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Think Over Before You Make Over:

The British Association of Plastic, Reconstructive and Aesthetic Surgeons adds Charlotte story to it’s Think Over Before Your Make Over cosmetic surgery patient safety campaign.’s-story

Charlotte, aged 27, decided to have a breast augmentation after losing breast tissue following the birth of her first child. However, she felt rushed into the decision and experienced problems following surgery, having visited a surgeon who she wasn’t entirely happy with. Here, she talks about the importance of taking time to choose the right surgeon.

I decided to have a breast augmentation after losing some of my breast tissue following the birth of my first child. I had had a nose job with a BAPRAS consultant plastic surgeon before this and was initially thinking of going straight to him for the breast augmentation procedure too. However, when I was considering my options I read lots about another mainstream plastic surgery clinic and about how a number of celebrities had gone with them. Many people were saying that this clinic looked fantastic and could deliver great results.

I met with a representative from the group and got caught up and excited in all the fantastic things she was saying. Instead of taking time to consider my options I agreed to attend an appointment at one of the group’s clinics in Leeds, and soon after ended up receiving the operation with one of the group’s surgeons in Manchester.

I felt my consultation was very rushed and I didn’t have the appropriate time to take a step back and think about whether I was making the right choice. I was told to put two different types of implant in my bra and walk around to see how they felt. At the time they had felt okay, but once they were inside me it was different – they didn’t feel right.

I remember coming out of the operation feeling that something was wrong. My implants also looked bigger than I was expecting. I later learned that one of the implants had come out of its ‘pocket’ inside me – but at the time I had been reassured by the surgeon that there wasn’t a problem.

I felt embarrassed and was in pain. Even assistants at the shop noticed that the look wasn’t normal and I found it difficult having bras fitted.

In the end I went back to my BAPRAS consultant plastic surgeon for corrective surgery. He pointed out a number of things that were wrong, including that the measurements for the implants were incorrect and that this was why I felt like my breasts were sagging.

He also advised me to go away and take time to consider whether I wanted to have more surgery before making a final decision. I’m glad he did this.

The second procedure was a success and now I’m much happier and more confident about my appearance.

I would urge anyone considering surgery to take an in-depth look into the background of the surgeon who will be operating on you and find out how much experience they have.

The most important thing about my BAPRAS surgeon is that he was responsible in telling me that I needed time for myself in order to make a proper decision. I wish I’d had this advice in the first place.



Google Glass is one of many wearable technologies that have been introduced to improve our personal and working lives.  Whilst many digital innovations have come and gone, Google Glass may represent a breed of technology that enhances the surgical environment.
The device itself consists of an optical head-mounted display (OHMD) that can connect to the Internet or a local intranet.  This means that real-time information can be called up to the smartphone-like display that the operator sees.  There is also a high quality camera that has the potential to capture still and video images.  In surgery this has the potential to display relevant up-to-date information to the surgeon that may alter the surgical plan, such as physiological parameters, x-rays, laboratory results or clinic letters.

From a training and appraisal viewpoint the Google Glass could revolutionise or at least enhance current practice.  Whilst the exact resolution of the screen is undisclosed, it is known that it the wearer experiences detail that they would get on a 25 inch screen from 8 foot away.  Medical students and trainees could therefore have relevant anatomy and surgical diagrams displayed whilst assisting their Consultant.   Videoing set-piece operations, such as tendon repairs, from the ‘point-of-view’ of the surgeon could be used in the annual ARCP appraisal, similar to the ‘consultation video’ used by GP trainees in their assessments.  This same ability could be harnessed to stream operations to lecture theatres full of students or for Hospital at Night juniors to their off-site seniors.

With all this potential there are to date only a hand full of publications evaluating Glass in hospitals, and most are small scale.  There does appear to be themes of poor connections, and limited applications.  There are also the potential difficulties of connecting the device to the secure hospital network and the issues around patient confidentiality.

With no insurmountable limitations and huge potential the Glass project may yet see an increasing role as a surgical tool.  The BAPRAS Innovation Group is in early talks with Google and its commercial partners to set up a larger scale evaluation of Glass in Plastic Surgery.


Ryan Kerstein, Innovation Group Lead at BAPRAS    18th March 2015

Beautician Fined for illegally performing Botox treatments

A recent court conviction and €6,000 fine of a ‘beautician’ for illegally performing Botox treatments demonstrates again the need for far more strict enforcement of medical treatments in this area.

The conviction was for unlawfully importing, advertising and administering the drug – which is usually injected into facial muscles and is subject to prescription control. The Irish Association of Plastic Surgeons (IAPS) ( ) has repeatedly made representations to both the medical authorities and to politicians to tighten up the entire area of medical ‘beauty treatments’ that can, as the law stands, allow somebody with no training to inject fillers into the face.

Commenting, Dr. Margaret O’Donnell, President of IAPS said, “This scandal has gone on for far too long. “We have pointed out to an innocent public that is is not only beauticians doing injections,  but even doctors who call themselves ‘cosmeticsurgeon’ or similar names are confusing the public.  There have been cases of doctors without surgical qualifications, calling themselves ‘cosmetic surgeons’ and performing surgery on patients.  The only recognised training in this State for plastic surgery is that which leads to full registration on the Irish Medical Council’s register of Specialists in Plastic, Reconstructive & Aesthetic Surgery. Any fully qualified plastic surgeon has done around 15 years of training, and he or she continues to train every year in an area of medicine that is evolving rapidly. Those doctors who do not have that training cannot appear on the Specialist Register claiming that training. That is what the public should look out for, but it’s also something the authorities should help with in trying to bring new clarity to who is trained in what. It’s rare enough in Ireland that professions want more regulation and not less. As medical doctors we do so in the hopes of avoiding further serious scandals and injuries to the general public

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BAAPS- British Association of Aesthetic Plastic Surgeons Annual Scientific Meeting 2014,

Mr James Small recently attended the 30th Annual Scientific Conference of the British Association of Aesthetic Plastic Surgeons .

BAAPS Annual Scientific Meeting 2014, took place on the 25 September 2014 – 26 September 2014 at The Queen Elizabeth II Conference Centre, London.

IAPS (Irish Association of Plastic Surgeons) Summer Meeting 2014


Mr James Small was a guest speaker at the recent 2014 Summer meeting of the  IAPS (Irish Association Of Plastic Surgeons).

James spoke on the topic ‘Hints and Tips on Facial  Rejuvenation, revolving primarily around the plastics facial field. He discussed aesthetic procedures on the lips, lower face plumping and reshaping such things that are difficult to treat with surgery

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