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John A Davison
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SaferCosmeticSurgery

Monday 26th July 2010

SaferCosmeticSurgery

We are both members of the SaferCosmeticSurgery group, which is a new and exciting development involving 50 UK Consultant Plastic Surgeons

 http://www.safercosmeticsurgery.co.uk/surgeons/mr-john-pereira

http://www.safercosmeticsurgery.co.uk/surgeons/mr-john-davison

The following is a short press release about the group:

Concerned with the increasing number of complications and dissatisfied patients they were seeing as a result of inexperienced practitioners or cheap deals abroad, the team behind SaferCosmeticSurgery banded together an elite group of independent consultant surgeons especially selected on the most stringent criteria. Not only is membership of the British Association of Aesthetic Plastic Surgeons (BAAPS) and the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) a requirement but - unlike any other commercial provider – eligibility also hinges on a minimum of 15 years’ experience since medical school. The logic being that, although no surgery can be entirely without risk, together they would be able to offer patients the safest options available by the most experienced hands. Of note, the SaferCosmeticSurgery surgeons:

  • Do not use ‘middlemen’ or salespeople
  • Carry out comprehensive pre-operative consultations and are available for post-operative follow-ups
  • Carry out all consultations and at the surgeon's discretion, the surgeon may waive the consultation fee
  • Were selected by asking top surgeons who they themselves would recommend in a particular town/ city
  • Are not employed by a commercial company or flown in from abroad
  • Have established local private practices and will be available to you for years to come


Whoever you choose, it is important that you have your initial consultation with a surgeon rather than a salesperson on commission. It is well recognised that "patient coordinators" may try to talk you into having additional procedures. A 'free consultation' is worthless if you are not speaking to someone who is a highly qualified surgeon and able to give unbiased advice.  By paying for a consultation, you'll probably feel more confident that the surgeon is giving an honest opinion because you are paying for his or her time
.


 

Posted by John Davison at 22:58

There has been a lot of interest and discussion about this, with recent papers in some of the journals.

We have been using these techniques in plastic surgery for a long time, but there are interesting advances, and there has been progress recently. Plastic surgery has, since the earliest times used grafting of tissue in reconstruction, infact, this is really where plastic surgery had its beginnings.

 It is all about increasing the survival of the fat which we inject, and avoiding problems.

It is easy to take fat from somewhere else, like your bottom or tummy. We have leaned techniques to clean and process it, and separate out the good bits to re-inject elsewhere. In reconstruction this can be defects on the face, and adjusting symmetry after breast reconstruction in post cancer patients. For cosmetic surgery,we can use these techniques to fill out and re-contour faces, something which I find useful, and which patients seem to like. Other areas include breasts, and female labia/ genital cosmetic surgery.

Graft survival depends largely on blood supply, and other biological factors. This has limited the amount we can inject at one time.

Recent advances include new fat processing techniques, and possibly even mixing fat with patient’s cells grown in a laboratory. It may be that we can use these approaches for breast enhancements and augmentation. This is very exciting, but – we are not there yet.

I am going off into the big world to explore this, and will be attending a course in the next few months. I will keep you posted.

Posted by John Davison at 16:14

Welcome to Consultant Plastic Surgeons

Thursday 28th January 2010

Welcome to our blog. There is always so much to talk about. The work John and I do is so fantastically interesting and stimulating. We do not meet up as often as we would like, but when we do, there is always so much to discuss. This is then our forum. We hope to have discussions with each other and with you. We will talk about new technologies and progress, we will talk about established ideas and areas within cosmetic and reconstructive plastic surgery, we will talk about life, and all the other bits and bobs.

Posted by John Davison at 11:32

Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.