For both men and women after losing a significant amount of weight, there’s likely to be excess skin in the chest area.

This can be manifest by a low nipple position with loss of volume from the chest and excess of skin.

This excess skin in this area is normally treated with a breast uplift or skin tightening procedure and this is has been extremely effective treatment for toning up this region.

For more information about what’s involved in this treatment, visit bodyliftsurgery.co.uk which has further information on the types of surgery available and the recovery from the operation.

Plastic Surgeon Adrian Richards shows you how each stage of the operation is performed.

 In the video he shows you:

• Which bit of the breast is removed
• How the blood and nerve supply to the nipple is preserved
• How the remaining breast tissue is shaped
• The result at the end of surgery

There have been recent reports of a new type of antibiotic resistant called New Delhi Metallo 1 Strain.

This is a antibiotic resistant strain of bacteria which originated in the Indian subcontinent.

The concern with this bacteria is that it is resistant to almost all types of bacteria antibiotic making treatment very difficult.

You are generally very unlikely to develop infections with this type of bacteria unless you have been treated or had surgery in the Indian subcontinent.

Mr. Richards, Clinical Director of Aurora-Clinics.co.uk has recently produced this video updating the current status with the NDM-1 Bacteria Strain which gives you a full explanation of its implications for you.

There have been  recent reports of a new type of antibiotic resistant called New Delhi Metallo 1 Strain.

This is a antibiotic resistant strain of bacteria which originated in the Indian subcontinent.

The concern with this bacteria is that it is resistant to almost all types of bacteria antibiotic making treatment very difficult.

You are generally very unlikely to develop infections with this type of bacteria unless you have been treated or had surgery in the Indian subcontinent.

Mr. Richards, Clinical Director of Aurora-Clinics.co.uk has recently produced this video updating the current status with the NDM-1 Bacteria Strain which gives you a full explanation of its implications for you.

County people flocking to places like Poland and India for unregulated breast augmentation and tummy tucks are relying on the NHS to pay surgeons when it goes wrong, he claimed.

Adrian Richards, who runs the Aurora Clinic, near Thame, said his clinic received a referral every couple of months.

Last night, NHS Oxfordshire, the county’s primary care trust, said it did not hold figures for how many people who had surgery privately needed NHS help and claimed it did not know how much it had spent fixing ‘botched jobs’.

But Mr Richards, a member of the Fellowship of the British Association of Aesthetic Plastic Surgeons, said the trust shelled out thousands of taxpayers money paying for the corrections each year.

He said: “We have surgeons here who take referrals from the NHS and we see either a surgery related infection or bad job at least every couple of months.

“The most popular types of surgery are ‘tummy tucks’, abdominoplasty, and breast augmentation.

“The main things we do see are infections and these tend to be from places such as Poland, South Africa, and India, where sterility standards are not as high and surgery is not regulated.

“Much of the time people go abroad for surgery and perhaps don’t get the level of aftercare they need to make sure they recover fully. You can’t just jump on a plane afterwards because there is a high risk of blood clots.

“When someone picks up an infection and becomes very ill after their surgery they’ll go to the local A&E and in some cases have to be admitted into intensive care.

“I would say it costs the NHS hundreds of thousands every year.

“And when surgery goes very wrong, the sky is the limit.”

The average price for a breast enlargement or tummy tuck in the UK is around £4,000.

But Mr Richards said patients can save about £1,000 when they go abroad, with packages including a two week break afterwards.

He said this type of routine ‘holiday surgery’ means people are not treating plastic surgery seriously.

He said: “There seems to be an offhand approach to having surgery, People forget it is still surgery and can be dangerous if not done properly. “ Mr Richards said another worrying factor in going abroad to unregulated surgeries was the spread of the new superbug NDM1, which scientists are struggling to find an antidote for.

He said: “The NDM1 virus was brought into this country by people who travelled to India and Pakistan mainly for cosmetic surgery procedures.

“My advice to people who are considering having surgery is, do the research.

“Make sure there are recognised standards in place and make sure you go and see a responsible professional.”

Scarring for liposuction is usually very minimal and I tend to advise people that it will usually fade into a small pale scar.

Generally for each area that has liposuction two small incisions will be required. In some cases three will be needed.

In order for it to be possible to achieve a flat result it is best to for the liposuction to be performed in a crossed section like a lattice which will reduce the risk of developing ridges that can occur if the liposuction tube is place is inserted through one hole only.

If you are having a number of areas are treated your surgeon maybe able to use the same small incisions to remove fat from more than one area. This reduces the amount of incisions you will require.

For more information please visit Aurora-Clinics.

Extra nipples [accessory nipples] are very common. They normally occur on one side but can occur on both and occur normally in a line underneath the nipple.

They vary in size significantly and this one, I would classify as a moderate size.

They are relatively straight forward to remove as shown in the video, leaving a thin narrow scar at the side of the extra nipple.

Many people are not aware that they have an extra nipple in this region. They think it is a mole. In some cases, sometimes in men they can actually secrete milk occasionally and in women this usually occurs when they are breast feeding.

Dr. : I’m in clinic today with Louise who is 6 weeks post tummy tuck procedure. Thank you for talking to us Louise, can you just tell me how you managed to find us and why you decided to come along for this procedure?

Louise: Okay, when I decided when I wanted to have it done I went to see my GP who gave me a list of plastic surgeons that they have on their kind of register in other words and they recommend to go towards one of these rather than just to someone that they are not aware of so I need there was one that might surgery and my GP were happy with. And then from the list of names I googled each surgeon and from the research on the internet I thought that Adrian Richards had it’s a very concised and informed website and he seemed to be extremely qualified and that’s why I then made that appointment to come here. And then after meeting Mr. Richards I’ve decided he would definitely be the person that I wanted to do it.

Dr.: He answered all the questions that you wanted?

Louise: Yeah, it’s was really clear. But I think maybe for me he’s such a friendly and very warm despite welcoming person I think. I knew that medically he was very well qualified and for me I felt quite comfortable with him and comfortable with the idea of him actually cutting my abdomen.

Dr. : Okay, so you booked an appointment to come in to the Shelburne Hospital High Wycombe and how long did you stay there? Was it a 2-night stay or 3-night stay you had?

Louise: It was a 2-night stay I had the operation on the Tuesday morning at 9 and then I was back in my room again by 12 and that Tuesday night I stayed in and an all day Wednesday and then Wednesday night and I was back home again by kind of mid-day on the Thursday.

Dr. : Okay, while in your hospital you were seen by physical therapists and so staff to look after your pain relief?

Louise: Yes, I saw Denise test obviously before the operations and she came back twice off well just to make sure if I was okay and see how I was feeling. And then I had obviously the nursing care and it was mainly like just had a like I had a day nurse and like a night time nurse so I got to know the day-time nurse especially quite well which is really nice and some familiar who came in the morning to see me and over seeing this staff bring the tees and often they’re lovely and friendly.

Dr. : And when you went home did you have to put your feet up or were you able to sort of foster around?

Louise: For the first probably week, moving around was fairly uncomfortable but not too painful that’s the one thing I found quite strange there was no point was I in that awful pain. It was just a little bit more uncomfortable it hindered my movement because I don’t want to move too fast but I was actually able to do most things but I don’t want to do most things. I found I was kind of hunched over for about 5 days and then after that time I found I could stand up very much straight. It quickly progress from there after about 2- 2 1/2 weeks I was pretty much back to normal again.

Dr. : Where you driving then again?

Louise: Yes, after a sort of it after my 2-week appointment I was able to take the corset binder thing off which really was nice at that point to take off. And so I could drive just big plus. And then I felt totally normal after then really maybe a little bit tender around the scar area but again no pain at all.

Dr. : And were now 6 weeks you’re very into your running and you’re now looking back forward to getting back to exercise?

Louise: Yes, I’m looking forward to getting back to get in stuck into again. I feel like I probably could have started earlier but then I don’t want to rush it. And I just feel so much better now the itself I cannot barely see it really I might forget if I had it done right at the time done but other people notice, people that didn’t know I had the operation have noticed it them on and asked me what gone differently and people who have seen it before and after completely amazed by the results. My husband and I both overwhelmed with how it looks now and I feel really confident again back into all my clothes I used to wear before I had children and I feel confident wearing them rather than wearing things that kinda hide the areas specially I sitdown I can’t believe I looked normal again.That’s amazing.

Dr. : That’s lovely. Thank you so much and thank you for coming to Aurora Clinic.

Inverted nipples are caused by tight milk ducts. They tether the nipple inwards and despite the muscle of the nipple trying to pull the nipple out, the tight milk ducts pull it inwards.

The milk ducts are very strong and some techniques for inverted nipple correction have aimed to lengthen and stretch these.

In my experience these lengthening techniques are only really good for grade 1 and possibly mild grade 2 of nipple inversion cases.

In most grade 2 cases and grade 3 cases the most reliable option however is division of the milk ducts. This does create good permanent inversion of the nipple but the downside is that you will not be able to breastfeed following surgery.

In summary, if you are considering surgery to correct your inverted nipples it can be very simply performed under a local anesthetic. However, if you feel you would like to breastfeed at a later date it is generally unlikely you won’t be able to do so if you have a grade 3 inversion there but it is usually possible if you have grade 1 inversion.

You need to think long and hard about whether you would like to breastfeed if you are considering inverted nipple surgery.

VASER Liposuction is the new craze in liposuction. Essentially, ultrasound energy is used to dissolve the fatty tissue and this machine that delivers the ultrasound energy is known as the VASER machine.

It is important to realise that just because you are being treated with VASER does not guarantee perfect results. What is more important is the skill of the injector.

The advantages of VASER treatment are quicker recovery, less bruising and swelling, but VASER treatment, if not used by an experienced practitioner, can cause problems such as irregularity and contour defects to the skin.

On balance I think, VASER therapy is better and has significant advantages to  traditional liposuction but it is very important to check the experience of your practitioner and it is best if you can get a personal recommendation from someone who has had similar treatment.

Another set of unsung heroes in any operation are the theatre team.

Again, it is essential that the surgeon and the scrub team have a very good understanding of what is involved in each operation.

I’ve worked with a scrub nurse for the past 8 years and she has unfortunately left work to have a baby 2 weeks ago. We replaced her here at Aurora Clinics with someone else with equal skill and experience.

The scrub nurse’s job is to make sure all instruments are available and sterile at the beginning of the operation. He or she is also responsible for counting the amount of needles and stitches used to make sure that none are left within the wound and also making sure that all the swabs are returned.

Without a good scrub nurse, good surgery is impossible and again any reputable surgeon with high quality of work will work with a extremely good scrub nurse.