If you require any further information on the range of surgical and non surgical treatments provided by Mr Javaid or wish to book a consultation please contact us by completing our enquiry form or by using the following contact details:

Enquiries in Hertfordshire and Bedfordshire:
Please speak to Mrs Pauline Titley (private secretary) on 077 8069 8989

Enquiries in Derbyshire and Nottinghamshire:
Please speak to Mrs Pauline Titley (private secretary) on 077 8069 8989

Procedures in all main speciality categories of breast surgery, body surgery, face surgery, and non surgical facial and skin rejuvenation treatments are offered by Mr Javaid in his private practice. They are described below in more detail:

• Abdominoplasty - tummy tuck

  Abdominoplasty, also known as a tummy tuck or abdominal reduction is a procedure in cosmetic surgery for improving abdominal contour and shape. With this technique, excess fat and skin from middle and lower abdomen is removed to improve its contour. In most of the cases, the abdominal muscles are tightened at the same time to improve abdominal firmness and help reducing abdominal bulge due to lack of muscle tone. This procedure produces a flatter tummy with more youthful look either taking away all of visible stretch marks or reducing their visibility.
  
  Abdominoplasty procedures are separated into different types:
  
  STANDARD ABDOMINOPLASTY
  In this process, the surplus fat and skin between the pubic area and navel is removed, leaving the navel intact. Subsequently, the abdominal wall skin at the level of belly button is pulled down at the level of pubis, and muscle tightening if needed, is carried out at the same time. Liposuction is often carried out to refine the abdominal sculpture transition zones.
  
  MINI-ABDOMINOPLASTY
  The procedure involves removal of surplus skin beneath the umbilicus, leaving a scar at the pubic hair level of the lower abdomen. Liposuction and repair of abdominal wall laxity or hernia is carried out at the same time if required.
  
  EXTENDED ABDOMINOPLASTY
  This process includes standard abdominoplasty and an additional lateral thigh lift by removing excessive skin and fat of the loins, providing a threefold advantage comprising of a complete abdominoplasty, improving flank and contour of the upper lateral thigh. The resultant scar spreads around the waist to the lower back.
  
  APRONECTOMY
  An advancement of the mini-abdominoplasty, ‘apronectomy’ is suitable for patients with exceedingly superfluous fat and skin that hangs over the pubic zone. The unnecessary fat and skin is detached from the body leaving a long, transverse scar.
  
  FLEUR DE LIS ABDOMINOPLASTY
  This technique is used to remove excess tissue in the vertical plane and is suitable for patients who have experienced massive weight loss. It results in an additional midline vertical scar in addition to standard horizontal bikini line scar.
  
  WHO CAN UNDERGO THE SURGERY?
  Any person with excessive tummy fat and loose abdominal skin can go for the surgery. A tummy tuck is appropriate for women and men with good health. In women, the condition is often caused by multiple pregnancies leading to skin and muscle weakening resulting in stretch marks and abdominal bulge. A tummy tuck helps them to get rid of unwanted loose skin and fat, making the abdominal contour appear more firm, attractive and youthful. The surgical treatment is also an alternative for both men and women who have lost weight after a period of obesity and are subsequently suffering from skin laxity and high fat deposits in the abdominal region.
  
  AFTER THE SURGERY
  One to three days of hospitalisation may be necessary. Salt solution transfusions will be given to replenish the fluid content in your body and drainage tubes will be inserted into the lower abdomen for draining serum and blood. Moderate to severe pain may occur for which you will be prescribed appropriate pain killers and you’ll need to keep your knees and hips bent to lower the stress on your stitches. You will be provided with an abdominal corset to wear for about 3 weeks to give you additional support and reduce pain during recovery period.
  
  OUTCOMES OF THE SURGERY
  Noticeable scars may persist across the lower abdominal area and around the umbilicus. You may experience temporary numbness in the lower part of the abdominal wall which may persist in some cases. Swelling, bruising and discharge may also occur, however you should be healed within a few weeks.
  
  LIMITATIONS
  Skin tightening is usually carried out downwards and doesn’t tighten the waist; vertical removal of skin can be carried out, but is not always appropriate. A fatty protuberance above the incision mark may also remain if liposuction is not carried out during the surgery. To uphold the effects of tummy tuck, weight maintenance and exercise is essential. Pregnancies after the operation will lead to skin stretching again.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Bleeding, haematoma, seroma formation,infection, temporary bruising and swelling, scar related problems, asymmetry, numbness around the scar, skin tags at the scar ends, delayed wound healing of the umbilicus due to necrosis and skin necrosis, persistent dissatisfaction with the appearance.
  
  PRECAUTIONS BEFORE SURGERY
  Avoid taking asprin or anti-inflammatory drugs for 2 weeks before surgery. Stop smoking 6 weeks before surgery.
  
  SUMMARY
  Operation duration: 2 – 2.5 hours. Anaesthesia: General. Hospital Stay: 1-2 nights. time off work: 2-3 weeks. Overall result: visible from 2-6 months.

• Arm Lift - Brachioplasty

  WHAT IS ARM LIFT SURGERY?
  “Brachioplasty” or arm lift surgery, also referred as arm reduction surgery is the removal of surplus skin and fatty tissues from inner portions of the upper arms leaving the area slimmer and smoother.
  
  Aging, weight loss and gravity can cause the skin to stretch and make the arms appear droopy giving bat wings type appearance. Significant weight loss can especially lead to stretched and loose skin that cannot be improved by exercise. Upper arms are particularly affected, due to the accumulation of excess fat and decreasing supportive muscle tone. Workouts can fortify the essential muscle tone but cannot improve the weakened dermal tissues or surplus skin and localised fat.
  
  Brachioplasty can help address the problem of sagging and loose appearance of the upper arms by removing the surplus fat and skin – giving it a smooth, toned contour.
  
  SURGERY PROCEDURE
  Arm lift surgery is generally performed under general anaesthesia. This procedure is performed either on its own or as a part of body contouring procedures after post-bariatric surgery massive weight loss. The process involves removal of skin along the lower side of the arm by making incisions along the inner arm, leaving a thin scar on the inside of the arm. Excess tissues are removed and the circumference of the upper arm is reduced through this surgery. The extent of correction depends on the looseness of the supportive tissues and amount of excessive skin.
  
  Usually, the cuts extend from the elbow to the armpit or axilla, which helps in removing the superfluous skin in the centre of the arm. However, incisions may be modified to reduce scars. If surplus fat needs to be reduced during brachioplasty, liposuction can be performed to improve the contour. Incisions are closed with dissolvable sutures or stitches that are removed in one to two weeks post-surgery.
  
  BENEFITS OF SURGERY
  Post-surgery, your upper arms are improved dramatically, making them look toned and shapely. The tighter and smoother contours resulting from brachioplasty are noticeable immediately after the operation, although bruising and swelling may occur initially.
  
  SURGERY RISKS AND LIMITATIONS
  One of the major concerns subsequent to the arm lift surgical technique is visible scars, arising as a result of the incisions and cuts to remove the excessive skin. However, the marks and blemishes can be limited by following improved surgery procedures and meticulous post-surgery care.
  
  Bleeding, infections, bruising and persistent swelling, and persistent dissatisfaction with the appearance are some of the other possible complications. Nerve injury, although rare, can lead to numbness and loss of sensation.
  
  Arm lift surgery is not advisable for patients who have undergone axillary lymph node surgery or mastectomy. Those with past records of multiple infections in the sweat glands may not be considered for brachioplasty, as there is a possibility of permanent swelling.
  
  POST-OPERATIVE RECOVERY
  Bruising and swelling may take one to two weeks to heal and strenuous activities should not be undertaken for at least four weeks post-surgery.
  
  SUMMARY
  Operation duration: Approximately 1-1.5 hours. Anaesthesia: General / intravenous sedation with local. Hospital Stay: Overnight. time off work: 1-2 weeks. Overall result: Visible from 2 weeks to 6 months.

• Body Contouring

  BODY CONTOURING FOLLOWING WEIGHT LOSS
  Massive weight loss as a result of dieting, aggressive physical exercise or bariatric surgery, often leads to saggy skin and stubborn fat on various body parts. These chunks of loose skin often refuse to disappear or reshape to your new body contours, which can take away some of the joy experienced when losing weight, as you dreamt of that svelte figure for so long, only to have all the excitement crushed by these ugly pockets of saggy skin and fat.
  
  Massive weight loss as a result of bariatric surgery using, gastric bypass, gastric banding or gastric balloon placement, results in contour deformities of various body areas. Body contouring consists of a series of surgical procedures designed to deal with this very problem. These procedures can help reshape the following body parts: Arms, Abdomen, Hips, Thighs, Chin/neck, Buttocks and Legs.
  
  A candidate needs to meet certain medical criteria in order to qualify for a body contouring procedure. Mr Javaid will examine your general health, medications and discuss your expectations and scars before proceeding for the proposed procedures. Above all, the candidate needs to be realistic and resilient in terms of physical and mental health.
  
  THE FOLLOWING PROCEDURES ARE INVOLVED IN BODY CONTOURING
  LIPOSUCTION
  Some areas of the body are resistant to dieting and exercising. Liposuction can be used to remove fat from such areas. Non-smokers compared to smokers, heal faster post-surgery. Good skin elasticity also promotes better and quick healing.
  
  ARM LIFT
  Saggy skin is quite prevalent in the upper arms. An arm lift also called brachioplasty or arm reduction is performed by making incisions behind the arm, from armpit to elbow. This procedure tightens the upper arms, giving them a smooth and firm shape.
  
  THIGH LIFT
  Thighs are especially resilient to exercise and dieting. With the help of thigh lift, loose skin and excess fat around the thighs and groin are removed through careful incisions. This surgical technique may be followed by liposuction.
  
  TUMMY TUCK
  The abdomen is the region most people are quite conscious about. A flat stomach improves the silhouette of the body. A tummy tuck also involves removing excess skin through incisions, resulting in a smooth and tight abdomen. Patients with excessive skin roles in the flanks, may benefit from Fleur-de-lis type abdominoplasty and patients having saggy buttocks may benefit from circumferential abdominoplasty to tighten the abdomen and uplift the buttocks simultaneously. Mr Javaid will guide you with the best option in your bindividual case after having examined you in detail.
  
  SOME OTHER PROCEDURES INVOLVED IN BODY CONTOURING ARE:
  BUTTOCK LIFT
  This is also known as gluteoplasty. Excessive weight loss may lead to saggy skin in the back region, creating skin folds above waistline and sagging of the buttocks. A back and buttock lift not only removes the excess skin from this region, but also rejuvenates the overall appearance of buttocks and lower torso.
  
  FACIAL SURGERY
  The skin around the chin and neck is removed giving smoother skin and a youthful look by neck lift or full facelift which includes neck lift.
  
  BREAST SURGERY
  This procedure includes breast reduction and breast lift or mastopexy to eliminate breast droop caused by excessive weight loss. This opportunity can also be employed to correct pre-existing breast asymmetry, which is quite common finding in many women.
  
  These procedures can be combined in various orders depending upon your concerns and preferences.
  
  AFTER EFFECTS OF BODY CONTOURING
  As with many surgical procedures, body contouring results in scars; however many candidates prefer scars over saggy skin and pockets of fat. These scars usually flatten out and fade with time.
  
  Post-surgery, the targeted body areas become sore and swollen. You’ll need to wear compression garments to promote the desired body silhouette. You’ll also be advised to restrict body movement for about one to two weeks.
  
  After about six weeks, you can resume routine physical exercise. Fluctuations in body weight may work against the results of body contouring, therefore you’ll have to make a commitment to watch your diet and exercise regularly after this procedure.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Haematoma, seroma, infection, bruising, swelling, numbness around scars, scar related problems, asymmetry, persistent dissatisfaction with the appearance.
  
  SUMMARY
  Operation duration: 2-5 hours depending upon the areas to be treated. Anaesthesia: General. Hospital Stay: 1-2 Nights. time off work: 1-2 weeks depending upon extent and number of areas treated. Overall result: Visible from 2-6 months.

• Botox and Dermal Fillers

  BOTOX
  Botox proves to be an extremely popular non-surgical procedure for eliminating or at least reducing creases in the forehead, frown lines, and thick bands located in the neck. It is done by injecting botulinum toxin into areas of the face. This toxin then blocks impulses to the nerves, and thereby paralyzes muscles that create wrinkles. The skin obtains a more rested and revitalized appearance as a direct result. The downside to Botox is that injections only last for up to four months, meaning that the treatments must be repeated three to four different times per year in order for the effectiveness to remain.
  
  DERMAL FILLERS
  Dermal Fillers are non surgical injections that are useful for improving contours that are too shallow, for plumping up limps that are too thin, for reducing creases of the face and wrinkles, and for improving recessed scars and their appearance. Dermal Fillers can be collagen, a naturally occurring protein that helps to support a patient's skin; hydroxylapatite, a mineral compound occurring naturally in the bones; hyaluronic acid, a natural acid occurring in the body; or human fat that is taken out of a patient's own body. Mr Javaid uses range of Juvederm ultra dermal fillers which are hyaluronic acid type dermal fillers and are well known for their effectiveness and safety. Their effect is temporary and you may need repeat injections every six to nine months should you choose to continue the treatment to maintain the effect.

• Breast Asymmetry Surgery

  WHAT IS BREAST ASYMMETRY SURGERY?
  ‘Breast Asymmetry Surgery’ is a cosmetic surgical procedure that involves the rectification of breast size, shape or position of nipples.
  
  A slight discrepancy in the size of breasts is common in most women, which is usually less than one bra cup size and may be due to genetic makeup, menopause, pregnancy or weight gain. However, in some women one breast is considerably different in size or shape from the other due to difference in breast development. Breast Asymmetry surgery can help these women to correct the variation and bring back lost confidence. Women with tubular breasts can also seek this treatment to attain a larger size and more rounded appearance of their breasts.
  
  The surgery may comprise either one of the following techniques or combination of techniques: Breast augmentation to increase the size of one or both breasts. Breast reduction to reduce the size of one or both breasts. Breast uplift for lifting and firming sagging breasts.
  
  The operation is more successful when it involves correction of breast size only. If both size and shape need to be corrected simultaneously, the procedure becomes complicated and the desired results may be more difficult to achieve.
  
  Statistics suggest an almost ninety percent success rate is achievable in these surgeries.
  
  WHO CAN UNDERGO THE SURGERY?
  Consultation with Mr Javaid is essential to determine if you are suitable for the surgical treatment. Age and health are essential factors for deciding whether the surgery is right for you or not. Ideally, you should be: (18 years or older. Not expecting or nursing. In good physical health. Stable psychologically. Realistic about the expectations from the surgery including the outcome.
  
  WHO MAY NOT BE CONSIDERED FOR THE SURGERY?
  The following people may not be considered for the surgery: A breastfeeding or pregnant women. Smokers. Under 18 years of age. Patients not realistic about the procedure. Suffering from a chronic medical condition.
  
  OPERATIVE PROCEDURE
  The procedure is usually carried out under general anaesthesia and may take one to three hours according to the techniques used. An incision is made in the breast crease and a combination of techniques for breast lifts, augmentation or reduction is used, depending on the breast condition. The focus of the entire process is to balance the size and shape of the breasts. Sometime full correction process may require more than one operative session.
  
  AFTER THE SURGERY
  Feeling tired, disoriented or dizzy after the surgery is normal. Hospitalisation may be needed for one to two days. You will be encouraged to get up (once she is able to do so) and walk around slowly to avoid formation of blood clots. Bruising and swelling will be experienced for few days and pain killers will be prescribed for easing the pain. Light dressings and special bras for supporting the breasts need to be worn for a few weeks. Dressings will be needed for about two weeks and it is advisable to wear support bras for four to six weeks after the surgery. Household chores and strenuous jobs must be avoided for a few days.
  
  RISKS OF BREAST ASYMMETRY SURGERY
  Like in any other surgery, complications may occur although rare. Some of the risks are: Haematoma, infection, numbness in nipples, rupture or leakage of implant, capsular contracture, scar relared problems, persistent asymmetry, requirement of additional procedures to correct asymmetry, persistent dissatisfaction with the appearance.
  
  SUMMARY
  Operation duration: 1-3 hours. Anaesthesia: General/local. Hospital Stay: Overnight. time off work: 1-2 weeks depending upon extent of surgery. Overall result: Visible from 2-6 months.

• Breast Augmentation

  “Breast augmentation” or “augmentation mammoplasty” is the surgical positioning of breast implants to enhance breast fullness and projection or to increase their symmetry. The procedure is also known as “breast enhancement”, “breast enlargement” or “boobs job” in lay terms.
  
  This cosmetic technique is used for: Enlargement of small breasts, usually the outcome of a genetic inheritance. Restoration of breast volume lost post-pregnancy, due to breast feeding or weight loss. Correction of asymmetric breasts with moderate to high variation in shape and size.
  
  Breast enlargement has for many years been the UK’s number one most performed cosmetic procedure helping thousands of women to achieve the breasts they have always dreamed of. Mr Javaid’s ultimate aim to perform this surgery is to achieve breasts that feel and look larger, firmer, fuller and more attractive enhancing your self confidence.
  
  OPERATIVE PROCEDURE
  Enlargement of the breasts is carried out by placing implants either under the breast tissue or behind the pectoral muscles (the muscles on which breasts rest). Mr Javaid places the implants behind the breast tissue in most of the cases to get a better redrape of breast over the implant to achieve most natural looking results. Generally, neat incisions are made under the breast or inframammary fold. Alternately, transaxillary incisions in the armpit or periareolar incisions around the areola or nipple may be made, depending on the implant type, extent of enlargement, patient-surgeon preference and anatomy of the patient.
  
  BREAST IMPLANTS
  Breast implants comprise of a case or shell covering the inner filling material, which is normally silicone gel or saline (depending on preference). Implants may either be rounded or a natural breast shape (also known as anatomical or tear drop implants) and both are proven to offer excellent results.
  
  Silicone Implants: They are filled with elastic gel that moves and feels like the natural tissues of the breast. Should the implant leak, the gel may remain within the shell or may seep into the implant pocket. They come in anatomical tear drop shape or round shape. Mr Javaid most commonly uses anatomical shaped cohesive gel implants which carry life long manufacturer’s warrently for quality and integrity for patient’s peace of mind and to achieve most attractive breast shape. During consultation size, shape and type of implants will be chosen depending upon your personal preference and findings on detailed consultation to achieve the result you are looking for.
  
  Saline Implants: They are filled with sterilised salt water. The amount of liquid can be adjusted according to the desired size, shape, feel and firmness of the breasts. If the shell of the implant leaks (although not common), the salt water is absorbed and naturally expelled by the body. The natural feel with these implants is not as good as with silicon implants.
  
  Additional options for breast implants may also be available as new styles and types are occasionally introduced by manufacturers.
  
  Based on all the current scientific evidence on large studies, safety of silicone implants is well established and are unlikely to be associated with any ill health effects.
  
  RECOVERY AFTER SURGERY
  Most of the women recover very well following this one of the most common cosmetic procedure and are ready for discharge after an overnight stay in hospital. Pain, bruising and swelling is experienced immediately after the surgery. Tightness of the chest and restriction in breathing is normal and will stop after a few weeks. The patient is asked to relax in a semi-upright position to reduce swelling and minimise discomfort, and painkillers are prescribed to control the pain. Adequate rest is needed for the body to recover completely. Excessive use of arms and chest may induce bleeding and/or irritation and should be avoided. Hardness of breasts, general discomfort and painful twinges might be experienced following surgery. Swellings and scars will fade over time and it is advisable to wear a special cosmetic surgery support bra for a four to six weeks post-surgery.
  
  Regular activities and exercise should be resumed only after follow up consultation with Mr Javaid.
  
  SURGERY RESULTS
  Results are generally long-lasting. Most women are satisfied and impressed at the way their breasts look after the surgery, which helps to boost their self-confidence. Taking informed decisions and expecting realistic results will ensure satisfaction after the operation. You should be aware that there will be changes to the appearance of breasts as age progresses and that implants will not prevent the breasts from drooping. However, breast uplifts and implant exchange surgeries may be opted for by the women to regain a more youthful and shapelier contour under such conditions with ageing.
  
  POTENTIAL RISKS AND COMPLICATIONS
  A widely accepted cosmetic procedure in UK, breast augmentation has improved the appearance and confidence of many women who are extremely pleased with the results. However, akin to every surgical practice, this technique also carries some risks. As such, it is important to have realistic expectations of the outcomes.
  
  The risks may be: Haematoma, seroma, infection, capsular contracture (6%), implant failure, gel bleed, altered sensations or nipple numbness, asymmetry and scar related problems, persistent dissatisfaction with the appearance.
  
  SUMMARY
  Operation duration: 1-2 hours. Anaesthesia: General. Hospital Stay: Overnight. time off work: 1-2 weeks. Overall result: Visible from 2-6 months.

• Breast Lift - Mastopexy

  Women’s breasts may lose their shape and firmness due to loss of weight, following childbirth and breast feeding or as a result of the normal ageing process, making them appear saggy and deflated. In most women, a combination of stretched skin, loss of skin elasticity and loss of breast volume results in droopy, unattractive and empty looking breasts. Although exercise and nutritious diets can help, they aren’t sufficient to bring back a youthful look. The answer to this problem is a breast uplift surgery that can effectively restore the fullness of breasts making them appear curvaceous, attractive and youthful.
  
  WHAT IS BREAST LIFT/UPLIFT?
  Women’s breasts have their own functionalities and it is difficult to renew their natural support structure once out of shape. However, restructuring them to appear fuller, firmer and more youthful is possible with the help of cosmetic surgery which is known as breast uplift or “Mastopexy”.
  
  In this operation, the breasts are reshaped and uplifted into tighter cones by removing the folds of excess skin from beneath the breasts, and repositioning of the nipples at higher levels, giving the appearance of the tightened breasts. Areola size can also be reduced by this procedure.
  
  Women with smaller drooping breasts can reap the best benefits of this surgery, and the success rate is usually higher than those with heavy breasts. For smaller breasts with a saggy appearance, silicone breast implants are placed beneath the tissues of the tightened breasts to give a better shape and increased size. It is advisable to opt for mastopexy only after completing your family, as pregnancy and breast feeding may stretch the breasts, resulting in reduced effectiveness of the surgery.
  
  ANTICIPATED OUTCOME OF THE SURGERY
  Mastopexy is an effective procedure to improve the look of saggy breasts at the expense of scar aound the nipple and vertical scar below the nipple, along with a variable length of a transverse scar in the breast crease. You may also experience numbness of the nipples and you might not be able to breast feed again. Scars will differ for different techniques of mastopexy, although there may be a possibility of getting fewer scars, which will be discussed by Mr Javaid before performing the operation. Most women will prefer uplifted, youthful and attractive looking breasts with scars rather than an unattractive droopy and aged looking breasts. Most scars are acceptable, blend in well with the rest of the surrounding skin and continue to improve for up to 24 months after surgery.
  
  DURING AND AFTER THE OPERATION
  Normally, Mr Javaid performs the operation under general anaesthesia. Depending on the extent of the process, you may need to stay overnight in hospital. Small tubes for draining serum and blood may be inserted into your breast which will be removed after some time. Painkillers will also be administered for the first few days to minimise pain and discomfort. You’ll be advised to wear a firm dressing and bra until the stitches are removed, which may vary from 10 to 14 days. Stressful physical activities should not be undertaken for one month.
  
  LIMITATIONS AND RISKS
  Limitations: Fullness of breasts above the nipples can’t be achieved by mastopexy alone. Silicone breast implants can help, however the extra weight of the implants may cause further droopiness. The results of this surgery are not permanent and as time passes, the breasts may dip downwards again.
  
  Potential risks and complications: Bruising, swelling, haematoma, seroma, infection, altered nipple sensations, inability to breast feed, wound healing and scar related problems, skin necrosis, partial or complete nipple necrosis particularly in smokers, asymmetry, persistent dissatisfaction with the appearance.
  
  SUMMARY
  Operation duration: 2-3 hours. Anaesthesia: General. Hospital Stay: Overnight. time off work: 2 weeks. Overall result: Visible from 2-6 months.

• Breast Reconstruction Surgery

  Breast reconstruction surgery is performed following a mastectomy, in order to help restore the breast to a similar shape and size as before. A nipple and areola (the darker area around the nipple) may also be added at a later stage.
  
  Most women opt for breast reconstruction after a mastectomy. If you want to have this surgery, you need to have a fair idea about all of your options first. It is highly recommended to start planning for reconstructive surgery as soon as a mastectomy has been scheduled, as this will allow your breast surgeon and plastic surgeon to work together and come up with the best possible mode of reconstruction.
  
  Women opt for breast reconstruction for various reasons: To regain a normal body contour. To boost self-esteem and body image. To avoid wearing a prosthesis bra.
  
  Breast reconstruction involves a series of surgical procedures. ‘Immediate breast reconstruction’ starts alongside a mastectomy. You may require follow up surgeries so ensure that your doctor discusses all possible treatments with you. ‘Delayed breast reconstruction’ is performed at a later date after completion of the cancer treatment.
  
  COMMON PROCEDURES FOR BREAST RECONSTRUCTION
  BREAST IMPLANTS
  The most widely performed reconstruction, breast implants can be saline-filled,, silicon-gel filled, or part silicone gel and part saline filled called expander implants. This process can take up to 4 months for the surgeon to inject the saline solution into the breast prosthesis required to reconstruct the breast. Based on whether you need radiation therapy or not, the surgeon may opt for immediate or delayed reconstruction.
  
  There are certain things to consider before having implants. This can be one stage or two staged process. Mr Javaid will guide you about the suitability of technique once he has conducted a detailed consultation with you. The implants may have to be modified or replaced later as breast implants can rupture or leak. Breast shape may become distorted due to excessive capsule or scar contracture around the implant in addition to the changes in the remaining normal breast due to ageing process or change in body weight which may create breast asymmetry a few years after reconstruction which may require change of implant.
  
  NATURAL TISSUE FLAP PROCEDURES
  Breast reconstruction using patient’s own body tissue is also known as autologous breast reconstruction. Tissues from tummy, back, buttocks, or thigh are used in these procedures. The most common of these is the ‘TRAM flap’ - where tissue from the abdomen are used, and the ‘latissimus dorsi flap’ - in which tissue from the upper back area are used.
  
  Tissue flaps leave two scars – one on the reconstructed breast and the other on the region from where the tissue was removed. The blood supply might be retained from the original site such as in TRAM flap, or a new blood supply may be reconnected using microsurgical techniques such as in DIEP flap when using abdomen tissue. Mr Javaid prefers to use TRAM flap leaving blood supply connected as it is a safer technique with a higher success rate in his hand. Flap procedures are not recommended for women with vascular or connective tissue disease, smokers, or patients with diabetes. due to higher risk of failure.
  
  Mr Javaid also uses fat injections sometimes in conjunction with these techniques to correct asymmetry and improve breast volume. Subsequently he completes the reconstruction process by performing nipple reconstruction & tattooing of the nipple to colour the nipple create areola around the nipple.
  
  Scars from breast reconstruction will fade over time, but will never go away completely.
  
  As mentioned above, it is important to have detailed discussion with your surgeon before the surgery. The surgeon should talk to you about the following: Quitting smoking at least two months prior to surgery. Certain medications which must be avoided. Guidelines on eating and drinking before the procedure especially before delayed reconstruction.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Haematoma, seroma, infection, partial or complete flap loss, donor site related problems, scar related problems and asymmetry,in addition to bruising and swelling, and persistent dissatisfaction with the appearance.
  
  AFTER RECONSTRUCTION
  You should be able to resume your normal life within 6-8 weeks especially after flap based procedures or sooner if you had implant based reconstruction. It will take about 8 weeks for the pain and swelling to go away however Mr Javaid will prescribe certain medicines if necessary to reduce your discomfort.
  
  It takes time to recover emotionally, so try to talk to breast care nurses, friends and family. It also helps to talk to women who have had this procedure as well.
  
  SUMMARY
  Operation duration: 1-5 hours depending upon implant or flap technique. Anaesthesia: General. Hospital Stay: 2-7 nights depending upon implant or flap technique. time off work: 2-6 weeks depending upon implant or flap technique. Overall result: Visible from 2-6 months.

• Breast Reduction - Mammoplasty

  WHAT IS REDUCTION MAMMOPLASTY OR BREAST REDUCTION SURGERY?
  Reduction mammoplasty or breast reduction is a cosmetic surgical procedure to reduce the volume and weight of breasts.
  
  Breast reduction is also known by the name of reduction mammoplasty. Some women find that having breasts that are too large causes them to suffer from serious emotional distress and also very real health problems. Besides simply self esteem issues, a woman may endure discomfort, physical pain, neck ache and back ache due too large breast size. Women with breasts that are too large may struggle to keep up a physically active life. : The procedure involved in breast reduction include removing extra amount of breast tissue with an end goal in mind of attaining a final result of natural looking breasts that are well in proportion with the rest of the body frame.
  
  Many factors may influence the size of breasts in women like genetic inheritance, hormones, pregnancies and body weight. Normally, breast size is proportionate to the body, but, in some women they may be excessively heavy causing discomfort. Problems associated with large breasts may range from neck pain, back ache, rashes under the breasts, grooves or weal on shoulders from bra straps, poor posture, infection to self-consciousness. Moreover, women with heavy breasts often complain that they aren’t comfortable wearing tight fitting fashionable clothes and find it difficult to participate in active sports. Breast reduction surgery can relieve these women of their discomfort by decreasing the weight and volume of their breasts to a desirable limit, thus, bringing back their lost confidence. Breast asymmetry can also be corrected by this surgery, if one breast is comparatively larger than the other.
  
  The procedure involves reshaping the breasts by removing surplus fat and skin and repositioning of nipples, the final outcome being smaller uplifted, youthful and attractive looking breasts. Different techniques may be used to perform the surgery, depending upon the breast size and desired results, the most common being anchor shape or inverted T reduction, vertical pattern breast reduction and circumareolar reduction. However, every technique will leave a scar around the areola with vertical or inverted T shaped scar. Most patients find these scars very acceptable and are grateful for the improvement in their physical symptoms as well as shape and size of their breasts.
  
  WILL THE RESULTS LAST?
  The results are lasting as long as the operation is done at an age when your breasts will not grow anymore. The physical limitations, pain and discomforts experienced before the surgery will be relieved and your image and self-confidence will be boosted as a result of your enhanced proportionate figure. However, weight gain or pregnancy may increase the breast size, while weight loss can decrease it further. With age, even normal breasts tend to sag or droop and the same can be expected after a breast reduction surgery.
  
  SURGERY OUTCOMES
  Although the surgery will enhance your figure by reducing the size and improving the shape of your breasts, you’ll be left with scars. Mr Javaid will try to minimise the scars as far as possible. Generally the scars are hidden when you wear the bra. However, the marks will be noticeable when you are topless. Following the surgery the marks will be initially red and noticeable, which will fade after some months and become pale, soft, supple, thin and less visible. It should be noted that most women are unable to breast feed after the surgery, as such, young women should consider this fact before deciding to opt for the operation.
  
  LIMITATIONS AND RISKS
  A thorough discussion with the surgeon regarding the procedure and desired breast size is very essential beforehand. The desire to achieve a drastic reduction can compromise the aesthetic quality and appearance of breasts.
  
  Other limitations:
  - The surgery can restrict certain diagnostic processes.
  - Most woman lose their ability to breastfeed post operation.
  - It may instigate infections while nipple or breast piercing.
  - Breasts can regrow if the procedure is performed at an age when the breasts are still growing.
  - Pregnancy and weight gain can further increase the size of your breasts.
  
  RISKS
  Infection, bleeding, haematoma, seroma, changes or loss of breast or nipple sensation, either temporary or permanent, loss of nipple in extreme cases particularly in smokers, noticeable scars, breast asymmetry, irregularities in breast shape and contour, fat necrosis, persistent pain, dissatisfaction with overall aesthetic outcome and possibility of corrective surgery.
  
  PRECAUTIONS BEFORE SURGERY
  You should give up smoking as it interferes with the healing process. If overweight, reducing weight is important and you should avoid taking contraceptive pills at least six weeks prior to surgery.
  
  SUMMARY
  Operation duration: 3 hours. Anaesthesia: General. Hospital Stay: 1-2 days. time off work: Couple of weeks. Surgery results: Smaller, reshaped breasts. Overall result visible in 6 months.

• Other Breast Surgeries

  Mr Javaid provides a comprehensive range of breast and nipple surgery including correction of breast asymmetry which can be corrected with combination of different techniques tailored for each individual patient. Correction of tubular breasts is a difficult procedure to perform and Mr Javaid uses a combination of techniques to achieve the desired result. Mr Javaid also provides surgery to the nipple including procedures such as inverted nipple correction and nipple reduction.

• Male Breast Reduction - Gynaecomastia

  Enlarged male breasts or Gynaecomastia is a common problem in many men. During adolescence, many boys experience this problem to a certain extent, affecting one or both breasts. The chances of suffering from this condition are reduced to less than 10% once adulthood is reached. However, with advancing age, the occurrence once again rises and affects about 30% of older men. Male breast enlargement is quite a common condition but is rarely talked about. In majority of the cases, there is no known cause, however sometime it can also be caused infrequently by medicines, drugs, weight gain or loss, diseases like liver failure and cancer or rare genetic issues. Male breast enlargement can be treated with the help of cosmetic surgery, also known as Gynaecomastia reduction or Gynaecomastia excision which removes the unwanted bulges making your breasts appear smaller and firmer.
  
  BENEFITS OF THE SURGERY
  The primary benefit of a male breast reduction surgery is smaller breasts with improved shape, which can elevate your confidence and make you less self conscious about your breasts.
  
  PROCEDURE OF MALE BREAST REDUCTION
  Breasts are made up of two parts – the dense and firm glandular tissue, and the soft fatty tissue. The ratio of both varies from one individual to the other. The excessive accumulation of one or both tissues leads to gynaecomastia.
  
  If the enlargement is predominantly caused due to excess fatty tissues, liposuction is the ideal procedure used for treatment. Small 3-4mm stabs are made in the skin through which a small tube is inserted to suck out the excess fatty tissues. If gynaecomastia is necessary due to surplus glandular tissue deposits, a cut is made around the nipples and excessive tissue is removed. This leaves a scar around the nipple.
  
  For larger breasts, the procedure may require cuts in the breast crease under the inframammary fold, leaving an anchor-like scar. For droopy breasts, complete detachment of the nipples from their original position, repositioning them in higher position, may be required. Larger cuts may be necessary for removal of substantial amounts of skin and tissue which results in noticeable scars. Regardless of the technique used, this condition remain associated with relatively higher dissatisfaction rate with the result of surgery although majority of the patients are very happy on the overall improvement of their chest wall/breast shape.
  
  Generally, the time needed for the surgery is about one to one and half hours, depending on the complexity of the process.
  
  ANTICIPATED OUTCOME AND RECOVERY
  The effects are not easily visible just after the surgery, as the chest remains bruised and swollen for some time. You will be advised to wear pressure garments for two weeks following the surgery. You may be hospitalised for a night. Bandages are removed after a few days, but you should refrain from exercise, heavy manual work or lifting anything for three to four weeks after the surgery. It may take you about 6 weeks before you can resume normal activities.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Haematoma, Seroma, infection,pain and firmness, Brusing, swelling, minor contour irragularities, dishing deformity due to over correction, loss of nipple after large surgical reduction, numbness and asymmetry, persistent dissatisfaction with the appearance.
  
  SUMMARY
  Operation duration: 1-2 hours. Anaesthesia: General/local. Hospital Stay: Overnight. time off work: 1-2 weeks depending upon extent and number of areas treated. Overall result: Visible from 2-6 months.

• Nipple Reduction Surgery - Gynaecomastia

  Plastic Surgeon Muhammad Javaid performs Nipple Reduction Surgery using local anaesthesia. Nipple Reduction Surgery takes approximately 60 minutes. The time off work recommended after Nipple Reduction Surgery is at least 1 day and the overall results are visible after approximately 3 months.
  
  ENLARGED NIPPLES, OVERSIZED NIPPLES, UNEVEN NIPPLES
  Nipple size or appearance can often change through weight gain, weight loss, pregnancy and breastfeeding. Gynaecomastia can also cause nipples to appear oversized in proportion, enlarged nipples, and sometimes, uneven nipples. Overly large nipples can affect both men and women. Enlarged Nipples, Oversized Nipples and Uneven Nipples can cause concerns due to discomfort, nipples tender to touch or painful, or increased visibility when wearing certain types of clothing. Nipple Reduction Surgery is a safe and effective surgery procedure to help reduce the size of nipples in proportion to the rest of the breast and chest.
  
  WHAT IS GYNAECOMASTIA?
  Gynaecomastia is an increase or overdevelopment of breast gland tissue in boys or men. Gynaecomastia is caused by an imbalance of the hormones estrogen and testosterone. Gynaecomastia can affect one or both breasts; often, nipples grow unevenly.
  
  SUMMARY
  Operation duration: 1 hour. Anaesthesia: Local. Hospital Stay: Not required. Day care. Time off work: 1 day. Overall result: Visible from 3 months.

• Brow Lift

  SHORT SCAR BROW LIFT
  Short scar brow lift is used to help patients whose eyebrows have begun to sag and droop. This also impacts the forehead skin and upper eyelids. Patients who are in the age range of from forty to sixty are common subjects of this treatment, especially those who wish to reduce the aging signs associated with weak and sagging eyebrows. Brow lifts are performed to substantially improve both horizontal furrows and lines which cause a patient to look tired, sad, or angry.
  
  PROCEDURE
  Brow lifting is a technique for elevating the eyebrow and lower forehead. This can be done through a direct incision made over the eyebrow or at the hairline or endoscopically, using special instruments that are inserted through small incisions behind the hairline. It does not remove excess upper eyelid skin or fat (that procedure is known as Blepharoplasty) or change the position of the upper eyelid or make the eye more open (Ptosis Repair).

• Buttock Augmentation

  Buttock augmentation is a procedure many women have when they find that their buttocks are no longer in proportion.In buttock augmentation a rounded implant that is anatomically shaped much like an egg and resembles an oval or teardrop is used to improve the shape of the buttocks. Such implants are then inserted in between the different layers of muscle of the buttocks. Buttock augmentation has been revolutionised by using fat grafting techniques to reduce downtime and increase the safety and speed of the procedure. This has made it far safer and more convenient to have done. Having mastered the fat grafting technique, Mr Javaid prefers to use this for buttock augmentation and buttock reshaping with added benefit to the patient of liposuction of fat from undesirable areas.

• Buttock Lift - Gluteoplasty

  Buttock Lift - also known as Gluteoplasty. Excessive weight loss may lead to saggy skin in the back region, creating skin folds above waistline and sagging of the buttocks. A back and Buttock Lift not only removes the excess skin from this region, but also rejuvenates the overall appearance of buttocks and lower torso.

• Chemical Peels

  CHEMICAL PEELS
  Chemical peels are used to help patients who have wrinkles, blemishes of the face, and skin pigmentation that is uneven. Such chemical peels smooth and even improve the skin of the face's texture by taking off the outer layers that have become damaged over the course of life. This is done with a special chemical solution. The chemicals are typically comprised of AHA's or alphaydroxy acids, TCA's or trichloroacetic acid, and phenol. The exact formula is actually adjusted as per every individual patient's requirements and goals. Chemical peels do not substitute for face lift surgery, though they can be performed with it or as stand alone procedures. They do not stop or slow down the process of aging.

• Dermaroller and Dermapen

  Dermaroller and Dermapen are useful for taking down stretch marks, aging signs, and wrinkles. As collagen levels are reduced in a person's skin, these byproducts of aging become more prominent. Dermaroller and Dermapen devices are used to naturally boost the amounts of elastin and collagen within a patient's skin. Utilising the Dermaroller and Dermapen treatments, these wrinkles and scars can be reduced as collagen is reintroduced into the deficient and damaged skin. A cosmetic level of face can be restored using these non-surgical treatments. The advantage of Dermaroller and Dermapen treatments is that they are more permanent in nature, in particular with occasional reapplication.

• Dimpleplasty or Dimple Creation

  Dimpleplasty or Dimple Creation is plastic surgery procedure to create dimples on the cheeks.
  
  Dimples are the indentations that occur when some people smile. Some people are born with naturally occurring dimples from indentations in the dermis caused by the pull of deeper facial muscles.
  
  Dimples are regarded by some cultures as a sign of beauty, good luck, and even fortune. Due to such perceived benefits, the number of dimple surgeries has increased significantly in recent years.
  
  The Dimpleplasty or Dimple Creation procedure is performed using stitches between skin dermis and deeper tissue creating artificial indentations under local anaesthesia. The patient remains awake during the Dimpleplasty or Dimple Creation procedure and is able to collaborate with Mr Javaid all through the progress.
  
  BEFORE THE SURGERY
  Mr Javaid will provide guidelines before the procedure. For instance, you will be asked to stop smoking, as it can hinder your healing process. Smoking increases the risk of necrosis (death of tissues) almost twelve times. If you are planning to lose weight, it is advisable to do so before the surgery for improved results.
  
  Mr Javaid will talk to you about the type of anaesthesia that will be used, the duration of the procedure, the type of clinic admission, as well as the expected recovery period and time off work.
  
  SUMMARY
  Operation duration: 30-45 minutes. Anaesthesia: Local Anaesthesia. Clinic Stay: In and out day case. Time off work: 1-2 days.

• Ear Correction

  PROMINENT EAR CORRECTION
  Prominent ear correction comprises of reshaping, modification and positioning of excessively protruding ears to set them closer to the head. About 1-2% of the UK population have protruding ears, frequently a trend inherited from parents or that runs in their family history. Normal folds may often be absent, while in some instances one ear is more protuberant than the other.
  
  COSMETIC SURGERY FOR CORRECTION OF PROMINENT EARS
  “Otoplasty” or “pinnaplasty” is an excellent procedure to correct prominent ears. The cartilage within the ear is adjusted and missing folds are created whilst setting the ear in a position that lies closer to the head. The surgery can be performed in many ways, depending on the intended modifications.
  
  Normally, Mr Javaid makes a cut behind the ear, removes some skin and subsequently sutures the cartilage so that it bends backward, closer to the head. To hold the ear in the new position, dissolving stitches are frequently used. Removal of small portions of cartilage may also be essential at times and minor procedures may be required for reducing the size of abnormally large ear lobes. Finally, a dressing is wrapped around the head to protect the ear.
  
  In children, general anaesthesia is commonly used for the operation; however local anaesthesia is used for adults.
  
  EXPECTED RESULTS
  Protective bandages need to be worn for 7-10 days following the surgery, after which the stitches are removed. Patients are advised to wear protective dressings or head bands whilst sleeping for up to 8 weeks following the surgery. Painkilling medications like Codeine and Paracetamol are recommended to relieve pain after surgery. The wound behind the ear usually heals well, however lumps and redness can appear in rare cases. Minor alterations may be needed for some patients, although the majority of people are satisfied with their results.
  
  BENEFITS OF THE SURGERY
  The surgery intends to address two aspects: shape modification and position adjustment. After the procedure, the ears appear to be closer to the head and deformities in the folds are corrected.
  
  LIMITATIONS AND RISKS
  Limitations: The result of pinnoplasty lasts longer when the surgery is carried out on patients who are 5 years or older, as cartilage is floppy in younger children and doesn’t hold stitches as efficiently. In many cases, attaining complete symmetry is also difficult and minor anomalies may appear on the surface of skin.
  
  Potential risks and complications: Bruising, bleeding, haematoma, swelling, temporary numbness, infection, asymmetry, overcorrection, undercorrection, recurrence of deformity and scar related problems, persistent dissatisfaction with the appearance.
  
  ARE THERE ANY ALTERNATIVES TO SURGERY?
  During the first few weeks after birth, the ear cartilage is very floppy and reshaping prominent ears is possible by placing a small splint or mould to the rim. Permanent correction is achievable after weeks of splint application.
  
  SUMMARY
  Operation duration: Approximately 1 hour. Anaesthesia: General anaesthesia in children and local anaesthetics in adults. Hospital Stay: Not required. The surgery is generally done under day care. time off work: 10 days are advisable.Overall Result: Visible from 2-6 months.

• Eyelid Surgery - Blepharoplasty

  EYELID SURGERY (BLEPHAROPLASTY)
  Loss of elasticity in the skin is commonly a part of aging process. This is usually seen in the eye muscles and skin where they slacken off easily with age resulting in the formation of droopy heavy eyelids. In fact eyes show aging more than any other part of the face. Double vision, fatigue and sensitivity are a few consequences of droopy eyelids. Loosening of the muscle and laxity of the septum allows fat to cushion in their sockets, forming eye bags and giving a baggy appearance. In some cases it also forms deep creases in the lower eyelids.
  
  Sometimes the situation worsens giving a permanent tired look. Although, there are number of other causes like improper eyelid function, lack of sleep, tiredness and so on but, aging is the major factor contributing droopy and saggy eyelids. Eyelid surgery can make an amazing difference to your overall appearance, giving you a more fresher and youthful look.
  
  WHAT TO DO?
  Droopy upper eyelids can interfere with vision where eyelashes tend to obstruct vision. When neglected can have adverse effect on person’s life, so a proper medical consultation should be sought to discuss surgical treatment. Eyelid surgery, also known as “Blepharoplasty”, is performed to remove fat and surplus skin around the eye region in such situations.
  
  WHO CAN CONSIDER THIS SURGERY?
  This surgery is performed for various reasons. People who want to get rid of extra loose lax skin or fat bags beneath the eye, or suffer from visual obstruction can undergo this surgery. To reduce puffy and bagginess appearance for your eyes, eyelid surgery is useful in appropriate patients. The process can be generally carried out in anyone from the age of 35 onward.
  
  LIMITATIONS
  The surgery only treats the natural eyelid lines within the eye sockets. It is not the treatment for crow’s feet appearance which may require Botox injections in addition to blepharoplasty. The festoons i.e. skin folding that are extending on the cheek may not be improved fully with this surgery without facelift at the same time. Sometimes, laser resurfacing or chemical peel technique can be applied to treat recurrent or residual wrinkles also.
  
  PROCEDURE
  A local anaesthetic is used to perform both upper and lower eyelid reduction surgery but general anaesthesia can be preferred depending on the procedure involved. Mr Javaid will make incisions in the natural folds of the upper eyelid, and for lower eyelid surgery, just below the lashes. A little extension can be made at corner or at the crow’s feet of the eyes to remove sagging muscle and excess fat under the skin.
  
  Incision through the inside of the lower eyelid can be performed if you have excess fat deposits beneath you lower eyelids. Transconjunctival blepharoplasty can be used to reduce wrinkles and to tighten under eye skin. There is no side effect like skin colour change or appearance of external scar after the treatment is performed, just a mild redness in the treated area is seen and it would last for a few months only.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Bleeding, infection, scarring and pulling of the lower eyelids, asymmetry, scar related problems, temporary bruising and swelling, photosensitivity and tearing, temporary blurred vision, double vision, extremely rare risk of blindness, persistent dissatisfaction with the appearance.
  
  PRECAUTIONS BEFORE SURGERY
  Avoid taking aspirin or anti-inflammatory drugs for 2 weeks before surgery. Stop smoking 6 weeks before surgery.
  
  SUMMARY
  Operation duration: 1.5 hours. Anaesthesia: General/Local. Hospital Stay: Overnight. time off work: One week.Overall Result: Visible from 2-6 months.

• Fat Injections/Transfer - Lipofilling

  WHAT IS FAT TRANSFER?
  “Fat transfer” also known as fat grafting, lipofilling, lipotransfer or fat injection is the cosmetic procedure of extracting a person’s own body fat from areas like hips, abdomen and thighs and re-implanting it to locations that have lost fat as a result of ageing and requires plumping. In this process, fat is harvested from one body part, washed/purified and re-injected into areas that need augmentation, using special cannulas exclusively designed for the purpose. The process may be repeated for a number of times to achieve the desired results. As fat grafting comprises injection of own fat cells, it is biocompatible and reduces the risks of rejection and allergic reactions. Contrary to body implants, it also looks and feels natural.
  
  WHO IS A RIGHT CANDIDATE FOR FAT TRANSFER?
  People who wish to augment volume deficient areas in the body can consider this technique. Fat grafting has been used for years to augment face, hands and depressions in skin counter as a result of scarring or liposuction. However, in recent times, the technique is also used to enhance other body parts like breast, biceps, triceps, buttocks, calf muscles and penis. In selected patients seeking breast enhancement, this procedure may be used as an alternate to breast implants but may require more than one sessions to achieve the desired volume enhancement. Mr Javaid carries out fat transfer procedures routinely in his NHS as well as private patients.
  
  To be considered for the procedure, a candidate should be in sound health, physically as well as emotionally and be realistic about the outcomes. Smokers should stop smoking for six weeks, before and after the procedure. There must be sufficient fat reserve in the body of the candidate to enable the required fat harvest. Past records of swelling or abnormal bleeding should be notified to Mr Javaid.
  
  STANDARD PROCEDURE FOR FAT GRAFTING TECHNIQUE
  Candidates who wish to be considered for fat transfer should undergo a pre-procedure evaluation, which involves complete physical examination and may require more than one visit to hospital.
  
  The process can be carried out under general or local anaesthetics. Fat is drawn from the body by means of a sterilised special suction cannula. Once the desired amount is attained from donor area, it is purified by using a centrifuge which separates and removes the impurities from fats. The refined fat is inserted into the selected area requiring augmentation by using a special fine cannula or needle. Generally, the needle is injected multiple times into the area creating a ‘grid of fat graft threads’ that are then massaged by Mr Javaid to achieve an acceptable contour. Paper dressings are placed over the localised area after completion of the procedure.
  
  RECOVERY PROCESS
  Arrange for someone to drop you home following the procedure. Don’t attempt heavy activities for a few days and follow the instructions given by your surgeon. Dressings will be removed after 2-3 days until which you can’t take a shower. You’ll experience redness in the treated area for two days post-surgery and swelling will persist for several weeks, although bruising will heal in a few days. Pain killers will be administered to relieve pain and discomfort. Your appearance will improve considerably, however it isn’t possible to realise the overall results for several months following the surgery.
  
  BENEFITS OF FAT TRANSFER
  Fat grafting is safe, long lasting and looks natural. It is highly effective in filling depressions created by scars and liposuction, changing body contour, rejuvenating hands and enhancing the appearance of the treated body part. Risks associated with chemical and animal dermal fillers are reduced to a great extent and chances of allergic reactions are also very less.
  
  RISKS AND COMPLICATIONS
  Risks associated with fat transfer are very rare. These include swelling after the operation, which settles in some weeks, bruising in donor and recipient body part, skin numbness which is usually temporary, infection, uneven texture or contour irregularity, and fatty bumps beneath skin, fat necrosis forming hard lumps, scarring, dissatisfaction with overall aesthetic outcome and risks related to anaesthetics.
  
  SUMMARY
  Operation duration: 2 to 4 hours. Anaesthesia: General/Local. Hospital Stay: Overnight. time off work: 7-10 days. Recovery: 2-3 weeks, although swelling and bruises will take a few weeks. Overall result: Visible after 6 months.

• Surgical Facelift - Rhytidectomy

  A surgical face lift removes wrinkles and tightens facial muscles which have become loose due to ageing. A facelift literally ‘lifts’ the facial tissues and folds caused by saggy skin to make it tighter and smoother, giving the face a more youthful look.
  
  Facelift surgery can improve the entire face, and/or the brow and eyelid region. The jawline, chin and neck regions can also be altered.
  
  This operation is a good option if you wish to achieve a more youthful, wrinkle free and a fresher, rather than an aged tired looking face.
  
  BEFORE THE SURGERY
  Mr Javaid will provide guidelines before the procedure. For instance, you will be asked to stop smoking, as it can hinder your healing process. Smoking increases the risk of necrosis (death of tissues) almost twelve times. If you are planning to lose weight, it is advisable to do so before the surgery for improved results.
  
  Mr Javaid will talk to you about the type of anaesthesia that will be used. Usually, you will need to stay in the hospital for one night after your surgery, which will take about 4 hours.
  
  The kind of face-lift procedure selected by the Mr Javaid depends on several factors. These include your age, expectations from the surgery and available recovery time. Different procedures for facelift are:
  
  ‘Standard Facelift’ tightens the skin on your face and neck, down from the ears and eyes. After making an incision into your hairline, Mr Javaid will carefully separate the skin from the tissues. Excessive fat is removed and muscles are tightened. The skin is pulled back up and then sutured in place. Any excess skin is removed. Mr Javaid also tightens the jawline and performs neck lift at the same time as a part of this operation and you do not need to pay any extra for neck lift.
  
  ‘MACS Facelift’ This is a mini version with limited small scars. This operation tightens the cheek and lifts the jaw line without formal neck lift. Through limited incisions just in front of ear area, the underlined SMAS muscle and facial system is tightened and excessive skin from the face area is removed. This operation is suitable for patients who do not require much correction and are keen to address their ageing face early on rather than leaving things for advance stages with much skin laxity and sagging of the face and neck. However due to its limited nature, this operation is not suitable in patients with loose lax skin and bands involving the neck which can only be fully addressed with formal facelift.
  
  ‘Forehead lift’ helps remove frown lines from your forehead and from the area around your eyes. The surgery is performed either using the keyhole method or through short scars hidden in the hairline. Mr Javaid prefers to perform this operation using short scars technique rather than keyhole method due to its simpler nature, direct access and overall low cost for the patient. Small surgical cuts are made behind the hairline to remove excess skin. The cuts are then stitched close. This procedure can be performed under local anaesthesia.
  
  POST FACELIFT CARE
  A typical facelift will require you to stay overnight at the hospital as the anaesthesia may affect your reasoning skills and coordination, so ensure you have someone to drive you home in the morning. Your face will be wrapped in bandages/compression dressing overnight, depending on the type of facelift surgery. The dressing will be reduced and any drain inserted will be removed before discharge back home. You will experience swelling, bruising and discomfort for a few days and will be prescribed painkillers to take for few days. You will be advised to use the elastic compression garment for one week at home to reduce swelling and bruising. You can start wearing light make up after 48 hours.
  
  You will be given a clinic appointment for wound check and removal of stitches in one week after your surgery, and will be subsequently followed up in Mr Javaid’s clinic again in 8 weeks after surgery.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Haematome, seroma, infection, hair loss around the scar. wound healing and scar related problems, numbness and asymmetry due to damage to the nerves during surgery, persistent dissatisfaction with the appearance and recurrence of deformity.
  
  SUMMARY
  Operation duration: 2-4 hours, depending upon the type of facelift. Anaesthesia: General/local with sedation. Hospital Stay: Overnight. time off work: Two weeks.

• La Facelift or Awake Facelift

  The La Facelift also known as Awake Facelift is performed under local anaesthesia to improve the appearance of the cheeks, jowls, jawline and neck.
  
  BENEFITS AND ADVANTAGES
  The La Facelift procedure is performed under local anaesthesia, minimising the risks associated with anaesthesia with reduced and quicker recovery time as it is relatively less invasive. Generally, there is less bruising and swelling associated with it. The patient remains awake during the La Facelift procedure and is able to collaborate with Mr Javaid all through the progress.
  
  The LA Facelift procedure aims to improve and rejuvenate facial appearance to more fresher and youthful one resulting in a boosted self-confidence.
  
  BEFORE THE SURGERY
  Mr Javaid will provide guidelines before the procedure. For instance, you will be asked to stop smoking, as it can hinder your healing process. Smoking increases the risk of necrosis (death of tissues) almost twelve times. If you are planning to lose weight, it is advisable to do so before the surgery for improved results.
  
  Mr Javaid will talk to you about the type of anaesthesia that will be used, the duration of the procedure, the type of clinic admission, as well as the expected recovery period and time off work.
  
  SUMMARY
  Operation duration: 3 hours. Anaesthesia: Local Anaesthesia. Clinic Stay: In and out day case. Time off work: 7 days.

• Twilight or Conscious Sedation Facelift

  Twilight Facelift or conscious sedation Facelift provides patients with the ability to undergo their Facelift procedure with twilight sleep in addition to local anaesthesia without the risks or complications related to full general anaesthesia. During Twilight sedation, drugs are administered through IV line to make patient sleep and calm during facelift procedure.
  
  BENEFITS AND ADVANTAGES
  The Twilight Facelift is performed with twilight sedation in addition to local anaesthesia, minimizing the risks and recovery time, compared to full general anaesthesia. The patient remains sleepy and calm but awake during the Twilight Facelift and is able to collaborate with Mr Javaid and follow instructions all through the progress.
  
  The Twilight Facelift aims to improve and boost your self-confidence by rejuvenating and improving facial appearance.
  
  BEFORE THE SURGERY
  Mr Javaid will provide guidelines before the procedure. For instance, you will be asked to stop smoking, as it can hinder your healing process. Smoking increases the risk of necrosis (death of tissues) almost twelve times. If you are planning to lose weight, it is advisable to do so before the surgery for improved results.
  
  Mr Javaid will talk to you about the type of anaesthesia that will be used, the duration of the procedure, the type of clinic admission, as well as the expected recovery period and time off work.
  
  SUMMARY
  Operation duration: 3 hours. Anaesthesia: Sedation and Local Anaesthesia. Clinic Stay: Day case. Time off work: 7 days.

• Volumetric Facelift

  Volumetric face lift with fat injections are helpful for patients who show marked signs of aging present in both their neck and face. These aging evidences appear as a person looses their face's necessary fat and their face become overly thin and hollow looking. By surgically working to improve the volume of the face and perform fat injections, an overall youthful and healthy appearance can be restored to the patient's face.

• Mini Facelift

  As suggested by the name, it is mini or less invasive version of face lift with less downtime and faster recovery. It is more beneficial to relatively younger patients in their 40s to 50s who want to address early soft tissue sagging of lower face and jowls.

• Genital Surgery Procedures

  COSMETIC GENITAL SURGERY
  Mr Javaid offers aesthetic surgery for both female and male genitalia. Most of these procedures are performed as day case either under local anaesthesia or general anaesthesia as per patient’s preference or based on clinical needs.
  
  Demand for cosmetic genital surgery is growing as a result of ever increasing popularity due to its perceived benefits. Aesthetic surgery of genitalia includes a number of procedures employed to improve the intimate appearance of female and male genitalia. Some women complain that the appearance of their external genitalia and vagina prevent them and their partner from achieving the desired sexual satisfaction. There is some evidence that sexual function and pleasure may be enhanced following such procedures.
  
  FEMALE AESTHETIC GENITAL SURGERY
  Mr Javaid offers a wide variety of labiaplasty and other contemporary female aesthetic genital procedures.
  
  Surgery for alteration of genitalia is not only requested to alter the shape and size because some women find their appearance aesthetically un-pleasing or unacceptable, undermining their self-confidence, affecting personal and intimate relation but also could be due to functional reasons affecting their everyday life. These include, difficulty in maintaining personal hygiene, feeling uncomfortable during sports such as cycling, horse riding , sexual intercourse, irritation or being excessively noticeable in tight clothing.
  
  Labiaplasty - Also sometimes called labioplasty, is a broad term used for Labia minora reduction, labia majora reduction, and labia majora enhancement or labia majoraplasty. Other terms used for these procedures are, designer vagina, female genital plastic surgery, labial reshaping g and shortening of labia. Labiaplasty is considered as equally a medical therapeutic intervention and a cosmetic surgical procedure. Many patients after having labiaplasty, particularly labia minor reduction express high rate of overall satisfaction with appearance and functional results as well as improved psychological outcomes and self esteem.
  
  Some of the other techniques employed to enhance aesthetic appearance of genitalia include, liposuction of the mons pubis area, liposuction of labia majora, lipofilling or fat injections to plump deflated labia majora and mons pubic area to give more youthful appearance, which many women lose in middle age, affecting their sexual experience, self-confidence and relationship as a result.
  
  Other requested procedures include, clitoral hood reduction to enhance sensations and sexual experience.
  
  MALE GENITAL SURGERY
  Penoplasty or penile enhancement is gaining popularity among many men who are self conscious about the size and shape of their penis and desire penile enhancement to improve their body image and self confidence. There is some evidence that it may have a positive influence on the sexual health and pleasure of the patient as well as partner. Commonly employed techniques include increasing penile girth using fat injections, also called lipofilling and increasing the penile length by dividing suspensory ligament and employing a combination of liposuction and a skin flap technique.

• Hand Surgery Procedures

  Mr Javaid also offers common hand surgery procedures such as carpal tunnel release, ganglion removal and trigger finger release.

• Keloid Excision, Removal and Treatments

  Plastic and Cosmetic Surgeon, Mr Javaid, provides surgical procedures and treatments to remove or improve the appearance of Keloid Scars. All surgical Keloid Excision, Keloid Removal and Keloid Treatment possibilities will be discussed in the initial consultation along with risks involved for each type of scarring.
  
  WHAT IS A KELOID?
  Every time the skin is cut or damaged through its full thickness it will heal with a scar. Some people naturally make better scars than others. We cannot accurately predict this but in general, Keloid Scars are more common in people with dark skin, such as people from Africa and African-Caribbean, Asian and south Indian communities; as well as people with fair freckled skin and red hair will tend to produce poor scars, including Keloid Scars. Younger people between the ages of 10 and 30 are more likely to develop them.
  
  A Keloid Scar is one that becomes thick, lumpy, raised and larger than the original wound. They are enlarged, raised scars that can be pink, red, skin-coloured or darker than the surrounding skin. Keloid Scars can develop after very minor skin damage, such as an acne spot or a piercing, and spread beyond the original area of skin damage. Certain areas of the body produce worse scars than others. The worst area being the middle of the chest which can, on rare occasions, produce Keloids spontaneously without any known injury. The tip of the shoulder is poor, but fortunately the face and neck make good scars, generally.
  
  Keloid Scars are more common on the upper chest, shoulders, head and neck, but they can happen anywhere; especially on the earlobes after a piercing.
  
  Keloid Scars continues to grow encroaching upon normal tissue and may need specific treatment.
  
  KELOID EXCISION, KELOID REMOVAL AND KELOID TREATMENTS?
  Surgery can be performed to remove, reduce or de-bulk the scar, Steroid injections or silicone sheets can be used to reduce or flatten the scar.
  
  Plastic and Cosmetic Surgeon, Mr Javaid, provides surgical procedures and treatments to remove or improve the appearance of Keloid Scars. All surgical Keloid Excision, Keloid Removal and Keloid Treatment possibilities will be discussed in the initial consultation along with risks involved for each type of scarring.

• Labial Reduction

  Many women are uncomfortable with the shape or size of their labia. The labia minora and majora are the inner and outer lips/hood of the vagina, the size of which may vary in different women.
  
  A woman might feel that her labia are unusually long and protruding, which may cause discomfort when performing activities such as cycling or driving. It may also cause pain after sitting for a long period, or when wearing tight underwear and bikinis. Protruding labia may also cause embarrassment or discomfort during intercourse as well.
  
  Unequal lengths or prolonged labia can be surgically corrected. If you are embarrassed, uncomfortable or in pain due to this condition, you can opt for a labial reduction procedure.
  
  WHAT DOES LABIAL REDUCTION INVOLVE?
  Labial reduction consists of a range of surgical procedures to trim the inner labia, reducing the shape and size. The procedure can be performed under local anaesthesia, so the patient will be awake but the target area will be numb. It can also be conducted under general anaesthesia, which will put the patient to sleep.
  
  The procedure usually takes around one hour. It can be performed in two ways:
  - by reducing the edges of labia.
  - by clipping the labial tissues in a ‘v’ shape.
  
  Labial reduction usually does not require the patient to stay in the hospital for a prolonged period; patients can normally leave on the same day.
  
  The patient needs to have realistic expectations for the results; most women are satisfied with the outcome of labial reduction, as even the scars are placed carefully.
  
  WHAT HAPPENS AFTER THE PROCEDURE?
  The patient will experience swelling and mild discomfort for about one week. Mr Javaid will advise you to take some time off work during your recovery. You’ll also need to wear loose underwear and panty-liners after labial reduction.
  
  You need to avoid strenuous physical exertion and abstain from sexual intercourse for around six weeks after the procedure. The sutures will dissolve with time and manual removal of stitches is not usually required. Daily showers and baths will help speed up the healing process.
  
  The patient is advised to attend the follow up appointment a week after the procedure, to make sure that healing is progressing as expected.. You will be advised against using tampons and wearing tight clothes. Based on the healing rate, you can resume light activities 3 to 4 days post operation.
  
  RISKS INVOLVED IN LABIAL REDUCTION
  No surgical procedure is entirely risk-free. However, side effects involved in labial reduction are very rare but may include:
  
  Discomfort after the surgery, haematoma infection, scarring, persistent dissatisfaction with the appearance, under correction or over correction.
  
  SUMMARY
  Operation duration: 1 hour. Anaesthesia: General/Local. Hospital Stay: Daycase/Overnight. time off work: 1-2 weeks. Overall result: Visible in 2-6 months.

• Lip Reduction

  Candidates for Lip Reduction surgery include patients that have naturally large lips. It can also be performed on patients that are unhappy with the results of a permanent lip augmentation procedure done in the past. In addition, patients should be in good health, and not smoke cigarettes for a month before and after surgery. For most patients, the lip reduction procedure is performed under local anaesthesia on an outpatient basis. The surgery may be performed under general anaesthesia if you are undergoing multiple procedures, or if you feel more comfortable being unconscious during your procedure. During the procedure, a horizontal incision is created on the inside of the lip; and then, excess fat and tissue is removed from the lip before closing the incision with stitches. The lip reduction procedure can be performed on the upper and lower lip to improve the patient's appearance and balance out facial features.

• Lipoma Removal / Excision

  A Lipoma is the most common non-cancerous benign form of soft tissue growth. It is a growth of fat cells usually found just below the skin. Lipomas are most commonly found on the torso, neck, upper thighs, upper arms, and underarms. Since Lipomas are non-cancerous, they do not require any treatment; however, if a Lipoma becomes bothersome, infected, or continues to grow, you may choose to have it removed. The most common way to remove a Lipoma involves simply making an incision over the tumour, or perhaps a short distance away in a more hidden area, and removing the tumour.

• Liposuction - Lipectomy

  Liposuction, Suction-assisted lipectomy or liposculpture is a modern surgical technique for removal of unwanted body fat. Unwanted fat deposits in the body look unappealing and the common areas where fat becomes accumulated are hips, tummy, neck, arms, thighs, and inner areas of ankles and knees. This technique can also be useful to treat benign fatty lumps called lipoma and excessive fat deposits under the nipple in males giving an appearance of female-like breast known as gynaecomastia.
  
  LIPOSUCTION CONCLUSIVE REMEDY
  Fat reduction is possible through exercise, balanced diets and surgery. However, one of the best and common methods to remove localised fat deposition and to get rid of the bulk is “Liposuction”. In this procedure, a small incision is made in the skin and a metal cannula attached to plastic tubing connected to a vacuum pump, is inserted. Within the area of superfluous fat deposit, the cannula is drawn back and forth. This process does not significantly affect the blood vessels and nerves thus leaving them intact largely, but removes the tunnels of fat under the skin. After the procedure, the skin retracts giving a tighter and more shaped appearance.
  
  Liposuction procedures may vary. In the tumescent or wet technique of the liposuction commonly used by Mr Javaid, the area for fat removal is targeted using saline solution with local anaesthetic. This ensures reduced blood loss, less bruising, and much less discomfort and pain post-operatively.
  
  WILL THE RESULT LAST?
  The results are actually long lasting, as fat cells are not known to be regenerated in adults. Hence, removal of fat by liposculpture will bring a long lasting alteration in the body contour as long as body weight is maintained.
  
  EXPECTED OUTCOME
  Considerable bruising with pain can be expected from this surgery. Depending upon the area treated, discolouration of the bruise may take about two to four weeks to settle; whilst swelling especially in areas like ankles and abdomen may take longer to disappear. As such it may take about six months for complete benefit of the surgery to become apparent. Numbness of skin might exist for few weeks to months. Scars are usually very small and will persist but hardly visible once they become mature and pale with time.
  
  DURING AND AFTER THE OPERATION
  If treated for multiple areas, you might have to stay in the hospital for 24 hours, rarely even more. While treating the lower section of the body, an epidural is sometimes used as an alternative but for smaller areas local anaesthetics can alone do the job. Simple pain killers will be administered for few days. A tight pressure garment is fitted immediately after the procedure and advised to be worn for approximately four weeks to improve the comfort and reduce the swelling. The operation will require you to take a few days to a couple of weeks off work depending upon the number of areas treated. But yes! The results are worth the wait.
  
  LIMITATIONS AND RISKS
  Liposuction cannot be treated as a cure for obesity. The amount of fat that can be removed from an area safely through this process is limited. As such, considering this safety limit you may not be able to reduce fat to your expectations because it might be riskier for you to have more than 3 litres removed in one go. Skin may also appear loose and lax in some cases, thus needing a further surgery for correction of the condition. Complete removal of cellulite and correction of wrinkles and dimpling of skin is also not feasible through this procedure.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Bruising, swelling, contour irregularities, skin dimpling, asymmetry, residual skin laxity, infection, temporary or permanent skin numbness, persistent dissatisfaction with the appearance.
  
  PRECAUTIONS BEFORE SURGERY
  Avoid taking aspirin or anti-inflammatory drugs for 2 weeks before surgery. Stop smoking 6 weeks before surgery.
  
  SUMMARY
  Operation duration: 1-2 hours. Anaesthesia: General/Local. Hospital Stay: Overnight. time off work: 1-2 weeks depending upon extent and number of areas treated. Overall result: Visible from 2-6 months.

• Local Flap Repair

  Flap reconstruction involves the transfer of a living piece of tissue from one part of the body to another, along with the blood vessel that keeps it alive. Unlike a skin graft, flaps carry their own blood supply, so can be used to repair more complex defects. Flap surgery can restore form and function to areas of the body that have lost skin, fat, muscle movement, and/or skeletal support. Local Flap uses a piece of skin and underlying tissue that lie near to the wound. The flap remains attached at one end so that it continues to be nourished by its original blood supply and is repositioned over the wounded area.

• Mole Removal / Excision

  WHAT IS A MOLE?
  Moles are flat or raised blemishes that appear commonly on the face or body, and can vary in size, colour or shape. Moles are also called Naevi if multiple, or Naevus if single. Whilst most moles are innocuous, any variation in colour or shape or moles which cause irritation could be symptoms of a serious underlying problem, and call for an immediate medical examination.
  
  Prominent moles on the face or other parts of the body can be embarrassing for many, and overly large moles can lead to pain, distress and restriction of movement.
  
  WHAT IS MOLE EXCISION SURGERY?
  Mole excision surgery is a procedure to remove moles that have changed colour or shape, are unappealing, painful or hamper your movement. It is quick, convenient and is performed on an out- patient basis, meaning that there is no overnight stay at the hospital.
  
  DURING AND AFTER THE OPERATION
  Local anaesthetics are generally used for the surgery; although sedative drugs may be administered to help you relax during the process. It usually requires 20 minutes to isolate a single mole, but the duration varies from one patient to another, depending on the procedure followed.
  
  Moles are usually excised with a scalpel and the wound is secured with sutures. Shaving of moles down to the surrounding skin level may also be carried out. Alternatively, cold liquid nitrogen is used to freeze off some moles while high energy laser treatment and diathermy may be utilised under certain circumstances.
  
  There will be visible scarring post-operation, the extent of which depends on the procedure followed by the surgeon. Formation of scabs around the wound is quite normal and commonly takes one or two weeks to settle. You may experience swelling or bruising which heals in a few weeks. Scars may be prominent following the surgery, but fade considerably with time.
  
  POST-SURGERY RECOVERY
  Usually, normal activities can be resumed immediately after the surgery. Dressings are applied to the wounds for a few days and you’ll be advised to apply prescribed antibiotic creams until the wound is healed or the sutures are removed. Stitches are removed in one or two weeks and specific post-surgery instructions are given by the physician.
  
  REASONS FOR MOLE REMOVAL
  Reasons may either be medical or cosmetic.
  
  Doctors may recommend a biopsy for certain moles (change in colour, size, shape or if it causes pain and irritation) to verify whether it is cancerous or pre-cancerous. If the report suggests evidence of a malignant condition, it requires immediate treatment to prevent or treat skin cancer.
  
  Other people may opt for the operation to enhance their appearance by removing unsightly and uncomfortable moles.
  
  OTHER SKIN CONDITIONS
  In addition to moles, other lumps and bumps on the face or other parts of the body can be embarrassing for many and can lead to pain, distress and restriction of movement. The examples of such conditions are lipoma, fibroma,benign soft tissue tumours arising from sweat glands, hair follicles, sebaceous glands or nerve fibres like neurofibromas. Mr Javaid also routinely performs excision of benign soft tissue lumps and bumps in addition to benign skin lesions.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Like other cosmetic procedures, mole/lums & bumps removal surgeries may involve some risks, although the chance of such occurrence is negligible. Possible side effects may include bleeding, infection, recurrence, scars related problems and persistent dissatisfaction with the appearance.
  
  Every year, numerous mole removal operations are successfully performed in the UK, rarely with any major complication. However, risks and a suitable treatment plan are explained to the patients before the surgery.
  
  SUMMARY
  Operation duration: Usually 20-30 minutes. Anaesthesia: Local. Hospital Stay: Not required. time off work: Not required.

• Neck Lift Surgery

  The neck is a prominent part of the body which shows signs of ageing in many people even sooner than their face. Loose-hanging, leftover skin with lost elasticity can also be a dismaying side effect of weight loss. Neck lift surgery can produce pleasing and satisfying results in treating vertical bands, loose and sagging skin, turkey wattles also referred to as turkey gobblers or heavy necks - giving you a smooth and shapely neck.
  
  WHAT IS NECK LIFT?
  Neck lift Surgery removes banding, excess skin and fatty tissues while reinstating the smooth and refined appearance of your neck.
  
  Depending on the individual’s need, different techniques are used to perform neck lift surgery:
  - Cervicoplasty is used to remove or tighten floppy skin.
  - Wattles and vertical bands are corrected with the help of Platysmaplasty, a procedure used to tighten the neck muscles.
  - Liposuction is used to remove unwanted fat deposits.
  
  The skin elasticity of the neck and the extent of sun damage will influence the surgery outcome. However, superior surgical procedures are effective in restoring the attractive contour of the neck and help many patients get rid of their problems.
  
  WHO IS THE RIGHT CANDIDATE FOR A NECK LIFT?
  Non-smokers with realistic expectations of results and general good health are considered the best candidates for the operation. No specific age is cited for a neck lift surgery and candidates ranging from thirtys to octogenarians can benefit. A neck lift procedure may be beneficial for individuals with sagging/wrinkling necks and loss of distinction between the neckline and jaw or chin. However, you may be excluded from surgery if you suffer from certain diseases, and it is advisable to consult a qualified plastic surgeon to talk about your goals and expectations. Your medical record will be reviewed by Mr Javaid to determine the risks and a suitable treatment plan.
  
  SURGERY PROCEDURE
  Platysmaplasty is performed to correct wattles or vertical bands, small incisions are made under the chin or behind the ears and specific neck muscles are removed or readjusted to tighten the middle part of the neck.
  
  Cervicoplasty is used to address floppy and sagging skin. Incisions are made under the chin or behind the ears, and skin is then trimmed and secured in place with the help of sutures or dissolvable stitches. Dressing tapes are applied to the cuts and a compression garment is wrapped around the neck and head.
  
  To remove surplus fat, liposuction is performed by making an incision beneath the chin and inserting a small tube or cannula through the cut to reach the fat tissues. The excessive fat is then removed through the thin cannula by applying a vacuum technique. Tapes are applied on the wound (dressings may also be applied around the neck and head).
  
  POST-OPERATIVE CARE AND RECOVERY
  Neck lift surgery require an overnight stay at the hospital. Post-surgery, a compression bandage is wrapped around your neck and head, which may need to be worn for a week. Considerable bruising and swelling may show up over the following three days and you may experience a tight and sore neck. Stitches will stay in place from seven to ten days although dressings might be removed after a few days.
  
  Non-strenuous work may be resumed in one to two weeks, however bending over, turning the head or lifting heavy things should be avoided for several weeks following the surgery. Mr Javaid may recommend you to keep your head elevated at all times (including during sleep) for a few days.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Haematoma, seroma, infection, bruising and swelling, numbness around scars and asymmetry due to facial nerve injury, persistent dissatisfaction with the appearance.
  
  SUMMARY
  Operation duration: 2-3 Hours. Anaesthesia: General. Hospital Stay: Overnight. time off work: Two weeks.

• Nose Reshaping - Rhinoplasty

  Nose reshaping is also known as Rhinoplasty. People request this surgery if they are either dissatisfied with the shape of their nose or have breathing difficulties due to deviation of nasal septum or deformity of other structures in the nose many times as a result of previous trauma. Prominent bony hump or overtly prominent nose generally requires shaving the excessive tissue, breaking and resetting of nasal bones and reshaping the cartilage, mostly done via open rhinoplasty technique. For minor adjustments and improvement in nose shape, Mr Javaid also offers non-surgical rhinoplasty by using dermal fillers or fat graft technique.

• Obagi skin care system

  The Obagi skin care system is a prescription only product that must be prescribed and overseen by a practicing doctor. One of its line up's products is useful for battling the tell tale signs of aging. It also gives skin a plumper, more youthful, and firmer appearance. The Obagi skin care system was actually created by dermatologists. It is comprised of a high level of peels and acids, which can irritate the skin. The six week rejuvenation programme gives highly satisfactory results, although they are not permanent in nature. Once the product has been discontinued, the skin will gradually return toward its more normal state.

• Reconstructive Surgery Procedures

  Mr Javaid provides a comprehensive range of services in the field of reconstructive surgery and these include reconstructive surgery following skin cancer, mole excision, lumps and bumps, lipoma excision, skin grafting, local flaps, scar management and scar revision.

• Rhinophyma Removal - Rhinophyma Surgical Shave

  Plastic Surgeon Muhammad Javaid performs Rhinophyma Removal using twilight sedation in addition to local anaesthesia. Rhinophyma Surgical Shave procedure takes approximately 45 to 60 minutes. The time off work recommended after Rhinophyma Removal Surgery is at least 1 week and the overall results are visible after approximately 3 months.
  
  Rhinophyma Surgical Shave is performed to remove overgrowth of excess tissue and reshape the nose to restore the natural look, aiming to improve the patient’s appearance and self-esteem.
  
  WHAT IS RHINOPHYMA?
  Rhinophyma is a progressive skin lesion that causes the nose to enlarge and become red, bumpy, and bulbous due to chronic sebaceous gland hypertrophy. Rhinophyma is much more common in males than females and usually develops between the ages of 50–70.
  
  Rhinophyma has been long associated with chronic alcohol use, informally being misnamed whisky nose, rum blossom or cauliflower nose; however, studies do not support this link and there is no clear reason or causative trigger for this disfiguring condition.
  
  Rhinophyma is thought to result from untreated severe rosacea, a chronic inflammatory skin condition that causes facial redness on the nose and cheeks. People with untreated rosacea are at a higher risk of developing Rhinophyma.
  
  SUMMARY
  Operation duration: 45 to 60 Minutes. Anaesthesia: Local Anaesthesia / Twilight Sedation. Hospital Stay: Not required. Day care. Time off work: 1 week. Overall result: Visible from 3 months.

• Sebaceous Cyst Removal

  Sebaceous Cyst are common skin afflictions that occur in patients of all ages, although the condition is rare for children and preteens. Sebaceous cyst removal is usually not urgent, but is often performed for cosmetic reasons or to prevent further complications.

• Skin Lesion / Cancer Removal

  ABOUT SKIN CANCER
  The incidence of skin cancer is highest in the whole body. The probability of getting skin cancer increases with age. Skin cancers tend to occur on any body part; however sun-exposed areas like the face, arms, neck and legs are more vulnerable. Frequent sun exposure during early life or sun burn can result in skin cancers developing during your later years.
  
  Skin cancers can be cured completely by using various surgical and non-surgical techniques. The technique used depends on the type, position, size and spread of the cancerous cells, and the general health and age of the patient. The objectives of the treatment are complete cancer removal, rapid healing and restoration of a normal appearance of the skin.
  
  TYPES OF SKIN CANCER
  There are mainly 3 types of skin cancer - basal cell carcinoma, squamous cell carcinoma and malignant melanoma. The majority of skin cancer patients in the UK are diagnosed with basal cell carcinoma (BCC), which commonly occurs on the head or neck, but may be found on other parts of the body as well. Red patches, nodules, spots or scaly crusted areas which itch or bleed can be indications for this cancer. This cancer is also known as rodent ulcer as it sometimes appeasr as a non-healing ulcer and spreads deep into the underlying tissue.
  
  Ulcers or scaly patches may often be signs of squamous cell cancers (SCC)and although they are less prevalent than basal cell cancers, they are more serious.
  
  A Malignant Melanoma (MM) is indicated by brown or dark spots which may be flat or raised and have an irregular shape and pigmentation. Although less common, the severity of this type of cancer is higher as it can spread rapidly to other body parts.
  
  With the help of specialised techniques, cancerous skin lesions can be removed to preserve your health and revive your appearance.
  
  SKIN CANCER TREATMENT PROCEDURE - SURGICAL TECHNIQUES
  EXCISION BIOPSY
  Small cancers can be diagnosed and treated using this technique, in which cancerous skin is removed along with a small section of bordering tissue. The bordering cells are analysed under a microscope to ensure that no cancer cells are present. If results indicate cancer cells, further surgery may be needed.
  CRYOSURGERY
  Small cancers that haven’t grown deep into the skin are removed by applying liquid nitrogen; this freezes the affected area and removes the cancer. However, cryosurgery cannot be performed on delicate body parts such as eyes.
  
  CURETTAGE AND ELECTROCAUTERY
  Minor basal cell cancers are treated by this technique. The cancer is scraped away by using a curette. Any leftover cancer cells are killed by passing an electric current through an electric needle, this also helps to control any bleeding.
  
  MMS OR MOHS MICROGRAPHIC SURGERY
  MMS may be performed for treating: A recurrence of basal cell cancer. Proliferating basal cell carcinomas into surrounding tissues. Large cancers of the skin. Cancers in areas where only small amount of tissues can be removed, such as the nose and eyes. Rare cancers of the skin.
  
  The procedure is slow and involves the removal of a small amount of tissue at a time, which is later examined for cancerous cells. If cancerous cells are found, the process is repeated until all cancerous cells are removed.
  
  WIDE LOCAL EXCISION
  In this process, skin tissue is removed based on the cancer type, the location and the extent of tissue already removed if an excision biopsy has been already been performed. Stitches are used to close the wound, which may cause skin tightness, however the discomfort will ease with time.
  
  SKIN GRAFTS AND SKIN FLAPS
  Skin cancer surgeries may require the removal of large areas of skin, which are then repaired by using a skin graft or skin flap.
  
  SKIN GRAFTING
  In this cosmetic procedure, a thin layer of skin or a full thickness of the skin,depending upon the need to reconstruct the defect is cut from a donor site and then positioned in the area which needs repair. Stitches are sometimes used to secure the area from where the graft has been taken.
  
  SKIN FLAPS
  In this operation a piece or a fold of skin, located close to the wound is used along with its underlying subcutaneous tissues. . The skin fold remains connected to its original site and is also placed above the new wound, secured together with stitches, the donor site is then sutured.
  
  Other less common surgical methods include lymph node removal for squamous cell cancers and melanoma, and adjuvant treatment for eliminating chances of recurrent cancers. Non-surgical treatments include radiotherapy, chemotherapy, immunotherapy and photodynamic therapy.
  
  POTENTIAL RISKS AND COMPLICATIONS OF SKIN CANCER SURGERY
  Like other cosmetic surgeries, the possibility of risks cannot be ruled out. Complications are rare however, but could include bleeding, haematoma, infection, scarring, variation in skin sensation, recurrence of cancer, irregularity in skin contour, frozen section inaccuracy, swelling and pain, anaesthetic risks and persistent dissatisfaction with the appearance.
  
  NEED FOR FOLLOW UP
  The purpose of skin cancer surgery is to achieve a local control of cancer and to reduce the risk and possibility of the cancer recurrence and spreading to other body areas. However, local surgery cannot stop the cancer spread if cancer cells have already skipped beyond the local area and have seeded in the other body systems before the local surgery is performed. A periodic follow up of 3-5 years depending upon the nature of the skin cancer is recommended to spot any local, regional or systemic cancer spread. Mr Javaid will guide you accordingly about the need for follow up in your specific situation.
  
  SUMMARY
  Operation duration: 30-60 minutes. Anaesthesia: General/Local. Hospital Stay: Outpatient/Day case. time off work: 1-5 days depending upon complexity. Overall result: Visible from 2-6 months.

• Other Skin Conditions

  OTHER SKIN CONDITIONS
  In addition to moles, other lumps and bumps on the face or other parts of the body can be embarrassing for many and can lead to pain, distress and restriction of movement. The examples of such conditions are lipoma, fibroma,benign soft tissue tumours arising from sweat glands, hair follicles, sebaceous glands or nerve fibres like neurofibromas. Mr Javaid also routinely performs excision of benign soft tissue lumps and bumps in addition to benign skin lesions.

• Split Earlobe Repair

  Mr Javaid provides surgery for repair of Split Earlobe. Compared to other cosmetic procedures, the Split Earlobe Repair technique is quite simple; any excess tissue is removed to neaten up the area before the two open sides are carefully stitched together with very fine dissolvable stitches.

• Thigh Lift - Thighplasty

  WHAT IS A THIGH LIFT?
  Thigh lift, thighplasty or also known as thigh reduction is a modern surgical procedure for reshaping thighs by removing excess skin and fat; this gives you smoother skin and an even contour on your thighs and lower body. Ageing and weight loss can cause the thigh skin to become flabby, saggy or dimpled. In some women (and men), the problem is further intensified by fat deposits. Thigh lift surgery is performed alone, or in combination with other techniques such as liposuction or a lower body lift. This procedure can be effective in restoring a firmer and more youthful contour of the thighs.
  
  The aim of the procedure is to reduce and tighten the flabby, loose or dimpled skin and create thighs that appear proportionate to the legs, buttocks and abs.
  
  TYPES OF THIGH LIFTS
  Thigh lift surgeries may vary, depending on the pattern of incision. Among all thigh lift techniques, inner or medial thigh lifts are the most popular; these involve creating incisions in the groin crease to tighten thigh tissues and skin. People with a moderate amount of thigh fat and skin can opt for this procedure.
  
  In vertical thighplasty vertical incisions are made, starting at the groin fold and extending towards the inner knees to remove a segment of the inner thigh skin. Scars may be visible when wearing short dresses and swim suits. Those with significant amount of loose skin and fat that cannot be fully addressed with simple lift may require this addition to a standard incision hidden in the groin crease.
  
  An outer thigh lift involves incisions starting at the groin and extending around the hips.
  
  Spiral thighplasty targets the inner, outer, front and back parts of thighs, involving incisions beneath the buttock crease that continue above the groin fold to the meeting point of thighs and pubic area.
  
  SURGERY PROCEDURE
  Although techniques may vary, the key steps followed in every thigh lift surgery are similar.
  
  The operation is performed under general anaesthesia. Mr Javaid will makes the necessary incisions based on the extent of loose skin and fat that requires removal, this is then lifted or removed to tighten and reshape the thighs. Deep support stitches are used to form the restructured contours and the wounds are closed with sutures.
  
  POST-SURGERY RECOVERY
  The duration of surgery varies according to the technique, and you might require a short stay at the hospital. Considerable bruising, soreness or swelling may occur, however painkillers are administered to comfort you. A tight pressure garment is fitted immediately after the surgery and it is recommended to wear this for 4-6 weeks in order to protect the wound and reduce swelling. Stitches are normally removed after a week, though deeper sutures will remain in place for two or three weeks. Usually, patients can go back to work after two weeks, however strenuous activities should be strictly avoided for one month.
  
  POTENTIAL RISKS AND COMPLICATIONS
  Anaesthesia risks, Bleeding, haematoma, seroma, infection, numbness around the scars, wound healing, skin necrosis, scar related problems including stretched scars, dissatisfaction with the appearance, recurrence of deformity.
  
  SUMMARY
  Operation duration: 2-3 hours. Anaesthesia: General. Hospital Stay: 1-2 nights. time off work: 2 weeks. Overall result: Visible from 2-6 months.