London cosmetic surgery c

We extend our best wishes to our patients during the current Covid situation and hope you are staying safe.

We have now reopened our clinics and restarted operating with Covid measures including full PPE in place. Paul Tulley is also available for video and phone consultations if you have any questions or need advice about plastic and cosmetic surgery.

Patients for surgery will be Covid tested ahead of surgery, and will need to quarantine ahead and following surgery as per the government guidelines.

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

liposuction preparation

Liposuction can be a really effective way of eliminating stubborn pockets of fat. However, results can differ between patients.

Did you know there are some things you can do to prepare for the procedure in order to achieve the best results? Below, you’ll discover some of the best ways to prepare for a liposuction procedure in order to get the results you’re looking for.

#1 Try and reach your goal weight

The mistake is to see liposuction as a weight loss procedure. This is particularly true now as liposuction techniques and technology has evolved, meaning cosmetic surgeons are able to sculpt the body, removing small pockets of fat that haven’t shifted through diet and exercise alone.

To achieve best results, therefore, it’s important to be at or near your ideal weight. If you are overweight, you aren’t going to see much in the way of results due to how little fat the procedure removes.

#2 Ensure you’re following a healthy lifestyle

Similarly, you’ll want to make sure you are already following a healthy lifestyle before the procedure. This means ensuring you are getting enough exercise and eating healthily. If you’re following a healthy lifestyle already, you’ll find it much easier to maintain results. Remember, liposuction isn’t a replacement for a healthy lifestyle.

A high protein diet, vitamin C, multivitamins and minerals (Zinc and Iron) all aid recovery.

#3 Quit smoking

If you smoke, you’re going to want to quit before the procedure. This is because it has been proven that smoking increases the risks and complications of surgery. So, if you want to minimise the risks, quitting smoking at least two weeks before having liposuction is recommended.

#4 Things to avoid

Non-steroidal anti-inflammatory drugs, e.g. Aspirin, Ibuprofen, Voltarol, should be avoided for two weeks before and after surgery as they increase bruising by interfering with blood clotting.

#5 Get your home prepared

Although liposuction requires very little downtime, you’ll still need to rest up for a few days. So, before you have the procedure, it’s a good idea to get the home ready for your return. Make sure it’s clean and everything you’ll need is within easy reach. Also, make sure you have easy, yet healthy meals available, so you won’t have to spend much time in the kitchen.

These are just some of the steps you can take to prepare for liposuction. London body contouring expert Mr Paul Tulley will also tell you what you should and shouldn’t be doing prior to your procedure. For more advice, call 020 7183 1559 to arrange your liposuction consultation.

London cosmetic surgery consultation

When carried out for the right reasons, cosmetic surgery can provide a lot of benefits. It can boost your confidence and significantly improve your quality of life. However, it’s important to go into it with realistic expectations.

The commonest groups of patients undergoing cosmetic surgery are younger patients looking to improve a particular feature (eg with a breast augmentation, rhinoplasty or liposuction), patients following childbirth who wish to improve their body contours (eg a tummy tuck or breast lift), and older patients desiring rejuvenation surgery.

For the vast majority of patients undergoing cosmetic surgery, commonly in these groups of patients, they’ll have clear goals and be very satisfied with their results. Here, we’ll look at the importance of maintaining realistic expectations in cosmetic surgery and why it matters.

Why are realistic expectations important?

Over the years, cosmetic surgery procedures have been improved and advanced. The results you can achieve today are remarkable compared to decades ago. However, even with advanced procedures, it is very important to be clear in the results you’re looking to achieve. A smaller group of patients can seek cosmetic surgery with unrealistic expectations.

The trouble with unrealistic expectations is that they can leave you feeling deflated after the surgery. The results may not be what you were expecting which can be devastating when you’ve spent a lot of money on a procedure.

You need to know what can be achieved with the procedure you’re undergoing. It can help to write down your reasons for the surgery and how you expect it will change your life. Then, look at what you’ve written and determine if what you think will happen is realistic. Do your research to see what kind of results others have experienced. However, remember that everyone is different, and you may not achieve the exact results as somebody else.

How social media can add to unrealistic expectations

One of the main reasons why people often have unrealistic expectations of cosmetic surgery is social media. These days, social media is all about influencers. You only have to pop onto Instagram, and you’ll be met with thousands of photos of Insta models and influencers with ‘perfect looks’.

In fact, a recent study published in Current Psychology found that viewing images of facial cosmetic enhancements increased the desire for cosmetic surgery among young women, especially for those who spend more time on social media.

What you don’t always realise is that even influencers don’t always look how they appear on social media. It’s common to use filters to enhance images. So, if you’re relying upon photos of someone on social media to determine the results you can expect, you could end up disappointed. It’s important to discuss these types of images with your surgeon to see if it’s realistic that you could achieve a similar outcome.

Knowing what type of results to expect

In order to have realistic expectations, it’s important to know what the procedure you’re undergoing can achieve. You will get a good idea of the type of results you’ll experience during your consultation. The surgeon should have a full discussion with you as to the results you desire, perform a detailed examination, then give you an indication of the results you are likely to achieve, including showing you examples of their work.

During your London cosmetic surgery consultation, Mr Paul Tulley will let you know the type of cosmetic changes you can expect. Discuss your expectations and see whether they are achievable before going ahead with the procedure.

If you want to ensure you’re happy with the changes cosmetic surgery can deliver, having realistic expectations is key. The above are just some of the reasons that realistic expectations are important. Call 020 7183 1559 to arrange a consultation.


understanding revision rhinoplasty

Rhinoplasty may be one of the oldest and most common cosmetic surgery procedures, but it is also one of the most complex to perform. The bones and structure of the nose are relatively fragile and prone to damage and an essential part of the respiratory system. This means in order to achieve the best results; surgeons need to be fully qualified and experienced. Even then, there are still a lot of things that can go wrong.

Although rare, complications with rhinoplasty procedures can occur. This could lead to the patient having to undergo revision surgery. Here, you’ll discover a brief overview of revision rhinoplasty to help give you a better understanding of what it involves.

What is a revision rhinoplasty?

A revision rhinoplasty is carried out to correct functional or aesthetic issues with the nose caused by an initial rhinoplasty procedure. The goal is to give the patient the results they expected when they first underwent the procedure.

London revision rhinoplasty

Why might you need one?

There are a number of reasons you may need a revision rhinoplasty procedure. Mostly, patients choose to undergo an additional procedure because they aren’t happy with the results of the first procedure.

There could also be issues with the function of the nose after the first rhinoplasty. Patients may find it more difficult to breathe through the nose for example. In this case, revision surgery would be required to correct the issues caused by the first procedure.

revision rhinoplasty

The risks and complications

A revision rhinoplasty is a more complex procedure than a first-time rhinoplasty. This is because there are structural changes and scar tissue which were not present with the original procedure. It, therefore, takes a very skilled and experienced surgeon to carry out the surgery.

Like any cosmetic procedure, there are risks and complications associated with revision rhinoplasty. The main ones include excessive scarring, prolonged swelling, loss of smell and further cosmetic deformities. Even if you choose the best surgeon in the world to carry out the procedure, it doesn’t eliminate the risks.

It is important to undergo a consultation prior to seeking revision rhinoplasty treatment. Mr Paul Tulley will discuss the risks and complications, as well as help you determine the level of results you can expect to see. It is one of the most complex cosmetic surgeries you can undergo so you need to be aware of the pros and cons before deciding whether to go under the knife

elective cosmetic surgery

The recent lockdown caused by COVID-19 has seen the majority of businesses temporarily close their doors. Like all surgical disciplines, plastic surgeons have been forced to suspend elective surgery due to being unable to provide treatment in line with current Government measures.

Now, as restrictions start to ease, how might it change the plastic surgery industry? Clinics around the world have had to come up with solutions to ensure they can provide a safe service in line with new measures. So, what will plastic surgery look like post lockdown?

Cosmetic surgery demand increases across the globe

The pandemic certainly hasn’t decreased demand for cosmetic surgery procedures. Across the world, clinics have seen a surge in requests, particularly in Japan.

Many people are seeing the current situation as a chance to get cosmetic work done which they may not have had time to get done before. The fact you now have to wear a mask in public has also helped to hide potential scarring that would otherwise be noticeable after surgery. However, some experts are worried this surge in demand could help to spread the Coronavirus.

In America, they are also starting to open up cosmetic clinics as the lockdown eases in certain states and clinics are reassuring patients that they will be using full PPE to keep both surgeons and patients safe.

What could the future of plastic surgery look like?

Cosmetic surgery procedures, such as facelifts or nose jobs, are elective and therefore it is essential that they are as made as safe as possible. So, what could the future of cosmetic surgery look like?

New guidelines will be introduced to ensure cosmetic procedures can be carried out safely. Surgeons and all clinic staff will be required to wear full PPE. To begin with, surgeries will also be prioritised in terms of medical need. Due to increased demand, patients may also need to wait a lot longer to receive an appointment.

There is also talk that consultations may be carried out virtually where possible until a vaccination can be found. Patients will also likely be screened prior to coming into clinics and healthcare staff regularly tested. These are just some of the measures currently being discussed.

Most cosmetic surgery procedures are currently carried out using general anaesthetic, but in recent years there has been an increase in the use of local or regional anaesthetic combined with sedation as it is considered safer. Expert advice indicates that this is particularly true during the Coronavirus pandemic, reducing the risk of transmission and post-operative complications.

The COVID-19 pandemic has drastically changed the way we live and work. In order to keep both patients and staff safe, cosmetic clinics need to make adjustments to how they operate and, certainly, it will be very interesting to watch what happens in other countries and how they cope. The future of plastic surgery certainly looks a lot different from how it did just a few months ago.

Currently, Mr Paul Tulley is available for video or phone consultations if you have any questions or need advice about plastic and cosmetic surgery.

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

benefits of a breast lift

Want your breasts to look perkier and fuller? The standard go-to procedure for women seeking a breast enhancement is breast augmentation. However, did you know a breast lift could give you the same results you’re looking for?

Here, you’ll discover more about what a breast lift is and the benefits it provides.

What is a breast lift?

Also known as a mastopexy, a breast lift is typically used to correct saggy, droopy breasts. It eliminates excess skin while tightening the tissue to produce a more youthful appearance. The areolas may also need to be reduced in size and moved to a more elevated position.

There are a lot of reasons women choose to undergo a breast lift procedure such as weight loss, breastfeeding and ageing. Whatever the reason, the procedure can really help to provide a perkier, more youthful appearance.

What benefits does it provide?

There are a lot of benefits of a breast lift including:

  • Helping you to regain your confidence
  • It creates a firmer, more youthful appearance
  • Improved nipple appearance
  • Reduced irritation

When you have saggy, droopy breasts, it can really impact your confidence. It might even limit what you wear. A breast lift can help you to regain your confidence and increase your wardrobe options.

The breasts will be left looking a lot firmer and more youthful after the procedure. It can also help to improve nipple projection. When the breasts are sagging, it can cause the nipple to point downwards, creating an older and elongated look. By altering the position of the nipple, it can enhance the appearance further.

Finally, it can also help to reduce irritation under the breasts. When the breasts are sagging, it can irritate the skin underneath, leading to rashes and itchy skin. So, by correcting them this irritation will be removed.

Things to consider before a breast uplift procedure

There are a few things to consider before undergoing a breast lift procedure. Firstly, understand that it’s different to breast augmentation. While it can leave you with fuller looking breasts, a breast lift won’t drastically alter the size of them.

It’s also important to ensure you’re choosing a skilled, experienced surgeon. While the procedure is relatively straightforward, the risks increase if you opt for a surgeon with minimal experience.

If you’re looking to make the breasts appear perkier and more youthful, a breast lift could be the right option for you. The above are just some of the benefits the procedure can provide. Why not book a consultation to see whether a breast lift could be the right procedure for you?

male breast reduction

The annual audit by the British Association of Aesthetic Plastic Surgeons has been released and it shows a continued interest in male breast reduction. Overall procedures saw a slight drop in 2019, but male breast reduction procedures stayed strong, rising by 4%.

Here, we’ll look at why male breast reductions remain popular and what the procedure involves.

Why are male breast reductions on the rise?

Although there has only been a slight increase in male breast reduction procedures over the past year, it still remains a highly popular procedure. This can be due to a number of reasons; sufferers can experience much shame and embarrassment, particularly with the pressure on body image exacerbated by social media. It’s also a problem that is difficult to tackle with just diet or exercise alone.

Greater awareness that there is a surgical solution has also increased demand. A male breast reduction procedure is pretty straightforward and it’s extremely effective. The procedure has also seen a lot more coverage in the media, letting men know they can eliminate the condition if they want to.

Men are increasingly becoming concerned with how they look and procedures like a male breast reduction can help to boost their quality of life.

What does the procedure involve?

The technique used during a male breast reduction will depend upon the severity and type of the condition. If it is mild, liposuction can often be enough to clear up the problem. However, if there is a lot of excess tissue, this will need to be removed before the area is tightened.

Male breast reduction procedures are typically carried out under general anaesthetic. There is the possibility you may need to stay in the hospital overnight, but this isn’t always the case. You will need to rest for a week or so after the procedure to ensure it heals correctly.

Understanding the risks and complications

Like any procedure, there are risks and complications to be aware of before deciding whether it’s the right option for you. Bruising, swelling, scarring and bleeding tend to be the biggest risks associated with the surgery. However, generally speaking, the risks are extremely low.

Provided you use a plastic surgeon with extensive experience, male breast reduction is a straightforward procedure. During your male breast reduction consultation with Mr Paul Tulley, he can show you examples of his previous work and cover his experience in this particular procedure.

London Coronavirus guidance

A very interesting report from Channel 4 News on the strategy that South Korea employed to control the Coronavirus. Early intense testing and the use of mobile phone and other personal data identified carriers early, which prevented spread and drastically reduced deaths compared to Italy and most other countries affected.


prejuvenation trend

A new report from the American Academy of Facial Plastic and Reconstructive Surgery has revealed social media is still driving cosmetic surgery trends.

Almost 175 board-certified cosmetic surgeons took part in the report which looked into surgical as well as minimally invasive procedures. Results showed that minimally invasive procedures saw the biggest rise in popularity, particularly injectables such as Botox.

Here, we’ll look at how social media is still driving cosmetic surgery trends.

The quest for the perfect selfie

One of the main ways that social media is driving cosmetic surgery is the quest for the perfect selfie. Although the selfie trend started years ago, it remains just as popular now as it once was. Apps such as Instagram have largely driven the trend, with users feeling pressure to look perfect in the photos they post.

Cosmetic surgeons have seen an increase in patients looking to enhance their looks purely to take better selfies.

Celebrity influencers play a big role

Another way social media is driving cosmetic surgery trends is down to celebrity influencers. Again, Instagram has largely contributed to the rise in influencers today. Celebrities still remain the most powerful influencers, continually changing their looks and advertising the latest cosmetic procedures they’ve undergone.

Kim Kardashian, Bradley Cooper and Brad Pitt have been listed as some of the main influencers in cosmetic surgery trends.

Prejuvenation is set to be big in 2020

iSo, what’s the latest cosmetic trend set to be as we enter a new decade? Well, according to social media, it’s Prejuvenation.

This is the term given to anti-ageing treatments being used in younger patients. Millennials have driven the trend to undergo work before it’s actually needed. This largely includes filler treatments such as anti-wrinkle injections.

The idea behind Prejuvenation is to prevent the signs of ageing from occurring in the first place. They use the treatments as precautionary measures, even when they aren’t needed. This is thought to be down to the scrutiny the younger generation face because of social media. The constant need to look perfect has led Millennials to seek preventative measures.

Social media has definitely played a huge role in the popularity of cosmetic surgery today. It continues to dominate cosmetic surgery trends and shows no signs of slowing down.

After undergoing breast augmentation, the results typically last for many years. However, what happens if you want to further change the appearance of the breasts? Breast implant exchange is ideal for those looking to alter the shape or size of the breasts after having implants. It is becoming increasingly popular, but what exactly is it and what does it involve? Here, you’ll discover everything you need to know about the procedure.

What is a breast implant exchange?

A breast implant exchange is also referred to as breast re-augmentation. It involves basically switching the existing implant for a different one.

The procedure is similar to that used in the original breast implant procedure. It is performed under general anaesthetic and will usually involve going through the existing scar from the previous surgery.

If you are opting for a larger size implant, the pocket may need to be extended to accommodate the larger size.

What problems can it address?

There are many reasons why you may choose to undergo this procedure. These include:

  • You are no longer happy with the size and shape of the original implant
  • You have gained or lost weight
  • The original implants are due to be replaced or removed

If you’ve gained or lost weight since your original implant, it can alter the look of the initial results. Therefore, if no further weight gain or loss is expected, a breast implant exchange can help to create more aesthetically pleasing results.

Are there any risks involved?

Like all cosmetic surgery procedures, there are risks. The size and shape of the nipple could be impacted, which could mean it has to be moved. You may also experience swelling and redness, along with a loss of sensation in the nipple. However, any loss of sensation is usually only temporary.

Until the results have settled, you may find the breasts also look a little uneven. Besides this, the risks and complications are the same as they were in the original breast implant procedure.

Combining breast implant exchange with a breast lift

For best results, a breast implant exchange is often combined with a breast lift. This is especially ideal for patients who have experienced weight loss or sagging of the skin. The two procedures combined will leave you with the most natural-looking results.

If you’re considering a breast implant exchange, book a consultation today. This will help you to determine whether the procedure is right for you.