If you have made the decision to undergo surgery to reshape your nose, it’s not surprising you may have several concerns alongside anticipation for the increased confidence you’ll feel once your facial features are brought into greater harmony and balance. A common question that patients ask is whether rhinoplasty is painful and what they should expect in the days, weeks, and months following their operation.

Understanding the rhinoplasty procedure

The first factor to bear in mind is the extent of the procedure as every patient may require slightly different techniques depending on what they are hoping to achieve.

Whether you’ve always been unhappy with the appearance of your nose or it has been injured at some point, there are several concerns that can be improved with a rhinoplasty. These include:

  • Your nose is not the right size or proportion for your face
  • There is a bump on the bridge
  • The angle of the nose is not in harmony with your other facial features
  • The nose and/or nostrils appear too wide
  • The tip of the nose is bulbous, protruding, drooping or oversized
  • The nostrils can appear too pinched
  • The nose is crooked or noticeably asymmetrical
  • You may have breathing issues as a result of the internal structures of the nose

A closed rhinoplasty involves making two incisions inside the nose, through which Mr Juling Ong will be able to make the necessary changes to the cartilage and bone. An open rhinoplasty. also involves making a small incision between the nostrils, known as a trans-columellar incision. Juling is then able to unveil the nose and adjust the substructures before the skin is redraped over.

A closed rhinoplasty leaves no visible scarring and typically has a quicker recovery time, but an open rhinoplasty allows for more precise alterations to the internal structures of the nose if required.

Both a closed and open rhinoplasty are performed under a general anaesthetic so there is no pain experienced during your procedure, but what about afterwards?

Your rhinoplasty recovery

In the first few days after your rhinoplasty procedure, you’ll experience swelling, bruising and potentially some minor bleeding. Every patient’s pain threshold varies, but most patients report fairly mild discomfort after surgery.

Most patients find the sensation of being ‘bunged up’ more disorientating. The swelling can force you to breathe through your mouth and this may last a few days, leaving you with a dry throat and lips. You may also experience some pressure in your ears and head as a result of the congestion. For most patients, though, all this is easily managed with over-the-counter medications.

For more advice on the rhinoplasty procedure, call 020 7927 6528 to arrange a consultation with Mr Juling Ong.

Liposuction remains one of the most popular procedures in the UK, as a highly effective solution to unwanted fat deposits and it can be performed on the abdomen, hips, flanks, thighs, upper arms and even in the face, along the neck and under the chin.

The internet can be a valuable resource on anything cosmetic surgery-related but there are many misconceptions about this frequently performed body contouring procedure.

Misconception: liposuction can help you lose weight

Liposuction should not be seen as a weight loss procedure. It achieves the best results for those men and women who are near to their ideal body weight but wish to achieve a more defined shape or target isolated fat deposits.

Misconception: you can’t put weight back on after liposuction

The fat cells that are suctioned out during your liposuction procedure are permanently removed, but that doesn’t mean you can’t put weight on in the future. The remaining fat cells can still grow to compensate, so it is important to commit to a healthy lifestyle to maintain your results.

Misconception: liposuction can eradicate cellulite

Cellulite is a complex issue caused by subcutaneous fat pushing against the fibrous connective bands in the skin, which results in cellulite’s dimples and bumps. Liposuction removes soft fatty tissue and doesn’t loosen these bands so often the appearance of cellulite is not changed.

Misconception: liposuction delivered immediate results

You’ll experience post-surgical swelling for the first few weeks and months after your liposuction so your final outcome will not be evident for approximately six months. Mr Ong will advise you to wear a compression garments for at least 6 weeks after liposuction to help with the healing process.

Misconception: you’ll be left with loose skin

The skin is composed of a network of collagen and elastin which provides elasticity and support. If you have good skin elasticity prior to your liposuction procedure, your skin is more likely to contract to your new shape after surgery. However, if you have a significant degree of sagging skin after weight fluctuations, you may not be suitable for liposuction.

Misconception: liposuction is less invasive than other cosmetic surgery procedures

Liposuction is typically less invasive than a tummy tuck, for example, as it doesn’t entail a lengthy incision, but it is not an ‘easy’ option. As with other surgical procedures, it is typically performed under a general anaesthetia although some smaller areas can be performed safely and comfortably under local anaesthesia. There are potentially serious complications with all procedures, but these are rare with liposuction.

If you have more questions regarding liposuction, call 020 7927 6528 to arrange a consultation with Mr Juling Ong.

The recovery period is a crucial part of the cosmetic surgery journey and the correct advice can contribute significantly to the overall success of your procedure. Although there is much information available online on how best to prepare for your recovery, there are some aspects that you may not have taken into account. Mr Juling Ong will always provide comprehensive aftercare advice and is available throughout your recovery period to answer any queries.

Swelling after facial surgery:

 Swelling is the most common side effect of any surgical procedure and one of the first signs of the normal healing process. After a facelift or neck lift, you will typically experience the peak of swelling a few days after your operation and the face and neck can feel very tight. It may be difficult to open your mouth,  turn your head fully and smile fully. This can often be concerning, but it is normal.

It’s important to avoid any extreme movements of the face, neck or mouth in the immediate period after facial surgery. Keeping your head elevated at all times, particularly when you’re sleeping, is key as this will help optimise blood flow to your face, improve healing and will relieve some of the pressure.

Posture after a tummy tuck:

Most tummy tuck patients are aware that there should be no heavy lifting after an abdominoplasty, but they may not expect to have a slightly hunched over posture in the days following their operation. This is a normal and protective response of your body to abdominal surgery. It is important you do not force yourself to stand up straight as that can strain the incisions and any muscle repair that has been performed.

As the swelling subsides and the muscles and skin start to stretch out, you’ll be able to stand normally. In fact, many patients adopt an improved posture once they are fully recovered as the core muscles have been strengthened and stabilised as well as being more confident in the shape of their abdomen.

Sensation after breast surgery:

Many women worry that they will lose feeling in their breasts or nipples following a breast augmentation, reduction or lift. Numbness is a common side effect of any surgical procedure as delicate nerve connections are disrupted by incisions or manipulation of the tissue.

For most patients this is temporary – one study found that only 2% of women reported permanent loss of sensation after a breast augmentation. However, one side effect of breast surgery that women often don’t expect is hypersensitivity. And, as the body heals and nerve connections are re-established, you can also experience itching, burning and even sharp twinges and this can take a few months to fully subside.

Post-surgery blues:

One aspect of the cosmetic surgery recovery process that you may not have planned for is the emotional toll. It is very common for patients recovering from surgery to experience changes to their mood including lethargy, brain fog, emotional lows, and irritability. Causes can include the effect of a general anaesthetic and post-operative pain medication and your altered sleep and digestive patterns. The enforced rest period after surgery can also be a time for reflection.

Cosmetic surgery also differs from other surgical procedures as your appearance may be significantly altered. Even though these changes are planned and welcome, this can take some time to accept. The good news is that any post-surgery blues should be temporary and resolve itself in the weeks after your procedure.

For more advice on the recovery process, call 020 7927 6528 to arrange a consultation with Mr Juling Ong.

Pregnancy and childbirth can be a wonderful, life-changing experience, but it can also result in a whole array of body changes that may be less welcome. As your body transforms to accommodate the growing baby, the rectus abdominis muscles separate and, for many women, it results in a weakening of the abdominal wall.

Diastasis recti is defined as a separate of the rectus abdominis muscles in the midline, also known as the linea alba, and it’s thought that over 60% of women experience this in the final stage of pregnancy.

However, for some women this issue does not resolve itself in the postpartum period. As well as an aesthetic impact – a stomach bulge that is resistant to diet and exercise – it can also result in the significant health concerns such as lower back pain, incontinence and even digestive problems.

Also known as Rectus diastasis and Rectus divarication, the gap along the midline of the belly can be small or extend along the whole length of the abdomen. As well as removing excess skin, an abdominoplasty or tummy tuck can also restore the integrity of the rectus abdominis.

Problems caused by Diastasis recti

  • Stomach protrusion: this is the most common symptom of Diastasis recti. The linea alba, the fibrous structure down the midline of the abdomen, which maintains the position of the abdominal muscles can becomes stretched and thin and some women can have a pronounced stomach bulge.
  • Thickened waist: the abdominal muscles act as an internal corset and, as they weaken and separate, a wider waistline can result.
  • Hernia: as the linea alba stretches, it becomes thinner and an epigastric hernia can form. They are usually small and typically only preperitoneal fat will protrude but any hernia should be investigated by a specialist.
  • Lower back pain and impaired posture: the rectus abdominis muscle is an essential component in the core muscles that maintain balance and posture. As they weaken, more stress is put on your back muscles which must contract disproportionately, and women can often suffer from chronic lower back pain.
  • Incontinence: stretched abdominal muscles combined with a weak pelvic floor post-pregnancy can result in urinary incontinence. According to a 2018 study published in Plastic and Reconstructive Surgery, the journal of the American Society of Plastic Surgeons (ASPS), diastasis recti repair performed as part of a tummy tuck can significantly reduce incontinence.

What is Diastasis recti surgery?

Unfortunately, however many crunches and planks you do, stretched abdominal muscles usually remain resistant to exercise. The most effective and permanent solutions to diastasis recti is surgery to close the defect and tighten up the two sides of the rectus abdominis muscle.

As well as strengthening the abdominal wall, Mr Juling Ong will also remove any excess skin and fat. The belly button is also repositioned if required. Timing is essential for the best outcome, so it is advisable to wait until a year since your last pregnancy and plan surgery for when you’re not planning on conceiving again.

Call 020 7927 6528 to arrange a consultation with Mr Juling Ong to discuss your options.

It’s said that the eyes are the first to go and the most essential to fix when it comes to ageing. There are several factors why the eyes are more vulnerable to the ageing process: the skin is very thin, making it more prone to developing fine lines and becoming laxer. The delicate tissues below the eyes are also susceptible to gravity, causing fat pads to bulge and eyes to sag. Dark circles and puffiness, whether due to diet, sleep issues or stress, are on prominent display.

An eyelid lift, or blepharoplasty, is a relatively quick and straightforward procedure, but can produce a dramatic transformation.

Key benefits of a blepharoplasty:

  1. Look younger

The thin skin and constant facial movements in the upper face mean that patients experience faster ageing around the eyes than elsewhere. An upper blepharoplasty is the only effective way to get rid of excess skin on the lids and can leave you looking younger and fresher almost instantly.

  1. Appear more dynamic

Sagging upper lids or eye bags and dark circles below the eyes mean that patients often feel their eyes make them look tired – or cross – when they aren’t. After an upper and lower eyelid lifts, patients often comment how well-rested and more alert they look post-procedure.

  1. Minimal scarring

As the eyes are such a prominent facial feature, patients can be concerned about scarring. Yet a blepharoplasty typically results in less noticeable scarring compared to other facial procedures. In the upper lid, Mr Juling Ong will position the incisions in the natural folds of the eye and the thinner tissues mean that scars usually appear very flat and well faded when healed. A lower eyelid lift incision is either made in the lash line or Mr Ong will perform a transconjunctival blepharoplasty where the deep layers of the lower eye area are accessed from inside the lid.

  1. Easier make-up application

Female patients also comment that they find it easier to apply cosmetics after their procedure, as natural definition and smoother skin has been restored to the upper lids and the lower lids look less hollow or bulging, depending on the technique used in a lower blepharoplasty.

  1. Improve your eyesight

For some, ptosis of the upper lids is so pronounced that it can result in visual problems, impairing your ability to perform normal daily activities. Even patients that have less extensive skin sagging can experience an expanded field of vision after surgery.

  1. Fewer migraines

Another medical benefit of a blepharoplasty is that it may offer relief to migraine sufferers. In a small American study, plastic surgeons found that an upper blepharoplasty that decompressed specific nerves that trigger migraines provided most participants with a 50% improvement in their migraines. After a year, 50% of participants reported having no migraines at all.

Whatever your motivations for undergoing a blepharoplasty, Mr Juling Ong can discuss all potential risks as well as the benefits during your consultation. Call us on 020 7927 6528 to arrange an appointment today.

The degree that the clock will be turned back is a frequently asked question about facial rejuvenation surgery and it can be challenging to quantify… until now.

The concept of beauty and ageing is subjective and individual, so it can be difficult to say exactly how much younger you will look after a facelift, but most patients report they look and feel a decade or so younger than pre-surgery. Now, new research into artificial intelligence suggests it may be possible to take an objective approach to evaluating the reduction in age after a facelift.

By training artificial intelligence (AI) networks to estimate age based on facial photos, “our study shows that currently available AI algorithms can recognize the success of facelifting, and even put a number on the reduction in years of perceived age,” the study’s lead author comments.

The younger you look, the better you feel

Dr James P. Bradley, Vice Chairman of Surgery at a medical school in the US, and his team used a type of AI algorithm called convolutional neural networks which are fed millions of public images and found the algorithm was able to discern facial features more objectively than a typical person when asked to evaluate the facial age of 50 women who had undergone a facelift. The women also completed a patient satisfaction questionnaire.

Unsurprisingly, the study, which was published in the Plastic and Reconstructive Surgery journal, found that AI estimates of age reduction were directly correlated with patient satisfaction. “The younger the AI program perceives a patient’s age, the greater their satisfaction with the results of their facelift,” explains Dr Bradley.

Evaluating patient satisfaction after a facelift

A facelift can address many common ageing concerns, from a sagging neck and jawline, sunken cheeks and facial hollows, and the deep facial lines that appear as we get older. Mr Juling Ong can tighten the jowls to produce a more defined jawline, smooth the neckline, and lift and fill the cheeks, smoothing deep marked facial folds. By addressing these concerns, a facelift typically delivers high patient satisfaction.

The aim is always to deliver a wholly natural result, where you look younger and more refreshed, but not altered. To find out what a facelift can achieve, call us on 020 7927 6528 to arrange a consultation with Mr Juling Ong.

One of the UK’s leading independent plastic surgery organisations has recently launched a new psychology course, highlighting the importance of patient mental health in the cosmetic surgery journey.

The British Association of Aesthetic Plastic Surgeons (BAAPS), of which Mr Juling Ong is a member, is dedicated to advancing patient safety and has formulated a new initiative to prioritise the mental health assessment aspect of the consultation process. During your consultation with Juling, he will listen carefully to your concerns and what you’re hoping to achieve and if he believes you have unrealistic expectations, he will recommend you do not proceed with surgery at this time.

Cosmetic surgery in the age of social media and reality TV

It’s no surprise that in the age of Instagram filters and images of enhanced face and bodies on our screens, young people in particular feel under pressure to achieve a ‘perfect’ image. In a recent BBC survey of 2,000 British adults, more than half of 18 to 34-year-olds reported that reality TV and social media had a negative effect on how they see their bodies. Furthermore, more than a third of that age group said they would consider cosmetic surgery to achieve what they wanted.

Often these patients have unrealistic expectations as it is never possible to guarantee a specific result. This is particularly true of the rhinoplasty procedure. Often younger patients want the shape and size of nose they see on heavily filtered Instagram images, but this is not always possible or desirable. Your unique facial anatomy and the way your body heals affects the outcome and Juling will always aim to produce a result that will be in balance to your other facial features and looks wholly natural.

Important questions to ask in your cosmetic surgery consultation

While your plastic surgeon should always evaluate your expectations to ensure they are realistic, there are questions you should ask during your consultation so you have a clear idea of what they believe can be safely achieved.

How close to my desired result will I be able to achieve? Your surgeon should be able to clearly explain what the likely outcome will be and looking at before and afters of their past patients can help you understand their aesthetic and results.

Is this procedure a safe way to achieve my desired results? Your surgeon should ensure you’re fully informed about all the possible risks and complications that may arise from surgery and how they will deal with them if they arise.

What will my recovery be like and when can I expect my final result? All surgical procedures should be approached seriously and fully understanding what to expect during the recovery period and how long it will take for all swelling to dissipate and scar healing to mature, is an important factor in realistic patient expectations.

To find out if you’re suitable for cosmetic surgery, call 020 7927 6528 to arrange a consultation with Mr Juling Ong.

The British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), one of the UK’s leading independent plastic surgery associations, of which Mr Juling Ong is a member, have recently updated their advice for those considering breast augmentation surgery.

Making an informed choice about any cosmetic surgery procedure is essential; although the internet can be an invaluable resource when doing your research, there can also be a great deal of misleading information out there, so BAPRAS’s advice is welcome and there were some important aspects to highlight.

The importance of the breast augmentation consultation

Doing your research online can be good preparation, but the consultation is probably one of the most important stages of the patient journey and can often determine the eventual success of your procedure.

During your breast augmentation consultation, Mr Juling Ong will invite you to discuss what is bothering you about your breasts and hoping to achieve from surgery. He will perform a physical examination to assess and measure your body frame, size and shape of your breasts, their position on the chest wall and your existing breast tissue and any excess fat or skin.

You will discuss the different implant size and shapes, where the implant can be placed – either above or below the muscles – and what incisions are required.

Juling will also explain what to expect from the operation and your recovery process, as well as detail all possible risks and complications, as well as the benefits. You will then be given a ‘cooling-off’ period of at least two weeks before you can go ahead with surgery, and you can return for further consultations if required. You will never feel pressured to go ahead with surgery.

The importance of checking your breast augmentation surgeon’s qualifications

Your choice of surgeon is also an important factor in the eventual success of your surgery. First and foremost, your practitioner should be listed with the General Medical Council.

Unfortunately, there are currently no regulations preventing any medical professional or surgeon performing cosmetic surgery, so check that they are on the specialist register for plastic surgery which means they have the highest level of training and qualifications for these procedures.

A reputable surgeon will also be registered with independent plastic surgery organisations including the British Association of Aesthetic Surgeons (BAAPS) or the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS). Each of these organisations have a website which lists their members and perform annual safety audits to ensure their members are upholding the highest standards of patient care.

The importance of your post-breast augmentation care

Aftercare should never be an afterthought and the quality of the care you receive after your procedure is also an important factor in a successful outcome. Juling will give you comprehensive advice on how to prepare for surgery – including advice on nutrition, giving up smoking, and which supplements or medications it’s safe to take.

He will also advise you on how to prepare for the recovery period, covering the care you’ll need, what to expect as your body heals and what steps you can take to boost that healing process.

You’ll see Juling and his team at various points after your procedure, whether to remove sutures or to check on your healing, and they are always on hand if you ever have any concerns.

To arrange your breast augmentation consultation, call 020 7927 6528 to arrange an appointment with Mr Juling Ong.

Plastic surgery as a discipline has two components. Aesthetic or cosmetic plastic surgery aims to improve the appearance and is elective surgery in that it’s not deemed medically necessary. Although, often thanks to media coverage, many people’s understanding about plastic surgery ends there, the other aspect – reconstructive procedures – are the mainstay of a plastic surgeon’s work.

A large part of Mr Juling Ong’s practice is reconstructive plastic surgery which aims to restore function and appearance as the result of congenital defects, illness or trauma. However, there are some procedures that provide both functional and aesthetic benefits to the patient.

  1. Rhinoplasty or septorhinoplasty

The nose is the dominant feature of the face and plays an important role in providing balance and harmony to our other facial features. Often men and women are dissatisfied with the appearance of their nose and a rhinoplasty is a popular cosmetic surgery procedure.

However, a rhinoplasty that aims to improve the appearance of the nose can also help with breathing problems, particularly if a major nasal shape deformity, whether congenital or as the result of trauma, is directly affecting their ability to breathe through the nose.

A rhinoplasty can increase or reduce the size of the nose, change the shape of the tip or bridge of the nose and the appearance of the nostrils. It can also change the angle between the nose and the upper lip and, if required, can straighten the septum, the internal structure which separates the nostrils, in a procedure known as a septorhinoplasty.

  1. Abdominoplasty or Diastasis Recti correction

The tummy is commonly seen as a problem area, and it can be challenging to improve its appearance through diet and exercise alone. An abdominoplasty is a highly effective procedure to remove excess skin and fat and produce a smoother, flatter abdomen.

It’s often not just excess skin and fat that are the problem though. Our abdominal muscles can become lax over time or as the result of weight fluctuations and can make it impossible to achieve a toned tummy.

Separation of the rectus abdominis muscles, however, affects up to 60% of women during the third trimester or immediately after childbirth and although many find they close up spontaneously afterwards, some women are left with a permanent separation in the midline. This impacts the appearance of the abdomen but can also cause lower back pain and impaired posture. Surgical correction of Diastasis Recti involves repositioning and tightening the abdominal muscles and strengthening the core.

  1. Eye Lift or medically necessary blepharoplasty

Eyelid surgery is another procedure that can be performed for both aesthetic and functional reasons. The eyes are often the first area to show ageing changes and surgery to the upper and lower lids can remove excess skin as well as improve the appearance of eye bags, often producing a dramatic facial rejuvenation.

However, a blepharoplasty may be medically necessary when excess skin on the upper lids is impeding your vision.

  1. Breast surgery

Although the boob job does have connotations of being purely cosmetic, breast surgery can address significant issues that are having a profound impact on your health and mental wellbeing.

Reducing the size of the breasts with a breast reduction procedure can produce a dramatic improvement in a patient’s quality of life. Physically, overly large breasts can cause neck and back pain and result in rashes and skin problems. It can also greatly affect a woman’s self-confidence and limit what she can wear or which activities she can enjoy. In a recent study, it was found that women who underwent breast reduction surgery before the age of 25 continued to report lasting benefits for 10 to 30 years after their procedure.

Breast augmentation with implants can address breast development problems such as macromastia, also known as breast aplasia or mammary hypoplasia, and refers to the underdevelopment of breast tissue. This is commonly a congenital defect and one or both breasts may be small.

To discuss any functional or cosmetic concerns you may have, call 020 7927 6528 to arrange a consultation with Mr Juling Ong.

Our understanding of facial ageing has evolved and for many years it was thought that the issue was wholly due to our skin succumbing to the effects of the gravity. And while it’s true there is a loss of skin elasticity and a weakening of the ligaments over time, the depletion of volume, particularly in the mid-face, may be the main culprit.

Earlier this year, a study was published in Plastic and Reconstructive Surgery, the journal of the American Society of Plastic Surgeons, that attempted to determine the link between fat loss and facial ageing. Dr Aaron Morgan of the Medical College of Wisconsin and his colleagues used CT scans of 19 patients to measure the loss of mid-face fat volume.

The patients underwent at least two computed tomography scans at least a decade apart, measuring fat deposits in the area between the eyes and mouth. On average the patients were 46 when first scanned and 57 years at the follow-up scan.

Results showed ‘definite and measurable loss of midface fat volume’. The total volume of facial fat decreased from about 46.50 cc at the initial scan to 40.8 cc at the follow-up scan: a reduction of about 12.2%.

Interesting, fat volume in the superficial layer of the skin decreased less than deep facial fat. This underlines the supposition that deep facial fat loss results in a loss of support. Dr Morgan explains. “That causes deepening of the nasolabial fold, which runs from the nose to the mouth. Meanwhile, fat loss closer to the surface makes the cheeks appear deflated.”

Other factors in facial ageing

Ageing is also a combination of both changes on a deeper level, but also the superficial visual alterations. The appearance of dynamic wrinkles, thinning of the skin, pigmentation changes and loss of the bony structure of the face also play a role.

Ageing is a gradual yet constant process and choosing a plastic surgeon that fully understands the anatomy of the ageing face is a must.

For more advice on facial ageing and the appropriate cosmetic surgery procedures, call 020 7927 6528 to arrange a consultation with Mr Juling Ong.