I strongly believe in a holistic approach to your surgery. This commences before your surgery, whether it is for rejuvenative, cosmetic or reconstructive purposes…

Surgery to improve appearance should be seen as part of a lifestyle, including reconstruction. Skincare has obvious importance, but general principles of health, fitness, diet, nutrition and mental wellbeing have a significant part to play.

Specific issues:


Cigarette smoking has many adverse consequences, including a significant effect on skin quality by reducing its blood supply and in turn, on wound healing.

If you are considering surgery, then it is wise to stop smoking if possible (at least two weeks before surgery). It is disadvantageous to stop smoking within a day or two of an operation since this is likely to create rather than improve a cough.

If it is not possible to stop smoking, then certainly to reduce the number of cigarettes smoked is helpful. I do not perform certain procedures if you smoke as the risks of complications are too significant to safely give you the results we would both hope to see!


We can advise you on where to find help, as you can make your surgery a new phase of your life and a healthier you!

Eating a sensible balanced diet and taking regular moderate exercise certainly helps general well-being, and stands to you undergoing surgery in many ways – while you are under anaesthetic and also in your recuperation and in your body’s would healing.

Vitamin C is felt to be helpful in wound healing and can be safely taken before and after an operation. Many supplements particularly vitamin E or vitamin E containing compounds should be stopped since they have an effect on blood clotting, reducing its efficiency and therefore making bleeding and or bruising more likely at surgery.

Gross obesity is certainly not good from a surgical perspective, but for most it is wisest to undergo an operation while at the weight which is most likely to be maintained. Certain procedures cannot be safely performed over a certain BMI.


Alcohol in moderation probably has no adverse effects and some would say that it is beneficial. However, alcohol dilates (makes bigger) blood vessels and therefore in the period surrounding an operation it is probably wise to refrain from alcoholic beverages other than in very small quantities.

I feel very strongly about a calm you as well as a calm environment for your surgery and your recuperation that I hope you will see in practice. It is undoubtedly beneficial in terms of speed of recovery from surgery, to be in a relaxed frame of mind. Particularly for cosmetic surgery this is a rejuvenating and good time in your life, and you need to be at one with this frame of mind!

Fee Structure

The consultation fee is payable at the time of your appointment and payment can be made by credit/debit card or cash. Personal cheques are not accepted. We do not offer free consultations, however patients attending for consultation regarding a cosmetic procedure are provided a second consultation free of charge to give you time to think things over and discuss any further questions you may have.

Patients with private health insurance are still required to pay the consultation fee directly, however may be able to claim back depending on the policy they hold with their insurance providers. Where procedures are covered by medical insurance, we make every effort to create the accounts in a manner acceptable to your insurance company.

Most aesthetic surgery procedures are not covered by health insurance. We can provide you with surgical and anaesthetic fees in advance so that you know what your costs are exactly. Costs include all routine post operative care and visits. We do not offer payment plans. There are no time limits on your aftercare which is included in your surgical price.

Possible complications & risks

Unfortunately all surgery carries with it an inherent risk of complications as well as scars, and there are some components that both of us as surgeon and patient can do to minimise this risk. I will assess your risk profile at your consultation.

Issues that can increase your risk profile for complications include:

  • Smoking (wound healing problems, anaesthetic and respiratory complications)
  • Diabetes (wound healing problems)
  • Obesity (increased anaesthetic risk, and wound healing problems)
  • Skin and collagen disorders
  • Medications (increased bleeding with some medications)
  • Hormonal therapy (OCP, chemotherapy – increased risk of clotting)

Some of these can be minimised, and some cannot. Certain procedures cannot be performed if you smoke, and this can often be a positive as it may inspire you to stop smoking altogether.

I will carefully inform you of the specifics of potential complications pertaining to the individual procedures, and taking into account your personal profile. It is of paramount importance that you understand the potential complications of your procedure, and that the surgery itself is not undertaken lightly.

I am very happy to see you if you have further questions after our initial consults, and will give you information to take home and digest in your own time.

I undertake all precautions available to minimise your risk during the time of your surgery, and during your aftercare.