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Cosmetic Surgery

Cosmetic surgery provides both elective surgery and post trauma reconstruction.

Clinical Indications

  • Sagging Breasts
  • Treatments

  • Areolas Correction
  • Blepharoplasty (Eye Bag Removal)
  • Blepharoplasty - Upper & Lower Eyelid Surgery
  • Blepharoplasty - lower eyes
  • Brachyplasty (Arm reduction)
  • Breast Enlargement - Augmentation Mammoplasty
  • Breast Enlargement or Augmentation Surgery
  • Breast Implants
  • Breast Lift or Mastopexy
  • Breast Reconstruction
  • Breast Reduction (Bilateral)
  • Breast Reduction (Female)
  • Breast Reduction (Male)
  • Brow Lift (Forehead Lift)
  • Buttock Augmentation
  • Calf Implant For Men
  • Calf Implant For Women
  • Cheek Implant
  • Cheek Lift
  • Chet Plastic Surgery for sex reassignment and facial feminisation
  • Chin Augmentation
  • Chin Implant (Genioplasty)
  • Collagen Filling : Lip
  • Ear Pinning (Otoplasty or Pinnaplasty)
  • Eyebrow Lift
  • Face Lift (Rhytidectomy) and Blepharoplasty
  • Fat Injections/ Fat Grafting
  • Forehead Lift
  • Gynecomastia Surgery
  • Hymenorrhaphy
  • Inverted Nipple Correction
  • Iontophoresis (For sweating)
  • Labial Reduction
  • Liplasty
  • Lipo Filling : Buttock
  • Lipo Filling : Lip
  • Lipo Filling : Nasolabial Fold
  • Liposculpture
  • Liposuction
  • Liposuction : Circumferential Thighs & Buttock (GA)
  • Liposuction Abdomen
  • Liposuction Abdomen and Thighs
  • Liposuction Arms or Calves
  • Liposuction Thighs and Buttocks
  • Liposuction under chin
  • Mandibular Angle Resection
  • Microdermabrasion
  • Mini Abdominoplasty
  • Neck Lift
  • Pectoral Implant
  • Penile Enlargement Surgery
  • Penis Frenuloplasty
  • Prominence Ear Correction
  • Revision Mammoplasty - Re-Augmentation
  • Sex Reassignment Surgery (Male to Female) - Adam\'s Apple Surgery
  • Sex Reassignment Surgery (Male to Female) - Genital Organ Change
  • Sex Reassignment Surgery (Male to Female) - Surgery for Breast
  • Skin Blemishes and Scarring Treatment
  • Temporal Lift
  • Thigh or Buttock Lift
  • Tummy Tuck (Abdominoplasty)
  • Vasectomy
  • Background Information

    Cosmetic Surgeons used to be focused on working with patients who required post operative or trauma reconuctions.

    Cosmetic surgery is similar to all other types of surgery and therefore should be considered in a similar way. Many of the problems and pitfalls of general surgery also apply to cosmetic surgery. For this reason, Globe Health Tours strongly recommends all prospective cosmetic surgery patients to read and understand our guide entitled An Essential Guide to Having Surgery.

    The points and subjects contained in our Essential Guide to Having Surgery are not repeated here as this guide is intended for cosmetic surgery only. The key difference between cosmetic surgery and all other branches of surgery is that for the vast majority of patients, cosmetic surgery is voluntary. In other words, patients actively choose to seek out procedures, surgeons and clinics when there may not be an recognised medical need.

    For this reason, a large degree of the success or failure of a procedure is subjective and emotional. Put another way, a cosmetic operation may be a technological and medical triumph but the patient may still be unhappy with the end result. Patients are therefore urged to be absolutely clear on what they want and what the surgeon can deliver as an end result. There must not be any ambiguity on what the final cosmetic appearance is like. Patients must also be aware of the variations that are possible with apparently similar procedures on different individuals as no two cosmetic procedures can produce identical results.


    Individuals seek all sorts of cosmetic surgery and surgical enhancements for a multitude of reasons. However, these can generally be summarised as follows. Surgery is used to;

    • correct a real flaw in appearance,
    • correct a perceived flaw in appearance,
    • improve self-esteem,
    • improve quality of life,
    • improve career prospects,
    • reverse the effects of ageing,
    • reverse the effects of pregnancy,
    • reverse the effects of massive weight loss – e.g. removing excessive skin.

    No matter what the reasons to seek enhancement surgery may be, we would urge all prospective patients to seek such procedures freely, without coercion and without external pressure. Patients must be free to decide on whether or not these operations are for them or not. Globe Health Tours cannot facilitate any surgical procedure, especially cosmetic, if it becomes clear that patients are seeking such procedures under duress and against their wishes.


    In short, anyone, as long as the patient feels happy to embark on such a procedure and is able to give free and informed consent for the operation. However, clearly as with general surgery, patients can be split into low or high risk categories. Those at higher risk will be exposed to a greater chance of developing complications and therefore may have a poorer outcome, both medically and cosmetically.

    The best results can therefore be expected if the patient is;

    • young,
    • physically fit,
    • psychologically healthy,
    • of normal weight,
    • a non-smoker.

    Smoking is especially problematic as it is strongly associated with an increased susceptibility to infections, skin separation, skin death (necrosis), delayed healing process and anaesthetic risks. Many cosmetic surgeons will therefore advise smokers to quit for at least 2 weeks prior to the operation and for 2 weeks afterwards.


    All prospective patients for cosmetic surgery must be fully aware about the potential risks of this type of surgery as well as the benefits. A detailed assessment of the surgical risks is discussed on the page entitled “An Essential Guide to Having Surgery”. The major potential problems associated with cosmetic surgery are listed below.

    Failure of Surgery

    The cosmetic appearance sought could not be achieved. This should be a rare problem as clear and frank discussions with your surgeon before the operation should clarify what is expected by both the surgeon and the patient. The chances of success and failure should be discussed at this stage.

    Subjective “Failure” of Surgery

    As has already been discussed above, the results of cosmetic surgery are subjective. The surgeon may be happy with the surgical or technical outcome of the procedure but the patient may still be dissatisfied with the cosmetic appearance. Once again as has been mentioned above, there should be no discrepancy between the surgeon and the patient on the expected final appearance after surgery.


    This is a common complication of cosmetic procedures. Fortunately, the vast majority of post-operative infections are minor wound infections. These are easily treated with antibiotics. But occasionally, more serious infections can occur. In these cases, healing of the wound may be delayed, the operation site may be affected by the formation of excessive scar tissue or implants used in the procedure may need to be removed. Clearly, this can lead to considerable psychological as well as physical scarring. It is therefore vital that all patients understand the risks of such outcomes by discussing infection rates with their surgeons before the operation is carried out.

    Skin Death (Necrosis)

    This can occur as a result of infection or haematoma (a collection of blood). It is more likely to occur in patients who smoke. The dead skin needs to be excised (removed) thus affecting the final cosmetic appearance of the operation site.


    Most cosmetic surgery is expensive, especially if carried out in Western or developed countries. In addition, cosmetic surgery is usually not covered by medical insurance. This means that patients themselves pay for the procedures. This can be a considerable financial strain. Patients must understand the financial implications of undertaking these procedures. Added to the obvious costs of travel, accommodation, medical expenses and other direct costs of the operation, patients are encouraged to consider a contingency for costs associated with side effects, complications and revision surgery. Obviously, both the surgeon and patient will hope that this is never required, but clearly it is prudent to make some plans for such circumstances in advance.


    Developing a mild form of depression can be associated with having cosmetic surgery. This can be due to;

    • the stress and anticipation of preparing for the operation,
    • the physical effects of medication, anaesthetic and the actual operation itself. These factors can have a psychological impact.
    • the stress and fear of having surgery, developing complication and possible disfigurement. The fear of these possibilities is often far greater than the chances of actually developing such complications.
    • lack of exercise in the recovery period. This can cause a build up of stress and frustration. Often, those undertaking cosmetic procedures are relatively young and healthy and may never have had any operations or serious illness before.
    • there may be an adjustment reaction as patients may take time to become accustomed to their “new” appearance.
    • there may be a negative response from family and friends, therefore compounding all these other issues. Other people may not be aware of your plans and seeing and meeting these people for the first time after surgery may cause a considerable degree of anxiety.
    • financial pressures. Cosmetic procedures are often expensive.
    • there may be an element of guilt about having cosmetic surgery and changing your appearance.
    • patients may feel pressurised into having cosmetic surgery by their partners, friends or by their careers. This should never be a reason for seeking cosmetic surgery. Globe Health Tours cannot facilitate any operation under circumstances where patients have been pressurised or coerced in any way.

    Most patients find that the mild anxiety or depressive symptoms soon lift following a successful operation and anti-depressants are usually not required.
    It is often thought by patients that cosmetic surgery is not “real surgery” or that these are all “minor operations”. This is untrue. Cosmetic surgery can be major, complex and challenging for both surgeons and patients. It often entails being sedated or put to sleep with a general anaesthetic. Globe Health Tours therefore emphasises that cosmetic surgery should always be thought of in the same way as other types of surgery and comes with all the risks associated with these other operations. Cosmetic surgery must not be trivialised.

    Globe Health Tours also strongly recommends that all prospective patients discuss fully with their surgeons exactly what is involved and what kind of appearance is expected after surgery.


    1. What other surgical or medical options are there for me?
    2. Is it safe for me to undergo this procedure?
    3. What lifestyle factors should I change, e.g. weight, smoking, taking the combined oral contraceptive pill, etc before the operation?
    4. What is the risk of blood clots (DVT) following this procedure and flying back home?
    5. What specific risks are there for this procedure over and above the general risks of surgery?
    6. How long is the recovery period?
    7. What kind of cosmetic appearance or changes can I expect immediately after the operation?
    8. What changes in appearance can I expect in the recovery phase?
    9. How will the operation site look after the healing process is complete?
    10. How many similar procedures have you carried out?
    11. What is your success rate for this operation?
    12. What should I do if my recovery is slower than expected?
    13. What should I do if I develop complications?
    14. What should I do if the results of the procedure do not match my expectations?
    15. How long after the operation can I expect to fly back home?
    16. What is the timescale expected between surgery and the final appearance of the operation site?


    1. What kind of cosmetic appearance or changes can I expect immediately after the operation?
    2. What changes in appearance can I expect in the recovery phase?
    3. How will the operation site look after the healing process is complete?
    4. How long is the recovery period?
    5. What should I do if my recovery is slower than expected?
    6. What should I do if I develop complications?
    7. What should I do if the results of the procedure do not match my expectations?
    8. How long after the operation can I expect to fly back home?
    9. What is the timescale expected between surgery and the final appearance of the operation site?

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