Surgery After Weight Loss

Weight loss is something many people strive for, and it can deliver excellent health benefits. However, many patients are left frustrated and embarrassed after losing a large amount of weight due to leftover excess skin. You may be left with loose, heavy folds that hang down from the stomach, arms, and legs.

The only way to eliminate this excess skin is through surgery. However, before jumping in and undergoing cosmetic surgery after weight loss, there are things you’ll need to consider.

How long should I wait before undergoing surgery?

Ideally, you should wait at least 18 months after losing weight to undergo cosmetic surgery. This gives the skin plenty of chance to shrink and ensures your weight loss is stable. You should quit smoking, and ensure you are generally healthy before the procedure. This will limit complications and improve the results.

What is body contouring and how can it help?

After weight loss, patients can undergo a number of body contouring procedures. These include, but aren’t limited to:

  • Tummy tuck
  • Lower body lift
  • Thigh lift
  • Arm lift
  • Breast surgery

Anywhere that excess skin and fat has been left over can be treated with an effective procedure. The goal of body contouring surgeries is to target small areas of the body. They correct issues that can’t be fixed through diet and exercise.

According to research, patients who undergo body contouring procedures after weight loss experience significant improvement in their emotional wellbeing, quality of life, physical function, and body image satisfaction.

Can I undergo multiple surgeries at once?

Multiple surgeries may be recommended to help you achieve your dream body. For example, liposuction may be carried out alongside an arm lift. Various procedures can be carried out at the same time, though this will depend on your overall health.

Sometimes combining different surgeries is the best way to achieve the results you are looking for. You can speak to your surgeon to determine which procedures are right for you.

If you have recently lost a lot of weight and you have been left with excess skin or fat, book a consultation with Mr Paul Tulley today. He will help you choose the best procedures to address the issue, leaving you with your dream, toned body that you worked hard for.

cosmetic procedures

Want to achieve the perfect summer body this year? Undergoing cosmetic procedures during winter is the best way to ensure you get results in time for the summer season.

There are several reasons why going under the knife in winter is beneficial. So, what are the benefits and what are the best winter procedures you can undergo?

The benefits of having cosmetic surgery in winter

Winter is one of the best times of year to undergo cosmetic surgery. You get more time off work, which makes it easier to schedule in the downtime required. Major procedures such as a tummy tuck, facelift, or breast augmentation, can take months to fully heal. The bruising and swelling commonly left behind can also take weeks to clear up.

Depending upon the type of procedure you undergo, you may be required to wear a compression garment. In the summer months, this could prove to be uncomfortable. However, as it is colder in winter, you may even find that the garment makes you feel warmer, and more comfortable.

As many cosmetic surgeries leave behind temporary short-term physical scarring and bruising, it can be difficult to hide them in spring and summer. In winter however, you naturally cover up more, making it easier to hide any work you have had done.

These are just some of the reasons you may want to undergo a winter procedure.

What are the best winter cosmetic procedures?

Some procedures are better performed in winter than others. The main types of procedures to consider at this time of year include:

  • Liposuction
  • Breast augmentation
  • Facelift

Liposuction is one of the few procedures that require you to wear a compression garment for a period of time. Not only is this more comfortable to wear in winter, but the cold can also prevent excessive swelling. The results can take months to properly show, though you will see some improvement instantly. So, if you have the procedure in winter, you should enjoy the results in summer.

The same applies for breast augmentation and facelifts. The latter is known to have a lengthy recovery, while breast augmentation will also require a period of downtime. The results can take months to fully reveal themselves, making winter the perfect time to have them done.

If you want to achieve your dream summer body this year, book a consultation with Mr Paul Tulley today.

Paul Tulley Arm Lift Results in the Daily Mail

Presenter and showbiz journalist Ellie Phillips recently opened up to the Daily Mail about undergoing a mini brachioplasty procedure with Mr Paul Tulley and how the results have transformed her self-confidence.

“I’ve always felt embarrassed by my out-of-proportion, chunky upper arms that, in my opinion, simply didn’t match my size 8 body. I’m ashamed to admit that I have even used photo-editing apps to slim them down for social media posts.

“So, what changed? Last September, I became one of very few people in Britain to undergo a highly specialised arm lift procedure costing £8,500 to remove the stubborn excess skin and fat once and for all.

It’s major surgery, very painful, will take six months to fully heal and — due to my insistence on returning to work too soon — resulted in complications. But my only regret is that I didn’t do it sooner.

I had already heard of arm lifts, or brachioplasty, but was put off by the potential risk of scarring from the elbow to armpit. Then, early last year, during one of my regular Google searches for new arm procedures, I started to see mentions of a less invasive procedure, dubbed a ‘mini’ arm lift.

A standard brachioplasty involves two incisions from armpit to elbow. The loose skin is removed and the skin stitched together along that line — leaving a long scar on each arm.

With a mini brachioplasty, however, there is a single incision under the armpit through which skin and fat is removed. It meant you’d just be left with one small scar under each armpit, invisible from almost every angle.

Finally, after speaking to several doctors, I found Dr Paul Tulley at the London Welbeck Hospital, one of just a handful of UK specialists in the procedure.

I knew he was the one for me because he really listened and was the only one to say he’d rather do the mini arm lift on me. In fact, he flat out refused to do a full brachioplasty.

Admittedly, not everyone can have a mini arm lift — the key factors are the elasticity of your skin, which decreases with age, and the amount the arms need to be reduced.

Now, three months on, you can’t see the scars at all with my arms down. Even if you were to look directly at my armpit, you’d just see a flat, red line through the crease, which will fade to white and become almost invisible.

My arms are so much smaller, and will keep shrinking until they’re fully healed in another three months.

Now, I finally have arms that fit my figure. In the summer, I’ll jet off on holiday to hot countries without packing voluminous cover-ups. I can go on nights out and dance with my hands in the air wearing strappy dresses, and I’ll never stoop to delete unflattering photos or crop parts of myself out of the frame ever again.

Myths About Facelifts

Facelifts are one of the most popular cosmetic procedures in the UK. Helping to reverse the signs of ageing, they can help boost confidence and give patients a better quality of life. Unfortunately, there are many myths about facelifts in circulation, making it crucial for patients to do their research.

If you are considering having a facelift, here’s the truth behind some of the most common myths…

Myth #1: Facial ageing is caused by excess skin

For years, it has been widely believed that facial ageing is caused solely by excess skin. For this reason, many people have focused on skin-tightening procedures to help them banish the signs of ageing. However, there is more to facial ageing than sagging skin, and they too need to be addressed if you want to fix the problem.

Over time, the tissues within the face loosen and sag, while the volume of the skin also decreases. Newer facelift techniques address these issues, resulting in a natural appearance.

Myth #2: You will get the same results from Botox and fillers

Botox and fillers can be used as an alternative to a facelift. When done correctly, they can produce impressive results. However, what you need to remember about these treatments is they are temporary. The results will only last six to twelve months, then you will need to have them done again to maintain results.

With a facelift, the surgeon resuspends and reshapes the deeper tissues of the face, then removing any excess skin without tension in a natural manner. Botox and fillers don’t remove any skin, they simply focus on smoothing and volumising the area temporarily. They are unable to provide a full correction after the early 40s and over-treatment may produced an unnatural result.

So, if you want long-lasting results, undergoing a facelift is the best option.

Myth #3: Facelifts are only carried out on women

At one time, women were the only ones undergoing a facelift. However, times have changed and today both men and women can equally benefit from the procedure. Men experience facial ageing the same as women do, and since 2000, the demand for male face lifts has increased by 20%.

Myth #4: Facelifts are just for older people

Many people believe that face lifts are purely carried out on older people. However, the truth is facelifts are performed over a wide age range – usually mid 30s to late 70s. The signs of ageing develop at different times in different people. So, there is no age limit on a facelift procedure. You can undergo the surgery in your 20’s if you experience lines, wrinkles, or sagging skin.

These are just some of the most common myths about facelifts. The techniques used to carry out facelifts have improved drastically over time. To find out what you can expect if you undergo this popular procedure, book a consultation with Mr Paul Tulley.


A Tummy Tuck Will Improve

Tummy tucks are a popular cosmetic treatment, helping patients to achieve a flatter, more toned abdomen. While there is no medical reason to undergo the procedure, research has shown that a tummy tuck will improve your confidence and self-esteem.

Here, we look at what the latest study found, and some of the other benefits of undergoing a tummy tuck.

What did the study show?

In 2019, a German study showed that a tummy tuck improves confidence and quality of life. It was also revealed to improve emotional stability, and significantly reduce symptoms for depressed patients.

The study included the analysis of 582 female patients from 2008 to 2020. After undergoing a tummy tuck, female patients claimed they felt significantly more confident. The main reasons cited for wanting to undergo the procedure included wanting to look in a swimsuit and feel more confident sexually.

Other health benefits of a tummy tuck

As well as boosting a patient’s confidence, a tummy tuck can provide other health benefits too. These include:

A tummy tuck will improve your posture

When the abdominal muscles are tight, they help to stabilise your core, giving you better posture. Good posture is crucial in the prevention of back and neck problems. In one study tightening up the muscles helped to reposition the pelvis to keep the back straighter.

As the main goal of a tummy tuck is to tighten up the muscles, it’s unsurprising many patients experience better posture following the procedure.

It can reduce back pain

A reduction in back pain is one of the best benefits of a tummy tuck. After weight loss or pregnancy, the abdominal muscles may weaken or get pulled apart. This in turn can lead to back pain that may have a negative impact on quality of life.

Patients who undergo a tummy tuck could see significant improvements in back pain after six weeks to six months.

It can correct ventral hernias

If a patient has a ventral hernia, a tummy tuck could help to correct the problem. Helping to strengthen the weakened muscles and reduce pressure on the abdominal wall, a tummy tuck is even sometimes added to a hernia repair surgery to prevent the hernia from recurring.

These are just some of the benefits of a tummy tuck. Keep in mind that although it can help you to look leaner, a tummy tuck isn’t a weight loss surgery. It primarily removes excess skin and tightens up the muscles, although it could be combined with liposuction to remove stubborn pockets of fat.

Book a consultation with Mr Tulley today to see if you could be an ideal candidate for a tummy tuck procedure.

Types of Rhinoplasty

Rhinoplasty is one of the most common cosmetic procedures, helping to alter the size and shape of the nose. While most patients are familiar with the standard, open procedure, did you know there are different types of rhinoplasty available?

Here, we’ll look at the different types of rhinoplasty you can undergo to help you achieve the best results. In your consultation, Mr Tulley will discuss the procedures with you and answer any questions that you have.

Nasal tip rhinoplasty

If you want to change the tip of the nose, nasal tip rhinoplasty is the procedure for you. It could be that the tip is bulbous, or large, or it may have an excessive length. This type of rhinoplasty aims to solely change the tip, rather than the bridge.

Ethnic rhinoplasty

Ethnic rhinoplasty is typically carried out on Afro-Caribbean or Asian patients. These patient groups can have a much flatter appearance, and it can be wider in appearance. Several techniques can be used in ethnic rhinoplasty, such as bridge augmentation.

Cartilage grafts from the ear or rib will be taken and used to add volume in the case of augmentation. To address a wider nose, the bridge and/or nostrils can be narrowed.

Deviated Septum rhinoplasty

A deviated septum can make it difficult to breathe normally. If it is causing the patient problems, a septoplasty may be performed. This involves trimming, replacing, and repositioning the bone or cartilage to straighten the nasal septum.

Revision rhinoplasty

Revision rhinoplasty is carried out to try and fix issues caused after an initial rhinoplasty procedure. It could be that complications arose, or you may not be happy with the results from the first procedure.

This type of rhinoplasty tends to be much more complex than the first procedure. The surgeon therefore needs to be highly skilled to perform it correctly.

Which type of rhinoplasty should I choose?

With so many options available, it can be difficult knowing which rhinoplasty procedure is right for you. Discover more about each of the options above, and determine which one to choose by booking a consultation with Mr Paul Tulley today.

After an initial assessment, Mr Tulley will advise you on which procedure will help you achieve your desired results.

male facelifts

In 2020, plastic surgeons in the US performed more than 234,000 facelift procedures. While most facelifts are carried out on women, there has been a sharp rise in the number of male patients requesting the procedure.

The same trend has also been seen here in the UK, as men start to see the benefits of seeking the popular treatment. So, why has there been a rise in male facelifts?

What is causing the rise in male facelifts?

Like many of the trends over the past couple of years, the rise in male facelift procedures is down to remote working after the pandemic. Video calls were the only way to keep in face-to-face contact with colleagues and employers, making men more aware of the flaws in their facial features.

As working from home became more popular, men also had more time to undergo a facelift procedure without anyone knowing. The recovery from a facelift can be quite extensive, so having the option to recover in the comfort and privacy of their own home was a huge deciding factor.

Of course, male cosmetic surgery has also become a lot more accepted in recent years. Men are much more open about the work they have had done, often to help them progress in their career.

What is a facelift?

A facelift is a major procedure that involves making incisions on both sides of the face. The skin is pulled back to allow the surgeon access to the tissue underneath. The facial tissues are manipulated and tightened to produce a much more youthful appearance.

Any excess skin is also removed, and the procedure can be combined with liposuction to eliminate any excess fat.

What other procedures are men having done?

It isn’t just facelifts that are attracting men to go under the knife. Other common procedures carried out on male patients include:

  • Rhinoplasty
  • Male breast reduction
  • Abdominoplasty
  • Chin augmentation
  • Liposuction

Non-invasive treatments are also popular, including facial fillers, and anti-wrinkle injections.

If you want to improve your appearance, gain confidence, and achieve the look you have always wanted, book a consultation with Mr Paul Tulley today. He will help you to choose the best procedure to achieve the best results.

Nose Reshaping Surgery

Nose reshaping surgery is one of the most common procedures carried out in the UK. Helping to significantly alter the overall aesthetics of the face, this popular procedure takes a lot of skill to get it right.

If you are planning on undergoing a nose reshaping surgery, here’s everything you can expect to help you prepare…

What does nose reshaping surgery involve?

You will be given a general anaesthetic before undergoing a nose reshaping procedure. Two methods can be used to carry out the surgery including open and closed techniques.

Open procedures tend to produce the best results, giving the surgeon much better precision. A small incision is made beneath the tip of the nose, at the narrowest point between the nostrils, helping to hide the scarring as much as possible. The skin is then lifted to reveal the structures beneath.

Closed reshaping surgeries are generally less invasive, though they do provide less visibility. This means the changes that can be made may be more limited in comparison to an open procedure.

What kind of results can I expect?

While every patient is different, it is possible to get an idea of what to expect from your surgeon. A rhinoplasty procedure can help to remove lumps and bumps, reduce the size of the nose, and straighten the nose.

Most people who undergo a nose reshaping procedure are happy with the results. A very small number may have revision adjustments in a few cases.

Preparing for your recovery

The standard recovery time for nose reshaping is a couple of weeks. You will need to wear a cast for a period of around 10 days, followed by Steristrips an additional 4-5 days. Avoid working, driving, and exercising during this time.

You will be given aftercare instructions by the surgeon after the procedure. Providing you follow these instructions; it will help you to achieve the best results. Don’t be surprised if bruising develops around the eyes. This is a normal part of the recovery and can last for up to 10 days.

Nose reshaping surgery is a complex procedure that should only be carried out by an experienced surgeon. To make sure you get the best results, book your surgery with Mr Paul Tulley now.

Prepare for a tummy tuck

A tummy tuck, or Abdominoplasty, is a common procedure that can help you to achieve your dream abdomen. However, if you want the best results, you are going to want to know how to prepare for a tummy tuck.

In this brief guide, you’ll discover how best to prepare for a tummy tuck in order to achieve fantastic results.

Prepare for a Tummy Tuck by managing your weight

Although part of the reason you likely want a tummy tuck is to help you shed excess fat from the abdomen, it’s important to go into the surgery at a healthy weight. Being overweight can increase the risks of the procedure, as well as impact the results you experience.

Managing your weight isn’t just important for the procedure itself. It will also help you to maintain your results. When you lose weight, it can leave behind excess skin. Therefore, if you lose weight after a tummy tuck, it can leave you with unflattering results.

Similarly, if you gain weight after the procedure, the results may be stretched out.

Book time off work

Tummy tucks are a major procedure, and they require a period of downtime to recover. Ideally, you should book at least a couple of weeks off work.

During a tummy tuck, a lot of work is carried out on the abdominal muscles. This, combined with a large incision, means the recovery can be trying. If possible, try and work from home after having that initial couple of weeks off. The longer you give the body to recover, the better the result.

Know what to expect from scarring

Your tummy tuck procedure will leave a scar. However, it is usually well hidden within your bikini line. Out of those who have undergone the procedure, around 96% said it was worth it. This means any scarring that was left behind didn’t have an impact on their self-confidence or satisfaction rating.

Your surgeon will give you a list of aftercare instructions that can help to reduce scarring and boost results.

Tummy tuck and body lift surgery in London

Consultant Plastic, Reconstructive and Cosmetic Surgeon Mr Paul Tulley specialises in Abdominoplasty and body contouring surgery. So, if you would like expert advice on how to prepare for a tummy tuck, book a consultation with Mr Paul Tulley today.

Knowing what to expect and taking steps to prepare will ultimately improve the results you experience. Keep in mind that the results of a tummy tuck are designed to show up over a long-period of time.

Cosmetic Surgeries

Despite an uncertain economy, a new survey has found that women under the age of 45 are driving a spike in cosmetic surgeries. Carried out by the American Society of Plastic Surgeons, the survey polled its surgical members and found 30% of them had seen at least double the demand as before the pandemic.

So, which procedures are proving popular and why has the pandemic caused a rise in cosmetic surgery for the under 45’s?

The rise in post-lockdown cosmetic surgery

There are several reasons why demand for cosmetic surgery has risen after the pandemic. The lockdowns and new work from home culture have certainly helped to give women more time to recover after going under the knife.

People have also been saving money due to not going out or heading off on holidays. Many women are using the money they have saved to improve their look.

These are just a couple of reasons why cosmetic surgeries have seen a boom in patients since the pandemic. So which procedures are proving the most popular?

The cosmetic surgeries experiencing a boom in popularity

All types of cosmetic procedures have seen an increase in demand. However, the top three that stand out are liposuction, tummy tucks, and breast augmentation. Let’s look at these procedures in a little more depth…


Liposuction is an effective way of contouring the body. It is used to eliminate stubborn pockets of fat that won’t go away through diet and exercise alone. The fat is sucked out of the body, leaving the area instantly more defined.

While most patients return home the same day, you may need to stay in hospital overnight. The procedure can take up to three hours, and you will need to wear compression bandages to reduce swelling and bruising for several weeks.

Tummy tucks

A tummy tuck is an extensive procedure that aims to tighten and eliminate excess skin from the abdomen. A full tummy tuck creates a large incision across the abdomen, and a second incision to release the belly button. The skin is then separated from the abdominal wall and the muscles are realigned.

It can take up to five hours to complete, and the recovery takes anywhere from four to six weeks.

Breast augmentation

Breast augmentation adds volume to the breasts through the form of an implant. Newer techniques use fat transfer, where the patient’s fat is transferred from one part of the body to the breast. It is a common procedure that requires up to a couple of weeks off work.

If you are considering undergoing a cosmetic procedure, book a consultation with Mr Tulley now. After discussing the problem you want to correct, he will advise you on the best procedures you can undergo.