There are many reasons why a woman may wish to have a breast augmentation. Breast augmentation and augmentation mammoplasty is a cosmetic surgery technique using breast implants and fat-graft mammoplasty techniques to increase the size, change the shape, and alter the texture of the breasts. Augmentation mammoplasty is applied to correct congenital defects of the breasts and the chest wall. Dr Clarke will carefully consider your current breast tissue and body weight in order to define the best implant size and placement.

A breast lift known as a mastopexy is a cosmetic surgery procedure that elevates and reshapes the breasts. The surgery involves the positioning of your nipple higher on the chest wall. The surgeon may also remove any excess skin and tighten the surrounding tissue. This procedure may also be combined with the insertion of breast implants to increase the breast size and shape.

Enlargement of the male breast (gynaecomastia) is a common problem, and can occur with puberty or other hormonal changes, due to medications or medical conditions, and also as a result of being overweight. Surgery removes glandular tissue and reduces fat from the breasts to give contour to the chest.

The most common type of nipple surgery is to resolve the issue of inverted nipples in one or more breasts. This issue can be a concern for women due to aesthetic reasons and can also cause significant breastfeeding difficulty. Surgical correction restores nipple projection and depending on the severity of the nipple inversion, Dr Clarke can also preserve the milk ducts thereby improving the ability to breastfeed.

Abdominoplasty is a cosmetic or medically indicated surgery technique to address the problems of excessive loose abdominal skin and/or bulging of the abdominal wall due to muscle weakness or separation. These issues are often due to changes following pregnancy but they may also occur after weight loss. The outcome of an abdominoplasty is a flatter, firmer abdomen with a smoother contour and greater abdominal strength.

Dr Clarke offers the latest techniques and has worked with internationally recognised surgeons in abdominoplasty including Dr Pollock in Dallas USA, who pioneered the progressive tension suturing technique. In select patients this avoids the need for drains following abdominoplasty, results in less postoperative discomfort, earlier discharge from hospital, faster recovery and scar minimisation.

A body lift is a body contouring procedure which removes loose skin folds and soft tissue from the hips, buttocks, outer thighs and lower abdomen, particularly after extreme weight loss associated with gastric banding or gastric bypass surgery. A body lift removes the redundant skin and persistent fat deposits, and generally lifts the tissues to restore the body contour.

The surgery allows a return to normal body form and skin function and allows patients to fully take advantage of their changed physique.

The goals of brachioplasty (arm lifts) and thighplasty (thigh lifts) are to remove excess skin and fat to reshape the underside of the upper arms and top of the medial (inside) thighs. These areas can be improved by exercise, but it is difficult to target skin after elasticity has been lost and the tissues there have become weakened or stretched. Limb lifts are therefore often requested after significant weight loss.

Liposuction or liposculpture is a cosmetic surgical procedure which removes unwanted, localised fat deposits from specific problem areas via a suction device. Many people have a genetic predisposition to deposit fat in one particular area of the body, such as the outer thighs and hips. Other common areas include the neck, arms, abdomen, inner thighs and upper back. These areas often fail to respond to weight loss and exercise.

Liposuction can also be used in breast reconstruction. To harvest fat from one area of the body and added to another area to correct a defect. Fat grafting is a technique used in breast reconstruction following mastectomy for breast cancer.

The main use for anti-wrinkle injections is to reduce lines around the eye, eyebrow and forehead. Carefully placed injections (Botox®, Dysport®) temporarily weaken the specific muscles which cause lines, smoothing the overlying skin and reducing the appearance of wrinkles. These injections are also used in a variety of medical treatments such as migraine and excessive sweating.

The eyelids are highly susceptible to the effects of aging and have an enormous impact on overall facial appearance. Genetic predisposition and lifestyle factors can lead to a progressive hooding of upper lids – sometimes so marked that vision is obscured.

Upper blepharoplasty improves the visual field and upper eyelids resting on the eyelashes, a condition known as dermatochalasis. Dr Clarke has a subspecialty interest in plastic surgery around the eye (oculoplastics).

Lower blepharoplasty, also called a lower eyelid lift, is a cosmetic procedure that deals with bags under the eyes and tightens the skin of the lower eyelids.

The effects of aging, gravity and sun exposure may result in the eyebrows descending down. Brow lift surgery repositions the eyebrows by raising the soft tissue and skin of the forehead and brow.

A facelift, also known as meloplasty or rhytidectomy is a surgical procedure that tightens and removes ageing skin on the face and neck. Gravity, time and exposure to the sun can cause the skin to lose its elasticity and plumpness. These changes are part of the normal process of ageing but can vary significantly between individuals due to genetics and lifestyle factors.

Our faces lose volume as we age and also after significant weight loss. Fat grafting is a surgical procedure to add volume to facial features, commonly used on the cheeks and lower eyelid areas. Fat grafting (from another part of the body) is an effective method of restoring or creating new volume in the face and unlike synthetic fillers, it is permanent.

Ear surgery is a common surgical procedure to address prominent or bat ears. It is usually performed on children, but adults can also have this surgery known as otoplasty. The ear is settled closer to the head by manipulating the cartilage through a small incision in the back of the ear, leaving an inconspicuous scar.

As your skin heals after injury or surgery, scar tissue formation varies depending on a number of factors including wound features, your age and genetic predisposition.

Scar revision surgery or scar management is performed on old scars to minimise and disguise scars, improving the appearance and also restoring normal function to an area, for example by reducing excess skin tightening caused by scarring.

There are many types of non-cancerous skin lesions including moles, birthmarks and cysts that may develop over a person’s lifetime. These benign lesions can be aesthetically displeasing, inconvenient or even uncomfortable. Dr Clarke will remove your lesions using specialist plastic surgical techniques, leaving you with the most discreet result.