tighten skin

The lockdowns brought on by the pandemic have caused many people to put on weight. However, for others it has helped them to get into a healthier regime.

Losing a lot of weight should be something to be celebrated. However, if you have been left with loose skin, it can still have a devastating impact on your confidence. Tightening up the skin isn’t always possible through diet and exercise alone. However, there are surgical methods available which can help.

Here, we will look at how you can tighten skin after weight loss so that you can enjoy your new figure.

What procedures can help tighten skin?

There are numerous post weight loss procedures you can undergo to address loose skin. Just some of the procedures you might benefit from include:

The procedures that will help you will depend upon how much loose skin you have and where it is located. You may be recommended to undergo several procedures at the same time in order to gain best results.

All post weight loss surgeries aim to tighten up the skin and eliminate any excess stubborn fat.

How diet and exercise can play a role

As well as undergoing surgery to correct sagging skin, you can also make certain diet and exercise changes to help. Focusing on weight training for example, is a great way to build up the muscles and tone up the body. When you lose weight, you don’t have as much mass underneath the skin. So, increasing your muscle mass can fill the gap and naturally tighten the skin.

In terms of diet, focusing on eating rich sources of protein is a good idea. This will help you to build and retain muscle mass.

Other treatment options

Other potential solutions for loose skin after weight loss include compression clothing and firming creams. However, these are only temporary solutions. Compression clothing tends to ease the side effects of excess skin. Meanwhile, firming creams could prove useful for very mild loose skin issues.

While there are lots of treatments out there to combat excess skin, cosmetic surgery is the only way to eliminate it completely. Book a consultation to discover more about post weight loss surgery treatments on offer to help you achieve the results you desire.

To discover which cosmetic surgery procedure you’re most suitable for, call 020 7183 1559 to arrange a consultation with Mr Paul Tulley.

breast surgeries

Lockdown has caused a major shift in cosmetic surgery trends. The rise of online video calls has made us much more aware of our facial and upper body features. While many have turned their attention to anti-ageing treatments, for others the breasts have become a point of focus.

The number of breast procedures requested during lockdown has increased dramatically. So, what types of breast surgeries are being carried out? Here we’ll look at the procedures currently booming in popularity.

Mastopexy – The breast lift

A Mastopexy is designed to correct droopy breasts. Sagging can occur due to ageing, significant weight loss, or after breastfeeding. There are a number of different types of Mastopexy procedures that can be carried out. The type recommended to you will be based on the severity of the drooping, alongside other factors.

After undergoing a Mastopexy, your breasts will be perkier, higher up and they will appear much more youthful.

Breast asymmetry surgery

Breast asymmetry is extremely common, but the level of asymmetry can vary. If your different sized breasts are causing issues with your self-confidence, breast asymmetry surgery could be the answer.

Numerous surgical techniques can be used to treat asymmetry issues. Your treatment options will be discussed with you during the consultation.

Breast reduction surgery

Breast reductions are proving particularly popular with women during lockdown. There has been a shift in breast surgery trends, focusing largely on achieving natural looking breasts. However, the effects of the lockdown have also had an impact on the popularity of the procedure.

A breast reduction involves removing excess skin, tissue, and fat to reduce their size.

Which procedure is right for you?

Mr Tulley has years of experience carrying out safe and effective breast surgeries. He will be able to advise you on the best procedure to fit your individual circumstances.

Book a consultation with Mr Tulley by calling 020 7183 1559 to see which procedure, or procedures, will help you to achieve the results you are looking for.

outie vagina

Although vulvas come in a wide range of shapes and sizes, some women are self-conscious about how theirs may appear. This is especially true if they have an ‘innie’ or ‘outie’ vagina. While not recognised as medical terms, they refer to the vulva being either larger or smaller than normal.

So, what’s the difference between an innie and outie vagina and what can you do if you are unhappy about yours?

What is an innie and outie vagina?

An innie vagina refers to a smaller vulva. They can vary significantly in size, shape and colour. The length of the labia can also vary. Outie vaginas are the opposite of innie vaginas, resulting in a larger vulva. However, like innie vaginas, they too can vary greatly in colour, size, and shape.

No two vaginas ever look the same, and the labia can also vary in length and width. So, they basically refer to the vulva being too small, or too large.

Can an innie or outie vagina have any side effects?

Mostly, having an innie or outie vagina doesn’t cause side effects. They are purely cosmetic. However, if there is an extreme difference in size, it may cause some issues such as:

  • Irritation
  • Issues with sexual intercourse
  • Difficulty keeping the area clean
  • Pain during sports and activities

These side effects are uncommon, but they can occur. The most common effect they have on health is they can lead to issues with confidence. For this reason, many patients seek to undergo a labiaplasty.

What is a labiaplasty?

Although the appearance of each vagina is different, if you are unhappy then a labiaplasty could help. It is mostly used to reduce the size of the labia, although the surgeon will go through your options.

It is a common procedure with few risks and complications. There are different methods which can be used and the procedure itself typically takes around 1-2 hours depending upon the work that needs to be done.

A labiaplasty can be a useful procedure for those who experience issues with their confidence, or who suffer pain and discomfort. Book a consultation with Mr Paul Tulley today to see whether this might be a good option for you.

facial ageing

When we get older, the skin on our face starts to sag and lose its volume. Traditionally, this is thought to be down to the facial tissues eventually falling victim to gravity. However, recent studies have suggested that it could actually be down to fat loss.

Here, we’ll look at whether fat loss could be accelerating facial ageing and what options are available to treat the issue.

How might fat loss accelerate ageing on the face?

A new study, published within the Plastic and Reconstructive Surgery journal, has revealed that fat loss can contribute to facial ageing. A total of 19 patients were assessed, undergoing two CT scans of the head. The two scans were performed a decade apart, with patients being 47 and 57 years old when they were done.

It was discovered that there was significant fat loss in the face between the scans. However, the amount of fat loss varied between patients. This would explain why some patients age at a faster rate than others.

Understanding the link between fat loss and facial ageing can help cosmetic surgeons choose the best types of treatments to tackle the issue. When fat is lost, it can cause the features of the face to sink into the skin, as well as sag.

What treatments are available?

If you are experiencing signs of facial ageing, there are some treatments that can help you. A facelift is one of the most common procedures used to address the signs of facial ageing. This is an extensive procedure that will require a good level of downtime. However, it can help to make you look up to 10 years younger.

Fat grafting to the face

Fat grafting to the face is a good option to correct the loss of volume, and it can be performed alone or as a complementary treatment to a facelift. This treatment uses your body’s own fat, from a donor site, to fill out the face, leaving a more youthful, rejuvenated appearance.

There are also a number of non-surgical treatments available, but a fat graft to the face is often perceived as a safer and more natural procedure compared to dermal fillers, which are only temporary.

To find out which treatment would work better for you, book a consultation today with Mr Paul Tulley. He will discuss with you your options and help you identify which procedure would be right for you.

Cosmetic Surgery Trends

The top predicted cosmetic surgery trends for 2021 have been revealed, with eyelid lifts and breast reductions topping the list.

Experts are gearing up for a rise in facial sculpting procedures, which is thought to be down to the rise in mask wearing and video calling in the ongoing pandemic.

Here, we’ll look at some of the biggest trends predicted to be huge this year.

US face-shaping trends to dominate UK

According to the British Association of Aesthetic Plastic Surgeons, video calls are set to spark a trend for US style face-shaping procedures in the UK. Contouring the jawline is set to become a particularly popular procedure as people worry how they look on video.

Chin augmentation was already becoming popular before the pandemic arrived. The rise in video calls and mask wearing has seen the procedure become even more popular.

Eyelid lifts are another procedure that patients can’t get enough of. Helping to reduce the signs of aging and brighten up the eye area, an eyelid lift is a straightforward procedure with minimal downtime.

More ‘Tweakments’

Beauty experts are also predicting a rise in combined Tweakments. That is, a combination of procedures which subtly contour and refresh the face. Treatments such as tailored injections and medical grade skincare products, will be used together to create flawless results.

Botox has been a popular treatment for over a decade. However, patients are now looking to achieve more natural results.

Similarly, they are starting to move away from exaggerated lip fillers. So, the non-invasive treatment market is set to change a lot this year, moving away from exaggerated results.

Breast reductions on the rise

Another significant trend to watch out for this year is breast reductions. Smaller breasts started to become more popular a few years back.

Larger breasts are known to cause a number of issues, especially for those wanting to lead a more active lifestyle. A breast reduction offers an ideal way to make the breasts smaller, helping patients lead a more active lifestyle.

These are just some of the most popular cosmetic surgery trends set to dominate in 2021.

Before undergoing any procedure, patients are advised to book a consultation with Mr Paul Tulley, to determine whether surgery is the right choice. Call 020 7183 1559 or email enquiries@paultulley.com .

Questions about rhinoplasty

Rhinoplasty has remained one of the most popular cosmetic surgery procedures for decades. A surgery that changes the shape of the nose, it is a complex procedure which needs to be carried out by an experienced surgeon.

While the majority of rhinoplasty procedures run smoothly, there are some risks and complications patients need to be aware of. It helps to know exactly what a rhinoplasty involves. Below you’ll discover the answers to some of the most common questions about rhinoplasty.

What is rhinoplasty?

Commonly referred to as a ‘nose job’, rhinoplasty is a procedure carried out to reshape the nose. It can be used to increase or decrease the size of the nose, alter the shape of the tip, shift the angle between the upper lip and the nose, or straighten out the septum.

The procedure can be carried out via an open or closed technique. In open rhinoplasty, a tiny incision is made between the nostrils. With closed rhinoplasty, an incision is made inside the nostrils. The latter results in less noticeable scarring, though even in the open method, scarring is limited.

The exact process will depend upon the type of surgery being performed. Your surgeon will talk through the procedure with you during the consultation.

Do I need to do anything to prepare?

If you are a smoker, you are advised to quit for at least one month before the operation. This ensures the nose will have plenty of blood flow to aid in the healing process. Patients will also need to avoid taking non-steroidal anti-inflammatory drugs for a period of two weeks prior to the operation.

What can I expect from the recovery?

After rhinoplasty, the face will be bandaged and plastered to protect the area. Stitches are removed within 5-7 days of surgery, before the plaster is removed within 7-10 days. You are likely to experience bruising and swelling during this time.

You will need to take at least two weeks off work and daily activities. Full results of the surgery won’t be visible for around nine months.

Can I combine a rhinoplasty with a different procedure?

In some cases, rhinoplasty can be combined with other procedures such as chin augmentation. You can talk through your options with the surgeon during your consultation. Having combined surgeries can sometimes maximise results.

What is a revision rhinoplasty?

Although rare, sometimes a revision rhinoplasty may be required. It could be that you didn’t like the results, or something may have gone wrong at another clinic and you now need the surgery to be revised. A rhinoplasty revision is a very complex procedure that requires a skilled surgeon. The surgeon will talk through your options and the procedure they will be following based upon your circumstances.

Overall, a rhinoplasty is a popular procedure which can really help patients to improve their quality of life. However, before undergoing the procedure, it’s important to know everything about it.

To discuss whether a rhinoplasty is the appropriate option for you, call 020 7183 1559 or email enquiries@paultulley.com .

Cosmetic Surgery Trends

In 2020, the pandemic forced us to change how we live, work and socialise. It presented great challenges, both economically and health wise.

In a bid to feel better and make the most of the lockdowns, more people than ever before flocked to cosmetic clinics.

Here, we’ll look at the top cosmetic surgery trends that emerged in 2020.

Eye procedures

Eye procedures have undoubtedly become one of the key cosmetic surgery trends for 2020. Mask wearing has drawn attention to the upper-face area, and patients have been seeking more eye-focused treatments. This has led to a boom in treatments such as eyelid lifts or blepharoplasty, brow lifts and eyelash extensions.

Injectable alternatives

An interesting trend, that has been especially popular in America, are alternatives to Muscle Relaxing Injections, which have been the most popular non-surgical aesthetic treatment for many years. While treatments such as Muscle Relaxing Injections and dermal fillers are still popular, treatments which are perceived as more ‘natural’ are quickly catching up.

New treatments are being introduced which don’t contain the proteins that Muscle Relaxing Injections do. However, these treatments are very new and not widely available in the UK.

A natural and safer alternative to dermal fillers is Fat Grafting to the face. This procedure involves your own body fat to fill out any lines on the face and add volume to lips. It can provide a much more natural and longer-term result adding volume and tone to the skin.

Lip fillers

Lip fillers have also been a popular option throughout 2020, despite the fact they are currently covered by masks. A reason for this could be that mask wearing is helping to hide the work while the lips heal. It isn’t uncommon for bruising and swelling to appear after having lip injections, so having them done now while masks can cover them up is a popular option for patients.

These are just some of the key cosmetic surgery trends for 2020. It is likely 2021 will see a continuation of patients looking to undergo these cosmetic procedures.

If you are thinking of having cosmetic surgery, it’s important not to rush into the decision. Going under the knife is a major decision so you should always have a consultation prior to deciding whether it is right for you.

To find out more about facial cosmetic procedures, book a consultation with Mr Paul Tulley by calling 0207 183 1559.

questions about labiaplasty

While it is completely normal and harmless to have asymmetrical or large labia, it can cause embarrassment and discomfort for many women. A labiaplasty aims to correct the issue, helping women to regain their confidence and comfort.

Like any procedure, there are things you need to know before deciding whether or not it is right for you. Here, you’ll discover answers to some of the top questions about labiaplasty.

What is a labiaplasty?

A labiaplasty is a surgical procedure aimed at correcting oversized or asymmetrical labium. The purpose is to reduce the excess and unnecessary tissue of the labia, to make the external genitalia neater and more attractive. It is considered a fairly straightforward and quick procedure.

How long will surgery take?

The procedure is usually carried out under short general anaesthetic as a day case. Dissolvable stitches are used to close the wound and it takes around two hours to complete.

What should I know about the recovery process?

It is common to experience some level of pain and discomfort once the aesthetic wears off. For this reason, patients are advised to wear loose fitting underwear for around one week after the procedure. You can control the pain and discomfort with over-the-counter pain medication.

You will need to avoid sexual activity for a period of six to eight weeks. Normal activities including exercise can be resumed within five to eight weeks. Your surgeon will give you detailed aftercare instructions you’ll need to follow for best results.

Can a labiaplasty cause insensitivity?

A labiaplasty will not cause any loss of sensation. The labia are not connected with feelings of sensory pleasure, as that is served by the clitoris. In fact, the tissue removal from around the clitoris can actually help to increase the clitoral sensation during normal sexual activity.

Are there any risks?

There are some risks and complications associated with a labiaplasty. However, generally speaking it is a safe and low-risk procedure.

The main risks and complications to be aware of include bleeding, infection, sex may become painful and there may be a loss of sensation. The aftercare instructions provided to you will help to minimise the risks involved.

Can you have a labiaplasty at any age?

It is better to have a labiaplasty when it is needed. There is no medical reason to delay a labiaplasty, particularly when the shape of the labia is causing physical and emotional distress.

A labiaplasty can greatly help women to regain their confidence, and can have an extremely positive effect on their personal and professional life.

Book a consultation with Mr Paul Tulley today if you have any more questions about labiaplasty and to find out whether it is right for you.

cosmetic surgery

As the pandemic continues, cosmetic surgeons have never been busier. Many people are using their unexpected free time during lockdown to get cosmetic work done. Interestingly, the pandemic itself has also impacted cosmetic surgery trends.

Here, we’ll look at some of the ways lockdown has encouraged a rise in cosmetic surgery procedures.

How has the lockdown boosted cosmetic surgery?

The lockdown has had a huge impact on people’s lives. Millions of people have had to switch to working from home, while others have been left furloughed for months on end. This has given them the opportunity to undergo procedures they otherwise wouldn’t have had time for.

As the lockdown means you won’t need to see other people for weeks, or even months, it gives you the opportunity to hide any work you do have done. These are just a couple of the main factors that have caused a rise in cosmetic surgery throughout the pandemic.

Has social pressure led to the rise in cosmetic surgery?

The rise in video calls has led to an increase in requests for surgery. A recent study has shown that many people are starting to experience what is being referred to as ‘Zoom dysmorphia’.

After watching yourself on video calls, it can trigger a self-conscious approach. People want to look good for their video calls, so they undergo surgery to improve their facial appearance.

Social media use has also increased, creating ‘selfie pressure’. The lockdown has forced us to confront how we look, with many unhappy about what they see in videos and photos of themselves.

Is now a good time to undergo surgery?

Now might be the perfect time to undergo cosmetic surgery. However, there are also things to consider before deciding to go ahead straight away.

Patients who are thinking of going under the knife to improve their confidence on video calls might want to rethink. When surgery is carried out for mental health purposes, patients often end up regretting their decisions.

If you are going to undergo surgery, it should be for a procedure you’ve been considering for a while. The lockdown gives you a chance to properly recover and hide the work if you want to.

Overall, it’s not hard to see why the lockdown has increased the number of cosmetic surgery enquiries. The above are just some of the main factors contributing to the rise. If you are thinking of undergoing cosmetic surgery during the lockdown, make sure you book a consultation with Mr Tulley to determine whether it’s the right decision.


Having an oversized labia can cause a lot of embarrassment. In most cases, a large labia is normal and absolutely nothing to worry about. However, if it is overly large, it can interfere with your life, causing intimacy issues and feelings of self-consciousness.

If you have an oversized labia, you could have what is known as Labial Hypertrophy. Here, you’ll discover more about the condition and the treatment options available.

What is Labial Hypertrophy?

Labial Hypertrophy is a condition where one, or both vaginal lips are bigger than usual. While each woman’s labia is different, and different sizes and shapes are common, if they are particularly large then you might have Labial Hypertrophy.

The condition tends to mostly affect the inner lips and doesn’t present any other symptoms. It also doesn’t impact sexual health, though the embarrassment caused by the condition can cause some women to avoid sexual relations.

In some cases, you may experience some side effects. These include discomfort and poor hygiene, making it important to clean the area more frequently.

While most cases of Labial Hypertrophy don’t require any treatment, a labiaplasty can be carried out and can significantly improve the patient’s quality of life.

How can a labiaplasty help?

A labiaplasty aims to correct issues with asymmetry in the vaginal lips. It can successfully reduce the size of the labia, giving patients a neater, more aesthetically pleasing look.

If there are any loose edges, dissolvable stitches are used. The procedure takes around one to two hours to perform and is carried out under general anaesthetic. Although you should be out from surgery on the same day, you will then need to rest for up to a week.

What are the risks and complications?

Like any surgery, a labiaplasty does come with some risks and complications. The main ones include:

  • Bleeding
  • Infection
  • Sex may become painful
  • You may not like the results

These are the main things to consider when deciding whether a labiaplasty is the right treatment option for you. It is important to be aware of the risks before undergoing any type of procedure.

You will want to wear comfortable clothing for a week or two after the surgery. You should also avoid sexual activity for six to either weeks.

Overall, having an oversized labia is a lot more common than you might think. If it is causing you a lot of distress and interfering with your life, a labiaplasty is an effective treatment option to consider. Book a consultation today with Mr Tulley to discover more about the procedure and whether or not it is right for you.