malar bags

Everyone develops bags under their eyes at some time in their life. Typically caused by a lack of sleep, a poor diet, and a lack of hydration, most bags disappear by themselves once lifestyle changes have been implemented. If they don’t, you could have malar bags.

Malar bags tend to be a little tougher to treat than lifestyle-related bags. So, what are they and what treatment options are available?

What are malar bags?

Also referred to as festoons, malar bags are swollen mounds that develop under the lower eyelid. This causes a puffy appearance that can give the impression that you are continuously tired.
While in most cases they are harmless and more of a cosmetic issue, in serious cases they can cause vision loss.

The main causes

It isn’t just one thing that causes malar bags to develop. They occur due to a range of combined factors, and these may be different from person to person.

They tend to occur due to a structural problem in the skin of the cheek area and lower eyelid. The Orbicularis muscle and fat and skin compartments of the cheek loosing up, are the biggest culprits. They are a common problem that occur naturally due to ageing, and they may appear worse when you lose weight.

Different treatment options

There are surgical and non-surgical treatments for malar bags. If you want to avoid surgery, laser skin resurfacing, and fillers are ideal options. Fillers can be used to add volume around the bags, though they are only an option if other signs of ageing are also present in the area. Laser skin resurfacing is a more effective choice, helping to tighten the skin and reduce fluid retention in the area.

If you want the most noticeable and permanent results, surgical options such as blepharoplasty and a facelift may be a better option. Blepharoplasty is particularly effective, helping to remove excess skin and fat from the eye area, preventing the eyes from drooping.

To find out which treatment option is right for your malar bags, book a consultation with Mr Paul Tulley today.

after a tummy tuck

After undergoing a tummy tuck, the body needs plenty of time to recover. The procedure is intensive, which means you need to ensure the body is given enough time to rest to fully heal. Returning to exercise too early could damage the results, particularly the muscle repair.

If you are keen to get back to exercise after a tummy tuck, here you’ll discover everything you need to know before you do. From how soon you can exercise, to tips on getting back to it, read on to learn what to expect after the procedure.

After a Tummy Tuck – How soon can I exercise?

While you will likely be desperate to get back to exercise and maintain your new, trimmed physique, it’s important not to get back into exercise too quickly. You shouldn’t return to exercise for six to eight weeks after surgery, depending upon the extent of the procedure.

Your surgeon will let you know how long you need to avoid exercising after the procedure. You will be provided with a list of aftercare instructions to help speed up recovery and get the body back to its pre-surgery fitness level.

Never start exercising until you have received the go ahead from your surgeon. If you get back to it too early, you could risk developing complications, as well as lengthen the time it takes to recover.

Get back into exercise gradually

Above all else, you’ll want to make sure you are getting back into exercise gradually. Not only have you had a lot of time off, but you have also been through a major surgery. So, take it slow and do small workouts to start. Classes and personal trainers should be avoided for the initial 6-8 weeks restarting exercise. You should gradually build up aerobic exercises such as swimming, gentle running and very light weights at your own pace.

Modify your exercises if needed

You’ll also want to modify the exercise you do. Avoid strenuous abdominal workouts, planks, squats, and pull-ups. When you do exercise, if you lift weights make sure you switch to lighter ones.

Overall, waiting until the body is fully healed before you exercise is vital to enjoying a safe recovery. To book a tummy tuck or learn more about getting back to exercise after the surgery, contact Mr Paul Tulley today.

Risks of a Facelift

Facelifts are a popular cosmetic procedure used to eliminate the signs of ageing. Thousands of facelifts are carried out each year in the UK, correcting sagging skin, wrinkles, and deep creases around the mouth.

While a facelift procedure is typically safe and effective, there are some risks involved. To ensure you make the right decision, it is important to be aware of the potential risks and complications you may encounter.

What are the complications of a facelift?

Improved techniques have made facelifts a lot safer over the past decade. However, there are some complications you need to be aware of. These include:

  • Bleeding and bruising
  • Temporary damage to the facial nerves
  • Infection
  • Numbness
  • Scarring
  • Hair loss around the incision site
  • Skin necrosis

Some of these complications are rarer than others. Bruising is common, and typically lasts up to 2-3 weeks, depending on the extent of surgery. Bleeding is unusual and measures such as the use of drains and drugs to tighten blood clotting are used to minimise the risk. Patients should take things very quietly for the initial 3 weeks to reduce the risk further.

Hair loss around the incision site and skin necrosis on the other hand, are quite rare. Incisions are very carefully placed in skin creases to minimise the risk of hair loss. Smoking and all nicotine products must be avoided for at least a month before and after surgery to avoid this risk.

Risks associated with the procedure

There are some risk factors that can increase the likelihood of you suffering complications after a facelift. They include those with serious medical issues, diabetes, high blood pressure, smokers, and blood thinners.

All patients should be in good physical and mental health. If you do have a medical condition, or you have diabetes and high blood pressure, the risks of the procedure will be increased. If you are a smoker, quitting before a facelift is essential.

If you are taking blood thinning medication, this will need to be stopped before the procedure and will be discussed at consultation as to whether this is possible or desirable.

Following your surgeon’s aftercare advice

If you want to avoid the risks and complications of a facelift, it is best to follow your surgeon’s advice. They will provide you with a list of aftercare instructions you’ll need to follow. This ensures a speedy, straightforward recovery.

You can learn more about the risks and complications of a facelift by booking a consultation with Mr Tulley today. During your consultation, you will undergo an assessment to ensure you are an ideal candidate. Your individual risks will be discussed, alongside any advice on how to minimise them.

Pregnant After A Tummy Tuck

A tummy tuck is an extensive procedure that helps to shape and contour the abdomen. Ideally, you should wait to have one until you have finished having children. However, what happens if you do get pregnant after undergoing the procedure?

Here, you’ll discover whether it is safe to get pregnant after a tummy tuck, and what will happen to your results if you do.

Is it safe to get pregnant after undergoing a tummy tuck?

Generally speaking, there aren’t any risks of falling pregnant again after you have undergone a tummy tuck. Both you and your baby will remain safe, regardless of whether you had a mini tummy tuck or a full abdominoplasty. However, there are some risks you should be aware of including:

  • An increased risk of infection
  • An uncomfortable pregnancy

The risk of infection is still low, but it is something to keep an eye on after the procedure. The main complication you may experience is an uncomfortable pregnancy. This is because the skin around the midsection is tighter, which can lead to some level of discomfort.

If you have any doubts, book a consultation with Mr Paul Tulley to identify your individual risk factors.

Will you be able to maintain results after giving birth?

The main concern patients have when they are thinking of giving birth after a tummy tuck is what will happen to their results. It is possible that the pregnancy will stretch the skin once again, causing the same results as before you underwent the procedure.

The rectus muscles may become separated, and you may also develop additional stretch marks in the area. However, there is a chance you will still maintain the results after giving birth.

Will I be able to have a second tummy tuck?

If you do lose the results of your initial tummy tuck after pregnancy, you can undergo a second one. However, you will need to wait until the body has fully healed before you can undergo another procedure.

It is also possible that you may not need a full tummy tuck. Instead, you may benefit from a limited revision, which wouldn’t be as intensive.

If you are thinking about getting pregnant after undergoing a tummy tuck, book a consultation to discuss the risks with Mr Paul Tulley. He will be able to advise you on whether it is better to wait a while to get pregnant again, and what you can expect if you do need an additional procedure.

Breathe more easily

Rhinoplasty procedures are typically associated with the aesthetic benefits they provide. However, did you know they can also aid in the way your nose functions too?

If you suffer with breathing issues, a rhinoplasty can help to correct them, providing a significant improvement in your quality of life. In this blog, you’ll discover how a nose job can help you to breathe more easily.

What is a rhinoplasty procedure?

A rhinoplasty procedure can be carried out for cosmetic and functional purposes. In the case of functional procedures, the nose is re-shaped to allow proper drainage and to restore airflow. If the issue is caused by a deviated septum, a procedure known as a septoplasty will be performed. This includes straightening out the septum to encourage adequate airflow.

The procedure is intensive, typically requiring a minimum of two weeks of rest. However, vigorous exercise should also be avoided for a period of six weeks. Your surgeon will be able to give you a more accurate picture of what to expect from your recovery.

How can a rhinoplasty help you breathe easier?

Breathing impairments are most often caused by structural abnormalities. The most common structural abnormality experienced by patients is a deviated septum. The septum is the piece of thin cartilage which splits the nostrils into two. But if it isn’t centred correctly, breathing normally can become difficult.

A rhinoplasty can help to correct breathing issues by changing the structural shape of the nose.

Do you need a rhinoplasty to correct breathing issues?

Although a rhinoplasty can correct breathing issues caused by structural problems with the nose, it won’t necessarily fix every issue. This is because your breathing troubles may not be caused by a structural concern.

A couple of other causes of breathing difficulties include:

  • Nasal polyps
  • Allergies

Firstly, nasal polyps can develop in the sinuses. These are associated with asthma, regular infections, and allergies. They are soft and painless, but they can cause serious issues with breathing if they are left untreated. In addition, allergies can play a role, causing the nasal passages to become inflamed.

If you are experiencing breathing difficulties of any kind, the first step is to visit your GP. If it is connected to structural issues within the nose, a rhinoplasty could be an effective treatment. To learn more about functional rhinoplasty, book a consultation with Mr Paul Tulley today.

Botched Cosmetic Surgery

Despite the dangers, thousands of people are jetting off abroad to undergo cosmetic procedures. This has led to a rise in botched surgeries.

A new audit from the BAAPS has revealed that botched cosmetic surgery from abroad has risen by a staggering 44%. So, what is causing the rise in botched procedures and why is it risky to go abroad?

Why has there been a rise in botched cosmetic surgery?

According to the British Association of Aesthetic Plastic Surgeons (BAAPS), in the past four years 324 patients who had cosmetic surgery abroad needed to be treated for serious complications. The biggest rise was seen in 2021 where the number of botched cosmetic procedures rose by 44%.

The most common complications that patients need to be treated for include systemic infections, dead skin tissue, and unnatural looking results. Patients who flew to Turkey to undergo cosmetic surgery suffered the greatest number of complications. Interestingly, abdominoplasty procedures were also revealed to pose the biggest risk.

The reasons behind the increase in botched cosmetic surgery abroad usually relate to more people trying to save money – saving money is the number one reason Brits fly abroad for surgery. They are enticed by cheap deals that can work out significantly cheaper than local clinics.

However, the cheap prices often reflect the quality and safety of the surgery. The industry isn’t as well regulated in foreign countries like Turkey, as it is in the UK.

Should travel insurance be made mandatory?

In a bid to tackle the rising issue of botched cosmetic surgeries from abroad, the BAAPS is recommending that cosmetic surgery travel insurance be made mandatory.

Many of the botched procedures end up being treated on the NHS, which is already strained after the pandemic. But, travel insurance would cover the cost, saving the NHS millions of pounds.

Furthermore, patients need to be more informed about the potential dangers of undergoing cosmetic surgery abroad.

Understanding the risks of having cosmetic surgery abroad

The trouble with going abroad for cosmetic surgery is that the industry isn’t as well regulated as it is in the UK. This means there are a lot of inexperienced surgeons offering cheaper surgeries. The low cost of procedures abroad can be tempting, especially to those on a budget. However, you are often sacrificing your safety and your health for a cheaper price.

In addition, it isn’t recommended that you fly for several weeks after having certain cosmetic procedures eg abdominoplasty. Doing so increases the risk of complications e.g. blood clots (DVT and PE).

The rise in botched cosmetic surgery abroad is worrying. If you want the best, safest results, make sure you choose a reliable surgeon in the UK. Book a consultation with Mr Paul Tulley today to discuss your cosmetic surgery options.

mummy makeover

Mummy makeovers became a huge trend a few years ago and today they are more popular than ever. Combining multiple procedures, they aim to provide a drastic transformation helping to boost confidence and get you the look you want.

Not sure what it is, or what it involves? Read on to find out everything you need to know.

What is a mummy makeover?

A mummy makeover involves undergoing multiple procedures to various areas of the body, often at the same time. The goal is to achieve the body you had before your pregnancy.

Celebrities were a driving factor behind the initial trend, with many women feeling the pressure to slim down after giving birth. These days, a lot of women undergo these procedures because they simply want to get back their confidence.

Who is a good candidate for a mummy makeover?

Good candidates for a mummy makeover are those who:

  • Are in good physical and psychological state
  • Are at their ideal body weight
  • Have realistic expectations of the surgeries
  • Are mothers who have experienced changes in their body contour and shape

Certainly, you should also not be planning on having any more pregnancies anytime soon. While it isn’t dangerous to fall pregnant again after the procedure, it will impact your results.

What areas are typically worked on?

A mummy makeover usually involves work on the abdomen, breasts and thighs. The procedures most carried out are a breast lift, a tummy tuck, and liposuction.

Breast lifts – A breast lift helps to correct sagging breasts. After giving birth and breastfeeding, the breasts are often left saggy and lacking volume. A lift helps to make them perkier, and can be combined with breast augmentation to add volume if needed also.

Tummy tuck – A tummy tuck is frequently the most effective way to get back your pre-pregnancy body, providing dramatic results. It removes spare skin and tissue from the lower abdomen, tightens the abdominal muscles which are often stretched during pregnancy, producing a flat stomach and narrower waist without tissue excess.

Liposuction – One of the biggest complaints women have after giving birth is stubborn pockets of fat. Even with diet and exercise, it can be difficult to get back your pre-baby body. But liposuction is very effective to eliminate stubborn areas of fat, helping to contour the body and regain your confidence. Common areas treated include the abdomen and waist (often combined with an abdominoplasty) and thighs.

These are just three of the most popular surgeries included in a mummy makeover. However, they can be tailored to your specific needs. Book a consultation with Mr Paul Tulley today to determine which procedures would give you the best mummy makeover results.

nose jobs recovery

Nose jobs are one of the most popular cosmetic surgeries carried out on patients in the UK. Helping to reshape and resize the nose, rhinoplasty is a complex procedure that requires a lot of skill to get right. One thing that will determine the results of the surgery, is how well a patient recovers after the procedure.

So, what can you expect from nose job recovery? Find out everything you need to know below.

How long does it take to recover from a nose job?

A rhinoplasty procedure takes anywhere from one to three hours to complete. It is carried out under general anaesthetic, and patients will often stay in the hospital/recovery room for another two to three hours before going home.

Standard rhinoplasty recovery time is 2 weeks, during which time a cast is worn for 10 days and steristrips for a further 4-5 days. Work, socialising, driving and exercise should be avoided during this period.

The surgeon will give you a list of aftercare instructions you will need to follow. This speeds up recovery while reducing the risk of complications.

After the surgery, bruising will typically develop around the eyes. This is completely normal and will last up to 10 days. Around a week after the procedure, you will need to attend a check-up appointment to remove sutures; the cast is removed after 10 days.

What risks and complications should I be aware of?

There are several risks, and complications patients should watch out for after a nose job. These include:

  • Infection
  • Breathing difficulties
  • Poor wound healing
  • Skin swelling or discolouration

These are some of the most common risks and complications associated with the procedure. You can talk them through with the surgeon to determine the best way to reduce your individual risk factors.

How can I improve my nose job recovery?

There are several ways you can speed up and improve your recovery after a nose job. Keeping the head propped up correctly while sleeping can make a big difference. This will reduce the amount of swelling on the face. Patients are typically advised to sleep on their back for the first four weeks after the surgery.

Quitting smoking is essential, and avoiding blowing the nose is also recommended. Tobacco smoke is well known to slow down and complicate healing after surgery and can lead to skin loss.

The best thing you can do to aid in your recovery, however, is to follow the instructions provided. After undergoing rhinoplasty, Mr Paul Tulley will provide strict aftercare instructions to help reduce the risks and ensure the fastest recovery. Book in today to find out more.

tummy tuck

A tummy tuck is a surgical procedure that can eliminate excess skin, stretch marks, scars, and fat from the abdominal area. It tends to be carried out after women have given birth or on those who have lost a significant amount of weight and have excess skin left over.

While the procedure can remove some excess fat, it isn’t a good alternative to weight loss. Liposuction can be used to suck out stubborn pockets of fat and improve contouring further in many cases. Ideally, you will undergo the procedure after losing weight.

There are two different types of tummy tucks patients can undergo. They include a full and a mini tummy tuck. Both procedures come with their own pros and cons, so it helps to understand each one before deciding which procedure is right for you.

Should I have a full or mini tummy tuck?

Traditional tummy tucks are full abdominoplasty procedures. They remove a larger portion or all of the excess skin and fat below the umbilicus. The muscles are also usually tightened during the procedure flattening the abdomen and narrowing the waist.

A mini tummy tuck is a less invasive procedure, though the surgeon will still remove excess fat and skin. The main difference between the two is that the umbilicus isn’t typically moved during a mini tummy tuck and only a portion of the skin under the umbilicus is removed. It is only suited to a smaller number of relatively slim patients with a limited amount of skin excess in the lower abdomen only.

The majority of patients usually require a full abdominoplasty, particularly after childbirth or significant weight loss.

Would liposuction be a better alternative?

A tummy tuck is good for removing excess skin and tightening up the tummy muscles. If your main issue is excess fat in the abdomen, liposuction may be a good alternative. However, this only applies if there is only a small stubborn area of fat to remove. Liposuction alone doesn’t tighten up the muscles or address any loose skin. So, a tummy tuck would be required if these issues are present.

To determine whether a tummy tuck would be the right procedure for you, book a consultation today.

droopy nose

As we age, our skin and bones go through a variety of changes that can impact how we look. The skin starts to produce less collagen and elastin, while bone density begins to drop. This can lead to noticeable changes in our facial appearance, including wrinkles, sagging skin, and even a droopy nose.

Even those who have undergone a rhinoplasty earlier in life, aren’t immune to these ageing effects. Many patients require a revision rhinoplasty to combat changes they experience later in life. So, what causes a droopy nose and how can you correct it? Discover everything you need to know below.

What causes a droopy nose?

It can develop for a variety of reasons, and it can affect men and women equally. Some of the most common causes include:

  • Hormones
  • Ageing
  • Untreated nasal injuries
  • Weak internal structure
  • Previous rhinoplasty procedure

Hormones can play a role in the development of a droopy nose in women. As oestrogen levels drop with age, it causes issues with skin elasticity and volume. This in turn can cause the tip of the nose to droop down and forwards.

Untreated nose injuries tend to be one of the biggest causes of a droopy nose in men. The problem could also be triggered by a weakening of the internal structure of the nose. Over time, changes within the ligaments and cartilage can weaken the structure, causing the nose to droop downwards.

A previous rhinoplasty procedure that didn’t support the tip of the nose could also cause a droopy nose. Whatever the cause, there are ways to correct a nose that you are unhappy with, and regain your confidence in how you look.

How can you treat a droopy nose?

The treatment will depend upon the cause. In most cases, a tip rhinoplasty procedure is a great option. This corrects a droopy tip without touching the bridge of the nose. As it is less extensive than a full rhinoplasty procedure, the recovery isn’t as intensive. The results of a rhinoplasty tip procedure are generally predictable and also long-lasting.

You could opt for fillers if you are seeking a non-surgical option. Filler can be injected into the sides of the tip, as well as within the nasal bridge. However, it is important to be aware that fillers are only a temporary treatment, and they will need to be repeated to maintain results.

If you want to correct a droopy nose, book a consultation with Mr Tulley today to discuss your options.