

Instagram has become a very popular social media platform in the plastic surgery world. There are many patients now using it to find their plastic surgeon or before and afters of procedures. It is a valuable to tool for education of patients if used appropriately. A recent study published in the Aesthetic Surgery Journal reviewed Plastic Surgery related Instagram posts. The American study looked at data from almost 2 million posts using 21 cosmetic surgery related hashtags. The results of the study showed that only 17.8% of the top posts were from board certified plastic surgeons. What does it mean…


The population is ageing and more people are seeking cosmetic surgery at an older age. There are often concerns from older patients whether they would be at higher risk after surgery. The abdominoplasty, more commonly known as a tummy tuck, is a procedure to remove excess skin and fat from the tummy to improve the shape. This is a commonly performed procedure in patient who have lost weight or had children. The ideal patient would be one that has reached an ideal body weight and not overweight. This is not an operation for weight loss and should not be considered…


Patients seeking breast augmentation often wonder what cup size they may become after having implants. This is a probably the most common question asked during the consultation. Unfortunately it is often not possible to give an answer to this for many reasons. The major problem is that there is no uniform measurement used by bra makers. This means that you may be C cup in one brand and a D cup in another. A recent study published in Plastic and Reconstructive Surgery Journal looked at how you can predict cup size changes following breast implants. The study used special 3D…


Mr Nassab has been awarded the Best International Journal Article in the Aesthetic Surgery Journal at the annual American Society of Aesthetic Plastic Surgery (ASAPS) meeting. The article entitled ‘The evidence behind noninvasive body contouring devices’ was published in the Gold journal in March 2015. The paper presents the latest evidence for numerous noninvasive body contouring devices including Coolsculpting, Velashape, Thermage, Exilis and Ultrashape. A blog post about the article was posted here and the full paper can be found at the Aesthetic Surgery Journal website here. The article concludes that there is very little high-level evidence to support the…


The Times cover story highlights patients being put at risk over Botox jabs. Botox ® is a prescription only medicine and should only be prescribed by a registered doctor after a face-to-face consultation. The General Medical Council (GMC) had previously issued guidance on remote prescribing. This was a method where doctors could prescribe medications such as Botox ® to be administered by someone, such as a beautician, without seeing the patient. This practice of remote prescribing should have stopped. The Times article reports that many patients are still being treated by unqualified practitioners often using black market products. Mr Nassab…


I had the opportunity to visit the Polytech breast implant manufacturing plant in Germany. Despite having used breast implants for many years I was not aware how they were actually made. The process of breast implant manufacturing was a lot more complicated than I had thought. Did you know that most of the process for making a breast implant is done by hand. It takes about 2 weeks to make each implant. There are multiple steps in making breast implants. The initial step involves production of a mold of the breast implant. The mold is then covered with silicone…


The demand for non-surgical procedures is rapidly increasing. The ASAPS statistics revealed that 9.5 million non-surgical procedures were performed in 2013 compared to only 1.8 million surgical procedures. This has fuelled development for numerous non-surgical devices with varying technologies to combat ageing and body contouring. A number of these devices have had strong marketing campaigns and media coverage. We explored a number of these devices comparing marketing claims in the media with results in peer reviewed scientific publications. The press and media feature significantly more articles than the scientific literature on novel non-surgical devices (583 vs 63 articles). The majority…


Halloween is fasting approaching and the latest trend making headlines is the Vampire Breast Lift ®. Dr Runels who coined the Vampire Face Lift ® has applied the use of PRP to the breasts. Platelet Rich Plasma (PRP) is a technique of taking blood from the patient’s arm and using a machine to separate the various components of the blood. When the separated platelets are mixed with plasma this produces PRP. The higher levels of platelets contain higher concentrations of numerous growth factors. These are thought to be the secret behind the effects of PRP. The numerous media reports…
The Evidence Behind Noninvasive Body Contouring Devices Mr Nassab reviews the latest technologies for non-surgical body contouring in the Aesthetic Surgery Journal. This article was featured as the Editor’s Choice in the gold journal in March 2015. The demand for body contouring is rapidly increasing, and interest in noninvasive approaches has also grown. According to the statistics from the American Society for Aesthetic Plastic Surgery, 9.5 million nonsurgical procedures were performed in 2013, compared with only 1.8 million surgical procedures. In 2013, almost 95,000 nonsurgical fat reduction procedures and 294,000 nonsurgical skin-tightening procedures were performed in the United…