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.

Whether it was due to quarantine weight gain, Zoom facial anxiety or the opportunity for discreet downtime, plastic surgeons around the globe reported a surge in interest in cosmetic surgery during lockdown. Now the latest plastic surgery statistics from the US are in and give us some interesting insights into popular pandemic procedures.

The Aesthetic Plastic Surgery Statistics annual report is compiled by The Aesthetic Society and this year found that Americans spent more than $9 billion on surgery and non-surgical aesthetic procedures during the pandemic. According to the report, among the most popular were liposuction and tummy tucks.

Of all the procedures, liposuction was the most popular. As a result, although some might perceive plastic surgery being popular with an older demographic wanting to turn back the hands of time, the report also found that 40% of all procedures were in the 36 to 50 age group.

The lowdown on liposuction

Liposuction is a cosmetic procedure to remove unwanted deposits of fat, mainly from the body but it is also possible to reduce a double chin with lipo. Any area of the body can be treated, including the hips, tummy, thighs, arms, back and even the knees. Men that are suffering with excess fat in the chest area, known as pseudo-gynaecomastia, can achieve a greatly improved appearance with liposuction.

During a liposuction procedure, Mr Juling Ong will make tiny incisions in the target area and insert a thin tube known as a cannula. The cannula is used to loosen the fat before it is sucked out and then the incisions are closed. The benefits of liposuction are a more even distribution of fat, resulting in smoother body contours.

As with any surgical procedure there are risks and although they are unlikely it is important to weigh them up against the potential benefits. Risks include scars, although the incisions from liposuction are very small and usually well-hidden. Bruising, swelling and discomfort are a common complication after liposuction but will quickly improve. Other possible complications include seroma, infection, changes in sensation and asymmetry

One possible risk is that you’re left with loose skin once the fat is removed. During your initial consultation, Juling will assess your skin elasticity and advise you on whether liposuction is the appropriate treatment. For some patients, a surgical procedure to remove excess skin is needed – this is a common issue in the abdomen area, and often patients require a tummy tuck either combined with liposuction or as a standalone procedure.

To find out more about lipo benefits, call 020 7927 6528 to arrange a consultation with Mr Juling Ong.

At the beginning of the year, the World Health Organisation launched a global campaign to support at least 100 million people to quit tobacco and last month marked World No Tobacco Day 2021.

As part of their campaign, WHO released a publication entitled ‘More than 100 reasons to quit tobacco’. As well as covering the serious health complications, they also pointed out that tobacco use can affect your looks almost immediately.

Smoking and facial ageing

We all know the impact of smoking on our lungs, but it also affects our skin’s ability to breathe. Smoking constricts the flow of oxygenated blood to the skin meaning you have a reduced ability to heal and a greater risk of prematurely developing wrinkles. In fact, it is estimated that the effects of smoking on the skin are double that of sun damage.

Another side effect of smoking is the increased risk of telangiectasia or, as it is more commonly known, spider veins. This occurs when the small blood vessels in the body dilate and it is very noticeable close to the skin, appearing as either thin, broken veins or sometimes as purple patches. The damage to our blood vessels caused by nicotine is a risk factor for telangiectasia.

Many of the thousands of chemicals in tobacco smoke also destroy collagen and elastin, the components of the dermis that provide the firmness, elasticity and plumpness of the skin. Sagging skin and uneven colouring can result.

As well as losing skin elasticity, you are also likely to develop dynamic wrinkles around the mouth and the eyes. The perioral muscles are continually contracting and relaxing as you inhale and exhale, causing vertical lines to appear around the lips, often known as smoker’s lines. Constant squinting from smoke irritation can also lead to deep lines around the eyes.

If you’re considering cosmetic surgery to combat the signs of premature ageing, though, Mr Juling Ong will advise you to stop smoking in advance of your operation and for a period afterwards, although quitting for good is the best way to protect your results.

Why you should stop smoking both before and after cosmetic surgery

  1. Smokers are far more likely to have complications related to the anaesthetic and it’s even thought to lower your pain threshold
  2. Smoking impedes the healing process: as we’ve explained, nicotine constricts the blood vessels, so the supply of oxygen and nutrients is compromised, resulting in delayed wound healing and scar formation
  3. The risk of infection is increased; slower wound healing makes you more vulnerable to infection
  4. Smoking is linked to tissue necrosis; plastic and reconstructive surgery differs from general surgical procedures in that your surgeon will be lifting, stretching, remodelling and removing the skin and tissues to achieve the optimal result. A good supply of oxygenated blood is required to ensure the treated tissue survives. Studies have shown that facelift patients that smoke are 12.5 times more likely to experience skin necrosis
  5. The risk of blood clots is higher; smoking is a recognised risk factor in the development of blood clots and deep vein thrombosis

It’s not just cigarettes; nicotine in any form, whether that’s gum, patches, chewing tobacco and even e-cigarettes, is not advised. Even secondary smoke should be avoided.

For more advice on how best to prepare for cosmetic surgery, call 020 7927 6528 to arrange a consultation with Mr Juling Ong.

More and more women and men are choosing dermal fillers for their subtle anti-ageing results or to enhance their facial features and while these treatments are deemed ‘minimally invasive’, a new report in The Times has highlighted the importance of doing your research.

TV star Leslie Ash also recently spoke about her disastrous trout pout experience 20 years ago which nearly ruined her career and gave her advice to any woman considering lip enhancement: “The only thing I’d say to people is: Do your homework.”

This is sage advice; dermal fillers have been an invaluable innovation in facial rejuvenation, but it is essential you are fully informed to avoid less than satisfactory results or even unplanned medical complications.

Permanent fillers can cause permanent problems

Leslie Ash initially claimed she’d merely had temporary collagen injected in her lips, but later admitted that it was actually a man-made plastic silicone which had spread into the muscles around the mouth and hardened. She has since tried steroid injections which softened her lips slightly, but the results are irreversible.

Although permanent or semi-permanent fillers may seem appealing as there’s no requirement for regular top-ups, they can’t adjust to any changes to your facial tissues that occur in the future. They can also result in quite serious complications which are difficult to treat.

Mr Juling Ong only uses temporary hyaluronic acid dermal fillers, which are the gold standard of aesthetic injectables for volumising the face. Hyaluronic acid is naturally produced by your body and already found in your skin and cartilage. Typically, these fillers last between 6 and 12 months before the body naturally and safely absorbs them. However, even minimally invasive procedures such as filler injections have their risks, ranging from temporary bruising, swelling and redness, to raised bumps under the skin to more serious complications if the filler is injected incorrectly.

Practitioner choice is all important

Save Face, a register for medical professionals who provide non-surgical cosmetic treatments which is accredited by the Professional Standards Authority, received 2,083 complaints relating to botched procedures in 2020, up from 217 in 2016.

Botulinum toxin is a prescription medicine so must be performed by a suitably qualified medical professional, but dermal fillers are largely unregulated and so can be delivered by anyone and there are currently no legal restrictions concerning minimum levels of training.

Choosing a plastic surgeon with specialised training and a comprehensive understanding of facial anatomy, as well as the ability to deal with any complications, is the smartest and safest choice for anyone considering dermal fillers or muscle relaxing injections. A reputable plastic surgeon will also be a member of independent plastic surgery associations that will carry out regular safety audits of their members; Mr Juling Ong is a member of The British Association of Aesthetic Plastic Surgeons (BAAPS) and the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS).

Mr Ong will be able to determine whether you’re a suitable candidate based on your medical history, select the most appropriate product and dilution and determine the right amount to inject and the best place. He offers a bespoke treatment, tailored to your unique goals and specific facial anatomy. For more advice, call 020 7927 6528 to arrange a consultation.

In response to patient safety concerns, the Royal College of Surgeons (RSC) announced that they were launching a certification scheme to hold the cosmetic surgery industry to an agreed set of standards. They encouraged all surgeons who perform cosmetic surgery to apply for the certification.

London cosmetic surgeon Mr Juling Ong is delighted to have received certification in cosmetic surgery from the Royal College of Surgeons. This demonstrates to prospective patients that he is on the General Medical Council’s specialist register for plastic surgery. It also means that his training, professional skills, clinical skills and knowledge have all been assessed as being of a satisfactory standard in cosmetic surgery.

Patient safety is always of paramount importance to Mr Juling Ong. To discuss any aspect of cosmetic surgery, call 020 7927 6528 to arrange a consultation at our London clinic.

The nose is the central feature of the face and plays a pivotal role in determining the overall proportion and balance of your facial appearance, which is why rhinoplasty continues to be one of the most popular cosmetic surgery procedures in the UK. In the 2019 annual survey by the British Association of Aesthetic Plastic Surgeons (BAAPS), the nose job came in sixth for women and first for men, and its appeal shows no sign of waning.

For some patients, however, the idea of going under the knife and permanently altering their dominant facial feature can seems daunting, no matter how much they may wish to improve the shape of their nose. For these people, non-surgical rhinoplasty – also known as the liquid nose job – has proved increasingly popular in recent years.

But is the liquid nose job, using temporary dermal fillers, as good as the real thing? We’ve assessed some of the pros and cons of each procedure.

Surgical rhinoplasty

One of the oldest cosmetic surgery procedures, rhinoplasty is often perceived to be among the most brutal, due to the commonly held belief that the surgeon has to ‘break’ the nose in order to reshape it.

In reality, the procedure is one of the most delicate and nuanced plastic surgery procedures. Depending on what you’re hoping to achieve, Mr Juling Ong can reduce the nose by removing some cartilage or bone, reshape the nose by repositioning or adding to the cartilage or bone, or change the projection of the nose, which is the angle between the nose and the top lip. Mr Ong can also correct any breathing impairment.

There will be some swelling and bruising post procedure, however once that has subsided, you should have the nose you have always dreamt of, permanently.

Surgical rhinoplasty pros:

  • highly customisable depending on your needs/wants
  • permanent
  • not just cosmetic – the surgery can also be beneficial to improve function and structural problems within the nose

Surgical rhinoplasty cons:

  • Any surgical procedure carries a risk, which your surgeon will discuss with you at the consultation stage
  • More expensive than the non-surgical option – although repeated dermal filler treatments will add up over the time
  • Longer recovery time

Non-surgical rhinoplasty (‘the liquid nose job’)

If you’re a bit squeamish about going under the knife, a non-surgical nose job may seem like the perfect answer. And, in the right hands, it does present a very attractive option.

It is important, however, that you choose your practitioner carefully. Mr Juling Ong cautions patients that even though this procedure is deemed non-surgical, it can still carry risks if not performed extremely carefully by an expert with a very good understanding of anatomy.

The liquid nose job is performed by injecting hyaluronic acid facial fillers into the nose to flatten out lumps and bumps, adjust projection volume or enhance the tip of the nose. It is always performed in an outpatient setting, with very little recovery time, and no anaesthetic (apart from a small amount of numbing cream).

The results from a liquid nose job are fairly immediate and can last between six and 12 months.

Non-surgical rhinoplasty pros:

  • Little to no recovery time
  • Immediate results
  • Cheaper than the surgical option

Non-surgical rhinoplasty cons:

  • Can be dangerous in the wrong hands
  • Results are temporary, so you will need a top-up every six months or so to maintain the look
  • There is a limit to what you can achieve – volume can be added non-surgically, but not taken away
  • Not able to correct any functional problems

Which nose job is right for you?

If you are merely looking to flatten out a small bump in your nose or enhance the tips, a non-surgical nose job could be a great choice in the first instance. However, over time the top-up treatments could get costly, and there is no guarantee that the result will be exactly the same each time, so you may find that you wish to seek surgery eventually.

For a limited group of patients, the liquid nose job will be very effective, but for most people who wish to see a real, permanent difference in the shape of their nose, surgical rhinoplasty presents the best option. For more advice, call 020 7927 6528 to arrange a consultation with Mr Juling Ong.

Although Donald Trump doesn’t seem to believe in the efficacy of face masks, the majority of us are happily donning a mask to help prevent the spread of Coronavirus. One unexpected side effect of this pandemic preventative measure is that it’s putting all the focus on the upper face and making many of us more aware of ageing around the eyes.

Cosmetic surgeons from around the world are noting an increased demand in surgical and non-surgical procedures aimed at making us look more bright-eyed. However, eye rejuvenation treatments have always been popular – according to the figures released every year by the British Association of Aesthetic Plastic Surgeons (BAAPS), blepharoplasty is consistently in the top five most popular cosmetic surgery procedures.

We often notice the visible signs of facial ageing around the eyes before we become conscious of changes anywhere else on the face and body. Non-surgical and surgical treatment to rejuvenate the eye are, therefore, often the first procedure you might consider, and the results can be dramatic.

There are several reasons why our eyes and upper face are so susceptible to the ageing process:

  • The skin around the eyes, particularly on the upper lid, is very thin and more prone to laxity, making it more likely to sag and wrinkle
  • The delicate eye skin is easily damaged by sun exposure, breaking down collagen and elastin fibres in the dermis. This, combined with the physical act of squinting, can accelerate ageing around the eye
  • Repeated facial expressions results in the formation of dynamic wrinkles such as crow’s feet and frown lines
  • Sagging of the tissues below the eyes can cause the appearance of eyebags

What can be done to reverse ageing around the eyes?

A blepharoplasty or eyelid lift is the gold standard for rejuvenating the eye area. An upper eyelid lift focuses on the area between the eyebrow and the lashes. Excess skin is removed and a more youthful shape to the eyes is restored. A lower lid blepharoplasty targets the area from the lower eyelashes and the cheek. Excess skin is removed, the muscles are tightened and underlying fat is reduced or repositioned to achieved a smoother appearance.

During your consultation with Mr Juling Ong, he will advise you on whether an upper or lower lid blepharoplasty, or a combination of the two, is appropriate.

Non-surgical treatments, particularly Anti-Wrinkle Injections, will often be combined with a blepharoplasty for optimal results. Dynamic wrinkles are treated by injecting botulinum toxin to temporarily freeze the action of the muscles we use when making facial expressions. Crow’s feet and frown lines become smoother and more reduced as a result.

To find out if you’re suitable for a blepharoplasty procedure, call us on 020 7927 6528 to arrange a consultation with Mr Juling Ong.

It has long been understood that women who undergo facial rejuvenation surgery experience benefits in the way that they are perceived by others. And now a recent study has shown that men are also perceived to be more likeable – as well as more attractive – after undergoing various facial rejuvenation procedures.

How did the study work?

The study, which was carried out by a team of plastic surgeons at the Georgetown University Medical Center, in the United States, looked at 24 different men who had undergone one or more of the following procedures: facelift, brow lift, neck lift, upper blepharoplasty (upper eyelid lift), lower blepharoplasty (lower eyelid lift), rhinoplasty (nose reshaping), or chin implants.

All participants were patients of one of two plastic surgeons and had paid for their own surgery. They consented to have their pre- and post-procedure photographs used for the purposes of the study.

The surgeons then put together six different surveys, each containing eight photographs, four ‘before’ and four ‘after’ – although they were not labelled as such and no one survey contained two photos of the same individual.

The surveys were then sent to 150 participants, who were not told the purpose of the study. These people were asked to rate the personality traits (aggressiveness, trustworthiness etc) of the subject of each photograph, as well as their attractiveness and masculinity.

The results

Once the responses of the survey had been collated, it was clear that facial rejuvenation procedures overall were associated with attractiveness, trustworthiness, likeability and better social skills.

And specific procedures seemed to be linked to certain traits; for example, brow lifts increased the patient’s perceived extroversion and willingness to take risks, whilst upper blepharoplasty made them appear more trustworthy, and lower blepharoplasty less likely to take risks.

Male and female facial rejuvenation procedures – what’s the difference?

There is a wide variety of different facial rejuvenation procedures available today, and what works best for you will depend not only on your individual facial characteristics, but also to a large extent on your gender and there will be certain differences which your cosmetic surgeon will take into account when planning your procedure.

Anatomy

There’s no getting away from the fact that men and women are built differently. While women tend to be fine boned, with weaker ligament and skeletal structures in the face, men often have larger features and thicker skin.

This makes men’s facial surgery a slightly trickier prospect, as surgical manipulation of the facial structures is not so easy. Men’s skin also has a lot more blood vessels in it, which can lead to a higher risk of excess bleeding during surgery, or scarring afterwards.

Aesthetics

Where women often seek softer, more delicate features from facial surgery, the ideal in men tends towards producing stronger lines, particularly around the chin and jaw.

In a male facelift, therefore, the emphasis is often on tightening the skin around the jawline, whilst women are frequently looking for more of an overall softening of the face, with volume added around the cheekbone area.

Whilst these are broad ideals, specific surgery choices will of course depend on the individual. During your consultation with Mr Juling Ong, he will discuss in full what you are hoping to achieve from surgery and he will take into account your unique facial characteristics while carefully planning your procedure. Call 020 7927 6528 to arrange a male facelift consultation with Mr Ong.