It seems reasonably common across various age groups for women to have concerns about the appearance of their vulval area. This may be developmental variations in the size and symmetry of the labia minora, sometimes changes after pregnancy and childbirth, and sometimes age related loss of fullness of the outer area (labia majora). This leaves the inner area (labia minora and clitoral hood area more exposed and more visible.

A change in my practice over the past few years is the development of a system whereby I can to labiaplasty surgery under local anaesthetic, with very little discomfort at all during the injection and procedure itself. We are able to do this as an outpatient surgery, and this in turn makes the operation significantly cheaper.

There is a lot written about this operation on the internet, with good information and images..

Dear all,

Firstly if you have had breast implants with either JP or JD you need not worry that you have these implants – because we have never used them.  You will almost certainly know from the media that these implants were made in France and sold worldwide, and contain a non medical grade Silicone Gel. 

Is there a problem with these implants? There is an impression from many surgeons, and we would agree with this, that the PIP implants are of poor quality generally and are more at risk of rupture.  The Gel inside is quite liquid, and causes more inflammation inside the breast, and may travel to the lymph nodes in the arm pit more easily than other Gels.  Both of us have removed these implants and observed these problems.

Should I be worried about my implants?  Not if you have implants inserted by either of us – all implants can rupture or encapsulate, and we will have discussed this with you before your operation, but it is the nature of the PIP implant Gel which is worrying.

What if you have PIP implants put in elsewhere?  The first port of call is the original surgeon / clinic who did your operation.  They may be able to help but if you have lost confidence in them then feel free to contact us for advice or an appointment.  We are both experienced at breast revision surgery including implant exchange and can offer you appropriate advice and surgery if required.

In conclusion;

ØNeither Mr Pereira or Mr Davison have used PIP implants

ØPIP implants contain non licensed Gel and we think should be removed

ØThere is no emergency to do this, the evidence thus far is that the Gel is non toxic and non cancerous but is very liquid and can cause local problems in the breast and armpit upon rupture.

Video of a discussion about PIP breast implants, presented by Mr John Pereira, Plastic Surgeon

Tracey's Story: Britains first breast implants victim

http://issuu.com/sidewaysmedia/doc 

The second episode of Kent and Canterbury Plastic Sureon Mr John Davison.

http://issuu.com/sidewaysmedia/docs/insidekentissue6/45

Pages 42/ 43. The first of four planned features. InsideKent is a free bi-monthly magazine

http://www.youtube.com/watch?v=YW1cQCZt12w

Avia TV is the UK's first web TV channel dedicated to cosmetic and reconstructive surgery. Our slogan is 'Beauty through Knowledge, Safety through Understanding'. Click on the video to find out what we are all about!

http://www.youtube.com/watch?v=YW1cQCZt12w

Consultant Surgeon John Pereira tells us about himself, his work and what lead him to help people through reconstructive and cosmetic surgery.

Here's one of the Extreme Makeover UK episodes I was involved in.

We have known that muscle relaxing injections (Botox) can be effective for longstanding headaches, in fact I am surprised how many times this is a useful treatment or "side effect" of Botox.

This operation which John P has performed relies on a similar mechanism. Chronic frowning or tension in some of the forehead muscles can squeeze on some of the larger sensation nerves, causing pain and headaches.

When we do an endoscopic brow lift, we often divide or release some of these muscles - for its cosmetic effects. A similar process of releasing or dividing muscles, is how this operation has now been used for the treatment of some kinds of headaches.

http://www.dailymail.co.uk/health/article-1328544/How-having-brow-lift-cured-migraines.html

•     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.