Plastic Surgeon
Should plastic surgical procedures be carried out in a laminar flow theatre?
May 28th, 2010In my opinion, yes it is the first thing I make sure is turned on in the operating theatre every morning before my operating list. Lamina air flow theatres are the latest type of theatre in which clean air is circulated in the theatre. The clean air is brought down through a hood in the ceiling and ejected through gaps in the doors and ventilation holes in the walls of the theatre.The air in the theatre is changed approximately every 30 seconds this significantly reduces the risk of any bacterial contamination of the wound. Read the rest of this entry »
Stop hiding, start living with cosmetic surgery from Aurora Clinics in Milton Keynes
February 24th, 2010Making the decision to undergo cosmetic alterations to your body, whether surgical or non-invasive, is life changing. Consulting the right medical practitioner is vital to ensure you get the correct advice and help. Aurora Clinics in Milton Keynes are recommended by their clients for ethical consultations, skilful surgery and attentive aftercare. Find out more by calling their Patient Care Advisors today on 0800 328 5743. Read the rest of this entry »
Prominent Ear Correction
January 6th, 2010Hello, my name’s Adrian Richards, I’m a consultant plastic and cosmetic surgeon and today I’m going to be talking through an operation I did on this young lady with prominent ears on both sides. Read the rest of this entry »
Breast Uplift & Tummy Tuck Operation
December 29th, 2009Hello my name’s Adrian Richards, I’m a plastic and cosmetic surgeon and the surgical director of Aurora Clinics which is based here in the United Kingdom. Today I’m going to be talking you through an operation I did on this lady. As you can see from the before photos, she’s got considerable breast asymmetry, both nipples are in a low position but the right is particularly low. This is with the preoperative markings, you can see that upper semicircle is where I’m going to lift the nipples up to. So I’m going to perform more of an elevation on the right because the nipple is lower. The nipples typically are elevated to a level of 21cm from the sterna notch at the base of your neck in a woman of normal height.
Here you can see her tummy. Again she’s got excess tissue in the front and in the side and because she’s got excess tissue in the side, I will perform extended abdominoplasty, taking the tissue away there. This is with her asleep and as you can see, she’s got a lot of skin laxity and this is the tissue I’m going to remove. So I’m going to remove the tissue really between those lines there and my incision is going to be on the lower line there. This is with the tummy button cut around and on a stalk so her normal tummy button is going to be used but just brought out through a new hole, as you’ll see in a minute. This is my lower incision so I’m cutting through the fatty tissue gently here and then I elevate the skin flap. So you can see the skin is elevated here from the underlying muscles. My next stage is to divide this skin in two, I always take the skin in two parts from the breast so I can be as accurate as possible and I weigh each side independently to make sure they’re very similar weights. Here you can see this is the skin I’m going to remove in this lady. I’m just demonstrating here, this is the tummy button brought through on a stalk and this is the hole through which I’m going to bring the tummy button. So the tummy button, although it’s the old tummy button, is brought through a new hole and you can see this is the tissue I’ve removed. In this case, I removed approximately one kilogram of tissue from each side. As I mentioned, this is an extended abdominoplasty because this lady had excess tissue in her flanks. So this is with the wound closed and you can see I’ve gone right round the flanks to give her a nice hip shape.
So this is before the operation and this is at one week following the operation with the tapes on but you can see the nipples are in a higher position. This is the tummy before the operation and this is it taken two weeks after, again with the tape on. So I hope you’ve found that video interesting, if you’d like any more information about this or any other cosmetic surgical procedure, please feel free to contact us, either via our website or by phoning our office directly. We’ll be more than happy to answer any queries you have and we look forward to hearing from you.
When should you replace your Implants
December 23rd, 2009Hello, my name’s Adrian Richards, I’m a consultant plastic and cosmetic surgeon and I’m also the surgical director of Aurora Clinics. Today I’m going to be talking about replacement of breast implants. This is an increasing problem and I’m seeing more and more patients who come to me to ask should I have my implants exchanged, what are the pros, what are the cons.
So basically, implants, the current ones we estimate they last about 15 years so you’ll probably need them replaced after 15 years. But what I tell my patients is if there isn’t a problem with the implants, you don’t necessarily need to change them. So if you had breast implants 20 years ago, your breasts are nice and soft, you’ve had an ultrasound which shows that the implants intact, there’s not a problem, you don’t need to change them because in fact an operation has risks in itself. So if you’re happy with them, you haven’t got any problem, it’s probably best to leave them alone.
If you have got problems, what could these problems be? These problems can be capsulisation which is basically where the implants go firm. So normally when the go firm, this is the body forming a capsule around, the lining around the implant which compresses, makes them go firm and often high. So the implants are slightly higher and the breasts slightly lower. So that’s capsule formation which I’ve talked about in another video which is an indication of change in the implants. Another one is if there’s any indication that the implant may have ruptured so if you feel there’s been a recent change, we’d normally arrange an ultrasound or an MRI to look at the integrity of the breast implant and if there is any rupture, that is a good reason to have them removed and replaced. Another reason might be what’s called a silicone granuloma. So sometimes you can get lumps in your armpits, you have lymph glands which act as sieves under your armpit and they would drain any silicone. So if there is any silicone bleed which is a slight ooze from the implant, that can cause a lumpiness under the armpit. Again, that’s a reason to remove them. The final main reason is you’re not happy with the aesthetic results of the implant. They may have been fine but they’ve changed, maybe you’ve had pregnancies or your breast shape has changed. So that is an indication if aesthetically you’re not pleased with the appearance of the breast. In particular, I’ve seen a lot of patients who’ve had the implants put in a sub muscular position, that’s under the pectoralis muscle, where the implants lie high because the pectoralis muscle tends to hold the implants high and with time, breast tissue itself goes down and this leads to a phenomenon called the double bubble effect which I’ll talk about in another video.
So essentially, if your breasts are okay and you haven’t got a problem, probably best to leave them alone. If you’ve got any of the problems that I’ve just talked about, you could consider having them removed but you need to think long and carefully about the pros and cons of doing this.
So thank you very much for listening to the video, we hope to see you soon and please feel free to contact us at any time, either via the website, email or phone if you’d like to arrange a consultation or just like some advice. Thank you.
Breast Implant Exchange and Uplift (Mastopexy)
December 22nd, 2009Hello, my name’s Adrian Richards, I’m a plastic surgeon and today I’m going to be talking about an operation I did recently in which I exchanged some implants and performed a breast uplift procedure. This is the picture of the lady before and as you can see, the implants are in a very high, sub muscular position. They’d been inserted by another surgeon through the armpit and the nipple is in a very low position, giving rather an unnatural appearance to the breast. Read the rest of this entry »
Adrian Richards talks about a recent Body Lift Operation
December 19th, 2009Hello, my name’s Adrian Richards, I’m a plastic and cosmetic surgeon and I’m the surgical director of Aurora Clinics here in the UK. Today I’m going to be talking you through an operation I recently did on a very nice lady who’s lost a significant amount of weight and really just by willpower alone, she’s lost 97kgs. Here you can see pictures of her, quite a lot of excess in the abdominal region and those two bulges you can see at the top are excess skin caused by folds in that region. Here she is from the side and you can see I’m going to perform an extended abdominoplasty to remove all of that skin in that area there. So everything between my lines and I’m going to extend it onto the back because of those bulges on the back there. Read the rest of this entry »
Alison talks about her Tummy Tuck Procedure
December 18th, 2009I had the operation after losing four and a half stone in weight but also, I had twins some 14 years before and I had very loose hanging skin. So having lost weight, decided to get rid of that excess skin because obviously it was quite ugly and seriously bad stretch marks. I went for the consultation at my local private hospital, Saxon Clinic in Milton Keynes and I found that very simple and straightforward. I met Mr Richards and we went over everything, talked about it, got a date booked in the diary so it was very straightforward and no complications there. Read the rest of this entry »
Adrian Richards explains how a SMAS Facelift can be modified to suit you
December 17th, 2009Hello, my name’s Adrian Richards, I’m a plastic surgeon and I’m the surgical director of Aurora Clinics. Today I’m going to be talking about the SMAS. In a previous video, I talked about the SMAS, superficial musculoaponeurotic system in the face. I described what it is and basically it’s a sheet which lies under the skin which supports the tissue which surgeons can modify. So skin over the top, another sheet like layer underneath which you can’t see which we can tighten up. Read the rest of this entry »
Adrian Richards explains what a Macs Facelift is.
December 15th, 2009Hello, my name’s Adrian Richards, thank you for watching the video. I’m a plastic surgeon and the surgical director of Aurora Clinics and today I’m going to be talking about a new type of facelift called a MACS facelift. I’m going to be discussing what it is and who’s suitable.
So a traditional facelift, which I’m going to talk about in other videos, has got a lot of names but might be known as a SMAS facelift, a deep plane facelift, all these words which I’ll discuss in other videos because the words used to describe facelifts are really, really complicated. So I’ll slowly work through that in the videos. Read the rest of this entry »