Guy Sterne - Consultant Plastic Surgeon

Guy Sterne on Cosmetic Surgery

Why patients choose Cosmetic Surgery?

This article is somewhat different from other items I have written, I tend to write about specific procedures, the benefits of the procedure and how they are performed. However today I came across an interesting article about the reasons why patients choose to have surgery.

Cosmetic Surgery is often connected to vanity however there are many reasons why patients choose surgery and the results can often be life changing. We live in a nation where looking good is important, we pay to visit the gym and stay healthy but there are sometimes alternative reasons why surgery is an option and there are many examples of this.

• Blepharoplasty is a procedure to remove sagging skin from the eyelid area, Sir Alan Sugar is an example of someone who chose this procedure for more medical reasons. Back in 2007, the 59-year-old electronics tycoon had the operation because of vision problems, A qualified pilot, he explained that droopy skin overhanging his eyelids was threatening to block his sight and stop him pursuing his hobby of flying Learjets. Affected vision is a common symptom that patients describe when attending consultation, corrective surgery is usually minor and can often be carried out under local anaesthetic as a daycase patient. • Breast Enlargement is the most popular procedure sought by patients either for reconstructive (following mastectomy) or cosmetic reasons. Enhancement surgery is common amongst women who have naturally small breasts or who have lost volume and size due to weight loss or breastfeeding. Breast size can affect body image and confidence and in some cases deter individuals from going about day to day life for example swimming and wearing closer fitting clothes. Breast Enlargement is performed by placing an implant either on top of the muscle or behind depending on the look the patient wishes to achieve and can give the patient their confidence back.

• Breast Reduction is one of the most life changing procedures I carry out, patients with larger and sometimes pendulous breasts can often suffer with back pain which can lead to posture issues, inability to find comfortable underwear and can cause some ladies embarrassment. Breast Reduction surgery is major surgery as in some cases it can involve taking away large amounts of fat, glandular tissue and skin. Following surgery women report to feel increased confidence and most importantly a new feeling of comfort that was unknown before surgery.

• Male Breast Reduction / Gynaecomastia sometimes referred to as ‘man boobs’ can be an embarrassing condition for men to live with. It is provoked by an imbalance of the hormones Oestrogen and Testosterone and can vary from small, firm enlargement of breast tissue just behind the nipple to a larger, more female-looking breast. Males suffering with  Gynaecomastia can sometimes be deterred from going to the gym or being seen shirtless as the condition often affects body confidence. Depending on severity Gynaecomastia can be treated in two ways, either with liposuction alone or if required with a combination of excision and liposuction to result in a smooth chest contour.

• Tummy Tuck / Abdominoplasty is a very common procedure particularly for women who have had children and men or women who have lost weight. Pregnancy and weight loss can leave excess skin and fat around the abdomen which cannot be shifted by exercise or diet alone, it can make certain clothes uncomfortable to wear and affect body image. An Abdominoplasty is major surgery and involves the removal of fat and skin from the area, giving the abdomen a smoother effect and should only be considered once weight loss has stabilised and a females family is complete.

This article outlines only a small number of the conditions that affect patients that make the decision to have surgery, however there are many more. If you are considering a cosmetic procedure please visit one of my clinics in Birmingham, Worcester, Cheltenham or Gloucester. To make an appointment you can call 0121 361 8008 or visit my website for more information

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Crowdfunding for Cosmetic Surgery? The Royal College of Surgeons to enforce guidance in the UK

Crowdfunding is the practice of funding a project or venture by raising many small amounts of money from a large number of people, typically via the Internet. It has become synonymous with the cosmetic surgery industry over recent years with the introduction of websites used to raise money for surgical procedures like breast implants.

I have written about responsible marketing in articles previously, and I do not believe Crowdfunding for Cosmetic Surgery is appropriate, it most certainly has a place but not within the cosmetic surgery industry. I have read many articles about successful crowdfunding projects; money raised for The Nepal Earthquake and the recent floods in the UK, for these kind of projects, Crowdfunding is a fantastic way of raising much needed funds.

Cosmetic Surgery on the other hand is serious and should not be taken lightly, I have to agree with Mary O’Brien of the British Association of Aesthetic Plastic Surgeons (BAAPS) who called the practice “degrading”, and stated that’s BAAPS were “deeply concerned”.

According to a report in the Sunday Times, doctors who perform surgery on patients who have crowdfunded breast implants “could find themselves in front of the General Medical Council (GMC) and potentially banned from practising”.

I support any recommendations and legislation that safeguard our patients and improve the quality of care that patients receive across our industry. Reportedly the Royal College of Surgeons (RCS) will be releasing new rules in mid 2016 that deter utilising web sites that help women to crowdfund for cosmetic surgery, great news RCS !!

If you are considering a cosmetic surgery procedure, I hold clinics in Birmingham, Worcester, Cheltenham and Gloucester. To make an appointment please call 0121 361 8008 or for more information please visit my website

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BAAPS say the number of men opting for cosmetic surgery doubles in the past decade

 BAAPS say the number of men opting for cosmetic surgery doubles in the past decade

 Figures in 2015 suggest that cosmetic surgery in men has doubled over the last 10 years. Surgery for men only accounts for 9% of the total cosmetic surgery industry however one of the most commonly carried out procedures in my practice is Male Breast Reduction (Gynaecomastia).  A Male Breast Reduction procedure is carried out to remove enlarged breast tissue (often referred to as 'moobs') and in extreme cases excess skin also.


The symptoms of Gynaecomastia can vary from a small, firm enlargement of breast tissue just behind the nipple to a larger, more female-looking breast, it can affect one or both breasts and the area can be painful or tender to touch.


What is involved in a Male Breast Reduction?

 The breast is made up of two main components, glandular tissue (firm and dense) and fatty tissue (soft). The ratio of glandular to fatty tissue in any breast varies from individual to individual and in Gynaecomastia there may be an excess of both. If there is predominantly a diffuse fatty enlargement of the breast, liposuction is the usual treatment. If excess glandular tissue is the primary cause of breast enlargement, it may need to be excised (cut out). This will leave a scar, usually around the nipple edge. This excision can be performed alone or in conjunction with liposuction. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more obvious scars. The procedure is usually carried out under general anaesthetic although in minor cases local anaesthesia and sedation can be used.

If you are considering surgery and wish to book a consultation with a GMC Specialist Surgeon, I hold clinics in Birmingham, Worcester, Cheltenham and Gloucester. You can make an appointment by calling 0121 361 8008 or for more information please visit my



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BBC Point of View article - Why patients choose Cosmetic Surgery

A very interesting read here and some may think that as a ‪#‎Cosmetic‬‪#‎Surgeon‬ I would be in favour of cosmetic surgery or treatments for every patient irrespective of their reasons for making the decision to have surgery, they would be wrong.

As an independent plastic surgeon, I see many patients in my clinics and with varying stories behind their decision to have treatment. The most common reasons being to boost self confidence and self-esteem, however on occasion I see patients that I do not feel are right for surgery at that time. It could be that the result they are looking for maybe unachievable, that they have had surgeries before and not been satisfied which can sometimes point towards psychological issues, or even made the decision due to peer pressure, these patients in my opinion are not suitable candidates and I will always advise them to go away and think very carefully about their reasons or to seek further support before they proceed.

#Cosmetic or ‪#‎Plastic‬ ‪#‎surgery‬ is a life changing decision and requires a great deal of thought not only about the procedure itself or the surgeon you choose but also about the reasons behind your decision. A good surgeon will decline treatment to unsuitable patients, quite often these patients go home and consider the reasons, sometimes they will change their minds entirely and sometimes even years later they will come back often with a completely different mindset. As a surgeon it is a great feeling to have provided this support and probably why many of my patients refer their friends and relatives into my care.

Are you considering cosmetic surgery, what is the next step?

I hold clinics throughout Birmingham, Worcester, Cheltenham and Gloucester. To make an appointment please call 0121 361 8008 or visit my website I have also launched my brand new Youtube channel: Guy Sterne – Consultant Plastic Surgeon, you can visit to see videos about all the latest news and to learn about my team and I.

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