Mr Jonathan Britto

Mr Jonathan Britto
Plastic surgery
Central London


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Mr Jonathan Britto

Plastic surgeon in
London &
Billericay

BSc MBBS MD FRCS FRCS (Plast)

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Mr Jonathan Britto areas of expertise:

Professional statement

Mr Jonathan Britto is a leading consultant plastic surgeon based in London and Essex. With 15 years in plastic surgical consultancy, he has earned his reputation as one of the most respected and authoritative voices in plastic, reconstructive, and craniofacial surgery. His specialties include aesthetic and reconstructive facial surgery, where he brings the art and science of 25 years of study in facial development and restoration to his craft.

His clients also enjoy satisfying outcomes from his touch in aesthetic breast and body contour procedures.  At the cutting edge of his field, he is constantly developing and refining surgical and non - surgical techniques. Building a strong personal relationship with his clients is of utmost importance to him, and his philosophy in patient care is to inform, reassure, and give the required time to explain all the options for treatment.

His expertise is frequently called upon for complex and technically challenging cases, giving hope to many who might have lost trust. Meticulous in his craft he strives for the best, regularly presenting his results to peer review professional meetings around the world and in teaching sessions. He has written many books and book chapters, and learned papers for peer-reviewed journals on subjects from facial anatomy to craniofacial surgery to aesthetic rhinoplasty.

Mr Britto brings his professional authority and personal warmth to his patients and families, and provides a compassionate, welcoming service for the best possible clinical and personal outcomes.

 Videos of doctor

Where are the scars of breast uplift su...

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 Doctor's articles

facial-surgery
Putting the patient first: why a team i...

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 Credentials

GMC: ‍3479993

 Professional experience

• More than 30 years of experience
• Consultant Plastic & Craniofacial Surgeon, 101 Harley Street (2005 to present)
• Consultant Plastic & Craniofacial Surgeon, University College London Hospital NHS Foundation Trust (2008 - present)
• Consultant Plastic & Craniofacial Surgeon, Great Ormond Street Hospital for Children NHS Foundation Trust (2008 - 2016)
• Visiting Consultant Plastic & Craniofacial Surgeon, L'Hopital Necker des Enfants Malades, Paris, France

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 Sub-specialties

• Craniofacial aesthetics and reconstruction in adults and children
• Aesthetic surgery of the breast and body contour
• Plastic & reconstructive surgery in Children
• Skin cancer excision and reconstruction
• Aesthetic surgery
• Cosmetic surgery
• Oculoplastic surgery
• Children's plastic surgery

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 Positions in public associations

• President: Plastic Surgery Section, Royal Society of Medicine, London 2015
• President: Faculty of Aesthetics, Royal Society of Medicine, London 2017

 Teaching posts

• Visiting Consultant, Centre de Reference des Malformations Craniofaciales, L'Hopital des Enfants Malades, Paris, France
• Consultant Craniofacial Plastic Surgeon, Craniofacial Centre, Eastman Dental Hospital, University College Hospital, London

 Education

• MD. Medical Doctorate. University of London, 2002
• FRCS(Plast); Royal College Of Surgeons of Edinburgh, 2002
• MBBS; University of London, 1990
• BSc; University of London, 1987

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 Publications and conferences

• https://www.ncbi.nlm.nih.gov/pubmed/?term=britto+JA
• Britto JA, Fenton L, Fenton OM. ‘The Skin, Skin Tumours, & Plastic Surgery’ New Airds Companion In Surgical Studies Burnand KG & Young AE (Eds, 3rd Edn). Churchill Livingstone, 1998
• Fattah A, Meara J, Britto JA ‘Craniofacial development and congenital anomaly: a contemporary review of processes and pathogenesis.’ Pediatric Otolaryngology 5th Edn. Bluestone CD & Healy GB. 2014
• Britto JA, Reardon WR ‘Syndromic craniofacial dysostosis: Molecular & developmental aspects’ The Clinical Management of Craniosynostosis. Hayward RD et al (Ed). Mac - Keith Press, 2004
• Britto JA, Fenton OM ‘Burn Injury and its Management’ Trauma. A Companion to Bailey & Love’s Short Practice of Surgery Skinner D & Whimster F (Eds). Edward Arnold, 1998

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 Prizes and awards

• Syme Professor Medal, RCS Edinburgh, 1997
• Vale Visiting Professor; Hospital for Sick Children, Toronto, Canada
• British Oculoplastic Surgery Soc – Richard Collin Scholarship (2013-2017)
• Craniofacial Society of Great Britain, Research Grant (2001)
• Research Grant: Royal College of Surgeons of Edinburgh (2000)
• BIPOSA Research Award 2015; Fight For Sight, Research Grant 2014-15

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 Professional membership

• British Association of Aesthetic Plastic Surgeons
• British Association of Plastic & Reconstructive Surgeons
• Royal Society of Medicine; Section President in Plastic Surgery 2015
• European Society of Craniofacial Surgery (ESCFS)
• International Society of Craniofacial Surgery (ISCFS)
• International Society of Aesthetic Plastic Surgery (ISAPS)

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Languages spoken

  • English
  • French

Patient reviews for Dr. Jonathan Britto

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All reviews are from verified patients booked through Top Doctors.

Patient reviews

Verified Patient
13/01/2018

Would you recommend this doctor?

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Patients comments

Very professional, informative, ready to answer any questions or doubts.

Verified Patient
24/08/2017

Would you recommend this doctor?

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Diseases, Medical Tests and Treatments

Blepharoplasty

What is blepharoplasty? Blepharoplasty, or dark circles surgery, is a plastic surgery operation aimed at correcting eyelid defects and deformi ...

Breast lift or mastopexy

Breast lift or mastoplexy surgery is a breast lifting procedure used to raise sagging breasts, restoring their previous appearance and strength. The t ...

Breast reduction

What is breast reduction?  Breast reduction is a surgical procedure to reduce the size of the breasts. The operation is performed under general ana ...

Facelift

  What is a face lift? The face lift, or facial rejuvenation surgery, is an intervention that corrects the most visible signs of facial ageing, ...

Facial paralysis

What is facial paralysis? Facial paralysis is a condition that causes partial or total motor paralysis of the facial nerve and, therefore, of the facial musculature. What are the symptoms of facial paralysis? The symptoms of facial paralysis include being unable to perform certain movements such as smiling, opening and closing the eye completely or raising the eyebrow. What causes facial paralysis? Facial paralysis can be caused by various factors, including tumours, trauma, acute and chronic ear infections and congenital disorders (Moebius syndrome). However, its causes are mostly unknown, and in this case it is known as Bell's palsy or peripheral facial paralysis. How is facial paralysis treated? Normally steroids are given to slow down the progressive deterioration of the nerve and massages are performed on the facial muscles. In the more severe cases, specific surgical treatments are also performed, using both static and dynamic techniques to restore the movement and functionality of the muscles. Treatment for Bell's palsy, or peripheral facial paralysis, should be started immediately after onset for a faster and more effective recovery. Are there any complications during recovery? Recovery from facial paralysis is sometimes incomplete because the nerve is damaged and unable to function normally. Complications may occur, such as hemifacial spasm (where some of the muscles are permanently contracted) or synkinesis (when an involuntary movement occurs during a voluntary movement). Fortunately, both complications can be improved through appropriate rehabilitative treatment such as neuromuscular facial retraining exercises or, in some cases, infiltration with botulinum toxin. ...

Facial reconstruction

What is facial reconstruction? Microsurgical facial reconstruction encompasses various surgical techniques that are used to treat both congenital and acquired pathologies (disease or injury) that have led to loss of some of the structure or function of the face. Why is it done? Several congenital pathologies are treatable, notably different types of facial paralysis and atrophy that prevent the correct movement of the muscles and structures of the jaw and/or the eyes, and facial expression (for example, Perry-Romberg syndrome, Moebius syndrome, Binder syndrome). What does it involve? Facial microsurgery aims to replace the affected zones and to restore their normal appearance and function, via use of individualized techniques for transplantation of tissue, nerve and muscle grafts. Currently, facial reconstruction can be performed successfully via the use of advanced microscopic techniques for transplanting tissue from the same patient. Given the anatomy of this area, the surgery is highly complex and in some cases, it may have to be performed in several stages —separate surgical interventions—, to achieve the best outcome. Post-operative care Depending on the severity of the process and the particular reconstructive technique used, you may undergo surgery as an outpatient, with the sutures removed after one week at the GP’s office, or as an inpatient with a hospital stay of over 10 days. What are the risks? Like any other surgical procedure, there are risks inherent to anaesthesia, risks related to each technique and disease and risks related to your medical history. Complications are directly related to the severity of the pathological process, the duration of the intervention, your health status and age, and the surgeon’s experience. Furthermore, bleeding, infection and total or partial flap loss may occur. It is important to know that all these complications can be solved. ...

Abdominoplasty

Abdominoplasty is a surgical procedure to eliminate excess skin and fat from the middle and lower abdomen, while repositioning and strengthening the muscles of the abdominal wall. This type of abdominal surgery significantly reduces its bulging and flabby appearance, achieving a flat stomach and a slimmer waist. The intervention begins with an incision above the pubic area and extends to the hips. Excess abdominal skin is removed and the abdominal muscles are strengthened. The patient should be aware that the scar resulting from the operation is permanent but its extent depends on the incision practiced according to the severity of each case. ...

Botulinum toxin (Botox™)

Botulinum toxin (Botox™) is a drug that is injected in strategic points on the face to minimise wrinkles. Botox works by temporarily slowing the natural ageing and contraction of facial muscles, leaving the skin smooth and toned, and correcting wrinkles and preventing their progression. The effects of the injection are not immediate. Improvement is typically seen after three or four days, but results are highly satisfactory. Depending on the patient, the effect of botulinum toxin can last between four and eight months, so treatments should be repeated to maintain the results. Apart from its aesthetic uses, Botox is used in medical applications such as the correction of excessive sweating, or treatment of tics and spasms. ...

Brachioplasty (arm lift)

What is brachioplasty? Arm lift, also called brachioplasty, is the surgical procedure intended to eliminate unsightly excess skin in the arms, making them smoother and firmer while improving their appearance. In mild cases, the arm lift can be performed with less-invasive techniques and with local anaesthesia; in more advanced cases, surgery under general anaesthesia may be required. Why is it done?   With ageing, particularly from the age of 40, the skin starts becoming flabby, especially in women. Arms are a part of the body in which flabbiness is highly visible and many women develop a complex about it. Several degrees of flabbiness in arm contours can be distinguished, and the specialist in Plastic, Aesthetic and Reconstructive Surgery uses different techniques for each degree.   What does brachioplasty surgery involve?   Brachioplasty involves making an incision in the inside of the upper arm, in order to eliminate excess skin. In the cases that are more serious, it may even be necessary to make an incision from the armpit to the elbow, always on the inside of the arm. Via this incision, all excess skin is removed. In cases in which the patient wants to remove excess fat from his arms, this intervention may be combined with liposuction. Brachioplasty usually takes around 2 hours.     How to prepare for the intervention   During the pre-surgery consultation, you will undergo an evaluation, the results of which will be taken into account in the specific instructions given to you about how to prepare for surgery: whether you have to stop smoking, take iron supplements etc.   Post-operative care   In the first few days after the brachioplasty, it is normal for your arms to feel more tender and be swollen; they revert to normal over time. You can resume your normal routine in around 15 days, and the final result will be visible after a few months. The result of the brachioplasty is permanent and leaves no visible scars. ...

Breast asymmetry

What is breast asymmetry?  Women with breast asymmetry have breasts that are different in shape, position or size. In fact, the great majority of women have mild breast asymmetry. However, when the asymmetry is significant, it may adversely affect the woman’s body image, her self-esteem and confidence. Breast asymmetry can be classified into three types: Anisomastia: a significant difference in the volume and size of the breasts. Anisothelia: a difference between the nipples and areolas. Combined asymmetry: anisomastia and anisothelia.   What are the symptoms?   The symptoms of breast asymmetry are essentially aesthetic, manifesting as a difference in, for example,  shape, size, developmental stage or fat percentage. In the most serious cases, there may even be a difference in osteomuscular structure or the breasts are completely different.   Causes of breast asymmetry   Significant breast asymmetry has several possible causes: it may be linked to a breast disease, a developmental problem, a hormonal problem, an unknown syndrome, an injury or periods of significant bodily change such as pregnancy or breastfeeding. One of the diseases linked to breast asymmetry is breast cancer. Hence, all women with breast asymmetry are advised to perform breast self-examination to detect any warning signs in a timely manner.   Can it be prevented?   Breast asymmetry appears while the breasts are developing during puberty. It cannot be prevented, except if it occurs as a secondary effect of a growth disorder that is diagnosed early. There are no measures you can take to prevent breast asymmetry.   What is the treatment?   The only solution to breast asymmetry is plastic, aesthetic and reconstructive surgery. The surgical techniques used depend on the surgeon and on the patient’s characteristics. However in many cases, breast augmentation, breast reduction or a combination of both will be done. ...

Breast augmentation

Breast augmentation or mammoplasty is a surgical procedure aimed at increasing the size and volume of the breasts. Normally, surgery is recommended with implants in both breasts to make them more symmetrical. A breast enlargement operation is performed by making a small incision around the areola or in the fold under the breast or armpit. Through the incisions on each breast, breast tissue is lifted and breast implants are inserted under the chest muscle. The implants can be silicone or saline implants and they come in various shapes, generally round, oval or anatomical. Currently, there are prostheses with a rough textured surface to provide a more natural look. The incision scar for breast surgery is practically invisible. ...

Breast fat transfer

The lipo-transference breast augmentation is a surgical procedure that increases the volume of the breasts using as filler the fat extracted from different parts of body of the patient, generally the abdomen or hips. The use of own fat grafting is the most secure technique to remodel and give volume to the breasts maintaining their natural appearance, so it is the best alternative to breast implants. The operation involves the removal of fat from the area chosen through a lipo-aspiration or liposuction by water pressure. Once it is removed, the fat is washed with serum to purify it. Then, to ensure a lasting result and avoid the fat being reabsorbed, the transference of fat is carried out through tiny incisions using micro cannulas under the skin. That is, inserting it intramuscularly. ...

Breast reconstruction

What is breast reconstruction? Breast reconstruction is performed after a mastectomy or a lumpectomy; in some cases, the reconstruction is delayed a few months or years after the breast cancer surgery. The surgery is performed under general anaesthesia and takes about 8 hours. Why is it done? Breast reconstruction is primarily done for aesthetic reasons, and leads to marked improvement in the patient’s self-image. The decision to have breast reconstruction surgery is as valid as the decision to not have it — in all cases, the decision is a personal one. What does it involve? There are two ways of performing breast reconstruction: with an implant or with the patient’s own tissue (autologous or “flap” reconstruction). Breast reconstruction with an implant: only requires surgery in the chest, hence requires fewer interventions than flap reconstruction. The implant is usually filled with a saline solution, silicone gel or a combination of both, with vegetable oil or silicone on the outside and a saline solution inside. The implant is placed under the pectoralis major muscle. The approximate duration of the implant is between 10 and 20 years. Autologous or flap reconstruction: in this type of reconstruction, skin, fat and even muscle tissue is used to recreate the shape of the breast. The tissue, called a flap, is taken from the abdomen, back, thighs or breast. In “free flap” techniques, the tissue is completely separated from its original blood vessels, moved to the chest then combined with blood vessels in its new location. In “pedicled flap” techniques, the tissue remains attached to its original blood vessels and is moved under the skin to the chest. The surgical result lasts for the patient’s lifetime, and this constitutes an advantage of flap reconstructions over implants. There are different types of flap and the one used depends on the patient’s body type, the size of her breasts and whether she wants to become a mother in the future. How to prepare for it It is important that you follow the surgeon’s instructions, e.g. to stop taking medications such as ibuprofen or aspirin. You will have to stop smoking; you will have to dress as comfortably as possible; and you will have to arrange in advance how to return home after surgery and how to manage during the first few days of recovery. Post-operative care You will feel tired for a few days after the intervention, and so you should arrange for someone to help you during this time. After the first week, you will be able to take care of yourself. ...

Brow lift

Also known as a forehead lift, or browplasty, this treatment is to combat sagging brows, which can give the face an older or tired look. The surgery involves an overnight stay in hospital. ...

Buttock augmentation

What is buttock augmentation? Many people are unhappy with the appearance of their body. One aspect that has been receiving more attention in recent times is the buttocks. Many people feel that this part of their body has lost its aesthetic appeal, due to a loss of volume, the distribution of fat or flabbiness. In these cases, it is possible to enhance the appearance of the buttocks via surgical procedures collectively called buttock augmentation, gluteal augmentation or gluteoplasty. Why is it done? Flabbiness, depressions or cellulitis in the buttocks can be aesthetically displeasing. In some cases, the depressions or disproportionate contours may be visible even while clothed. Via buttock augmentation, the surgeon reshapes the buttocks area, reducing fat, improving contours and appearance, rejuvenating tissues and increasing volume in specific zones. However, the final result depends on which zone is targeted and the desired outcome, i.e. whether the patient wants to increase the size or projection of their buttocks or to reshape their buttocks. It should also be borne in mind that surgery differs between men and women because the procedures to maintain masculine or feminine characteristics are different. What does it involve? The first step to achieving a satisfactory result is for patients to know exactly what they want. Therefore, after assessing the patient’s buttocks, the surgeon will advise them about the various possibilities. Thus, there are several ways of augmenting the buttocks. We need to emphasize however that all buttock augmentation procedures require surgery. On the other hand, there are aesthetic medicine procedures that can improve the contour or the texture of the skin, e.g. radiofrequency. The operation itself takes about 90 minutes. There are various ways of performing buttock augmentation surgery: using an implant, using the patient’s own fat and using hyaluronic acid. Buttock augmentation with implants: the volume of the buttocks can be increased by placing implants using an intramuscular technique. The surgeon makes a minor 8 cm incision up to the gluteus maximus muscle, then inserts the implant. The scar is hidden between the buttocks. Silicone cohesive gel implants are used for buttock augmentation. Buttock augmentation by fat transfer: if the patient does not want to have implants, a completely natural result can be achieved using their own fat, and at the same time remodelling their figure via liposuction. Normally, fat is extracted from the hips, abdomen, back or thighs. Buttock augmentation with hyaluronic acid: this technique consists of injections of hyaluronic acid into the buttock area, leading to a moderate increase in size. It is performed under local anaesthesia and the result is temporary. How to prepare for it Like any surgery, preparation is required. You will undergo a complete assessment, focusing on aspects such as buttock height, width and projection, whether you do exercise and other factors. After this examination, you will able to choose the technique that best fits your needs. Post-operative care You will have to follow several rules to ensure that the scar remains stable, the implant does not move, and no asymmetry occurs. You will spend the first two days in the clinic, in a face-down position. After the first two days, you will be able to get up but you must not remain seated longer than absolutely necessary. You will have to sleep face-down for at least two weeks. You will have to avoid any physical activity involving the buttock muscles for at least 5 or 6 weeks. ...

Buttock lift

What is a buttocks lift? A buttocks lift is a procedure intended to correct buttocks ptosis (more commonly referred to as a saggy bum/butt), which occurs with ageing, after pregnancy or after substantial weight loss, and confers a “squarish” appearance to the buttocks. The purpose of this treatment —usually performed under sedation— is therefore to restore the original position and at the same time to remodel the area. Why is it done? A buttocks lift is used to correct the laxity that develops in the buttocks as a result of the ageing process, after a pregnancy or after weight loss. After development of such laxity in the skin and muscles, the rounded figure of yesteryear disappears. In parallel, a volume deficit arises in the upper buttocks  while a volume excess arises in the lower buttocks, such that the buttocks look “squarish”. The lift procedure eliminates excess fat and skin, improving the contours of the waist, hips and buttocks. This intervention is frequently done in elderly women, but also in men and in people who have lost a lot of weight. What does it involve? The buttocks lift may be performed as an independent procedure or in combination with liposculpture or gluteal implants/prostheses. There are several ways of performing a buttocks lift: standard buttocks lift; correction of the buttocks crease; Brazilian butt lift; and buttocks lift with implants. The duration of the intervention is 1½ or 2 hours approximately. Once the desired results have been specified and the relevant markings made on the patient’s skin, the surgeon will make an elliptical incision to eliminate excess fat and skin. Once done, the tissue is sutured in layers with dissolvable thread, and the skin is sutured; sometimes drains may be incorporated to eliminate possible secretions from the wound and they are removed after a few days.  Preparation for a buttocks lift Preparation for a buttocks lift is straightforward. First, you will undergo an assessment to determine which is the most appropriate treatment for you. You will also have to undergo various tests to check the functioning of your heart and respiratory system. Nevertheless, you will also have to follow the surgeon’s instructions concerning, for example, the pre-operative fasting period, and any medications that you will have to avoid. Post-operative care After the operation, you will have to follow some instructions for a post-operative period free of complications. You will have to make transport arrangements because it will be impossible for you to drive after the operation. It is recommended that an adult accompany you for at least the first 48 hours. You may be recommended to use an elastic bandage for approximately 3 to 6 weeks. This bandage, which should be worn day and night, will provide support and contribute to healing and reduction of inflammation. The result will be visible when the inflammation has almost completely vanished, within 6 to 12 weeks, although you will not be able to see the final result until one year after the procedure. The final result is permanent. ...

Children's plastic surgery

Children’s plastic surgery is a sub-specialty of plastic surgery that focuses on children. The sub-specialty treats both common and complex conditions and malformations that affect children, and may be treated or corrected by plastic surgery, allowing them to function at the highest level.   What conditions are children’s plastic surgery used for?   Children’s plastic surgery is used for any conditions or deformities affecting children. However there are some conditions that are more commonly treated in children using plastic surgery.   Cleft lip and palate Cleft lip and/or palate is a congenital condition that occurs during pregnancy, and is when the upper lip or palate doesn’t fuse together during pregnancy. This can cause feeding difficulties and problems with speech development. The malformation is corrected using one or a number of plastic surgery procedures, during the early weeks and months of the baby’s life, with the possibility of follow up procedures being needed as the child ages. Scar management Children are naturally unsteady on their feet during their early years, they may have injuries from falls, and in worst case scenarios, may develop unsightly scars. These may be able to be corrected using certain plastic surgery techniques. Treatment of skin tumours and abnormalities Children may be born with or develop skin abnormalities, such as tumours, cysts, unsightly moles or birth marks. Depending on the abnormality, plastic surgery may be the most suitable option. Aesthetic plastic surgery While aesthetic plastic surgery for adults and children is different, there are some procedures that crossover such as otoplasty to correct prominent ears.   What does children’s plastic surgery involve?   Children’s plastic surgery follows most of the same principles involved in adult plastic surgery. General anaesthesia will be used in most cases, and many of the same techniques. Within the plastic surgery specialty, paediatric plastic surgeons will have expertise in treating children. ...

Chin surgery (mentoplasty)

Mentoplasty or chin surgery, is a surgical procedure that aims to change the size of the chin to achieve a more proportioned and handsome face, correcting congenital facial asymmetry or asymmetry caused by an accident. Depending on the purpose of the intervention, the specialist will apply the most appropriate technique for each patient. If it is required to correct the shape of the chin or give it a more defined and toned look, then the techniques applied could be the implantation of a prosthetic chin, infiltration of fat tissue from the patient, or the advancement of a portion of the jaw bone. If the deformity of the chin is very accentuated it will be necessary to sand or remove a bone segment (osteotomy) through an incision inside the mouth. ...

Eyelid malpositions

Eyelid malpositions can occur for various reasons and are relatively frequent. Along with being considered unsightly, they can lead to vision and eye problems that could become serious. ...

Facial fat transfer

During this treatment, a specialist takes fat from one part of the body and uses it to fill parts of the face. As we age, fat is lost from the face, causing hollows and sagging. An autologous (meaning from another part of one's own body) fat transfer to the face can restore a fuller, more youthful appearance. ...

Facial radiofrequency

Radiofrequency lifting is a non-invasive treatment for facial and body remodelling designed to tighten the skin and reduce the flaccidity of any specific area such as the thighs, knees, arms, abdomen, buttocks, or face. This technique is based on the stimulation of the production of collagen and elastin through radiofrequency, which provides heat to the inner layers of the skin thus achieving a visible improvement on the smoothness of the skin, softening the cellulite and avoiding premature aging. In addition, it is a painless treatment that does not require anaesthesia or leave marks or scars. In a single session the desired effect can be obtained. In most cases the patient will need another session after two years. ...

Inverted nipples

What is inverted nipple correction surgery? The purpose of inverted nipple correction surgery is to place inverted nipples, also called flat or umbilicated nipples, in their natural position: protruding, rather than retracted. This is a simple operation of short duration, and it can be performed under local anaesthesia. Why is the operation carried out? In some women, the nipple does not point outwards, as it normally should. This abnormality becomes apparent after puberty and although there is no reason why it should be a health problem, many women find that it affects their self-image and confidence and so want to correct it. Although this abnormality primarily affects women, men may also have inverted or retracted nipples. The abnormality has varying degrees of seriousness: it may be that the nipple inverts only occasionally; or it may be that the nipple is positioned inside the breast because the muscle filaments that should maintain the nipple in the correct position do not exist or are too short. What does the operation entail? During corrective surgery for mild cases, an incision is made around the base of the umbilicated nipple, making it point outwards and separating it from the muscle filaments. In other more serious cases, the lactiferous ducts, through which milk passes during lactation, must be eliminated; the woman must take this into consideration when deciding whether to proceed with the intervention. Presurgical precautions Before surgery, the breast must be examined in order to rule out a malignant process. Depending on the patient’s particular health situation, the surgeon may require that additional medical assessments be done before the intervention.  Postsurgical precautions In most cases, the patient can return to their normal routine immediately after the operation. She only needs to avoid physical activity for 10 days after the operation. ...

Lip augmentation

What is lip augmentation? Lip augmentation and reshaping consists of changing the appearance of the lips. Before the procedure, a cream or localised cold is applied to the area to reduce sensitivity. Why is it performed? Lip augmentation is performed to add volume to the lips, to make them look more defined and firmer and to lift the corners of the mouth. What does it involve? A filler is used to augment the lips. This may be hyaluronic acid, a substance that adds volume and stimulates the production of collagen, or fat extracted from the person himself/herself and then purified. Both types of filler give a natural, immediate effect when injected. However, as these substances are resorbable by the body, the effect will gradually diminish over time. The procedure usually takes around 20 to 40 minutes and the results last from 6 months to a year. After this time, the procedure can be repeated. If a permanent lip augmentation is desired, then cheiloplasty is the best option. This involves different implant or grafting techniques (using the person’s own fat or other substances such as collagen or Gore-Tex) to increase the volume of the lips. How to prepare for it The specialist may recommend treating the area with a personalised combination of cosmetics a few days before the procedure. Post-procedure care There may be some slight inflammation (which can be treated with ice) or redness after the procedure, or you may notice nothing at all.   The following precautions should be taken after lip augmentation: Use lip sun protection if sunbathing Do not massage, nibble or press the area. ...

Lip surgery

Cheiloplasty is the lip surgery that helps to give symmetry to the face, either increasing its volume or diminishing it. It is also possible to talk about corrective cheiloplasty and secondary cheiloplasty, which is done to correct defects caused by previous surgery. The procedure lasts approximately one hour and most of the implants used are injected. ...

Liposculpture

What is liposculpture?   In plastic, aesthetic and reconstructive surgery, liposculpture is the operation that is performed to eliminate fat deposits located between skin and muscle. The purpose of the operation is to permanently redesign the contour of the body. It is performed in different areas of the body, most commonly the abdomen, thighs, buttocks, arms and jowls. Liposculpture is usually performed under general anaesthesia. However, another option is non-surgical or non-invasive liposculpture, which does not require anaesthesia or, in some cases, requires only local anaesthesia. Why is it done? It should be emphasised that this operation is not a surgical means of tackling obesity, becoming slimmer or losing weight. Rather, it is a way to directly eliminate localised fat. Liposculpture is designed to eliminate accumulations of stubborn fat that are otherwise difficult to eliminate, even in patients who follow a healthy lifestyle with balanced diet and exercise. Hence, patients who undergo liposculpture are of normal weight or overweight. What does it involve? Liposculpture involves making a few incisions measuring less than 1 cm. A cannula is introduced through the incisions and suction applied to remove the fat from the area. In some cases, the removed fat is reimplanted in other areas, such as the buttocks. The duration of the surgery will depend on which areas are treated and the volume of fat, but it is usually less than 4 hours. Preparation for liposculpture If the patient is in good health, he/she does not need to undergo medical investigations before the liposculpture. If however the patient has a bleeding tendency, they will have to undergo medical investigations before liposculpture, to include heart rate and blood pressure measurements, and possibly blood tests. The surgeon may recommend that the patient not take any anticoagulant medication for at least 10 days before the intervention. In addition, the specialist determines the most appropriate compression garment for the patient to wear after liposculpture. Post-operative care In the post-operative period, the patient will have to rest for about three days, take antibiotic therapy and wear a compression bandage or compression garment. The garment must be worn for 2 to 4 weeks; however at day 4 or 5 the patient can resume his normal activities and at day 10 he can resume exercise in a gradual manner. ...

Liposuction

What is liposuction? Liposuction often called ‘lipo’, is a fairly common cosmetic procedure aimed at removing unwanted body fat from certain parts of the body. There are various different types of liposuction, such as tumescent liposuction, ultrasound-assisted liposuction, and laser-assisted liposuction. Surgical liposuction is also referred to as liposculpture and may be carried out to remove excess body fat in combination with an abdominoplasty, or ‘tummy tuck’. Why do it? People may choose to undergo liposuction for a number of reasons all revolving around a general dissatisfaction about the shape of their body. Often, even after exercise and dieting, excess fat can remain in some places. Due to its immediate results, liposuction can greatly boost a person’s confidence. Liposuction may also be used on people who are not necessarily overweight but rather unhappy with their physical appearance. Other reasons to undergo liposuction include reducing fat production, improving one’s health, and stimulating collagen growth.   How is liposuction performed?  Liposuction involves sucking excess fat out through a tube. After marking the parts of the body to be treated, the surgeon then injects the area with medication and anaesthetic-containing solution that reduces blood loss as well as bruising and swelling. Fat cells are then broken up in order to make them easier to extract before a small incision is made and a suction tube is inserted. The tube is moved around the area in order to suck out the fat. After, excess fluid and blood is drained before the patient is stitched up and bandaged. The operation usually lasts around one to three hours, and is carried out using a general anaesthetic or epidural anaesthetic in lower areas of the body. The patient usually has to remain in hospital overnight. How can you prepare for liposuction? In order to prepare for liposuction surgery, the patient may be recommended not to take specific medications, such as blood thinners, for at least two weeks before the operation. Liposuction preparation depends on each individual, and a specialist will provide advice on what to do beforehand. Post surgical care After liposuction, the patient may have to take antibiotics in order to reduce the chances of infection. Compression bandages or an elasticated support corset are fitted in order to reduce bruising and swelling. These are worn for several weeks post-operation. In some cases, such as when a large area of fat is removed, some time off work may be necessary. If the patient had a general anaesthetic, they won’t be able to drive for a few days. Full recovery after liposuction surgery generally takes two weeks.  ...

Liquid facelift

What is a liquid facelift? A liquid facelift, sometimes referred to as a ‘Y lift’ is a non-surgical procedure that aims to reduce the signs of ageing by restoring the natural contours and curves of the face. A liquid facelift works by injecting dermal fillers into specific parts of the face and is considered to achieve natural and subtle results. Why would you do it? This procedure is often offered to people wishing to address signs of ageing, without having to have surgery. With age, elasticity and collagen are lost, causing the face to wrinkle and sag, and facial features become less well-defined. A liquid facelift looks to rejuvenate the face in a minimally invasive way. What does a liquid facelift involve? The procedure only takes 30 to 45 minutes, done using local, topical anaesthetic. After a thorough examination with a specialist, where desired effects are discussed, sections of the face are pinpointed for having the dermal filler injected. Temporary dermal fillers are used, with results lasting up to two years. Temporary fillers work by being metabolised by the body. The most popular temporary dermal filler is hyaluronic acid, which is already found in human skin, hence providing compatibility, and behaves very similarly to your own skin tissue. Sometimes, the liquid facelift can be combined with Botox injections, especially if the aim is to reduce wrinkles and lines. The procedure can work to achieve the following results: Addressing facial symmetry Jaw and neck definition Adding volume to the cheeks Opening up the eyes by lifting the brow area Correcting jowls Adding lift and volume to the lips Reducing fine lines and wrinkles Every treatment is bespoke and made to address the individuals’ concerns. For some patients, the desire of this procedure is to lift the whole face, whereas for others, it is to lift certain facial features, such as under-eye bags or jowls. How to prepare for it Sometimes there can be a slight burning sensation when the injections are given, but this goes away quickly. It is not a suitable procedure for pregnant or breast-feeding women, and people who have severe allergies will have to check with a specialist first. Post-operative care Very little aftercare is required after a liquid facelift. As this procedure is non-surgical, patients can usually return to normal activities almost immediately. There may be slight swelling or redness after surgery, but this quickly subsides.  ...

Mid face lift

This treatment elevates the cheeks restores the under eye area, giving a youthful look to the whole face. 

Neck lift

What is neck lift surgery? Neck lift surgery is an aesthetic surgical intervention used to rejuvenate the neck, where wrinkles and excess skin usually form and some may wish to correct. This operation is performed under general anaesthetic or local anaesthetic with sedation. Why would you have neck lift surgery? Sagging and flaccidity of the skin are common with ageing. Ageing starts to visibly affect the neck area from around age 40 onwards, and, in some cases, as skin loses its firmness, this can become a source of insecurity for the patient. The results of neck lift surgery can be long-lasting and satisfactory, as they make the neck appear more youthful and smoother, while at the same time completely removing the flaccidity of the skin. What does neck lift surgery involve? To carry out this operation, an incision is made on the back of the neck, just under the start of hairline, and another incision behind each ear (measuring about 5 cm). Then, through these incisions, the surgeon separates the skin from the neck muscles, tightening it to eliminate wrinkles, and removes the excess skin. How to prepare for neck lift surgery The preparation for neck lift surgery is similar to that of face lift surgery. Patients who smoke should avoid smoking for 1 or 2 months before the operation, and they should also eat light meals during the days before the surgery, avoiding saturated fats and alcohol. It is possible that the specialist surgeon may recommend also avoiding the use of painkillers containing acetylsalicylic acid and blood-thinning medicines in general. Post-operative care After the neck lift surgery, the patient may have inflammation and oedemas that will remain for several days, during which time it is recommended that they sleep with their head and neck elevated. After the operation, a bandage will be applied which may be removed after 24 hours, replacing it with a support for at least 2 weeks. The final results can be seen after 3 to 6 months. ...

Non surgical nose job

A non surgical nose job is a treatment that reshapes the nose without surgery, correcting irregularities in the profile of both the ridge and the nose tip, depending on the specific needs of the patient. It is important to note that this treatment is not suitable for all types of noses, as it cannot change the bone base, therefore it is not indicated for a very large nose and a very prominent ridge. For these cases there are other types of nose jobs that are more suitable, such as rhinoplasty, which is the nose surgery that corrects the functionality of the nose, and modify the bone or cartilage structures to adapt the nose to the face. Nasal remodelling is performed by microinjection of various fillers: if the nose is reshaped by applying hyaluronic acid in the precise points, the results will last nine months because this substance is reabsorbed and after this time the treatment must be repeated. When looking for a permanent result, Metacrill microinjections are applied. ...

Nose reshaping

Nasal remodelling is a treatment that reshapes the nose without surgery, correcting irregularities in the profile of both the ridge and the nose tip, depending on the specific needs of the patient. It is important to note that this treatment is not suitable for all types of noses, as it cannot change the bone base, therefore it is not indicated for a very large nose and a very prominent ridge. For these cases there are other types of nose jobs that are more suitable, such as rhinoplasty, which is the nose surgery that corrects the functionality of the nose, and modify the bone or cartilage structures to adapt the nose to the face. Nasal remodelling is performed by microinjection of various fillers: if the nose is reshaped by applying hyaluronic acid in the precise points, the results will last nine months because this substance is reabsorbed and after this time the treatment must be repeated. When looking for a permanent result, Metacrill microinjections are applied. ...

Oculo-facial plastic and cosmetic surgery

Oculo-facial plastic and cosmetic surgery is concerned with working around the eye and facial area either for reconstructive or cosmetic motives. Treatments can include brow lifts, blepharoplasty, chin augmentation or reduction and other facial procedures. ...

Otoplasty

Otoplasty is the facial surgery performed to correct prominent ears and remodel, managing to improve their proportion and position. The intervention is responsible for the repositioning of protruding ears that are too far apart from the skull, and to downsize if they are too large, and to reshape the pendant lobe or recreate the outer fold if necessary. Depending on the age of the patient, the operation can be performed under general or local anaesthesia. Typically, the procedure involves a small incision behind the ear to reshape the cartilage and make it fold in appropriate areas. This way a more natural ear is achieved and the scar is hidden in the back. ...

Pinnaplasty

Pinnaplasty is plastic surgery to correct prominence or asymmetry of the ears. It is an outpatient procedure and takes about an hour. 

Scar

What are scars? Scars are marks left on the skin after a wound or injury has healed. Visible scars remain on the skin when the deeper layers of your skin has been injured. The vast majority of minor lesions, such as lacerations, cuts, abrasions or burns, will not leave a scar. How does scarring happen? After a lesion or injury, the healing process consists of three phases: inflammation phase, proliferative phase and maturation phase. The inflammation phase takes place 48-72 hours right after a wound is made. The wound starts closing on its own with a blood clot and the new tissue starts growing. In the following three to six weeks, during the proliferative phase, the connective tissue builds up to close the wound. During the maturation phase, which can last a few months or a few years in the most severe cases, the deepest layers of the epidermis keep on repairing themselves. What influences the scar formation process? Scar healing is a highly individual process which can be influenced by several factors, so you should not take into account only the size and severity of a wound. For instance, age is really important: the older you are, the longer the wound healing process will be. However, even if you are in the age range of 10 to 30 years, an overproduction of connective tissue can compromise the wound healing process. Furthermore, people with a really pale or darker skin type may have more evident scars, as well as people suffering from a hormone imbalances, such as teenagers and pregnant women. The scar formation process is also influenced by the location of the wound: scars tend to form in parts of the body where the skin is tenser. Should there be any complications after a wound, such as chronic inflammation (acne), the risk of getting a scar will be much higher. Types of scars: Scars can be divided into hypertrophic scars, keloid scars and atrophic scars. Keloid and hypertrophic scars are mainly caused by an overproduction of connective tissue, which makes the scar grow outside of the original wound area. Keloid scars are much bigger than the original wound size and tend to be more invasive and persistent than hypertrophic scars. They tend to grow in areas where the skin is tense. People with a genetic predisposition and people with darker skin types can have much more visible scars. Atrophic scars or pitted scars are caused by a lack of collagen in the wounded area, creating a sunken recess on the skin. In this case, there is not enough connective tissue to repair the wound. They are particularly common in individuals with acne or chickenpox. ...

Thigh lift

What is a thigh lift? A thigh lift is a surgical procedure aimed at aesthetically improving the upper leg area by removing excess skin and giving it more firmness. This procedure is mainly carried out for people with a significant loss of volume in their legs and thighs, resulting in an excess of skin, for example, following extreme weight loss. Why would you have a thigh lift? Depending on the desired outcome, there are several types of surgery: an inner thigh lift, a bilateral thigh lift or a mid-thigh lift. The inner thigh lift addresses problems related to loss of skin elasticity and is performed through an incision in the junction of the thigh and pubic area to remove excess skin. A bilateral thigh lift is used to tighten the skin on the front and outside of the leg, through an incision made in the upper leg area. A mid-thigh lift reduces excess skin from the upper inner thigh, with an incision made in the groin area, which extends to behind the buttock crease. Preparing for a thigh lift: Together with the specialist, you will decide on the most appropriate type of thigh lift for your particular case. You will also be given instructions that you should follow before the operation: Fasting time prior to surgery Medication to avoid Guidelines for taking antibiotics Guidelines to follow after thigh lift surgery: You must not engage in any physical exercise after the operation to avoid putting pressure on the sutures. After about three days your bandages and drains will be removed and you will be told what type of compression stockings to wear. Most of the discomfort will be treated with medication, although this will subsided after about a week. The sutures will be removed two weeks after the operation, and a few weeks later your legs will have recovered their normal appearance. ...

Tuberous breast

What are tuberous breasts? Tuberous breasts, also known as tubular breasts, are breasts which are tube-shaped instead of rounded and which have a larger space of separation between the breasts. The areolae are also usually large, and the lower part of the breast lacks development. There are various degrees of malformation. What are the symptoms? The characteristics of tuberous breasts are: Conical shape instead of rounded Too much space between the breasts Lack of growth or development of the lower part and inside of the breast Large and dilated areolae Asymmetrical breasts What causes tuberous breasts? Tuberous breasts are caused by the existence of a genetic alteration of the tissue that covers the mammary gland, which is abnormally rigid, preventing the harmonious development of the breasts during adolescence. What is the treatment? Tuberous breast surgery is performed to correct a malformation in the breasts which causes them to have a shape similar to tubes instead of developing a rounded shape. The surgical technique used varies depending on the case, to give the bust volume and a more rounded shape, placing the areola and the nipple in the correct position. Generally, if it is a mild abnormality, it can be treated with the implantation of a prosthesis, without need for any complete glandular reshaping, as is the case in serious malformations. In these cases, the diameter of the areola would be reduced, and incisions would need to be made around it and/or at the base of the breast to relax the rigid area of the chest and to be able to redistribute the gland. ...

Ultrasound

What is ultrasound? Ultrasound is a diagnostic imaging procedure that allows you to see organs and soft structures inside the body. At present, they can be 2D, 3D or four-dimensional images. Ultrasound is a non-invasive technique, in which radiation is not used and thanks to this, it is used to visualise developing foetuses. What does an ultrasound scan consist of? It is carried out using high frequency sound waves emitted through a transducer that captures the echo of different amplitudes which occurs when they ‘bounce’ off the organs. These signals, once processed by a computer, give a series of images. Why are ultrasounds carried out? With this procedure you can clearly differentiate the shape and size of each structure inside the body. In medicine it is used to see the heart, kidneys, liver and blood vessels, among other organs. In addition, ultrasounds are also carried out on patients who are pregnant. Another function is the study of different tissues of the body such as the blood flow of arteries and veins to detect arteriosclerosis and blood clots. Ultrasounds also allow the analysis of the thyroid gland and other soft structures of the neck as well as tendons, ligaments, muscles and joint structures, and mammary glands. Preparation for Ultrasound Usually, you do not need any type of preparation for having an ultrasound. In cases where the area to be examined is the abdomen, the specialist may tell you to drink three glasses of water approximately one hour before the test. How does it feel during the ultrasound? During the ultrasound, the patient will lie on a table or stretcher with the area to be analysed exposed. The specialist will apply a transparent gel that will allow the movement of the roller built into the transducer. During the scan the expert will interpret the images and determine which shots are correct according to each case. The only slight discomfort that can be felt is the gentle pressure that the specialist applies when passing the transducer over the body area. The gel applied can also feel quite cold when applied. Meaning of abnormal results The types of images that are considered abnormal are: Congenital anomalies An alteration to tissue due to trauma or injury Cysts ...

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