. The new Tik Tok trend increases the risk many teenagers could soon be facing this painful condition.

Following tricks and tips provided through social media apps like Tik Tok can be incredibly dangerous. For those who are looking to improve their jawline, safer, proven treatments are available.

What surgical options are available?

If you want to permanently improve your jawline, there are some surgical options available.

The main surgical option is a chin augmentation. This involves either increasing the size of the chin or reshaping the bones. Altering the size and shape of the chin can dramatically impact the appearance of the jawline. Your surgeon will be able to determine which part of the chin needs altering and the best approach to use.

As well as chin augmentation, you can also undergo liposuction along the neck area. A facelift may also help you to achieve desired results.

Are there any non-surgical options?

Not quite ready to go under the knife? There are a few non-surgical methods you can undergo instead. One of the best non-surgical treatments for the jaw is facial contouring using fillers. These allow the surgeon to offer precise, localised results in the jawline.

The only thing to remember with non-surgical options is they are not permanent. To maintain the results, you will need to undergo additional procedures approximately every six months to a year.

If you want to achieve a defined jawline safely, book a consultation with Mr Tulley today. You can go over your expectations and desired results to see which treatment would be better suited to you.

The Perfect Vulva

Worried about how your vulva looks? According to new research from leading period-care brand, Callaly, almost one third of women aged 16-35 worry that their vulva appears abnormal. This has prompted a rise in labiaplasty procedures.

Now a new campaign launched by Callaly, aims to celebrate the different sizes and shapes of vulva. So here we’ll look at the new campaign and whether a labiaplasty is the right option for you.

Talking About The Perfect Vulva

Callaly’s new campaign ‘We Need to Talk About Vulvas’, aims to debunk the perfect vulva myth. The company enlisted the help of 10 everyday women to front the campaign. Each agreed to have a cast of their vulva created and shared publicly, to highlight the diversity of vulvas.

Alongside showing the different shapes and sizes of their vulvas, the women also shared their feelings about it. Talking about the effects the desire for the perfect vulva can have on women is important. And with more understanding and education on the diversity of vulvas, it could help to boost confidence and self-image.

What is a labiaplasty?

A labiaplasty aims to reduce the size of the vaginal lips, medically referred to as the labia minora. But the procedure is only carried out on those over the age of 18 to ensure the labia is fully developed.

Alongside altering the size of the lips, the surgeon can also change the shape to achieve a more desirable appearance. In addition, a labiaplasty is carried out as a day case, performed under general anaesthetic.

After any unwanted tissue has been removed, the edges of the labia will be sutured. The sutures are absorbable, so you won’t need to have them removed. You will also be given a long-acting anaesthetic, helping to reduce discomfort during recovery.

Is it right for me?

A labiaplasty isn’t right for everyone. But if the shape and size of your vulva is causing you significant distress, it can help to improve quality of life. Moreover, many women who undergo the procedure see an increase in their self-esteem and confidence.

To find out if a labiaplasty is right for you, book a consultation with Mr Tulley today.

Popular cosmetic surgeries

Now that the UK is steaming ahead with vaccinations, many of us are getting excited for summer.

If you are looking forward to the restrictions being lifted and you want to look your best, you may be considering undergoing cosmetic surgery. Here, we will look at the most popular cosmetic surgeries to have after the vaccination.

Liposuction

By far one of the most popular cosmetic surgeries that you might want to consider after getting vaccinated, is liposuction. This is a great treatment for those with stubborn pockets of fat. Helping you to get beach-ready, this procedure can help to eliminate fat in the legs, arms, abdomen and buttocks.

The lockdowns have caused many people to gain a little weight and abscond from their regular exercise regime. So, liposuction is set to boom in popularity now a normal summer is to be expected.

Tummy tucks

Whether you have sagging skin or excess fat in the abdomen area, a tummy tuck can help. It is often used alongside liposuction to provide best results. The surgeon will remove any excess fat and skin, before tightening up the tissue and muscles. This is an extensive procedure which does require a lot of downtime. So, if you are looking to achieve results by the summer, now is the time to book a consultation.

Breast augmentation

There is usually an increase in the number of breast augmentation procedures carried out in spring. However, this year has seen a drastic rise in the number of patients seeking augmentation and lifts. Helping you to feel more confident on the beach or around the pool, these popular procedures have a high success rate.

Injectables

Alongside surgical procedures, there has also been a huge increase in injectable treatments. These include Botox and fillers, helping to eliminate fine lines and wrinkles, while creating a more youthful appearance. Requiring very little downtime, these temporary procedures are great for those who don’t have time to hide their recovery if they undergo a more extensive procedure.

These are the main cosmetic treatments that patients are requesting after they have been vaccinated. As we look to return to normal, undergoing cosmetic tweaks can help to greatly boost confidence.

Book a consultation with Mr Paul Tulley to learn more about the procedure you are interested in and whether it is right for you.

about lipo

Liposuction has long been a popular cosmetic treatment. However, before you decide whether it is right for you, it’s a good idea to find out more about the lipo procedure. Knowing everything there is to know about how it works, its limitations and potential risks, will help you to identify if it is right for you.

Here, you’ll discover everything you want to know about lipo before you undergo the procedure.

Who is suitable for lipo?

Contrary to popular belief, liposuction isn’t a good option for those looking to lose weight. Modern techniques focus on body contouring, removing small pockets of fat at a time. Ideally, you should have generally good skin tone, and the fat pockets should be well defined.

How does it work?

There are several techniques which can be used during liposuction to achieve desired results. The procedure is carried out under general anaesthetic and the surgeon starts by making small incisions.

Suction cannulas are inserted through the incisions, used to suction out the fat. Once the desired amount of fat has been suctioned out, the incisions are closed with very fine sutures.

You will be fitted with a compression garment to aid in healing, which will need to be worn for four to six weeks.

What is recovery like?

Sometimes, patients can leave the same day as they undergo liposuction. However, you may need to stay in overnight. The recovery is quite lengthy, and you will need to take around 10-14 days off work. You will also need to avoid exercising for three to four weeks.

What type of results can I expect?

Liposuction does completely destroy the fat cells. However, that doesn’t mean you won’t be able to put weight on again. To maintain results, you will need to follow a healthy lifestyle with a focus on diet and exercise.

The exact results liposuction can achieve will depend upon how much fat there is, alongside several other factors. The surgeon will be able to go through your expected results with you prior to the procedure.

Want to learn more about liposuction and whether it is right for you? Book a consultation with Mr Tulley today to determine if liposuction is the right procedure for you.

tear trough filler

Do you constantly look sleep deprived no matter what you do? When even a great night’s sleep doesn’t shift dark, under eye circles, it could be time to consider a cosmetic treatment.

Dark undereye shadows, or tear troughs, are a common problem that occurs with age. The cheek tissues begin to droop, causing a little groove between the upper cheek and the lower lid. This is known as a tear trough.

With tear trough filler, you can eliminate that sleep deprived look and achieve a fresh, youthful appearance. Below you’ll discover more about tear trough fillers and how they work.

What are tear trough fillers?

Tear trough fillers are typically made with hyaluronic acid. They help to enhance volume underneath the lower lid, helping to eliminate dark circles and hollows. These non-surgical treatments have become highly popular in recent years.

Juvéderm is one of the leading non-surgical fillers currently used in cosmetic surgery. It is currently coming up for FDA approval. If it does get approved, it would be the first filler to be recommended specifically as tear trough filler.

How do they work?

Mr Tulley uses a very thin form of hyaluronic acid filler. He will inject it deep, close to the bone. The filler is administered very carefully to ensure a smooth result. To ensure it is a painless procedure, Emla cream is used with a local anaesthetic.

Are there any risks and complications?

Compared to having surgery to reduce dark circles, tear trough fillers are very safe. However, there are some potential risks and complications to be aware of.

As the injections are being given close to the eye, great care needs to be taken to ensure they are carried out safely. If something were to go wrong, it could potentially cause serious issues including blindness. So, always make sure the surgeon you choose to carry out the procedure is highly skilled in the application of tear trough fillers.

While they can be highly effective, tear trough fillers are only a temporary solution. The results will last for up to 12 months before the treatment needs to be redone. Book a consultation with Mr Tulley today to see whether a tear trough filler could help to eliminate your sleep deprived look.