Fat grafting becomes a popular anti-ageing option

New York: A growing number of people are opting for a new technique known as “fat grafting” to erase signs of ageing in the face without major surgery.

The American Society of Aesthetic Plastic Surgery says more than 90,000 fat grafts were performed in 2005 and it is becoming one of the most popular procedures since it uses a person’s own fat so there is no risk of rejection. And now techniques are getting more refined.

Recently a new procedure in which the surgeon combines the fat injection with platelet-rich plasma (PRP) help the treatment’s efficacy.

Doctors say there’s not usually much bruising or swelling. And for most patients, fat grafts last for years. Although some people could need a second procedure to get the final result they want.

New lips in minutes

Lip implants, made from the same materials as breasts, is a new treatment being offered by cosmetic surgeons.

The treatment takes oly ten minutes and is a permanent solution rather than series of injections of collagen and hyraulonic acid and takes only 15 minutes to perform.

In the past permanent implants caused problems, including allergies, swelling and lumps.

The new implant, called PermaLip, costs between £2,000 $4,000) and £2,500 ($3,000) is being offered to patients who want to boost their natural lips

Surgeons grow breasts from stem cells

A “natural” form of breast enhancement that uses stem cells and fat from a woman’s own body may soon be offered by cosmetic surgery clinics.

Women in Japan have already had breast enlargements using the technique in trials. The breasts which are smoother and more natural are made from a person’s own stem cells extracted from their fatty tissue – usually from the thighs. The stem cells grow to become part of the breast.

The process has already been given approval in Germany which means, according to European law, it is legal in the whole of Europe including the UK. As well as cosmetic surgery the procedure has the potential to be used for victims of breast cancer and other disfigurements.

Stem cells are already being used to repair hearts and other organs in experimental procedures. It also has the potential for degenerative diseases such as Parkinson’s Alzheimer’s, muscle wasting and motor neurone disease.

The new breast augmentation uses an extraction method developed by Californian company, Cytori, which is able to extract and concentrate cells in hours making it more available to more people. The process concentrates the number of stem cells.

This particular procedure has been pioneered by Tokyo surgeon, Kotaro Yoshimura, a surgeon at Tokyo University medical school.

It gets over current disadvantages of silicon and water implants which can leak. Another method which uses fat alone does not last as the cells die.

Men worry as much as women about body shape

London: Younger men in the UK are joining women in their dissastifaction over their body shop, says a new survey.

Just under half of blokes are embarrassed about the way they look, and six in 10 don’t believe they hold any sex appeal for women.

The biggest concern for men is the increasing size of their love handles, quickly followed by paranoia about having ‘man boobs’.

A quarter of men think they should be fitter, whilst 24 per cent of men in their thirties are already concerned about baldness and receding hair lines.

The poll of 3,500 men in their twenties and thirties, conducted by < ahref="http://www.holdbacktime.com">www.holdbacktime.com, revealed premature aging as another major worry.

One in five men are very concerned about looking old before their time – and the same percentage have already considered plastic surgery in a bid to maintain youthful good looks.

Having a bad diet concerns most men, although a quarter are happy to leave decisions about what they eat to their partner.

Getting a double chin, wrinkles or a sagging bottom are all common worries amongst young men in the UK.

And one in 10 think that losing their dress sense as they get older will further reduce their sex appeal – a fifth of men already rely on “the wife” to buy most of the clothes in their wardrobe.

Tina Richards, anti-aging expert for < ahref="http://www.holdbacktime.com"www.holdbacktime.com said: “The male respondents in our poll seem very concerned about aging before their time.

“Brad Pitt was recently quoted as worrying he would lose Angelina Jolie because he feels he is already losing his looks at 43 – it seems that many of our respondents are already feeling the same way.”

The poll revealed that a third of men are so shy about their wobbly bits, they won’t even get naked in front of their partners.

Men are most likely to hate their stomachs, followed by their legs, feet and face.

A staggering six in 10 men think it is perfectly acceptable for women or men to have plastic surgery if it makes them happier.

And astonishingly, despite being dissatisfied with their own bodies, a whopping 25 per cent of men say it is a woman’s responsibility to go under the knife if she loses her looks with age.

TOP 10 WORRIES FOR MEN:

Beer belly / love handles
Man boobs
Fitness
Baldness / receding hair line
Premature aging
A bad diet
Double chin
Wrinkles
Losing dress sense
A sagging bottom

More women agree to cosmetic surgery, says new report

London: One in three women would be willing to have cosmetic surgery, a new report reveals.

The proportion of women who consider this kind of surgery has doubled in the past two years, according to research carried out by Key Note, the market analysts.

It predicted that the UK market for cosmetic surgery will grow to £1.8bn a year by 2011, which is 12 times more than in 1998 when the business was worth £144.1m.
continued…

It estimates that the value of cosmetic surgery to the British economy will grow by 131% over the next four years.

The analysis reveals that cosmetic surgery has become an increasingly acceptable lifestyle decision to a growing range of people in the UK despite concerns about the risks.

Advances in technology, increasing competition and the introduction of fixed-price and loan schemes have made it an accessible option, not just for celebrities but for people on average incomes.

Nip/Tuck, the hit television series which features two plastic surgeon partners, has also helped to heighten awareness.

Plastic surgery is only available on the NHS for those with a clear functional or psychological need, but even this can be subject to budget restrictions and funding cuts.

Nevertheless, around a third of adult women said they were “favourably disposed” to the idea of having work done to improve what nature gave them, according to Key Note.

The most popular operation was a breast lift: 12% of women would opt for that first, followed by 8% who would be happy to have breast implants.

The report said: “It was found that younger consumers were more open and positive about cosmetic surgery than the older groups.

“Easier access to borrowing has meant that consumers from (all) social grades can see cosmetic surgery as a realisable investment.”

Although the number of people happy to consider cosmetic surgery is growing, there is still a hard core against the whole idea, while the survey also showed that just 11% of men would go under the knife.

Cosmetic surgery lottery condemned by doctors

London: The UK body, the British Association of Aesthetic Plastic Surgeons today condemned a new ‘monthly cosmetic super draw’ in which contestants can win aesthetic surgery procedures which will take place in Prague.

Briton John Babbage, of the company, Europa International, said it was arrogant to assume that doctors in other countries were less competent than those in the UK. He also said there was no difference between somebody winning a competition for surgery and paying for it.

People are encouraged to enter the company’s draw through a section on their website entitled “win your surgery for just £1.50”. The monthly draw gives people in the UK the chance of winning £6,000 towards cosmetic surgery.

They are encouraged to call a number or send a text, costing £1.50 a time, with the words “Change your life for only £1.50.”

The website also has a header saying Europa International has been “Cosmetic surgery abroad specialists since 1996.”

Douglas McGeorge, consultant plastic surgeon and President of the BAAPS said:

“I am appalled at this new scheme but unfortunately not surprised. Companies are plumbing new depths to take advantage of a growing interest in plastic surgery by launching unscrupulous marketing gimmicks which violate not only an established code of ethics where financial and date-linked incentives are prohibited, but also common sense.”

The Association has also expressed deep concern at the hype-filled process involved in winning such a prize: the public is meant to phone in or text for the opportunity to win, with no medical history taken or suitability evaluated. Once the winner is announced, the prospective patient meets with ‘directors’ (not the surgeon) with only ‘photos sent to the experts in Prague’ before being flown there for the operation.

Douglas McGeorge says: “I find it atrocious that patients are filtered through sales advisors and marketers who obviously have a vested interest . I would question whether the public are really giving informed consent if they haven’t even met the practitioner in person.”

Adam Searle, former President of the BAAPS adds:

“The offer of a cosmetic surgery procedure as a prize is an awful manifestation of the trivialisation of medical care in general, and aesthetic surgery in particular. Any patient making irreversible decisions in circumstances of hype, excitement and emotion, are putting themselves at very great risk. Any normal patient – doctor relationship is completely abandoned in any such framework of medical care. This is a practice I unreservedly and utterly condemn.”

The BAAPS www.baaps.org.uk based at the Royal College of Surgeons, is a not-for-profit organisation, established for the advancement of education and practice of Aesthetic Plastic Surgery for public benefit. Members undergo thorough background screening before they can join. Information about specific procedures and surgeons’ contact details can be found on the web site, or by contacting their advice line at 020 7405 2234. Further materials can be posted to members of the public seeking specialised information.

Top surgery trends from UK’s leading cosmetic surgeon

London: The increasing trend for cosmetic procedures worldwide will continue in 2007 with approximately a 25-30% increase in surgical procedures over 2006 and a 30-40% increase in non-surgical procedures such as Botox and dermal filler injections, predicts Rajiv Grover, Consultant Plastic SurgeonKing Edward VII Hospital & 144 Harley Street, London. www.rajivgrover.co.uk

Facial rejuvenation
The largest area of growth is likely to be in anti-ageing procedures such as facelifting, necklifting, blepharoplasty (eyelid reduction) and browlifts. This is fuelled by the large numbers of “baby boomers” born after the Second World War who are reaching 50 and 60 like the iconic Bill Clinton and Mick Jagger. This is a generation who gave us the summer of love in 1967 and whose joie de vivre has kept them young at heart but who now want to look as good as they feel. Improvements in the safety and recovery time following cosmetic surgery such as the use of minimally invasive key hole techniques and shorter scars have fuelled the increased demand in facial rejuvenation. Attention will focus on Brow lifting as a “hot” cosmetic procedure for women in 2007, performed either surgically (with key hole surgery) or non-surgically with Botox.

Non-Surgical Facial Rejuvenation

Non surgical anti ageing treatments have seen the biggest growth of all in recent years. Botox remains the most popular cosmetic procedure in the world with dermal fillers such as Restylane and Hydrafill coming second. Research published in 2006 (Grover et al American Journal of Aesthetic Surgery) revealed that volume loss from the face was the first sign of ageing with gravity taking effect a few years later. Non-surgical volume replacement (such as Restylane sub-Q) for facial rejuvenation will therefore become an important trend in 2007. Changes in legislation will come into force during 2007 licensing practitioners and clinics for injectable treatments providing the public with added security.

Men and Mother in Laws!

Although cosmetic surgery has largely been a female preserve (90% plus over the last 5 years), the men are catching up. 2007 will see a continued trend for male plastic surgery with rhinoplasty, liposuction and anti ageing procedures topping the list. 2006 saw a number of reality tv shows following pre wedding cosmetic surgery for bride and groom. However, real life reality suggests that cosmetic surgery for the mother of the bride is the area of biggest growth in pre wedding surgery.

Breast Augmentation

Breast augmentation remains one of the most popular procedures in the UK and the wider use of cohesive silicone gel implants, which reduce the risk of leakage, will provide added safety for women undergoing this procedure in 2007 as will their impending approval in the USA. The trend for the larger sized augmentations is falling with implant manufacturers reporting a drop in sales of the larger Jordanesque prostheses. Women are definitely opting for more natural looking breast enhancement emphasizing the philosophy that less is more.

The Body

Body contouring (liposuction, abdominoplasty and body lifts) is another area of growth in cosmetic surgery. Women recovering form the effects of childbirth seek help to reshape their abdomen and breasts with uplifts, tummy tucks and liposuction for stubborn areas of fat. As many women are now having children in their thirties rather than their twenties we recognize that recovery from the metabolic drive to gain weight is more difficult. This, along with rumours of younger celebrities having surgery to recover from childbirth have fuelled this trend, although it is never sensible to consider surgery for at least 6-9 months after childbirth.

The second trend in body contouring (body lifts, arm and thigh lifts) reflects the prediction that obesity will affect 1 in 6 of the population by 2012. Operations such as gastric banding (performed by Gastrointestinal Surgeons and not Plastic Surgeons) which help recipients to lose weight are responsible for creating loose skin around the waist, thighs and upper arms. Procedures to remove this skin excess and contour the body will not only increase in 2007 but continue over the next few years.

Dog gets facelift!

London: A dog has been given a £1,000 facelift. Shankly the shar-pei – similar to a bulldog – had the wrinkles over his eyes removed when it became difficult for him to see.

Shankly was brought into Battersea Dogs and Cats Home in London after being picked up wandering the streets.

In an hour-long operation, head vet Shaun Opperman removed a large swathe of skin from across his forehead and between his eyes.

Mr Opperman said: “It is only the second time in my two-year career that I have carried out this operation. “Although Shankly’s wrinkles are very typical of the breed, the trouble was that he was completely blinded by the folds of skin that covered his eyes, so the way of giving him his sight back was to carry out a face-lift.”

Shankly, who is named after former Liverpool football manager Bill Shankly, now lives with a family in London. ananova

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Shankly was brought into Battersea Dogs and Cats Home after being picked up wandering the streets, reports the Daily Mail.

In an hour-long operation, head vet Shaun Opperman removed a large swathe of skin from across his forehead and between his eyes.

Mr Opperman said: “It is only the second time in my two-year career that I have carried out this operation. “Although Shankly’s wrinkles are very typical of the breed, the trouble was that he was completely blinded by the folds of skin that covered his eyes, so the way of giving him his sight back was to carry out a face-lift.”

Shankly, who is named after former Liverpool football manager Bill Shankly, now lives with a family in London. ananova

60 is the new 40, according to new survey on ageing

London: Cosmetic surgery is altering not just how people look but how they feel by changing perceptions of middle age, says a new study by global research group AC Nielsen.

It surveyed people in 42 countries and found 60% of Americans, the world’s biggest consumers of cosmetic surgery and anti-ageing skincare, believe their sixties are the new middle age.

On a global scale, three out of five consumers believed forties was the new thirties.

“Our forties are being celebrated as the decade where we can be comfortable and confident in both personal and financial terms. The majority of global consumers really believe life starts at forty,” AC Nielsen Europe President and CEO Frank Martell said.But that doesn’t mean they want to look their age.

Healthier eating, longer lifespans and higher disposable incomes have helped to hold back the years. However, for many people the biggest boost is coming from the surgeon’s scalpel, the survey found.

Confirming Russians’ status among the world’s biggest consumers of luxury goods, 48% of them, the highest percentage globally, said they would consider cosmetic surgery to maintain their looks. One in three Irish consumers, 28% of Italians and Portuguese, and one in four US, French and British consumers felt the same.

“Cosmetic surgery has become more acceptable and financially it’s become affordable. Our mothers might have gone to Tupperware parties but this generation is more likely to be invited to Botox parties,” Martell said.

With wrinkle-buster botox now considered mainstream, Martell’s tip for the next beauty trend was fat-removing liposuction in your lunch break.

“Lunchtime ‘lipo’ is likely to become the next cosmetic “special” on the menu,” he said.

AC Nielsen’s findings underline how a quest for youth has created one of the world’s fastest growing businesses.

Cosmetic surgery surged 35% in Britain in 2005 compared with a year earlier, data showed from the British Association of Aesthetic Plastic Surgeons.

Top sellers in the United Kingdom are botox at £400, eye surgery at £5 000 and combined face and eyelift at £8 000.

“We’re seeing more and more facial procedures, particularly people having their eyes done, we are getting people of all ages, even people in their eighties are getting surgery to refresh them,” said Douglas McGeorge, president of the British Association of Aesthetic Plastic Surgeons.

Those who blanch at the idea of going under the knife are fuelling another boom with sales of anti-ageing skincare the fastest growing in the skincare business, AC Nielsen said.

And to tap that multibillion-dollar seam, companies are scrambling to discover ever more unusual products.

French beauty group Clarins will launch in January what it says is the world’s first spray to protect skin from the electromagnetic radiation created by cellphones and electronic devices like laptops.

It says the spray contains molecules derived from microorganisms living near undersea volcanoes and from plants which survive in extreme conditions such as alongside motorways and in Siberia

UK patients get into debt to fund cosmetic surgery ops

London: MORE than £5 million will be taken out in personal loans this year to fund cosmetic surgery, with men accounting for a fifth of all ops, according to a report by Sainsbury’s Bank.

People wanting operations are so desperate they take on an average £6,500 of debt topay for survery.

Loans manager Steven Bailie said: “As cosmetic surgery becomes less of a taboo, a growing number of men and women may be looking to improve their looks with loans.”

Analysts Mintel estimate a 240 per cent growth in cosmetic surgery over the past five years.

And they predict that by 2010 we will be making at least a million trips a year to cosmetic surgeons.

Costs start from £250 for treatments such as collagen lip enhancements to over £5,000 for more radical surgery such as facelifts or tummy tucks.

Top cosmetic surgery trends

image

Rejuvenation not re-creation is the trend for cosmetic surgery procedures this year , according to the UK’s leading surgeons. And the demand for subtlety is being driven by patients who have had the reality of extreme procedures brought home to them by TV makeovers.

There is also a growing number of doctors who are refusing to carry out “ill-advised” procedures such as overly large breast enhancements and liposuction on women who should diet first.

The UK’s cosmetic surgeon’s foremost professional body, the British Association of Aesthetic Plastics Surgeons (BAAPS), has publicly denounced the “pornography” of television surgery. It described the Channel 5 programme Cosmetic Surgery Live, “voyeuristic” and added that its representation of the practice of plastic surgery was “inappropriate.”

The government has also expressed concern over the proliferation of clinics and what is calls confusing and unacceptable advertising and recently launched a web site to guide the public through this minefield www.dh.gov.uk/cosmeticsurgery

Nevertheless, cosmetic surgery and “lunchtime” cosmetic procedures such as Botox are now more popular than ever. According to BAAPS, the number of surgical procedures undertaken rose by 16% in 2004, when a total of 15,019 women underwent surgery in Britain. The most popular operations remain breast enlargement, face-lifts, eyebag removal, nose fixes and liposuction.
This year the industry is expecting more people than ever, particularly men, to undergo surgery. An even larger number are expected to have aesthetic procedures such as Botox, wrinkle fillers and skin resurfacing to avoid the knife. But the emphasis is on rejuvenation with a natural look, say the experts.

The “hot” cosmetic procedure of 2006, for women, will be brow shaping, using key hole surgery or non-surgically with Botox. The “Yummy Mummy” phenomenon with women returning to their pre-birth shapes weeks after giving birth will continue with mini tummy-tucks and liposculpture combinations.

Breast enlargement will again be the No 1 procedure but with smaller implants. Celebrities, are as usual, ahead of the game – Sharon Osbourne is just one who recently had her implants removed and replaced with smaller ones.

Mr Jag Chana, who works privately and for the NHS at Mount Vernon Hospital and is part of Santuary Cosmetic Surgeons, an independent network of top cosmestic pratitioners says: “In 2006 I expect to see more women in their 30s asking for surgery but wanting a more conservative approach. Many of these trends are media and celebrity-driven and as result many have make the wrong choice, based on the wrong advise, which they have later regretted.

“In the last year or so I have noticed an increase in the number of men asking for treatment and I expect this to continue. Men mostly want liposuction for problem areas such as the tummy, love handles and chest reduction. They are also opting for rhinoplasty and eyelid surgery. I have also seen an increasing number of women having surgery before weddings, even women in their 30s and this is something that will continue to grow.”

Mr Rajiv Grover (pictured) is consultant plastic surgeon at the King Edward Vll Hospital in London and has a private practice in Harley Street. He specialises in aesthetic surgery of the face, breasts and body contouring. He agrees that 2006 will see women opt for implants that give a more natural look.

“There was a lot of interest in the Baywatch look but there has been a backlash against breasts like those of Jordan. Women now want a more sensible approach.

“2006 will see more patients expressing a preference for classical facial features emphasizing a natural appearance and avoiding the operated or surgical look. Patients don’t want to look stretched like American women. They want to look rejuvenated not recreated.

“Body contouring such as liposuction and liposculpture will remain popular. The use of liposculpture together with procedures such as a mini tummy tuck will increase in popularity especially in women who have completed their family and want to return to their former physique.”

Jan Stanek, of Surgical Aesthetics in Wimpole Street, London predicts there will be a huge growth in those seeking to avoid surgery with the use of Botox and wrinkle fillers. He is also pioneering a new non-surgical treatment called fractional resurfacing, in which a laser is used to caused thousands of tiny holes in the skin surface, stimulating new collagen, tightening the skin so that it looks more youthful.

He says: “Everyone wants to look young and there are a lot of middle-aged people looking older than they should. Although the extreme makeover is there if you want that, most people don’t want to look different they just want to look younger, fresher and better. Botox is still the star as it works very well with no down time. It simply makes people look more relaxed.”
Harley Street cosmetic surgeon Yannis Alexandrides sees an increasing number of patients who want less invasive procedures and as a result a new procedure known as the “S” lift, in which the face if lifted from inside the ear, is becoming more popular.

Mr Alexandrides says: “The full facelift is the most popular procedure in my practice. But I believe that the “S” lift will become more popular because it is less invasive, it works and the recovery time is less. And it does not alter the person’s face in an unnatural way.”

Mr Alexandrides also supports the view that women are now wanting smaller sized breast implants.“I would never advise anyone having an implant bigger than a C cup” he adds.

He also expects to see a dramatic increase in aesthetic procedures such as light and laser skin rejuventation and also cheek and chin implants.

Cosmetic Surgery : Checklist – Useful questions to ask

In order to find out if cosmetic surgery is right for you will need to approach a numberof surgeons to see what they offer. You must insist on seeing your surgeon personally and check his or her qualifications with the professional body, the British Association of Aesthetic Plastic Surgeons (BAAPS) – www.baaps.co.uk

Questions for the surgeon
• Will you carry out the operation?
• What are your qualifications?
• How long have they carried out this procedure and how often?
• Do they have professional indemnity insurance – in case the procedure goes wrong?

Costs
• What is the cost of the consultation with the surgeon?
• What will be the cost of the operation and any further treatment afterwards?
• Should there be a complication who will pay for it to be corrected?

The operation

• How long does the operation take?
• Is the treatment painful and if so what form of anaesthesia is used?
• Is all equipment used sterile and used only for me?
• Are there any risks?
• What are the complications and success rate of the procedure in this clinic?
• Can I see ‘before and after’ photographs?
• Can I speak to anyone else that you have treated?
• Will you want to inform my GP about my treatment?

After treatment

• How long will I be required to say in hospital?
• What type of aftercare will I receive as part of the operation?
• Will I need pain relief afterwards?
• Will I have swelling or bruising and how long will this take to go down?
• How long will I have to be off work?
• When will I be able to see the full results?
• What will happen if I am unhappy with any aspect of the treatment?

MOST POPULAR COSMETIC PROCEDURES
FACE-LIFTS:

There are a variety of techniques in use today including the deep face-lit that tightens muscles under the skin. The most usual procedure is for the surgeon to remove the skin and lift it, tightening the muscle through tiny incisions near the ear. There is also a mini-lift. Recovery time varies. A full face-lift requires at least one night in hospital and usually two. Complications can includeinfection, blood clots, numbness, tightness, asymmetry, thickened or raised scars, and nerve injury. The results are permanent but since the ageing process continues you may need another operation in a few years.A basic face-lift costs from £6- 8,000

RHINOPLASTY (NOSE SURGERY)

In this operation the nose is reshaped. This may involve reducing the bridge, shaping the tip or altering the angle. It can take up to a month to heal and there will be bruising and swelling mostly around the eyes. Risks include breathing problems, infection and bleeding. Cost up to £6,000.

BREAST AUGMENTATION AND UPLIFTS:

An implant is placed under the breast tissue to provide volume and shape. Sagging breasts can be uplifted in an operation known as a mastopexy. Spare skin may be removed and an implant inserted. Healing takes up to one month. Complications may include infection, bleeding, poor positioning, silicone leakage and scarring. There can be a risk of nipple numbness. Costs vary but in the case of implants can be up to £7,000 depending on the quality of implant.

ABDOMINOPLASTY(TUMMY TUCK)

Also known as an abdominal reduction or abdominoplasty, the tummy tuck, is surgery that flattens the stomach by removing excess fat and skin, and tightening the muscles of the abdominal wall. Incisions are usually made near the bellybutton and across the pelvic area in a U or V shape. Healing can take nearly two months as the operation is major surgery and a general anesthetic is required. A short hospital stay is required. Risks include blood clots, infection, raised scars and prolonged numbness. There will be scarring.
Costs between £5,000-7,000.

LIPOSUCTION

Liposuction is a surgical method of reducing fatty bulges from thighs, hips, waist, buttocks, arms, chin, knees, ankles and elsewhere, through tiny incisions. Healing takes up to two weeks and there is usually a lot of bruising and pain. This is safe operation provided it is not carried out on small areas of the body. The complications include infection and contour irregularities. It costs between £4-6000.

BLEPHAROPLASTY(upper and lower eyelid surgery)

This surgery corrects sagging upper lids bags below the eyes and works by removing excess fat and skin, and tightening loosened muscle. The surgeon works through incisions in the crease of the upper eyelid and below the lash line which will not be visible after healing. It takes up to two weeks to heal. Complications could include tighteness and difficulties closing the eyes if too much skin is removed. Costs between £3,500-5,000.

Contacts:
Mr Rajiv Grover BSc MB MD FRCS (Plast)Consultant Plastic Surgeon King Edward Vll Hospital, W1 & at 144 Harley Street, W1. www.rajivgrover.co.uk T: 020 7486 4301
Jag Chana BSc, MBBS MD FRCS (Eng) FRCS (Plast), holds private clinics at the BMI Bishopswood Hospital, Northwood T: 0800 169 7606 and the BUPA Hospital, Bushey, Herts T: 020 8950 9090.
Yannis Alexandrides, MD, American Society of Plastic Surgeons, 111 Harley Street,W1. www.kosmeticos.com; 020 7486 8055
Jan Stanek FRCS, 60 Wimple Street, W1, www.surgicalaesthetics.com T: 020 7487 4454

Joan has had surgery says top doctor

London: Joan Collins who claims never to have had cosmetic surgery has gone under the knife, according to a top UK surgeon.

The 72-year-old actress says her secret age-defying weapon is make-up. She recently told US TV: “The most glamorous thing you can do is use lipstick.”

However, Alex Karidis, a London based plastic surgeon, claims he saw evidence of cosmetic surgery when he met Joan 18 months ago.

He said: “I clearly saw the scars behind her ears indicating a facelift. I saw that she had also had her eyes lifted. I would say she has had this done in the last five years.”

The glamorous actress – who has revealed her top tips for staying young in her new book ‘The Art Of Living Well’ – has previously made her position on surgery abundantly clear, and recently described Botox as “poison”.

She said: “Everyone should do what they want. If they want lips like a trout let them. Plastic surgery is the plain women’s revenge

Cosmetic surgery patients more likely to be suffering from mental illness

London: People who seek cosmetic surgery for their face or body are more likely to be suffering from psychiatric problems than those don’t according to new research.

And women who have breast implants appear to have a higher than usual risk of suicide, says a report in the current issue of the New Scientist.

Evidence from the United States and Canada suggests that up to three times as many women who have had the cosemetic procedure kill themselves than those who have not.

The link has emerged from studies that were intended to assess whether breast implants had any effect on cancers and autoimmune diseases. No association was found but the studies, of 37,000 women, did find that an abnormal proportion of those who had enhanced their breasts by surgery subsequently killed themselves.

Joseph McLaughlin, of the International Epidemiology Centre in Rockville, Maryland, said: “The only consistent finding from all the studies has been the unexpected one of suicide.”

Many scientists think it likely that women who have breast surgery may have psychiatric problems that predispose them to suicide. In another study, led by David Sarwer, of the Centre of Human Appearance and the University of Pennsylvania Medical School, 18 per cent of patients having cosmetic surgery were found to be taking drugs to treat psychiatric conditions, compared with 5 per cent of those having other operations.

It is also possible that women whose surgery had a poor outcome commit suicide; more recent patients, who have newer implants, may not have the same reaction.

UK cosmetic doctors to counsel surgery addicts

London: British cosmetic surgeons are to be trained to treat patients who have become addicted to surgery.

In the UK the number of procedures is spiralling with a 35% increase last year, including 5,646 breast augmentations. Altogether there were 222,041 surgical opertions carried out.

But there are fears, even by the surgeons themselves, that women and to a lesser degree men are undergoing unnecessary operations because of a psycological disorder known as body dysmorphic disorder. This is when people imagine they are ugly.

Adam Searle, the president of the British Association of Aesthetic Plastic Surgeons (BAAPS), says these people will never be happy with how they look but get a temporary buzz from surgery.

Patients using Botox injections and other aesthetics for wrinkles may also be suffering from this condition. Botox is the fastest growing procedure in the UK.

The popularity of TV shows on cosmetic surgery and celebrities admitting to surgery is fuelling the demand, say experts.

Holiday surgery at top spas

The latest trend in the cosmetic surgery industry is for top-flight surgeons to link up with spas and luxury hotels to offer packages enabling patients to recover away from prying eyes — while enjoying a fabulous pampering holiday. And it’s not just about enjoying life’s little luxuries: surgeons say massage and thalassotherapy treatments help to drain water from the body, reducing post-operative swelling, so patients make a quicker and better recovery. Here, we look at some of the post-operative bolt-holes . . . available around the world.

FRANCE

THE SURGEON: Dr Claude Lassus at the Polyclinique Santa Maria, 153 Promenade des Anglais, 06000 Nice, France. Tel 0033 4 93 88 48 51 SPECIALISM: Breast reductions. He also has a dedicated following among British and French actresses and singers for his lip augmentation procedures and face-lifts. COST OF OPERATION: Breast reduction and face-lift (including hospital and anaesthetic costs) both cost around £4,100. THE BOLT-HOLE: Dr Lassus arranges for his clients to recuperate in the palatial Negresco hotel 37 Promenade des Anglais, 06000, Nice, France. Tel 00 33 4 93 88 35 68.

It has its own beach, featured in the Hitchcock classic To Catch A Thief, starring Cary Grant and Grace Kelly. There are massage, manicure and hairdressing services, and the Michelin guide award-winning restaurant Le Chantecler. RECUPERATION COSTS: From £170 a night for a double room.

CAPE TOWN

THE SURGEON: South African company Mediscapes, 42 Burg Street, Greenmarket Square, Cape Town. Tel: 0027 21 422 3932, has access to experienced specialists, including Professor Don Hudson, head of the University of Cape Town’s plastic surgery department. SPECIALISM: Breast augmentation. COST OF OPERATION: The cost of the operation, including clinic, surgeon and anaesthetist fees, is included in the package. A 13-day blepharosplasty (eye-lift) package starts at around £4,750. Seven-day face-lift packages start at around £6,000. THE BOLT-HOLE: Two spas. Bushman’s Kloof, PO Box 267, Clanwilliam. Tel 0027 (0)27 482 2627, is a reserve about three hours out of Cape Town where you’ll spend two days pre-op resting. Then it’s off to the Twelve Apostles Hotel and Spa, Victoria Road, Oudekraal,Camps Bay, Cape Town. Tel: 0027 (0)21 437 9000. RECUPERATION COSTS: Included in the package.

MALTA

THE SURGEON: Francis X Darmanin, Saint James Hospital, George Borg Olivier Street, Sliema, Malta. Tel: +35 621 335 235 SPECIALISM: The hospital can perform just about any operation from breast augmentation to liposuction, but, reputed for his work on burns victims, Mr Darmanin is much in demand for his face-lifts. COST OF OPERATION: Face-lifts start at around £2,400. THE BOLT-HOLE: Fortina Spa Resort, Tigne Seafront, Sliema, Malta. Tel: 00 356 2346 0000.

The five-star Spa Mediterranee specialises in thalassotherapy and hydrotherapy treatments that use concentrated sea water, rich in salt and minerals to rejuvenate the body. Physiotherapists are also on hand. RECUPERATION COSTS: Rooms start at £80 a night and spa treatments vary in price. A full body wrap costs about £45, with facials and massages at a similar price.

CONNECTICUT

THE SURGEON: Prof Laurence Kirwan, 605 West Avenue, Norwalk, CT, USA 06850. Tel: 001 203 838 8844. www.drkirwan.com . SPECIALISM: Surgeon to the A-listers for decades, Kirwan is internationally renowned for his facelifts. He’s also good for rhinoplasty and eye lifts. COST OF OPERATION: Initial consultations £150 (deducted from the price of surgery if you book within a reasonable time). Facelifts around £6,000, and rhinoplasty £5,000, plus hospital and anaesthetic fees. THE BOLT-HOLE: Hotel Delamar, 500 Steamboat Rd, Greenwich, CT 06830. This five-star hotel is half-an-hour from Prof Kirwan’s clinic and is set on the waterfront at Greenwich harbour. It has its own private dock, stunning ocean views, a library and a fitness centre. RECUPERATION COSTS: From around $150-$200/ £85-£114 per room, per night.

HOLLYWOOD

THE SURGEON: Dr Leslie Stevens, The Lasky clinic, 201 South Lasky Drive, Beverly Hills, California 90212 U.S.A. Tel: 001 310 556 1003 or visit www.drlesliehstevens.com SPECIALISM: Liposuction, treating all areas of the body, including knees, chin, cheeks and neck as well as the usual problem zones. He performed Sharon Osbourne’s tummy tuck two years ago. Dubbed the ‘king of nip and tuck’ by his Hollywood clientele. COST OF OPERATION: Initial consultation £100, liposuction from £1,900, plus £1,000 for anaesthetic. THE BOLT HOLE: The Peninsula Beverley Hills, 9882 South Santa Monica Boulevard, Beverly Hills, CA 90212, U.S., Tel: 001 310 551 2888, an ultra-luxurious oasis within walking distance of the shops in Rodeo Drive and a favourite with Hollywood celebs. RECUPERATION COSTS: Rooms start at U.S. $450/ £257 per night.

MIAMI

THE SURGEON: Father and son Dr Thomas J. Zaydon Sr and Dr Thomas J. Zaydon Jr of the Cosmetic Surgery Institute of Miami. Mercy

Hospital Professional Building, 3661 South Miami Avenue, Suite 509, Miami; 00 1 305 856 3030. SPECIALISM: Nose jobs. COST OF OPERATION: £2,850-3,500. THE BOLT-HOLE: Grove Isle Hotel & Spa, Four Grove Isle Drive, Coconut Grove, Miami; 00 1 305 858

8300. A luxury resort on its own private 20 acre island. A host of treatments are on offer and licensed nurses can provide ongoing care. RECUPERATION COSTS: Rooms start at around £220 a night. A collagen facial is £90.

BARCELONA – Spain

THE SURGEON: Dr Javier de Benito, Instituto Dr Javier de Benito, Marquesa de Vilallonga, Barcelona, Tel 00 34 932 530 282 or visit www. institutodebenito.com SPECIALISM: Reconstructive surgery. One of his developments is a subtle face and neck lift, using Gore-Tex to create a ‘supportive bra’. COST OF OPERATION: Initial consultation costs 8130/ £89, face-lifts from 85,500/ £3770, face and neck-lift from 88000/ £5490 breast augmentation from 85000/ £3430. THE BOLT-HOLE: Hotel RA Beach Thalasso-spa, Avinguda Sanatori, 43880, El Vendrell, Tarragona, Spain. Tel: 00 34 977 694

200. www.amrey-hotels.com . A five-star hotel on a golden beach 40 minutes south of Barcelona. Treatments include reflexology, thalassotherapy and lymphatic drainage. RECUPERATION COSTS: From around 8160/£110 per room per night. Full board package for the slimming unit is from 81,950/ £1,340 per week, including five treatments and check-ups.

UK

THE SURGEON: Consultant Adrian Richards, who works at clinics in the UK at High Wycombe and Princes Risborough, Bucks, Northampton and in London’s Harley Street.

Tel: 0800 328 5743 or visit www.arandassociates.co.ukSPECIALISM: Facelifts, particularly the MACS lift (short for Minimal Access Cranial Suspension) which leaves no scar behind the ears. COST OF OPERATION: Facelifts from £5,600. THE BOLT-HOLE: Champneys, Tring. Tel UK: 08703 300 300 or visit www.champneys.com

Champneys offers recuperative packages tailor-made to suit individual needs amidst the Georgian splendour of its Hertfordshire mansion. RECUPERATION COSTS: Packages start at £550 for a two-night stay.

LONDON

THE SURGEON: LONDON PLASTICSurgery Associates is the private practice of four leading London teaching hospital plastic surgery consultants. 30 Devonshire St, London W1G 6PU. Tel: 0207 908 3777 or www.lpsa.co.ukSPECIALISMS: Peter Butler is well-known for facial reconstruction. Simon Withey’s speciality is facial and breast reconstruction . COST OF OPERATION: Facelifts cost around £7,000, including surgeon’s fees, anaesthetics, and hospital fees, breast augmentation from around £5,700, all fees included. THE BOLT-HOLE: A beautiful and discreet hotel in a georgian town house: Halcyon House, 168 Clapham Road, London SW9 0LA, 020 7091 7148. www.halcyon-house.comRECUPERATION COSTS: From £250 a night, full board.

LONDON

THE SURGEON: Roy Ng, The Hurlingham Clinic and Spa, 67 Studdridge Street, London SW6 3TD; 020 7348 6380. SPECIALISM: The thread lift face-lift, which uses barbed threads inserted in the face to lift sagging skin with minimal incisions. COST OF OPERATION: Thread lift treatments start at around £1,800 THE BOLT-HOLE: Myhotel Chelsea, 35 Ixworth Place, London; 020 7225 7500. The Hurlingham Clinic has its own day spa offering treatments, such as a post-operative facial. It has linked up with the ultra swish Myhotel, which offers chauffeur service to and from the clinic. RECUPERATION COSTS: The post-op facial at the Hurlingham Spa costs £55, while post-lipo endermologie costs from £65 a session. Doubles at Myhotel Chelsea, start at a special Hurlingham Clinic rate of £155 plusVAT per night.

NEW YORK

THE SURGEON: Dr Alan Matarasso, 1009 Park Avenue, New York; 00 1 212 249 7500. SPECIALISM: Facial rejuvenation — big on short-scar facelifts that use half the number of incisions compared with a usual face-lift. COST OF OPERATION: Initial consultation £135, face-lift from £6,500. THE BOLT-HOLE: Affinia Gardens Hotel, 215 E 64th Street, New York; 001 212 355-1230 just around the corner from Manhattan’s Eye, Ear and Throat Hospital where Dr Matarasso operates, offers a special ‘Nipped and Tucked In’ programme with rooms for post-op patients and in-room spa treatments. RECUPERATION COSTS: From $399/£228 a night.

Cindy Crawford confesses to being human

Supermodel Cindy Crawford has confessed that she keeps her looks in pristine condition with the help of aesthetic treatments such as Botox and collagen.

In a magazine interview the 40-year-old mother of two said she has getting cosmetic help for the past 11 years.

“I’m not going to lie to myself: past a certain age, creams work on the texture of your skin but, in order to restore elasticity, all I can really count on is vitamin injections, Botox and collagen,'”she tells this week’s Gala magazine.

“I have a very simple, healthy life, which works miracles. I drink a lot of water, watch what I eat and exercise. ‘But I owe the quality of my skin to my cosmetic surgeon.”

Miss Crawford who has her own skincare range called Meaningful Beauty. Products includes facial mask, skin softening cleaners, moisturisers and neck rejuvenating creams.

She says of her products: ‘I believe Meaningful Beauty is the best skin care available, and soon you will be able to discover the difference yourself. ‘Improve the tone and texture of your skin. Reduce the look of lines and wrinkles.

Reveal skin that is smoother, softer and more radiant. They’re products that treat your skin in a meaningful way now for more beautiful, younger-looking skin tomorrow.’

UK cosmetic surgeons launch patient checklist

London, UK – 3 August, 2006 – The British Association of Aesthetic Plastic Surgeons, the not-for-profit organisation established for the advancement of education and practice of Aesthetic Plastic Surgery for public benefit, today published a concise checklist for those considering aesthetic plastic surgery, entitled ‘S.U.R.E’.

An innovative way of addressing safety concerns, the acronym was developed by the BAAPS to promote a sensible approach to what can be a life-altering decision. People may be still unaware of the risks associated with procedures performed by unqualified practitioners, and a reasonably basic check of the aspects involved should en-sure a positive outcome.

According to Adam Searle, consultant plastic surgeon and President of BAAPS:

“We need to promote public education with regards to safety. Patients can still be lured in by inexpensive prices and unrealistic claims, thinking that they are getting a bargain, but actually putting their health at risk. It can take just minutes to scroll through this checklist, to prevent a lifetime of regret.”

The SURE acronym stands for:

S: Check your Surgeon’s credentials and qualifications: your cosmetic practitioner should be a Fellow of the Royal College of Surgeons (FRCS), and have furthered specialised studies in plastic surgery. Check that they are on the GMC specialist register, and are a member of BAAPS, or a suitable professional organisation. The Department of Health website provides guidance about the ‘letters’ following surgeons’ names.

U: Make sure you Understand what’s involved, and that you are informed about the potential risks of each procedure, be it surgical or non-surgical. You should be advised of where this will take place. It should be in a supervised medical facility, not someone’s front room, hotel or at the hairdresser’s.

R: You should be clear about the process of Recovery, and what the long-term implications are of any cosmetic treatment. You need to understand the nature of the ‘downtime’ required and after-care options

E: Most important of all, make sure you thoroughly review your Expectations. It is essential that your hopes be compatible with what can actually be achieved. A patient who has a personal desire for, and is able to identify, specific, realistic goals for aesthetic enhancement is likely to be a suitable candidate – but someone who thinks the procedure will magically change their life may not be right for surgery.

Adam Searle adds:“We are often asked to see patients frustrated by disappointing outcomes. Surgery can be challenging, but many of these might have been avoided if a minimum of research had been done. We need to remind patients that they should do their homework—finding out more information about the procedure, location and practitioner before going for any kind of cosmetic treatments.”

The BAAPS www.baaps.org.uk based at the Royal College of Surgeons, is a not-for-profit organisation, established for the advancement of education and practice of Aesthetic Plastic Surgery for public benefit. Members undergo thorough background screening before they can join. Information about specific procedures and surgeons’ contact details can be found on the web site, or by contacting their advice line at 020 7405 2234. Further materials can be posted to members of the public seeking specialised information.

UK government cracks down on cowboy cosmetic clinics

London: The UK government’s watchdog, The Health Commission is to target unregulated cosmetic surgery clinics.

Unregistered clinics may face prosecution or closure because of the danger they pose to the public. The commission receives around 50 complaints each year from patients whose treatments have gone wrong. These include bothed treatments using lasers to remove hair, blemishes and tatooes.

The clinics are to be targeted by undercover inspectors, posing as clients. All clinics and operators offering aesthetics must be registered by the Health Commission and patients are advised to ask to see their registration certificate before embarking or paying for treatment.

UK’s public health service cleans up after private clinics

London: NHS surgeons are being left to “pick up the pieces” after poor surgery at private treatment centres, warns a senior doctor in this week’s British Medical Journal.

“The number of patients we are seeing with problems resulting from poor surgery is too great,” argues Angus Wallace, Professor of Orthopaedic Surgery at the University of Nottingham.

There is no doubt that the expansion of orthopaedic services, provided by the Department of Health through private hospitals and independent sector treatment centres (ISTCs), has been a much needed development, but it has occurred at a price, he writes.

What has happened in ISTCs is that junior specialists have been imported from overseas and asked to provide total surgical care without help and supervision from a more senior colleague, a situation that is alien to many of them – hence the reason why the failures find their way to the NHS hospitals.

He suggests that this situation has arisen because of a political philosophy called “additionality.” When ISTCs were set up, there was concern that their development might result in NHS hospitals losing some of their own surgical staff. To ensure that this could not happen a six-month rule was imposed – an NHS surgeon could not work in an ISTC until he or she had stopped working for the NHS for six months.

While this ensured that the NHS hospitals were protected from losing their own staff, it also meant that the ISTCs did not have access to many, or any, senior surgeons who could act as senior consultants and help their colleagues when they ran into trouble.

“Now we are seeing the consequences of this philosophy – poor operations, inadequate supervision of surgeons, and a poor mechanism for remedying any problems that occur,” writes Wallace.

There are also concerns about how clinical governance and appraisal procedures are being addressed in ISTCs, creating a suspicion by NHS staff that corners have been cut in achieving the goals of high productivity and throughput.

But perhaps the issue that should be of most concern is that of training the country’s up and coming surgeons, adds the author. The “straightforward” cases, now dealt with by the ISTCs, had been the cases on which young NHS surgeons learnt their craft. This time honoured and soundly proven method of training has now, sadly, been denied. Consequently the competence of our next generation of surgeons is in jeopardy.

“We, as NHS staff, need to help, and many of us wish to, but we are frustrated by the artificially created divide between the ISTC and the NHS hospital,” he says. “The government has created a two-level health service that is creating many problems. I believe that we should now integrate the ISTCs with the NHS instead of running them as a private healthcare system paid for by the state.”

Cosmetic surgery tourists health risk

London: Women who have cosmetic surgery abroad may be risking their health, experts have warned.

The British Association of Aesthetic Plastic Surgeons estimate that around 10,000 Britons have operations in countries such as South Africa, Brazil, Malaysia and India each year. Most know little about their surgeons medical qualifications and have little redress should complications occur post-surgery.

The attraction of surgery abroad is that it is usually cheaper than in the UK but many patients have to pay for expensive corrective surgery back home which is not covered by medical insurance.

A tummy-tuck which might cost $10,000 in the UK may cost as little as $3,000 abroad.

Norman Waterhouse of BAAPS said that women needed to be careful when taking up these cheap cosmetic surgery offers, many of which seemed dubious.

Despite the trend to have surgery abroad, the British market continues to grow. In 2004 16,000 operations were carried out – 52 per cent up on the previous year.

Cosmetic surgery gift for Xmas criticised as cynical by top surgeons.

London: The British Association of Aesthetic Plastic Surgeons expresses their concern regarding plastic surgery being offered as a holiday “gift”.

Douglas McGeorge, consultant plastic surgeon and BAAPS President-elect, describes plastic surgery gift vouchers it as a cynical sales ploy by commercial clinics.

“It`s everything that goes against normal, ethical principles in medicine.”

“The idea for surgery should come from the person who intends to have the procedure, not from a well-meaning spouse, friend or relative.”

“The procedures should be done for the patient`s benefit, not the clinic`s. Benefits, limitations and complications of all procedures should be taken aboard fully before a commitment is made.”

According to Patrick Mallucci, consultant plastic surgeon and BAAPS member;

“We`re worried by the implications of this because it portrays surgery as a commodity, the same as a book, perfume bottle or a handbag,”

The Association is also concerned that trivialising cosmetic surgery could lead to complacency in patient care.

According to Adrian Richards, consultant plastic surgeon and BAAPS member;

“A patient first needs to be evaluated by a qualified surgeon to determine whether he/she is a good candidate, and decisions about plastic surgery should never be made without a thorough understanding of the risks involved.”

“These incentives go against best practice guidelines for surgeons.”

Clinics and Practioners

UK

The Hurlingham Clinic & Spa
67 Studdridge Street
London SW6 3TD
T: +44 (0)20 7348 6380
email: info@hurlinghamclinic.com
www.hurlinghamclinic.com

Reform Surgical

UK: 0800 652 9206
Ireland: 1890 876 6664

Note: If you wish to be listed in this section there is no fee as our information is a service to our readers. Contact: admin@elixirnews.com

Choosing a surgeon

Cosmetic surgery is a skilled procedure and it is recommended that you choose a surgeon who has undergone a full training programme for cosmetic surgery. Your own GP can advise but do also ask the surgeon the name of the professional body to which he or she belongs and double-check the credentials with them. Also on this page is a checklist of the questions you should ask your surgeon during the first consultation, before agreeing to surgery.

Ensure that you have read up on the procedure that you would like – you will be in a better position to judge just how professional your surgeon is. The British Association of Cosmetic Surgery has a guide for the layman – this costs £9.99 + postage and can be bought on line at www.b-a-c-s.co.uk

ElixirNew.com is an independent information source and is not paid to list surgeons or endorse them. We will however write independent editorial on good and bad experiences that come to our attention. A list of professional bodies whose aim is to promote the highest standards in the profession are detailed below:

CHOOSING A SURGEON TICKLIST

1. Ask your family doctor/friends for a recommendation – the best recommendations are usually personal ones
2. Check the surgeon’s qualifications – ask to see certificates.
3. Check that the practitioner is a member of an appropriate professional body(see the list below).
3. Make sure the surgeon has medical negligence/professional indemnity insurance – ask to see the insurance certificate
5. Ask the consultant ask for detailed information on the procedures
5. Has the surgeon had any legal cases brought against him/her – for what and what was the outcome – in the UK you can check with the General MedicalCouncil, if you are not online at home you can use a computer at your your local library.

Cosmetic surgery organisations

International

The International Association of Aesthetic Plastic Surgeons
www.isaps.org

International Plastic and Reconstructive Association
www.euraps.org

The European Association of Aesthetic Surgery
Via Monteverdi 5
20124 Milan, Italy
www.assece.com
Email:info@assece.com

UK
General Medical Council.
www.gmc-uk.org

British Cosmetic Doctors Association
T: 0800 328 3613
www.cosmeticdoctors.co.uk

British Association of Aesthetic Plastic Surgeons
Royal College of Surgeons of England
35-43 Lincoln’s Inn Fields
London WC2A 3PN UK
www.baaps.org.uk
Advice line: T: + 44(0)20 7405 2234

British Association of Plastic Surgeons
Royal College of Surgeons
Address as above
T: ++44(0)20 7831 5161
www.baps.co.uk

British Association of Cosmetic Surgeons
www.b-a-c-s.co.uk

British Association of Oral and Maxillofacial Surgeons
T: +44(0)20 7405 8074

British Dental Association
T: +44(0)20 7935 0875

British Association of Dermatologists
T: +44 (0)20 7383 0266
www.bad.org.uk

AUSTRALIA

Australian Society of Plastic Surgeons
Level 1, 33-35 Atchinson Street
St Leonards 2065 NSW Australia
T: +61 2 9437 9200
F: +61 2 9437 9210
www.plasticsurgery.org.au
Email:info@plasticsurgery.org.au

NEW ZEALAND

New Zealand Association of Plastic Reconstructive Aesthetic Surgeons
Tristram Plastic Surgery and Dermatology Group
103 Tristram Street,
Hamilton, New Zealand.
T: + 64 7 838 1035
F: + 64 7 838 2032

SOUTH AFRICA

Association of Plastic and Reconstructive Surgeons of Southern Africa (APRSSA)
PO Box 3151
Bryanston 2021
Republic of South Africa
T: +27 11463 1210
F: +27 11463 2485
www.plasticsurgeons.co.za

The above organisation has 120 members and represents 98% of the specialist surgeons in South Africa.

US
American Society of Plastic Surgeons
www.plasticsurgery.org
The above has a doctor finder and a toll free number in the US 1800 635 0635
Email: find@plasticsurgery.org

American Society for Aesthetic Plastic Surgery
11081 Winners Circle, Suite 200
Los Aamitos, California 90720
www.surgery.org

American Academy of Facial Plastic and Reconstructive Surgery
310 S. Henry Street
Alexandria, Virginia 22314
www.aafprs.org

Germany

VDPC – Vereinigung der Deutschen Plastischen Chirugen
www.vdpc.de

Italy

SICPRE – Societa Italiana di Chirugia Plastica
www.chirurgiaplastica.org
www.sicpre.it

Spain

SECPRE – Sociedad Española de Cirugia Plastica Reparadora y Estètica
www.secpre.org

Switzerland

The Swiss Society of Plastic Reconstructive and Aesthetic Surgery
www.plastic-surgery.ch