The consultation consists of a full discussion to establish your particular requirements for cosmetic, plastic or reconstructive surgery, a review of your medical history and a clinical examination.

A set of pre-operative photographs is usually taken at the time of consultation, for use as a guide by the surgeon and the patient.

The options for treatment will be fully discussed in detail including information regarding the procedure, recovery time, anticipated results and associated risks to ensure the patient can make an informed choice about whether to proceed with surgery at this point.


The consultation fee is payable at the time of consultation booking and can be paid by debit/credit card, bank transfer or cash. It includes further pre-operative visits where required.

The surgical and anaesthetic fees are paid one week in advance usually by bank transfer. These include post-operative out-patient visits. The hospital fee is payable prior to admission. It can be made by debit/credit card, bank transfer or cash.

A number of financing options are available for those patients who require financing for their procedure.


It is important for patients to avoid smoking for a least three to four weeks prior to surgery and for four weeks after for most procedures. This ensures a good blood supply to the skin and other tissues for normal healing and reduces the risk of blood clots forming in the circulation.

Non-steroidal anti-inflammatory drugs, such as aspirin and ibuprofen, should also be avoided for a minimum of two weeks prior to surgery and at least three weeks after to prevent excessive bleeding or bruising post-operatively.


We extend our best wishes to our patients during the Covid pandemic. Our clinics are open for consultations and surgical procedures, with Covid measures including full PPE and Covid testing in place.

Paul Tulley is also available for video and phone consultations for those patients who prefer a peripheral consultation. If you have any questions or need advice about plastic and cosmetic surgery feel free to get in touch.

Please call us on 0207 183 1559, email or complete our contact form and we will be very happy to answer your questions.