FAQ

ARM LIFT

Q. When can I pursue my normal activities again?

Patients are typically able to return to work about one week after their upper arm lift. However, it is recommended to wait several weeks before partaking in any strenuous activity. This will help with the healing process and minimize the formation of unsightly scars.

Q. How will I look immediately after the surgery?

You will have dressings covering your upper arms immediately after your brachioplasty. To promote healing, it is essential to leave these bandages on for as long as you are instructed by your plastic surgeon. Gradually, swelling will decrease and you may remove your bandages to debut your newly sculpted and enhanced arms.

Q. How can my plastic surgeon restore my look?

As we age, skin around the upper arm looses firmness and begins to droop. Brachioplasty can reverse this unsightly occurrence by tightening and reforming the muscles into a more attractive shape. The result is an enhanced appearance and an accompanying boost in confidence.

Q. Where are incisions placed for brachioplasty/upper arm lift surgery?

In order to remove excess skin, incisions run from near the elbow into the armpit along the inner arm. The location of incisions is hidden so that any scars that form are not readily visible.

 

BOTOX®

Q. How Does Botox® Work?

Using Botulinum Toxin Type A Botox injections treat wrinkles via an injection. Botox® was invented to treat neurological disorders, but today, it has been very successfully used in the treatment of wrinkles, frown lines, and crow’s feet.

Q. How Is the Procedure Performed?

Botox® is injected into the muscle tissue surrounding a wrinkle via a small needle. The discomfort is minimal and usually lasts a few econds. Botox® relaxes the muscle tissue by blocking nerve impulses to it. Within a couple of days the results can be clearly seen and will last for several months, after which the procedure can be performed again.

Q. Am I Eligible to Receive Botox® Injection?

Women who are pregnant or nursing should wait to have the procedure done, since the side effects associated with pregnancy are unknown at this time.Medication such as antibiotics, anti-inflammatories, and aspirin, will increase bruising.

Q. What Are the Side Effects of Botox?

Although Botox is relatively safe it does have some mild side effects. The most common side effects are temporary bruising, numbness, swelling, and a tingling sensation. Patients should not rub the area within the first 12 hours to help alleviate these side effects.

 

BREAST AUGMENTATION

Q. Should I have a mammography before the Mammaplasty?

For patients under the age 35, breast ultrasonography and for patients over the age 35, mammography is appropriate.

Q. Can breast implants blow up?

Though minor, this possibility is present in saline inflated and gel implants.

Q. Do we have to change breast implants in the future?

Weight fluctuations and pregnancy affects the breast volume. Since these issues lead to a change in the appearance,
revising Mammaplasty may be required.

Q. Can a woman who had undergone breast implant Mammaplasty breastfeed her baby in case of a pregnancy?

In the interventions from the armpit and curvature under the breast, gland tissues are not affected. 

Q. Will there be a loss in sensation after breast implant Mammaplasty?

Nipple approach can lead to partial sensation loss.

Q. Do the breast implants deform?

Cohesive breast implant are form-stable implant. They are long lasting compared to other implants.

Q. Is there a relationship between breast implant conducted and breast cancer?

No. Certainly not

 

BREAST LIFTING

Q. Can I breast feed after this operation?

When a child is born during the years following the surgery, since milk glands and milk channels are undamaged, everybody including the people who had breast prostheses implanted can breast feed.

Q. When can I go back to work after this operation?

You can go back to work one week after this operation. You should pay attention to avoid doing heavy exercises and lifting heavy objects for the first one to two weeks.

Q. Will I see the results straight away? 

Q. What it is?

This is a type of surgery to correct droopy breasts. There are different ways to do this, some of which include fitting breast implants. Your surgeon will discuss different options with you .

Q. Will my breast look ok soon after surgery

Your breasts will be swollen so they’ll look a lot bigger than you had planned – but don’t panic! Swelling will subside gradually and the shape will continue to improve over the following months.

 

BREAST RECONSTRUCTION

A reconstructed breast won’t look exactly the same as a natural breast, but the difference shouldn’t be noticeable when you are wearing clothes.

Q. Does a reconstructed breast feel different?

Breast implants are designed to feel like a natural breast, being soft and pliable. They are similar in weight and density to breast tissue, so you should feel a balance between the reconstructed breast and your remaining breast. The implant may move slightly, so the reconstructed breast may have some 'bounce'. The skin over your reconstructed breast will feel normal if you touch it. However, the sensation in the breast is different – it’s usually reduced at first but may improve over time.

Q. How good will the match with my natural breast be?

Surgeons make every possible effort to match the remaining breast, but a reconstructed breast is unlikely to be an exact duplicate in size, shape or outline. The same is true for a reconstructed nipple. If you feel that the match is not good enough, your surgeon may suggest that you have an operation on your natural breast to give a more balanced appearance. The most common procedures carried out are reduction, enlargement or lifting of the natural breast.

Q. What if I am not happy with the results?

Your satisfaction with breast reconstruction will depend mainly on what you expect before the surgery. Make sure that you discuss your expectations with your surgeon before you decide to go ahead. It's important to wait for several months after reconstruction for the skin and muscle to stretch, and for the reconstructed breast to settle into its final shape, before deciding how happy you are with the result. Full healing can take about a year. If you then have concerns, discuss them with your surgeon or breast care nurse. You can also ask your surgeon to refer you to another surgeon for a second opinion if you wish.

Q. Does breast reconstruction interfere with other treatments?

Immediate reconstruction will not make
radiotherapy or chemotherapy treatments less
effective. Occasionally, treatment may be delayed
to allow the reconstruction to heal fully.

Q. Could a breast implant hide a new cancer?

Specialists consider that there is little or no difficulty
in detecting a recurrence of cancer either beneath
or around an implant, using examination by hand or
a mammogram. If cancer comes back, it’s most likely to be just under the skin and so should be easy to detect.

Q. Is breast reconstruction available on the NHS?

Yes. If you have had, or are going to have, a
mastectomy as a cancer treatment, you are
entitled to free breast reconstruction on the NHS.
Alternatively, some surgeons will carry out
reconstruction surgery privately, if you prefer.

 

BREAST REDUCTION

Q. What is breast reduction?

It is an operation to remove fat, glands and tissue from your breasts to decrease their size. You might consider this if, for example, your breasts are so heavy they are causing back problems, or you feel too ‘top-heavy’.

Q. What does it involve?

Some cuts are made in the breast and excess flesh is removed.  Usually your nipple and areola will have to be moved higher up the breast. This is all performed under general anaesthetic and will take 2 - 3 hours. As well as possible complications from the procedure itself - such as excessive bleeding or infection, this also carries the risks associated
with all major surgical procedures.

Q. Will I get a scar?

Yes. The surgery will leave scars which will  look  lumpy at first. These will fade over time but will probably always be slightly visible.

Q. Will I need to stay overnight in hospital?

Yes. You will usually need to spend two nights in hospital. Recovery time varies but is usually from 6 - 8 weeks.

Q. Will I lose sensitivity?

You may lose some sensitivity

 

BREAST REDUCTION FOR MEN (Gynecomastia)

Q Who's male breast reduction for?

(Gynaecomastia) on healthy men of any age.
Usually the best candidates for surgery have firm,
elastic skin that will reshape to the body's new
contours.

You should be aware that male breast reduction is not a way to lose weight. We often discourage surgery for obese men, or for overweight men who have not first attempted to correct the problem with exercise or dieting.

Q What does male breast reduction involve?

The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin. The surgery is usually carried out under general anaesthetic and you would normally be required to stay in hospital for one night.

Q What should I know about male
breast reduction?

Before you decide to go ahead, The surgeon who specialises in Gynaecomastia correction procedures. During your consultation, your surgeon will ask for your general medical history and will request information relating to any previous surgery.

Q How is male breast reduction performed?

Two methods are available for this procedure, and sometimes a combination is used.

1. By making a half moon incision around or below the areola and cutting away the unwanted breast tissue.

2. With the advancement of surgical techniques and the introduction of specifically designed lipoplasty equipment, the surgeon is able to break up and draw off excess fat through a fine cannula. The breast fat is approached from a tiny incision towards the armpit or under the nipple. This incision heals well and is difficult to see.

Q Are there any risks with male breast reduction?

Fortunately, significant complications from Gynaecomastia correction are infrequent. Every year, many men undergo successful breast- reduction surgery, experience no major problems and are delighted with the results. Anyone considering surgery, however, should be aware of both the benefits and the risks. Your surgeon will discuss these with you during your consultation.

Q What happens after male breast reduction surgery?

Bruising is a natural result of the surgery and may persist for a week or so. Hardness or lumpiness within the tissues due to swelling can persist for a month or so. Infection is uncommon but preventative antibiotics will be prescribed at discharge from hospital.

Q When will I see the results?

Following male breast reduction surgery, the breast tissue does not grow back but the swelling can take breast reduction is very successful in that it is a permanent solution, which restores confidence and relieves a major cause of distress and embarrassment.

Q When can I resume my normal activities?

Many patients return to work between one and two weeks following surgery. Lifting should be avoided for about 14 days. Sport should be avoided for at least one month. This includes swimming. Gentle exercise such as walking is recommended.

 

EYE SURGERY

Q. What it is eye lift surgery?

It is an operation to remove excess skin from around the eyes. This reduces the bags under your eyes and the sags from your eyelids

Q. Will my eyes be closed after the surgery?

No. Only thin bands will be present on your eyelids after the operation.

Q. When can I go back to work after the operation?

Your stitches will be removed within the period lasting for two days to one week after the operation. After the removal of the stitches, your swellings will subside and there will be no drawback for you to go back to work after a week or so.

Q. How long before I see the results?

Initially it will look fairly horrific because of swelling and bruising, but you will gradually see the improvement as these fade. Scars will be obvious and pink, but will fade to become virtually invisible over the next few months.

Q. Will it affect my vision?

Yes, but only at first. Your eyes will be watery and your vision blurred for a few days after the operation. This will settle down fairly quickly

 

TCA PEEL

Q. What happens to my skin during a TCA peel?

When TCA is applied to the skin, it causes the top layers of cells to dry up and peel off over a period of several days. When the old skin has peeled off, it exposes a new layer of undamaged skin which has a smoother texture and more even colour.

Q. How soon can I resume my normal
outdoor activities?

Anyone who has had a TCA peel is more sensitive to sunlight for at least 6-8 weeks after their peel. During this time it is very important to protect the new skin with sunscreens, hats and the
avoidance of strong sunlight. However, most people are anxious to protect their new improved
skin from the damage of excessive sun exposure and they continue to wear sunscreen daily

Q. Can TCA peels be performed on other areas
of the body besides the face?

Most people have similar aging and sun damage changes on the neck, chest and hands as are present on the face. Fortunately, TCA peels can be performed successfully on these other non-facial areas as well.

 

FACE REJUVENATION

Q. What it is face lifting

This is surgery which lifts and tightens the skin and muscles to give your face a smoother and more youthful appearance. There are several different types of surgery which you will need to discuss with your doctor before deciding which is most appropriate for you.

Q. How long does these operations last?

With medium face lifting performed at the endoscopic bone level, a process towards rejuvenation begins at the appearance of the patient. The age differences his/her coevals are preserved. Permanence is long as the depth of the lifted level. Deep plane approach performed for the cheek and chin contour is superior than skin lifting and SMAS folding
(pilication) technique.

Q. How long does restoration take after this operation?

Your edema will start to dissolve after seven to ten weeks, you can return to your social life. Heavy physical activities should be avoided.

Q. How much time will I need off work?

If there are no complications you should be able to go back to work after a couple of weeks, although you might still have some bruising and swelling.

 

FILLERS

Q. How are dermal fillers administered?

The area to be treated will be numbed using a topical cream anaesthetic. Once this has taken
effect the area to be treated will be injected with the most suitable form of dermal filler to give the best results.

Q. How long will it take administer dermal fillers?

Depending on the area treated, approximately 20 - 40 minutes. Depending on the areas been treated.

Q. What results can I expect from dermal fillers?

The results will be immediate. Your skin will be smoother and younger looking. Once any
swelling has subsided the results will be subtle and pleasing.

Q. How long is the recovery period from dermal fillers?

There is no recovery period necessary when you undergo dermal fillers.

Q. Are there any after effects from dermal fillers?

With dermal fillers there can be redness, swelling and bruising which is normal and will subside.

Q. Are there risks associated with dermal fillers?

There are some risks associated with dermal fillers, though rare. Transform has performed
more cosmetic surgery than any other provider in the UK. As such, we are extremely
experienced; there is no provider better placed to help you become more confident through a
non-surgical cosmetic procedure.

Q. Can I combine other treatments with dermal fillers?

Many of our clients combine dermal fillers with BOTOX® / VISTABEL® (the new name for
Botox) for an overall younger looking skin. If you are exploring procedures to counter the effects of ageing, then you might like to visit our look younger page.

Q. How much do dermal fillers cost?

Dermal fillers cost from £170 per ½ ml and £280 per 1 ml.

Q. How do I arrange to have dermal fillers?

The first step towards getting dermal fillers is to book a free consultation with our Senior
Nurse Practitioner. At a consultation you will have plenty of opportunities to ask any questions you may have about the procedure. The consultation will take around 15/20 mins, during which time you will not be given the ‘hard sell’. No pressure will be put on you to go through with the procedure, and you will not be forced to make a decision at
the consultation. We understand that this is a big decision for you and we want you to be totally satisfied that it’s the right thing to do before committing to the procedure booking. Of cause if you do want to go ahead with the procedure our Nurse can do the procedure immediately.

 

HAIR TRANSPLANTATION

Q. What should be expected from hair transplantation?

Prerequisites of this, like every aesthetic operation, are being healthy and having realistic expectations. It is important for the limits of the operation to be well understood. The goal is to improve your appearance as much as possible. Before deciding on the hair transplant operation, ask your experts to explain the appropriate options regarding your hair loss
type and other properties.

Q. Who can undergo hair tranplantation?

Men with androgenic type hair loss (depending on the age, hormones and familial heredity) constitute the patient group that hair transplant is most frequently applied. Therefore, the most frequent aesthetic intervention seen in men is hair transplant. In addition, people having bald patches in their hairs or eyebrows after burns; people who had undergone hair
transplantation before but not satisfied with the result; people who developed partial bald areas after undergoing a hairy skin operation; people having bald patches due to some diseases and people who demonstrate woman type hair loss patterns are candidates for hair transplantation. You do not have to wait to be completely bald before undergoing hair transplantation. Age also does not constitute a hindrance. However, if the person is young, hair transplantation approach should be conservative since the final donor site may not be formed yet. Ideally, the patient has to have dense sufficient hair growing in donor sites in order to fill the present hairless areas or areas that will be hairless in the future. The texture
of your hair, having thick or thin hair will also determine the final result of the hair transplant. There is not a reason for a healthy individual with appropriate donor sites not to have hair transplantation.

Q. Who should perform hair transplantation?

Hair transplantation should be performed by experts, trained on this subject. This process, permitted by the law to be performed only by aesthetic, plastic surgeons with the accompaniment of dermatologists requires the experience and
training of long years. Hair transplantation performed by uneducated people in unhealthy environments leads to unwanted, distressing results. Due to these wrong transplantations, an appearance of a doll or grass man can be formed.

Q. Where to have hair transplantation?

Hair transplantation is a surgical procedure and since complications may occur as in every surgical operation, it should be performed in an operating room. Appropriate operating rooms can only be present in a hospital environment. With the help of these facilities, required processes can be performed in this environment the best. Hair operating rooms are are comfortable places where you can execute your daily needs, watch TV, and eat. They are prepared especially for you, contrary to usual operating rooms.

Q. What are the complications that may be present
after hair transplantation?

Hair transplantation operations are underestimated but nevertheless require the care that every surgical operation needs. Therefore, operations should be performed in special hair operating rooms, prepared in the hospital. The safety of the patient can be provided in hospital formations. If the person undergoing hair transplantation has acneic skin, acne
may be present for two to four months. These decrease as hair starts to grow and disappear completely.

 

LIP AESTHETICS

Q. Where are the incisions made for lip implants?

In a lip augmentation procedure with lip implants, the incisions are made right at the corners where the lips meet on each side. The lips usually tend to heal quite fast as long as you don't mess with them. These means no touching or picking at your incisions, which can lead to infection.

Q. What should I expect postoperatively?

You should expect to be swollen, tender, and very full-lipped postoperatively. You may have some difficulty drinking or eating without spilling a bit. Your lips may feel numb for several days due to swelling putting pressure on the nerves in your lips. Pain relievers prescribed by your doctor should alleviate any discomfort.

You will have your sutures removed in about 7 - 10 days. It may sting a bit during this process. The swelling will subside. However, you will be accustomed to the extreme swelling and once it subsides you may wish for a little more puffiness - this is normal. Compare your before photo with an updated after photo to see the real difference.

Q. Is lip augmentation painful? Is there much
bruising?

It takes about a week for most of the swelling to subside, although it will be sensitive to light to
medium pressure for about 3 weeks. There is really not too much bruising with most cases. Some patients are prone to bruising more than others.

Q When will I be able to see the results?

The results are usually immediately visible. For implants and most injectables, your lips will be quite large and swollen and you will see a difference in the swelling as it subsides in the first week postoperatively (or post-injection). The swelling will more than likely subside more than you would like because you will have become accustomed to the size and think that your lips are small in comparison. Take photos of your lips before your procedure and compare.

Q What are the risks of lip augmentation?

There are not too many risks associated with lip augmentation, but it depends on the chosen implant or filler.

With lip implants, there can be infection and irritation if the ends of the implant are too long for
the cavity or not rounded, if needed. The good thing is that lip implants are reversible and can be readily removed. Extrusion from the body can occur as the body attempts to reject the foreign material. Migration can be an issue as well. There may be permanent discolorations from the bruising. Possible hematomas resulting in additional surgeries and excessive scarring from delayed healing or trauma. Deformity from excess scar tissue arising from an infection or the surgery is also a possibility.

Q. I have heard that the risk of infection is quite high in lip implants, is this true?

The reason the risk of infection is high is because your mouth naturally has a lot of germs. Plus, your lips move a lot and can take longer to heal than other parts of your body that are not very mobile.

If you try and keep your mouth clean, rising regularly with an antiseptic mouthwash and do not "pick" at the incision sites, your wounds will have less of a chance of becoming infected.
Washing all raw fruits and vegetables before you eat them and avoiding undercooked meats will also decrease your chances of infection. Good oral hygiene is imperative and any dental work should be tended to well before any lip augmentation procedures.

Q. How are lip implants comparable with injectables?

Many injectables give wonderful, voluptuous and immediate results, but the results wear off. Lip implants are permanent, but more expensive. Injectables are cheaper than implants to start, but more expensive in the long run because you need to keep getting injections. There are semipermanent injectable fillers that give results that are longer lasting, but they are hard to remove if you don’t like the results. If you would like permanent, yet reversible results, get the lip implants.

If it is a very full, pouty mouth that you want and if don't want anything permanent, get the temporary injectables, but be prepared to spend money on touch ups and maintenance.

Q. Is lip augmentation reversible?

Lip augmentation with most injectables is temporary, therefore it goes away on its own. Lip augmentation with an implant is reversible. Permanent injectables are more difficult to remove, so consider this when you make your choice.

 

LIPOSUCTION

Q. What it is liposuction?

Liposuction is a way of shifting those last few pounds that simply will not budge. Surgeons describe it as body contouring rather than weight control, as generally only a maximum of 10 pounds of fat is removed.

Q. Will there be skin irregularities at the sites I have liposuction applied?

Irregularities and undulating appearance result from the liposuction operations in which old type dry method and thick cannulas are used. Today, wet technique is applied with thin cannulas and superficial liposuction.

Q. Will there be sagging of the skin after liposuction?

The success of liposuction operations depends on the elasticity of the skin. Elasticity of the skin decreases with reasons like ageing, weight fluctuations, and bad nutrition. If the skin is not in the position to restore after the age of forty, then tummy tuck  operation is performed.

Q. How long will I be out of action?

This depends on the extent of the surgery and can be anything from several days to several weeks. Your doctor will advise you.

Q. Will it last?

Yes. Once you have had the surgery those fat cells are gone forever. However, other fat cells haven’t, so you will need to maintain a healthy diet and exercise routine to maintain your new shape.

 

NOSE SURGERY (Rhinoplasty)

Q. What is nose surgery?

This is cosmetic surgery to change the shape/size of your nose. You might wish to reshape your nose if you think it is too big, or uneven, or misshapen through injury. Nose reshaping can also help with some breathing difficulties.

Q. Can anyone have this done?

No. It’s not recommended for under 16’s as the nose is still growing.

Q. How long does the surgery take?

Usually about two hours. 

Q. Will I bleed afterwards?

Yes, some bleeding is normal and you will be prone to nose bleeds initially. However, excessive bleeding should be checked out asap.

Q. Will my nose fall down after the operation?

No it won’t. This happens when nose tip supports are weakened during the operation. This is just like cutting off the bearing column of a building. With the weakening of the nose tip supports, nose tip both loses its height and turns downwards. However, after a successful Rhinoplasty operation this is not possible, just like the covering of the bearing columns of buildings against earthquake, the nose is strengthened with the patient’s own cartilages. In this case, the nose of the patient will always be younger compared to the other units on the face.

Q. How realistic is the imaging study?

Imaging is the studying of the post-operation on the computer over the digital image. Requirements of the patient should be understood and the patient should understand his/her doctor. As a result of the study, interventions to be made to the nose (like enlargement, reduction, lifting, lowering, nose tip) will be determined. This is a preliminary work for the
operation plan.

Q. Will there be bruises on my face after the operation?

Edema (swelling) occurs after every trauma for 48 - 72 hours. In order to minimize this, cold compresses or ice should be applied for two or three days after the operation while awake.  The bruise occurs due to hypotension of the patient during and after the operation, bleeding abnormalities (aspirin etc.usage), and nausea-vomiting. Despite all precautions, bruises can happen in two patients out of ten. It disappears in fifteen days on the average.

Q. Can I breathe while the tampons are present?

Today’s nose tampons are very comfortable dressing materials that can inflate with water. Silicone pipes are also put inside with the tampons for the patient to breathe after the operation. They are pulled out 8 - 24 hours later. Putting and removing the tampons is not painful.

Q. When does my nose return to normal?

Healing process: First day, pulling out the tampons. First three days, edema (swelling); ice and cold compress application. Sixth day, removal of the cast, bandaging (lying with head elevated during this period). Tenth day, removal of the bandages. Twenty first day, dissolution of the edema (75% of the normal appearance). Restructuring of the shape is 85% on the third day, 95% at sixth month, 100% the first year and later on.

 

PROMINET EAR

Q. What it is ear surgery?

This is surgery which ‘pins back’ or reduces the size of your ears. You might consider otoplasty if you think your ears stick out too much, or if you have a condition like lop or shell ear where the ear folds never developed properly.

Q. What does it involve?

Cuts are made in your ears, and the ear cartilage is reshaped. This would normally be done with a local anaesthetic and sedation. Otoplasty takes 2 - 3 hours. The post operative dressing is an important part of the surgery as it helps to make your ears heal into the right shape.

Q. Will I have to stay in hospital overnight?

No. Not always As there is no general anaesthetic used on adults you can usually go home the same day, it depends l with children general anaesthetic is used and a overnight stay is recommended.

Q. When can i go back to work

Although you still need to wear the dressing, you will probably be ok to go back to work in about 4 - 5 days you can usually go home the same day.

Q. Can my child have this done?

Yes, from the age of four. Some doctors believe the earlier your child has this done the better, as it helps to prevent the school bullying associated with looking ‘different’.
 

 

TUMMY TUCK

Q. What it is a tummy tuck?

Also known as abdominoplasty, a tummy tuck is a procedure where excess skin and fat is removed from the middle and lower abdomen to tighten the muscles against the abdominal wall. It is often chosen by people who have problems losing weight around this area. It is often performed in conjunction with liposuction.

Q. Will the scar from the operation disturb me?

The scar from the operation will be in the appearance of a thin line from the c-section level to your hip bone. During the first three to six years, as yours scars heal, they may seem to be deteriorating. For the discolouring of the scars, you have to wait for nine months to one year. Abdominal scars are not visible under many clothing and bikini.

Q. Can I get pregnant after this operation?

If a pregnancy is planned, it is appropriate for you to postpone your operation until after the birth. Though there is no objection for you to get pregnant after the tummy tuck, please do not forget, your tummy will loosen again after you give
birth.

YOU ARE IN SAFE HANDS IN A HOSPITAL ENVIRONMENT!

 

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