Ms Angelica Kavouni Cosmetic Plastic Surgeon

Lockdown legacy - battling 'Zoom neck'

Fri, 22 Jan 2021 17:43:39 GMT

When you thought lockdown could not get worse, it seems to be also accelerating the aging process. Working from home has now become the norm for many, with home offices set up in all nooks and crannies around the house. As weeks turn into months, it seems that there is a physical toll. Neck lines, once the domain of the over 50's are now being noticed by the 30+'s.

Increasing numbers of us are now embracing working from home but tend to be slaves to our laptops. These are often balanced on laps or dining room tables which are not designed for office work. Then add hours of Zoom meetings into the mix and you'll find that new creases develop into fissures and crevices.

Don't despair as I can fill, plumb and disguise these lines. My 'go-to' filler is Profhilo , the most sophisticated injectable on the market which is bursting full of Hyaluronic Acid.

PROFHILO is an injectable product that has a dual purpose

Plump. The high Hyaluronic Acid content attracts water which gives volume to the target area.
Texture and lift. Skin quality improves thanks to collagen and elastin production.

FAQ:

How long do the effects last?

The actual product stays in the skin for around a month, working its magic with effects continuing to be enjoyed for around 18 months.

How much is the treatment?

£660.00 for the treatment which is broken into 2 sessions spread one month apart.

Is there any downtime?

There is always the potential for bruising with any injection but ice packs post session, Vit K cream and mineral makeup cover all help.

As Amy Childs admits to plastic surgery addiction, leading cosmetic surgeon, Ms Angelica Kavouni says practitioners must shoulder some blame for indulging these unsavoury (and often dangerous) ‘bea...

Fri, 24 Jan 2020 10:43:00 GMT

It breaks my heart to read accounts like this; young, vital women in their prime, often disfigured by aesthetic treatments. Historically fillers etc were manufactured to help aesthetic providers tweak and enhance facial features but recent trends and fashion has seen their purpose distorted, no thanks to the millennial reality TV ‘stars’.

In my opinion, many practitioners must stop indulging patients’ extreme demands to stop this unsavoury and often dangerous ‘beauty’ trend. Yes results of overzealous hyaluronic acid filling can be reversed, BUT the skin in these extreme cases is never the quite the same.

Lips are packed full of nerve endings and the surface skin is naturally quite thin – and when stretched to an extreme for a length of time the skin will struggle to revert back to its normal state.

My message has to be: girls please don’t follow the crowd, and practitioners please don’t do it!

https://www.news.com.au/lifestyle/beauty/cosmetic-surgery/reality-star-details-breast-implant-nightmare-and-lip-filler-addiction/news-story/9a052475811e82a4128a8046c2d9dfa9

Mid-life skin issues needn’t cause misery according to skin care expert, Ms Angelica Kavouni Cosmetic Surgeon.

Tue, 30 Jul 2019 13:14:00 GMT

It’s not all about super-sweats and crankiness, menopause can also cause skin havoc, with long forgotten acne break outs and rosacea (red, flushed complexion) heading the list.

For many, the menopausal process is underway in our 40’s and usually completes by our early 50’s, with hormonal skin changes becoming increasingly noticeable.

We don’t really fully understand the mechanisms of ageing and its effects on the skin but we do recognise the symptoms and, thanks to modern technology, now have many ways to slow the process, improving skin texture and elasticity.

Maintaining good skin health with a robust skin care regime is vital, and
should include some kind of skin resurfacing to help cell regeneration, keep
inflammation at bay, reduce pigment and scarring and also boost collagen
stores. My patients will testify that I am a big advocate of skin peeling – and
use many different ones during the course of a week. The Mandelic Acid shown in
this clip is a good example of a ‘light’ medical grade peel that tackles all
the issues described above. Its larger molecules means that it takes it’s time
to absorbs and so causes less irritation.

The Mandelic Acid peel can be used weekly for a course of 6 weeks with frequency reducing to once every 2 months or so. *Remember to use sun block SPF30 during any skin resurfacing treatments.

Ultimately, seek advice re the skin care regime suited to you, your issues and your skin type. Menopause can be a distressing time without having the added of adult acne or rosacea. There are many options open to you and to suit your budget – both for home and/or clinic based, medical grade treatments.

Breast reduction surgery not pure vanity says leading cosmetic surgeon, Ms Angelica Kavouni, as illustrated by Wimbledon champ Simona Halep

Sun, 14 Jul 2019 22:33:00 GMT

Simona Halep has bravely revealed she underwent breast reduction surgery a few years ago, after finding that her disproportionately large 34DD interfered with her game. This comes as no surprise to me, as many of my patients find their cumbersome breasts cause discomfort and pain in every day life, so one can only imagine what it’s like for women in top level sport.

Breast reduction / mammoplasty with breast uplift / mastopexy is one of my most favourite procedures to perform. It gives women a new lease of life and they are thrilled with their more manageable breasts. Puberty, pregnancy, breast feeding, weight gains and losses and menopause all make their mark on the size and shape of our breast and surgery can solve many of these body issues.

CASE STUDY: Louise 42years. I had been miserable re the size of my boobs for years and when I found Angelica I decided the time was right for surgery. I think it’s important to find the correct surgeon for you as this procedure is not for the faint hearted! Scars can be an issue and you need to be clear about that from the start. I have to say recovery was uneventful and I am thrilled with my new boobs! I feel liberated and ‘perky’ once more.

As the numbers of youngsters seeking Botox® etc grows, injectors need to take a hard look at their practices says leading cosmetic surgeon, Ms Angelica Kavouni

Thu, 13 Jun 2019 10:09:00 GMT

Professionally I haven’t really had much demand for facial interventions by the under 20’s – my patients tend to be more mature women fighting the ageing battle! However, one just has to look at the ‘celebrity’ role models of today with their over inflated lips and fixed, immobile faces to know that youngsters think this is now the norm.

Some injectors argue that denying the young would lead to more unscrupulous, dangerous ‘back street’ practice…I say that without proper legislation this is happening anyway. Good skin care is one thing and yes, taking care of your skin from an early age with Hydrafacials etc will help keep skin in optimum condition BUT changing features with unnecessary fillers and botox is quite another. Our young are bombarded with so many images on a daily basis, and we all need to help them feel better about themselves and embrace their natural beauty.

https://www.dailymail.co.uk/femail/article-7133963/Why-young-women-barely-20s-choosing-Botox.html

UK matching current US plastic surgery trend says one of UK’s leading cosmetic surgeons, Ms Angelica Kavouni EBOPRAS. A blog…

Mon, 22 Apr 2019 00:01:00 GMT

It has been reported in the USA that the numbers of surgical facelift requests are snowballing, with women turning their backs on non-surgical injectable anti-ageing treatments. This actually doesn’t surprise me as I’ve been experiencing a similar movement in my own practice. The reasons for this shift are many and complex, but I would say that constantly refining surgical techniques, shorter recovery times and predictable results all play their part.

Consumer expectations are high and after a while facial fillers don’t give the sought result. I am actually a proponent of hyaluronic acid fillers and tissue boosting Sculptra, but sadly for some time now in the UK, facial fillers have had some really bad press. It seems daily we are bombarded with images of the latest ‘celebrity’s’ ‘over filled’ face, who has become unrecognisable, often at the hands of overzealous practitioners. These images have definitely helped to fuel a filler-backlash.

My patients tend to be time-challenged and don’t want to be making office visits every few months or so for treatments – they’d rather achieve a predictable results in one go! The importance of initial consultation is paramount, as this is where expectations are clarified and treatment planned. Fillers, peels, laser skin rejuvenation and wrinkle relaxation therapy may still be required to achieve that final result. This is why I devised the concept of the Career Facelift®, to help me and my patients identify the most suitable path to best meet their expectations.

Shorter anaesthetic times, subtly hidden scars behind the ear and reduced recovery times have made facelift surgery an attractive option – but patients should be fit and healthy (and NON- SMOKERS!).

Fillers are definitely here to stay but moving forward, perhaps they will be used more cautiously. One can only hope! In my opinion surgical facelifts are not something used in isolation, but rather one part (albeit a major one!) of the anti-ageing jigsaw.

https://www.telegraph.co.uk/luxury/womens-style/beauty-junkies-kicking-botox-fillers-favour-radical-new-anti/

Upper eyelid surgery under local anaesthetic – a patient’s blog DAY 7

Mon, 18 Mar 2019 04:03:00 GMT

Originally posted on Ms Angelica Kavouni Cosmetic Plastic Surgeon: I’m almost there! ?Still have a lot of swelling but the bruising has almost gone. ?Stitches came out today and I’m ready to rock! SOOOOOOO pleased, thank you Angelica! As I…

Dramatic and see-saw weight losses can result in body image crises says UK’s leading female plastic surgeon Ms Angelica Kavouni

Mon, 18 Mar 2019 03:29:00 GMT

Fad diets followed by binge eating are habits that many of us develop over our adult life and can result in large weight fluctuations. Youthful skin is generally able to bounce back thanks to high levels of collagen but as middle age looms skin can be left literally hanging.

Ways to help reduce excessive loose skin during weight loss:

Of course surgery can help remove excess skin but it comes at a price which is scarring. Scarring can be extensive: under the forearm (brachioplasty ), across the bikini line (abdominoplasty) and also around the breasts (mastopexy). It’s essential for thorough pre operative consultations to ensure patients fully understand. Many go ahead regardless as they’re tired of covering up and want to show off their toned, post weight loss bodies.

The overall message needs to be to try to avoid excessive weight gain in the first place – something which is easier said than done. Yes, surgery can fix most issues but it is not the answer for all woes. Scarring, cost, protracted recoveries and future potential weight gains and losses all need to be given serious thought.

http://www.cosmetic-solutions.co.uk/arm-lift

http://www.cosmetic-solutions.co.uk/abdominoplasty

*BMI: The body mass index ( BMI ) is a measure that uses your height and weight to work out if your weight is healthy. The BMI calculation divides an adult’s weight in kilograms by their height in metres squared. For example, A BMI of 25 means 25kg/m2.

Image obsessed culture: Instagram is a major influencer of the young psyche suggests The Times…a blog by leading plastic surgeon, Ms Angelica Kavouni

Fri, 08 Feb 2019 11:05:00 GMT

The Times put Instagram to the test by setting up an account under the guise of a 13year old girl. As ‘she’ followed certain influencers and realty TV stars, unsolicited pop-up posts showing before and after shots of rhinoplasty, a young women having facial fillers and another offering trial lip fillers.

This is obviously a widespread issue transcending borders and cultures and in my opinion, is a scandal in the making. Practitioners need to take a long look in the mirror and examine their practices. Sadly there will always be someone out there willing to inject for a price, regardless of whether it’s ‘right or wrong’.

When is an acceptable age to have facial fillers? Not an easy question to answer as its very subjective, and can depend a great deal on the individual context. Kylie Jenner recently reversed her inflated lips and I can only hope that others in the limelight follow her example – let’s get our young girls back to looking normal!

Men want it too! Angelica’s Career Facelift®, goes gender-neutral in the face of extra demand

Thu, 07 Feb 2019 11:54:00 GMT

We all worry about the ‘new kid on the block’ at work and being left behind in the promotional stakes. This compounded by the blurring of retirement age can leave us feeling very vulnerable in the workplace.

Angelica has tempered her signature Career Facelift® to enable both men and women options to turn back time and feel happier with the ageing process

Angelica: “Patients – both male and female – don’t ask to look 20 but instead want to look less tired and worn out, more refreshed and youthful and perhaps 5-10 years younger!”

She continues: “It’s an exciting time to be a plastic surgeon, as modern aesthetic techniques are constantly improving, offering us more scope to help patients turn their backs on the ageing process without major surgical intervention. Personally, I offer combination therapies as there is no one treatment that can give natural looking results. During consultation options and expectations are discussed and treatments adjusted accordingly.”

Angelica’s Career Facelift®’s 3 X R approach:

R eplace – facial volume usually with Hyaluronic Acid fillers

R esurface – fractional laser, chemical peels etc

R econstruct – 60 minute local anaesthetic facelift, Puppet facelift, jaw defining semi-permanent fillers etc

Call 020 7486 9040 for more information

Mediterranean diet lowers skin age and helps to keep weight in check (no great surprise says London based – and Greek – plastic surgeon)

Thu, 27 Sep 2018 22:28:00 GMT

Angelica: Those of us lucky enough to have been nurtured in Southern Europe embrace home cooked, locally sourced fresh food. Diets packed with fresh fish, seasonal vegetables and salads have long been the mainstay of the so-called ‘Mediterranean Diet’, and eating healthily has been our way of life for centuries.

Naturally low in carbohydrates (especially the processed type) and full of vital vitamins, minerals and fibre this way of eating helps to regulate blood sugar levels and reduce laying down of fat. When combined with increased physical activity quite marked weight loss can be achieved.

How does the Med Diet help to lower skin age? Jam packed with Omega-3 / protein / anti-oxidants (Vit’s a, b, c, e) / natural anti-inflammatories / alpha hydroxy acids (AHAs) – all these components are vital to keeping skin naturally plump, elastic and glowing.

There is not much point following the healthy Mediterranean Diet and nurturing your skin from the inside if you do not protect it from external factors, such as sun damage and 21st century pollutants! In addition to your diet, daily UV skin protection of at least factor 20, day and night cleansing and Vit C serums are some of the key ways you can help reduce your skin age.

‘Eat less, move more’ has been the ethos of many diet pundits and to be honest maintaining a healthy weight is not rocket science – BUT it takes discipline to ignore the fast food delights that surround us daily. Eating well isn’t difficult and can be a delight, (as I tuck into Souvlaki, Horiatiki and Yemista!).

Facial filler reversal trend obvious in UK way before Kylie Jenner’s lip ‘shrinking’ says leading plastic surgeon, Ms Angelica Kavouni

Fri, 13 Jul 2018 09:34:00 GMT

I feel both personal and professional relief to see Kylie Jenner turn her back on her inflated lips, however it comes as no surprise as I’ve been seeing an increasing trend of women asking me to reverse their filler – both lips and cheeks. I have never been a proponent of caricature-esque facial augmentation – my professional ethos of ‘enhance not change’ has served me well. My patients know that when they leave my office they will look fresh and not ‘done’.

Almost all TEMPORARY lip fillers consist of an Hyaluronic Acid base, a substance which is naturally found in the body and is essentially sugar and water. The good news with these products is that they degrade on their own over 3 – 6 months. To speed up the process they can also be ‘melted’ using an injectable product called Hyaluronidase.

FAQ: will the skin be stretched and look odd? The lip tissue should revert to its pre injected state.

Here’s hoping the terms ‘pillow face’ and ‘duck lips’ will soon be relegated to the history books. Maybe even next year’s ‘Love Island’ will look completely different with the girls reverting to their natural beauty…hmmmmmmm can live in hope!

Angelica’s Career Facelift® allows women to look their natural best for as long as they need/want

Wed, 16 May 2018 14:26:00 GMT

Angelica comments:

“I have been perfecting my Career Facelift® concept for several years and now offer women (and men) multiple options for boosting their confidence in the workplace.

With retirement age becoming a distant blur, working until 60+ and having to compete with the ‘new kids on the bloc’ can take its toll on morale. To look good is to feel good and taking a few years off can really boost self esteem.

Treatments are bespoke and range from fillers to mini-facelift. The lady in this feature had wrinkle relaxation injections, 8-point facial fillers to replace lost volume and ‘dermaroller’ skin needling therapy to improve pigment and texture.”

If you are feeling more than a little threatened by ‘newbies in the office then help is at hand. Book a consultation so Angelica can address individual concerns face-to-face.

https://www.healthista.com/i-had-a-nonsurgical-facelift-and-it-boosted-my-career/?utm_medium=email&utm_campaign=Sunday%2013th%20May&utm_content=Sunday%2013th%20May+CID_eb20fb5732307bb90f8540cdb43e362b&utm_source=Email%20marketing%20software&utm_term=READ%20NOW

As another plastic surgery tourist disaster makes headlines, London based plastic surgeon Ms Angelica Kavouni highlights issues of travelling abroad for surgery

Thu, 29 Jun 2017 15:39:00 GMT

Undergoing cosmetic surgery has become increasingly socially acceptable over the past decade, with consumers being more open about having procedures and often with celebrities leading the way. It’s great that many people no longer feel the need to hide the fact they have undergone plastic surgery, but I think this trend has a downside.

Aside from unreasonable expectations, many patients do not fully appreciate that surgery involves a certain amount of risk – especially when a general anaesthetic is involved. In addition, post operative problems can occur, and often not immediately after surgery but days or weeks afterwards (even in the most competent and experienced hands.)

Of course fully qualified surgeons practice abroad, but it’s not that easy to check their credentials. Often surgery abroad is offered by big clinics and it can be difficult to find out if you . Here are some questions to consider:

Do not make a decision on price point alone – this is not the time to be saving pennies. If you do still decide to go abroad for your procedure then I would advise to stay near the clinic for a full 2 weeks post operatively so any immediate issues can be identified and dealt with. Some reputable clinics/surgeons will have allocated surgeons based in the UK to offer follow up care, which is good practice.

http://www.dailymail.co.uk/news/article-4643000/Jane-Park-posts-video-hospital-trip-week-bum-lift.html

NON-SURGICAL 3D-Lipomed body sculpting by Ms Angelica Kavouni on tonight’s episode of SKY TV’s ‘Dr Christian Will See You Now’

Wed, 12 Apr 2017 15:20:00 GMT

The majority of mothers are happy to bear the physical results of child birth and this I applaud. However there are many who mourn the loss of their shape and wish to return it to some semblance of its pre pregnancy state.

When thinking about body sculpting it’s tempting to jump straight down the surgical route, but these days wth technological advances there are many other less invasive options.

At the Kosmesis Skin Clinic we offer 3D-Lipomed, which combines several market leading sculpting technologies in one machine.

3D-Lipomed gives both surgeons and patients a real alternative to ‘the knife’ and offers predictable skin tightening and circumferential inch losses. 3D-lipomed is unique. Not simply a beauty device, this intelligent device combines radiofrequency, ultrasound and cryolipolysis – all widely recognised as industry standards for skin tightening and fat removal.

CRYO-COOL: ‘fat freezing’ for stubborn love handles

High FREQ RADIOFREQUENCY: helps to shrink the skin

CAVITATION HIGH FREQ ULTRASOUND: this agitates fat cells and helps reduce belly circumference

To find out more about this treatment call 020 7486 9040 http://www.cosmetic-solutions.co.uk/3d-lipo

SKY TV’s ‘Dr Christian Will See You Now’ – featuring Ms Angelica Kavouni – launches

Tue, 21 Mar 2017 13:31:00 GMT

Launching March 22nd on SKY 109 ‘W’ channel at 2100 UK time (also Virgin ch 125 and BT 311), Angelica can be seen helping Jasmin reduce the size of her oversized JJ breasts.

Angelica:

Throughout the plastic surgery genre there has been a switch in attitudes, leading to women seeking more body proportionate changes, and this is most obvious in the area of breast enhancement. In the main, gone are over-large breast enlargements (in my opinion thank goodness!) with women requesting implants that compliment their shape and frame.

This is probably one of several reasons why I am seeing increasing numbers of women seeking breast reduction surgery – along with the physical downside to having large heavy breasts, they also wish for body proportion.

I have seen first hand how breast reduction surgery can transform a woman’s psyche for the better BUT it is major surgery and must be not undertaken lightly. It is also very technical so you must be certain your surgeon is experienced in the procedure.

_________________________________________________________________

Issues to consider before seeking breast reduction:

SCARRING – it’s not possible to reduce breasts without leaving scars. These scars should become mush less visible over time but can take up to a year to fully mature. The incision travels around the areola and vertically down to the base of the breast (known as the ‘lollipop’). With extra large breasts, often the cut follows the breast outline up towards the under arm (known as the ‘anchor’). Of course a good plastic surgeon tries to limit the extent of all scarring, but in the quest for a pleasing result, it can be a challenging balance

NIPPLE DESENSITISATION – the nipple needs to be moved during surgery and nerves are sometimes disturbed

NIPPLE NECROSIS – thankfully not a common problem, but moving the nipple can interfere with the tissue blood supply

http://www.cosmetic-solutions.co.uk/breast-reduction

With Christmas only 89 sleeps away, now is the right time to start preparing your face for the party season suggests Ms Angelica Kavouni, UK’s leading female plastic surgeon. A blog.

Tue, 27 Sep 2016 15:41:00 GMT

Medical grade skin rejuvenation treatments can take a while to develop their magic as many work from deep in the dermis upwards to the surface epidermis layer.

The goal of a post summer and pre party skin care regime is to remove dead skin cells, promote new cell growth, reduce pigment issues and stimulate collagen and elastin production.

I tend to use a selection of different treatments depending on individual skin texture, tone and needs. The staple therapies involve one or more of the following:

Fraxel laser

Obagi Radiance Peel

Clear+Brilliant mini laser

Hydrafacial

Dermaroller

Symmetria Skincare

Most treatment programmes run over a 6 – 8 week period so if you are feeling drab and dull then plan your beauty SOS now so you have time to get your glow up and running before December hits.

Ms Angelica Kavouni’s CareerFacelift® incorporates the concept of plastic surgery pioneer, Suzanne Noël’s ‘petite opération’

Wed, 14 Sep 2016 11:24:00 GMT

One of my particular professional heroines has to be the most amazing Suzanne Gros Noël. The first female plastic surgeon to perform ground breaking facelifts, coining the phrase ‘petite opération’ in a career which spanned from 1916 to 1950.

I developed the CareerFacelift® incorporating the concept of Noël’s ‘petite opération’.

Over the past 15years I have learned that women want to look neither younger nor different, but simply to look as good as they can for as long as they can. Small tweaks here and there blending surgical interventions with non-surgical procedures mean that women can stay fresh faced without looking pulled or pinched.

With retirement age caught in an invisible slip stream, seemingly always just out of reach, women of all ages are feeling pressure to stay ahead, or at least keep up with the rest. Staying relevant in the workplace has never been more pertinent and professional women as young as 35 (and as old as 65) are asking for help in keeping the effects of ageing at bay.

The CareerFacelift® does not involve one single solution; rather a smorgasbord of both surgical and non surgical procedures from which treatments are chosen that are specific to individual issues.

These treatments tighten a sagging jaw line and mid face, replenish lost volume offering soft natural looking contours, remove pigment issues and replace that missing glow and finally relax lines and wrinkles, removing harsh frown lines.

Key components are: Tighten – Replenish volume – Resurface – Relax

Expect results to peak at 8 months with top up tweaks required at around 18months

Cost: from £2500.00 (depends on treatments chosen)

CareerFacelift® treatments include

Tighten: short scar facelift, Silhouette Softlift, Thermage radiofrequency

Replenish: Sculptra, Plasma Rich Platelet (PRP) therapy, hyaluronic acid fillers

Resurface: Fraxel laser, Obagi Radiance peel, Clear+Brilliant laser

Relax: mini-tox (botulinum toxin injections)

http://www.cosmetic-solutions.co.uk/press/2016_the_telegraph_career_lift

Ms Angelica Kavouni MD FRCS EBOPRAS is the medical director of the Kosmesis Skin Clinic @ 129 Harley Street

http://www.kosmesisskinclinic.co.uk

Watch Ms Angelica Kavouni on Greek TV channel talking about nonsurgical anti-ageing techniques and the ‘Career Facelift™’

Mon, 20 Jun 2016 11:40:00 GMT

Angelica: “Retirement age is now a blurred line and many women (usually aged 40+) ask me to help them to keep looking as fresh as they can, for as long as they can. These women don’t have the time or inclination for protracted recovery times so skin solutions have to be effective with minimal downtimes. With all this in mind I have developed the Career Facelift.”

The Career Facelift (Career Lift) combines a number of non and lesser invasive treatments. Each patient is individually assessed, and their problems addressed with a bespoke treatment package.

To find out more please visit our website: http://www.cosmetic-solutions.co.uk/career-facelift

‘Diet face’ phenomena can affect self esteem says UK’s leading cosmetic surgeon, Ms Angelica Kavouni

Mon, 13 Jun 2016 11:15:00 GMT

You’ve lost those extra pounds but now feel like you’ve aged 10years – sound familiar? Chubby faces can disguise lines and wrinkles but on slim faces they have nowhere to hide.

2 main categories of people who suffer from this phenomenon:

It’s widely accepted that during dieting facial fat pads reduce – sadly the same pads that support facial muscles, bulk the cheeks and ultimately keep one looking young and fresh faced.

I see many patients (mainly 40+’s) who have taken control of their bodies and feel great physically only to find they no longer recognise their faces. Deepened nose to mouth lines, visible marionette lines, heavy forehead frown lines and marked neck lines are all symptoms of ‘diet face’.

Don’t despair! There are many non surgical aesthetic ways to help boost collagen stores (nature’s facial scaffolding) and tighten loosened skin…a word of warning though: hyaluronuc acid fillers are a great way to help support sagging skin and reduce appearances of lines BUT if fat loses are too great then no amount of filling will help (you’ll spend a lot if money for no real gain).

Injectable Sculptra is often used to ‘re-boot’ soft tissue development and can help replace lost volume. Radiofreqency devices can help to shrink skin – we offer Thermage at my medi-spa, but there are other brands on the market. If you have a great deal of facial ‘wasting’ then surgery may well be an option.

Seek a practitioner you trust and ask for an honest assessment.

Observer interviews plastic surgeon Ms Angelica Kavouni. Beauty reimagined: 500 years of Botticelli

Wed, 06 Apr 2016 13:50:00 GMT

http://www.theguardian.com/artanddesign/2016/feb/14/what-is-beauty-botticelli-art-victoria-and-albert-exhibition

https://cm.g.doubleclick.net/push?client=ca-pub-2012933198307164

Failed the dimple check test? Get bikini ready with Ms Angelica Kavouni’s no-knife cellulite fix

Tue, 15 Mar 2016 21:14:00 GMT

At last, some good news for women plagued by the pesky lumps and bumps of cellulite, a combo treatment to smooth the skin’s surface and get rid of unsightly ‘orange peel’.

What causes cellulite?

Angelica: “The jury’s still out on the actual causes of cellulite. It is widely thought that genetics plays a big part combined with hormonal changes post puberty and the negative effects of 21 ^st century living, such as poor diet, lack of exercise and excess stress, which in turn can cause sluggish lymphatic systems and circulation. Water often becomes trapped in the skin’s deeper layer (the dermis) causing micro swelling which results in tissue thickening; fibrous strands also develop which pull on the skin surface resulting in the (sadly) very familiar dimpling or orange peel effect.”

The four stages of cellulite development:

Treatment explained

Micro needling MESOTHERAPY helps to break down cells followed by 3D-dermology vacuum and rolling which improves circulation and boosts lymph drainage. This leaves the skin smooth and dimple free.

How does it work?

Small micro injections of specially prepared active ingredients (mesotherapy) are placed in the superficial layer of the skin around the target area. The product helps degrade fat cells, stimulate cell metabolism and collagen production, reducing the surface’s lumpy appearance. Dermology speeds up removal cell breakdown products and shifting water by stimulating lymphatic drainage, leaving the skin smooth and taught.

Recovery:

Results

Improvements should last around 1+ years

_________________________________________________________________

Ms Angelica Kavouni MD FRCS EBOPRAS

An increasing number of women also seek her for female body contouring of all varieties from straight forward liposculpting to ‘Yummy Mummy’ combination surgery, involving any type of breast enhancement with tummy tuck and/or labiaplasty.

Kosmesis Skin Clinic is a unique skincare destination.

Not only a stand-alone non-surgical unit housing state-of-the-art solutions for all skin issues, the Kosmesis Skin Clinic acts as an invaluable adjunct to the surgical facility also based at 129 Harley Street.

Def: Kos-me-sis… preservation, restoration, or enhancement of natural appearance

Ms Angelica Kavouni GMC: 4002006

129 Harley Street London W1G 6BA t: 020 7486 9040 w: www.cosmetic-solutions.co.uk

Lucky enough to drive a convertible? Then don’t forget to protect your hands from premature ageing says leading UK cosmetic surgeon Ms Angelica Kavouni

Tue, 15 Mar 2016 19:10:00 GMT

London March 2016: Spring is almost here bringing with it brighter weather. Don’t forget to protect your hands even on the greyest of days warns UK’s leading female plastic surgeon Ms Angelica Kavouni MD EBOPRAS, medical director of Kosmesis Skin Clinic

Convertible cars seem to be everywhere you look these days – many of their owners most likely protect their faces but how many do the same with their hands? An ever increasing number of women spend thousands of pounds over the years battling the effects of ageing on their faces but neglect to look after their hands which can be the biggest giveaway of true age.

SUN BLOCK – SUN BLOCK – SUN BLOCK factor 15 and above, this ‘hands-saver’ treatment is affordable and simple to put into practice. Keep sun screen in the glove compartment and with the small handy travel sizes not available it’s even easier to carry around. As with facial anti-ageing, prevention is better than cure; any sun protection brand will do as long as it is > factor 15 and applied regularly, (even on cloudy days) this is imperative to avoid telltale ageing.

Signs of premature ageing can be pigmentation spots, stretched skin that begins to look wrinkled, and protruding veins and tendons as youthful tissue padding is lost (think Madonna).

I also urge patients to nurture hands at night – this will help the superficial appearance of the skin. My mother covers her hands in Vaseline and a pair of gloves! However if your partner does not take kindly to you wearing a pair of ‘Marigolds’ in bed, then at the very least try to moisturise regularly throughout the day. Good quality creams don’t have to be expensive. Never wash up, garden or perform car mechanics (!) without first protecting your hands with gloves. Keep a tub of hand cream in every handbag and by every sink in the house – applying hand cream soon becomes habitual.

The best of both worlds is a moisturiser with inherent sun block.

Ultimately don’t despair if you think it’s too late as there is a first aid measure that will help plump, disguise dehydrated skin and protruding tendons and blood vessels.

Combo rejuvenation treatment:

Ms Angelica Kavouni MD FRCS EBOPRAS

On the UK’s specialist register and member of EBOPRAS, Angelica has become one of the UK’s most requested female cosmetic surgeons. A regular TV and print media commentator, Angelica has become known for her minimal scarring facelift and breast surgery. An increasing number of women also seek her for female body contouring of all varieties from straight forward liposculpting to ‘Yummy Mummy’ combination surgery, involving any type of breast enhancement with tummy tuck and/or labiaplasty.

Kosmesis Skin Clinic is a unique skincare destination.

Our experienced aesthetic nurse practitioners work to Medical Director Ms Angelica Kavouni’s own exact standards, delivering high-end care to all patients.

Def: Kos-me-sis… preservation, restoration, or enhancement of natural appearance

Ms Angelica Kavouni GMC: 4002006

129 Harley Street London W1G 6BA t: 020 7486 9040 w: www.cosmetic-solutions.co.uk

Career Facelift developed by UK Cosmetic Surgeon Ms Angelica Kavouni

Wed, 27 Jan 2016 14:28:00 GMT

Angelica: ‘Retirement age is now a blurred line and many women (usually aged 40+) ask me to help them to keep looking as fresh as they can, for as long as they can. These women don’t have the time or inclination for protracted recovery times so skin solutions have to be effective with minimal downtimes. With all this in mind I have developed the Career Facelift.’

The Career Facelift combines a number of non and lesser invasive treatments. Each patient is individually assessed, and their problems addressed with a bespoke treatment package.

The Career Lift consists of one or more of the following:

Results : instant and improve over time

Downtime : expect some swelling that settles in under a week

Results : instant and last around 12months (instead of the usual 3-6months)

Downtime : none (might suffer small bruising which can be hidden with mineral makeup)

Results : instant and improve over time

Downtime : expect to look sun flushed for a few days after treatment

Results : instant and improve over time

Downtime : none

Cost: varies according to which treatments are suitable. Please call the office for more information

129 Harley Street London W1G 6BA t: 020 7486 9040 w: www.cosmetic-solutions.co.uk

____________________________________________________

Ms Angelica Kavouni FRCS EBOPRAS Cosmetic Plastic Surgeon. On the UK’s specialist register and member of EBOPRAS, Angelica has become one of London’s most requested female cosmetic surgeons. A regular TV and print media contributor, an increasing number of women seek Angelica for female body contouring of all varieties from straight forward liposculpting to ‘Yummy Mummy’ combination surgery, involving any type of breast enhancement with tummy tuck and labiaplasty. Passionate about non-invasive anti-ageing, her ethos of “I practice what I preach” means women all over the country also trust her with all their skin rejuvenation needs.

Kosmesis Skin Clinic is a unique skincare destination. Not only a stand-alone non-surgical unit housing state-of-the-art solutions for all skin issues, the Kosmesis Skin Clinic acts as an invaluable adjunct to the surgical facility also based at 129 Harley Street. Our experienced aesthetic nurse practitioners work to Medical Director Ms Angelica Kavouni’s own exact standards, delivering high-end care to all patients.

Def: Kos-me-sis… preservation, restoration, or enhancement of natural appearance

GMC: 4002006

Choose breast implant size carefully warns UK plastic surgeon, Ms Angelica Kavouni

Fri, 22 Jan 2016 12:10:00 GMT

I started my private practice in the late 90’s and was then inundated with young women wanting overly large implants – driven by the actions of many high profile celebrities of the time. In my professional opinion this was a trend too far and I rarely agreed to operate (I believe in body proportion and not extremes). Now I’m seeing a growing number of women asking for chest ‘downsizing’ – and I’m very happy to help.

When the producer of BodyShockers approached me I was a little sceptical of the programme as the content is too extreme for my taste, however their underlying goal of educating the young against extremes of beauty is sound and of interest. I have now collaborated on three series of the programme and Andrea’s story (aired on January 20th on Channel 4) is very typical.

Andrea admits she made a mistake. She had large implants to fit in with her colleagues at work and as the years passed realised her error. Large, disproportionate breasts cause many negative issues, many Andrea faced daily.

With support from her fiance, Andrea made the decision to downsize her chest. During consultation Andrea indicated that she wasn’t keen on having scarring associated with breast uplift surgery (mastopexy) and chose to have her implants removed from an incision around the areola. This turned out to be a good option for her as she didn’t want implant replacement and was lucky to have good quality skin.

Other women aren’t so fortunate. These oversized implants can stretch both the skin and ligaments that have to hold them up. Surgery often involves a breast uplift which has a longer anaesthetic, longer recovery and scars that I try to keep in a ‘lollipop*’ shape but sometimes have to be anchor* shaped.

On the show the producers filmed a young girl who was 100% convinced she wanted overtly large implants (to go from A cup to F cup). Andrea talked to her before surgery and the girl watched the operation. There was a positive outcome as the young girl decided against huge implants and settled on a DD cup.

My message to anyone seeking breast enlargement is to think very carefully about implant size. Some helpful hints:

Ultimately don’t be a victim of fashion. If you want breast enlargement surgery then do it for the right reason, because YOU want it – don’t be influenced by others (family, friends, lover or employer).

To read Andrea’s full story in Daily Mail: http://www.dailymail.co.uk/femail/article-3408409/Ex-Hooters-barmaid-FF-breast-implants-removed-struggling-pain-finding-clothes-fit-saying-weighed-two-cantaloupes.html

_________________________________________________________________

*Lollipop – incision around the areola and down to the crease of the breast

*Anchor – again around the areola, down the the crease but this tup can travel around the base of the breast

UK’s leading female plastic surgeon, Ms Angelica Kavouni warns female cyclists not to suffer in their saddle, but instead ‘protect their perineum’ whilst riding to help prevent long-term loss of se...

Mon, 09 Nov 2015 19:46:00 GMT

As numbers of women cyclists dramatically increase very few are aware of the importance of taking care of their ‘under carriage’. Regular chaffing of genitalia can lead to tissue fibrosis (hardening), rashes and even thrush.

The number of women consulting me for advice about their protruding or hypertrophied labia has increased 20% year on year. The underlying trends are very interesting – before the Olympics in 2012 the majority of women I saw for labiaplasty were post pregnant or menopausal women seeking help for misshapen or enlarged genitals. Since 2012 I have noted that the majority are now women who enjoy physical sporting hobbies – most markedly cycling.

With 500,000 women already on bikes and British Cycling aiming to get one million more women on saddle by 2020 (with their campaigns #WeRide and Breeze), female cyclists are now a growing force.

As burgeoning numbers of women are taking to the saddle, I now offer non–surgical advice alongside the surgical as prevention is always better than the cure. Whilst surgical refashioning of the labia is a bone fide and safe way to help reduce cycling discomfort, it is not the only solution. I often suggest additional adjuncts such as finding the right saddle, wearing the right clothing and using a protective barrier cream with a chamois base.

Any tissue on the body when exposed to regular friction or knocking will develop fibrotic tissue – much like the way fingers and feet respond to long term abuse. It’s a natural protective mechanism. The skin on the labia is no different; if anything, due to its high blood content and many nerve endings this area is much more vulnerable to long term damage.

3 key ways to avoid saddle chaffing:

1. It’s all in the saddle!
Invest in the right saddle for your anatomy.
Four rules of saddle contentment:
Wide enough?
Flat enough?
Firm enough?
Consider a cut out/T or pear shape?

There’s a lot more to cycling than meets the eye! I’m learning such a lot! Saddles can now be customed to one’s anatomy and a good, independent cycle retailer will have a saddle measurement device of some description. Bespoke saddles are a good investment as women have differing anatomical requirements.

2. What’s lies beneath?

3. Anti-chaff lubricant
Thank goodness the market now offers good alternatives to Vaseline! Try a silicone or chamois based product.

I love the fact that women are giving men a ‘run for their money’ in the cycling stakes! If hypertrophied (enlarged) labia are an issue for you then of course surgery can be considered and is very effective, but as always surgery is not the only solution.

_____________________________________________________________________

Ms Angelica Kavouni MD FRCS EBOPRAS Cosmetic Plastic Surgeon

129 Harley Street London W1G 6BA t: 020 7486 9040

w: http://www.cosmetic-solutions.co.uk

Ms Angelica Kavouni FRCS EBOPRAS Cosmetic Plastic Surgeon

On the UK’s specialist register and member of EBOPRAS, Angelica has become one of London’s most requested female cosmetic surgeons. A regular TV and print media contributor, an increasing number of women seek Angelica for female body contouring of all varieties from straight forward liposculpting to ‘Yummy Mummy’ combination surgery, involving any type of breast enhancement with tummy tuck and labiaplasty. Passionate about non-invasive anti-ageing, her ethos of “I practice what I preach” means women all over the country also trust her with all their skin rejuvenation needs.

GMC: 4002006 129 Harley Street London W1G 6BA t: 020 7486 9040 w: http://www.cosmetic-solutions.co.uk

Pregnancy and breast feeding can leave breasts empty and sagging

Mon, 09 Nov 2015 14:55:00 GMT

Pregnancy and breast feeding can leave breasts empty and sagging. Solution? Post Pregnancy Breast Augmentation.

One woman’s story…-YouTube http://ow.ly/UpQao

ANTI-AGEING NEWS: The latest in thread lifting – the “Silhouette V-Instalift” – is now offered by Ms Angelica Kavouni at the Kosmesis Skin Clinic, 129 Harley Street, London.

Fri, 23 Oct 2015 09:40:00 GMT

ANTI-AGEING NEWS: The latest in thread lifting – the “Silhouette V-Instalift” – is now offered at the Kosmesis Skin Clinic, 129 Harley Street, London.

Known for her skilled thread lifting techniques, the clinic’s medical director, Ms Angelica Kavouni discovers the benefits of the newest thread to be released by market-leading brand, Silhouette Lift.

Increasingly high tech, these new sutures are more pliable enabling the surgeon to pass the thread in two directions: up toward the ear and down toward the nasolabial fold, forming a V-shape under the skin.

Thanks to their bi-directional cones, these threads are able to self-attach to tissue, lifting without the need for hooks or anchors. Once in place, they create a controlled injury under the skin, and over time trick the body into producing more collagen. Six to nine months later, the threads and cones dissolve, leaving the face lifted and plump.

Angelica comments: “These new Instalift threads are more superior to those already on the market. When used properly in the face, these threads can produce a lovely natural contour and can even negate the need for fillers around the mid-face – giving those of you who are afraid of the ‘filler-pillow face’ a real no-knife gentle lift option to combat flattening cheeks and early drooping jawlines.”

For more information please contact t: 02074869040
http://ow.ly/TJzyD http://ow.ly/i/dUokD

Exposed – 3rd world girls facing ‘breast ironing’ in attempt to disguise puberty. Ms Angelica Kavouni leading UK plastic surgeon comments

Mon, 19 Oct 2015 17:22:00 GMT

Some disturbing facts:
– UN report states breast ironing affects 3.8 million young women
– It is a widespread practice in Cameroon, Nigeria and South Africa
– In 58 per cent of cases the girl’s mother is the abuser

The claim is that women (tragically often the mother) use hot irons, hammers or spatulas to reduce growing breast tissue in an attempt to ‘asexualise’ the girls, to protect them from sexual predators, unwanted pregnancies and premature marital overtures.

I’m not sure how these practices slow or stop breast tissue growth. I suspect that it causes a build up of scar tissue which prevents growth and possibly shrivels the glands in the breast. Incredibly barbaric! These girls are subjected to this horror, often by people they trust, in the guise of helping them to continue personal development, complete education and protect them from an early marriage. In fact, according to experts in this field this practice is wrapped in tradition, religion and superstition, much like FGM.

There is no doubt that the girls are left physically scarred and mentally traumatised.

Education MUST be the key to ending these terrible abuses – education of both the young girls and their abusers.
________________________________________________________________________________________

Some sites of interest:
http://www.cawogido.co.uk/workonbreastironing.php

BREAST IRONING” CONFERENCE
Will take place at the Northolt Library, Northolt: Friday 24th October, 2015 from 1pm to 4pm.The conference aims to continue discussions and to urge participants to join CAME Women and Girls Development Organisation in the campaign against “breast ironing”. Discussions will focus on the negative impact of breast ironing and on issues to protect girls from being abused through breast ironing and supporting families and communities.

Refreshments and Lunch will be served during the conference.

To confirm your participation at this important conference, please contact Geraldine Yenwo:
Tel: 02083689054/ 07942240643 or
E-mail: cawogido@yahoo.co.uk

Guardian discusses Nutricosmetics – pot

Tue, 13 Oct 2015 13:25:00 GMT

Guardian discusses Nutricosmetics – pot £5bn ind by 2020. Believe manufacturers claims or pseudoscience? you decide ://ow.ly/TjbHy

Data from US – Gay and bi-sexual men mor

Tue, 13 Oct 2015 09:05:00 GMT

http://ow.ly/Tj9uv

Angelica talks ‘Yummy Mummy surgery’

Mon, 28 Sep 2015 09:55:00 GMT

Angelica talks ‘Yummy Mummy surgery’
“Critics of so called ‘yummy mummy’ surgery say that woman should embrace the ‘scars’ of motherhood and the majority of women do, but I feel strongly that women who choose to seek help are not made to feel badly. Ultimately feelings of low self esteem with altered body image can put extra stress on relationships and family life.” I see increasing numbers of post pregnant women who have either had multiple pregnancies or who have lost their pregnancy weight very quickly, leaving large amounts of loose, stretched skin around the tummy. A combined procedure of tummy tuck and with mastopexy can dramatically boost a woman’s confidence.”

http://ow.ly/SCYOR http://ow.ly/SCZn0

Angelica talks ‘Thermage CPT’ – the no

Fri, 25 Sep 2015 09:45:00 GMT

Angelica talks ‘Thermage CPT’ – the non invasive skin tightening option for those of you concerned about early skin sagging. Can help to define jawlines, reduce fine lines and wrinkles and rejuvenate dreaded turkey necks.

Only one treatment is required and with no downtime, this is the perfect treatment for those of you who really want to turn back the clock but can’t make time for conventional recovery.

Results are immediate, keep getting better with time and can last up to 18 months

http://ow.ly/SCLlC

‘Young at extra risk for Body Dysmorphic Disorder’ says Ms Angelica Kavouni Plastic Surgeon and Medical Director of London’s Kosmesis Skin Clinic

Tue, 08 Sep 2015 09:21:00 GMT

Social media and peer pressure seem to put added burdens on the young to ‘match up’ to others – especially celebrities of the moment. One must remember that plastic surgery procedures are surgical interventions requiring a general anaesthetic and must be taken seriously.

There are very few procedures that can be ethically undertaken in the under 18’s – ear pinning for bat ears is the most common and is a very successful operation to help avoid school ground ridicule.

The body doesn’t fully mature until 18 years of age and often the breasts continue developing for a little longer. Even if the body appears mature, is an 18year old mentally mature enough to make an informed and clear decision about undergoing a non-emergency surgical procedure? I believe not…

Often when a young person comes to see me they are reassured when I spend time talking with them. They soon realise that surgery is not the ideal solution for the concerns they have, and many even come to understand that they don’t actually have a ‘problem’ after all.

As plastic surgeons, we need to be alert for signs of Body Dysmorphic Disorder (BDD) as this a very real psychological problem and notoriously difficult to treat with the young being particularly vulnerable.

I feel sad that so many teens have body issues at such a young age. If they remain determined to seek surgery then I encourage them to wait a few more years. Sadly there will always be a surgeon prepared to operate on those we turn away…

What is BDD?
The term Body Dysmorphic Disorder (BDD) describes a disabling preoccupation with perceived defects or flaws in appearance. It can affect both men and women, and makes sufferers excessively self-conscious. They tend to check their appearance repeatedly and try to camouflage or alter the defects they see, often undergoing needless cosmetic treatments. Onlookers are frequently perplexed because they can see nothing out of the ordinary, but BDD causes devastating distress and interferes substantially with the ability to function socially.

Those concerned about a loved one please seek help.
The BDD foundation can offer support: http://bddfoundation.org

Breast reduction (mammoplasty) numbers on the rise – top UK plastic surgeon, Ms Angelica Kavouni helps to explain why

Fri, 21 Aug 2015 09:04:00 GMT

In the days following this Daily Telegraph feature I looked at the numbers of breast reduction surgeries in my own practice. Whilst I knew the numbers had risen, I hadn’t actually realised that they have in fact jumped so dramatically – with an increase of 5% year on year (for the past 3 years).

WHY do women seek this procedure? Always a difficult question to answer as each patient has their own views and concerns, but generally I find recurrent themes. Education is one of the biggest triggers – women are learning more about the options open to them, and surgery is definitely one solution. Large brasets can cause actual physical issues such as back ache and neck pain which, as breasts become bigger (as they inevitably do!), can lead to actual skeletal damage. Physical exercise can also be a problem and very uncomfortable. Alongside the physcial isues and, in my opinion of equal concern, are the psychological problems experienced by these women. Unsolicited male attention and embarrassment are often cited as real issues.

WHY is it that breasts seem to be getting bigger? There are several schools of thought and probably isolating one cause is impossible. Hormones and dietary habits definitely have roles to play. Some claim that levels of oestrogen in our water supply are artifially high thanks to the excretion of by-products of the contraception pill and this in turn accelerate formation of breast tissue (not just in women but in men too).

BREAST REDUCTION SURGERY is not to be taken lightly and there can be an arguement made against having this procedure before women have completed their families. Pregnancy can cause breasts to enlarge and after mammoplasty there is no guarentee that breast feeding will be possible. Scarring has to be considered as surgery involves moving the nipple upwards and excess tissue has to be removed. I always try to use use the ‘lollipop’ incision where I can but if women have very large breasts this is not always possible and the scar becomes more of an anchor.

I have to say that the positive effects of mammoplasty are immeasurable – this surgery can really change someone’s life. but the decision to have surgery must be balanced and informed.

http://www.telegraph.co.uk/women/womens-life/11801066/Modern-Familys-Ariel-Winter-has-breast-reduction-surgery.html

Drive a convertible? Don’t forget to protect your hands even on the greyest of days warns London’s leading female plastic surgeon Ms Angelica Kavouni, medical director of Kosme Skin Clinic

Mon, 06 Jul 2015 09:50:00 GMT

As with facial anti-ageing, prevention is better than cure; avoid telltale ageing by regularly applying sun protection of factor 20 and above, even on cloudy days. Signs of premature ageing can be pigmentation spots, sagging skin that begins to look wrinkled and protruding veins and tendons as youthful tissue padding is lost (think Madonna).

My advice is to try to nurture your hands at night – this will help the superficial appearance of the skin. My mother covers her hands in Vaseline and a pair of gloves! However if your partner does not take kindly to you wearing a pair of ‘Marigolds’ in bed then at the very least try to moisturise regularly throughout the day. Good quality creams don’t have to be expensive. Never wash up, garden or perform car mechanics (!) without first protecting your hands with gloves. Keep a tub of hand cream in every handbag and by every sink in the house – applying hand cream soon becomes habitual.

Ultimately don’t despair if you think it’s too late as there are first aid measures that will help plump and re-hydrate the skin, disguising protruding tendons and blood vessels.

Several rejuvenation treatments are available:
• For dry skin Restylane Vital will re-hydrate, 4 sessions advised
• For pigmentation problems, collagen boosting and crêpy skin try Fraxel Laser, 3 sessions advised
• To replace vital lost volume and disguise ugly veins and tendons I use injectable long lasting Radiesse, a one off treatment repeated every year or so

Getting fit? Wear a good sports bra to avoid premature drooping says UK’s leading female plastic surgeon, Ms Angelica Kavouni

Tue, 24 Feb 2015 18:59:00 GMT

As Spring approaches huge numbers of us up the ante in our exercise programmes. Whilst I applaud shedding a few pounds and improving cardiovascular fitness PLEASE give some thought to your poor Cooper’s Ligaments during this season’s escalating activity agendas!

A study by the University of Portsmouth’s Breast Health research group found that during exercise, breasts don’t just bob up and down but actually move through a complicated figure of eight pattern – and this is the same whether walking or jogging.

So, enjoy your Spring exercise programme but remember it’s not all about the muffin top this exercise season – the breasts need some TLC too!

Extending the life of your facelift is possible with the latest skin rejuvenation procedures says leading UK cosmetic surgeon, Ms Angelica Kavouni

Tue, 09 Dec 2014 08:50:00 GMT

You’ve had your facelift and are looking fabulous BUT remember the ageing process marches on regardless! Extend the life of your investment by taking good care of your skin and, together with your surgeon devise, a follow up long term treatment plan.

The results of modern facelift techniques last around 5 years – or more if you’re lucky! The good news is that you no longer have to rely on luck – there are numerous options available to help boost underlying volume, keep skin smooth and manage pigmentation problems.
The key to many of these treatments is stimulation of collagen production – the skin’s natural scaffolding system that helps to keep the jawline smooth and hold line and wrinkle formation at bay.

Maintaining good skin texture and improving laxity should enable you to enjoy your facelift for much longer. The key is to seek subtle rejuvenation to avoid looking ‘done’ and with an experienced practitioner on your side careful blending of injectable volume replacement with essential skin re-surfacing will leave you looking fresh and younger for some time.
______________________________________________________________________

Some rejuvenation options explained:
Volume boosting.
Fat pockets can slip and diminish as the ageing process progresses. Careful and expert volume enhancement will help you keep looking younger and fresh for longer.
– SCULPTRA. This unique injectable poly-L-lactic acid stimulates your body to produce soft tissue in the target area, leaving your face looking naturally fuller. Effects can last up to 2 years. A bonus of this treatment is collagen production which can help keep skin looking fabulous too!
– HYALURONIC ACID FILLERS. There are many brands of HA on the market today and we offer the safe, tried and tested injectables Boletero and Juvederm. Lines can be eradicated which help to keep you looking fresh and rested for up to 6 months.
– RADIESSE. A longer lasting filler, Radiesse can be used to fill troublesome nose-to-mouth lines with results lasting up to 2 years.
– FAT TRANSFER. A more invasive procedure where fat is harvested from one area and injected into targeted sagging areas.

Skin tightening
Skin laxity (or drooping) is a major issue as we age. Deepening nose-to-mouth lines, increasingly heavy upper eyelids and flattening eyebrows are common issues. Collagen boosting will help tighten the skin.
– RADIOFREQUENCY. Thermage CPT is the latest version of this effective skin tightening device. One treatment can help to keep the jawline taught and effects should last up to 3 years.
– SILHOUETTE SOFT THREADS. Lesser invasive threading which is performed in the office. Cheek bone shape can be enhanced and the midface and browline lifted.
– FRAXEL LASER. The market leader, this laser has a dual purpose – to rejuvenate the skin surface whilst boosting collagen at a deeper level.

Skin resurfacing
Pigmentation blemishes are usually attributed to sun damage, these combined with the build up of fine lines and wrinkles can make you look older than your years.
– FRAXEL LASER. As above. The Fraxel laser brings pigmentation to the surface and then flakes off leaving right, blemish free skin behind.
– CLEAR+BRILLIANT MINI LASER. No down time makes this baby laser a must for time hungry patients who want the results of Fraxel without the 2 day flush. Skin is tighter and brighter.
– OBAGI BRILLIANCE LIGHT PEEL. Several treatments may be required but this new offering from master medical skin care range Obagi ticks all the right boxes. Skin is left clear and glowing…

Silhouette Soft, next generation thread lift secures its place as a valid aesthetic interventions says Ms Angelica Kavouni

Tue, 27 May 2014 20:44:00 GMT

I am an advocate of thread lifts and have been using them in my practice for some time – they are a viable option for women experiencing loss of jawline and cheek bone definition who seek a less invasive solution to the effects of early ageing.

The Silhouette Lift offers predictable results with minimal intervention- sometimes only requiring a small surgical removal of loose skin at the temple, however the new kid on the block, Silhouette Soft is making its mark.

Even lesser invasive, Silhouette Soft is the next generation thread lift – results last around 18months (less than the Silhouette Lift) but the technique takes under an hour and can be performed in the office.

This alternate thread lift utilises dissolvable, dual purpose threads and cones – they anchor the thread in place whilst the skin settles in place and also stimulate production of that magical substance, collagen to help plump and firm target areas.

If you are seeking a subtle, instant rejuvenating lift with very little downtime then you would be very happy with this product. Not suitable for all however so patient selection is important and a thorough consultation is needed before the procedure is performed.

As PIP implant boss is jailed for 4 years my fear remains that this seemingly lenient sentence won’t deter other health scammers in the future. A blog by Angelica Kavouni

Thu, 12 Dec 2013 21:22:00 GMT

PIP company boss Jean-Claude Mas has been sentenced to 4 years and given a 75,000 Euro fine, leaving many breast implant recipients feeling let down yet again. Many will feel that this punishment is too lenient and the worry remains that it won’t deter other health scammers in the future.

At the heart of this bad practice was the production of substandard PIP (Poly Implant Prosthese) implants for maximum profit. Cheap-to- manufacture weak shells encased potentially dangerous industrial-grade silicone constituted a low price tag that some practices found difficult to refuse.

Trusted implant manufacturers employ superior medical-grade silicone in a cohesive gel format, meaning that in the unlikely event of the rupture in the shell, it won’t seep into the bloodstream or surrounding tissue. The shells are also tested rigorously to ensure resistance to many types of trauma.

Many PIP recipients have come to me seeking suitable replacements and are understandably concerned about the long-term implications to their health. I reassure them as much as I can – considering there is still an element of the unknown – but at least I can reassure them that they appear to carry no cancer risk. If these implants haven’t ruptured then the health risks are virtually zero, but if they have then I advise removal or exchange. Often, if a rupture has occurred, there are no symptoms but some women complain of pain and inflammation due to the formation of scar tissue which can distort the breast shape . Worryingly, silicone has also been found in their axillary lymph nodes .

What’s very telling is that none of these PIP implants were sold in the USA due to their stringent healthcare controls. Products need to pass all sorts of tough approval stages before they achieve the coveted FDA stamp and many fail this process. Sadly, no such system currently exists in Europe – the CE mark implies a manufacturing standard rather than a quality control, meaning manufacturers can substitute premium components with cheap, substandard replacements. As long as this is the case, PIP and similar scandals will continue to slip through the net.

My message to PIP recipients is not to panic; you are quite safe but you should consider exchanging them sooner rather than later.

http://www.bbc.co.uk/news/world-europe-25315627

Even Hollywood A-listers like Courteney Cox admit that it’s a constant struggle to fight ‘that clock’

Tue, 10 Dec 2013 11:45:00 GMT

So what do we have in our arsenal against ageing? Courtney attributes her youthful glow to drinking plenty of water and regularly getting a good night’s sleep (I suspect it may be a little more than that…but that’s another discussion!)

We learn more about the ageing process every day and scientists can harness this research to develop increasingly efficient ways of slowing the skin’s ageing process. We’re in no doubt that skin renewal plays a large part in keeping the skin taut, conditioned and rejuvenated and due to this knowledge, many of today’s treatments are based around that concept.

Collagen is the magic ingredient in this process. Our skin’s natural support system, it plays a vital role in maintaining skin condition . Large amounts of collagen are lost from our skin as we age, thus many anti-ageing treatments aim to replenish these natural stocks.

The body produces collagen as a natural response, to heal damaged tissue and skin cells . In order to generate this production, current anti-ageing procedures target the tissue in specific areas of the skin that are in need of plumping. There’s no need to worry though, the activity affecting the tissue is carefully controlled and any ‘damage’ is microscopic, as in the case of Fraxel, a fractional laser therapy .

As an aesthetic surgeon working today, I consider myself very lucky, being able to choose from a wide range of practices as well as traditional surgical procedures to achieve exactly the right result for each of my patients. Thanks to technological advances in the field, I can combine surgical and non-surgical cosmetic procedures to keep the skin in great shape. There are so many options to choose from; stand-alone skin resurfacing, colour correction, radio-frequency skin tightening, injectable fillers and wrinkle relaxation treatments all have their rightful place alongside surgical procedures. I often blend such treatments to optimise the results of my trademark minimal scarring surgery – mini-facelift, eye lifts and one stitch facelift.

I don’t ever promise to stop the ageing process but I can certainly help you to slow it, gracefully, to obtain natural-looking results. For me this natural aesthetic is key and I believe it’s totally within reason to want to look 5 or even 10 years younger. However, it’s trying to stop the clock altogether that can produce a face that looks artificial, puffy and stretched – think Sharon Osbourne .

If you’ve decided to fight the skin’s ageing process then of course drinking plenty of water, a healthy diet, ample sleep and regular exercise coupled with no smoking and high sun protection are all great practices. However, you might just decide on a little extra help.

http://www.dailymail.co.uk/femail/article-2517986/Courteney-Cox-looks-half-age-new-hair-campaign-reveals-secrets-looking-good.html

Daily Mail discusses ‘Turkey neck’ solutions (Don’t flap! You CAN get rid of a turkey neck…) BUT don’t forget radio frequency Thermage says Ms Angelica Kavouni, top London plastic surgeon

Thu, 14 Nov 2013 10:50:00 GMT

Efficacy of any of the listed treatments (and others) depends on the degree of skin laxity, muscle looseness and fat losses, but one of the key treatments available today is the impressive 3rd generation Thermage CPT device. Pain free and effective, the vibrating and cooling head delivers targeted radio frequency energy to the deep dermis , this causes constriction of the skin and stimulation of collagen – nature’s skin scaffolding!

Thermage helps reduce loose skin and can help define a sagging jawline. Effects are immediate and also improve over 3-6 months, and last for 2-3 years. Only one treatment is required with no downtime.

Not a substitute for surgery, but Thermage provides patients with a bone fide option for an area that is notoriously difficult to treat.

http://www.dailymail.co.uk/femail/article-2506919/Dont-flap-You-CAN-rid-turkey-neck-From-best-creams-exercises-going-knife-roll-years.html

A patient’s story – how plastic surgery saved my sanity. Body lift surgery after dramatic weight loss with Ms Angelica Kavouni

Tue, 22 Oct 2013 08:55:00 GMT

I aged 50years in under a year!

I had always been heavy, even as a schoolgirl and as puberty hit the problem just became worse. Even though I hated being fat, food gave me temporary comfort and I couldn’t break the cycle.

I was 21 stone at my heaviest and, along with my size, came health issues – asthma, hiatus hernia and an under active thyroid….

Luckily my GP helped me seek help and I was offered a gastric bypass . I weighed up the pros and cons for some time, and was even assured that, post operatively, skin removal surgery would be available to me.

I was under no illusion that the sagging skin would be a big problem due to the speed of weight loss , but with the offer of skin removal sorted, I decided to go ahead with the bypass surgery.

My weight dropped to 10 stone 4 in just 10 months! It was the most surreal experience, seeing this excess baggage I had carried for so long just disappear – amazing. My breathing and exercise tolerance improved almost overnight and I felt great for the first time in a very long while.

The excess skin was revolting however and it made me FEEL revolting – even though my partner tried to re-assure me! Instead of a now healthy 43 yr old, without clothes I looked 90!

Due to budget cuts my primary trust refused me the promised skin removal surgery – devastated doesn’t do how I felt justice – I felt half finished and became desperate.

The thought of baring all on TV was incredibly daunting, but I applied for a number of reasons. I wanted obese people planning weight loss surgery to be aware of the drastic skin sagging they have to face. I was also desperate for the surgical body lift – and my supportive family made the decision easier.

I’m not stupid, I know my body will never be perfect and I didn’t really want that anyway – all I wanted was to be able to wear a swim suit on holiday, and feel good about it!

I underwent an arm lift, tummy tuck and breast uplift with Angelica Kavouni. Angelica felt I was a good candidate for the combination surgery and to be honest, it has transformed my life!

The scars have healed so well you can hardly see them. On the spa trip we took once everything had healed I pranced around like a peacock! And the dip in the pool was the first one I’d taken in 15 years!

Do I regret my gastric bypass? Absolutely not. But trusts offering weight loss surgery really need to think long and hard about the complete patient and must offer skin removal post operatively.

Angelica Kavouni talks lumps, bumps and cellulite on SKY TV, also demos Cellulaze, the new cellulite treatment that works!

Tue, 01 Oct 2013 11:20:00 GMT

At last, some good news for women plagued by the pesky lumps and bumps of cellulite, Cellulaze, a treatment that will smooth the skin ’s surface and get rid of ‘orange peel’. With Autumn approaching, now is a good time to start getting the body in shape for next year’s beach parties.

What causes cellulite? The jury’s still out on the actual causes of cellulite but it is widely thought that genetics plays a big part combined with hormonal changes post puberty and the negative effects of 21 ^st century living such as poor diet, lack of exercise and too much stress which in turn can cause sluggish lymphatic systems and circulation. Water often becomes trapped in the skin’s deeper layer (the dermis ) causing micro swelling which results in tissue thickening; fibrous strands also develop which pull on the skin surface resulting in the sadly very familiar dimpling or orange peel effect.

What is Cellulaze? Cellulaze is a minimally invasive laser assisted device clinically proven to reduce appearance of cellulite – in one treatment

How does it work? Treats the underlying structures that cause the unsightly, dimpled appearance. The laser cuts through and breaks the fibrous bands pulling down on the skin surface, whilst thickening the upper dermis and improves elasticity through stimulation of collagen production.

The treatment:

Recovery:

Improvements should last around 2+ years

Cost: Costs starts from £2000.00 as it depends on the size of the target area(s)

Sharon Osbourne – a couple of rejuvenation steps too far? Angelica Kavouni discusses pros and cons of facial ‘filling’

Tue, 03 Sep 2013 15:36:00 GMT

Sharon Osbourne has become a household favourite with her compassionate, motherly approach to the X Factor contestants.

Open about having plastic surgery to maintain her youthful looks, Sharon has, up until now, looked quite fresh faced and ‘good for her age’. In the latest show, which launched last weekend, her appearance isn’t quite so natural.

With her stretched smile, waxy skin and frozen forehead, I’m afraid to say it looks like she has gone a step too far with non-surgical rejuvenation.

In the right hands, facial fillers, laser therapy and wrinkle relaxation treatments can turn back the clock, with the majority of women being happy to look a few years younger than their actual age. When women choose to ‘stay permanently young’, problems can arise.

Too much filler can result in ‘pillow face’ syndrome, where natural facial contours are disguised and the face becomes a round ball with puffed cheeks. I wonder if Sharon has had an additional facelift that has pulled her face laterally rather than vertically. This result is quite dated – modern facelift surgery such as the ‘short scar facelift’ avoids this stretched appearance.

The good news is that filler treatments are reversible – the result settles over a year, so hopefully as the series progresses Sharon’s look will settle, becoming more natural over the next few months.

There is a lesson to be learned for us all – practitioners and patients: that LESS IS MORE in facial rejuvenation…

http://www.dailymail.co.uk/femail/article-2408791/From-frumpy-fabulous-But-Sharon-Osbourne-gone-far-Face-looked-puffy-opening-episodes-X-Factor.html?ico=femail%5Eheadlines

To FROTOX or not to FROTOX, that is the question

Wed, 07 Aug 2013 19:21:00 GMT

A number of my regular patients have been asking me about FROTOX/iovera (the latest ‘big thing’ in aesthetic medicine to have entered the UK anti-ageing market), so I think it’s time to document a few of my thoughts about this new craze.

I’m sure a huge number of you have heard of the American FDA (Federal Drug Administration) and wonder why so much importance is put on this body’s approval. The answer is that the FDA insists on stringent testing and comprehensive studies before they give their endorsement ‘stamp’ to any product. As a consumer, you can be assured that if you undergo a FDA approved treatment, it is a bone fide, tried and tested procedure. Of course problems can still arise, especially if you place yourself in unskilled hands…

Ironically, iovera was developed in California but is not allowed to be used in the US as it has not yet been passed by the FDA. Europe has no equivalent testing systems in place, which is why we have had the recent scandals such as the very high profile breast implant PIP debacle. Manufacturers often bring their aesthetic/anti-ageing products to the European market first, essentially to trial and gather data in order to present to the FDA decision makers.

In my opinion, why offer patients an unregulated option to the very safe, tried and tested botulinium toxin (Botox) that works very well and for longer periods? When will the UK ‘wake up’ and develop their own ‘FDA’ equivalent? Have we learned nothing from the human devastation caused by the PIP scandal? Yes, Frotox may well work and give good results that reverse within 3 months, BUT efficacy is not in question here, it’s all about patient safety.

As the UK’s Apprentice winner courts controversy, Ms Angelica Kavouni offers her view from her seat on their expert panel

Fri, 19 Jul 2013 15:25:00 GMT

There has been a great deal of criticism surrounding this year’s Apprentice winner, Dr Leah Totton and her business plan. During the filming last October I knew then that if she won, it would cause more than a ripple of a media storm, especially in the wake of the Keogh report and lack of regulation debate.

Clearly an intelligent women, Leah’s idea of a chain of injectable clinics probably looked good on paper – and I’m sure the numbers she presented made Lord Sugar’s decision a great deal easier, however her plan does carry some glaring flaws.

There were some encouraging points, such as that she will seek to employ only registered nurses and physicians and also ensure that all industry regulations and policies are followed…

…BUT the key to the success of her plan was to charge ‘bottom dollar’ for treatments in order to drive a larger number of clients through the door. Sadly the ‘high volume low cost’ Easy Jet type of financial model cannot be applied to any part of the medical industry, and this includes the aesthetic/anti-ageing genre. It serves to trivialise an industry trying desperately to regain respectability after years of controversy.

In addition, the majority of those seeking anti-wrinkle and filler procedures do not make their choice of practitioner on cost alone – price is probably last on their list. Upper most in their selection process are practitioner qualifications, proficiency, reliability and peer endorsement.

It will be interesting to follow Leah’s journey and I wish her success, but I think both she and Lord Sugar will need to take some very specialist guidance if her plan is to work.

Battling batwings. Ms Angelica Kavouni offers solutions for those sagging arms

Fri, 05 Jul 2013 09:43:00 GMT

Not just an ageing issue for the over 40’s, sagging upper arm skin is now a concern for many women 20+, thanks mainly to increasing obesity trends. Weight fluctuation has a big influence on skin laxity – constant demands of stretching and shrinking can take its toll on the skin and, when you add both the pull of gravity and ageing process, you can say ‘goodbye’ to toned arms and ‘hello’ to growing batwings.

Drooping of skin is caused when the anchoring tissue system loosens and supporting fat disappears. Until now, this area has been notoriously difficult to treat, with women having two choices – to cover up or undergo surgical intervention, involving a long incision from armpit to elbow (a conventional brachioplasty).

Angelica comments: “Surgical armlift has been the standard solution for loose underarm skin, but I am happy to say we now have effective non-surgical options for women with early skin laxity who seek a degree of tightening.”

Non-surgical batwing treatments:

such as flabby arms. Excess fat pockets are ‘melted’ and removed using suction apparatus. The device also heats the surface of the skin promoting collagen formation, which in turn helps to tighten the skin.

heat reaction. The body automatically tries to heal the heated tissues, and this process results in collagen production, which in turn improves the texture, elasticity and supporting matrix of the skin. Skin is left contoured, smooth, and taught. Only one treatment required.

Ideal candidates:

Those with mild to moderate skin laxity have the best results

Downtime: a few days of bruising and swelling with Smartlipo; no downtime with Thermage

Results: You should enjoy the results for 3+ years

Cost: Smartlipo from £4200.00 / Thermage from £3500.00

Surgical armlift/brachioplasty is a procedure to remove excess skin and fatty tissue from the upper arm, and offers women an instant solution to sagging skin.

The incision runs from the armpit to elbow and usually heals very well to an almost invisible line.

Downtime: This procedure is performed as a day case and recovery can take up to two weeks

Results: effect will last for around 10 years, less if weight fluctuates

Cost: from £5500.00

Brides, set aside some ‘me’ time to make sure you glow on your big day says leading aesthetic expert and plastic surgeon, Ms Angelica Kavouni

Fri, 28 Jun 2013 09:12:00 GMT

Put aside some ‘me’ time in the run up to your big day and plan your skin treatments ahead of time to make sure you glow.

Anyone who has planned a wedding knows that it consumes every waking hour. Sleepless nights, overindulgent hen parties, stressing over seating plans and the guest list, can all play havoc with your skin – just at the time you want to be belle of the ball!

Hit back at dark under-eye circles, lacklustre complexion and breakouts with my skincare countdown package. Hydration, dead skin removal, and colour correction are the key features of this skincare plan.

____________________________________________________________________________________

Week one Clear&Brilliant (optional Botox anti-wrinkle treatment)

Week two Clear&Brilliant

Week three Clear&Brilliant (optional filler treatment)

Week four Clear&Brilliant

Week five Hydrafacial

____________________________________________________________________________________

Clear& Brilliant – Showering your face with TLC, the POWER FACIAL. This new generation light laser improves skin texture and tone and reduces pore size without the discomfort of laser therapy.

Hydrafacial: Rumour has it that Madonna has her own, and we know Kate Winslet loves them. With answers for all our skin woes, Hydrafacial, Hollywood royalty’s favourite pre party pick-me-up, gets skin glowing like no other skin treatment. HydraFacial offers on-the-spot deep hydration, exfoliation, extraction of blackheads, anti-oxidant protection and intense nutrition.

Prices from £1800.00

Are surgeons solely to blame for Alicia Duvall’s predicament?

Tue, 21 May 2013 17:44:00 GMT

Putting your face (and body for that matter) into the hands of a surgeon takes a great deal of trust and should not be undertaken lightly.

I suppose the big questions in Ms Duvall’s case that need addressing are: 1. Was she pressurised into surgery over the years? 2. Was she too young at 17 to decide to enlarge her breasts? 3. Should she have been investigated for body dysmorphia syndrome?

Having spoken with Ms Duvall today on ITV’s This Morning, she is understandably angry and places a big emphasis on the financial gains certain surgeons made from her repeated surgeries. Although I am unable to comment on the specifics of her case, it would be naive to suggest that financial gains were not a big part of private practice – almost all private medical facilities are now profit making businesses. However, the majority of bone fide plastic surgeons adhere to a strict code of conduct and guidelines outlined by their professional bodies, such as EBOPRAS, BAAPS and BAPRAS, and would never place financial gain above the wellbeing of patients.

We will always be presented with a small number of patients who have inappropriate expectations, and in these cases, we must always either decline to treat or refer to a reputable psychologist for assessment.

Was she pressurised into surgery over the years? I can’t comment on this, as it’s all anecdotal…she feels she was. If this is the case then it certainly should not have happened.

Should a 17yr old have breast augmentation surgery? In my opinion yes, in some circumstances it is obvious that the breast glands are not maturing, and it is in these cases appropriate to enhance a woman’s breasts to fit her frame. My professional ethos is ‘body proportion and not disproportion’ and often politely decline to operate on women who ask for caricature-like results.

3. Should she have been investigated for body dysmorphia syndrome. Most certainly I would have raised concerns mush earlier in her journey.

To offer some balance to her case, Ms Duvall does admit that she was not truthful about her age at the time of her initial breast enlargement. Ultimately, yes, of course you must be able to trust your surgeon, but equally your surgoen needs to trust you – be honest when recording medical and surgical history and where possible allow access to your GP. After all, it’s a two way street.

Calls for further PIP investigation need to be heeded

Thu, 09 May 2013 21:13:00 GMT

Two independent environmental scientists, Andre Menache, director of consumer protection organisation Antidote Europe, and Dr Victoria Martindale, an environmental campaigner, raise concerns about a chemical substance in the PIP industrial grade silicone, that could potentially harm foetal development.

Without wishing to cause women any further angst, and we must remember that these concerns are purely opinion based with no scientific basis, surely the existence of this toxic substance is enough to warrant further investigation – and a programme of mass implant removal/replacement.

http://www.guardian.co.uk/world/2013/may/09/pip-breast-implant-report-questioned

My necklift – a patient’s experience

Wed, 08 May 2013 13:16:00 GMT

From puberty onwards I have always had an issue with my neck – and it’s become increasingly worse with time and the dreaded ageing process. It’s interesting, all we ever seem to read or hear about are tales of female ageing and how it makes them feel – never much about what the same process means to men!

I’m not old (I don’t think I am anyway!!) but my ‘turkey neck’ is an issue – or was! I must have spent up to £7000.00 per year on gym membership, but nothing I ever did was enough to shift the fat on my neck. Angelica told me that fat in this area is notoriously difficult to shift, and that no amount of gym work would make much difference – and that Old Father Time was to blame for the loose skin! I wish I’d met Angelica several years ago as I could have used that gym money for something more enjoyable!

I like the fact that I saw Angelica at my initial consultation, which took place in her consultation rooms at 129 Harley Street. We discussed options – some were less invasive than others but I chose the more permanent solution: a surgical necklift with extra fat removal.

Angelica knew exactly what I wanted, and the staff in her office made the process very smooth and easy.

I underwent surgery at the swanky Cadogan Clinic, set in the heart of Chelsea – http://www.cadoganclinic.com/ The staff were very caring and professional, with a great mix of banter and humour which I found, put me immediately at ease. Surgery was uneventful (which is always a relief to hear when you’re the patient!!) and I was ready to leave a few the Cadogan Clinic a few hours later.

My recovery took around 6 weeks, although I was out and about very soon – even before the stitches were removed (day 10). Swelling took a while to completely disappear, you don’t realise how much takes place deep in the tissues – each week my chin looked more sculpted.

I have a small scar under my chin, which is around an inch long and that’s it! Amazing really…. Thanks Angelica and your fantastic team, Anel and Margaret x

Review of the Regulation of Cosmetic Interventions – the Keogh report

Wed, 24 Apr 2013 22:05:00 GMT

Here’s hoping it won’t take long to put some, if not all of these plans into place (however, an implant registry existed years ago, but folded as it was a logistical nightmare, so it will be interesting to see how this new one will work!)

My tummy tuck – a patient’s perspective

Thu, 18 Apr 2013 20:39:00 GMT

Not a classic pear, but enough of one to make finding good fitting clothes a complete nightmare – especially trousers and jeans (if they fitted around waist, then the legs would be baggy or if they fitted on the legs, they wouldn’t go around my middle!)

For many years I would just wear loose tops to hide my waist area, whilst plotting to have cosmetic surgery.

Finding the right surgeon proved to be the most difficult part of my journey. I made sure I saw 3, so I would be well informed – 2 male plastic surgeons and Ms Angelica Kavouni. To be honest, I found Angelica (she’s so approachable that it becomes very easy to call her by her first name, and she doesn’t seem to mind!) the most understanding of my predicament – one of the other surgeons even told me I wasn’t a good candidate for tummy tuck surgery due to my shape, which I found very odd, as I wanted surgery to change my shape!

Angelica understood how my body was making me feel and we both felt a tummy tuck was the right path to follow. She also made sure I fully understood the implications for the scar – it would be long (from hip to hip) but hidden in the bikini line. To be honest, I didn’t care! I was so excited that finally I might be able to wear the clothes of my choice and to expose my body even a little bit whilst on holiday… without scaring the natives!!

My post op journey:

I was terrified to look at the scar and didn’t remove the dressings until I saw her for stitch removal 10 days later. I have to say Angelica‘s attention to detail is incredible; I was amazed to see that she had actually stitched my scar, which must have taken eons! I’m sure she could have just used a staple gun to save time…

The strangest thing was that I couldn’t stand fully for around 6 weeks post surgery, as it felt as though my skin was too tight – I told people at work I was stooping due to a hurt back! It took around 6 months for me to return to 100% full activity.

The scar gives me no worries at all, as promised it is hidden in my panty line and, after 4 years, has almost faded away and is not obvious at all.

I returned to the operating table the year after my tummy tuck for some back sculpting. My tummy was now as flat as a washboard, but I felt that some fat that I carried on my back and flanks let the whole outcome down. Angelica soon sorted me out with some clever ‘lipo sculpting’ as she terms it.

I’m now so pleased with my body. Keeping fit and healthy is now enjoyable, as I know my shape has changed for the better – permanently.

Thanks Angelica! (may be back for some facial work, watch this space…)

One in five cosmetic surgery patients ‘is unsuitable’ Metro 17.03.13

Mon, 18 Mar 2013 11:45:00 GMT

There’s a piece in today’s Metro from BAAPS highlighting the problems of unfit patients undergoing cosmetic surgical procedures.

This has always been high risk in the private sector, as pre operative medical assessments are not routinely performed (unlike the NHS).

The article mentions the high number of unfit patients being referred by brokers or 3rd party referral companies. It is important for your surgeon to actually assess you before surgery, as problems can often be identified when sitting face-to-face.

There is quite a lot of reliance on the prospective patient to be forthcoming about illnesses , medications and family history – so be as honest as you can on your initial consultation questionnaire.

If there are any key points I’m worried about, I will arrange a pre operative assessment with my anaesthetist, who will order blood tests or investigations if deemed necessary.

We want you to have a positive experience with a good, pleasing results – but not at any risk to your health!

http://metro.co.uk/2013/03/18/one-in-five-cosmetic-surgery-patients-is-unsuitable-3546348/

How young is too young for plastic surgery?

Tue, 19 Feb 2013 20:18:00 GMT

http://www.dailymail.co.uk/news/article-2279398/Our-new-bodies-curse-say-girls-mother-spent-20k-look-like-J-Lo.html

I have been invited onto ITV’s This Morning couch tomorrow, to discuss the topic ‘how young is too young to have plastic surgery?’

An emotive subject with arguments for and against young women having surgery. In my opinion it boils down to ethics and personal professional opinion.

Should an 11year old boy who is being bullied in the playground due to his bat ears be told to grin and bear it, or have a simple surgical procedure to correct this distressing problem? I know as a mother and plastic surgeon that I see no problem with this solution.

Should a 14 year old girl who is jealous of her friend’s developing chest have implants or wait until puberty is fully complete? She may also be being bullied by her peers for her underdeveloped breasts….I would tell her to wait until 18 when she is more able to make a coherent, educated and mature choice.

The mother in the Daily Mail article is a big advocate of plastic surgery and saw no problem helping her daughters achieve the bodies of their dreams…I find the fact that both girls went under the knife at 15 worrying.

The majority of plastic surgery that I perform is to reverse the signs of ageing and is undertaken by mature women. It does seem that there exists a growing trend for the younger generation to seek to change their looks which is very sad.

UK plastic surgery statistics 2012: brows up, breasts down

Tue, 29 Jan 2013 10:59:00 GMT

Why have the number of facelifts increased? I think in the main, it can be attributed to modern, less invasive techniques – women are now seeking surgical intervention earlier rather than later. The short scar facelift is great for women in their 40’s, who see early signs of ageing and want to stop it in its tracks. With scars discreetly hidden behind and inside the ear, no-one is the wiser (not even the most nosey hairdresser!). This procedure smooths the jawline, boosts the cheeks volume and tightens the upper neck. Faces are left fresh and rejuvenated.

Also, plastic surgery is becoming more mainstream with less stigma and this, coupled with the fact that we have more disposable income in the UK, it also seems more affordable.

Why do I rarely perform brow lifts? Again, modern techniques have seen brow lifts become less severe, and, if performed with an endoscope, the scars are minimal and hairline is protected. In spite of this I do believe brow lifts can leave the eyebrows unnaturally high and some patients can look rather ‘startled’. A surgical upper eyelift with clever botox administration can ‘lift’ the brow in a more natural way.

In men, I think brow lifts are not indicated, as they tend to feminise male features too much. Genetically, the male face has a much heavier brow line and, in my opinion, to lift this is an error of judgement.

http://www.guardian.co.uk/news/datablog/2013/jan/28/uk-plastic-surgery-statistics-brow-lifts

Yummy Mummy/Mommy Makeover Plastic Surgery – is it worth the risk?

Tue, 18 Dec 2012 10:44:00 GMT

I perform a number of Mommy Makeover combination surgeries (or Yummy Mummy as we term it in the UK). There is no doubt that an increasing number of women are leaving their pregnancies until later in life, when the body has more difficulty ‘bouncing back’ in comparison to their younger counterparts.

Providing there is no underlying health pathology, this surgery is safe, tried and tested. Patients seeking these procedures tend to be under 45 years old, generally are fit and healthy women who just want to return to their pre pregnancy state.

As a mother myself, I understand their concerns and am happy to help. Combinations can include tummy tuck (both conventional and ‘mini’), fat removal, breast enhancement and labiaplasty. Breast uplift is the most common, which sees their own breast tissue gathered and placed back in a ‘perky’ position, in a newly formed pocket. Sometimes, breast feeding leaves the breast quite empty, with very little breast tissue, in which case women can opt for implants at the same time. Straight forward breast enlargement with implants is also a popular request. The women I see don’t tend to ask for inflated chests – just to return to their breasts to their pre pregnancy state.

Anaesthesia techniques have refined a great deal over the last 10 to 15 years, which means time spent on the operating table is safe, with less of the negatives side effects of anaesthetics of old. Modern day short scar techniques which I favour also mean less time is spent on the table under anaesthetic.

Combination yummy mummy surgical procedures are very well tolerated, and having several procedures performed at one time means less time can be spent healing – as well as patients seeing a financial saving.

http://www.dallasnews.com/health/headlines/20121217-mommy-makeover-plastic-surgery-is-it-worth-the-risk.ece

Upper eyelid surgery under local anaesthetic – a patient’s blog DAY 7

Tue, 18 Dec 2012 10:22:00 GMT

I’m almost there! Still have a lot of swelling but the bruising has almost gone. Stitches came out today and I’m ready to rock!

SOOOOOOO pleased, thank you Angelica!

As I mentioned before, it’s very strange as my eyes feel so less tired and ‘lighter’ than they did prior to surgery. Once I have them, I’ll post my before and after photos.

Here’s to a much brighter Xmas!

MUCH LATER (several years actuallyyy!!!) I was revisiting my blog and realised I hadn’t posted my final photos! Here they are (needless to say I’m one very happy pup!) Angelica, you’re my superstar!

Upper eyelid surgery under local anaesthetic – a patient’s blog DAY 3

Sun, 16 Dec 2012 10:54:00 GMT

Could it be possible that my eyelids feel ‘lighter’? I have to say my eyes do not feel as tired as they would normally if that makes sense. I wonder if the weight of my eyelids weighed more on my eyes than I realised. Interesting…..

Arnica cream and tablet regime continues

Not much else to say really. Again no pain which is great. I can tell the bruising has reached it’s peak as the edges are changing colour already.

I can tell the result is going to be amazing – can’t wait to get these steristrips off as they are very itchy.

Bring on DAY 6

Upper eyelid surgery under local anaesthetic – a patient’s blog DAY 1

Sat, 15 Dec 2012 13:55:00 GMT

Well, survived the night! Bruising is pretty impressive today – no pain at all which is weird. I think I shall spend the day alternating ice with Arnica cream applications….can already see the difference in my eyelids (am VERY excited!!).

I can’t wait for the next week to be over so I can see the actual result. Angelica says I need to keep a check on the bleeding and to let her know if I have any concerns.

The bruises are bad, but to be honest I bruise easily anyway, so am not at all surprised.

That’s all for DAY 1 folks…

Upper eyelid surgery under local anaesthetic – a patient’s blog DAY 0

Fri, 14 Dec 2012 21:12:00 GMT

Throughout my life I have had quite heavy eyelids, but due to their unusual green colour, they have always been one of my most striking facial features. Over the last five years I have noticed a dramatic change in my upper eyelids. They appear to be getting increasingly lower, sometimes resting on the eyelash line, I have also stopped wearing eye shadow as it seemed pointless due to the lack of visible upper lid.

Now 48 with my 50th looming, I decided to do something about my problem and, after much research, found the most wonderful cosmetic plastic surgeon, Ms Angelica Kavouni.

Angelica gave me the option of having surgery under local or general – I opted for the former, as I feel I am quite stoic, and also wanted to be able to leave hospital under my own steam, without relying on others to collect me.

I have to say, on the day of surgery I did feel a little anxious, but having full confidence in my surgeon helped to relax me…also the staff at the Cadogan Clinic were wonderful and I felt very much at home.

Angelica marked the incision line on my eyelids, injected the local, and started the procedure with all 3 of us chatting and listening to some great tunes on the theatre Ipod, which made the overall experience oddly relaxing – although I did feel a little disconcerted twice during the procedure. First was during the local injections which were not pleasant – although very brief! The second time was when Angelica used the diathermy to stop capillaries bleeding, as it smelt like burning flesh. After a bit of reassurance, all was well!

It seems I ‘oozed a little’ during surgery (I assured Angelica I had not touched a drop of wine for two weeks prior to surgery, but I don’t think she believed me!)

The procedure took just under an hour and, after sitting for a bit with icepacks on my eyes and a cup of sweet tea, I was ready to leave.

The journey home was interesting – wearing my Jackie O sunglasses in the dark of night, and on the brightly lit tube…..!!! Some slight ‘ooze’ from my left eye whilst on my overground train journey was unfortunate, but I managed to subtly swab this away with a spare Burger King napkin without alarming my fellow travellers. The taxi driver at the other end brashly asked me why I was wearing dark glasses at night – I brusquely told him I suffered from migraine and the lights hurt my eyes. Seemed to quell his questions!

Arrived home safe and sound to spend the evening swallowing Arnica tablets, applying Arnica cream and periodically dipping my head in the freezer….with bruising starting to declare itself, I’m off to bed. In goes the sticky antibiotic eye cream and it’s light out – literally, as I can no longer open my eyes, they’re stuck together.

So ends DAY 0

How buttock implants can go very wrong

Tue, 04 Dec 2012 21:10:00 GMT

http://m.youtube.com/#/watch?v=kDm7EwkKksQ

This poor girl is seen manipulating her buttock implant without any obvious distress or concern…quite incredible.

This is one of the reasons why buttock implant surgery has never really established itself in the UK.

In addition to implant rotation, there is a high incidence of infection and pain is also a big problem.

there is a definite trend towards full, accentuated buttocks which I believe is driven by the likes of celebrities such as Beyonce. I offer safe, tried and tested fat transfer to give volume to flat buttocks. This procedure combined with thigh liposuction can give the bottom and nicely shaped fullness without any of the potential problems associated with implant surgery.

Labiaplasty is a bone fide plastic surgery procedure for ADULT women

Mon, 26 Nov 2012 19:59:00 GMT

http://www.dailymail.co.uk/health/article-2236675/Hundreds-girls-aged-14-having-designer-vagina-surgery-NHS.html?ITO=socialnet-googleplus-dailymail

POW factor facelift (aka ‘vampire’ lift)

Thu, 08 Nov 2012 16:17:00 GMT

The PRP lift , a non-invasive anti-ageing treatment – a gift from you to you

Ms Angelica Kavouni introduces PRP ( P lasma R ich P latelet therapy) to her anti-ageing armory; this is the latest, scientifically based, non-invasive facelift – that works from within – and the favourite anti-ageing weapon of actress Anna Friel.

Concentrated, protein rich, POWERHOUSE plasma cells are isolated from a patient’s blood sample and then re-injected into their perceived problem areas for plumping, lifting and rejuvenating.

Also termed the ‘vampire lift’

The procedure with POW factor: Angelica takes a blood sample, which is then spun in the office centrifuge. The platelets separate from other blood components and are collected for re-injection. The collected liquid is jammed with POWERHOUSE CELLS , an essential mix of plasma particles – a blend of healing proteins and stem cells .

Ouch factor: With topical anaesthetic cream to numb the pinpricks, this treatment is virtually pain free. Expect some local swelling and perhaps bruising around the injection sites.

Eligibility: Able to both prevent and reverse symptoms of ageing, women of all ages are eligible 30+

Fine lines, under eye creping, sunken cheeks, early jowls, nose-to-mouth lines, crêpy décolletage, veiny hands

Cost: From £950.00 per session. 1 – 3 sessions may be required spaced 4-6 weeks apart

40 IS the new 30, thanks to developments in the field of anti-ageing

Tue, 16 Oct 2012 12:41:00 GMT

Thanks to developments in the field of anti-ageing, we can now all stay looking as young as we feel.

We now understand what happens to the skin during the ageing process – and, thanks to this, have been able to devise ways to stop it in its tracks (without looking ‘done’). Skin imagery has shown the dramatic improvement on skin age after certain anti-ageing treatments – such as Fraxel laser, chemical peels, Sculptra etc

The major underlying ageing factor is loss of collagen and the elasticity this gives the skin. The ability to ‘bounce back’or laxity is vital for maintaining facial definition – when we are young we tend to take for-granted our taught, well defined chin and neck, full cheeks and wide open eyes.

When collagen ‘scaffolding’ starts to fail, gravity takes hold and skin starts to droop leading to formation of jowls, deepening nose-to-mouth lines, drooping upper eyelids and the much dreaded ‘turkey neck’.

Stimulation of collagen production can see a reversal of the ageing process, with the skin becoming taught once more and reduction of lines and wrinkles etc. Stimulation can be triggered via controlled ‘damage’ of the skin cells which secrete collagen as part of the healing mechanism, so most non-surgical anti-ageing treatments seek to ‘damage’ cells.

The anti-ageing solutions I have selected are safe, proven and have strong scientific basis. My message for those of us seeking to turn the clock back is REPLACE + RESTORE + REVIVE:

Re-place: Sculptra and hyaluronic acid fillers such as Juvederm, Sub Q, Restylane & Belotero

Re-store: Fraxel Dual Laser, Fraxel CO2, Thermage CPT, chemical peels

Re-vive: Hydrafacial

http://www.ienhance.com/articles/is-forty-the-new-thirty

Famke Janssen rejects plastic surgery – but is wrong about facial rejuvenation

Mon, 01 Oct 2012 23:57:00 GMT

Whilst I applaud Famke Janssen’s decision to reject future plastic surgery, she is mistaken about facial rejuvenation leaving you looking ‘strange’ and not younger.

She is probably making reference to the ladies we still see parading faces full of filler, botox and wind tunnel facelifts that some surgeons still perform.

The modern short scar facelift that I favour does not stretch the skin in an unnatural way, but instead gently lifts, restoring cheek definition and redefining the jawline – and leaves discreet scars hidden behind the ear and in the hairline. This technique might not last as long as a more conventional (and old fashioned) facelift, but the effects are definitely more natural looking.

Until the public demand more natural looking facelifts from their surgeons this situation will not remedy quickly. Just make sure if you are seeking facial rejuvenation, do your research, see around 3 surgeons and ask questions!

http://www.contactmusic.com/news/famke-janssen-refuses-to-have-cosmetic-surgery_3307634

Another tragic tale of plastic surgery gone wrong, performed by under qualified personnel….

Mon, 17 Sep 2012 19:55:00 GMT

http://ibnlive.in.com/news/liposuction-surgery-leads-to-asst-profs-death/290303-62.html

Bowel rupture is a documented complication of abdominal liposuction BUT, in experienced hands, is very rare. The peritoneum (sheath covering the internal organs and abdominal cavity) should not be compromised during the procedure and, if it is, this is due to overly rough technique.

Post operative abdominal pain after liposuction is something that should alert healthcare professionals to a potentially severe problem and the patient should be monitored closely.

The UK is set to put tighter controls in place, so hopefully over time the numbers of preventable deaths will dwindle to zero here. It has taken our established, medically ‘advanced’ country years to consider putting safeguards in place, so I’m not sure how quickly governments of developing countries will react.

Prime Journal discusses Labiaplasty

Tue, 04 Sep 2012 15:28:00 GMT

Thanks to editor of peer publication Prime Journal, Rosalind Hill for inviting me to write some guest editorial re labiaplasty. Whilst I welcome debate surrounding this cosmetic surgical procedure, I do feel it has become a little one sided. I am an advocate of women’s right to choose and, as with all cosmetic surgery, this is an elective procedure, and a decision that should be made on individual merit.

http://content.yudu.com/A1y93s/PrimeSeptember2012/resources/index.htm?referrerUrl=http%3A%2F%2Ft.co%2Fzj7Ux41C

The demand for non-surgical body and face fixes is growing – will the number of horror stories grow too?

Wed, 15 Aug 2012 08:50:00 GMT

In the wake of the PIP implant scandal, there has been much lobbying for more regulation of the UK plastic surgery industry, something all good practitioners should support.

It amazes me that so many people put their trust in sub-qualified ‘practitioners’, for both non-invasive and surgical treatments, after all, there are many well documented ways to research surgeons/injectors qualifications and reputation.

Cost seems to be the bottom line if you study each story. It is a fact that these procedures can be costly – and the injectable types often require a great deal of maintenance, with treatments being repeated every few months or so. Sadly, it’s human nature to try to find the most cost effective way to do things – but this should not transfer when one’s health is at stake.

The demand for non-surgical body and face fixes is growing – will the number of horror stories grow too?

http://www.itv.com/news/2012-08-15/how-do-we-crack-down-on-cosmetic-surgery-cowboys/

Why do so few women enter the surgical arm of the medical profession?

Mon, 13 Aug 2012 10:16:00 GMT

Whilst we are seeing more women enter surgical faculties, there is no doubt that a large number are put off by the perceived difficulty in gaining a good work/life balance. Surgical training can take many years and even longer to build a reputation, especially in my chosen field – cosmetic plastic surgery.

Surgery is still very much a male dominated area in the UK and women need to be quite tough to succeed. As this article suggests, maybe an increase in female surgical role models in the medical school environment would help.

It is possible for women to achieve their goals – pursue a career, marry and build a family, it might not easy but it can be done…

Click to access emamaullee0812.pdf

Pitfalls of receiving injectable treatments from unqualified practitioners

Fri, 03 Aug 2012 08:25:00 GMT

Another illustration of the problems of receiving injectable treatments from unqualified practitioners. I find it very difficult to understand why seemingly sensible people end up in these predicaments. Please research your practitioner properly – find out the name of the filler they will be using. Don’t choose your injector on price alone.
So endeth today’s sermon!

http://www.thesun.co.uk/sol/homepage/woman/real_life/4463217/Models-lips-swelled-to-four-times-their-normal-size-after-botched-jab.html

London’s leading female plastic surgeon, Ms Angelica Kavouni’s ‘no knife’ 3 R’s facelift

Fri, 27 Jul 2012 12:10:00 GMT

1) REPLACE lost volume
2) RESTORE skin tightness
3) REVIVE skin texture and hydrate.

How?

RE-PLACE natural volume lost during the ageing process. Injectable Sculptra, is a safe, tried and tested way to give facial definition. 2-3 treatments may be needed.

RE-STORE firm, taut skin around the jawline, under eyes, cheeks and forehead with new age Fractora – radiofrequency treatment with multiple benefits – superior skin tightening, removing brown spots, improving skin texture and reducing deep lines and wrinkles. 1-2 treatments may be needed.

RE-VIVE the skin’s surface by reducing open pores, hydration and feeding the skin using the latest facial Hydrafacial® technology. Blending Hydrafacial® with leading Greek skincare range, Symmetria, leaves skin glowing, blemish free, hydrated and healthy

http://www.thecentrefoldproject.org/

Mon, 23 Jul 2012 15:17:00 GMT

http://www.thecentrefoldproject.org/

Have a look at this interesting film. It would be great to get some feedback.

I’ll be suggesting my patients watch it as part of their labiaplasty consultation process

http://www.thecentrefoldproject.org/

Plastic surgery should not be seen as a treatment for depression

Tue, 17 Jul 2012 07:41:00 GMT

Yummy Mummy surgery is very popular and the results can really lift a woman’s psyche however, sometimes I wish the press would be more sensitive with their editorial. This article features a young woman who has had post partum tummy tuck and breast enhancement (by the look of her breasts, most likely a mastopexy/uplift). She claims she underwent surgery to combat post natal depression….

Depression of any sort needs to be treated carefully by qualified professionals. It is dangerous to pass on the message that plastic surgery is a cure for depression. Of course an improved body image can help boost low self esteem issues, but please let’s move away from claims that it beats depression.

http://www.dailymail.co.uk/tvshowbiz/article-2174557/Danielle-Mason-strips-reveal-new-figure-spending-10-000-cosmetic-surgery.html

Ellie Land’s animated film highlighting surgical procedure labiaplasty

Fri, 13 Jul 2012 09:16:00 GMT

Ellie Land’s animated film highlighting surgical procedure labiaplasty

Ellie Land’s animated educational film launched last night. As a surgeon who performs a large number of these surgeries, it was interesting being in the audience. One of the panelists highlighted her objection to labiaplasty being offered on the NHS – in order to be ‘approved’ it needs to be labelled as a ‘disease’ or ‘medical ailment’ and surgical correction is then termed as a ‘treatment’.
The speaker has a good point. I agree with her that enlarged or hypertrophic labia is not a ‘disease’ and correction surgery not a treatment, but more an aesthetic improvement.
There is no doubt in my mind that Labiaplasty can make a big difference to a woman’s body image, self esteem, sexual confidence and make certain activities of daily living more tolerable. Should it be available on the NHS? No, I don’t think so….I’ll be posting the film on my website after July 20th so look out for the link

http://www.thecentrefoldproject.org/

The labia cup cakes looked inviting but, for some reason, I couldn’t bring myself to try one!!

Kim Kardashian LOVES Fraxel laser treatments

Fri, 06 Jul 2012 10:51:00 GMT

Kim Kardashian LOVES Fraxel laser treatmentsKim Kardashian comments on the wonders of Fraxel in the Daily Mail. We in the anti-ageing business recognised the superior results of this laser many years ago. Fraxel Dual provides solutions for anti-ageing, acne, scarring, stretch marks and pigmentation. My clinic has just acquired the Fraxel Dual system and it's great. Fine lines and wrinkles are kept in bay and the skin's texture really improves after just one treatment. Best results are seen after a course of 2 or 3 sessions spread 8 weeks apart and then one maintenance session annually. Also, Fraxel laser therapy is a great way for post facelift patients to get the best from their surgery. http://www.dailymail.co.uk/femail/article-2168278/Kim-Kardashian-beauty-secrets-Star-blasts-face-600-laser-sessions.html Continue reading →

LIPOSONIX, the real no-knife fat busting system as a viable alternative to surgical fat removal

Tue, 26 Jun 2012 12:08:00 GMT

London’s leading female plastic surgeon, Ms Angelica Kavouni talks about fat busting LIPOSONIX and offers a demonstration

Exercise needed post liposuction to prevent weight gain

Wed, 20 Jun 2012 08:28:00 GMT

Exercise needed post liposuction to prevent weight gain

Interesting study findings. It’s always good to have science back up what we plastic surgeons already know – that sedentary lifestyles post liposuction can lead to the laying down of fat elsewhere in the body. The increase of visceral fat collections seen here is disturbing.

http://well.blogs.nytimes.com/2012/06/13/after-liposuction-exercise-keeps-the-fat-off/

Yummy Mummy combination body surgery

Fri, 15 Jun 2012 13:28:00 GMT

I’ve been receiving a huge number of enquiries for Yummy Mummy surgery advice – thanks to all of you… There are various procedure combinations associated with post pregnancy surgery, the most common being tummy tuck with breast uplift … Continue reading →

The Fat Thermostat: Liposuction Does Not Change Total Body Fat

Wed, 30 May 2012 21:30:00 GMT

The Fat Thermostat: Liposuction Does Not Change Total Body Fat

Interesting study findings from Dr Mario Diana in Brazil.

We have known for some time that surgical fat removal does not impact on overall weight, and its important for us as plastic surgeons to educate our patients before they undergo this popular procedure.

Post operative diet control and exercise programmes must be part of the ongoing maintenance programme.

Visceral fat (the fat that surrounds the vital abdominal organs) gains are the main concern here, as they can impact on overall health.

I tend to refer to liposuction as ‘body contouring’ which removes any connotation of weight loss/weight control.

Patients need to be thoroughly briefed prior to undergoing this type of surgery. Liposuction is not a quick fix for weight loss….

To read more – click on this link

http://www.equities.com/news/news-headline-story?dt=2012-05-29&val=109855&cat=headline

PRP #PlasmaRichPlatelet therapy for #SkinRejuvenation

Wed, 25 Apr 2012 12:20:00 GMT

Last night’s seminar in London on PRP technology for turning back time was v interesting, thanks to engaging speaker Dr Alain Gondinet. This will make a significant addition to my patient offering as I have been looking for an effective injectable alt to surgical facelift for a while – and the science behind this is very persuasive.

Neither a fat transfer nor stem cell transfusion, the PRP process involves isolating your very own GROWTH FACTORS from other cells in your blood stream to accelerate rate and degree of tissue regeneration. These growth factors can be injected into face, hands, breasts, abdomen etc

I envisage using it a great deal post laser as a type of calming/healing mask.

Coming to Cosmetic Solutions soon….I would love yo hear from any patients who have had PRP procedures.

Best wishes

Angelica Kavouni

#Fractora #SkinTightening – a patient’s perspective on the #nonsurgicalfacelift

Tue, 17 Apr 2012 21:08:00 GMT

#Fractora #SkinTightening – a patient’s perspective on the #nonsurgicalfacelift

Treatment day

I feel rather nervous but excited. My face was numbed all over with cream and I waited for approx. an hour. Angelica started treatment which was relatively painless but on occasions a pulling sensation. The biggest thing for me was the smell! Just like a burnt roast dinner! She performed a lower face treatment.

Face slightly red and spot bleeding in some areas. I did go hope by train and thought people next to me could possibly smell the burnt smell. As well as that when I got home I had spots of blood on my face, people must had thought I had been attacked!

4 hours later my face was burning, but not uncomfortably; and bright red as if I had been on a sunbed. I took 2 x ibruprofen to combat any swelling and pain and rinsed my face every 2 hours with white vinegar & boiled water.

_________________________________________________________________________________________

Day 1

Woke with no pain and very little redness. I am Sure I can see a result already! Particularly around my turkey neck J Quite swollen under my left eye and what looks like scratches over my face. My skin feels very dry and having to resist the urge to moisturise but keep on with the vinegar water.

Keep looking in the mirror – I am certain I can see a difference.

______________________________________________________

Day 3

Work today. Have applied bio oil as Angelica said that this will be fine. My skin drank it thirstily. I also put on some tinted moisturiser to try and prevent questioning at work around the scratches. More itchy and dry today.

Keep checking myself in the mirror. I think I may ask Angelica to do my forehead next time (1 ^st March) as it may lift my brows, which I normally have done with botox.

So far very pleased with results.

Day 5

The red vein spot under my eye seems much lighter, I am so glad!

Skin almost back to normal and really seems tighter, especially around my jowls and neck. There is still a slight scaling affect which is a little like dandruff but not noticeable other to myself. Can’t wait to see what next the next session will bring!!!

NB: on reflection and as I have downy hair on my face I will have it threaded off a week before next treatment.

________________________________________________________________

Second fractora treatment

Had threading done a week prior as didn’t want to smell like a hog roast. Not as painful as first time or maybe because I wasn’t so apprehensive. This time I made sure I had a mirror in my bag so I didn’t scare the commuters on the way home. Not as red second time around. Redness went down this time within 36 hrs. people at work said I looked fresher.

_______________________________________________________

One week after fractora back to normal, no more scaling.

Blast! 3 weeks after a blooming cold sore could be a coincidence but small price to pay.

Definitely a difference since treatments more marked on my neck area after the first session. This time seems to have had more affect to my jowls. I do admire my refreshed look – often and think I’m looking good for 51 (vanity but hell I look good!)

Went out up town and I was stopped in toilets and asked how old I was. Surprised when I told her as she thought I was early 40s. Was retelling tale at work to a 20 year old lad. He sat looking at me for a minute until he confessed that’s how old he thought I was too! Sooooo it works! But noticed more by others pleased as it is a subtle natural difference! No scarring no wind tunnel just looking good! _______________________________________________________________

Third and final stage: #HydraFacial

Omg what a treat! Skin after feels a bit warm on way home but smooth and clean.

Oooo just in and I have a pink glow skin looks more even and smoother.

just checked a before treatment pic n wow neck n jowls are significantly tighter than before treatment plan – amazing!

#HydraFacial has had a great affect on my open pores and looks so clean! Can only imagine the drastic changes after regular treatments. Thumbs up from me! The whole of my face just looks fresher and my skin much younger.

Overall: would I recommend it? Without a question of a doubt! Little down time, no anaesthetic or scarring. Infact, it feels just like beauty treatments.

Affects: amazing, natural, – good improvement of skin texture and tautness.

Of course there can be co…

Tue, 17 Apr 2012 20:04:00 GMT

‘…As surgeons reveal a worrying rise in 30-somethings demanding nip-and-tucks to ward off ageing….does anyone need a facelift before 40?…’

Diana Appleyard wrote a thought provoking piece on the rise of facelifts in the ‘young’. It is true that we all age at differing rates and, thanks to various lifestyle choices, such as smoking and sun exposure, this process can be accelerated – sometimes quite dramatically.

Of course surgical intervention is an effective way to reverse early jowl formation, and results are predictable with around 5-10 years longevity. Of course there can be compelling reasons why a woman under 40 undergoes a surgical facelift, but I am very loathe to suggest surgical facelifts for my patients in this age group, especially as there are so many other, good, tried and tested and less invasive alternatives available. I personally believe we are doing our patients a disservice by jumping to surgical solutions.

There seems to be an assumption that if you have a facelift then that’s you sorted for 10 years. This is not the case. There is a degree of ‘upkeep’ required post facelift, to ensure one gets the best from surgery, such as: facial volume replacement; skin laser resurfacing or chemical peeling to keep the skin in tip top condition…

There are many reasons why the non-surgical anti-ageing market is growing – and patients’ expectation has to be one of the main ones. Thanks to health and beauty journalism, women know about no-knife options – and are much more likely to request these than surgery.

As health based technological advances continue, the impact on my chosen speciality will grow and I envisage non-surgical anti-ageing options will increase in number and efficacy. It is our role as health care providers and plastic surgeons to keep abreast of these changes, and to be able to offer our patients a full service, embracing no knife solutions – especially in the young.

Responses and comments welcomed