Which oral medications are available in patients with erectile dysfunction?

The most common oral medications prescribed in patients with erectile dysfunction are Sildenafil, Tadalafil and Vardenafil. All these medications help to enhance erections and therefore do not trigger automatic erections as injections instead do. Therefore sexual stimulation is necessary for these medications to work.

The most common side effects of these medications are headache, facial blushing, upset stomach and mild temporal visual effects (only for Sildenafil).In most cases the side effects are minor and tend to reduce with time. Therefore only very few patients decide to discontinue the treatment due to side effects.

How should I prepare for an Areola Correction treatment?

Your experienced Cadogan Cosmetic surgeon will give you pre-operative advice at your initial consultation and this may include stopping smoking and taking certain medications such as aspirin which will delay your healing.

Will my breast look natural after breast augmentation?

Natural looking breast augmentation is possible via a range of techniques. A pocket underneath the breast is created in order to accommodate the implant. Depending on the breast shape and size, the implant is placed either below the breast tissue or beneath the pectoral muscle on top of which the breast sits. The size and the shape of the implant is also crucial to obtaining a natural results this will be discussed before the operation. In the case of natural fat transfer there is no artificial implant and the end results will be much more similar to how you were before. However, natural breast augmentation has limits on the possible size and shape.

What risks are associated with breast augmentation surgery?

Breast Augmentation is a popular procedure and can be extremely gratifying; however, as with all surgical procedure, there can be risks.

At Cadogan Cosmetics we strive to reduce any possible risks of side effects this includes selecting only the best surgeons to work with, offering day case only procedures which not only allows you to recover quicker, but reduces the risk of infection, establishing aftercare support and scar minisation programmes.

Implant Choice

Choice of implant is of great importance, of course. The risk of implants have been highlighted by the recent PIP crisis. Due to concerns of their quality, Cadogan Cosmetics has never used PIP implants. We only use FDA approved implants.

Our implants of choice are with Allergan or Sillimed. During your consultation our surgeons will discuss the implants they recommend and perform a sizing to ensure you are happy with the size of your new breasts.

Complications of Breast Augmentation

Complications are normally infrequent when carried out on well selected patients in an appropriate environment with good support staff and facilities. However, irrespective of the surgeon, patient or institute in which the surgery is carried out, complications can occur and patients must be well informed.

Early problems include haematoma – collection of blood in the breast. If it occurs, it usually happens in the first 24 hours after surgery. This normally requires a trip back to the operating theatre to wash out and deal with any possible source of bleeding – it is uncommon to have to do this.

Occasionally, implants can move out of position early on and require replacement – this will necessitate further surgery.

Infection, although unusual, is a recognised complication in about 1-2% of cases. If it happen,s it normally occurs within the first 10 days after surgery, although occasionally implants can become infected months and years afterwards.

Significant capsule formation over time occurs in about 10% of individuals. A capsule is a fibrous layer that the body forms around a foreign body such as a breast implant; normally it remains soft and imperceptible. After some time it can harden and contract, distorting the shape and feel of the breast. In such cases, the capsule will need to be removed and the implant replaced.

Rippling of the implant can occur. Occasionally, in people with little breast tissue and thin skin, the implant can be felt and seen below the skin and a rippling effect is sometimes evident. This can be more evident in certain types of implants and may require replacement with an alternative.

Implants can rupture over time – in the majority of cases this probably goes unnoticed. This is not serious or a health risk, but may cause a change in shape or feel of the implant necessitating its removal – it is usually due to bulging of the silicone gel from its outer shell through the capsule mentioned above.

The nipple sensation can be affected following breast augmentation – some women report reduced sensation, whilst others report a slightly increased or hypersensitive nipple. Normally, these changes are temporary but occasionally can be long lasting. Although the same volume implants are used at the time of surgery on both sides, minor asymmetry between the two breasts is still possible; indeed where there is slight asymmetry pre-operatively, implantation can sometimes accentuate the difference.

Natural looking breast augmentation is possible via a range of techniques. A pocket underneath the breast is created in order to accommodate the implant. Depending on the breast shape and size, the implant is placed either below the breast tissue or beneath the pectoral muscle on top of which the breast sits. The size and the shape of the implant is also crucial to obtaining a natural results this will be discussed before the operation. In the case of natural fat transfer there is no artificial implant and the end results will be much more similar to how you were before. However, natural breast augmentation has limits on the possible size and shape.

How should I prepare for a rhinoplasty / nose job surgery?

At your initial rhinoplasty consultation, your surgeon will go through any pre-operative advice with you which will include eating well, quitting smoking, avoiding alcohol and avoiding aspirin and blood-thinning medication.

You will not be allowed any food or water 8 hours prior to your operation. You may chose to take arnica tablets to reduce any bruising following your nose operation.

Why is the Cadogan Clinic passionate about scar management?

Damage to the epidermis, or outer layer of the skin, will heal without scarring.  However, as soon as an incision enters the deeper layer of the skin then scarring is inevitable.  The wound heals by the production of collagen, which in fact is scar tissue.  We aim to achieve sound healing with a minimum amount of collagen formation.  A new, young scar is pink and sometimes raised or hypertrophic and with time will fade to a mature white.  We aim to reduce the time of maturation.

There are a number of people who produce scars which do not mature, but continue growing and become keloid.  Patients with darker skin, or much paler skin and red hair, are more likely to produce poor scars.  They will usually have some previous experience of this.  Such patients can still undergo surgery, but have to be treated with special care.

What is the Cadogan Clinic Scar Management Programme?

The Cadogan Clinic has a specific After Surgery Regime available to all patients and is of particular importance for patients with long scars in important areas, such as a face lift, breast or abdominal surgery.  We are also able to treat patients who have a problem with poor scars.  We believe that prevention is the proper response and have made specific treatments available, such as the Icon Laser combined with a bespoke treatment plan depending on the patient needs.

What are our surgeons doing to ensure better scars?

Our Surgeons can influence the quality of the scar by choosing the optimum position and orientation. For instance, a vertical scar in front of the ear will be a good scar, while a transverse scar across the cheek will be a poor scar.  Our Surgeons aim to keep the scar as short as possible and to repair the wound with appropriate stitches.  Any conventional stitch through the skin will need to be removed early to avoid stitch marks.  In many areas of the body the Surgeon will choose use dissolving suture materials under the skin, thus avoiding stitch marks altogether.

Any signs of slow healing or infection are treated promptly by our expert team.  Prolonged redness or raised keloid scars are treated early, as well as patients with olive or darker skin may develop extra pigmentation around the scar, called post-inflammatory inflammation (PID).

What can I do to achieve a better scar?

Patients with chronic disease need to be in the best possible condition ahead of surgery. For instance, diabetes should be well controlled to avoid infection, anaemia should be treated to speed healing. Nutrition should be good. Obese patients tend to heal poorly and suffer more infections, whilst under nourished patients may be short of vitamins need to assist healing and recovery.

Our patients are generally fit and well-nourished and are unlikely to be deficient in vitamins or other elements and need not adjust their diet. Smoking is always bad for healing and patients undergoing face lifts, breast reductions and lifts and abdominal reductions should stop smoking three weeks before surgery.  If smokers are also over weight then the risk is greatly increased. 

Scars tend to be sun sensitive although healing is not delayed.  It is patients with olive or darker skin who need particularly to avoid sunshine or to use a factor 50 sunblock.  All our patients should be using the silicone dressing supplied to them which incorporates a sun factor (Kelocote SF). 

Exercise will tension the wound and should therefore be reduced within the first two weeks, however some patients will be prepared to sacrifice the quality of the scar in order to maintain exercise.  These will include our professional athletes who need to be back within days.  Patients who wish to go back to the gym early should discuss this with the Surgeon before so they can accommodate and adjust the type of suture material used. 

What is the downtime after rhinoplasty surgery?

We usually recommend our rhinoplasty patients to take at least one week off work as you will be wearing a splint for up to ten days. You are likely to have swelling and bruising in the area, especially around the eyes, though this is completely normal and will subside within the ten days. We also tell patients to avoid strenuous exercise for at least two weeks following the operation.

What can I expect on the day of my rhinoplasty operation?

Once you arrive at the clinic for your nose reshaping surgery, you will be taken downstairs by our friendly nurses to be prepped for surgery and meet the anaesthetist. Once you have had your operation, you will recuperate in our recovery room and when you have eaten a few hours later and you are ready, your surgeon will discharge you with some post-operative advice and your friend or relative is able to collect you and take you home. Before leaving the clinic our nursing staff will ensure you have everything you need including a post-operative appointment time.

What is the difference between saline and silicone implants?

Whilst the appearance of implants following breast augmentation are broadly similar regardless of implant material, there are several different alternatives open to you. Silicone implants remain the most commonly used implant material in the UK due to silicone’s preferred properties as the safest, most inert of prosthetic materials and slightly more natural feel following procedure. However, some patients feel more comfortable with saline, or salt-based, implants as a non-prosthetic alternative is preferred.

Whilst each of our patients is given final say about the type of implant used in the procedure, our surgeons will give an informed, expert view at your consultation as to the optimal material, brand, size and shape of implant for your particular body shape and type in light of the results you are hoping to achieve.

Needless to say, Cadogan Cosmetics believes safety and quality to be of absolute importance when it comes to the delivery of cosmetic surgery. Consequently, unlike many of our competitors, we have never used PIP implants and continue to use only FDA-approved materials in all of our procedures.

Is the rhinoplasty operation painful?

There is usually only minimal, if any, pain following nose augmentation surgery although you may experience tightness and pressure due to the swelling that occurs following the procedure. Your surgeon will be able to provide you pain relief if required.

How much does rhinoplasty cost?

Rhinoplasty surgery at Cadogan Clinic starts from around £6500, however this will depend on your particular case. This can only be determined during a consultation with your surgeon, and following that an accurate price can be quoted.

What are the most natural looking breast implants?

Several key factors contribute toward achieving natural looking results from breast augmentation surgery.

First and foremost an experienced, qualified cosmetic surgeon is required who possesses the skills and deep expertise in the procedure to carry it out in accordance with best practice principles, as well as tailor it to your personal wishes and requirements. Whilst the procedure itself is regarded as relatively straightforward surgically speaking, the very best results can only be achieved when the procedure is tailored to each individual’s circumstance and condition.

In the first place, the right implant must be chosen to suit your body shape, size, as well as your personal hopes for the overall results of the operation. This involves a selection of an implant comprising the right material (our surgeons typically recommend FDA-approved Allergan or Silimed implants for the most ‘natural’ look), right shape (round, anatomical or tear drop, or conical), right size and volume, and right profile.

For each implant there are 4 different profiles, ranging from ‘low’ to ‘extra high’, referring to the edge of the implant where it meets the chest. A low profile will deliver a softer, subtler, ‘more natural’ effect as compared to an extra high profile which has a steeper edge to the implant resulting in a ‘falser’ look and greater cleavage.
A further complexity relates to the actual location of implant in the chest.

There are two basic areas where implants are placed: above or below the pectoralis major muscle. Where they are placed depends on your preference, your anatomy and what the surgeon feels is best for you, but can have a significant impact on the naturalness of results. Your expert surgeon will once again help you make the right choice for you.

A final, vital stage impacting results is the level and quality of the post-surgical aftercare. How you act and behave in the immediate weeks after your operation can make a significant impact on the results you achieve. For example, wearing the right supportive bra will sustain the breasts in the right, natural breast position as well as avoid unduly rubbing settling scars. Some activities such as going to the gym, aerobics and sports that use your arms will need to be avoided for a short period of time, whilst you should take care when lifting your elbows above your shoulders (e.g. washing your hair etc) to avoid the implant from turning, leading to an unnatural result that may require more surgery.

Our expert team of nurses and surgeons will ensure that you get the right advice following your procedure in order to optimize your results, as well as give you access to one of London’s leading scar minimization and prevention units who have designed bespoke moisturisation and massaging systems to ensure scars fade as best as possible.

How long does it take to recover from a rhinoplasty?

We usually recommend our nose surgery patients to take at least one week off work as you may be wearing a splint for up to ten days. You are likely to have swelling and bruising in the area, especially around the eyes, though this is completely normal and will subside within ten days. It may be that you also have a sore throat following your nose procedure but this will also soon subside. The internal swelling of the nose may take a few months to completely go down for you to see the true result.

What is the ICON laser system and how does it work?

The ICON Cynosure laser system is considered the next generation of light based FDA approved non surgical treatments.  It uses advanced technology to deliver the safest, most effective and bespoke non surgical treatments and is fully equipped to offer a full portfolio of solutions as it is essentially a multi device unit.  It combines a fractional laser (similar in intensity to the Fraxel) and intense pulsed light (IPL) technology.

Uniquely, the ICON laser’s technology means that the machine has such a wide range of capabilities that it can provide different levels of treatments and meet various comfort and downtime requirements according to a patient’s individual needs.  For instance, its state of the art Skintel™ Melanin Reader detects a patients’ melanin density to accurately diagnose skin tone, ensuring the appropriate level of laser is applied.  The machine also has built-in advanced features such as a cooling system for added skin protection and comfort.

We usually recommend our nose surgery patients to take at least one week off work as you may be wearing a splint for up to ten days. You are likely to have swelling and bruising in the area, especially around the eyes, though this is completely normal and will subside within ten days. It may be that you also have a sore throat following your nose procedure but this will also soon subside. The internal swelling of the nose may take a few months to completely go down for you to see the true result.

Am I a suitable candidate for the treatments that are offered by the ICON laser device?

There are a variety of handheld attachments to perform treatments to help a wide range of aesthetic concerns including some of the following.  The ablative fractional laser technology that the device uses can treat scars very effectively as well a whole host of conditions associated with ageing and loss of vitality and tone.  The ICON laser system also uses Optimised Light™ photo-rejuvenation technology, which delivers gentle pulses of intense, optimised light to areas where  unwanted pigmentation and facial vessels lay. 

The  ICON system may of course not be an appropriate option for certain patients, for instance, those who are  pregnant and those who have taken Roaccutane (strong antibiotic for acne prone skin) for the past 6 months. 

Are ICON treatments painful?

As well as the patient’s own pain threshold, the discomfort level of an ICON session depends on the level of treatment being administered.  Topical anaesthetic can be applied 10-30 minutes prior to the treatment taking place but during treatment the built in cooling system is highly effective at providing additional comfort.  Both practitioner and patient must wear protective eyewear.

Your practitioner will place handheld device with a smooth glass surface that pulses laser or light energy onto your skin. Each pulse causes a snapping or burning sensation that can be compared to the snapping of a rubber band or quick match burn. After each snap, the doctor will pick the laser up to place onto the area of skin adjacent to was just zapped, being careful to not overlap zapped sections. When your treatment is finished a cold compress can be applied to ease any discomfort followed by an application of moisturiser and sunscreen.

Is there any down time or risks associated with ICON treatments?

Immediately after your ICON laser treatment your skin will feel warm, red, and may be slightly swollen similar to that of bad sunburn, these effects usually resolve on their own within 1 to 3 days at most. Some mild bruising may also occur over particularly delicate areas, crusting, scabbing, darkened patches, and, in quite rare cases, mild blistering can also be experienced. These reactions gradually subside within 1 to 2 weeks after treatment.

When will I see results?

Results of course, do depend on the type of treatment being carried out but generally after 2 to 3 weeks of your first treatment you will notice an improvement in both texture and tone of the skin.  After 3 or more consecutive treatments, there will be further improvement as well as a visible decrease of redness, dark spots and fine lines. Freckles and age spots may appear darker for up to a week before they fade gradually.

For optimal results, a series of 3 to 5 sessions spaced 3 to 4 weeks apart is recommended; patients may also wish to incorporate a treatment touch-up treatment every 6 months to maintain results.

Immediately after your ICON laser treatment your skin will feel warm, red, and may be slightly swollen similar to that of bad sunburn, these effects usually resolve on their own within 1 to 3 days at most. Some mild bruising may also occur over particularly delicate areas, crusting, scabbing, darkened patches, and, in quite rare cases, mild blistering can also be experienced. These reactions gradually subside within 1 to 2 weeks after treatment.

How much does a treatment Cost?

ICON treatment costs depend on the concern and the size and number of areas to be treated but typically start from approximately £200.  Packages can be provided depending on your specific requirements and total fees will always be outlined following your comprehensive consultation with an experienced aesthetician.

What risks are associated with rhinoplasty surgery?

Rhinoplasty is one of our most popular treatments at Cadogan Clinic, and any risks associated with nose reshaping are the same as with any other surgical procedure that involves a general anaesthetic. There are no specific risks to be concerned about, but your surgeon will explain the nose surgery procedure to you in detail and answer any specific concerns you may have.

How often should breast implants be replaced?

Breast implants do not have an expiration date. They only need to be replaced in the very rare case in which they break or rupture, usually a result of the use of sub-standard implants or sub-standard surgery. This is not serious or a health risk, but may cause a change in shape or feel of the implant necessitating its removal.

Other causes for replacement include infection which occurs in about 1-2% of cases, usually within the first 10 days of surgery, capsule formation, occurring in about 10% of individuals and involving the straightforward removal of a fibrous layer that the body forms around the implant making it hardened and unnatural to the touch, and implant rippling, most commonly occurring among people with little breast tissue and thin skin. Additionally, some patients decide in time that they want they the implant replaced or removed for cosmetic reasons like wanting to go bigger, smaller or completely natural.

Cadogan Cosmetics has become a well-known provider of implant replacement services as our reputation as a trusted cosmetics provider has been enhanced following the PIP scandal that implicated so many of our competitors. It remains one of our most commonly performed procedures.

What is a rhinoplasty?

More commonly known as a 'nose job', rhinoplasty is one of the most common cosmetic surgery procedures worldwide. Your nose is one of the first things a stranger will notice about your face, so if you are unhappy with the size or shape of it, or feel as though it is crooked then you could benefit from nose surgery. Some individuals chose to undergo rhinoplasty, rhino-tip surgery or septo-rhinoplasty (correction of a deviated septum) for medical reasons to improve breathing difficulties.

How much scarring is left after breast augmentation?

How well a person heals post surgery is dependent on each individual. As an incision has occurred most commonly in a discreet location under the breast, there will be some element of scarring in all patients. There are various incisions used to place implants in the breast.

  1. The inframammary incision – in the breast fold – usually 4-5cms in length, this is probably the most commonly used one.

  2. Circumareolar – around the nipple.

  3. Axillary – in the armpit.

Immediately post surgery you will visit our aftercare and scar minimisation department. During these follow-up appointments, our team of specialist nurses will keep an eye on your progress to make sure that you are healing properly and there is no infection. Also during this appointment our team will go through the techniques they have developed to reduce the appearance of any scars.

This is a combination of massage and moisturising.

Massage/moisturise
Treat the whole breast, including scar. Use the palm of your hand in a gentle circular movement, using a moisturising cream we recommend (heal gel) or (kelocote) which you can buy at Cadogan Clinic Shop. This helps to soften your skin, adjacent tissue, and adjust to its new contour.

Scarring and Other Breast Procedures
Different types of scarring can occur during different procedures. Following a mastopexy (i.e. breast lift), scars can occur on the breast itself, as during the procedure excess skin and flesh is being removed.

In procedures such as a natural breast augmentation scarring is less common, as fat is being injected to create additional volume rather than excisions being used.

How long does it take to recover from breast augmentation?

Recovery from breast augmentation is normally a very quick process. However, there a few things you should be aware of.

  • Do not try to raise your blood pressure, avoid participating in sexual activities during the first 2 weeks of recovery time.

  • Housework or any form of physical exercise (i.e. the gym) should also be completely avoided for the first 2 weeks.

  • Avoid pulling, pushing and lifting heavy objects.

  • Raising your hands over your head for prolonged period can also cause complications post breast augmentation surgery and should be avoided, for example washing your own hair.

How does breast augmentation work?

Breast augmentation surgery is usually performed as a general anaesthetic as a day case procedure, i.e. coming in and out of the hospital the same day.

The site of the incision: 

There are various places where the incision (scar) can be placed. The most common and safest is the inferior mammary fold or IMF. This is where the wire from the underwired bra sits. Alternative incisions are the peri-areolar (around the nipple) or axillary (armpit). The size of the scar will range from approximately 5-6cm depending on the increasing size of implant.

The types of stitches/sutures:

All sutures are placed below the skin and are dissolved by the body over the course of a few weeks. Nothing needs to be pulled out/removed. Often surgeons will seal the wound with tissue glue, to limit the risk of superficial wound infection from the normal bugs we have on our skin. This glue peels off over 1-2 weeks.

Shapes of implants:

There are three shapes available, round, anatomical (tear drop) and conical. All three come in a range of increasing sizes of base diameters, i.e. how broad an implant is.

Profiles of implants:

For each base of an implant there are 4 different profiles. These are low, medium, high and extra high profile. This is simply a term used to describe the edge or “take off” of the implant. Low profile is a softer, subtler edge (a more “natural look”) and, to the other opposite end of the spectrum, an extra high profile has a steeper edge to the implant, resulting in lots of cleavage (“false look”).

Volume of implant versus cup size:

You choose a volume of implant with your surgeon. You do not choose a cup size. The reason for this is that there is no standard cup size.

Asymmetry:

Most women have some form of minor breast asymmetry. One side may differ from the other in volume, position of the nipple or shape of the chest wall. This is entirely normal. Your surgeon will try to adjust this as best he/she can during the procedure, but if minor differences still remain after the operation, we accept that it is within normal limits.

Where the implant is positioned:

There are two basic areas where implants are placed: above or below the Pectoralis major muscle. Where they are placed depends on your preference, your anatomy and what the surgeon feels is best for you.

Will I have any scarring after a facelift?

Our facelift surgeons at Cadogan Clinic are some of the best in the UK and will ensure any scarring is kept to a minimum and well hidden. The small scars will usually remain pink for a months before turning a less noticeable white. However, one of the benefits of standard facelift procedures is that much of the scarring left by face lift surgery is hidden above the hairline, and most people will not have major issues with scarring after a facelift.

What is the recovery time from breast lift surgery?

You will wake up in a specialized post-operative bra and binder. The binder is used for added support for between 1-3 days, before being removed. You wear the specialized bra day and night for 6 weeks. A nursing appointment will be made for 1-2 weeks after your surgery and a follow-up appointment with your surgeon in approximately 3-6 months.

How should I prepare for facelift surgery?

During your initial consultation, your surgeon will give you pre-operative advice, however the most common preparations include:

Avoiding aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding. Also, if you're prone to high blood pressure, you might need to take blood pressure medication before a face-lift - this will be confirmed by your surgeon.

You'll need to bathe and wash your hair the night before and the morning of your face-lift.

Avoid eating. You'll be asked to avoid eating anything after midnight the night before your face-lift.

Arrange for help during recovery. As your facelift will be done via a day-case procedure, you should make plans for someone to drive you home after surgery and stay with you for at least one to two days.

Do I need downtime after my facelift?

Recovery time for a facelift wholly depends on the individual patient, however we usually advise that you take around two weeks off work following surgery as there will be bruising and swelling which may take around 10 days to subside. Elevation is recommended to reduce swelling.

If you don't live nearby, it will usually be a requiremend that you stay overnight in a nearby hotel that the clinic has good links with, as your surgeon will want to see you the next day. Your surgeon will recommend that you avoid exercise and any heavy lifting for a few weeks following your facelift surgery.

How much does a facelift cost?

Facelift surgery at Cadogan Clinic starts from £9000, however this will depend on your particular case. This can only be determined during a consultation with your surgeon, and following that an accurate price can be quoted.

How long do the results of a facelift last?

The results of a facelift will last for years and maintaining a healthy lifestyle will extend this further, as will various aesthetic treatments available at the clinic. A patient's individual ageing process will differ and the quality of your skin before your procedure will definitely have an effect on the lasting results of your facelift.

Taking care of your skin following surgery can also help maintain results. It is not uncommon for people to have minor touch ups years after their initial surgery. Sometimes very minimal maintence can keep the face looking fresh and youthful.

How long does it take to recover from a facelift?

Most patients will go home on the day of surgery or spend one night in hospital. There will be a support bandage that applies pressure to the face for the first day. You may feel mild discomfort but your surgeon can provide painkillers for this and we recommend you apply ice packs to reduce swelling. Your face may be swollen and bruised for two weeks, after one week you can resume most activities but should avoid exercise and anything strenuous for one month. Your stitches will be removed within two weeks.

What are the differences between a non-surgical facelift and a surgical facelift?

There are many 'non-surgical facelifts' available such as Ultherapy, threadlifts, anti-wrinkle injections, dermal fillers and much more- many of which we offer at Cadogan Cosmetics. These minimally invasive alternatives usually result in less pain, less chance of scarring, and a faster recovery for the patient as they can be carried out under local anaesthetic, as well as reduced costs. However, the results may not be as effective or last as long as a surgical procedure.

What risks are associated with a facelift surgery?

Face lift surgery is carried out regularly as Cadogan Cosmetics, and any risks are the same as with any other surgical procedure that involves a general anaesthetic. There are no specific risks to be concerned about, but your surgeon will explain the facelift procedure to you in detail.

What are the main types of breast lift surgery?

Different techniques may be required for different patients. This is often due to the age of the patient, the size of the breast, the amount of breast tissue to be removed and also depending on the end result the patient is looking for.

There are four main types of breast lift surgery technique:

Crescent Lift – involves a crescent of skin removed at the top of the nipple to improve nipple position. This is the least invasive breast lift.

Benelli Lift – Otherwise known as a Circumareolar Lift. This is best used for slight nipple asymmetry or a mild lift. A doughnut-shaped incision is made around the areola to remove tissue and the skin is then ‘purse-stringed’ to tighten the breast skin. It is less invasive than full mastopexy. A flattening effect on the breasts may occur.

Lollipop Lift – Or Vertical Scar Mastopexy. A lollipop-shaped incision is made from the crease of the breast vertically and surrounds the nipple. This is a very effective lift for many women with low hanging breasts.

Anchor Lift – For significant breast droop. This is when the incision is made similar to the lollipop, but also travels along the breast crease, forming an anchor shape. This is the most invasive breast lift procedure, but very effective for women with a long inframammary fold (distance from breast crease to nipple).

How does a facelift work?

As we age, our skin loses elasticity and volume which causes it to sag and look tired. A facelift is a way of tightening or 'lifting' the skin for a more refreshed look. There are many different types of facelift available at Cadogan Cosmetics, but for a full facelift you will require a general anaesthetic. The surgeon will make minimal incisions behind and in front of the ears and then reposition or 'lift' the skin to tighten it for a youthful look. It may be that you require drains for this operation and will need a one night stay in the hospital.

How will the breasts feel after a breast lift?

After a breast lift surgery procedure, the breasts will be supported in the bra; they will be swollen, firm and lumpy in the first few post operative weeks. The breasts start to soften after around 6 weeks, and by 3 months the swelling should have gone down, leaving you with your new shape.

Massage/moisturize – Treat the whole breast, including scar. Use the palm of your hand in a gentle circular movement, using a moisturising cream for dry skin, e.g. E45. This helps to soften your skin, adjacent tissue, and adjust to its new contour. Experience how your breasts feel before letting anyone else touch them.

After the first 2 weeks, start returning to your normal activities of living. Be sensitive to your body and try not to do too much too soon. Therefore, if you experience any pain, stop and try again another day. You can drive and start lifting light objects if you feel comfortable. Gym activities, aerobics or sports that involve using your arms should be avoided for 6 weeks. You may start lower leg exercise after 4 weeks. You can start lifting your elbows above your shoulders, washing your hair, getting the washing off the line, etc.

How should I prepare for a Neck Lift treatment?

During your initial consultation, your surgeon will give you pre-operative advice which may include stopping smoking or taking aspirin or any other medication prior to your surgery to ensure optimum healing.

How is a breast lift procedure performed?

Breast lift procedure is performed usually under a general anaesthetic and is done as a “day case”: you leave and return to the comfort of your own home at the end of the day. In rare cases you may be required to stay overnight.

The breast lift procedure (mastopexy)

There are various methods of breast uplift techniques; all basically revolve around preserving the blood supply to the elevated nipple/areolar complex and then re-shaping the breast mound using the remaining breast tissues. Your surgeon will explain his/her preferred technique, and where the incision is to be placed. The most common final scar of all mastopexy techniques is the anchor-shaped scar.

Shape of the breast after operation

In the procedure the breast is reshaped and, during this process, lifted up. A slight “over-correction” is performed knowing that over the course of the first few post-operative weeks, as the swelling reduces, the breasts will drop into a more natural position.

Do I need downtime after a Neck Lift treatment?

Recovery time for this procedure will depend on the individual patient but we usually advise that you take one or two weeks off work following surgery as there will be bruising and swelling which may take around 10 days to subside.

This procedure usually requires an overnight stay in a nearby hotel that the clinic has good links with, as your surgeon will want to see you the next day. Your surgeon will recommend that you avoid exercise and any heavy lifting for a few weeks following your neck surgery.

What happens when I have a neck lift treatment at Cadogan Clinic?

The Neck Lift involves the removal of excess facial skin from the neck, chin and cheek areas, usually under general anaesthetic. You will have dressings on your neck and perhaps drains in place when you wake from surgery and pain relief can be provided if required. Depending on the kind of neck surgery you have had, you may be required to stay overnight in a hospital or nearby hotel with a nurse as your surgeon may want to see you the following day and any drains removed.

Is a Neck Lift painful?

Neck tightening surgery is not an especially painful procedure though you may experience discomfort due to the tight feeling of the skin. Pain relief can be provided by your surgeon if required.

How much does a neck lift cost?

Prices for a neck lift start from £4200, however every individual is different and an accurate price will be determined, depending on your individual needs, upon consultation with your surgeon. 

Does volume or cup size change after a breast uplift?

The volume of the breast in not reduced significantly in a breast uplift surgery procedure, so it’s more a case of re-shaping the volume you already have. If the uplift is combined with a breast augmentation, then the cup size will obviously increase in proportion to the size of implant; your surgeon will guide you in this regard.

What is a Turkey Neck?

A'Turkey Neck' or 'wattle' refers to the loose skin hanging down under the chin which occurs due to weight loss or ageing. This happens as when we become older, our skin loses its elasticity causing it to sag. Neck lift surgery or platysmaplasty at Cadogan Cosmetics is a way of reducing and tightening this loose neck skin for a more youthful and refreshed look.

How long does it take to recover from a neck lift?

Recovery time for this procedure will depend on the individual patient but we usually advise that you take around two weeks off work following surgery as there will be bruising and swelling which may take around 10 days to subside. Depending on the case, this procedure may require an overnight stay in a nearby hotel that the clinic has good links with, as your surgeon will want to see you the next day. In the next few weeks as you heal, smoother skin on the neck will be revealed and any minimal, discreet incision scars will fade.

What risks are associated with a neck lift surgery?

Neck lift surgery is carried out regularly as Cadogan Cosmetics, and any risks are the same as with any other surgical procedure that involves a general anaesthetic if this is the option you are having. There are no specific risks to be concerned about, but your surgeon will explain the neck surgery procedure to you in detail.

What is a neck lift?

A neck lift (sometimes known as a platysmaplasty) is a surgical procedure which is usually carried out under general anaesthetic to remove any loose skin along the jaw and neck for a smoother, tighter and more youthful appearance.

This procedure is effective alone but is often combined with a face lift for significant results. Your surgeon will discuss this with you in your initial consultation and recommend what is best for your individual case.

How long does it take to recover from Blepharoplasty?

This will depend on your particular case but any noticeable swelling will have gone after one month and clear results can be seen within a couple of months after your eyelid reduction surgery.

What risks are associated with Blepharoplasty surgery?

Eyelid Reduction at Cadogan Cosmetics is one of the simplest and safest cosmetic surgery procedures you can have. Your highly experienced surgeon will carefully make incisions along the natural creases of your eyes resulting in minimal, if any, scarring.

What happens when I have a Blepharoplasty treatment at Cadogan Clinic?

When you come to the Cadogan Clinic clinic for your Eyelid Reduction surgery, one of our friendly nurses will take you downstairs and prep you for surgery whilst the surgeon will obtain your consent and mark out the area. Local anaesthetic is given, and the actual treatment will only take around thirty minutes to one hour. Ice packs will be given to keep swelling minimal and pain relief and eye ointment can be provided if needed. Once your surgeon is happy for you to leave and you have made your post-operative appointment, your friend or relative is able to collect you and take you home.

How should I prepare for the Blepharoplasty treatment?

Your surgeon will give you pre-operative advice at your initial consultation which may include having an eye test if you have eye health issues, stopping smoking or taking certain medications such as aspirin which may delay healing, and you may choose to take arnica tablets prior to surgery to reduce any bruising.

Do I need downtime after the Blepharoplasty treatment?

Your surgeon may advise for you to take a week off work depending on your particular case as you may have minor swelling and bruising around the eye area following your surgery. This will subside within around ten days and is completely normal. Your stitches will be removed 3-5 days after your eyebag surgery and you are able to wear makeup one week afterwards. If you feel any discomfort, your doctor is able to provide pain relief for you though this is not usually necessary. It can take up to a few months for your eyelids to completely settle and to see the final result

Will my eyes look natural after Blepharoplasty?

At Cadogan Cosmetics our cosmetic surgeons are highly experienced in carrying out blepharoplasty procedures and will ensure that your results are completely natural. Once healing has taken place, you will look refreshed and more youthful-looking.

How much does a blepharoplasty cost?

Prices for a blephroplasty start from £4000, however every individual is different and an accurate price will be quoted, depending on your individual needs, upon consultation with your surgeon. 

Is double Eyelid Surgery painful?

Any pain during Eyelid Surgery is minimal though if you opt for upper and lower eyelid surgery you may prefer to have the procedure done under general anaesthetic. Any discomfort you may experience following the treatment can be controlled with pain relief and eye ointments provided by your surgeon.

How good is Eyelid Surgery for drooping eyelids?

The Blepharoplasty procedure is good for improving drooping eyelids as it removes excess skin and fatty tissue from above the eye (upper Blepharoplasty) removing the hood of skin which can develop as we age. This treatment can also be used to remove excess fatty tissue and skin from underneath the eyes (lower Blepharoplasty) and can smooth out crow's feet.

How does Eyelid Reduction work?

Blepharoplasty or Eyebag Surgery can be done under local anaesthetic and involves the surgeon making tiny incisions along the natural crease of the eye, carefully separating the skin from tissue underneath and removing or repositioning the fatty tissue before stretching the skin and stitching it back together ensuring any wrinkles are smoothed out.

What is Blepharoplasty?

Also known as 'eyelid surgery' or eyebag removal, the popular blepharoplasty procedure is a relatively quick treatment which removes excess fat and skin from around the eyes.

If you have hooded eyelids or sagging eyelids, eyelid surgery at Cadogan Cosmetics could be beneficial to you, and our surgeons are some of the best in the UK. It can be done under local anaesthetic and you are able to leave the clinic with a friend or relative once it has been carried out.

Is the Fat Transfer procedure painful?

If you are having Fat Transfer to the face you will feel less discomfort than Fat Transfer to the breasts or buttocks due to the small amount being transferred. You may have some bruising and swelling, especially in the areas where liposuction was carried out but this should subside within a few days.

What is the recovery time from Fat Transfer surgery?

Following Fat Transfer to the face you may have some bruising and swelling but this should subside within a couple of weeks, during which time you may be able to cover it up with makeup. Recovery time for fat transfer procedures to the body will be longer, depending on how many areas the initial liposuction was carried out on plays a factor. You may be bruised and swollen for 1-3 weeks and should avoid exercise during this time and you may wish to be off work for 1-2 weeks also.

Do I have to have a specific amount of body fat? Am I suitable for this treatment?

Fat transfer at the Cadogan clinic is a very common and safe procedure and helps to improves a patients’ self-esteem hugely.  The results we can achieve are always natural and provide patients’greater piece of mind as we are augmenting their bodies or restoring volume to their faces with their own tissue however to do this a certain level of fat is required and your specialised surgeon will be able to assess this during your initial consultation and examination.  The treatment length can increase as the complexity of the procedure changes, for example, fat harvested from one area of the body and deposited into the area around the mouth may take approximately one and a half hours whereas fat extracted from multiple areas of the body to re augment the breasts or the buttocks could take up to around three hours.

What does the treatment involve?

Fat transfer is an advanced surgical treatment which involves harvesting and filtering unwanted fat cells through liposuction techniques, then reinjecting them to either help rejuvenate and restore lost volume (typically) in the face, or to increase the natural contours of body, for example to reshape breasts or the buttocks. This is most usually performed under either a local or general anaesthetic depending on the patient and surgeons’ preferences and suitability.

What happens after mole removal?

After a mole removal treatment you may find that the area treated is a little bit red and sore for a week and may require a dressing. If you have had any sutures or a dressing, you will need to return to the clinic after a week for a suture removal and/or a change of dressing. Your doctor will advise you to keep the area out of sunlight and to use a high SPF sunscreen on the area for about six months to avoid scarring.

How long will the Fat Transfer results last?

Results for Fat Transfer to the body are permanent but it is important to maintain a stable weight. Over time the fat will change naturally as your body ages. Fat transfer to the facial areas is also a long-term solution which will last for many years as your consultant will discuss with you in your consultation.

How soon will I see the results after Fat Transfer?

Following your fat transfer procedure, you will notice results immediately - more evidently in the first few weeks after your treatment when any swelling and bruising have subsided.  The results will continue to improve during the next few months’ post-treatment as your fat re-distributes itself and settles.

Results of fat transfer treatment are permanent; however, it is important to maintain a stable weight after your surgery and a healthy lifestyle overall.  Over time your fat distribution will change naturally as your body ages – fat transfer to facial areas is a highly effective long term solution to help rejuvenate the appearance of a tired, ageing face or to restore youthful volume to certain areas of the body. Breast or Buttock augmentation using fat transfer can be a very effective way of increasing the volume to the area in a minimally-invasive way to provide a very natural result.  It is a highly effective, long-term solution for both getting rid of stubborn areas of fat and enhancing particular areas of the body at the same time.

How long does the fat grafting procedure take?

This will depend on the area being treated, for fat transfer to the face this could be around one and a half hours, and for fat transfer to the breasts or fat transfer to buttocks it could take up to around three hours.

What makes the Cadogan Clinic Mole Check the best in London?

We have some of the best dermatologists and plastic surgeons in the UK, as well as our mole mapping system, rapid diagnostic services including 24 hour histology results and our “see and treat” service for mole removal. You are guaranteed that Cadogan Clinicis the best choice for accurate and quick diagnosis and treatment.

What happens during the Fat Transfer procedure?

Fat transfer to the body involves liposuction to remove unwanted fat followed by administering the refined fat to the area in which more volume is required with a needle and cannula, such as the breast or buttocks. This is usually performed under local or general anaesthetic depending on the individual. Fat transfer to the face involves minimally invasive liposuction and the harvested fat cells are filtered and injected into the facial areas.

What does Fat Transfer treatment involve?

Fat transfer is an advanced surgical treatment which involves harvesting and filtering unwanted fat cells through liposuction techniques, then reinjecting them to either help rejuvenate and restore lost volume (typically) in the face, or to increase the natural contours of body, for example to reshape breasts or the buttocks. This is most usually performed under either a local or general anaesthetic depending on the patient and surgeons’ preferences and suitability.  

Will mole removal leave a scar?

Our doctors at Cadogan Cosmetics include experienced plastic and cosmetic surgeons who will do their utmost to ensure minimal scarring following your mole removal. This will depend on your skin type, how your skin is at healing and the size and location of the lesion.

What happens during mole removal?

Following a mole check and consultation, your consultant may recommend a surgical excision for mole removal. In this procedure, the area will be numbed with local anaesthetic by your plastic surgeon or doctor and then an incision is made, the mole is removed and the skin is stitched together again. The lesions may be sent off to the diagnostic lab for histopathology if requested by the doctor and results return within 24 hours.

What is the recovery time from a tummy tuck?

Recovery time after an abdominoplasty can vary from patient to patient. Whether you're having a partial or complete tummy tuck, the area that's operated on will have stitches and bandages, so it's very important to follow all your surgeon's instructions on how to care for the bandage in the days following surgery.

Your Cadogan Cosmetics surgeon will also instruct you on how to best position yourself whilst sitting or lying down in the weeks following your abdominoplasty surgery to help ease any pain. For at least six weeks you should seriously limit any strenuous activity and you may need up to one month off work for a proper recovery following a tummy tuck, but your surgeon will advise you on what is best for you. It may be advisable to arrange for a friend or relative to stay with you during the first day or two of your tummy tuck recovery time at home.

What is an abdominoplasty procedure (tummy tuck)?

The abdominal reduction or "tummy tuck" is a surgical procedure to tighten the skin of the abdominal wall, frequently performed following childbirth and weight loss.

Plumper patients will require liposuction to reduce the fat following the procedure and, where the muscles are stretched, some tightening of the fascia that holds them together will be required.

There are four different abdominoplasty procedures:

Full Abdominoplasty or traditional tummy tuck.
Mini or partial abdominoplasty.
The Brazilian tummy tuck.
The post C-section scar revision, the Cadogan Caesar Correction (CCS).

Why do I need a mole check?

Skin cancer is one of the most common cancers in the UK but the good news is that if the signs and symptoms are spotted early it will be much easier to treat. If you have moles on your face and body, it’s a good idea to keep a check on them and monitor any changes for your own peace of mind. At Cadogan Cosmetics we have some of the best dermatologists and plastic surgeons in the country as well as our mole mapping system, rapid diagnostic services including 24 hour histology results and our “see and treat” service for mole removal.

What is a skin cancerous mole?

Most people have moles which remain perfectly fine throughout their lifetime but if you notice signs that a mole has changed in any way, it is wise to go and have it checked by a dermatologist or doctor during a mole check to make sure it is not cancerous. This kind of skin cancer includes melanomas, basal cell carcinomas, and squamous cell carcinomas. Moles can also be precancerous lesions, changes that are not cancer but could become cancer over time. The good news is that skin cancer can be cured if it’s found and treated early. Contact the Mole Clinic at Cadogan Cosmetics for more information.

What is a partial abdominoplasty or mini tummy tuck?

The primary difference between a mini abdominoplasty and a full abdominoplasty is that in the first the tummy button is not moved and therefore skin tightening is only carried out in the lower half of the abdominal wall, below the tummy button. Liposuction is used for the whole of the abdominal wall and the muscles can still be tightened.

What is a full or traditional abdominoplasty?

A full or traditional abdominoplasty is a larger surgical procedure involving several drains and multiple days in hospital. An incision is made from hip to hip, just above the pubic area and the skin detached from the abdominal wall to reveal the muscles and fascia. The muscle fascia is tightened with sutures and the surplus skin removed. Skin is then pulled downwards to the low abdominal scar, making a new opening for the original umbilicus.

What should I do if I have a bleeding mole or an itchy mole?

There are definite signs that a mole could be a melanoma and should be seen immediately by a dermatologist. If you have a new mole or a change in your moles such as bleeding, changes in shape, size or colour, itchy or painful moles- it’s a good idea to book an appointment at the Cadogan Cosmetics Mole Clinic as soon as possible.

What is a Brazilian abdominoplasty or Brazilian tummy tuck?

A Brazilian abdominoplasty – or Brazilian tummy tuck – is similar to the traditional abdominoplasty technique, in that the same amount of surplus skin is removed and the tummy button or umbilicus is repositioned; however, all the undermining is achieved by very careful liposuction, avoiding cutting blood vessels and nerves. This procedure therefore avoids multiple drains and can very often be carried out as a day case.

What is Gynaecomastia?

Gynaecomastia is a condition in which increased levels of breast tissue exist in the male breast to create an unnatural masculine shape. The breast tissue symptom is in fact a bodily reaction against an imbalance of circulating estrogen and can be a source of great aesthetic concern among sufferers. Gyneacomastia can affect one or both breasts, sometimes unevenly, and tends to become more prominent with weight gain and age. Gynaecomastia can be colloquially known as male breasts or moobs.

Can I remove moles on the face?

Often people choose to remove moles for purely cosmetic reasons, especially if they are moles on the face which can make a person feel self-conscious. Our experienced doctors at Cadogan Cosmetics include highly-experienced plastic and cosmetic surgeons who will remove moles whilst leaving minimal scarring on your face.

Do I have to have a specific amount of body fat?

Fat transfer at the Cadogan clinic is a very common and safe procedure and helps to improves a patients’ self-esteem hugely.  The results we can achieve are always natural and provide patients’greater piece of mind as we are augmenting their bodies or restoring volume to their faces with their own tissue however to do this a certain level of fat is required and your specialised surgeon will be able to assess this during your initial consultation and examination.  The treatment length can increase as the complexity of the procedure changes, for example, fat harvested from one area of the body and deposited into the area around the mouth may take approximately one and a half hours whereas fat extracted from multiple areas of the body to re augment the breasts or the buttocks could take up to around three hours.

What are the symptoms of Gynaecomastia?

Gynaecomastia may occur unilaterally or bilaterally presenting the sufferer with swollen breast tissue and tenderness. An increase in the diameter of the areola or asymmetry of chest tissue are other possible signs of Gynaecomastia. If swelling appears suddenly in adult life, one should suspect breast cancer and be checked immediately by a doctor.

How do you treat Gynaecomastia?

The preferred treatment for Gynaecomastia is to use Liposuction to effectively remove the stubborn fat tissue. Most commonly Water Assisted Liposuction or BodyJet Liposuctionis employed, since Laser liposuction and Vaser Liposuction alternatives yield only moderately good results.

Patients who have a hard and often tender disc of tissue beneath the nipple will also require direct excision of the breast tissue through an incision around the lower rim of the areola. This is often carried out in combination with Liposuction.

Which areas can be treated with Sculptra?

Sculptra is specially created to replace lost collagen in the mid to lower face area including the nasolabial folds, tear trough, cheeks, jowls and chin. It can also restore lost volume to the temples. It is not recommended for the glabella area or lips. Your consultant will advise what is best for you during your initial consultation.

How much does Sculptra cost?

Sculptra starts at £675, however this will depend on your particular case. This can only be determined during a consultation and how much product is needed. 

How soon will I see results following Sculptra collagen fillers?

As Sculptra targets the underlying causes of the signs of ageing, the results can emerge subtly and last more than two years. In the first few weeks you will see some visible results but as the production of new collagen is a gradual process, optimum results will be seen following several treatment sessions.

Do I need any down time after a Sculptra treatment at Cadogan Clinic?

Following a Sculptra treatment it is completely normal to have some redness and swelling in the area treated so if you have an event planned it may be best to bear this in mind. Within the first 24 hours you may want to help reduce swelling by using a cloth wrapped ice pack on the area for a few minutes at a time. Your practitioner will advise you to massage the treated area for five minutes five times a day for five days and avoid excess sunlight/UV exposure until any redness subsides. He or she will provide you with Sculptra aftercare instructions during your consultation.

How long does Sculptra last?

The effects of Sculptra can last for up to two years compared to most other injectables which last for a few months.

Is Sculptra painful?

As with any injectable treatment, some discomfort may be felt depending on your pain threshold. Your consultant will give you advice on what you may experience during a Sculptra treatment during your consultation and it is possible to use a numbing cream on the area first to minimise any discomfort.

Is Sculptra treatment safe?

Sculptra is a safe treatment, FDA approved in the United States and has been used worldwide since 1999. Sculptra is made of a synthetic material called poly-L-lactic acid that is absorbed naturally by the body and has been used for years in dissolvable stitches. It should not be used by those allergic to any of the ingredients, those with a history of keloid scarring or when there is an active skin infection.

What is Sculptra?

Sculptra is a facial injectable treatment targets the underlying causes of ageing and works gradually over a series of treatments. An average of 3 injection sessions with an interval of 4 to 6 weeks between each session stimulate your skin's collagen growth to give a more rejuvenated and youthful-looking appearance. Over time, results will become more and more visible and can last more than two years.

Am I suitable for DermaPen at Cadogan Clinic?

Skin needling is effective in treating age concerns such as lines, wrinkles and pigmentation, scars stretch marks and pitted acne scarring, and improving skin texture and tone. This treatment is not suitable for those who are pregnant or lactating, those with skin concerns such as Rosacea, Psoriasis or Eczema or those who have recently had facial fillers. Your experienced aesthetic practitioner will assess your suitability for this treatment at your initial consultation.

Will I need down time after my DermaPen treatment?

After your treatment your skin will be red and flushed with an appearance similar to moderate sunburn. It may be that you also experience skin tightness and sensitivity to the area but this will diminish within a few hours following treatment and after 24 hours the skin will be completely healed. Your aesthetician will give you after care instructions following your treatment.

How soon will I see results after my skin needling treatment?

You will see visible results for skin rejuvenation at between 6-8 weeks after your procedure and the results continue to improve over time. Your skin naturally heals itself every 45 days so with micro-needling stimulation changes will be fast. At Cadogan Cosmetics we recommend a course of DermaPen sessions for optimum results though improvement is noticeable after just one treatment.

Are there any side effects or risks associated with micro needling?

This treatment at Cadogan Cosmetics is very safe and effective. Any side effects experienced with the DermaPen usually subside within 24-48 hours and may include erythema, stinging, itching, skin tightness. It is minimally invasive with minimal downtime and requires only simple after care.

Can the Dermapen be done on all skin types?

Micro needling can be safely performed on all skin colours and types and there is no risk hyperpigmentation as the melanocytes and epidermis stay intact during skin needling.

Does a DermaPen treatment hurt and will it bleed?

You may experience minor discomfort during the skin needling treatment but a numbing cream can be applied beforehand to reduce this. Depending on the aggressiveness of treatment, you may experience pin-point bleeding during the treatment but not ongoing. You may find temporary redness of the skin for a couple of hours or a day depending on the treatment type.

How does the DermaPen work?

DermaPen stamps over your skin creating tiny punctures in the skin, the majority of which are simply pushing open the pores. The body sees this as damage to the skin which then stimulates collagen and elastin production and initiates the healing process, therefore tricking the body into repairing scars, stretch marks and wrinkles.

What is DermaPen?

DermaPen is a skin micro-needling treatment with minimum downtime which promotes scarless healing and natural collagen production in the skin to improve the appearance of scars, acne scarring, stretch marks, wrinkles, pigmentation and rejuvenate the skin.

What is Caesarean-Section Scar Revision?

Many patients who have a caesarean section develop tethering of their scar causing a bulge above the scar which, even in slim people, is visible through clothing.  At Cadogan Cosmetics we have a simple procedure to correct or improve C Section Scars under local anaesthesia: Cadogan Caesar Correction (CCS).

Will I be able to sit immediately after my buttock augmentation?

Your consultant may recommend that you avoid sitting on your buttocks for long periods of time following the first two weeks following your procedure. This allows the transferred fat time to settle in its new location. After this time, you can resume normal activities and your normal sitting patterns without affecting your result

What is Buttock Augmentation by Fat Transfer?

For those who feel that their buttocks lack volume or feel that their bottom is out of proportion with the rest of their figure, fat transfer to buttocks is a safe and effective method of giving a natural boost of volume to the area. First of all Liposuction is used to remove unwanted fat from elsewhere in the body and then transferred using a needle and cannula to the buttock area.

What can I do to prepare for my Arm Lift operation?

During your consultation your surgeon will advise you to stop smoking, aspirin or other medication prior to surgery as this can slow down the healing process. He or she will discuss with you when it is suitable to resume these.

Will I need down time following my Arm Lift surgery?

It is recommended that you take around two weeks off work depending on the kind of work you do, and for the first few days following your arm lift surgery you will need someone to look after you. Any swelling and bruising is completely normal and will subside within around 10 days. Stitches are removed around 7 days afterwards.

What are the risks with Arm Lift surgery?

Any risks are the same as with any other surgical procedure that involves a general anaesthetic. Apart from possible bleeding and infection which is not common, there are no specific risks to be concerned about but your surgeon will explain the arm lift procedure to you in detail at your consultation.

Will I be left with scars after Arm Lift surgery?

In a standard Arm Lift, there will be a scar from the armpit to the elbow inside of the arm but once this has healed after a couple of weeks you are able to have scar minimising treatments to help reduce its appearance effectively.

How long does it take to recover after an Arm Lift?

You may experience bruising and swelling but this is normal and will subside in around 10 days. Most of our arm lift surgery patients are able to resume their usual daily routines within two weeks and it takes about four to six weeks to return to more strenuous physical activities.

Am I suitable for an Arm Lift?

If you are in overall good health with a stable weight for at least one year but wish to improve the appearance of so-called ‘bingo wings’ where the upper arms have excessive fat and look out of proportion to the rest of your body.

Is Arm Lift surgery painful?

Following the surgery you may experience discomfort but most patients report that the pain is very tolerable. Your surgeon can provide painkillers for this and the majority of patients no longer need them a few days after arm surgery.

What happens during an Arm Lift procedure?

The Arm Lift surgery is carried out under general anaesthetic. Incisions are carefully made close to the armpit and any excess fat and skin is removed and the skin is tightened. It may be that your expert surgeon chooses to carry out liposuction alongside this procedure for maximum results.

What is an Arm Lift?

An Arm Lift, or ‘Brachioplasty’ is an operation to reduce fat and excess skin from the upper arm area. Often carried out alongside liposuction, it helps tone and define the arms.

What is a Thigh Lift?

A thigh lift is a surgical operation which lifts and tightens the loose or sagging folds of skin typically experienced around the inner thigh area.  It is designed to remove excess tissue to leave a firmer, smoother contour.  It is often a procedure that is suitable for patients who have experienced drastic or sudden weight loss where the tissue has been stretch and hangs down from the inner thighs (outer thighs and buttocks can be treated with a body lift).  Whilst liposuction alone eliminates unwanted fat, the thigh lift removes the skin and tightens the thigh area also.

Am I a suitable candidate for a Thigh Lift?

On examination during your initial consultation your expert surgeon will assess your suitability for this procedure.  Generally, patients that are a healthy weight (within a few pounds of their ideal weight) are the most suitable candidates. This operation is intended to remove loose skin following weight loss and which will not improve through diet and exercise.

What happens during a Thigh Lift at Cadogan Clinic?

This operation is carried out under a general anaesthetic and involves removing excess skin along the inner thighs and then suturing the incision site back together. This treatment is very often combined with liposuction to achieve optimal contours and often to reduce the size of the outer thigh or (saddle-bag) area.  Due to the large area covered and the length of wound, the procedure can be time consuming and can take up to two hours to complete.  The incision is stitched with dissolvable stitches and surgical tapes are applied as well as bandages which are placed around the thighs to increase compression.

What is the recovery time for this procedure?

Recovery time for this procedure will depend on the individual patient but we usually advise that you take around two weeks off work following surgery as there will be bruising and swelling which may take around 10 days to subside.   In the following few weeks as you heal, smoother skin on the thigh and scars will start to heal.  Our expertise in scarring techniques along with our highly-experienced surgeons ensure a great result and whilst a thigh lift surgery is not an especially  painful  procedure, you  may  experience  discomfort  due  to  the tight  sensation  of  the  skin.  Effective pain relief can be provided by your aftercare team should you required. 

What are the risks of a Thigh Lift operation?

Any risks associated with a thigh lift procedure are similar to those of other surgical procedure which require a general anaesthetic.  Other potential risks include bleeding and infection which are not, in fact, that common, however, your surgeon will explain the thigh lift procedure and possible risks in much detail during your consultation.

What is the scar like after a Thigh Lift?

As everyone heals differently it is difficult to predict how your scars will eventually look. They will initially appear quite red and raised but as time goes on, if you observe the expert after care advice and guidance of our dedicated wound care team your scars should fade and heal to a naturally smooth finish.  Scars typically take a whole year to heal and fully mature. Our dedicated aftercare team can also help to minimise the appearance of your scar(s) with ancillary treatment options to follow your surgery and enhance your result if you wish.

How can I prepare for this operation?

It  is  advised  that  you  undertake  all  your  usual  household duties  and  any  other  physical  activities  prior  to  your admission  to  hospital  as  you  will  not  be  able  to  perform these  for  a  good  few  days  (up  to  2  week)  after  your procedure.  You will also be advised to  stop smoking,  drinking or taking certain medications such as aspirin prior to surgery due to the effects they have on healing.

How much is a Thigh Lift at Cadogan Clnic?

Thigh lift treatment costs depend on the treatment plan decided on by you and your surgeon according to your requirements, however typical costs start from £6,800 also applies to certain medications but your surgeon will discuss this with you in your consultation.

What is a chin augmentation?

Chin augmentation, otherwise referred to as chin implant surgery at the Cadogan Clinic is a relatively straightforward procedure carried out by using an implant to enhance the shape of the chin and improve facial balance and definition. Chin augmentation using surgical implants can alter the underlying structure of the face, providing better balance to the facial features. The specific medical terms mentoplasty and genioplasty are used to refer to the reduction and addition of material to a patient's chin.

Am I a suitable candidate for chin augmentation?

Chin implants at Cadogan Clinic can benefit men and women alike; however, not everyone is a suitable candidate for this procedure. For chin implant surgery to be successful, your jaw and teeth must function properly. If your chin is mildly weak and your jaw and teeth are functioning well, chin implants may be an ideal way to achieve the look you want. It's also important that your immune system function well to reduce the risk of infection after surgery.

A good result can also be achieved non-surgically through the use of soft tissue fillers such as Juvederm to try to create a stronger chin line, however these are a temporary solution. A chin implant will provide a more permanent, lasting solution.

What happens during chin implant surgery and how long does it take?

Chin implant surgery at Cadogan Clinic is a very simple procedure and is carried out under a general anesthetic on a day case basis, which means no overnight stay is required.  The procedure itself normally takes between 45 minutes to an hour and involves making a very discreet incision from inside the mouth, or underneath the chin through which the implant is inserted and positioned to achieve the desired effect. The surgical excision is then secured with dissolvable stitches and a dressing is applied to support the implant and to reduce the risk of infection whilst you heal.

Will I have a scar after my chin augmentation and what downtime can I expect?

Depending on the treatment plan decided at your initial consultation, an incision will either be made inside the mouth along the inside of the lower lip (so invisible to the eye) or discreetly under the chin, so is hidden well.  You may be given a support garment at the end of the surgery which is worn both day and night for a week following your procedure to help control swelling and reduce possible movement of the implant. You may experience mild discomfort for up to five days’ post-surgery, however most patients can resume their normal day to day activities after one week.  Your surgeon will advise you to refrain from strenuous exercise for around six weeks as it can take up to this point to see your final results. 

What does a chin augmentation cost?

The cost of chin augmentation at the Cadogan Clinic starts from £4,400, however this will depend on your particular case. This can only be determined during a consultation with your surgeon, and following that an accurate price can be quoted.

What are the risks of a chin augmentation operation?

Complications are uncommon though bruising can occur and infection can occur although incredibly rare.  Altered sensation in the area is to be expected but will usually return between six and twelve weeks’ post-surgery.

Scar visibility can be greatly impacted by the quality of the surgeon you choose, as well as the level of aftercare you receive. In the hands of a skilled surgeon the scar can be positioned very discreetly, whilst our expert scar minimisation team can provide you with the tools and techniques to enhance the healing process.

What is a Brow Lift?

Sometimes referred to as a forehead lift or browplasty, a brow lift is a procedure carried out regularly at the Cadogan Clinic and is a relatively simple and very safe way of lifting drooping eyebrows and deep forehead lines to help rejuvenate and soften the look of the face naturally.The procedure is typically carried out under general anaesthesia so you won't feel anything except for perhaps a mild headache afterwards, which can be managed very easily with pain killers.

Am I suitable for a Brow Lift?

Typically, patients suitable for this surgery are around the age of between 40-60 years old, with good skin elasticity, although, this procedure can help patients of any age with a low or heavy brow area - your surgeon will assess your suitability for this procedure during your initial consultation.

Your surgeon will advise you during your consultation to stop smoking or taking certain medications prior to your surgery which can slow down healing but he or she will discuss this with you during your consultation.

How does a Brow lift procedure work?

A brow lift involves a long incision from one side of the forehead to the other across the top of the head, the forehead is lifted and the incision is then sutured.  An endoscopic brow lift technique uses a camera and involves much smaller incisions and minimal scarring.

Our cosmetic surgeons are highly experienced in carrying out facial lifting procedures and will ensure that your results are completely natural.  Once full healing has taken place, you will look refreshed and more youthful. Our before & after photos will give you a good indication of results achieved with this procedure.

What are the risks and downtime I can expect with Brow lift treatment?

As brow lift surgery at the Cadogan Clinic is such a straightforward and safe treatment, any risks associated with this procedure are minimal and include forehead muscle weakness which is very rare and temporary. However, the risks associated with having a general anaesthetic are the same as any other procedure -  your surgeon will run through the procedure with you in detail at your consultation and answer any questions or concerns you might have.

As for downtime, your surgeon may advise for you to take a week off work depending on your case as you may have minor swelling and bruising, this usually subsides after around 7-10 days after which you will begin to see your results, the improvement only just get better with time and after around three months post-surgery you will see your final results.

After a couple of days following surgery you will be up and about but it is important to be gentle with you face as skin may still be numb. If you feel any unusual discomfort, your doctor can provide pain relief for you, although this is not always required.

How much is a Brow Lift at Cadogan Clinic?

Prices for a brow lift at Cadogan Clinic start at £4950.

How should I prepare for the Perineum and Pelvic Floor surgery?

During your consultation your surgeon will advise you to stop smoking, aspirin or other medication prior to surgery as this can slow down the healing process. He or she will discuss with you when it is suitable to resume these.

Do I need downtime after the Perineum and Pelvic Floor surgery?

Following your surgery you may experience some mild discomfort and swelling but this will usually disappear completely one or two weeks. Many of our patients go back to work after one week but your surgeon will advise you to refrain from exercise, driving and sexual intercourse until full healing has taken place.

Is Perineum and Pelvic Floor surgery painful?

Most of our patients opt to undergo this procedure under general anaesthetic so you will feel no pain. After your surgery, any pain or discomfort you may experience will be controlled with medication provided by your doctor and this will usually subside within a few days.

How much does Perineum and Pelvic Floor surgery cost at Cadogan Clinic?

Prices begin at £6000 depending on your initial consultation with your expert cosmetic gynaecological surgeon.

How long does it take to recover after Perineum and Pelvic Floor surgery and when will I see results?

Generally, there will be swelling and soreness after surgery which should subside in a week or two. After a couple of days you should be able to walk around comfortably. The final result may be a couple of months following surgery, but you are usually able to resume sexual activity and exercise within 4-6 weeks.

What risks are associated with Perineum and Pelvic Floor surgery?

Any risks are the same as with any other surgical procedure that involves a general anaesthetic if this is what you choose to have. Apart from possible bleeding and infection which is not common, there are no specific risks to be concerned about but your surgeon will explain this procedure to you in detail at your consultation.

What are the benefits of Perineum and Pelvic Floor Repair?

Following your perineum and pelvic floor surgery there will be an improvement to the way this area looks, feels and functions allowing you to feel that things are “back to normal” shortly afterwards, give you back your confidence and rebuild your sex life.

What is Perineum and Pelvic Floor Repair?

Perineum and Pelvic Floor Repair is a cosmetic surgery treatment to restore both the cosmetic appearance of the perineum as well as the muscle tone deep in the pelvic floor and vaginal muscles which may have been damaged during childbirths.

What does fat transfer to breasts involve and how long does it take?

Fat transfer is an advanced surgical treatment which involves harvesting and filtering unwanted fat cells through liposuction techniques, then reinjecting them to increase the natural contours of body, for example to reshape breasts.  This is most usually performed under either a local or general anaesthetic depending on the patient and surgeons’ preferences and suitability and can take 3 hours.

What aftercare is required?

After surgery, patients may experience some discomfort for a couple of days’ post-surgery –a dull ache may persist in the areas that have been treated for a further 1-4 weeks but this can be managed easily with pain killers that either your surgeon or aftercare team can provide you. 

Downtime is usually minimal following either fat transfer to body or face, however you may notice some swelling and bruising which can take up to 1-2 weeks to subside post-surgery. Following fat transfer to the breasts for instance, your consultant will advise wearing a support bra a few days per week after surgery and for buttocks you will have a dressing in situ for ten days.

Where the liposuction has been performed, you will most likely be required to wear a compression garment for around three weeks and avoid exercise for up to two weeks following your treatment. Swelling and bruising should subside within a couple of weeks following fat transfer to the face, which you will be able to conceal well with makeup.  Recovery time for fat transfer procedures to the body are typically longer than the face depending on how many areas the initial liposuction was carried out on.

What is Cryotherapy?

Cryotherapy is medical non-surgical treatment involving the removal of skin lesions via a freezing method using an agent such as liquid nitrogen.Depending on the nature of your lesion, cryotherapy may be the most effective least invasive treatment for you - liquid nitrogen can be used to treat a wide variety of superficial benign lesions, however, freezing is best suited for removing viral warts, actinic keratosis (an area of sun-damaged skin found predominantly on sun-exposed parts of the body), seborrhoeic keratosis and other benign lesions.

How does Cryotherapy work?

Cryotherapy is very quick and straightforward procedure performed as an outpatient treatment and involves liquid nitrogen applied to the skin with a spray gun or cotton bud. The procedure is very quick, depending on the thickness and size of the lesion. The frozen skin becomes white and takes one to two minutes to thaw to normal skin temperature - your doctor may suggest this is repeated once the skin has thawed out.Over the days following treatment, a scab will form, this will take a couple of weeks to fall off – this process cannot be hurried. Depending on the response of the tissue treated, follow up sessions may be required

What Downtime or aftercare do I need to be aware of following Cryotherapy treatment?

Cryotherapy is usually a well-tolerated treatment, but can sometimes cause discomfort if a deep freeze is necessary. This discomfort can occur during and after the treatment and may require painkillers for the first 24 hours to relieve this, or, you may opt to have a local anaesthetic applied beforehand. Redness and blistering may occur, and it's important to take care of the wound to avoid infection – you would be advised by your consultant exactly how best to do this - It is important to keep the area as dry as possible anda dressing or plaster may be applied if the treated area is likely to be knocked or rubbed by clothing. It is also crucial not to pick the scab as this may cause scarring.

What is the cost of cryotherapy?

Cryotherapy treatments are dependent on the number of lesions/size of the area to be treated, but prices typically start from £100 per area. 

What is Mohs surgery?

Also known as Mohs micrographic surgery, this treatment developed by Dr. Frederic Mohs is a highly specialised and precise outpatient treatment for skin cancer in which the cancer is removed in stages, one tissue layer at a time. Once a tissue layer is removed, it is then examined by a Mohs technician and doctor under a microscope so that the origin of the cancer can be identified and mapped.

If cancer cells are detected, an additional tissue layer is removed only in areas where the cancer is still present, leaving normal skin intact. Once the cancer has been removed, the Mohs surgeon will explain options for repair of the wound, including natural healing (granulation), suturing the wound together by way of a usual side to side closure, or using a skin flap or graft and reconstruction.

How long does a Mohs treatment take?

Your doctor will advise you that this procedure will take around half a day as it involves removing the entire cancer in one appointment, removing tissue, analysing it until all the cancer has been removed and reconstruction of the area following removal of the cancer which can take up to one or two hours depending on the size and complexity of the area.

Is Mohs surgery successful?

Mohs surgery is highly successful and results are as high as 99 percent for the removal of a basal cell skin cancer and 95 percent for squamous cell skin cancer and other recurrent cancers.

What can Mohs surgery treat?

Mohs surgery can be used to remove many common skin cancers such as basal cell carcinomas and squamous cell cancers. Your doctor may have referred you for this treatment if:

The cancer you have is in an area such as; the eyelids, nose, ears, lips, fingers or toes

Your skin cancer was treated in the past and has returned

The scar tissue exists in the vicinity of the skin cancer

The skin cancer is large

The edges of the skin cancer cannot be clearly defined

Your skin cancer is growing rapidly

Will there be a scar following my Mohs surgery?

Mohs surgery will preserve as much healthy skin as possible and once the cancer is removed, your doctor or surgeon will ensure reconstruction to the area leaves as minimal scarring as possible. Any scarring will improve over time but can take around a year to completely heal. Scar injections and other treatments such as laser resurfacing are also available at Cadogan Clinic so we can you an entire portfolio of treatments around your Mohs procedure.

What aftercare do I need following my Mohs surgery?

Your doctor or surgeon will advise you on aftercare at consultation and again immediately after your surgery, you willbe asked to visit following your reconstruction to ensure your healing is optimum. Your dermatologist plays an important role in helping you to maintain disease-free skin so regular check-ups can be arranged for the furture.

What does Mohs surgery cost?

Mohs surgery costs can vary depending on the size and complexity of the treatment required – this will usually be established during your initial consultation. Treatment usually starts from £3000.

What is a congenital curvature of the penis?

A congenital penile curvature is caused by an uneven development of the two chambers that form the penis. This ultimately causes the erect penis to bend towards the aspect that has developed less.From this point of view, congenital penile curvature is quite similar to acquired penile curvature or Peyronie’s Disease, as in both cases there is a convex, longer and a concave, shorter aspect of the shaft penis. However, in case of congenital penile curvature, the asymmetry is due to an uneven development of the chambers of the penis while in Peyronie’s Disease the scarring associated with the plaque causes shortening of one aspect of the penile shaft.Congenital penile curvature usually becomes apparent during adolescence, when the chambers of the penis develop at the highest pace. Fortunately, most of the congenital penile curvatures are minor and do not interfere with penetrative sexual intercourse. Only a minority of congenital curvatures are so severe to require surgical correction.

Although congenital penile curvature may point virtually in any direction, in most cases the penis bends downward; in this case the curvature is called ventral. Ventral curvatures may present in isolation or together with anomalies of the penile urethra (the waterpipe). In congenital penile curvature the deformity can render penetrative sexual intercourse difficult or impossible and therefore can be cause of embarrassment and distress.

How to distinguish between congenital curvature and Peyronie’s Disease?

Both Peyronie’s Disease and congenital penile curvature can be found in adolescents and young adults and therefore the age of onset is not a good criterion to distinguish between the two conditions. However, in patients with congenital penile curvature there is no palpable lump, which is instead indicative of Peyronie’s Disease.  Also, while most congenital curvatures are ventral, in most patients with Peyronie’s Disease the penis bends upward. Waist deformities are also absent in patients with congenital curvature, which tend to be more gentle and harmonic than the one of patients with Peyronie’s Disease.>

While erectile dysfunction is a common finding in patients with Peyronie’s Disease, most patients with congenital penile curvature have adequate erections, as there is no association between cardiovascular risk factors and congenital penile curvature. To render the situation more confusing, some of the patients with congenital penile curvature may eventually develop Peyronie’s Disease later in life and therefore both conditions may coexist

How is congenital penile curvature diagnosed?

The diagnosis of congenital penile curvature is based on history taking and on the examination of the patient. Most patients notice the curvature during adolescence. Examination of the penis will demonstrate a soft, elastic tunica albuginea and the absence of the indurated lumps typical of Peyronie’s Disease.

Deformity can be assessed only during erections, when the tunica albuginea of the penis is stretched to its maximum capacity. Self-photography of the erect penis can be a useful tool to identify the nature of the deformity. However, this can underestimate the exact tridimensional extent of the curvature, as the picture is by definition bi-planar. Also, an incomplete erection will make the deformity appear less pronounced. Alternatively, an artificial erection can be induced in the office with the administration of a vasoactive medication. This allows the surgeon to assess more precisely the tridimensional extent of the curvature and better plan the treatment options. Doppler ultrasound scan can be extremely useful to rule out the presence of plaques in the equivocal cases.

In patients with congenital ventral penile curvature it is very important to examine the urethral meatus and the distal urethra as congenital ventral penile curvature may be associated with anomalies of the penile urethra.

How many men suffer from erectile dysfunction?

Approximately 40% of men at the age of 50 suffer from erectile dysfunction and this prevalence increases of around 10% each decade.

Although prevalence of erectile dysfunction increases with age, erectile dysfunction should not be seen as an inevitable consequence of ageing.

What are the causes of erectile dysfunction?

Erectile dysfunction can be subdivided in psychogenic and organic. Psychogenic erectile dysfunction, which is more common in younger men, cannot trace his origin to a physical problem or disease and is due to performance anxiety.

Organic erectile dysfunction is much more common than psychogenic erectile dysfunction and in most cases the causes can be easily identified. Once identified, proper treatment can be recommended to help patients return to a satisfying sexual life.

Organic erectile dysfunction is usually caused by an injury (to the brain, spinal cord, peripheral nerves or arteries), by a disease (diabetes, high blood pressure or high cholesterol), by an operation (prostate gland removal, urinary bladder removal, surgery to the rectum, spinal surgery) and by substance abuse (tobacco, drugs, alcohol and some medications).

What are the treatment options for congenital penile curvature?

There is no effective medical treatment for congenital penile curvature as there is no scarred tissue to target. Therefore the only solution is surgery.

Surgical correction consists in the shortening of the longer, convex aspect of the shaft to make it even with the shorter, concave aspect. This is called tunica albuginea plication (TAP) or Nesbit procedure. Incision of the shorter side and grafting should not be offered as it gives poor results in patients with congenital penile curvature. This is because the curvature is more harmonic and not localized as in patients with Peyronie’s Disease. Fortunately, most patients with congenital penile curvature have an adequate penile size and therefore plication surgery will not cause excessive shortening. Straightening procedures are performed under general anaesthetic as a day case, are very reliable and safe in the hands of experienced, large volume surgeons like Mr Garaffa and patients can usually resume sexual activity four to six weeks afterwards

Which investigations are necessary in the patient with erectile dysfunction?

A thorough examination and history taking is necessary to understand the nature of erectile dysfunction. Patients with psychogenic erectile dysfunction may be further investigated with a nocturnal penile tumescence test to confirm that the nocturnal erections are preserved. The confirmation of the presence of normal nocturnal erections excludes the presence of an organic cause of erectile dysfunction and the patients should be therefore reassured and offered psychosexual counselling.

When organic erectile dysfunction is suspected and an underlying cause is not obvious from the examination and history, efforts should be made towards the identification of any underlying condition, since erectile dysfunction may represent the first sign of diffuse cardiovascular disease.

A prompt identification of any of the cardiovascular risk factors such as diabetes, high blood pressure and high cholesterol levels is paramount to set up an adequate treatment plan and prevent further progression of the cardiovascular disease.

The Doppler Ultrasound scan of the penis is a relatively simple investigation but it provides very important information on the blood supply to the penis.

Which are the treatment options for erectile dysfunction?

The management of the patient with erectile dysfunction is tailored to the underlying cause of erectile dysfunction and to patients’ preferences.

Various drugs are now available for the treatment of erectile dysfunction. Some medications are administered orally, some are injected directly into the penis while other are inserted into the urethra at the tip of the penis. When medical treatment is ineffective and contraindicated, the vacuum constriction device or penile prosthesis implantation guarantee the rigidity necessary for sexual intercourse.

What are penile prostheses?

A penile prosthesis is an artificial stiffener, which is inserted under general anaesthetic into the chambers of the penis to guarantee the rigidity necessary for sexual intercourse. A penile prosthesis reproduces a normal erection and preserves all the normal feeling and sensation during intercourse. The quality of the erection obtained with a penile prosthesis is excellent and most patients and partners are very happy with the outcome post surgery.

The procedure usually takes just under an hour and the patient is discharged the same day. The prosthesis is usually inserted through a 3cm long incision via the scrotal sac. Sexual activity can be resumed 6 weeks post-surgery.

There are 2 kinds of penile prostheses: semirigid and inflatable. The semirigid or malleable prosthesis is made of two semirigid cylinders, which are inserted into the chambers of the penis. They produce a constant erection and the penis is usually bent laterally to be concealed in the underwear. The inflatable prosthesis is made of two cylinders, which sit in the chambers of the penis along with a scrotal pump and an intra-abdominal reservoir - a system filled with sterile water, and requires the patient to press a pump to transfer the fluid from the reservoir to the cylinders. This produces good level of rigidity and a natural looking erection. When the sexual intercourse is completed, the patient presses the deactivation button of the pump to transfer the fluid back into the reservoir and to render the penis flaccid.

Inflatable penile prosthesis by far produces the best results in terms of rigidity and concealing of the penis in flaccidity. Malleable penile prosthesis are only used in selected groups of patients.

Who is the best candidate for injections, and intraurethral medications?

Injections are indicated in these patients who do not respond to oral medications or when oral medications are contraindicated.Injection therapy induces an erection even without the need of sexual stimulation. The main advantage of injections is that it can be easily self-administered while the main risk is to induce a prolonged erection and may occur if an excessive dose of the medication has been injected.

The main reasons why patients quit injections are inadequate response, fear of needles, desire for a permanent treatment alternative and concerns over side effects.

Who is a good candidate for the vacuum pump?

The vacuum pump is a tube, which is sealed around the flaccid penis. With the creation of a negative pressure, blood is rushed into the chambers of the penis. Once the desired rigidity is achieved, a constricting ring is applied to the base of the penis to prevent the blood from rushing out of the penis and the vacuum pump is then removed. The vacuum pump can be a viable solution for patients who do not respond or are not suitable for oral and injectable medications and are not keen on penile prosthesis implantation.

I am suffering from erectile dysfunction, what should I do next?

We advise you to book a consultation with Mr Garaffa, one of the world leading experts in the diagnosis and management of erectile dysfunction and one of the largest penile prosthesis implanters in the world. Your condition will be treated discretely and you will be offered the treatment that best suits you and that will allow you to regain sexual activity with confidence.

What is Peyronie's Disease?

Peyronie’s Disease is an acquired condition characterized by the formation of scars in the tunica albuginea of the penis. These scars can be easily palpated as a lump and tend to be tender for a few months during the initial phase of the disease.

Peyronie’s Disease plaques cause loss of elasticity of the tunica of the penis and this reduces the capacity of the penis to stretch during erections. Patients therefore frequently report penile shortening and deformity such as curvature and narrowing of the shaft penis, which become visible during erections. In flaccidity the lumps can still be palpated, but the deformity is not visible.

Peyronie’s disease is frequently associated with other known cardiovascular risk factors, such as diabetes, high blood pressure, high cholesterol levels, obesity and tobacco smoke. It is now established that more than 60% of patients have at least one known cardiovascular risk factor.

Worsening of the quality of the erections is quite common in patients with Peyronie’s Disease; although this can be potentially caused by the plaque itself, as it allows the blood to be rushed out of the tunica of the penis, certainly also the cardiovascular risk factors play a role by causing obstruction to the arteries feeding the penis, thus reducing the blood inflow into this organ.

Since Peyronie’s Disease can be associated with penile pain, shortening, deformity and worsening of the quality of the erection, it can be cause of severe distress in both the patient and the partner.

What causes Peyronie’s Disease?

At present, the actual mechanism causing Peyronie’s disease is still unknown. It is suspected that Peyronie’s Disease occurs in the genetically predisposed patient following trauma to the erect penis during sexual activity. It is believed that patients with Peyronie’s Disease present an imbalance in the factors that regulate the healing process following tissue damage and this leads to excessive local tissue proliferation.

Typically Peyronie’s Disease presents an initial acute and a chronic phase. The acute phase is characterized by the formation of the plaque, which is tender at palpation as there is an active local inflammatory process. During this phase, stretching of the plaques, as physiologically occurs during erections, elicits vivid pain. Plaque size and type of deformity tend to change over time during this phase. The chronic phase starts when the inflammatory process eventually settles, usually within 9 months from the onset of the condition. At this stage the pain generally settles and the deformity does not change any more in time. 

Why penile reconstruction is necessary?

There are various clinical conditions in genetic male patients where penile reconstruction may be required. Among these conditions, the most common are penile tissue loss due to trauma, surgery or excision of benign or malignant conditions of the penis.

When sexual and urinary functions are compromised in patients with buried penis or lichen sclerosus of the penis, penile reconstruction can yield excellent cosmetic and functional results and allow them to resume sexual and urinary function with confidence.

Who is more likely to get Peyronie’s Disease?

Peyronie’s Disease is a quite common condition as it affects around 10% of men. Although it is typically a condition of the fifth and sixth decade of life, Peyronie’s Disease can occur at any age. Usually in the adolescent the condition tends to be more aggressive in terms of size of the plaque and degree of deformity produced.

Potentially any male can develop Peyronie’s Disease, although the condition is more likely to occur in the fifth and sixth decade of life and in patients with cardiovascular risk factors.

Due to the strong link between Peyronie’s Disease and disease, patients presenting with this condition should always be actively screened for the known cardiovascular risk factors such as high blood pressure, diabetes and high cholesterol levels.

What are the symptoms of Peyronie’s Disease?

The initial, acute phase of Peyronie’s Disease is usually characterized by the formation of a tender nodule on the tunica of the penis. Erections at this stage tend to be painful and patients usually notice a penile deformity, which, at this stage, still changes over time.

The inflammatory process progressively settles and this leaves a non-tender nodule on the tunica of the penis. At this stage erections are generally not painful and patients usually complain of penile shortening and deformity, which become apparent during erections. Many patients also report a progressive worsening of the quality of the erections.

What is lichen sclerosus?

Lichen sclerosus is a disease of the skin of the genitals. In the male it can affect the foreskin, the glans and in the most severe cases all the skin of the penis and the inside lining of the urethra (= the waterpipe). The causes responsible of lichen sclerosus are still not fully understood but it is now believed that maceration of the skin caused by pooling of urine, recurrent skin infections, and the presence of predisposing factors such as diabetes and low testosterone levels might be linked to the formation of lichen sclerosus. 

Typically, the skin affected by lichen sclerosus becomes thicker, inelastic and tends to become white. As the skin is not elastic, it cracks during sexual activity and this may cause pain, itching and bleeding. When affected by lichen sclerosus, the foreskin becomes unretractable in a clinical picture also known as phimosis. 

As it becomes impossible to retract the foreskin to clean the corona and the glans (=the head of the penis), hygiene becomes poor and patients may suffer from recurrent urinary tract (=the waterwork) infections. If the lichen sclerosus affects the urethra, this can cause narrowing of the urethral tube and urination can become challenging.
Lichen sclerosus always originates at the level of the glans and the foreskin and then propagates towards the base of the penis and/or the urethra.

How is Peyronie’s Disease diagnosed?

Peyronie’s Disease diagnosis is based on history taking and on the examination of the patient. Frequently patients report that the disease has started following a trauma to the penis during sexual activity. Examination of the penis will demonstrate the presence of a lump, which can be elastic or indurated in texture.

Deformity can be assessed only during erections, when the tunica albuginea of the penis is stretched to its maximum capacity. Self-photography of the erect penis can be a useful tool to identify the nature of the deformity. However, this can underestimate the exact tridimensional extent of the curvature, as the picture is by definition bi-planar. Also, an incomplete erection will make the deformity appear less pronounced.

Alternatively, an artificial erection can be induced in the office with the administration of a vasoactive medication. This allows the surgeon to assess more precisely the tridimensional extent of the curvature and better plan the treatment options.

As patients with Peyronie’s Disease frequently have cardiovascular disease, which might have produced a degree of obstruction of the arteries feeding the penis, a thorough assessment of the penile blood supply should be carried out performing an Eco Colour Doppler Ultrasound Scan. This investigation will provide the surgeon with extremely precious information that will also help to better decide which is the most appropriate treatment option for each specific patient.

Which is the treatment of lichen sclerosus?

Treatment of lichen sclerosus is necessary not only to improve sexual and urinary functions in these patients, but also because if left untreated, lichen sclerosus can degenerate into cancer of the penis. 

In the early stages of lichen sclerosus, local application of steroid creams can lead to improvement of the symptoms. However, patients need to be aware that lichen sclerosus always recurs when the applications are stopped.

When there is no response to application of topical steroids or in the more aggressive forms of the disease, treatment of lichen sclerosus involves excising all the affected skin, which is sent to the laboratory for analysis.

In fact, lichen sclerosus and cancer of the penis coexist in up to 10% cases.

When lichen sclerosus is more diffused, the penis needs to be reconstructed with the use of skin grafts. This procedure, in experienced hands, leads to excellent results, with satisfactory restoration of sexual and urinary function. 

What are the treatment options for Peyronie’s Disease?

There are various treatment options for Peyronie’s disease depending on the progression of the disease:

a) There is very little evidence that medical treatment is effective during the beginning phase of the disease. Treatment options such as oral medication, topical treatments and supplements such as oral vitamin E, Tamoxifen, Pentoxyphilline, Potassium Paraaminobenzoate, Colchicine and Verapamil have been offered to patients with no proven success on reducing penile curvature or plaque size, however they may help with pain management and potentially slowing the progression of the disease. 

b) There may be rationale for penile stretching and straightening exercises during the acute phase of the disease. This can be achieved either by enhancing natural erections with the administration of  Phosphodiesterase Type 5 Inhibitors such as Sildenafil, Tadalafil and Vardenafil, or mechanically, with the use of a vacuum or stretching device. Either treatment on its own is unlikely to show an enormous benefit, and should be performed together to get any result. The evidence of the effectiveness of the use of the vacuum pump or penile stretching device in isolation to mechanically straighten the penis is minimal. In the best-case scenario, the regular use of these devices may just slightly reduce penile curvature, which would be beneficial only in very selected patients (under 10%).

c) Injections of the Collagenase of the Clostridium Histolyticum (Xiapex®) is one of the latest treatment options available for Peyronie’s and the first non-surgical therapy that has proved effective in treating Peyronie’s plaque. These injections treat the curvature by “chemically” softening the plaque and restoring some of the length lost due to the scarring process. Xiapex® injections provide better results if combined with the regular use of a vacuum pump or of the penile stretching device in order to provide extra stretch of the plaque softened by the Collagenase of the Clostridium Histolyticum. These should be performed at 4 weeks intervals and the residual curvature should be assessed after the third injection, once the healing process at the level of the plaque is likely to be complete. If significant deformity persists, the cycle injection/stretching can be repeated. In expert hands, Xiapex® injections are a simple and safe procedure and can be performed in the outpatients’ clinic and would typically be the first line of treatment (subject to Consultant doctors diagnosis).

d) Surgery represents the gold standard treatment for Peyronie’s Disease and its aim is to guarantee a penis straight and hard enough to allow the patient to engage in penetrative sexual intercourse without pain or discomfort. The choice of the best surgical approach, apart from patients’ preference, should take in consideration the quality of erection and the degree of deformity and shortening. In patients with preserved erections, the curvature can be corrected either by shortening the longer side of the penis, which has not been affected by Peyronie’s Disease, or lengthening the shorter side incising the plaque and interposing a graft. Both procedures can be performed as a day case. Before the introduction of Xiapex, surgery was the only effective treatment for penile curvature caused by Peyronie’s and still remains the most successful for most patients. Surgery should only be performed after the disease progress has stopped which usually occurs 12 months from onset (chronic phase).

What is a buried penis?

Buried penis indicates the clinical situation when the penis is hidden in the prepubic fat. A buried penis is usually present in patients with excessive fat in the pubic area (=lower abdomen) or when excessive skin has been removed during circumcision or when the two situations coexist. 

In patients with buried penis sexual and urinary function are severely compromised.

Quality of life tends to be poor as the patient is not able to expose the penis while urinating and therefore the pooling of urine in the abdominal skinfolds causes maceration of the skin and recurrent urinary infections, which can ultimately lead to renal damage. As the skin is macerated by the urine and is always moist, the formation of lichen sclerosus is quite common and this makes the situation worse.

What is the treatment for buried penis?

Buried penis frequently requires the combined intervention of a bariatric surgeon and of the uro-andrologist. 

Significantly overweight patients need to loose weight first and in this case the intervention of the bariatric surgeon can be extremely useful.

Once patients have reached the target weight, the management of the buried penis requires the excision of the suprapubic fat and of all the excess skin performing an abdominoplasty. 

If there is not enough penile skin, or if the skin needs to be removed because it is affected by lichen sclerosus, the penis needs to be reconstructed using a variety of skin grafts. In expert hands, abdominoplasty, excision of the suprapubic fat and penile reconstruction, yield excellent functional and cosmetic results and allow patients to restore sexual and urinary function.

What is a skin graft?

A skin graft is a patch of skin that is surgically removed from one area of the body (=donor site) and transplanted to another area (=the recipient area). The characteristics of the skin graft depend on the area from which the graft has been removed and on its thickness. The choice of the donor area and of the thickness of grafts should be therefore tailored to the characteristics of the recipient area and to patient’s expectations. 

When is a skin graft necessary?

A skin graft might be necessary to reconstruct the skin of the glans and/or of the penile shaft. Usually, grafts yield excellent results in patients who have lost part of penile skin because of trauma or of excessive circumcision. Skin grafts can be extremely useful also following surgical excision of lichen sclerosus of the penis or of penile cancer. In most cases, following grafting, patients can resume a normal sexual and urinary function.

Do I need downtime after an Areola Correction treatment?

We recommend that people take one week off work following the areola reduction procedure (more if your job is particularly physical). Strenuous activities, heavy lifting and intense exercise should be avoided for around 6 weeks following your surgery.

How soon will I see results following my SculpSure treatment?

Most of our patients see results from 6 weeks onwards after their treatment and the destroyed fat cells are flushed out of the body. We usually say that it can take 12 weeks to notice optimum results.

Which areas can be treated with SculpSure?

This fat reduction laser treatment can be carried out on most areas of the body, with the most popular being the stomach, flanks, upper arms (‘bingo wings’) and thighs.

Is SculpSure painful?

The SculpSure laser treatment is not painful, patients report feeling a tingling sensation with feelings of cool and warmth intermittently.

Am I suitable for SculpSure non-surgical fat reduction?

This treatment is perfect for those with small stubborn areas of fat which will not shift after diet and exercise. For those with larger areas of fat, liposuction or other treatments may be better suited. Sculpsure is also not suitable for those pregnant or breastfeeding.

Is Acne Clear treatment painful? What happens during the treatment?

When you come to Cadogan Cosmetics for your acne treatment initial consultation, your experienced aesthetic practitioner will explain the procedure to you and during treatment will ensure you are comfortable and provide you with goggles to protect your eyes.  A cooling gel may be applied to the treatment area, to soothe the skin before starting the acne laser treatment and the treatment is not painful.  Acne Clear laser system uses intense blue wavelengths of light to destroy the bacteria known to be a cause of acne.

Is any downtime required after an acne laser treatment?

Immediately following your acne laser treatment you may notice some mild redness and swelling, although this is normally, easily covered and settles within 24-48 hours.  Your Cadogan Cosmetics practitioner will recommend that you use daily broad spectrum sunscreen protection following your acne laser treatment.

What scars are left from breast reduction surgery?

Due to our specialism in liposuction, it is possible in some cases to perform breast reduction using liposuction techniques only. This technique is often known as ‘scarless breast reduction’ since the incisions required can be made in less prominent positions, such as under the arms, where they can not been seen.

More typically, however, following traditional techniques you should expect a small degree of scarring. There are different techniques for breast reduction and the scars created will depend on the technique employed, as well as the patient in question and the size of the breasts being reduced. Most commonly you should expect some scarring around the nipple, across the bottom of the breast fold, and a vertical scar linking the nipple scar to the breast fold scar giving rise to the so called ‘inverted T’ or anchor pattern.  Some surgeons prefer to perform the operation omitting the breast fold scar giving rise to the ‘vertical scar’ reduction.  Not everybody is necessarily eligible for this and it tends to be used for not such large breasts.

Regardless of which technique you undergo, Cadogan Cosmetics is able to provide each and every one of its patients with access to one of London’s most advanced scar minimization and prevention teams following their procedure. Our nurses have decades of experience and will provide you with the tools and techniques to support your healing process as effectively as possible.

How soon will I notice results following Acne Clear treatment?

The results of acne treatment are accumulative and most of our Cadogan Cosmetics patients generally start to see results after only a couple of treatments.  You will notice that your skin starts to become much clearer with less redness and acne outbreaks.

What are the main recommendations for breast reduction aftercare?

General advice is to take two weeks off work following breast reduction surgery, since swelling is greatest during this time and it is advisable to give wounds time to heal.  During this period it is advisable to keep physical activity to a minimum or drive. It is, however, advisable to mobilise as soon as possible after breast reduction surgery.

If stitches need to be removed, this is generally carried out at about two weeks after the operation.  At this stage dressings are removed and women are encouraged to wear comfortable crop tops or sports bras for support until any swelling and discomfort has resolved, after which they can start wearing normal bras in their new size – this may take a few weeks longer.

Massage and moisturizing are a vital process of breast reduction aftercare and expert advice will be given on the best techniques from our dedicated team.

Which areas can be treated with Acne Clear?

Acne laser treatment can be used to treat acne on the face, neck, chest and back- the common areas in which acne outbreaks occur.

How many Acne Clear treatments will I need?

The number of acne laser treatments you will need varies from person to person.  Most people require 6-8 treatments over a four to eight week period.  The results are accumulative and most of our Cadogan Cosmetics patients generally start to see results after only a couple of treatments.  At your initial consultation your aesthetic practitioner will devise a treatment plan for you based on your individual needs.

How is a breast reduction procedure performed?

Breast reduction is usually performed under general anaesthetic as a day case procedure, meaning advanced sedation techniques are employed to enable you to recover more quickly after surgery and return home on the day of your procedure.

Whilst there are several breast reduction techniques, each essentially involves reducing a proportion of the breast volume via excision and reshaping the breast mound such that the nipple is lifted into a more normal position, while preserving the blood supply to the elevated nipple and areolar complex. The overall effect is a more ‘pert’ breast hanging in a more regular position.

Your surgeon will explain his or her preferred technique at your consultation and where the incision is to be placed accordingly.

Can you have breast reduction without scars?

All breast reduction techniques require an incision that will result in a scar that will likely be red and slightly raised in the weeks and months after your procedure, before fading completely.

Scar visibility can, however, be greatly impacted by the quality of the surgeon you choose, as well as the level of aftercare you receive. In the hands of a skilled surgeon the scar can be positioned very discreetly, whilst an expert scar minimization team can provide you with the tools and techniques to enhance the healing process. For example, scar the appearance can be reduced by regular moisturisation and massage techniques, all of which our dedicated team will advise our patients in the days following your procedure.

Due to our specialism in liposuction, it is possible in some cases to perform breast reduction using liposuction techniques only. This technique is often known as ‘scarless breast reduction’ since the incisions required can be made in less prominent positions, such as under the arms, where they can not been seen.

Why is Acne Clear the best spot treatment?

If you suffer from acne and have tried many other methods to combat it such as creams, face washes and lotions, you may find the laser acne treatment at Cadogan Cosmetics is the best spot treatment for you as unlike many treatments it destroys the bacteria which causes acne as well as reducing redness.

Is Acne Clear a good acne scar treatment?

At Cadogan Cosmetics we have a number of treatments to improve active acne and acne scarring, depending on the individual such as chemical peels, Microdermabrasion, advanced skincare and the Acne Clear laser.  It is important to get the acne under control first before tackling the scarring to get the best results.  Your aesthetic practitioner will recommend a combination of treatments for you to combat acne and acne scarring.

Breast reduction surgery recovery time: how long does it take?

Breast reduction recovery time varies from case to case but you should be able to return to your normal day-to-day activities after about two weeks. However, we recommend our patients be sensitive to their body and try not to do too much too soon, ceasing activities after or during which any pain is experienced.

We recommend temporary suspension of activities such as going to the gym, and practicing aerobics and sports that involve using your arms. Any activity that requires lifting your elbows above your shoulders should also be carefully monitored.

All breast reduction techniques require an incision that will result in a scar that will likely be red and slightly raised in the weeks and months after your procedure, before fading completely.

Scar visibility can, however, be greatly impacted by the quality of the surgeon you choose, as well as the level of aftercare you receive. In the hands of a skilled surgeon the scar can be positioned very discreetly, whilst an expert scar minimization team can provide you with the tools and techniques to enhance the healing process. For example, scar the appearance can be reduced by regular moisturisation and massage techniques, all of which our dedicated team will advise our patients in the days following your procedure.

Due to our specialism in liposuction, it is possible in some cases to perform breast reduction using liposuction techniques only. This technique is often known as ‘scarless breast reduction’ since the incisions required can be made in less prominent positions, such as under the arms, where they can not been seen.

Is Acne Clear at Cadogan Clinic an effective acne treatment?

Laser treatment for acne is an effective procedure and appears to improve acne vulgaris with a reduction in inflammation and the number of pustules and papules in some individuals.  It is even more effective in combatting acne when used with other acne treatments as recommended by your Cadogan Clinic aesthetic practitioner.

How does laser treatment for acne work?

The bacteria in acne release porphyrins and when they absorb light of certain wavelengths, free radical damage is produced, and this destroys the bacteria helping combat the acne.  Laser acne treatment uses a narrow-band, high-intensity blue light source that is readily absorbed by porphyrins released by the bacteria causing acne.

How soon will I see results following a Dual Yellow laser treatment?

For vascular lesions you will notice results immediately following your Dual Yellow laser treatment at Cadogan Cosmetics. Some other types of lesions may disappear within a week or so. Dual Yellow is one of the best laser treatments for treating vascular and pigmented lesions.

What aftercare do I need after Fat Transfer to Breasts?

Following your fat transfer to breasts procedure you will have a waterproof dressing over your breasts which you will need to stay in place for around 10 days’ post-surgery and you may be given antibiotics to avoid infection.  Your consultant will advise wearing a support bra a few days per week after surgery and for buttocks you will have a dressing in situ for ten days.  Where the liposuction has been performed, you will most likely be required to wear a compression garment for around three weeks and avoid exercise for up to two weeks following your treatment.

What is the recovery time from Fat Transfer to Breast surgery?

Following fat transfer to the breasts you may have some bruising and swelling but this should subside within a couple of weeks.  Recovery time for fat transfer procedures to the body can depend on how many areas the initial liposuction was carried out on.  You may be bruised and swollen for 1-3 weeks and should avoid exercise during this time and you may wish to be off work for 1-2 weeks also.  The few days following your fat transfer augmentation you may feel some discomfort around the breasts and experience an aching sensation for a week or two following treatment - this is completely normal and will subside as will any bruising and swelling.

Which areas of the body can I have treated with the Dual Yellow Laser?

This treatment can be carried out on the face, neck, chest, back, hands, arms and legs.

Am I suitable for a breast enhancement procedure with Fat Transfer?

Non-surgical Breast Augmentation is recommended for those who want a more natural-looking breast augmentation. Suitable patients will have enough fat from other parts of the body to transfer and, are not considering having children within the next year and do not require a breast uplift also. For those who want a more significant increase in their bust size, we recommend a surgical breast augmentation with implants.

Does Fat Transfer to the breast really work?

Breast augmentation using Fat Transfer can be an effective way of increasing the volume to the breasts in a minimally-invasive way to give a natural look. It is a long-term solution to both getting rid of stubborn areas of fat and enhancing the breasts also. At Cadogan Cosmetics our consultants are some of the most experienced in the UK in this field.

Am I a suitable candidate for Dual Yellow laser treatment?

Dual Yellow laser is suitable for most skin types and effectively treats a wide range of blemishes such as vascular thread veins and pigmented lesions, acne and is also used for skin rejuvenation.

How does the Dual Yellow laser treatment work? Is it safe?

The Dual Yellow laser at Cadogan Cosmetics uses different wavelengths of light to target blemishes such as thread veins directly therefore leaving the surrounding skin undamaged. At Cadogan Cosmetics this treatment is completely safe and carried out by experienced practitioners only.

What is the difference between IPL Skin Rejuvenation and Laser Skin Resurfacing?

IPL Skin Rejuvenation and Laser Skin Resurfacing are quite different treatments. An IPL Skin Rejuvenation treatment consists of a series of high-intensity pulses of broad spectrum light, whereas Laser Skin Resurfacing delivers a direct beam of thermal energy to one specific target.

Laser Skin Resurfacing uses a laser beam focused on one specific wavelength and targets the very outer layers of the skin, which are removed, encouraging new skin to replace them. This process restores the smooth, even and fresh appearance that the skin tends to lose with age.

There are different types of Laser Skin Resurfacing. At Cadogan Cosmetics we offer mainly two: ClearLift & Pixel Perfect, each having its own specific benefits and advantages.

IPL, instead, emits pulses of broad spectrum light, which passes through several layers of skin at once, targeting only the unwanted cells.

IPL can improve the texture, quality, colour and health of your skin and treat multiple conditions simultaneously, such as the appearance of veins, capillaries, redness, age spots, blotchiness and freckles.

To discuss the different options of skin treatments available at Cadogan Cosmetics in relation to your personal requirements, we recommend booking a free consultation with one of our specialists.

What aftercare is required after a Fat Transfer?

After surgery, patients may experience some discomfort for a couple of days’ post-surgery –a dull ache may persist in the areas that have been treated for a further 1-4 weeks but this can be managed easily with pain killers that either your surgeon or aftercare team can provide you. 

Downtime is usually minimal following either fat transfer to body or face, however you may notice some swelling and bruising which can take up to 1-2 weeks to subside post-surgery.

Following fat transfer to the breasts for instance, your consultant will advise wearing a support bra a few days per week after surgery and for buttocks you will have a dressing in situ for ten days. Where the liposuction has been performed, you will most likely be required to wear a compression garment for around three weeks and avoid exercise for up to two weeks following your treatment.

Swelling and bruising should subside within a couple of weeks following fat transfer to the face, which you will be able to conceal well with makeup.  Recovery time for fat transfer procedures to the body are typically longer than the face depending on how many areas the initial liposuction was carried out on.

How can you fix a protruding nipple?

Around one in ten women in the UK suffer from nipple-related conditions where the nipples may be irregular or enlarged causing them to protrude through clothing, which can be a source of embarrassment as well as pain and irritation known as ‘jogger’s nipple’.  Protruding nipples can be an issue for men too.

Protruding nipple correction at Cadogan Cosmetics can reduce the height and width of the nipple whilst still preserving sensation.  It can be carried out under local anaesthesia or in combination with other procedures (under general anaesthesia). Recovery from protruding nipple surgery is quick with very little disruption to your normal routine.

What’s the difference between Botox and Azzalure?

Botox® and Azzalure are both compounds of botulinum toxin type A, a neurotoxin produced by the Clostridium botulinum.

Botox was approved by the Food and Drug Administration (FDA) for the cosmetic treatment of wrinkles and frown lines in 2002; Dysport was approved for the same use in 2009.

As injectable treatments for wrinkles and frown lines, Botox and Azzalure work similarly: they both contain very small doses of botulinum toxin, which inhibits the stimulation of nerves, with the effect of relaxing the muscles that cause facial wrinkles. Azzalure spreads a bit farther from the injection point than Botox. This is an advantage, as fewer injections are required in large areas (such as the forehead), with less potential discomfort for the patient. 

In the treatment of lateral orbital rhytids (commonly known as “crow’s feet”), Azzalure is believed to produce better results than Botox on patients’ appearance when facial muscles are contracted; however, the difference is hardly noticeable when facial muscles are at rest.

However, with that being said, there have been numerous studies performed to assess the differences between the different preparations, and there is the wealth of anecdotal evidence collected as expert opinion from doctors who have performed thousands of treatments.  The duration of effect has been studied, the side effect profile, the spread, the diffusion, patient and practitioner satisfaction. So far no signifiant difference in the overall effects between the two has been identified. In short, for the patient, there is no significant clinical difference between the formulations, it is simply up to which formulation your consultant feels is best suited to you. 

We recommend booking an appointment at Cadogan Clinic to see which one is right for you.

Can I Still Have Laser Hair Removal if I Have a Tan?

At your initial consultation your aesthetic practitioner will check your melanin levels and advise you that you should not have a laser hair treatment if you have a suntan or have used fake tan.  This is for your own safety as it is possible to have a reaction to the laser if skin is more tanned than usual.  Laser hair removal is suitable for darker skin types.

Can I Shave Between Laser Hair Removal Treatments?

Yes! As you progress with your laser hair removal course at Cadogan Cosmetics you will notice that some hair will still grow back in the area. This will lessen with the more treatments you have, but your Cadogan Cosmetics aesthetic practitioner will advise that it is best to shave in between treatments rather than bleach, wax or epilate the re-growth.

What is the difference between Botox and Dermal Fillers?

Botox – or Botulinum Toxin – is a neurotoxin that inhibits nerve stimulation on muscles. It is used cosmetically to reduce or remove facial wrinkles. Botox injections contain a very small dose of Botulinum Toxin and relax the muscles that form the wrinkles. The effect of a Botox injection lasts approximately between 3 to 6 months.

Dermal Fillers are a soft tissue filler that is injected into the skin to help fill out facial wrinkles and cavities and add volume to the face, for a fuller, smoother appearance. Like Botox, these are temporary as they are eventually absorbed by the body. Often used cosmetically to soften facial wrinkles, lines and other skin imperfections and enhance facial volume.

There are many different types of fillers, each has its own specificities and tends to work better on certain areas and not in others. Some dermal fillers last longer than others.

Book a consultation with one of our specialists to discuss the best injectable treatments at Cadogan Clinic.

Are the results permanent?

Laser hair removal is permanent hair reduction and actively growing hair follicles that have have been treated should not re-grow. Some patients may come back for a top up treatment a couple of years following the treatment.

What is Botox? What is a Botox Injection?

Botulinum Toxin, also known as Botox, is a neurotoxin that is produced by the Clostridium Botulinum Bacterium.

Botox can be used for medical purposes – such as to treat some muscular conditions – and cosmetically. As a cosmetic treatment, Botox is commonly known as a reliable and effective way to reduce or remove wrinkles non-surgically.

Botox treatments are generally pain free and pose no threat of long recovery time, allowing patients to return immediately to their normal daily routines.

Cosmetic Botox treatments are performed by injecting the toxin in extremely small doses to the desired area relaxing the muscles that are responsible for wrinkles.

Botox injections are fairly quick and the effect is visibly noticeable after around 24 – 72 hours once the treatment complete.

At Cadogan Clinic we use 2 brands: Botox and Azzalure. Book a consultation with one of our specialists to discuss the best injectable option for you at Cadogan Clinic.

What is the cost of laser hair removal?

Prices will be confirmed following your free consultation and test patch. Cost vary according to area of the body targeted but start from as little as £70, and up to £450 per area. Package pricing available.

What is Botox made of?

The main active ingredient of Botox Cosmetic injections is botulinum toxin type A, a toxin produced by the Clostridium Botulinum Bacterium.

More specifically, Botox Cosmetic (onabotulinumtoxinA) for injection contains sterile, vacuum-dried purified botulinum toxin type A.

In Botox Cosmetic injections, botulinum toxin is present in extremely small doses and has the beneficial effect of relaxing facial muscles preventing the development of wrinkles and frown lines.

What are the benefits of Botox?

Botulinum Toxin, commonly known as Botox, has many benefits both medically and cosmetically.

Medically, Botox is used to treat conditions such as chronic migraines, overactive bladder and strabismus (crossed eyes).

While Botox is used for medical purposes, it is most known for its cosmetic results. Botox is primarily used to reduce the appearance of wrinkles, in particular around the brow, eye and cheeks. Botox can also be used to reduce sweating.

Being non-surgical a procedure, one of the main benefits of Botox is that, once treatment is complete, there is a very short recovery time allowing the patient to resume normal activities the same day.

By reducing and preventing the development of wrinkles, Botox helps the skin to look younger and smoother. Botox is one of the safest not surgical procedures to reduce wrinkles.

Is Botox safe? Are there risks or side effects?

Botox injections are the most performed non-surgical procedure in the world and a very safe, hassle free treatment.

Potential side effects of the cosmetic use of Botox – although uncommon – may include headaches, drooping eyelids, blurred vision, dizziness and dried mouth. For a full description on the risks and side effects of Botox, we encourage getting in touch for a free consultation with one of our specialists.

Who should not have Botox?

  • Pregnant or breast feeding women (this is due to the fact it is unknown whether Botox affects breast milk).
  • Patients who are allergic to any of the ingredients of Botox or have had an allergic reaction to any other botulinum toxin product such as Myobloc or Dysport.
  • Patients who have an infection around the area where the injection is planned.

To evaluate your personal circumstances, we recommend booking a free appointment with one of our specialists.

How does Botox work?

Botox Cosmetic injections contain botulinum toxin type A, a neurotoxin produced by the Clostridium Botulinum Bacterium. This toxin, present in extremely small doses, inhibits the nerve stimulation of muscles by preventing nerves from releasing a chemical called acetylcholine.

In their cosmetic use, Botox injections have the beneficial effect of relaxing facial muscles improving the appearance of frown lines and preventing the development of wrinkles.

Typical areas for the cosmetic application of Botox injections are eyebrows and cheeks.

What is the difference between laser hair removal and IPL?

Both laser and IPL produce energy to destroy the hair follicle but that is where the similarity ends. Soprano XL laser hair removal at Cadogan Cosmetics provides results which last much longer than IPL hair removal, can focus on a concentrated area and is a lot less painful. IPL is usually limited to lighter skin types whereas the Soprano XL can be used on Asian and Black skin also. The IPL machine at Cadogan Cosmetics is used for skin rejuvenation treatments for which is provides great results.

What are the risks of lip enhancement?

Lip injections at Cadogan Cosmetics are very safe but minor side effects include redness, swelling and itching at the injection site and bruising which can last from 2 to 10 days. If you find that you have an uneven result, your practitioner will see you for a treatment review and this can be rectified. If you suffer from cold sores, dermal fillers to lips may not be a good treatment for you.

Is downtime required with laser hair removal?

There is no downtime required with Soprano XL laser hair removal at Cadogan Cosmetics making it the perfect treatment to have in your lunch break. You may notice some redness, bumps and minor swelling in the area but your aesthetic practitioner will advise you on aftercare and it’s best to avoid sunlight before and after your treatment to ensure healing.

How many laser hair removal treatments will I need?

This will depend on the area which is being treated and your hair and skin type- it can be anywhere between 4-8 sessions for permanent hair reduction, every 6 to 8 weeks. This is because of the hair growth cycle, at any time 20% of the hair is dormant and the laser only destroys hair in the early growth phase.

Will my lips look natural?

Dermal Fillers for lips at Cadogan Cosmetics use reputable products such as Juvederm or Restylane which are designed to smooth out lines, wrinkles, and folds, or create more youthful and attractive facial contours by adding volume. When injected by an experienced Cadogan Cosmetics doctor, your lips will look fuller but natural.

What happens when I have a lip fillers at Cadogan Clinic?

Following a thorough consultation with your practitioner, the dermal filler that is selected as being the most appropriate for you is eased into either the lip border or body (or both) using a very fine needle and the procedure itself should take approximately 15 minutes. The product contains an anaesthetic but it may be possible to have a numbing cream applied to the area prior to the treatment if you would prefer. Results can be seen straight away.

Is laser hair removal for men too?

At Cadogan Cosmetics laser hair removal for men is a popular treatment, especially for those with excess chest and back hair, or those who suffer from ingrown facial hairs.

How long will my lip fillers last?

At Cadogan Cosmetics we use only the safest hylauronic acid-based dermal fillers which are long lasting but not permanent. The effects will fade gradually but should last between 4 and 13 months depending on which treatment you have had. Following this, we recommend that you come back to us for a top up treatment. The filler will biodegrade in the skin naturally and disappear should you choose not to return for a top up treatment.

Which areas can be treated with laser hair removal?

Laser hair removal can be carried out on most facial and body areas such as:

  • Facial areas including upper lip, chin, beard and jaw line
  • Nose, neck and ears
  • Arms and underarms
  • Legs and bikini area
  • Back and shoulders
  • Chest and stomach

Am I a suitable candidate for laser hair removal?

The great thing about Soprano XL laser hair removal at Cadogan Cosmetics is that it’s suitable for all skin types, including darker skins as unlike some lasers it differentiates between the skin and hair. Laser hair removal is highly effective for darker, coarser hairs but if you have any concerns one of our aesthetic practitioners can assess you in a free of charge initial consultation and all patients will have a test patch before commencing treatments.

What are the benefits of Soprano XL laser hair removal?

If you’re looking for laser hair removal in London we have one of the best laser hair removal machines available, the Soprano XL at Cadogan Cosmetics. As well as saving money on razors and waxing, laser hair removal is suitable for all skin types, gets effective results in permanent hair reduction, combats troublesome ingrown hairs and is relatively quick and easy.

Are lip injections painful?

Most dermal fillers that we use at Cadogan Cosmetics include an added anaesthetic, which makes the lip enhancement treatment virtually painless as it numbs the skin. If you feel that you would rather come in early for numbing cream application before your dermal fillers treatment, this is also possible.

How does Soprano XL laser hair removal work, is it safe?

Light emitted from the laser is absorbed by the hair and destroys it at the root, which prevents re-growth. The laser light targets the pigmentation in the hair, which is why laser hair removal gets great results on darker hair.

Laser hair removal is completely safe and one of the most popular aesthetic treatments available for both men and women.

Soprano XL laser hair removal at Cadogan Cosmetics is virtually painless but any minor discomfort can be reduced by applying a numbing cream beforehand.

What are the benefits of dermal fillers to the lips?

Lips define a face and are one of the first things a person will notice about your appearance. Lips can become thinner over time, or it may be that you have naturally thin lips. Dermal filler lip enhancement will make your lips bigger and fuller and can reverse a downward turned expression due to ageing. Lip enhancement at Cadogan Cosmetics can also help to fill out the ‘smokers lines’ which appear around the mouth due to smoking and ageing.

Are dermal fillers for lips safe?

Dermal fillers at Cadogan Cosmetics are very safe as we use only hyluaronic acid based fillers which is a substance which occurs naturally in the body and they are long-lasting but semi-permanent. Our practitioners who carry out lip enhancements are healthcare professionals such as doctors, dermatologists and plastic surgeons. Despite this, it is important to discuss any possible side effects or complications of lip injections with your consultant so they can ensure you have the best form of treatment and care.

Why is Cadogan Clinic the leading clinic for liposuction in the UK?

Cadogan Clinic was founded by Mr Bryan Mayou, the surgeon responsible for introducing liposuction into the UK more than 30 years ago. As such, he has more experience of the various techniques than anybody else in the country and now leads the country’s leading team of experts in performing more liposuction surgeries than anybody else in the UK.

We carefully evaluate all available liposuction techniques and are able to offer different kinds, depending on your specific condition and needs. We currently offer Lipomatic, MicroAir, BodyJet and MicroLiposuction techniques. We also offer SmartLipoMPX, which is liposuction done via ultrasound.

After carrying out extensive research into other techniques, the clinic has abandoned all laser liposuction techniques (such as Vaser) as we consider them to offer no advantage and add unnecessary complications.

What areas can be treated with liposuction?

Liposuction is suitable for fat removal from virtually any part of the body, but popular areas include the lower back, inner thighs, upper arms, stomach, chin, hips, abs, knees, loins and ankles.

It is also popular for men around the breast area for a condition called 'gynaecomastia'. 

Does liposuction work and how long do the results last?

You may be wondering if liposuction really works – to put it simply, yes!

Liposuction provides a quick, safe and effective solution for permanent removal of unwanted excess fat deposits from the body. When you lose weight, by diet or exercise, all your fat cells shrink in size, but they do not disappear.

With liposuction the cells themselves are removed and are therefore not available to become enlarged again under any circumstances. Even if you put on a lot of weight the new relative shape remains.

What is recovery from liposuction like?

The results of liposuction typically come in stages, varying by individual. You’ll likely see some results immediately after surgery, but swelling and bruising are normal and can take weeks to resolve. Some residual swelling can persist for several months. Most people see good results from 6 weeks but final results 6 - 12 months after surgery.

It is completely normal to experience minor swelling, bruising and tenderness following liposuction, but bruising will subside completely within 3 weeks. 

You can usually commence normal daily activities and exercise as soon as you are comfortable, but in general the only restriction is to wait until your stitches are removed (7-10 days post surgery). Sometimes when large amounts of fat are removed patients are somewhat anaemic and need to take iron for a few weeks and you may be asked to wear a support garment to reduce bruising and swelling.

How much does liposuction cost?

The Cadogan Clinic is proud to work with some the top liposuction surgeons in UK, in a team led by Mr Bryan Mayou, the surgeon responsible for introducing liposuction to the UK over 30 years ago. For this reason, you can rest assured you are in the best hands possible and will be getting the very best in quality and procedure, with no compromise whatsoever.

Liposuction procedures are quoted depending on the number of areas being treated and the length of your procedure. Typical liposuction procedures start from £5250, but you will be quoted an exact price depending on your needs. Our costs are fully inclusive, so the quotes price you'll get will include your surgeon fee, theatre fee incl. anaesthetist and sedation costs, prescription medication and compression garments. It also includes all aftercare follow-ups ups with your Patient Adviser, Nurse or Surgeon and our full surgical aftercare plan, which includes scar management sessions and one lymphatic drainage massage session.

Additional treatments that can complement your liposuction surgery and assist with healing can be purchased separately. These include laser scar management, a course of lymphatic drainage massages and accent laser skin tightening.

How should I prepare for the treatment?

Before your lip fillers treatment, it is important that you have had a consultation with your doctor to establish what you want and what they recommend for you to see if this treatment is for you. Though many dermal fillers contain anaesthetic, you may choose to apply numbing cream to the area prior to the treatment.

Do I need downtime after the treatment?

There is no down time required following lip plumping injections but as you might experience some mild redness, swelling, tenderness, bruising, or itching after the treatment you may want to bear this is mind before a big event. These effects are completely normal and should clear up in less a fortnight.

How long does it take before I can see Juvederm lip enhancement results?

Once the treatment has been completed the results of Juvederm lip enhancement will begin to appear immediately. The full effect can usually be seen after just a few hours, and will last approximately 10 – 12 months per procedure. However, this can vary depending on the patient and the amount of Juvederm used during the procedure.

If you would like to find out more information, please book a consultation with one of our specialists.

Is Juvederm painful?

Juvederm treatments are relatively painless procedures, although some patients may experience a small discomfort when undergoing the treatment.

There are several measures we put into place to keep the pain and discomfort to a minimum, these include:

  • The use of numbing cream prior to the injection.
  • The use of ice packs or other cooling agents post procedure
  • The use of lidocaine to temporarily block the nerves that sense pain. This can be mixed directly with Juvederm.

The use of pain reduction methods will highly improve the experience for the patient.

If you would like to find out more information, please book a consultation with one of our specialists.

Is laser for thread vein removal painful?

The treatment is not painful but many patients describe the feeling similar to that of flicking a rubber band against the skin therefore a topical anaesthetic cream can be used beforehand if required.

What makes Juvederm different from other dermal fillers?

Juvederm is not restricted just to the mouth and lip area, but has a broad range of uses.

Because Juvederm is made primarily from natural substances, such as hyaluronic acid – which is found in humans – the result of using Juvederm is a fuller, and more natural looking feature compared to some other fillers found on the market.

Juvederm can absorb up to 1,000 times its own weight in water. This allows the skin to lock in moisture, causing the treatment area to appear fuller, smoother and more youthful.

Since Juvederm is composed of natural substances, the effects are not permanent. This means that if the desired results are no longer required, the substance will be absorbed by the body naturally over a long period of time. Because the Juvederm gradually reduces its appearance, the fillers are a popular and common choice of procedure for patients that have not received any cosmetic treatment before.

What kind of anaesthesia will I need for liposuction?

The procedure can be done under local or general anaesthesia, but can be uncomfortable, slower and more difficult to obtain good results under local anaesthesia.  We would reserve this for small areas, such as the neck, or smaller pockets of fat.  We use a variant anaesthesia called TIVA (Total Intravenous Anaesthesia) that is delivered by our team of top anaesthetists.  Intravenous delivery enables our anaesthetic team to monitor the depth of anaesthesia more closely using a measurement of the brainwaves.  The result is that you will wake up feeling much better than traditional anaesthesia and will be ready to go home the same day. 

Is liposuction right for me?

Both men and women undergo liposuction every year to achieve a variety of different goals. For men, liposuction can often successfully treat gynecomastia and other fat areas around their torso, while women use it more commonly around the stomach, hips and thighs. If one or more of the following apply to you, liposuction is an option to consider:

1. You have excess fat deposits on your hips, belly, thighs, neck or chest that won’t respond to diet or exercise.
2. You feel like certain areas are out of proportion with the rest of your figure. Reducing excess fat on one area of the body can bring it into better balance with your natural features.

Liposuction is excellent for reducing areas of fat and sculpting a beautifully natural contour, and using liposuction to remove excess fat on one area of the body can make you seem more in porportion. The ideal liposuction patient has localised fat deposits & good skin tone.

However, it’s important to have realistic expectations about what liposuction can achieve. If any of the following apply to you, then liposuction may only offer limited success in helping you achieve your goals. Your cosmetic surgeon can recommend the options best suited to your needs.

1. You have loose, sagging skin. Liposuction is designed specifically to target fatty tissue, it will not significantly improve the appearance of loose skin. Other body contouring procedures, such as a tummy tuck or body lift, may be better options for you.
2. You want to lose a significant amount of weight. Liposuction can improve your shape, which can help you look thinner and more fit, but it’s not a weight loss method. While some overweight patients can benefit from the reshaping effects, the most satisfied patients tend to be happy with their weight prior to surgery.
3. You are just looking to address cellulite. While liposuction can remove fat, it cannot always remove the appearance of cellulite. If it is just cellulite and not fat removal that is your main concern, we recommend Cellulaze.

What are the alternatives to liposuction?

Liposuction surgery is not the solution for every patient, and if you have any of the following concerns you may want to look at alternative options:

1. You have loose, sagging skin. Liposuction is designed specifically to target fatty tissue, it will not significantly improve the appearance of loose skin. Other body contouring procedures, such as a tummy tuck or body lift, may be better options for you.
2. You want to lose a significant amount of weight. Liposuction can improve your shape, which can help you look thinner and more fit, but it’s not a weight loss method. While some overweight patients can benefit from the reshaping effects, the most satisfied patients tend to be happy with their weight prior to surgery.

Regarding non surgical alternatives to removing stubborn pockets of fat, there is very little that provides the same, permanent effect quickly. Please see our non surgical fat reduction page for more information on this.

What are the different types of liposuction?

As our founder pioneered liposuction in the UK, we are selective in the types of liposuction we offer, and only provide the most effective liposuction techniques, all suitable for both men and women. These include:

- Traditional liposuction: which is where a local anesthetic is used to numb the area of your body where the tube will be inserted. Next, a large amount of an anesthetic solution containing lidocaine and epinephrine is injected into the fatty tissue before the procedure is started.

- MicroLiposuction: This is where traditional liposuction is used to remove small pockets of fat, but under local anaesthetic instead of general. This is a quick and effective method to ensure the patient has very little downtime and is back to normal as soon as possible. Good areas include the chin, under arms and jawline.

- SmartLipoMPX
or Ultrasound-assisted liposuction: This technique uses ultrasound to liquefy the fat, making it easier to remove. This technique may be particularly helpful in removing fat from the neck, upper abdomen, sides, and back.

After carrying out extensive research into other techniques, the clinic has abandoned all Vaser or Laser liposuction techniques as we consider them to offer no advantage and add unnecessary complications.

What are the possible side effects of Juvederm?

After undergoing a Juvederm treatment, some temporary side effects are expected and are normal as part of the healing process.

Common side effects from injectable Juvederm fillers are redness and soreness surrounding the treatment area.

Most side effects of Juvederm are temporary, and should not persist longer than 3-4 days. The length of time in which side effects may last can often vary depending on the patient and the area in which the procedure has taken place. Side effects of Juvederm fillers do tend to fade within a few days of treatment.

Juvederm should not be used by patients with severe allergies to bacterial proteins, or patients with a history of anaphylaxis.

It is advised to book a consultation with one of our licenced practising professionals at Cadogan Cosmetics when considering the use of injectable Juvederm fillers.

How to get filler lips?

There are many reasons why people may feel that they are ready to undergo Juvederm lip fillers; from having a thin or no visible upper lip, wanting to achieve a more voluptuous kiss or to fill out unwanted early wrinkles.

If you are considering undergoing a Juvederm treatment, then please contact Cadogan Cosmetics to book a consultation with one of our practising professionals. During your consultation, our team will be able to answer any questions that you may have to, help put your mind at ease, and talk you through the most suitable dosage for you and your desired look.

Juvederm, injected into the lips, will commonly last between 4 and 8 months, however this can vary depending on the patient and also the particular brand of Juvederm. Once the initial treatment has been completed, no aftercare is required to maintain the results of the treatment, and normal routines can be resumed the same day.

If you wish to maintain the fuller lip for longer than the expected 4-8 months, then top up procedures will be required every 5-7months. Should you choose to do so, the Juvederm dosage can be altered on each occasion to help build a more accurate, desired look.

When receiving Juvederm, the dosage will determine outcome of the procedure; smaller portions of Juvederm will help to create subtle differences to the treatment area, whereas larger doses can contribute to more noticeable differences. Our practitioners will be able to advise you on what dosage is right for you.

The procedure does not take long; the product is loaded into a syringe, and then injected directly into the treatment area. The procedure is relatively pain free due to the use of numbing cream; however, this will vary depending on the patient.

Juvederm is not suitable for woman that are pregnant, or those that are currently breastfeeding.

For more information, book a consultation with Cadogan Cosmetics today.

Can IPL Skin Rejuvenation be used to treat acne?

Yes, IPL treatments can be used to treat the appearance of acne. By undergoing a number of treatments, varying depending on the patient and the severity of the condition, IPL can help to destroy the bacteria that create acne, therefore reducing its appearance on the skin.

To discuss the different options of skin treatments for acne available at Cadogan Cosmetics and identify the best treatment for you, we recommend booking a free consultation with one of our specialists.

What is Juvederm Lip Enhancement?

Juvederm is an extremely popular form of injectable filler, commonly used for lip enhancement; however, it can also be used to treat natural wrinkles and folds in the skin, which are commonly found around our eyes and can appear on our foreheads.

Juvederm is composed mainly from a natural material called hyaluronic acid, which is found in the skin of mammals and is responsible for holding in the skin’s moisture. As our bodies begin to age, the skin gradually begins to lose its hyaluronic acid, which in turn, results in thinner and a more wrinkled skin. This is often noticeable around the mouth lips and eyes.

Juvederm Lip enhancement is a treatment designed specifically to restore the moisture in the lips to provide fuller and more youthful lips. To achieve the appearance of a more youthful and fuller lip, the Juvederm filler is carefully injected, using a tiny needle, into the desired area and the area surrounding.

Juvederm is made primarily of natural substances, and over time, it will gradually be absorbed back into the body. Once a desired look has been achieved, it is common for a patient to require repeat procedures in order to maintain this more youthful and fuller face.

Initial treatments usually last for approximately 10 – 12 months; however, this can often vary depending on each patient. Due to the nature of Juvederm, and that the effects can be reversed over a long period of time, it is extremely popular amongst patients who have no experience of cosmetic surgery.

We highly recommend that patients book a consultation with Cadogan Cosmetics, to discuss with our practising professionals the appropriate dosage suited to your skin when considering Juvederm lip enhancement.

Which areas can be treated by Dermal Fillers?

Dermal Fillers can be applied to different areas to achieve multiple results. They are commonly used to increase the volume and size of lips: this treatment option is often used by women to reverse or delay the unwanted signs of ageing.

Dermal Fillers are also a common treatment for facial lines that may appear as a sign of ageing and stress, in particular forehead wrinkles and wrinkles around the eyes (often referred to as crow’s feet).

Skin conditions that can be treated by Dermal Fillers include:

  • Sunken Cheeks

  • Acne Scars

  • Regular Scars

  • Frown Lines

  • Facial Lines

  • Tear Troughs

Dermal Fillers can be used to rejuvenate, contour and enhance areas such as:

  • Nose

  • Lips

  • Mouth Corners

  • Eyebrows

  • Chin and Cheeks

Different fillers and procedures will be used depending on the treatment area and the desired results.

For more specifics on procedures and different treatment areas we recommend getting in touch to book a free consultation with one of our specialists.

What is Hyaluronic Acid?

Hyaluronic acid – also known as Hyaluronan, Hyaluronate or HA – is a substance that is naturally found in the human body, where it acts as a cushion and lubricant in the joints and other tissues. In particular, it’s present in high concentrations in fluids in the eyes and in the joints.

HA has multiple beneficial functions, such as hydrating the skin, stimulating the production of collagen in skin, acting as an antioxidant and free radical scavenger, maintaining skin elasticity and cushioning joints and nerve tissues. It also has an antibacterial and anti-inflammatory function and maintains the fluid in the eye tissues.

As other protective agents in the body though, Hyaluronic acid decreases with the ageing process.

Hyaluronic acid has several medical applications – for example to treat osteoarthritis. Cosmetically, it is used as a common ingredient in skin-care products and as main active ingredient of injectable treatments for filling soft tissue defects such as facial wrinkles.

Hyaluronic acid fillers are the most common type of dermal fillers. Juvederm and Restylane are common brand names of injectables based on Hyaluronic acid.

What are the best types of Dermal Fillers?

There are several different types of Dermal Fillers and choosing the right type for you will depend on your desired results.

A first general differentiation is between temporary (or resorbable) fillers – the vast majority of fillers used in the UK – and permanent/semi-permanent dermal fillers (or non-resorbable), used less commonly.

Temporary fillers will last approximately 6 to 9 months and are considered to be very safe, as the produce will gradually be absorbed by the body over a period of time, which lowers the possibility of long term side effects significantly.  There are different types of temporary fillers, which can be categorised based on their main component. The most common include:

  • Hyaluronic acid fillers

    Hyaluronic acid fillers are the most popular category of dermal fillers and come in different brand names, such as Juvederm and Restylane, with slight differences and varying results. As their main active ingredient, hyaluronic acid, is a natural substance in the human body, these fillers are highly safe and side effects are very rare.

    Different types of Hyaluronic acid fillers present diverse levels of thickness offering flexible solutions to treat different areas and skin conditions: thinner fillers are typically more suitable for the treatment of wrinkles and fine lines and for lip enhancement; thicker fillers are more suitable to treat deep wrinkles and loss of volume.

  • Calcium Hydroxylapatite fillers

    Calcium Hydroxylapatite is a substance found naturally in human bones and is the main element of brand products such as Radiesse. Dermal fillers based on Calcium Hydroxylapatite have longer lasting effects and are commonly used for facial sculpting, typically to treat deep lines and creases such as nasolabial folds and to enhance the volume of the cheeks and other facial contours. Calcium Hydroxylapatite is normally not applied to the lips.

  • Collagen Simulators based on Polylactic acid

    Collagen Stimulators – such as Sculptra – are used to add volume and improve skin texture and can be used in particular to treat facial fat loss.

This type of treatment produces more subtle, less immediate results, which will gradually improve over several months. This is thanks to the fact that, once injected, Collagen Stimulators encourage the body to form its own collagen over time.

The main element of collagen stimulators such as Sculptra is poly-l-lactic acid (PLLA), a synthetic material which helps to replace lost collagen.

Can IPL Treat Rosacea?

Rosacea can be successfully treated with the use of Intense Pulsed Lights and is a fast and easy way to help reduce the effects.

Rosacea is a skin condition caused by the enlargement of certain facial blood vessels, which results in a flushed appearance of the cheeks and nose.

IPL treats rosacea by focusing on the visible blood vessels of the skin. The heat from the light targets the widened blood vessels and causes them to shrink until their visibility is significantly reduced.

When this procedure is performed, special care is taken to avoid causing damage to the surrounding skin tissue. This procedure may cause slight discomfort, however patients are usually able to undergo the entire procedure without an anaesthetic.

The amount of procedures needed to get the desired results will vary depending on the patient and the severity of the condition.

We recommend booking a free appointment to discuss your requirements with one of our specialists.

What are Dermal Fillers?

Dermal Fillers are cosmetic injectable treatments used to soften facial wrinkles, lines and fill out hollows to recreate the smooth contours of younger skin.

There are different types of Dermal Fillers, composed by a variety of substances, natural or synthetic. Some Dermal Fillers are made of collagen – the main structural protein of connective tissues in animals – others are synthetically produced in laboratory and derived from hyaluronic acid, a water holding molecule acting as a cushioning and hydrating agent in all mammals.

Cosmetically, Dermal Fillers are used mainly to assist the correction of skin conditions that may appear as a result of aging, including wrinkles, creases and folds.

A Dermal Filler procedure consists in injections in the Dermis layer of the skin for the purpose of increasing soft tissues.

Widely regarded as a safe and effective treatment for a variety of skin conditions, Dermal Fillers are most popular among those who seek a swift, non-surgical solution for aged skin that has lost volume.

Dermal Fillers can also be used to treat scars and depressions in the skin, including acne scars or those acquired from surgery.

It is highly recommended that you consult with a qualified practitioner before receiving a Dermal Filler treatment. You can book a free consultation with one of our specialists calling 0808 252 8699.

How long will the effects of dermal fillers last?

The length of time that the effects and benefits of Dermal Fillers last depends on multiple factors, such as the type of filler used,  the area of application, the age of the patient, their lifestyle and the quality of their skin.

The most common types of Dermal Fillers have long-lasting, but temporary effects.

For example, the effects of Hyaluronic Acid Dermal Fillers are expected to last about 6 to 12 months on average. Calcium hydroxylapatite Fillers, such as Radiesse – normally used to treat thicker lines and folds – are expected to have longer lasting effects, typically around one year.

After the initial treatment, follow-up sessions are usually recommended every six to twelve months, depending on the treatment and the patient.

How do Dermal Fillers work?

In general terms, dermal fillers plump-up the injected area, levelling it with other parts of the skin, which will look firmer, younger and refreshed.

Different dermal fillers achieve these results in different ways, depending on their main active ingredients.

The overall principle of dermal fillers is based on the natural composition of the human skin. With age, the upper layer of the human skin, the epidermis, gradually becomes thinner, offering less protection to the lower layer, the dermis. Also, the ageing process considerably reduces the production of collagen, the main component of the dermis, which gives the skin its strength, elasticity and firmness. This results in the appearance of wrinkles, folds and other age-related skin depressions.

Dermal fillers integrate natural collagen, in different ways and varying specificities in relation to different areas of the body.

What is the best/most effective cellulite removal treatment?

For many years, the cosmetics and health industry has attempted to develop the best treatment for cellulite given the sheer prevalence of the condition among men and women of a certain age; for example, it is well publicized that roughly 85 per cent of women over the age of 20 have cellulite in some form or another. Whilst, there are several alternatives for cellulite removal, the best treatment for cellulite involves laser solutions such as Cellulaze and Smart Lipo since results are clinically proven, long term and can be achieved in a single session.

Other alternatives include losing weight, applying topical creams and lotions and professional treatments such as massaging techniques and collagen stimulation. However, each of these compare infavourably to the most effective laser treatments for cellulite, since they are unable to achieve long-lasting and fully visible results. For example, whilst diet and exercise can of course help hugely in terms of fat loss, the associated restoration of skin elasticity required to achieve best results can only be achieved with laser. Creams, too, are only able to achieve this tightening effect temporarily through the action of active ingredient caffeine and are unable to yield long-term results.

To find out more about the full spectrum of cellulite treatments on offer at Cadogan Cosmetics and a recommendation for the most effective cellulite treatment for you, please feel free to enquire by phone or email and speak to one of our specialist advisors.

Are Dermal Fillers painful?

Dermal Filler treatments are generally not painful, although the amount of discomfort may vary depending on the area. Treatments around the lip and nose area are known for being slightly more painful than in other areas.

The severity of the pain felt will often depend on the form of pain control applied to the area of treatment. Anaesthetic cream is often used for treatments involving wrinkles and lines; the cream is applied approximately 20 minutes before the procedure. The purpose of the cream is to help numb the treatment area and help to reduce the pain of the injection.

There is normally no downtime with dermal fillers: most people are able to return to work or to their regular activities immediately after they have received the treatment.

Potential side effects after the treatment may cause slight pain or discomfort; however these side effects should not last for more that 2-3 days. If any side effects persist, it is recommended to consult with a doctor.

For a more detailed overview on dermal fillers, we encourage booking a free consultation with one of our specialists.

What is a Cellulaze treatment?

The Cellulaze procedure is an innovative treatment to combat the effects and symptoms of cellulite by attacking the very structure of the cellulite cells.

Cellulite occurs when underlying tissue bands stiffen and the fat cells they surround enlarge, pushing up against the skin to create the effect recognized as cellulite. The cellulaze procedure pulses a laser wavelength under the skin via a tiny fibroptic cable to target the cellulite at its source in the underlying tissue. The pulse gradually heats the skin to melt away the fat and release the fibrous bands contributing to the cellulite ‘look’, replacing it with a more even look. The laser energy finally stimulates collagen production to increase skin elasticity.

In just one treatment Cellulaze can visually improve the appearance of cellulite, increase skin thickness and elasticity and produce measurable clinical improvements lasting a full year or longer.

Cellulaze is the first and only minimally invasive cellulite treatment to be supported by clinical evidence under trial conditions.

What are the risks of scarring after liposuction?

Tiny incisions are necessary to perform the liposuction procedure and these will leave scars. However, they are generally small and placed in discreet locations. Typical locations include the groin or armpit where they will not be seen. If you are particularly worried about scarring, you are welcome to speak at any time with our specialist scarring nurse who will be on hand to answer any questions before your surgery.

What are the side effects of liposuction?

At Cadogan Cosmetics we have 30 years experience pioneering liposuction treatments and have developed the best protocols for the best results with lowest level of risk. Whilst there are always minimal risks associated with all types of surgery, we take direct steps to mitigate these:

  • We treat all our patients in our own dedicated hospital in which we control and maintain standards to the highest levels.
  • All procedures are carried out as day cases, allowing patients to get home to their own home environment and reducing the risk of infection. Our post-operative infection rates are among the lowest in the country.
  • We only allow surgeons to practice who have demonstrated a track record of being amongst the most skilled in the country. With carefully selected techniques, we avoid uneven results.
  • We avoid techniques such as ultrasound Vaser which can burn the skin and cause collections of fluid (seroma) which have to be drained.
  • We provide comprehensive post-operative care at the hands of our expert team of cosmetic nurses.

How can I get rid of cellulite?

There are several ways to eliminate cellulite and get rid of cellulite symptoms. Non-invasive alternatives include losing weight, applying topical creams and lotions and undergoing professional treatments such as massage and collagen stimulation. These alternatives aim to treat the condition only superficially by working at the skin’s surface going some way to reduce cellulite symptoms, but are unable to fully eliminate cellulite or get rid of cellulite completely.

We recommend minimally invasive laser techniques such as Cellulaze or Smart Lipo if you want to fully remove cellulite:

  • Losing weight: dieting and exercise combats cellulite by reducing the number of fat cells in the body. But fat cells themselves are only half of the equation. If your skin elasticity isn’t restored simultaneously the overall effect can be sagging which make the bumps look worse.

  • Topical solutions: the easiest of all the solutions but the most temporary in terms of results. Caffeine is typically leveraged as an active ingredient to make the bumps look smoother, or else Vitamin A derivatives are used to thicken the outer layer of the skin.

  • Professional Treatments: massage and suction techniques are used to boost circulation and stimulate collagen production. You’ll probably need about six sessions to start seeing your results. You can expect to see a 50% reduction of symptoms at best.

  • Invasive Treatments: Cadogan Cosmetics also offer invasive treatments such as Smart Lipo which require local anaesthesia and involve the removal of the fat cells following rupturing by laser. This solution achieves the most permanent and long-lasting results.

To find out more about the full spectrum of ways to eliminate cellulite at Cadogan Cosmetics, please feel free to enquire by phone or email and speak to one of our specialist advisors.

Does the skin become loose and flabby after liposuction?

All techniques of liposuction tighten the skin.  This tightening will be more significant where the skin is thin, such as in the neck and arms.  Elsewhere, where the skin is heavier, it will generally be sufficient to take up the extra laxity due to the removal of fat.  In areas where the skin is already hanging in folds, such as the hanging bottom or abdominal apron, these folds tend to remain. However, where there are folds of heavy fat over the lower back, liposuction can make a very significant improvement. In extreme cases of fat removal, where the skin is loose, such as the abdominal apron, or where there has been significant weight loss, a combination of liposuction and skin excision may be the better option.

Cellulaze Recovery Time: how long does it take?

The Cellulaze procedure itself lasts from between one to two hours, depending on the size and number of areas being treated. However, Cellulaze recovery time is always quick, since the procedure is minimally invasive and only requires local anaesthesia. This means that you can be back to normal daily activities within just a day or two. Cellulaze recovery may involve wearing a compression garment for a short period after treatment, but your doctor will advise according to his or her preferred recovery process.

How is Ulthera different from lasers?

Whilst lasers usually work on the more superficial layers of skin for issues such as lines and wrinkles or pigmentation, Ulthera works on the skin’s deeper layers to lift and remodel the skin. As the two work on different layers of the skin, it is possible to to combine the two for the best skin tightening laser treatment.

Can Ulthera replace a face lift?

This treatment is often called a ‘non-surgical facelift’ but our consultants refer to Ulthera treatment as more of an uplift than a facelift. However, it is a great alternative for those not quite ready for the surgical option, or perhaps those who have had surgery and wish to maintain the effects.

How long does it take to recover after an Ulthera procedure?

There is no down time required following your Ulthera treatment and you can go straight back to your daily activities, though you may choose to return home if you have taken a sedative for the treatment. There are very few Ulthera side effects but mild to moderate redness and sometimes swelling is completely normal and soon subsides.

How many treatments will I need?

More than one session may be needed depending on your individual case, but you can be rest assured that the fat cells are permanently destroyed in each treatment. Your practitioner will be able to advise how many sessions are needed and the duration between treatments following an initial consultation.

How much does Ultherapy cost?

Prices for Ultherapy will vary due to the area being treated and will be confirmed to following an initial consultation. Ultherapy for one area starts at £750.

What does collagen do? How does Ulthera stimulate the creation of collagen?

Collagen is a natural protein found in the body that gives skin its youthful appearance and plumps it up, keeping it firmed and toned. With ageing, collagen production begins to slow down and it loses its elasticity meaning skin starts to sag downwards. Ulthera at Cadogan Clinic kickstarts a repair by stimulating the body’s natural response to the heating of the tissues by the focused ultrasound energy, promoting collagen-building. The ideal facial skin tightening treatment.

Is Ulthera surgery?

Ulthera is not a surgical procedure despite often being compared to a facelift and does not require general anaesthetic nor any incisions to the skin.

Am I suitable for an Ulthera procedure?

If your skin is showing the effects of time and gravity, and appears less firm- you are a good candidate for Ulthera. It may be that you have sagging skin on the neck or jowl area.

This treatment also gets great skin tightening reviews for those who want to stay ahead in maintaining their youthful looks, or those who have had cosmetic surgery and want to prolong the effects.

How can you give a general anesthetic but still treat patients as a day case?

We use a variant of the general anaesthesia technique called TIVA (Total Intravenous Anaesthesia) that is delivered by our team of top anaesthetists. Intravenous delivery enables our anaesthetist team to monitor anaesthetic depth more closely via specialized computers to maintain an optimal level of anaesthesia. This means you will wake up feeling much better than with traditional alternatives and ready to go home shortly after.

How soon will I see results following an Ulthera treatment?

After around 3-8 weeks you will start to see an improvement in your skin tone and after a further few months any sagging will be lessened and skin elasticity increased. Optimum results for Ulthera can be seen at between 6-8 months following your treatment.

Is Ulthera treatment painful?

This can vary from patient to patient, and there can be discomfort whilst undergoing an Ulthera treatment. This is only temporary and is an indicator that the energy is being delivered and collagen stimulation has started. At Cadogan Clinic our expert consultants are experienced in pain management for this procedure and can offer advice for oral medications to make it more comfortable for you. After the procedure you will not feel any pain, and the results will be well worth it!

What kind of technology does Ulthera use?

Ulthera uses focused ultrasound energy below the skin’s surface to stimulate the body’s creation of new collagen.  This causes skin to lift and become more toned and tight after a few weeks, making it the best skin tightening procedure.

Is Ulthera one of the best skin tightening treatments?

Ulthera is one of the best skin tightening treatments on the market as it is FDA approved and unlike other lasers it uses ultrasound energy that allows it to bypass the surface of the skin and treat depths not matched by any other non-invasive machine. Ulthera stimulates collagen production in the skin’s which results in a significant lift of tissue. Other lasers use light energy which does not reach deeper skin layers so can only treat superficial skin.

What happens during an Ulthera procedure?

Following your initial consultation, when you come in for your face tightening treatment your practitioner will cleanse the area, apply ultrasound gel and use the Ulthera ultrasound imaging device to determine the correct area to deliver the energy. During the treatment, small amounts of energy deposited deep in the skin’s layers may be felt as the collagen-building process is initiated. A face and neck treatment may take between 60-90 minutes, and the décolleté or chest area will take only around 30 minutes.

What risks are involved with Ulthera?

The Ulthera procedure has been approved by the FDA and used safely in over 250, 000 treatments across the world. For over 50 years ultrasound energy has been used safely in the medical field. Although side effects of Ulthera may include redness, minor swelling and tenderness- this is normal and will subside within a few hours.

What I can I expect following an Ulthera treatment? Is there any downtime?

Following an Ulthera treatment at Cadogan Cosmetics the skin might become flushed but this redness will subside within a couple of hours. Other side effects may include slight swelling, tingling or tenderness when the skin is touched but again this is temporary and normal. Less common effects after an Ultherapy treatment may include minor bruising or temporary numbness on small areas of skin. You will be able to resume normal activities within 24 hours and also due to strong pain relief which may be recommended for the treatment, it is best to book it when you do not have an event or meeting the next day.

What is a non-surgical face lift?

A non-surgical facelift refers to a treatment such as Ultherapy which lifts, tightens and tones the skin for a youthful-looking appearance without involving any surgery, incisions or general anaesthetic. Similarly to a tradition facelift, this treatment will lift and sharpen the jowl area and jaw line, lift the brow and hide excess skin on the upper eyelids.

How does Accent Radiofrequency work?

The Accent uses radio frequency energy (RF) that causes the water molecules in your tissues to twist and vibrate. This motion causes friction, which in turn creates heat at very specific areas deep in your skin and the superficial layers of fat generating a focused wound healing response that can take 4-6 months to complete. This realigns and regenerates the collagen in your skin to improve aging and sagging, resulting in fresher, younger feeling looking skin.

What is Accent Radiofrequency used to treat?

The Accent device can tighten, smooth and re-contour your skin from the inside out, leading to improved skin firmness and texture. In addition Accent can also help reduce and re-contour fatty areas in various parts of the body. It can work on virtually any part of the body and as such, Accent™ treatments can include: Cellulite treatment; Fat reduction on the arms, abdomen, buttocks and legs; and Skin tightening on the face, arms, abdomen, buttocks and legs.

Will I lose weight with Accent Treatment?

It is important to note that although Accent can lead to superficial and volumetric changes in your tissues and therefore a reduction of size in a given area, Accent is not a weight-loss program and it will not significantly alter your weight.

Am I a good candidate for Accent Radiofrequency?

Anyone who has signs of aging or sagging skin is a candidate for Accent. The best candidates are in good health, have good health habits and typically take good care of their skin. Furthermore for patients who would like slight to modest body re-contouring using non-surgical means Accent can be considered.

How much does Accent Radiofrequency cost?

Accent starts from £450 per session. Your treatment course and number of treatments will be discussed with your practitioner and an accurate quote given depending on your individual circumstance.

What does the ultrasound therapy do?

Ultherapy in London is one of the best skin tightening treatments for the face and neck as it uses focused ultrasound energy below the skin’s surface to stimulate the body’s creation of new collagen. This ultrasound skin tightening causes the skin to lift and become more toned and tight after a few weeks.

What is a Vaginal Rejuvenation?

Vaginal Rejuvenation is a combination of surgical procedures which aim to tighten both the internal vaginal muscles and the perineum to help improve overall tone, strength and control enhancing your sensitivity and sexual experience.In conjunction with this, it deals with the aesthetics of the external labia to neaten upand improve its appearance as this area is commonly stretched during a natural childbirth birth.

What is the difference between Vaginal Rejuvenation and Vaginoplasty?

Whilst a vaginoplasty will tighten the internal cavity of the vagina, a vaginal rejuvenation procedure will improve various factors both internally and externally through a well considered treatment plan often to achieve a pre pregnancy state for each woman.

Am I a suitable candidate for Vaginal Rejuvenation surgery?

It is incredibly common for a woman to have concerns about the look of this area as well as its function as often a womans  vaginal muscles lose tone as part of the ageing process, or after childbirth and this can cause much embarrassment, discomfort,  loss of sensitivity or friction during sexual intercourse  and can affect sexual satisfaction and often cause frustration for both yourself and your partner.

What happens during the Vaginal Rejuvenation procedure at the Cadogan Clinic?

Once put to sleep usually under a general anaesthetic, your surgeon will begin your surgery.  A vaginal rejuvenation operation typically takes about 2 hours (depending on the procedures to be incorporated.)  It is treated on a day case basis, meaning that you are discharged to go home a few hours after your surgery.

The procedure  is designed to tighten the vagina and is done by joining together the stretched muscle at the back of the vagina and therefore shortening it, using dissolvable stitches, and then removing excess vaginal lining and tightening the surrounding soft tissues.  The resulting decrease in the size of the vaginal cavity creates more friction during sexual intercourse, often described as giving a woman back the vagina she had before children.  When the muscles and ligaments in the vagina are tightened, they can then support the other internal structures including the bladder, bowel and womb (uterus).The perineum is often repaired as part of the treatment and the external labia can be reduced in size to improve overall comfort & appearance.

How should I prepare for the Vaginal Rejuvenation surgery?

During your consultation your surgeon will advise you to stop smoking, drinking and/or taking aspirin or certain other medications prior to your surgery as this can affect or slow down the healing process.  Your surgeon will discuss this with you at length and guide you as to when would be suggested to resume  taking these.

What risks are associated with Vaginal Rejuvenation surgery?

Any risks associated with a vaginal rejuvenationprocedure are similar to that of any other surgical procedure that involves a general anaesthetic.  Apart from possible bleeding and infection which is not common, there are no specific risks to be concerned about but your surgeon will explain the vaginal rejuvenationprocedure to you in detail at your consultation.

How long does it take to recover after Vaginal Rejuvenation and when will I see results?

Generally there will be swelling, soreness and some bruising after surgery which should subside in a week or two.  After a couple of days you should be able to walk around comfortably.  Your final result may be a couple of months following surgery, but you are usually able to resume sexual activity within 4-6 weeks.

Is Vaginal Rejuvenation painful? What downtime can I expect?

Patients will undergo this procedure under general anaesthetic so you will feel no pain during surgery.  After your procedure is complete, any pain or discomfort you may experience will be controlled effectively with medication provided by your surgeon and will usually subside within a few days.

You may experience some mild discomfort, swelling and some bruising, but this will usually disappear completely after 1-2 weeks.   Most stitches will be dissolvable so you wont experience any discomfort – any to be removed will be done so at your 1 week post operative wound care appointment with a specialist nurse.  Many of our patients return to work after one week but you will be advised that you may require two weeks.  You must refrain from exercise and sexual intercourse until fully healed (around 6 weeks).

How much does vaginal rejuvenation cost?

Vaginal rejuvenation can combine various treatments including vaginal tightening and perineum repair (starting from £6000) and can include a labiaplasty (starting from £4000) , however often treatments can be bespoke and combined to suit your particular case. This can only be determined during a consultation with your surgeon, and following that an accurate price can be quoted

What is a Vaginoplasty?

Vaginoplasty is a surgical procedure which tightens the vaginal muscles, perineum and surrounding tissue  providing more tone, strength and control to your vaginal muscles, enhancing your sensitivity and sexual experience.  Typically during childbirth the muscles of the vagina loosen and stretch during natural delivery but the issue arises when these muscles stay weak and loose afterwards which can cause stress incontinence and sexual dysfunction.  Vaginoplasty can be performed on its own but also as part of a total vaginal rejuvenation treatment plan.

 

Am I a suitable candidate for Vaginoplasty surgery?

It is incredibly common for a woman to have concerns about this area as often women may find that their vaginal muscles lose tone as part of the ageing process, or after childbirth for example - this can cause much embarrassment, discomfort, the loss of sensitivity or friction experienced during sexual intercourse can also affect sexual satisfaction and cause frustration for both yourself and your partner.

 

What happens during the Vaginoplasty procedure at the Cadogan Clinic?

Once put to sleep usually under a general anaesthetic (In some cases a local anaesthetic and sedation can be used if appropriate) your surgeon will begin your surgery.  A vaginoplasty operation typically takes about 1 - 2 hours, and is treated as a day case, meaning that you are discharged to go home a few hours after your surgery is completed.

The surgery is designed to tighten the vagina and is done by joining together the stretched muscle at the back of the vagina and therefore shortening it, using dissolvable stitches, and then removing excess vaginal lining and tightening the surrounding soft tissues.  The resulting decrease in the size of the vaginal cavity creates more friction during sexual intercourse, often described as giving a woman back the vagina she had before children.  When the muscles and ligaments in the vagina are tightened, they can then support the other internal structures including the bladder, bowel and womb (uterus).

How should I prepare for the Vaginoplasty surgery?

During your consultation your surgeon will advise you to stop smoking, drinking and/or taking aspirin or certain other medications prior to your surgery as this can affect or slow down the healing process.  Your surgeon will discuss this with you at length and guide you  as to when would be suggested to resume  taking these.

What risks are associated with Vaginoplasty surgery?

Any risks associated with a Vagnoplasty procedure are similar to that of any other surgical procedure that involves a general or local anaesthetic depending on which is decided the most suitable.  Apart from possible bleeding and infection which is not common, there are no specific risks to be concerned about but your surgeon will explain the vaginoplasty procedure to you in detail at your consultation.

How long does it take to recover after a Vaginoplasty and when will I see results?

Generally there will be swelling, soreness and some bruising after surgery which should subside in a week or two.  After a couple of days you should be able to walk around comfortably.  Your  final result may be a couple of months following surgery, but you are usually able to resume sexual activity within 4-6 weeks.

Is Vaginoplasty painful? What downtime can I expect?

Most of our patients opt to undergo this procedure under general anaesthetic so you will feel no pain.  After your surgery, any pain or discomfort you may experience will be controlled effectively with medication provided by your surgeon and will usually subside within a few days.

You may experience some mild discomfort and swelling but this will usually disappear completely in one or two weeks.  Any stitches will dissolve so there is no need for their removal although you will attend a 1 week post operative wound care appointment with a specialist nurse.  Many of our patients return to work after one week but you will be advised that you may require two weeks.  You must refrain from exercise and sexual intercourse until fully healed (around 6 weeks).

How much does a vaginoplasty cost?

Vaginoplasty starts from £6000, however this will depend on your particular case. This can only be determined during a consultation with your surgeon, and following that an accurate price can be quoted

What is the cost of fat transfer?

Fat transfer at Cadogan Clinic starts from £4800 for face, and £6750 for body. However, this is a highly-specialised treatment and incorporates two types of techniques– the liposuction and the re-distribution of your fat so pricing can increase depending on the number of areas to be treated.  An accurate price can only be quoted following a consultation with your surgeon.

What is a labiaplasty?

Labiaplasty or labioplasty is quite simply a procedure aimed at reshaping or reducing the size of the labia minora (small inner lips of the vulva), or less commonly, the labia majora (the large outer lips of the vulva). It is not the same as a vaginoplasty, which is an operation to tighten the vagina.

Am I suitable for a labiaplasty?

Women may be concerned about the shape, size, or symmetry of their labia. Suitability for labiaplasty is decided through a detailed consultation with a surgeon who is experienced in performing labial surgery.

What happens during a labiaplasty procedure?

A labiaplasty can be carried out using either a general anaesthetic or a local anaesthetic. If a local anaesthetic is opted for, it can be performed with or without sedation. The procedure involves reshaping or reducing the labia using one of several different techniques. These include trimming of the edges or removal of a section of each labium, for instance in the shape of a wedge. The specific technique will have been discussed with you in detail at the time of your consultation. The wounds are the stitched up with fine dissolvable stitches. The whole procedure takes about one to two hours and a patient is able to go home the same day, regardless of the type of anaesthetic used.

How long will I need to recover from a labiaplasty?

Labiaplasty is not a particularly painful procedure, and patients are encouraged to be up and about straight away. Most of the swelling usually settles in the first few days or early weeks. Some residual swelling may persist for months, but does not normally interfere with day to day activities. Most patients will have returned to all normal activities between 4 and 6 weeks following their operation. Your surgeon will discuss the aftercare plan with you in greater detail.

How much time off will I need after a labiaplasty?

Following labial surgery, patients are advised to take a few days off work with the option of a full week if required, with a view of returning to normal day-to-day activities after about one week. Swelling is greatest during the first few days and the treated areas can be quite uncomfortable with excessive movement.  Although it is advisable for patients to mobilise as soon as is comfortable following surgery, they should be sensitive to their body and not to do too much too soon.

Is a labiaplasty procedure painful?

Most patients opt for general anaesthetic when undergoing a labiaplasty, so they won’t feel any pain. Any discomfort or pain experienced after the surgery will be controlled with medication provided by the doctor and this will usually subside within a few days. Discomfort is usually the result of swelling which tends to subside after the first days of recovery.

Are there risks are associated with labiaplasty surgery?

The surgeon will explain the labiaplasty procedure to each patient in detail at the consultation. The risks are the same as with any other surgical procedure that involves a general anaesthetic, if this is what the patient chooses to have.  Apart from possible bleeding and infection which is uncommon, there are no specific risks to be concerned about.

Am l able to go home the same day as labiaplasty surgery?

A variant of the general anaesthesia technique called TIVA (Total Intravenous Anaesthesia) is delivered by our team of top anaesthetists. Intravenous delivery enables our anaesthetist team to monitor anaesthetic depth more closely via specialised computers to maintain an optimal level of anaesthesia. This means patients will wake up feeling much better than with traditional alternatives and will be ready to go home shortly after.

How should I prepare for a labiaplasty surgery?

During the initial consultation, the surgeon will advise patients to stop smoking and will review any medication they may be taking. The surgeon will also provide patients with all information needed to ensure they are fully prepared for the procedure.

Are there any risks associated with hymen repair?

Hymenoplasty is a relatively safe procedure that tends to carry few risks and side effects. However any operation carries a small risk of infection and prolonged bleeding, as well as those associated with anaesthetic.

Any complication from the hymen repair surgery itself is very rare. Occasionally there is a resulting problem of hymen tightness or hymen over-correction. This is where the opening becomes narrowed, meaning that the next act of intercourse will be difficult. However this rarely causes problems in the long-term

How soon after the operation can I have sexual intercourse?

We’d recommend at least 30 days between the operation and having sexual intercourse for the first time again.

How long does a hymen repair take?

The procedure takes approximately 30-45 minutes.

What does fat transfer to Buttocks involve and how long does it take?

Fat transfer is an advanced surgical treatment which involves harvesting and filtering unwanted fat cells through liposuction techniques, then reinjecting them to reshape and enhance the natural contours of body, for example, for those individuals who feel that their buttocks lack volume or that their buttocks is out of proportion with the rest of their body.  This is most usually performed under either a local or general anaesthetic depending on the patient and surgeons’ preferences and suitability and can take 3 hours. 

Who is a suitable Candidate for Buttock Augmentation by Fat Transfer?

Enhancing the volume of your buttocks via fat transfer and is suitable for patients who haveenough fat in other parts of their body to transfer.  Your suitability for this procedure will be assessed during your initial consultation and examination.  The final result of your fat transfer to butocks procedure will depend on your current shape and size and the amount of fat that can be extracted to be re-distributed from elsewhere on your body.

How soon will I see the results of my procedure?

After fat transfer to your buttocks you will notice your results immediately - more evidently within the first few weeks after your treatment when any swelling and bruising have subsided.  The results will continue to improve over the next few months’ as your fat re-distributes itself and settles.

Are there any side effects? Is the procedure safe?

This treatment is particularly appealing due to the low risk it presents – a patients’ own tissue is used to reshape and re-contour their body, thus, the risk of infection is greatly reduced. Possible complications include the risks associated with the prescribed medication administered following a surgical procedure which your surgeon will outline thoroughly for you during your consultation.

What aftercare will I need following my procedure?

Following your fat transfer to buttocks procedure you will have a waterproof dressing over your buttocks which will need to stay in place for around 10 days’ post-surgery and you may be given antibiotics to avoid infection.  Your consultant may recommend that you avoid sitting on your buttocks for long periods of time following the first two weeks following your procedure.  This allows the transferred fat time to settle in its new location.  After this time, you can resume normal activities and normal sitting patterns without affecting your result.  Where the liposuction has been performed, you will most likely be required to wear a compression garment for around three weeks and avoid exercise for up to two weeks following your surgery.

What is the cost of fat transfer to buttocks?

Fat transfer to buttocks starts from £6750, however this will depend on your particular case. This can only be determined during a consultation with your surgeon, and following that an accurate price can be quoted.

Am I a suitable candidate for this procedure?

Breast augmentation via fat transfer is a highly effective procedure to subtly boost the volume of the breasts and suitable patients will have enough fat from other parts of the body to transfer and, are not considering having children within the next year and do not require a breast uplift also.  For those who want a more significant increase in their bust size, we recommend a surgical breast augmentation with implants.  Your suitability for this procedure will be assessed during your initial consultation and examination.  The final result of your fat transfer to breast procedure will depend on your current breast size and the amount of fat that can be extracted to be re-distributed.

How soon will I see the results and how long will they last?

After fat transfer to your breasts you will notice results immediately - more evidently within the first few weeks after your treatment when any swelling and bruising have subsided.  The results will continue to improve over the next few months’ as your fat re-distributes itself and settles.  

What is the cost of fat transfer to breasts?

Fat transfer to breasts starts from £6750, however this will depend on your particular case. This can only be determined during a consultation with your surgeon, and following that an accurate price can be quoted.

How does the Hyperhidrosis Treatment work?

At the Cadogan Clinic our preferred method of treating hyperhidrosis or excessive sweating is either via two methods, either:

+ iontophoresis, a safe medical procedure that send mild electrical currents through water and into the skin. The procedure blocks sweat from coming out of the sweat glands, temporarily stopping sweating. Treatments must be done indefinitely to maintain desired results.

+ the administration of Botox® to the overactive sweat glands. The protein acts by blocking excess nerve signals to the sweat glands, thus reducing the amount of sweat the body releases.

How will I feel during the Hyperhidrosis Treatment?

+ with iontophoresis, you’ll place the affected body part in a basin of water. Your consultant will then turn on the machine and increase the current until you feel a slight tingling sensation on your skin. This shouldn’t cause any pain.

+ with Botox® Apart from the small pinprick when the injections are given, this is a comfortable and painless procedure. Local anaesthetic can be used if you have particularly sensitive skin.

Is Hyperhidrosis Treatment right for me?

If your aim is to reduce the embarrassment and inconvenience caused by overactive sweat glands, but don’t want the invasive surgical operation such as ETS, then either iontophoresis or Botox® can be a safe and convenient option hyperhidrosis treatment option.

How many hyperhidrosis treatments will I need?

+ with iontophoresis, the protocol is for 7 treatments over 4 weeks and these must be done regularly and before sweating increases to maintain results. A typical treatment programme will usually follow a format such as: 

  • Week 1: 3 treatments (10mins for hands , 15 mins for feet)

  • Week 2: 2 treatments

  • Week 3: 1 treatment

  • Week 4: 1 treatment

+ with Botox® you will notice a significant reduction in sweating, which can last for a period of 3 –6 months, after which many patients return for further treatment.

How much does Hyperhidrosis treatment cost?

Iontopherisis starts at £500 for the 4 week treatment course, however if more sessions are required this cost will be discussed with you.

Botox treatment will depend on the number of units and areas treated, and this will be discussed with you during consultation.

How much does an arm lift cost?

Prices for an arm lift start from £4500, however every individual is different and an accurate price will be determined, depending on your individual needs, upon consultation with your surgeon.