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Breast Surgery


Welcome

The Parkside Suite offers a breast surgery team with over 30 years of experience in the NHS and private practice.

 

breast_consults2

L-R Ian Laidlaw, Isabella Karat, Raouf Daoud

Ian Laidlaw has over 17 years experience in cosmetic breast surgery Ian also is the lead clinician for the Cancer Unit at Frimley Park Hospital. Trained in surgical oncology in Manchester, Ian then undertook research at the Christie Hospital and Paterson Institute in breast diseases and then higher specialist surgical oncology and plastic surgery at the Royal Marsden Hospital, London.

Ian lives in Farnham and enjoys music and outdoor activities such as walking and cycling. He is married with three children.

 

Isabella Karat recently joined the Parkside Breast Surgery team with strong background in oncoplastic and reconstructive breast surgery. Isabella brings previous experience from plastic surgery and a highly competitive national fellowship in oncoplastic breast surgery. Fat transfer has enabled Isabella to treat patients with post-surgical deformity and volume loss, to restore fullness and cosmesis.

 

Raouf Daoud qualified in 1980 and trained in general surgery in the UK, and breast surgery in Charing Cross and Cardiff University Hospitals. He has been a consultant breast surgeon in FPH since 1999. During this time, as a Service Improvement lead Clinician, he helped establish new surgical techniques in managing breast cancer and introduced new surgical techniques in breast reconstruction in FPH.

Raouf is keen on helping patients make the right decisions, through careful listening to patients concerns and views, to ensure patient’s expectations are achievable. He offers 30 years of experience in communicating with patients.

Raouf is married with three grown up children. He enjoys classical music and gardening.

 

For more information, please contact the Parkside Suite on 01276 604895 or fill out our online enquiry form.

Cosmetic breast surgery

Female breast uplift (Mastopexy)

The shape of a women's breasts change with age. They can lose their fullness and also start to droop more (called ptosis). These changes vary between different women, and can also be more marked after childbirth or after weight loss. These changes in appearance may be distressing to some women who may then seek the advice of a surgeon.

The breast uplift operation is called mastopexy and is an operation that removes mainly excess skin from the breasts. The breasts are reshaped and the nipples repositioned to form newer uplifted breasts. If you're having an implant inserted along with your breast lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall.
All forms of surgery of this nature will however involve some form of scarring.

 

Preparing for surgery | On the day of your surgery | Risks | After your surgery | At home | The future

 

Preparing for Surgery
In the weeks before your surgery, there are several things you may want to consider:

• Your surgeon will recommend that you lose weight before surgery if you are overweight and he will advise you on the risks of the contraceptive pill.

• It is probably also wise to see your GP before your surgery, particularly if you have other medical problems.

 

On the Day of Your Surgery
You will be admitted to The Parkside Suite on the day of your surgery, where the Parkside Nursing Staff will help you settle in. At this time you will be fitted with a pair of elastic stockings and given an injection to help reduce your risk of developing clots in your veins after surgery. You will then be seen by both your surgeon and anaesthetist to have a final discussion prior to the surgery commencing. At all times during your stay in The Parkside Suite and afterwards your Surgeon will be responsible for your care, supported by the Parkside Nursing staff.

A well fitting bra will need to be worn following surgery but because of post operative swelling the final shape of your breasts may not be obvious for several weeks. There is likely to be some tenderness and lumpiness of the breast for several weeks or months following surgery but there is no reason why you cannot sunbathe and go swimming once the scars have fully healed.

 

Risks
Any major operation with a general anaesthetic carries a small risk of chest infection particularly among people who smoke.

Infections in the breast tissue can be troublesome. Infection can be treated with antibiotics, but it will delay the healing process, scars are likely to be worse to start with.
Healing problems may occur, and a scab may form which will eventually separate to leave a broad scar. The nipple disc, and the skin where the scars meet underneath the breast are the parts most likely to be affected. People who smoke are at greater risk of this problem happening.
Usually the scars settle well to end up as white lines but they will always be noticeable. However, some people have an inborn tendency for scars to stretch and sometimes scars can stay thick, red and irritable for a long time.
There is no evidence that mastopexy causes or influences breast cancer in any way. The operation does also not prevent your breasts from being examined for cancer in the usual way.

 

After Your Surgery
After surgery, you'll need to wear a sports bra night and day for at least 10 days. Your breasts may be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn't be severe. Any discomfort you do feel can be relieved with medications prescribed by your surgeon.
At ten days you will be reviewed by your surgeon and any dressings will be removed. The stitches used will be dissolvable and will not need to be removed.
If your breast skin is very dry following surgery, you can apply a moisturizer several times a day. Be careful not to tug at your skin in the process, and keep the moisturizer away from the suture areas.
You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.

At Home
Healing is a gradual process. Although you may be up and about in a day or two, don't plan on returning to work for a week or more, depending on how you feel. And avoid lifting anything over your head for three to four weeks. If you have any unusual symptoms, don't hesitate to call The Parkside Suite Ward on 01276 604703. Your surgeon will give you instructions for resuming your normal activities. You will be asked to avoid strenuous sports for about a month. After that, you can resume these activities slowly.

 

The Future
Your surgeon will make every effort to make your scars as inconspicuous as possible. Still, it's important to remember that mastopexy scars can be extensive and permanent. They often remain lumpy and red for months, then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.

You should also keep in mind that a breast lift won't keep you firm forever--the effects of gravity, pregnancy, aging, and weight fluctuations will eventually affect your breasts again. Women who have implants along with their breast lift may find the results last longer.

Breast enlargement

Breast Enlargement (Augmentation)

Technically known as augmentation mammoplasty, breast enlargement surgery uses implants to enhance the size and fullness of a woman's breasts. There are many reasons why women choose to have this surgery:
• Some women have always felt their breasts were too small and believe larger breasts will make them feel more attractive and confident.
• Others may be dissatisfied by the way their breasts look after pregnancy. Others have always felt self conscious about their breasts being different sizes and wish to correct this imbalance.
• Finally, many women choose breast enlargement as a reconstructive technique after breast surgery.

A wide variety of implants are available and your Parkside Breast Surgery Consultant Surgeon will advise what size, shape and type of implants are suitable options for you.
The best candidates for breast enlargement surgery are women who are physically healthy and realistic about their expectations. They understand that the surgery can produce striking improvements, but not perfection.
They also understand that while breast augmentation surgery will change their appearance it will not change their lives.
Before you choose to have breast enhancement surgery it's important to think these issues through, and discuss them with your surgeon.

 

The procedure | Silicone concerns | Discussing your options | Risks | At home | The future

 

The Procedure
During breast enhancement surgery, your surgeon will place an implant behind each breast, inserting it either under your breast tissue or behind the muscle on which the breast lies. These implants are most often inserted through incisions below the breast but may be placed through incisions made around the nipple, in the armpit or in the tummy button.
The implants themselves may be round or teardrop shaped depending on which design your surgeon feels is best for you. They are filled with either silicone gel or a salt-water solution known as saline.

Silicone Concerns
Whatever the filling of the implant, the outer layer will be made of silicone, so it's helpful to know a bit about this material. Silicone is made of a number of naturally occurring elements including carbon, hydrogen, oxygen and silicon – an element found in sand, quartz and rock. It has been used in a variety of products – including suntan lotions, moisturizing creams and various medical devices – for decades.
Over the years there has been some controversy about whether silicones can cause illness and disease. The Department of Health asked an independent review group to review the evidence in 1998 and they found no evidence of any connection between silicone-based implants and illness. Further, these studies have found that:
• Women with silicone gel implants are not more likely to suffer from ill health or any connective tissue or joint diseases.
• There is no evidence that children of women with silicone gel implants are at greater risk for disease.
• The risks to women with silicone gel implants are no greater than those of women with other implants.
Breast implants can, however, interfere with standard mammography as they may obscure some of the underlying tissue because of this, you should inform your radiologist that you have implants before having a mammogram.

Discussing your options
At your consultation with a Parkside Breast Surgery Consultant Surgeon, they will evaluate your health and explain the procedure, the surgical technique he feels will be best for you based on your breasts and skin tone. If your breasts are sagging, he may also advise an uplift procedure.
Your initial consultation is also the time for you to discuss the results you are looking for, including how much larger you would like your breasts to be. This is an issue you want to think through carefully as a very large augmentation won't look natural and may cause rippling of the skin in the sides of the breast.
It's very important that you be totally frank with your surgeon about your expectations and the goals you want to achieve – and equally important that your surgeon be frank with you about your alternatives and the plusses and minuses of each.

Risks
During your consultation, your surgeon will also talk to you about the complications and limitations of breast enhancement surgery.
He will explain that the body always forms a capsule of scar tissue around the implant, and that this capsule can become contracted, leading to pain and/or a hard feel to the implant. Fortunately, with today's designs, this is only an issue for about 5% of patients.
Your surgeon will also explain that a breast with an implant may not feel like a normal breast and some women are acutely aware of the feel of the implant inside their breast. Many other women report a difference in nipple and skin sensation after their surgery.
Other limitations include the possibility that breast augmentation may make the normal difference in size between your breasts more noticeable and the fact that your surgery will leave scars. These will most likely end up as white lines after several months but may always be noticeable.
During your consultation, your surgeon will also talk to you about the complications and limitations of breast enhancement surgery.
While breast enhancement surgery has been performed successfully on millions of women it does, like all major surgery, carry some risk of chest infection, particularly among women who smoke. There is also some risk of clotting in the veins of the legs.

Preparing for Surgery
In the weeks before your surgery, there are several things you may want to consider: because smoking affects healing of the breast wounds, you may want to reduce your consumption or give it up altogether and it is probably also wise to see your general practitioner before your surgery, particularly if you have other medical problems.
You will be admitted to The Parkside Suite on the day of your surgery, where the Parkside Nursing Staff will help you settle in. At this time you will be fitted with a pair of elastic stockings and given an injection to help reduce your risk of developing clots in your veins after surgery.. You will then be seen by both your surgeon and anaesthetist to have a final chat prior to the surgery commencing. At all times during your stay in The Parkside Suite and afterwards your Surgeon will be responsible for your care, supported by the Parkside Nursing staff.

After your surgery
Your surgery will be carried out under general anaesthetic. When you wake up after the operation you should expect some discomfort for two to three days, for which you will be given pain killing injections or tablets. You may also experience a burning sensation in your nipples but this will subside in about two weeks and your surgeon will prescribe medication to lessen your discomfort. Other normal symptoms include hearing a “sloshing” sound inside your breasts and finding a “bubble-wrap” like change in the skin near your breast. Both these symptoms should resolve after two or three days.
Drainage tubes are not regularly used. If they are, they will be removed within a short period of time. All stitches used for your surgery will be dissolvable and therefore not require removal, but you will find steri-strips over your scars and dressings over these. Finally a sports bra, which you will have been asked to bring to the hospital, will be placed over the dressings.
Your dressings will be removed 24 hours after surgery but the steri-strips should be left in place until you see your Surgeon for your review appointment approximately ten days later. Although you will be up and about the next day, you may feel some discomfort for the first week or so, especially when you move around or cough. Your surgeon will prescribe medication to help you feel a little more comfortable.
You'll also probably find it helpful to continue wearing the sports bra during the day and at night for two or three weeks, until the swelling and bruising subside.
You may get your wounds wet after the first 48 hours, however showering is better than bathing to avoid soaking the wounds. If the skin of your breasts is very dry it will help to use a moisturizer several times a day, however it is important not to get it on the suture area.

At Home
You should be able to return to work within a few days, depending on the level of activity required by your job. Your surgeon will advise you on when you can begin exercising and other normal activities.
During this time you will probably still experience some discomfort, however, you will also be able to enjoy your new, fuller look and enhanced sense of confidence.
For your comfort, you should continue to wear a sports bra after you go home and its important to avoid lifting or pushing anything heavy for three or four weeks.
You may get your wounds wet after 48 hours. Showering is best or, if you bathe, simply splashing the water up over the scars. Do not soak your wounds and be sure to dry the scar line carefully afterwards.
If the skin on your breasts is very dry, you may apply a moisturiser several times a day, taking care to keep it away from the suture line.
Your surgeon will give you detailed instructions for resuming your normal activities. However usually most women can return to work (if it is not too strenuous) and social activities in about two weeks. You will have much less stamina than usual for several weeks, though, and should limit your exercise to stretching, bending and swimming until your energy level returns. You should also continue to wear a sports bra for support.

The Future
Your breasts may be quite sensitive for two or three weeks so you will want to avoid direct stimulation. Once they are no longer sore, usually within three to four weeks after surgery, contact is fine.
Your scars will take time to settle as well. Often they remain lumpy and red for months before gradually becoming less obvious.

Breast reduction

Breast Reduction (Reduction Mammoplasty)

The size of your breasts is determined by a number of factors, including the genes you have inherited, your body weight and hormonal influences. No matter what your age, large breasts can cause problems:
• Many women experience physical problems like back or neck pain, grooves in the shoulders from bra straps and rashes under the breast.
• Large breasts can also make it uncomfortable to exercise and difficult to find clothing that fits.
• They also often make women self conscious, especially if they attract unwanted attention from the opposite sex.
Breast reduction surgery, also called reduction mammoplasty, can improve these problems by removing excess breast tissue, fat and skin from the breasts. Breasts are then reshaped and the nipples repositioned to produce attractive, smaller breasts that are in better proportion to your body.
This surgery may also be appropriate for women who have one breast that is markedly larger than the other and wish to have it reduced to match the smaller breast.
Of all plastic surgery procedures, breast reduction results in one of the quickest body-image changes.

 

Discussing your options | Risks | Preparing for surgery | After your surgery | At home | The future

 

Discussing your Options
At your consultation with a Parkside Breast Surgery Consultant Surgeon, they will evaluate your health and explain the procedure to you. They will also discuss the several approaches to reshaping the breasts, all of which involve a scar around the nipple and areola (the coloured skin around the nipple). These various approaches most often also involve vertical scars, which join to form a T-shaped scar in the fold below the breast. Your surgeon will explain the advantages and disadvantages of these different approaches and may recommend the technique that would be best for you. During this consultation, it's important that you talk honestly with your surgeon about the size of breasts you would like to achieve.
If you wish a large reduction in size, your surgeon will explain that the shape and cosmetic quality of your breasts may less pleasing than in the case of smaller reductions. There is also a chance that your breasts will be somewhat uneven in size, although often less so than before surgery.
For women with very large breasts, the benefits of a significant reduction in breast size may outweigh these potential imperfections and other limitations.
If your breasts are only slightly larger than normal, you'll want to think carefully about all aspects of the surgery before proceeding.
Unless breast reduction surgery is done while breasts are still growing, they should not re-grow afterwards. They will, however, increase if you put on weight or become pregnant and they will decrease in size if you lose weight. You should also remember that even normal breasts have a tendency to droop with time and you can expect some changes in shape to occur after reduction mammoplasty.

Risks
As with all major surgery, there is some risk associated with general anaesthesia and your surgeon will discuss this risk at your consultation. The most obvious consequences of breast reduction surgery, other than the reduction in size and change in shape of your breasts, are the scars that result. These are designed to be invisible while you are wearing normal clothes and, as far as possible, to lie beneath the average bra or bikini top.
Initially your scars will be red and may be thick and uncomfortable. Over the months following your surgery they should become much paler and less obvious. They will, however, always be visible when you are not wearing clothing.
The scars from breast reduction surgery do vary from one woman to another. In some they may be very thin. In others, they may stretch and become quite red and noticeable. Most women, however, feel the scars are an acceptable trade-off for the benefit of dealing with the problems caused by large breasts.
Another consequence of breast reduction surgery that you should consider is the fact that few women are able to breast feed following this kind of surgery, this is because during surgery the nipples are separated from the milk ducts.
Pregnancy itself is not affected by breast reduction surgery but young women may want to think carefully about not being able to breast feed before deciding to have the surgery.
It is also important to be aware that your nipples are likely to be less sensitive following surgery because nerves have been divided. This numbness can extend over part of the breast as well.

Preparing for Surgery
In the weeks before your surgery, there are several things you may want to consider:
• Your surgeon will recommend that you lose weight before surgery if you are overweight and he will advise you on the risks of the contraceptive pill.
• it is probably also wise to see your GP before your surgery, particularly if you have other medical problems.
You will be admitted to The Parkside Suite on the day of your surgery, where the Parkside Nursing Staff will help you settle in. At this time you will be fitted with a pair of elastic stockings and given an injection to help reduce your risk of developing clots in your veins after surgery. You will then be seen by both your surgeon and anaesthetist to have a conversation prior to the surgery commencing. At all times during your stay in The Parkside Suite, and afterwards, your Surgeon will be responsible for your care, supported by the Parkside Nursing staff.

After your Surgery
Your surgery will be carried out under general anaesthetic. When you wake up after the operation you should expect some discomfort for two to three days, for which you will be given pain killing injections or tablets. Drainage tubes are not regularly used. If they are, they will be removed within a short period of time. All stitches used for your surgery will be dissolvable and therefore not require removal, but you will find steri-strips over your scars and dressings over these. Finally a sports bra, which you will have been asked to bring to the hospital, will be placed over the dressings.
Your dressings will be removed 24 hours after surgery but the steri-strips should be left in place until you see your Surgeon for your review appointment approximately ten days later. Although you will be up and about the next day, you may feel some discomfort for the first week or so, especially when you move around or cough. Your surgeon will prescribe medication to help you feel a little more comfortable.
You'll also probably find it helpful to continue wearing the sports bra during the day and at night for two or three weeks, until the swelling and bruising subside.

At Home
You'll be able to leave the hospital after one or two days; however you should expect to feel tired and to need help at home for between two and six weeks depending on your age, fitness and home circumstance. For your comfort, you should continue to wear a sports bra after you go home and its important to avoid lifting or pushing anything heavy for three or four weeks.
You may get your wounds wet after 48 hours. Showering is best or, if you bathe, simply splashing the water up over the scars. Do not soak your wounds and be sure to dry the scar line carefully afterwards.
If the skin on your breasts is very dry, you may apply a moisturiser several times a day, taking care to keep it away from the suture line.
Your surgeon will give you detailed instructions for resuming your normal activities. However usually most women can return to work (if it is not too strenuous) and social activities in about two weeks. You will have much less stamina than usual for several weeks, though, and should limit your exercise to stretching, bending and swimming until your energy level returns. You should also continue to wear a sports bra for support. Your first menstrual period following surgery may cause your breasts to swell and hurt. You may also experience random, shooting pains for a few months.
You should expect some loss of feeling in your nipples and breast skin as the result of swelling after surgery. This loss of feeling usually fades over the next six weeks or so, however in some women it may last a year or more and, in a few patients, it may be permanent.
There is likely to be some tenderness and lumpiness of your breasts for several weeks or months, but there is no reason why you cannot sunbathe or go swimming once your scars have fully healed.
A small amount of fluid draining from your wound or some crusting is normal. If you have any unusual symptoms, such as bleeding or severe pain, you should call The Parkside Suite immediately on 01276 604703.

The Future
Over the next few weeks most of the swelling and bruising will disappear, although it may take six months to a year before your breasts settle fully into their new shape.
Your scars will take time to settle as well. Often they remain lumpy and red for months before gradually becoming less obvious. Fortunately, the scars are usually placed so you can wear even low-cut tops while this settling is taking place.
When healing is complete, however, you will be rid of the physical discomfort of your large breasts, your body will be better proportioned and you'll find it far easier to buy clothes that fit well.

Male cosmetic breast surgery

Male cosmetic breast surgery

Male Breast Reduction
Gynaecomastia is a medical term that comes from the Greek words for “woman-like breasts.” Although it is not often talked about, gynaecomastia is more common than you may think, affecting an estimated 40 to 60 percent of men. In some men it affects both breasts, in some only one. Certain drugs and medical problems have been linked to male breast overdevelopment, but in most cases there is no known cause. If you have overdeveloped breasts and feel self-conscious about the appearance of your chest, a recently developed surgical technique called tumescent method liposuction can correct the problem. Liposuction is an effective tool for the permanent removal of these localized excess fatty tissues and can restore a slimmer, more masculine chest contour.

 

Is surgery right for you? | Preparing for surgery | The procedure | Recovering from surgery | Risks and complications

 

Is surgery right for you?
The ideal candidate for liposuction is a healthy man with localized areas of fat deposits in the breast area that are disproportionate to the rest of the chest.
• If you are obese or overweight, you will be advised to attempt to correct the problem with weight loss before considering surgery.
• Men who drink alcohol to excess or smoke marijuana are usually also not considered good candidates for the surgery.

Preparing for surgery
At your initial consultation, your surgeon will take a complete medical history. Having your surgeon know about your medical background is very important, so please be sure to provide all the information you can. If you decide to proceed with treatment, your surgeon will give you specific instructions, including guidelines on eating, drinking and taking certain vitamins and medications.
Because smoking decreases circulation and interferes with proper healing, you surgeon will also instruct you to stop smoking for a minimum of one to two weeks before your surgery and during your recovery.

The procedure
Liposuction for gynaecomastia may be performed under either general or local anaesthesia. Your surgeon will see you before the operation to answer any questions you may have and to draw some reference lines on the areas slated for liposuction.
• If your procedure is being done under local anaesthesia, you will be given antibiotic and sedative tablets before it begins and a small needle will be placed in one of your veins so you can be given sedation.
• If your surgery is being done under a general anaesthetic you will proceed directly to the operating theatre once your surgeon has spoken with you.
In the theatre, your skin will be cleaned with iodine and you will receive an injection of local anaesthetic, after which several small (2-3mm) incisions will be made in the skin. A solution containing an anaesthetic and a substance to help prevent bruising will then be injected into the fat through these incisions. Once the area is fully numbed, the fat is removed using a fine needle, called a cannula, which is attached by tubing to a strong suction machine.
• If your liposuction is being performed under local anaesthesia you will be asked to change position from time to time to give the surgeon better access to fat deposits. You will also be asked to stand several times so the progress of the procedure can be assessed.
• When the procedure is over, absorbent pads and a pressure garment will be applied and you'll be taken to your room.
If excess glandular tissue is the primary cause of breast enlargement, it may need to be excised (cut out) with a scalpel. This will leave a scar, usually around the nipple edge. This excision can be performed alone or in conjunction with liposuction. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more obvious scars. This is usually following a significant weight loss. Most operations for gynaecomastia take about 90 minutes to complete and are performed under general anaesthesia.

Recovering from surgery
Most patients stay in hospital overnight, however you may go home if you choose once the effects of your anaesthetic or sedation have worn off. • You will be given written post-operative instructions and a follow-up appointment will be arranged for you in six weeks.
• You will also be given painkillers and antibiotics.
• Should you choose to go home, you will need to arrange transport as you will not be able to drive for 24 hours.
You can expect your recovery to be rapid but there will be some swelling and bruising of the treated area. You can help reduce this by wearing a firm support garment for at least three days or until the fluid drainage stops. The worst of the swelling will subside in the first few weeks, however it may be as much as two months before the full effect of the surgery is apparent.
• It is common to experience some numbness or tingling of the skin soon after your procedure but this should settle rapidly.
• It is important not to engage in vigorous activities for the first five days after surgery.
• You may return to work and resume most of your normal activities after three weeks and begin to exercise after six.

Evaluating the risks and complications
Liposuction is an extremely safe procedure and most patients are extremely satisfied. However, as with all surgical procedures complications sometimes occur.
• Infection is rare and you will be given antibiotics during your procedure and for five days afterwards.
• There will be small (2-3mm) scars which will initially be red. Over a number of weeks, however, these should fade to fine white lines. It is important to keep your scars out of direct sunlight until they have faded as exposing them to sunlight can affect skin pigmentation, causing the scars to turn dark. If sun exposure is unavoidable, you will need to use a strong sun block.
• Following liposuction the skin retracts, however in some people - particularly those who are older - it may not retract fully. If this happens, the excess skin may need to be removed at a later date.
• There is the possibility of skin irregularities, however this is minimized by the use of very fine needles.

If you'd like to know more about male breast reduction surgery or gynaecomastia, please call our office for a confidential consultation. The confidential consultation provides the opportunity to meet your specialist surgeon who will take full details of your medical history and discuss your concerns. Your specialist surgeon will indicate and explain the most appropriate procedure, treatment and aftercare. The confidential consultation takes place in a relaxed atmosphere and provides you with the opportunity to be fully informed. Arranging a medical consultation does not obligate you to anything other than attending the appointment. There is no obligation to proceed with treatment. This is entirely a matter for your decision, after the surgeon has decided on the feasibility and accepted you as a suitable candidate.

If you would like a consultation to be arranged for you, please fill in the form or contact us by telephone at 01276 604895.