Mr Matthew James
MB ChB, FRCS(eng), FRCS (plastics) BAAPS BSSH
DISCUSS A CONSULTATION
Book a meeting
Tracey the practice manager will liaise with you regarding the consultation. We offer rapid access to Clinics at London Bridge and Blackheath hospital. Most patients will have a clear Idea of their requirements from an early stage. It is important to bring any relevant investigations or documentation with you.
Discuss your options
Tracey will assist you by providing a quote for surgery and sorting potential dates for your procedure. Most patients will be seen for a further consultation if required before surgery.
Prepare for operation
On the day of your operation you will normally have a light early breakfast. You should eat no food for 6 hours before the surgery. You will arrive at the hospital 2-3 hours before surgery for the nurse to prepare you and settle into the comfort of you room. I will see you before the surgery mark your skin and photograph the area. Following surgery you will recover and return to the room, where the nurse will carefully monitor you in the post operative phase.
Meet Mr Matthew James
The consultation will take 30-40 minutes. We will discuss your concerns and I will guide you through the decision making process. You will need to examined with a nurse/chaperone being present. We understand that this is often an uncomfortable and emotional experience for patients who have often long standing concerns about their appearance. I will dictate a letter detailing the consultation and a copy will be sent to you and your GP.
Talk through the upcoming procedure
Pre-admission visit will commence the week before surgery. The pre-admission nurse will discuss the procedure and ensure you are fit for the operation, MRSA swabs, ECG, Blood test etc will be performed. Occasionally the anaesthetist will see higher risk patients for optimisation or risk assessment.
YOUR VISIT & FAQ
ARRANGE YOUR CONSULTATION
Q. HOW DO I KNOW IF SURGERY IS FOR ME?
A. Cosmetic surgery isn't right for everyone. Your Consultant plastic surgeon should give you honest and clinically accurate advice about the procedure you're contemplating. It is essential you consult with a surgeon not sales team or cosmetic nurse. The advice you receive will enable you to make a fully informed decision to proceed with confidence or explore other avenues to help you. The surgeon will be looking to assess your expectations of the surgery and assess whether they are realistic and achievable. Those considering cosmetic surgery should always be aware that no surgical procedure is without risk. When performed under the right circumstances, cosmetic surgery can have a positive psychological impact on a persons life. However these benefits need to be considered carefully and balanced against potential risks.
Q. WHAT IS BODY DYSMORPHIA DISORDER BDD ?
A. Plastic and cosmetic surgeons should always be aware of this uncommon condition. BDD affects about 1% of the population and is more commonly seen in plastic surgical clinics unto 10% of patient consultations.
The sufferer experiences extreme dissatisfaction with almost any aspect of their appearance and this can become obsessional. The behaviour starts often in early teens and BDD sufferers often present to plastic surgeons rather than psychologists /psychiatrists normally in their 30's.
Cosmetic surgery will rarely helps the BDD patient who often has poor body self awareness and unrealistic expectations of what is possible with surgery. The skilled surgeon will be able to identify these patients and suggest psychological support.
Q. IS THERE A RIGHT TIME TO HAVE THE SURGERY?
A. Cosmetic deformity can occur at any age even from birth deformity. The decision to correct any deformity should be carefully balanced against the risks of the procedure. Most cosmetic surgery is carried out post pregnancy for women (abdominal wall reconstruction and breast uplift / augmentation).
Facial plastic surgery is more common 40-55 age range, when facial ageing is accelerating. Cosmetic surgery can be safely performed at any age but is rarely performed in the over 80's.
There is an increasing and unhealthy demand for quick fix cosmetic surgery in younger, vulnerable patients as an aid to improving insecurities and again skilled surgeons will try and give necessary guidance where needed.
Q. SHOULD I SEE MY GP BEFORE GOING AHEAD WITH SURGERY?
A. You will always be advised to keep your GP well informed about any cosmetic surgery that you might choose to have. They may or may not be interested. If you opt to go ahead with a procedure your Consultant will ask for your permission to write to your GP for details of your medical history as required. This is good medical practice and is very important if there is any anticipation of risk of complications or psychological issues.
Q. CAN I HAVE TWO PROCEDURES AT ONCE?
A. I personally feel this is a good Idea providing you are fit enough for the combination procedure. Often problems such as loose floppy abdominal skin and breast skin occur together. They can be tackled during the same operation. The advantage is one anaesthetic, one recovery period, and lower costs than for separate operations. Some patients with certain risk factors will not be suitable for a combined procedure and few surgeons will operate longer than 6 hours on any individual patient.
Q. WILL I HAVE MY OWN ROOM AT THE HOSPITAL?
A. Yes, all hospital rooms are private with en-suite facilities. The nursing care is professional, caring with 24 hour cover from a resident doctor.
Q. WILL I FEEL ANY PAIN AFTER THE OPERATION?
A. Most of our patients are surprised how painless the operation is during the heeling process, the latest developments in anaesthetic techniques have greatly reduced any pain experienced by patients. Almost all cosmetic surgery combines local anaesthetic, general anaesthetic and sedation to ensure painless surgery and reduce post operative pain to an absolute minimum. I use modern absorbable sutures which will not need to be removed following the surgery.
Q. HOW SOON CAN I RETURN TO WORK?
A. The length of time it takes to recover after plastic or cosmetic surgery varies depending on the procedure performed and individual patient characteristics. An average patient will require assistance for the first two days following surgery. Most bruising will have subsided by 1-2 weeks. Scars will be getting quite strong by 3 weeks. For larger operations such as abdominal wall reconstruction unto 6 weeks may be required until manual activity can be commenced.
Q. WHAT ABOUT FOLLOW UP CARE?
A. I will normally see you the day after surgery and 1 week following the operation to assess wounds and change the dressings. I will review and dress all wounds and remove all sutures personally. Then normally at 6-8 weeks and 6 months. Occasionally patients will need more frequent visits which is covered under the fixed price package for surgery. Should any revision survey be required this is also covered.
Q. WHAT ABOUT MEDICAL INSURANCE?
A. I am recognised by BUPA, PPP and other Health Insurance companies. Although cosmetic surgery is not reimbursable, many related procedures are part of the medical treatment and reconstructive surgery and may therefore be covered. You should check with your company prior to your consultation.
HERE TO HELP
BMI HOSPITAL BLACKHEATH
Independents Road, London SE3 9LG
ST THOMAS' HOSPITAL NHS
Westminster Bridge Road, London SE1 7EH
© MATTHEW JAMES
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All Trademarks Acknowledged
DESIGN & BUILD