breast shapes

The British Association of Aesthetic Plastic Surgeons (BAAPS) has reported a 102% increase in cosmetic procedures in 2022 compared to the previous year. Women accounted for 93% of all cosmetic procedures, marking an increase of 101% from 2021. The two most common procedures were breast surgeries – breast augmentation, which saw a 66% increase, and breast reduction, which reported a startling 120% rise.

Women have all kinds of concerns about the size and shape of their breasts. While these concerns are completely normal, there are ways to address them if they are causing distress.

Here, we look at why breasts vary so much in shape and size, and the main concerns that drive women to choose cosmetic breast surgery.

What Causes Different Breast Sizes and Shapes?

Breasts come in all shapes and sizes, influenced by factors ranging from genetics and ageing to pregnancy, surgery and weight fluctuations. Many women may have aesthetic preferences for their bust size, shape, or how it sits on their chest, and these can be addressed through both surgical and non-surgical interventions.

Some women may require a correction after a previous cosmetic breast surgery when they are no longer happy with the results. This may involve a revision, or a breast implant removal procedure.

The Concerns Different Breasts Sizes Present

When breasts are noticeably different in size, it can cause a range of issues. Your clothes might fit awkwardly, and finding the right bra can become a never-ending quest.

It isn’t just the practical aspects that can be a cause for concern. Uneven breasts can sometimes affect a woman’s self-confidence, making her feel self-conscious and less comfortable in her own skin.

Those who aren’t happy with their breasts often find it has an impact on their day to day lives. For example, women with larger breasts may avoid wearing low-cut tops, or venturing out in public altogether. They may also find some types of exercises difficult. Similarly, women with smaller breasts can lose confidence – sometimes feeling there is a disproportion between their hips and breasts.

These are just some of the issues women have when it comes to the size and shape of their breasts. The beauty of cosmetic surgery lies in its ability to address and alleviate individual concerns with customisable options for patients.

Changing the Size and Shape of the Breasts

Whether it’s breast augmentation to increase natural breast size and volume or to improve symmetry, a breast reduction to eliminate discomfort, or a breast lift to restore firmness and shape, these procedures can bring balance to your body and boost your confidence.

The crucial part is choosing a surgical procedure that’s right for you, tailored to your unique body and your personal desires. Breast implants are customisable, coming in different shapes and sizes. Also, the incision location can vary – for example, along the areola, under the breast, through the underarm or even through the navel.

Mr Nigel Horlock, an expert cosmetic surgeon, has carried out hundreds of breast procedures. Don’t let your breast concerns hold you back – schedule an appointment with Mr Horlock today and start your journey to a happier, more confident you.

After a facelift

All surgeries, even necessary ones, come with risks. This is especially true for intricate procedures like a facelift. While there are ways to reduce the risks, first you need to understand exactly what they are.

What Recovery Difficulties Can Occur After a Facelift?

Facelift surgery can dramatically improve your appearance. But, like all surgical procedures, it is not without its potential challenges during recovery. Each person’s body responds differently to surgery, which can lead to various difficulties, such as allergic reactions to medications, excessive swelling, and facial nerve damage.

Here’s some of the most common recovery difficulties you might face:

Allergic Reactions to Medications and Anaesthesia

While rare, allergic reactions to the medications or anaesthesia used during facelift surgery can occur. Symptoms may range from mild skin rashes and itching, to severe reactions, like difficulty breathing and loss of consciousness. If you’re allergic to any medications, it’s crucial to inform your surgeon beforehand. Always pay attention to any unusual symptoms after your surgery and contact your healthcare provider immediately if any arise.

Anaesthesia, while generally safe, can sometimes trigger allergic reactions. These reactions might be mild, causing symptoms like a rash or itching, or more severe, leading to breathing difficulties. If you’ve ever had an adverse reaction to anaesthesia, ensure your surgeon is aware of this before the surgery.

Excessive Swelling

Swelling is a normal part of the healing process after facelift surgery. However, sometimes the swelling can become excessive and lead to discomfort. It usually peaks around two to three days after the surgery, before gradually subsiding.

Cool compresses, keeping your head elevated, and avoiding strenuous activity can all help manage the swelling. If it becomes severe, or doesn’t start to reduce after a few days, it’s essential to seek medical attention.

Facial Nerve Damage

Facelift surgery involves the manipulation of skin and underlying tissues, which can sometimes result in damage to the facial nerves. This can lead to weakness or numbness in the affected areas. While most nerve injuries from facelift surgeries are temporary, some may be permanent. It’s essential to discuss this potential risk with your surgeon before undergoing the procedure.

Reduce the Risks with an Expert Surgeon

Choosing an experienced, certified surgeon can significantly reduce the risks associated with facelift surgery. These professionals are skilled in performing the procedure, minimising potential complications, and providing excellent aftercare to ensure a smooth recovery.

Mr Nigel Horlock is a board-certified consultant cosmetic surgeon who has carried out a significant number of successful facelift procedures. Schedule an appointment now to learn more about the risks and complications, alongside what to expect from your facelift results.

Facelift for different ages

While once considered a procedure for older people, facelifts are today carried out on patients of all ages. The surgery can help anyone who wants to look younger, not just those over the age of 50.

There’s no strict age limit for choosing a facelift. However, depending on how old you are, you may experience different results and undergo a slightly different procedure. Here, we’ll break down what you might expect from a facelift at different ages.

Facelift Results in Your 30s and 40s

Facelifts are becoming more popular for people in their 30s and 40s. In your 30s, there might not be much to fix, but having a facelift can help slow down the signs of ageing. Similarly, in your 40s, the signs of ageing might not be very strong, but a facelift can still make a big difference by enhancing your face shape and profile. It’s like turning back time before ageing takes hold.

There is a misconception that hormonal changes can impact the results of a facelift for menopausal women. However, many women have facelifts before the menopause and still look younger for years to come.

Facelift Results in Your 50s

In their 50s, patients often notice bigger changes in their face and neck. The skin might start to sag and lose its stretchiness, and fat may move from the top of the face to the bottom. It can be distressing to see your face changing so much, and things like stress, pollution, and gravity don’t help.

Unfortunately, creams and lotions can’t undo these changes. That’s why some people in their 50s choose to undergo a facelift, alongside extra procedures for a fresher look. They might choose to combine a facelift with eyelid surgery, a brow lift, or a neck lift.

Facelift Results in Your 60s

For those in their 60s and older, a facelift can act like a little time machine, helping to bring back their youthful complexion. By removing excess skin and fat around the lower face, it eliminates jowls, a double chin, or even a ‘turkey neck.’

While a facelift in your 60s won’t make you look like you’re in your 30s again, it can make you look about 10 years younger. The surgeon will make the skin tighter, adjust fat, and give the chin, neck, and jaw a neater look.

Be aware that if you’re around 65 years of age, there’s a slightly higher chance of encountering issues after surgery. If you have high blood pressure, high cholesterol, heart problems, diabetes, or any other health complaint, make sure you chat to your doctor prior to undergoing the procedure.

To get an idea of what a facelift could do for you, book an appointment with Mr Nigel Horlock today.

Cosmetic Surgery Abroad

As the number of complications from cosmetic surgery tourism rise, the British Association of Aesthetic Plastic Surgeons (BAAPS) has issued a joint statement with the Turkish Society of Plastic Reconstructive and Aesthetic Surgeons (TSPRAS).

In a rare show of unity, the two organisations have collaborated to establish guidelines for patients who are considering undergoing surgery in Turkey. The primary objective of these guidelines is to safeguard patients from any adverse results, and ensure they are aware of the level of care they should expect, both pre- and post-operation.

Here, we look at the latest guidelines issued to help you make a better-informed decision.

What Are the New Guidelines?

If you are considering heading to Turkey for cosmetic surgery, here’s the updated guidelines provided by the BAAPS and TSPRAS:

  • Ensure the Turkish surgeon is a member of TSPRAS and verify their membership online.
  • The surgeon must possess Turkish board certification, which should be visible upon request.
  • The surgeon should have a minimum of 5 years of experience in Plastic Reconstructive and Aesthetic Surgery since the training process varies in Turkey.
  • Make sure the surgeon provides an aftercare plan.
  • Know the name of the surgeon and ensure a means of contacting them in case any issues arise.
  • Ask about the surgeon’s tenure with their clinic or company, with a recommendation of at least 3 years.
  • Understand that it is mandatory in Turkey to complete a detailed consent form before travelling. If this is not done, it is a red flag.
  • Verify the surgeon’s specialty, as some practitioners in Turkey might falsely claim to be plastic surgeons, or work outside their field.
  • It is advisable to have the surgery performed in an established hospital, preferably one with at least 30 beds.

Following these guidelines doesn’t guarantee you won’t undergo risky procedures. However, it will decrease the risks involved.

Choosing a Reliable, Experienced Surgeon

Wherever you decide to undergo cosmetic surgery, choosing a reliable and experienced plastic surgeon is essential. First and foremost, patient safety is paramount, and experienced surgeons are typically well-versed in the latest techniques and safety practices. This can significantly reduce the risk of complications during and after the procedure.

When it comes to achieving quality results, nothing substitutes for experience. Skilled cosmetic surgeons have refined their techniques over several years, leading to aesthetic outcomes that are both symmetrical and natural-looking. Having a seasoned professional carrying out the procedure also means that you will receive the best advice and recommendations that are specifically tailored to you as well as your personal goals.

Choosing a GMC registered surgeon will ensure your safety when opting for a cosmetic procedure. A GMC registered surgeon will be qualified, trustworthy and skilled, while also having the correct medical insurance and adequate premises that meet set standards.

Mr Horlock is a GMC registered surgeon, and he has over a decade of experience carrying out both simple and complex cosmetic procedures. Book an appointment now to discuss how he can help you achieve your perfect body.

Ear Reshaping

The quest for facial symmetry and balance has led many to consider various cosmetic procedures. One such procedure that has seen a surge in demand is ear reshaping. This procedure aims to change the shape, position, or size of the ears, lending to a more balanced facial appearance.

After the global lockdowns throughout the pandemic, ear reshaping saw a sharp rise in popularity. In 2022, the demand for ear reshaping soared by 67%. This is partially down to mask wearing, which caused the ears to be more noticeable.

So, what is ear reshaping, and which type of procedure is most popular? Here, you’ll discover everything you need to know.

What are my ear reshaping options?

Ear reshaping, or otoplasty, can be carried out using various techniques depending on the specific concerns and aesthetic goals of the patient. Traditional otoplasty is typically used to correct overly prominent or protruding ears, creating a more subtle appearance. This involves repositioning or reshaping the ear cartilage through surgical techniques.

In some instances, patients might opt for ear reduction, a procedure aimed at reducing the overall size of the ears. Others may choose ear augmentation, beneficial for those with small or underdeveloped ears. For those concerned with the size or shape of their earlobes, lobe reduction or reshaping might be the right option.

For many younger patients, pinnaplasty is an ideal solution. Remember, each procedure carries its own set of risks and benefits, and a consultation with a certified plastic surgeon is crucial before deciding on the most suitable option.

What is pinnaplasty?

Pinnaplasty, a specific type of otoplasty, focuses mainly on correcting ears that noticeably stick out. The procedure is often performed on children aged five or older, but it can also benefit adults who are self-conscious about the appearance of their ears.

During a pinnaplasty, the surgeon makes small incisions at the back of the ears to access and reshape the cartilage. They may remove excess cartilage and skin, or use sutures to hold the cartilage back, bringing the ears closer to the head. Despite being a surgical procedure, pinnaplasty is generally carried out under local anaesthesia, with most patients able to return home the same day.

Why choose ear reshaping surgery?

Whether it’s the desire to correct prominent ears, address a congenital deformity, or simply enhance their appearance, the reasons for seeking surgery are varied.

Remember, the decision to undergo any cosmetic procedure should be carefully considered. It’s vital to have realistic expectations and to discuss all options and potential outcomes with a qualified professional.

Learn more about ear reshaping surgery and what to expect by booking a consultation with Mr Nigel Horlock.

male surgeries

Last month, we looked at popular procedures reported in the BAAPS National 2022 Audit that are driving current surgery trends. While women are the main drivers of the boom in cosmetic surgery procedures, men are also driving demand.

While women still dominate the cosmetic surgery market, male procedures also experienced a boost, up 118% from 2021. So, what were the most popular male surgeries?

Why surgeries are proving so popular with men

Although the BAAPS National audit showed a surge in demand for male procedures in the UK, there was a similar boost in male surgeries reported in the US. Many men are seeking procedures to help address aesthetic issues caused by body changes after becoming a parent. The ‘daddy-do-over’, will address a range of concerns caused by changes in diet or routine, as the ‘mummy makeover’ will for women.

There is also less stigma for men undergoing cosmetic surgeries than there once was. Male celebrities and influencers are revealing their procedures, inspiring other men to achieve the same results. Additionally, they seek the same feelings of comfort and body confidence that women achieve from cosmetic procedures.

Which male surgeries are popular?

Accounting for 7% of the total number of procedures carried out in 2022, here’s the surgeries men are opting to undergo:

Rhinoplasty: Commonly known as a ‘nose job’, rhinoplasty in men is up by 45%. The procedure reshapes the nose to improve its proportion and appearance, in relation to other facial features.

Chest Reduction (Gynecomastia Surgery): This procedure targets excessive breast tissue in men, creating a flatter and more masculine chest contour. Its growing popularity is down to the increased confidence and comfort it provides, allowing men to feel more at ease in various clothing and social situations. Demand for the procedure has risen by 158%.

Eyelid Surgery (Blepharoplasty): Like its popularity among women, eyelid surgery is also appealing for men due to the rejuvenated and more alert appearance it provides. The surgery is up 105% in male patients.

Liposuction: As with women, liposuction for men aims to remove localised fat deposits from specific body areas, such as the abdomen. There has been a 150% increase in the number of men undergoing this procedure.

Ear Correction (Otoplasty): Aiming to correct protruding or misshapen ears, this procedure is up 72%. It works by reshaping the cartilage and repositioning the ears closer to the head.

Book a consultation

If you are interested in any of the male cosmetic procedures mentioned in this article, or are looking to address any other cosmetic concerns, book an appointment with leading cosmetic surgeon Mr Nigel Horlock. He can answer any questions you may have, including what to expect after surgery, and when you can return to work or resume physical activity.

Autologous Breast Augmentation

Breast augmentation has remained one of the most popular cosmetic procedures for decades. However, the way in which it is performed has changed significantly in recent years. Advancements in the procedure have given patients more choice than ever before, with autologous breast augmentation proving particularly popular.

So, what is autologous breast augmentation and what are the pros and cons of the procedure? Find out everything you need to know in this blog post.

What is autologous breast augmentation?

Also referred to as fat grafting, autologous fat transfer is one of the newest techniques introduced on the market. It involves injecting fat into the breasts that has been taken from different body parts via liposuction. The fat is then spun in a special machine to separate it from blood and fluids, before being injected into the breast region.

During the procedure, tiny incisions are made in the skin of the buttocks, thighs, or abdomen. A cannula is then inserted to gently remove the fat without causing damage. The incisions are closed with sutures, and a dressing is applied to safeguard the healing area.

The volume of fat used will depend on the extent of reconstruction required, with the entire process typically taking about two hours to finish.

The pros of fat transfer to the breast

The main benefits of the fat transfer procedure include:

  • No need for an implant
  • Minimally invasive
  • Fewer complications
  • High result satisfaction

During the procedure fat is extracted from another part of the body and injected into the breasts. There is no need for an implant, which means the breasts end up looking and feeling more natural. The fact that only small incisions, just 4 millimetres in size, are needed for the removal and re-injection of the fat is also a major benefit.

Fat grafting also has fewer complications than implant surgery, and a reduced likelihood of patients requiring additional operations. Case reviews indicate that most patients and their doctors are satisfied with the outcomes.

What are the downsides of autologous breast augmentation?

While there are more pros than cons of autologous breast augmentation, the main things to be aware of include:

  • There is no standardised approach
  • Cup restrictions
  • Can only address mild sagging

As there isn’t a standardised approach, it is crucial to choose a surgeon with experience in the procedure. You also need to understand that there are restrictions in the increase in cup size. The procedure can only typically increase cup size by one.

Other potential downsides include its inability to lift severely sagging breasts, potential complications in breast cancer detection, and the possibility of not having enough excess fat for the procedure. The limited blood supply in the breast dictates the amount of fat that can be injected. If too much fat is introduced, it may be reabsorbed, causing breast size to decrease or the fat to harden.

These are the main pros and cons of undergoing autologous breast augmentation. To learn more about the procedure or determine if it is right for you, book a consultation with Mr Nigel Horlock today.

cosmetic surgeries

According to figures released in the BAAPS National Audit, the number of cosmetic procedures carried out in 2022 saw a massive 102% rise.

So, what’s driving the larger than expected increase, and which procedures are proving most popular?

What is driving the boom in cosmetic procedures?

Despite economic challenges and lower consumer spending, the cosmetic surgery industry has experienced a high surge in demand. Figures from the latest annual audit suggest people are opting for treatments known for safety, long-lasting, and natural results. Cosmetic surgery, performed by certified plastic surgeons, offers both psychological and physical benefits.

Social media, especially Instagram, has also increased public awareness of plastic surgery through digital word of mouth, showcasing real-life transformative effects on well-being.

What are the most popular cosmetic surgeries?

While cosmetic surgery has seen a general resurgence in demand, certain procedures have proven to be more popular than others. The most popular procedures include:

Breast Augmentation: Enhancing the size and shape of the breasts remains a key priority for patients. Seeing a 66% rise over the past year, breast augmentation is still the top choice down to its ability to increase self-confidence and improve body proportions.

Breast Reduction: Contrary to augmentation, this procedure decreases the size of the breasts by removing excess tissue, fat, and skin. Surgeons have seen a whopping 120% increase in demand for breast reductions since 2021.

Tummy Tuck (Abdominoplasty): With an increase of 130%, this procedure tightens and reshapes the abdomen by removing excess skin and fat, restoring weakened abdominal muscles. Its popularity is often attributed to the desire for a flatter, firmer midsection, especially following significant weight loss or pregnancy.

Liposuction: This procedure helps to create a more contoured and toned appearance. Its popularity, up 134%, is driven by the desire to eliminate stubborn fat that does not respond to diet and exercise.

Eyelid Surgery (Blepharoplasty): Addressing the sagging or drooping of eyelids is also a key priority for patients. The procedure removes excess skin, muscle, and fat from the upper and/or lower eyelids. Its popularity, up 70%, is down to the rejuvenating effect it has on the face. Patients can achieve a more refreshed, alert, and youthful look.

Seek advice from an experienced surgeon

While cosmetic surgery is a great way to boost confidence and improve physical appearance, patients should take care when choosing a surgeon. All cosmetic procedures carry some level of risk, making it crucial to choose an experienced and renowned surgeon.

If you are interested in any of the cosmetic procedures mentioned, book an appointment with leading cosmetic surgeon Mr Nigel Horlock.

after blepharoplasty

Like any surgery, eyelid surgery, also known as blepharoplasty, requires a certain level of downtime to aid in healing. Although the surgery is focused on the eye area, excessive movement of any form could potentially hinder the recovery process.

To ensure the best outcome of your blepharoplasty, it’s important to follow the aftercare instructions provided by your surgeon. This includes knowing when you can get back into exercise.

The importance of easing yourself back into exercise

During blepharoplasty, surplus skin is removed to address drooping eyelids and minimise the appearance of bags under the eyes. The incisions are then sealed with sutures in a region where the skin is fragile and thin. For a time after the procedure, the area may be bruised, swollen, and inflamed.

Intense motion, heavy lifting, or vigorous exercise can result in increased inflammation, swelling, and bleeding. These factors not only prolong the recovery period but can also cause bruising and scarring. Sutures are generally taken out around 6-7 days post-surgery, when the incisions are most susceptible. If you exercise too soon, the incisions may break open, requiring additional corrective surgery.

Following eyelid surgery, it is crucial to allow your body sufficient time to recuperate before resuming activities such as swimming, yoga inversions, or engaging in moderate to high-intensity exercises.

How long should I wait before I exercise?

Individual healing rates vary, and the duration of your recovery will be influenced by factors such as your pre-surgery fitness level, genetic makeup, the type of blepharoplasty procedure performed (upper, lower, or both), and how closely you follow postoperative guidelines.

In the first three days following a blepharoplasty procedure, your eyes will be swollen and sensitive. During this phase, gentle movement is advised to promote blood flow and facilitate healing. However, excessive motion can be harmful.

By the two-week mark, most patients can gradually reintroduce daily exercise routines. After three weeks, you can start to gradually increase the duration or intensity of your workouts, remembering to take breaks and slow down or stop if you experience any discomfort.

After a month, you can typically incorporate yoga inversions, weightlifting at 60-80% capacity, and medium-impact exercises. Between six to eight weeks after the procedure, most patients find they can return to their pre-surgery fitness regimens.

Exercises to avoid after blepharoplasty

There are certain types of exercises you’ll want to avoid for a set amount of time after a blepharoplasty procedure. For example, swimming should be postponed until your incisions have completely healed.

Steer clear of road cycling too until you are fully recovered, as controlling the intensity can be challenging and may raise the risk of injury. Instead, consider stationary cycling after two weeks, while maintaining low to moderate effort.

Refrain from moderate to heavy lifting until at least four weeks following your eyelid surgery. When resuming lifting, choose lighter weights and prevent straining.

Although zero-impact cardio can be resumed two weeks post-blepharoplasty, it is recommended to avoid strenuous or low to moderate-impact cardio until after 3-4 weeks. Start slowly and incrementally increase intensity over time.

While yoga and Pilates are often perceived as gentle exercises, they may involve strengthening movements that cause strain within the body. Both practices also include postures that position the head below the heart, which should be avoided for at least one month after the surgery.

These are some of the main guidelines to follow when it comes to exercising after blepharoplasty. However, it’s important to follow the specific guidelines given to you by Mr Horlock after the procedure.


Breast Reduction Procedure

A breast reduction, or reduction mammoplasty, is a cosmetic surgery technique designed to reduce the size of the breasts.

Many women struggle with excessively large breasts, which can lead to physical discomfort, as well as issues with confidence. A breast reduction can greatly help to improve quality of life and has one of the highest satisfaction scores of any procedure.

So, what exactly is a breast reduction, and what can you expect when you book the procedure with Mr Horlock? Discover everything you need to know in this useful blog.

What is a breast reduction procedure?

Breast reduction surgery is carried out using general anaesthesia and can take anywhere from one to three hours to complete. Various surgical methods exist for reducing the size of the breasts. These include the removal of surplus skin and fat, as well as the reshaping of your breasts and the repositioning of the nipples. A breast reduction can also address unevenness or imbalance between your breasts.

Each technique leads to scarring around the areola (the pigmented region surrounding the nipple) and may cause additional scarring. The optimal approach will be determined through a consultation with your surgeon.

Am I a good candidate for a breast reduction?

As with any cosmetic surgery, certain factors determine whether you are a suitable candidate for the procedure. Generally, those who are in good health, maintain realistic expectations, and are non-smokers make excellent candidates for a breast reduction.

Any woman with excessively large, sagging breasts can be considered for breast reduction. While there are no stringent limitations, various techniques for the procedure may be employed based on a person’s unique anatomy.

What should I ask during my consultation?

With any surgical procedure, it is essential for patients to ask questions before the scheduled surgery date. During your initial consultation, come prepared with a list of questions for your surgeon such as:

  • Are you board certified?
  • Can I see before and after pictures of procedures you have carried out?
  • What are the risks and complications of a breast reduction?
  • What can I expect from the recovery process?

By asking as many questions as possible, it helps to prepare you for the procedure, and also determine if it is right for you.

Do I need to prepare for a breast reduction?

If you want the breast reduction surgery to be a success, there are various things you can do to prepare. Most importantly, you’ll want to maintain a healthy lifestyle through diet and exercise.

If you have specific health issues, such as diabetes, you should also strive to manage them before going under the knife. Most surgeries involving anaesthesia require patients to quit smoking at least one month before and after the procedure.

General guidelines also include modifying or taking specific medications and abstaining from aspirin, certain herbal supplements, and anti-inflammatory drugs, as they may contribute to increased bleeding.

Your cosmetic surgeon will address these matters and provide further guidance before your surgery. To determine if a breast reduction is suitable for you, book a consultation with Mr Nigel Horlock today.