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A Complete Guide to Endovenous Laser Therapy for Varicose Veins

Mon, 22 Sep 2025 10:58:53 GMT

Varicose veins affect millions of people worldwide, often causing discomfort, swelling, and cosmetic concerns. One of the most effective minimally invasive solutions available today is Endovenous Laser Therapy (EVLT). If you’re exploring options for vein treatment, this article will give you everything you need to know about EVLT—how it works, benefits, recovery time, and what to expect during the procedure.

What Is EVLT?

EVLT (Endovenous Laser Treatment) is a modern medical procedure used to treat varicose veins. Instead of traditional surgery, EVLT uses targeted laser energy to close off faulty veins, redirecting blood flow to healthier veins. Over time, the treated vein shrinks and is naturally absorbed by the body.

How Does EVLT Work?

The procedure is usually performed under local anaesthesia and takes about 20-30 minutes per vein. Here’s what typically happens:

Ultrasound guidance is used to locate the affected vein.
A thin fibre is inserted into the vein through a small incision.
Laser energy is delivered to heat and collapse the vein wall.
Blood flow is naturally rerouted to healthier veins.
Because it’s minimally invasive, patients often walk out the same day without needing stitches.

Benefits of EVLT Treatment

EVLT has become the gold standard for treating varicose veins due to its high success rate and minimal downtime. Some key benefits include:

Quick recovery – Most patients return to normal activities within 1–2 days.
Minimally invasive – No large incisions, minimal scarring.
High success rate – Studies show success rates above 95%.
Relief of symptoms – Reduces swelling, pain, heaviness, and fatigue in the legs.
Improved appearance – Helps eliminate the bulging, twisted appearance of varicose veins.

Who Is a Candidate for EVLT?

EVLT is typically recommended for individuals who:
Suffer from varicose veins or venous insufficiency.
Experience leg pain, swelling, or heaviness.
Have visible bulging veins.
Want a safe, effective alternative to vein stripping surgery.
A vein specialist will perform an ultrasound exam to confirm if EVLT is the right treatment for you.

Recovery After EVLT

Recovery is usually fast and easy. Patients may notice:
Mild soreness or bruising at the treatment site.
The need to wear compression stockings for 1–2 weeks.
Noticeable improvement in symptoms within days.
Most people can resume normal daily activities immediately but should avoid strenuous exercise for about a week.

Potential Risks and Side Effects

Like any medical procedure, EVLT has potential risks, though they are rare. These may include:
Mild swelling or bruising.
Temporary skin numbness.
Rare cases of blood clots or infection.
Your physician will discuss these risks and ensure you are a good candidate.

Frequently Asked Questions About EVLT

Is EVLT painful?

Most patients experience little to no pain during EVLT. Local anesthesia is used to numb the treatment area, and you may feel mild pressure or heat. Some temporary soreness or bruising is possible afterward but usually resolves quickly.

How long does EVLT last?

EVLT has a long-lasting success rate of over 95%. Once a vein is closed, it typically does not return. However, new varicose veins can form over time, depending on genetics and lifestyle factors.

How soon can I return to normal activities after EVLT?

Most patients resume daily activities immediately, with full recovery in about 1–2 days. You may be advised to avoid strenuous exercise for about a week.

Is EVLT covered by insurance?

If your varicose veins are causing medical symptoms such as pain, swelling, or skin changes, EVLT is often covered by insurance. Cosmetic-only treatments may not be covered.

What is the difference between EVLT and sclerotherapy?

EVLT uses laser energy to treat larger varicose veins, while sclerotherapy involves injecting a solution into smaller spider veins or varicose veins. In some cases, both treatments may be combined for optimal results.

Conclusion

EVLT treatment offers a safe, effective, and minimally invasive solution for varicose veins. With high success rates, quick recovery, and long-lasting results, it’s no wonder many patients and physicians prefer EVLT over traditional surgical methods.

If you’re struggling with varicose veins, consult a vein specialist to see if Endovenous Laser Therapy is right for you.

Questions to Ask Your Cosmetic Surgeon – Empowering Patients to Get Clarity

Wed, 03 Sep 2025 12:54:46 GMT

Questions to Ask Your Cosmetic Surgeon: Empowering Patients to Get Clarity

When considering cosmetic surgery, one of the most important steps in your journey is the consultation with your surgeon. This is your opportunity to ask questions, clarify expectations, and ensure you feel confident moving forward. Choosing a surgeon isn’t just about qualifications – it’s about finding someone who understands your goals, listens to your concerns, and provides safe, ethical care.

At The Real Clinic, we believe informed patients make the best decisions. Here are the key questions to ask your cosmetic surgeon to empower yourself with knowledge and peace of mind.

1. What are your qualifications and experience?

Not all surgeons are the same. Ask:

Are you fully accredited and registered with the relevant medical boards?
How many years have you been performing this procedure?
Can you show before-and-after photos of patients with similar goals?

This ensures your surgeon has proven expertise in the exact treatment you’re considering.

2. Am I a suitable candidate for this procedure?

Every patient is unique. A good surgeon will explain whether your health, skin type, or anatomy make you a suitable candidate – and if not, recommend safer alternatives.

This conversation should feel honest, not like a sales pitch.

3. What results can I realistically expect?

Cosmetic surgery can achieve amazing results, but it’s important to have realistic expectations. Ask your surgeon:

What kind of outcome is possible for me?
How long will it take to see final results?
How long will the results last?

Clear answers will help prevent disappointment and give you confidence in your decision.

4. What are the risks and complications?

Every procedure carries some risk. A responsible surgeon will be transparent about potential side effects and complications – such as scarring, infection, or downtime – and explain how they minimize them. You should also ask what the clinic’s policy is if revision surgery is needed.

5. What does recovery involve?

Recovery can affect your lifestyle, work, and family. Key questions include:

How much downtime should I plan for?
What restrictions will I have in the first few weeks?
What support will I receive during recovery?

Knowing this upfront helps you prepare both physically and emotionally.

6. What costs are involved?

Ask for a detailed breakdown of costs, including:

Surgeon’s fees
Anaesthesia and hospital fees
Post-surgery appointments and aftercare

Avoid choosing a clinic purely based on price – focus on quality, safety, and reputation.

7. What support will I have after surgery?

Recovery doesn’t end once you leave the clinic. Ask:

How often will I need follow-up visits?
Who do I contact if I’m worried about my healing?
Do you provide aftercare or support for emotional wellbeing?

A surgeon who prioritises ongoing care demonstrates commitment to patient safety and satisfaction.

Final Thoughts

Asking the right questions during your consultation is essential to feeling empowered, informed, and safe in your cosmetic surgery journey. At The Real Clinic , we encourage patients to take their time, do their research, and never feel pressured into making a decision.

If you’re considering a procedure, book a consultation with our team – we’re here to provide honest advice, answer every question, and support you every step of the way.

Exercise and Weight Loss: A Practical Guide to Sustainable Results

Fri, 08 Aug 2025 11:23:57 GMT

By Emily Barrett, Dietitian and Personal Trainer

Achieving weight loss through exercise alongside diet and other lifestyle factors is a journey that requires consistency, balance, and a holistic approach. This is reflected through how we deliver our Wellness and Lifestyle service at the REAL clinic . While exercise plays a pivotal role in building fitness and improving overall health, it's essential to integrate it with proper nutrition, rest, and lifestyle choices for optimal results.

Walking: The Underrated Hero

Walking is a low-impact exercise accessible to most people and can be surprisingly effective to support weight loss. Aiming to increase step count towards 10,000 per day has become a popular target, with many finding it achievable and beneficial. Many people use Apps or Smart Devices to count their steps and help them achieve their personal goals.

Incorporating more walking into your daily routine can be simple: take the stairs instead of the lift, walk to nearby destinations, get off the bus a couple of stops early or enjoy a stroll during lunch breaks. These small changes can add up, contributing to increased calorie expenditure and improved cardiovascular health.

To record and monitor your step count, you can download the free NHS Active 10 app by following the link: https://www.nhs.uk/better-health/get-active/

Strength Training: Building Muscle for a Faster Metabolism

Strength training is crucial for preserving and building muscle mass, which in turn boosts your resting metabolic rate. This means you'll burn more calories even when at rest. Exercises like squats, lunges, push-ups, and deadlifts are effective and can be performed with minimal equipment.

Incorporating resistance training into your routine 2–3 times a week can lead to improved body composition, increased strength, and enhanced fat loss. It's important to focus on proper form and gradually increase the intensity to continue making progress.

High-Intensity Interval Training (HIIT): Efficient and Effective

HIIT involves short bursts of intense exercise followed by brief periods of rest or lower-intensity exercise. This method is known for burning a significant number of calories in a short amount of time and can elevate your metabolic rate.

A typical HIIT session might include exercises like sprinting, jump squats, or burpees, performed for 20–30 seconds with equal or slightly longer rest periods. Due to its intensity, most people limit HIIT sessions to 2–3 times per week, allowing adequate recovery between sessions.

Nutrition: Fuelling Your Body for Success

Exercise alone isn't sufficient for weight loss; a balanced diet is equally important. Prioritise whole foods including lean proteins, whole grains, fruits, and vegetables. Be mindful of portion sizes and avoid skipping meals, as this can lead to overeating later.

It is also important to understand how many calories your body requires. This will vary between individual depending on your current weight, body composition and activity levels. A slight calorie deficit is required to support safe and steady weight loss. Specific requirements can be discussed in a face to face appointment with myself.

Hydration is also key—aim for at least a 1.5 to 2 litres of water daily. These requirements may be higher if you are physically very active. Sometimes, thirst is mistaken for hunger, leading to unnecessary snacking. Carrying a water bottle and setting reminders can help ensure adequate fluid intake.

For more information and guidance on following a balanced diet, visit the British Dietetic Association website: https://www.bda.uk.com/resource/healthy-eating.html

Rest and Recovery: The Overlooked Components

Adequate sleep and rest are vital for weight loss and overall health. Poor sleep can disrupt hormones that regulate hunger and appetite, leading to increased cravings and potential weight gain.

Aim for 7–9 hours of quality sleep per night and incorporate rest days into your exercise routine. This allows your body to recover and rebuild, leading to better performance and progress over time.

Consistency Over Perfection

Sustainable weight loss is a marathon, not a sprint. Set realistic goals, track your progress, and celebrate small victories along the way. Remember, it's the consistent efforts over time that lead to lasting results.

Engaging in activities you enjoy increases the likelihood of maintaining your routine. Whether it's dancing, swimming, or group fitness classes, find what works for you and stick with it.

Final Thoughts

Exercise is a powerful tool for weight loss, but must be combined with a balanced diet, adequate rest, and a consistent routine. By incorporating exercise alongside quality nutrition, and sufficient recovery, you can achieve and maintain your weight loss goals.

Remember, the journey is unique to each individual. Stay patient, stay committed, and celebrate your progress along the way.

The REAL Clinic Talks Guide to Medication for Weight Loss

Tue, 03 Jun 2025 00:55:24 GMT

Mounjaro

At T he REAL Clinic , we prescribe Mounjaro though our doctor led weight loss and wellness service . For the right patient, coupled with lifestyle changes, it can be extremely useful.

Mounjaro: A Breakthrough in Obesity and Type 2 Diabetes Management

Mounjaro, the brand name for tirzepatide, is a groundbreaking medication in the management of obesity and type two diabetes. It is a once weekly injectable drug that has demonstrated incredible results with remarkable efficacy in clinical trials , offering new hope for patients struggling with these chronic conditions.

Mechanism of Action

Mounjaro works on two different hormone receptors. They are called gastric inhibitory polypeptide or GIP and glucagon like peptide-1 or GLP-1. GLP-1 is a hormone that increases insulin release, suppresses glucagon release and slows gastric emptying, leading to reduced appetite. GIP is a hormone which stimulates insulin secretion and has been shown to improve glucose metabolism. By targeting both receptors, Mounjaro offers a dual approach to controlling blood sugar levels and promoting weight loss.

Clinical Efficacy

In a pivotal study published in the New England Journal of Medicine, Mounjaro demonstrated significant weight loss and improved glycaemic control in patients who had obesity and prediabetes. At 176 weeks, patients who had Mounjaro experienced average weight reductions of 12.3%, 18.7%, and 19.7% for the 5 mg, 10 mg, and 15 mg doses, respectively, compared to a 1.3% reduction in the control group. You can read more about this study here . Further, in another study in the same journal, people who were taking Mounjaro lost about 20% of their body weight compared to people taking semaglutide, otherwise known as Wegovy, who lost approximately 14% of their body weight. More information about this trial can be found here .

Safety Profile

The safety profile of Moujaro has generally been favourable . Up to one third of patients will experience gastrointestinal side effects. These include nausea, diarrhoea and acid reflux. They are typically mild to moderate in severity and often reduce over time. That is why Mounjaro is started at a low doses and increased on a monthly basis. Notably, there have been no new safety concerns identified during extended and prolonged use. There can occasionally be more severe side effects, but these have been shown to occur in less than 1% of people.

Regulatory Approval and Availability

In the United Kingdom, the Medicines and Healthcare products Regulatory Agency (MHRA) approved Mounjaro for weight loss in June 2023. However, due to cost considerations and need for comprehensive weight management services, the NHS plans to gradually roll out access over a 12 year period, starting with individuals who have the most clinical need.

Stopping Mounjaro

Another study, this time in the Journal of the American Medical Association , showed that people who stopped the medication tended to put about 14% of their body weight back on. That is why The REAL Clinic believe and emphasise that people need to substantially alter their lifestyle, dietary and exercise habits in order to achieve longer term and sustainable weight loss as part of our mantra.

Conclusion

Mounjaro represents a significant advancement in the management and treatment of obesity, type two diabetes and weight loss. Its dual action mechanism provides enhanced glycaemic control and substantial weight loss, addressing two critical aspects of these interconnected conditions. While the NHS's phased rollout may limit immediate access, the long term benefits of Mounjaro offer a promising outlook for patients and health care providers alike.

For more information about the our doctor led weight loss and wellness service at The REAL Clinic , please click weight loss and wellness service .

The REAL Clinic Talks Guide to Tummy Tucks

neel@batterseaclinic.com (Neel Desai) — Fri, 15 Nov 2024 10:11:25 GMT

'In this blog, The REAL Clinic addresses common questions about abdominoplasty, covering everything from types of tummy tuck to recovery.'

What is a tummy tuck?

A tummy tuck, or abdominoplasty, is a surgical procedure that removes excess skin and fat from the abdomen while tightening the abdominal muscles . It is especially effective for people who have lost significant weight or have stretched abdominal muscles due to pregnancy. The result is a firmer and smoother abdominal contour which can increase both confidence and comfort.

What are the different types of tummy tucks?

At The REAL Clinic , we offer many different types of tummy tucks that are personalised to your individual needs and body types:

Mini tummy tuck : The mini tummy tuck is best for individuals with minimal skin laxity. It focuses on the lower abdomen below the belly button or navel, and involves a smaller incision and generally a shorter recovery time.

Full tummy tuck : The full tummy tuck is a surgical method to address the upper and lower abdomen with a hip to hip incision, allowing for extensive removal of the excess skin and fat along with tightening of the muscles.

Extended tummy tuck : The extended tummy tuck is designed for those with significant skin laxity. It contours the abdomen, flanks and sometimes the lower back, and is often recommended for people who have lost a substantial amount of weight.

Brazilian tummy tuck : The Brazilian tummy tuck is a variation of the traditional tummy tuck, and involves a lower and longer incision, facilitating more extensive skin removal and muscle tightening. This surgical technique tends to result in a flatter stomach and improved waistline contour.

Fleur de Lis tummy tuck : For those with substantial horizontal and vertical excess skin, which may occur after significant weight loss, the Fleur de Lis technique uses vertical and horizontal incisions to create a fleur de lis shape, permitting more comprehensive and extensive skin removal and firmer abdominal contour.

During your consultation, your surgeon will discuss the most appropriate type of tummy tuck tailored for you based on your individual anatomy, health and desired results.

How long does the surgery take?

Tummy tuck procedures generally take between 2–5 hours , depending on the patient’s individual needs and type of tummy tuck. Your surgeon will provide a more precise time estimate during your consultation.

When can I expect to be mobile again?

Most patients find that they have reasonable mobility within 4 –5 days after surgery.

Do I need to wear special garments?

Yes, it is essential to wear a compression garment after surgery. This garment supports your abdomen, decreases swelling and promotes better healing. You will be advised to wear it consistently as directed by your surgeon, and normally for two months , for optimal results.

Can I sleep on my front?

It is best to avoid sleeping on your front for the first 4 weeks following surgery . During this time, patients are advised to sleep on their back with the upper body slightly elevated, reducing the pressure on the abdomen and supporting healing.

When can I shower?

Most patients can shower about 2 days subsequent to surgery . Your surgeon will give you specific instructions based on your progress and recovery. It is important to avoid submerging the surgical incisions in water until your surgeon confirms it is safe to do so.

How long do I need off work?

Most patients need approximately 2–3 weeks off work to focus on their recovery. This can differ depending on the type of work you do. If your job is physically demanding, you may need additional time to ensure a full recovery.

When can I return to exercise?

While reasonable mobility is usually regained soon after surgery, more strenuous activities and exercise should be avoided for about 8 weeks . Your surgeon will provide personalised advice on when to gradually reintroduce physical activities into your daily routine and lifestyle.

How long does full recovery take?

Most patients achieve full recovery within 8 weeks . During this period, the swelling subsides and you can resume your regular daily activities. The follow up process with your surgeon will help monitor your healing and safeguard the best chance of the optimal outcome you want.

Ready to begin your journey?

At The REAL Clinic , our skilled surgeons are here to guide you through each stage of your abdominoplasty journey. To learn more and discuss your unique goals, schedule a consultation by emailing here with one of our expert surgeons today. Let us support you in achieving the confident and toned look you deserve! You may find out more about the costs and prices of tummy tucks and related surgeries by following this link .

Do I have an Old Nose?

Mon, 04 Nov 2024 11:39:19 GMT

'Rhinoplasty has been traditionally been considered an elective procedure for younger patients. However, increasingly older patients are undergoing nasal surgery for both functional and aesthetic indications.'

Could a rhinoplasty make you look younger?

Eyelid lifts, face lifts and neck lifts are the plastic surgery procedures you commonly think of when it comes to anti-ageing, and they are highly effective for restoring a more youthful facial appearance. But many people don’t realise that a rhinoplasty could take years off their face at The REAL Clinic .

“Rhinoplasty has traditionally been considered an elective procedure for younger patients,” Consultant ENT Surgeon and Rhinoplasty Expert Mr Annakan Navaratnam explains. “However, increasingly older patients are undergoing nasal surgery for both functional and aesthetic indications.”

To learn more about Mr Navaratam please click here .

Is there an ideal age for a rhinoplasty?

There is no perfect age for nose reshaping surgery, and it is one of the cosmetic surgery procedures most performed on younger patients who may have been insecure about their appearance from a young age. According to recent statistics from the USA, 20–25 year olds made up 31% of all rhinoplasty procedures. The figures for the UK are similar, with those under 25 years old accounting for 20–40% of all nose reshaping surgeries. These statistics from the Private Healthcare Information Network, or PHIN, can be accessed here .

It is recommended that the nasal and maxillary bones have completed growth before a rhinoplasty, and this normally occurs in late adolescence. However, this surgical procedure has no maximum age limit as long as the patient is relatively fit and well and has realistic expectations. In fact, there is a rising trend in functional rhinoplasties being performed in those who are over 65 years of age.

What does an ageing rhinoplasty address?

As with the rest of the face, the nose undergoes changes in shape and size as we age. This can include:

Drooping nasal tip

Emergence of a pseudohump (see picture 1 below)

Occurrence of a pollybeak (see picture 2 below)

Thinning of the nasal skin

Bony resorption in the maxillary region

Softening of the nasal cartilage which can accentuate the apparent dorsal hump but, importantly, may also potentially contribute to internal nasal valve collapse

These changes can all significantly impact the overall appearance and balance of the face.

The challenges of ageing rhinoplasty

In 2022, Annakan himself and his fellow authors published an examination of ‘The Ageing Nose: Challenges and Solutions’ in the peer-reviewed journal, Current Otorhinolaryngology Reports. You can read the full article here .

'Surgery for the ageing nose is a complex challenge for the rhinoplasty surgeon,' warns Annakan.

Challenges include the influence of external factors such as 'trauma, sun exposure, the effects of gravity as well as changes in tissue structure such as bone resorption, tissue elasticity and regenerative capability.'

For these reasons, 'preoperative assessment is critical and must include detailed facial analysis that considers the amplification of facial asymmetry due to the ageing process and an appreciation that expectations in this population may differ from younger patients.'

The psychological impact that rhinoplasty can have in older patients also needs to be considered. 'It is often better to choose more subtle refinements than drastic changes for older rhinoplasty patients.'

For more rhinoplasty advice, call 020 3818 1889 or email info@realclinic.uk to arrange a consultation with Mr Annakan Navaratnam at The REAL Clinic .

Picture 1 (upper): Change in facial proportions with age, demonstrating development of a tip ptosis and dorsal pseudohump. A) 70 year old patient. B) 30 year old patient

Picture 2 (lower): Illustration of the pollybeak

The REAL Clinic Talks Guide to Bilateral Breast Augmentation

Tue, 22 Oct 2024 10:56:15 GMT

'In this blog, the REAL Clinic addresses common questions about breast augmentation, covering everything from implant types and surgical details to recovery.'

Breast augmentation is a widely chosen cosmetic and plastic procedure designed to enhance the size and shape of the breasts. Whether you are seeking to restore volume lost after weight changes or pregnancy, or simply aiming for a fuller and more proportionate figure, this surgery offers a variety of attractive options. In this blog, The REAL Clinic addresses common questions about breast augmentation, covering everything from implant types and surgical details to recovery.

How can the breasts be augmented?

There are two primary ways to augment the breasts: using implants or through fat transfer.

Implants: Silicone or saline implants are the most commonly used for significant volume increases. Silicone implants are filled with a gel-like substance and are often preferred for their more natural feel. Saline implants are filled with sterile saltwater, and are inserted empty and filled once positioned.

Fat transfer: This method involves removing fat through liposuction from areas like the thighs or abdomen, purifying it and injecting it into the breasts. While this offers a more natural option, the increase in size is tends to be more subtle.

What types of breast implants are available?

Breast implants come in different shapes, each offering a unique look:

Round implants: These implants provide fuller-looking breasts, especially in the top portion or upper pole, creating a more pronounced cleavage. They are ideal for women looking for a noticeable enhancement.

Teardrop or anatomical implants: Shaped to mimic the natural contour of the breast, these implants offer a more gradual slope and are better suited for a natural and subtle appearance.

Conical implants: These implants have a more pointed and projected shape. They are particularly popular among women who desire a firmer and uplifted look, often suitable for smaller chest frames that want a noticeable yet natural enhancement. The conical shape gives more forward projection without excessive fullness in the sides.

What implant positioning options are available?

Implants can be placed in different positions, affecting the look and feel of the breasts. There are two main placement options:

Submuscular or under the muscle: The implant is placed beneath the chest muscle. This method tends to provide a more natural look, particularly for women with less natural breast tissue. It can also reduce the risk of visible rippling, especially with saline implants.

Subglandular or above the muscle: The implant is positioned between the breast tissue and the chest muscle. This option can result in a quicker recovery and less postoperative discomfort, but it may be less suitable for women with thin tissue as there is a higher chance of implant visibility.

Your surgeon will discuss the best positioning option based on your body type and desired outcome.

What types of incisions are used in breast augmentation?

The type of incision used can affect scarring and implant placement. There are three common incision techniques:

Inframammary incision: This incision is made in the natural crease under the breast and is the most common approach. It allows for precise implant placement and provides easy access for the surgeon.

Periareolar incision: This is made around the edge of the areola, that is the dark skin surrounding the nipple. This option leaves a discreet scar, but it may not be ideal for women planning to breastfeed in the future.

Transaxillary incision: This incision is made in the armpit, leaving no scars on the breasts themselves. However, it can offer less control over implant placement and is used less frequently.

What types of sutures are used?

Your surgeon will use dissolvable sutures which naturally dissolve as your incisions heal. There will be no need to return to the clinic for suture removal. Additionally, some surgeons may use skin glue or steristrips to minimise scarring and aid in wound closure.

How long does the surgery take?

Bilateral breast augmentation surgery typically lasts between 1–1.5 hours , depending on the complexity of the procedure. It is performed under general anaesthetic, ensuring that you are comfortable and free of pain during the operation.

Will I need to stay in hospital overnight?

No, breast augmentation is generally a day case procedure . You will be discharged on the same day, once your surgeon and their team confirms that you are recovering well and are fit to go home.

When can I expect to be mobile again?

Most patients find they have reasonable mobility within 1 day after surgery. Gentle movement such as walking is encouraged to promote the circulation, but you should avoid strenuous activity during the early stages of recovery.

Do I need to wear special garments?

Yes, after surgery, you will need to wear a supportive post-surgical bra for about 6 weeks . This garment helps support your breasts, reduces swelling and ensures the implants settle into the correct position.

Can I sleep on my front?

After surgery, it is important to sleep on your back for at least 1–2 weeks . Sleeping on your front could put pressure on your healing breasts and affect the final results of your surgery.

When can I shower?

You will be able to shower about 1 week after surgery once your surgeon has given you the go ahead. Until then, it is best to keep the incision area dry to reduce the risk of infection.

How long will I need to take off work?

Most patients take 1–2 weeks off work, depending on the physical demands of their job . If your role involves heavy lifting or strenuous activity, you may need more time to ensure a full recovery.

When can I return to exercise?

You should avoid strenuous exercise for 4–6 weeks after your surgery . Gentle walking is encouraged to aid recovery, but activities that involve heavy lifting or upper body movement should be postponed until your surgeon and their team has given you clearance.

How long does full recovery take?

Full recovery from breast augmentation typically takes around 4–6 weeks . After this time, you should be able to return to all normal activities, including exercise and wearing underwired bras.

At The REAL Clinic , we are dedicated to providing personalised care to ensure the best possible outcome for your breast augmentation. Whether you are considering implants or fat transfer, our team will guide you through every step of the process, from selecting the right implant size and shape to ensuring a smooth recovery. Schedule your consultation today by emailing here and take the first step towards achieving the look you have always desired. You may find out more about the costs and prices of bilateral breast augmentation and related surgeries by clicking here .

Eyelid Surgery

Tue, 08 Oct 2024 10:04:45 GMT

'One of the most common concerns I hear from patients is about hooded upper eyelids, giving them an aged and tired appearance that is completely at odds with how they feel. The great news is that a blepharoplasty procedure on the eyelids can be hugely helpful at a relatively low cost and short recovery time.'

Blepharoplasty Surgery

One of the most common concerns I hear from patients is about hooded upper eyelids, giving them an aged and tired appearance that is completely at odds with how they feel. The great news is that a blepharoplasty procedure on the eyelids at The REAL Clinic can be hugely helpful at a relatively low cost and short recovery time.

A Bit About Me - Mr Konal Saha

I am a Consultant Oculoplastic Surgeon. I work in the NHS and private sector, and carry out aesthetic and functional eyelid surgery at The REAL Clinic . This is my sole focus. It is quite a niche area! This means I am doing eyelid surgery day in and day out. In other words, this is all I do. I do not, for example, do eyelid procedures one day and breast surgery the next. I live and breathe oculoplastic surgery, and I am therefore one of the experts in this particular surgical field.

You can find fully trained oculoplastic surgeons such as myself on the British Oculoplastic Surgeons’ Society website:

https://www.bopss.co.uk/public-information/search-for-a-consultant/entry/1422ue/

I have been working in oculoplastic surgery for well over a decade and it remains my passion. I really enjoy connecting with patients, understanding their needs to ultimately deliver an individualised service which leaves them satisfied.

You can find out a little more about me at:

theeyelidsurgeon.co.uk

Blepharoplasty or eyelid surgery is one of my main surgical procedures, but as an oculoplastic surgeon, I can tweak other important cosmetic elements as well. This includes ptosis surgery, for instance, to correct a droop of the eyelid. More about ptosis surgery next time…

A Bit About Upper Blepharoplasty

Upper blepharoplasty is a surgical procedure to reshape the upper eyelid. It is what you need at The REAL Clinic if you are bothered by hooded upper eyelids for cosmetic or functional reasons. Patients often complain of heavy looking and feeling upper eyelids, a tired appearance or even restricted vision as though they are wearing blinkers. All of these complaints and problems can be simply addressed and resolved by upper blepharoplasty.

I can often do the upper blepharoplasty procedure under local anaesthetic, in other words with an awake patient and some numbing medication. Some clients like to have some sedation, and this removes the stinging sensation associated with the local anaesthetic injection given at the beginning of the procedure. The surgical procedure will normally take 45 mins to complete on both sides. Patients may go home as soon as they are comfortable and recovered following the surgery, and this is usually 1 to 4 hours later. Inevitably, there is some bruising and swelling subsequent to the procedure and there will be a fine line of stitches hidden in the crease of the upper eyelid. The vast majority of bruising and swelling will resolve within a week. The stitches I use are dissolvable, but can be removed in the first 1 to 2 weeks following the surgical procedure.

Want To Know More?

I would be delighted to discuss blepharoplasty surgery with you in a consultation at The REAL Clinic . A consultation does not commit you to having anything done. It is your opportunity to discuss your concerns and for me to present the potential options to you. No pressure at all. In fact, I won’t commit anyone to a blepharoplasty until I have had at least two consultations with them. I want you to feel informed and for you to be the driving force in decision making.

For further information or to book a consultation, call us or email us at info@theeyelidsurgeon.co.uk .

Care After Your Surgical Operation

Fri, 27 Sep 2024 14:33:34 GMT

“Help! My belly button has swallowed my dressing!”

(Disclaimer, patient and belly button were fine!)

This is just one of the thousands of messages that are received from patients to our holistic and virtual nursing postoperative support service which is provided for Mr Naveen Cavale’s patients who have undergone cosmetic and plastic surgery at The REAL Clinic

Having cosmetic surgery is a daunting experience that can create additional anxiety for patients before and after the surgical procedure, normally due to the emotional journey associated with choosing to undergo an elective procedure and the guilt which sometimes accompanies this. Patients may also feel that there is stigma associated with cosmetic procedures, and the fear of judgement from family and friends can make this a lonely process. That is why getting the postoperative care, in other words the care following the cosmetic surgery, just right is so important.

Medical advice and emotional support are essential to help patients navigate their way through the preoperative and postoperative period, from preparing the body, mind and home to having someone to message or phone them at any time of day or night if: they are not certain how to correctly wear their compression garment; they are not sure how to attempt to have their first postoperative shower; and they are feeling very low since surgery. The nursing support service at The REAL Clinic is offered to patients to enhance their surgical journey as we know that in-person clinic appointments alone are simply not enough for patients during their period of surgical recovery. In order to provide the best possible care, patients need support when they are at home and on their own, trying to adjust to their new body.

The Reality of Surgery

The reality of undergoing a cosmetic procedure is like that of having your first baby. No one tells you quite how hard it can be until you personally experience it! Issues such as a small hole that appears in your surgical incision or wound leakage can not only be very scary for a patient but also unexpected, often occurring at an inconvenient time. Luckily, these kinds of surgical complications are rare and, contrary to belief, does not mean your surgery has been botched. Normally, these problems may be resolved quickly with minimal intervention, but if this happens at 8 PM on a Friday night, who are you going to call for support? These are the sort of important things that patients should consider before they have planned cosmetic surgery.

Swell Hell

One of the most challenging stages for patients is a week into their postoperative recovery journey. This is the time when tolerance can become low, the nerves and excitement related to the surgery and their new body have passed, and the reality of all the restrictions placed on their life start to become frustrating. Sometimes, they may still be experiencing a continued level of discomfort and they might have not slept properly for days. One week following the surgical procedure, they look and feel worse than when they started!

This is usually part of the most swollen phase of recovery. Some patients understandably require a lot of support and reassurance, and we have found that offering a dedicated and expert postoperative care service for these patients to receive additional support is fundamental to recovery. In fact, the reduction of stress has been clinically proven to support wound healing. Several surgical procedures take months for the final results to be seen, and this can be mentally challenging for patients despite having been made aware of this during the surgical consultation prior to the surgery ( click here for more information).

Before and After Results

Unsurprisingly, most patients are very happy by 6 weeks subsequent to surgery. By this point, the surgical incisions have healed, the swelling is settling well, and the patient is happy with the early aesthetic results. They have long forgotten those early days and weeks and usually say they wished that they had had their surgery sooner!

It is such a privilege for me as a nurse to be part of this unique patient journey at The REAL Clinic . The positive uplift in the self esteem of patients from the results of cosmetic surgery is truly rewarding. When you understand their complex emotional journey, you realise how much their body affects their mind on a daily basis. This patient group deserves care, support and compassion from all healthcare professionals. My hope would be that more research is undertaken regarding the valuable effects of cosmetic surgery and, with this in mind, the recognition that this industry is changing lives in its own way continues to increase.

Learn more about Laura, read the incredible feedback she receives from patients and surgeons alike, and learn more about the holistic and supportive postoperative care service she provides by clicking here .

The Aesthetic Wonders of Polynucleotide Therapy

Wed, 18 Sep 2024 17:54:41 GMT

'After just three sessions of polynucleotide injections under my eyes, I saw a significant reduction in dark circles and fine lines. My skin feels more hydrated and firmer.'

What are Polynucleotides and How Do They Work?

The building blocks of DNA are polynucleotides, and these molecules that make up our genetic information can be used to improve the skin’s appearance. Polynucleotides are widely used in medicine and science, including gene therapy and vaccines, but as we understand more about these molecules, we are discovering new and exciting uses for them in the area of aesthetics. DNA from the sperm of fishes such as salmon and trout are the source of polynucleotides for the cosmetic industry and, in particular, at The Real Clinic . Once they are purified and sterilised, they are very well matched to the human skin and produce positive biological results. If you are interested in learning more about the science of polynucleotides, please click here .

In the body, polynucleotides help the repair of damaged skin cells and support the skin’s natural healing processes. They cause these effects by providing the skin with extra nucleotides to promote the renewal of skin cells, activating fibroblasts and making collagen, both of which form the scaffolding of the skin, and by decreasing inflammation and angiogenesis, the process of creating new blood vessels within the skin. This is essential for the process of healing and delivering nutrient-rich blood to skin.

There are many cosmetic indications of polynucleotides. Polynucleotides are injected and can be used all over the body for different purposes, but the most common treatment areas are under the eyes and in the middle of the face. When they are injected here, the extra collagen and cellular regeneration leads to increased hydration and skin elasticity. This helps to treat fine lines and wrinkles, reducing the appearance of darkness and redness. Polynucleotides are also used to increase hair growth by stimulating the regeneration of hair follicles. They are particularly effective for androgenic alopecia, that is hair loss caused by steroid hormone use. Polynucleotides have further been a widespread treatment for scars, including acne scarring, by promoting wound healing.

Safety and Efficacy

Polynucleotide treatments are becoming increasingly used in aesthetics and at The Real Clinic , mainly due to their effectiveness, safety and versatility as well as simple manner in which the treatment is provided. They are particularly effective when combined with other treatments such as microneedling and, in reflection of this, have been recommended by lots of skin and aesthetic doctors around the world. More research into their uses will see their popularity continue to grow. Demand for treatment is progressively increasing as patients experience meaningful benefits to their skin health and spread the word.

Patient Testimonials

Patients who have had polynucleotide treatments notice improvements in their skin texture and overall appearance. One of our patients shared her experience: ' After just three sessions of polynucleotide injections under my eyes, I saw a significant reduction in dark circles and fine lines. My skin feels more hydrated and firmer.'

Scientific Evidence and Research

Lots of studies have been carried out showing that these treatments work. In fact, research published in the Journal of Cosmetic Dermatology indicates that polynucleotides significantly improve skin hydration, elasticity and overall appearance. Moreover, another study in the Aesthetic Surgery Journal showed that combining polynucleotide injections with other treatments like microneedling enhances the overall results, resulting in a more radiant and youthful appearance of the skin.

Future Trends and Developments

Looking ahead, the future of polynucleotide treatments in aesthetics is bright and incredibly promising. With more research and development, new applications and improved formulations are on the horizon. The future may include topical polynucleotide treatments, combination therapies with other skin treatments, and more advanced delivery systems to help them work even better than they already do.

Conclusion: Here to Stay

Polynucleotide treatments are here to stay. Their increasing popularity among both patients and clinicians will ensure their position at the forefront of aesthetics at The Real Clinic . As more people seek non-surgical and effective solutions for skin repair, polynucleotides are an excellent option backed by science and patient satisfaction.

Dr Tony Fordham – Aesthetics Doctor and Trainer

To learn more about Tony, just click here . To book at appointment, please click here info@realclinic.uk

Meet the Anaesthetist: A Day in the Life of Dr Neel Desai at The REAL Clinic in London

Mon, 09 Sep 2024 22:20:43 GMT

'At The REAL Clinic, your comfort, safety and individual needs are at the core of everything we do.'

When considering plastic surgery, whether it is for blepharoplasty , liposuction or rhinoplasty , patients often think about the surgeon and the results but may not be as familiar with the team members behind the scenes that they will often meet on the day of their procedure. One of the key figures in ensuring a safe and smooth procedure is the anaesthetist. I am Dr Neel Desai , an anaesthetist at The REAL Clinic in Battersea, London, and I would like to take you through what a normal day looks like for me and how my work ensures your comfort and safety during your surgery .

Starting the Day - The Preoperative Assessment

My day at The REAL Clinic starts early, reviewing the medical histories of the patients scheduled for surgery. Each patient’s medical background, current medications as well as health concerns are carefully considered during the preoperative assessment. I may ask you some questions such as ‘have you had surgery before? And if so, how did you react to the anaesthetic?’ Or ‘have you had a cold or flu in the past few weeks?’ This helps me gauge a full picture of your current fitness and health and ensure everything is in order for us to provide you with the best possible and individualised anaesthetic when we proceed with your surgery.

This preoperative process is not just a standard tick box routine. It is an essential part of tailoring the care we provide to each individual. At The REAL Clinic, we prioritise personal care, ensuring that every decision is based on your personal needs.

We pride ourselves on not just meeting but exceeding CQC standards, being rated ‘Good’ by the Care Quality Commission . However, it is our philosophy that excellent care goes beyond exceeding these regulations. It is about placing patients at the heart of everything we do.

In the Operating Theatre - Constant Monitoring

Once we are ready to begin the surgery, my role is to administer the appropriate anaesthetic and ensure that your vital signs are closely monitored throughout the procedure, keeping you safe at all times.

Working alongside some of the most skilled plastic surgeons in London , the communication and trust we share are crucial. This teamwork is one of the most rewarding aspects of my job and helps us deliver the best possible outcomes for you.

Postoperative Care - Ensuring Your Comfort

Once the surgery is complete, my focus shifts to ensuring your recovery is as comfortable and smooth as possible. Pain management is an important priority at The REAL Clinic, and we use the latest evidence and multimodal techniques to minimise any discomfort you might experience after the procedure.

Our postoperative care is personalised to each individual, just like our approach before and during the procedure. We monitor your recovery closely, making tailored adjustments to ensure your comfort every step of the way. If you ever have any questions, both before or after your surgery, we are here to answer them to make you feel as comfortable and confident as possible.

Why Choose The REAL Clinic in Battersea, London?

At The REAL Clinic, our focus on patient-centred care is matched by our commitment to having a highly-skilled team and using the very latest state-of-the-art technology. Whether you are considering plastic surgery for aesthetic reasons or medical necessity, you can trust that your well-being is our utmost priority.

Our team works together seamlessly to ensure that every aspect of your care is managed with compassion and expertise. From your initial consultation to postoperative recovery, we aim to provide the highest level of care possible.

Our Commitment to Your Well-being

At The REAL Clinic, your comfort, safety and individual needs are at the core of everything we do. As your anaesthetist, I am proud to be part of a dedicated team that prioritises patient safety at every step, ensuring that your surgery and recovery are as smooth as possible.

If you are considering plastic surgery in London, our clinic in Battersea is fully equipped to deliver compassionate and personalised care. Rest assured, you will be in capable hands every step of the way.

To book a consultation with one of our extremely skilled and incredible surgeons, such as Dr Lara De Luca Maciel, please email info@realclinic.uk

Embrace Midlife Wellness: The Gut-Health Revolution with MPowder

Wed, 10 Jul 2024 10:39:39 GMT

Perimenopause and menopause bring numerous changes to a woman’s body, often

impacting gut health. Many find themselves facing sudden weight gain, food

intolerances, and uncomfortable symptoms like bloating, gas, and reflux. However, there’s good news! As we gain more insights into gut health, we discover powerful tools and practices that can support our well-being during this time.

Understanding Midlife Gut Health

Recent research highlights the importance of the gut in maintaining overall health, especially during midlife. By adopting a whole-body and mind approach, we can stay nourished and happy. However, to make the most of these insights, we must first unlearn

some outdated dietary beliefs.

Many of us grew up in an era that demonised fats, praised sugar-free options and encouraged the avoidance of carbs. Such rules have damaged our guts and hindered optimal body function. Midlife nourishment should focus on whole foods and self-care,

not punishment.

The 6 Principles for Gut Health

Here are six principles to help you achieve better gut health during midlife:

1. Start Your Day Right: The PFF Breakfast Protocol - Begin your day with a breakfast rich in Protein, (good) Fat, and Fibre (PFF). This combination provides the essential nutrients your body needs. Think of sourdough toast with avocado and salmon, an omelette cooked in extra virgin olive oil with a side salad, or chia pudding with nut butter, blueberries, walnuts, flaxseeds, and a spoonful of kefir.

2. Eat Balanced Meals - Ensure your meals contain good sources of protein, healthy fats, and complex carbohydrates. Protein and healthy fats are crucial for stabilising blood sugar. Include foods like eggs, wild oily fish, lean meat, pulses, nuts, seeds, and tofu. Healthy fats such as extra virgin olive oil, avocados, and various nuts and seeds bring joy and nourishment to your plate.

3. Avoid Snacking Between Meals - If you’re eating three balanced meals a day, you’re less likely to crave snacks. If cravings persist, consider increasing your protein and healthy fat intake. Allowing your body to experience micro-fasting periods of 4-5 hours between meals can promote optimal health.

4. Enjoy a Variety of Foods - Food should be a pleasure, not just fuel. Appreciate the food you eat by taking time to present it well and enjoy the eating experience. Chewing each bite consciously not only enhances the enjoyment but also aids in

better nutrient absorption.

5. Reduce Ultra Processed Foods - In midlife, our metabolic rate and gut function are affected by hormonal changes. Ultra processed foods can spike blood sugar and create craving cycles. Instead, it may be beneficial to prioritise prebiotic foods

to naturally feed your gut microbiota. Foods like garlic, onions, leeks, cooked and cooled rice, overnight oats, and green bananas are excellent choices.

6. Harness the Power of Botanicals - Herbs can play a significant role in restoring balance to our bodies. Adaptogens like Ashwagandha, found in MPowder Meno-Boost, help reduce cortisol and support the stress response. Moringa, present in MPowder Peri-Boost, offers numerous health benefits, including improved blood sugar levels and increased haemoglobin. Adding fresh ginger and Ceylon

cinnamon to your diet can further support blood sugar balance and digestion.

About MPowder

MPowder is an award-winning menopause co-creation community known for its scientifically formulated supplements. Their products are crafted by a team of naturopaths, herbalists, and lifestyle medicine experts, and are tested for efficacy within their community. MPowder’s blends support women from perimenopause to menopause and beyond, using a mix of wholefoods, herbs, botanicals, vitamins, and minerals. Their inclusive community offers a space to explore interventions, expert insights, personal

stories, and emerging research. With their in-house health concierge team and expert 1-1 support, MPowder provides personalised guidance for navigating midlife wellness.

Discover MPowder at The REAL Clinic

We are excited to collaborate with MPowder, offering their exceptional products at our clinic. By incorporating MPowder into your wellness routine, you can take a proactive step towards better gut health and overall well-being during midlife. Visit us to learn more and explore the transformative potential of MPowder's products.

Mr Naveen Cavale Launches the REAL Clinic Podcast: An Insider's View into the World of Surgery

Thu, 13 Jun 2024 11:14:46 GMT

Renowned plastic surgeon Mr Naveen Cavale, founder of The REAL Clinic, has recently launched an exciting new podcast series, the REAL Clinic Podcast , sponsored by 42 South Films .

This exciting new venture offers listeners an exclusive peek behind the curtains of the surgery industry, providing unique insights into the intricacies of setting up and running a successful clinic. The podcast features in-depth conversations with some of the most esteemed surgeons and industry specialists from around the world.

A Glimpse into the Inaugural Episode

In the inaugural episode, Mr Cavale has a fascinating discussion with Francesca Ogiermann-White, the Founder of The Beauty Triangle and the Health & Beauty Editor-at-Large for Tatler . This episode explores the Realm of how surgeons can effectively position themselves within Tatler's prestigious guide and leverage PR opportunities to amplify their impact.

Francesca Ogiermann-White , a prominent figure in the beauty and healthcare industry, shares her insights on "The Beauty Triangle," a concept she has championed to bridge the gap between patients and practitioners. Through this innovative approach, Francesca aims to foster a fresh narrative that educates and empowers individuals, revolutionising the discourse surrounding beauty and healthcare.

Unveiling the Secrets to Success in the Surgery Industry

Listeners of the REAL Clinic Podcast are invited to tune in to the conversation on Spotify, where Mr Cavale and Francesca delve into the nuances of the industry. This episode is packed with invaluable perspectives for both aspiring surgeons and curious enthusiasts alike. By highlighting the importance of strategic positioning and effective communication, the podcast provides a comprehensive guide for those looking to make their mark in the field of plastic surgery.

Why Tune in to The REAL Clinic Podcast?

Expert Insights - each episode features conversations with top-tier surgeons and industry experts, offering listeners a wealth of knowledge and practical advice.
Behind-the-Scenes Access - gain an insider's view into the world of surgery, from setting up a clinic to navigating the challenges and opportunities within the industry.
Educational Content - the podcast aims to educate and inform, bridging the gap between patients and practitioners and fostering a deeper understanding of the beauty and healthcare sectors.
Inspiring Stories - hear first-hand accounts from leading professionals who share their journeys, challenges, and triumphs in the world of plastic surgery.

Discover More About The REAL Clinic Podcast

The REAL Clinic Podcast is more than just a series of interviews; it's a platform for sharing knowledge, inspiring change, and fostering a community of like-minded individuals passionate about the field of plastic surgery. Whether you're an aspiring surgeon, a seasoned professional, or simply curious about the world of cosmetic enhancements, this podcast is a must-listen.

How to Listen

You can catch the inaugural episode and all subsequent episodes on Spotify. Additionally, the episodes are available to watch on YouTube. Don't miss out on this opportunity to learn from the best in the business and gain a deeper understanding of the world of surgery.

Listen on Spotify: Link to the episode

Watch on YouTube: Watch the episode

Exploring Non-Surgical Options for Facial Rejuvenation at The REAL Clinic

Wed, 17 Apr 2024 13:34:20 GMT

Not everyone wants to undergo the knife which leads many individuals to seek non-surgical options to rejuvenate their facial appearance. Here are The REAL Clinic, we offer a range of cutting-edge treatments designed to enhance your natural beauty. Below, we explore the key non-surgical options that are greatly popular amongst our patients.

Injectables: Fillers and Wrinkle-Relaxing Injections

Injectables have revolutionised the world of facial rejuvenation, providing quick and effective solutions to combat signs of ageing. Our skilled and experienced practitioners specialise in administering fillers to restore volume, contour features, as well as smoothing out fine lines. The goal is to achieve natural-looking results that enhance your unique facial characteristics. Wrinkle-relaxing injections (Botulinum toxin), are also used in our clinic to temporarily relax facial muscles, resulting in reducing the appearance of wrinkles. At The REAL Clinic, we prioritise a personalised approach, ensuring that each patient receives bespoke treatment for optimal results that align with their skin goals.

Profhilo:

Not to be confused with fillers, Profhilo is a groundbreaking treatment that stimulates collagen and elastin production, addressing skin laxity and dehydration. Our expert-led clinic is proud to offer this innovative treatment that delivers long-lasting hydration and a radiant complexion. Profhilo is perfect for those seeking a natural and subtle enhancement, promoting the skin's natural regeneration process.

SkinPen Microneedling:

For those desiring a non-invasive method to enhance skin texture and tone, SkinPen Microneedling is an excellent choice. Our qualified practitioners utilise this technology to create controlled ‘micro-injuries’. These injuries trigger the body's natural healing response, resulting in improved collagen production, effectively reducing the appearance of scars, fine lines, and wrinkles.

Hydrafacial:

Hydrafacial is a gentle yet powerful treatment that combines exfoliation, cleansing and hydration to reveal a bright and luminous complexion. At our clinic, we customise Hydrafacial sessions to address specific skin concerns in order to ensure the best results. This non-invasive treatment is suitable for all skin types, providing immediate results without downtime.

The Art of Natural Looking Results

Our commitment to natural-looking results is what truly sets us apart. We believe in enhancing your beauty, not altering it. Our experienced practitioners take the time to understand your goals, ensuring that each treatment aligns with your desired outcome while preserving your unique facial features.

Your Well-Being is Our Priority

At our clinic, we prioritise your safety and satisfaction. Our practitioners are not afraid to say no if a particular treatment isn't the right fit for you. Your well-being is our utmost concern, and we strive to build a trusting relationship with each patient.

Expert Led Clinic with Surgical Options

Our clinic is led by highly qualified and experienced practitioners dedicated to delivering excellence in facial rejuvenation. While we specialise in non-surgical options, we also offer surgical procedures for those interested in more transformative changes. In some cases, combining both surgical and non-surgical treatments may yield the most optimal results.

To find out more or to book a consultation with us, call us on 020 3818 1889, email us at info@realclinic.uk or fill in the form here and someone will come back to you.

Winter Skincare Survival Tips

Thu, 23 Feb 2023 14:02:16 GMT

As fun as the festive season is, it can play havoc with our skin, meaning often we enter the new year with a dull, dry complexion or suffering breakouts and darkened eyes circles as a result of too many late nights knocking back the cocktails! On top of this our skin is constantly enduring temperature switches from chilly outdoor conditions to centrally heated indoor environments.

But don’t despair as we enter in to the new year! Just as we start fresh with resolutions and goals for the year ahead, it’s also time to revitalise your skin care regime! Here are some of our top tips to get your skin glowing again:

1. Hydrate

Our bodies are 60% water and our blood is 90% water. From flushing out toxins to preventing acne, water is one of the most inexpensive solutions for skin issues. It also helps promote a healthy gut and aids digestion, flushing out toxins to help your skin remain clear. If you struggle to drink 2-3 litres of water a day why don’t you try adding natural flavours such as lemon/lime slices, mint or cucumber.

2. Eat the rainbow

Often when we enter the new year we start new diet regimes which focus on restriction. A different way of approaching this is to think about the range of nutritious food to include in our diet rather than what we are taking away. Simply put, eating the rainbow involves eating fruit and vegetables of different colours every day. Focussing on eating a variety of colours increases your intake of different nutrients and antioxidants which have an anti-inflammatory effect, benefitting your skin.

3. Choose skin care products formulated for your skin type

Get to know your skin type so you can select the right choices when it comes to what products to use. Skin types include:

-normal, characterised by hydrated and comfortable feeling skin
-dry, which can feel tight, flaky and scaly
-oily, characterised by shiny skin, prone to breakouts
-combination, which is when the skin is oily in the T zone area but not elsewhere

4. Invest time in a good skincare routine

Establishing a consistent daily skincare routine will help a long way towards getting a clear, glowing complexion. Start off by double cleansing with cool or luke-warm water. The first cleanse can move dirt around your face so by doing it twice you’re getting deeper into your pores. Use a toner to help further balance your complexion, tighten pores and restore nutrients to the skin that cleansing may have removed. Follow this with a vitamin c serum in the morning as it can help collagen production and acts as an antioxidant and alternate this with retinol at night. Retinol can prevent acne and slow the aging process. Finish up with a high-quality moisturiser and SPF.

5. Use a good quality product range

If you are wanting to upgrade your skincare routine or perhaps the products that you’re currently using don’t work well for you, you may consider using a cosmeceutical range.

Cosmeceuticals are medical grade skincare products that offer both medicinal and cosmetic benefits allowing you to treat unwanted blemishes and concerns without prescription or procedure. They are formulated using medical grade ingredients to penetrate deep into your skin and deliver stronger better results compared over-the-counter products. They are popular choices when it comes to targeting common skin problems such as fine lines, dryness, acne scarring, pigmentation, sun damage and minor signs of ageing.

6. Wear sunscreen daily

Always wear an SPF even in winter as the sun’s rays still get through and sun damage is one of the biggest contributers to premature ageing, leading to wrinkles, hyperpigmentation, spider veins and an uneven complexion.

7. Have professional in-clinic treatments

Besides promoting relaxation, regular professional facial treatments can provide many benefits including noticeable improvements to your skin texture, tone and appearance. Facials can also help improve circulation to optimise cell health and collagen production. Here at The REAL Clinic we offer a range of skin care and aesthetics treatments, designed to make you look and feel fabulous.

If you’re looking for an advanced facial which exfoliates, extracts impurities and rehydrates, then why not try a HydraFacial. The HydraFacial is one of the most popular clinic-based facial treatments right now. It’s so popular, that one is performed every 15 seconds around the world. The reason why? Because it targets many of the most common skincare concerns like dryness and signs of aging with little to no side effects. For those unfamiliar, this treatment is a medical-grade resurfacing treatment that clears out your pores and hydrates your skin. The four-step treatment includes cleansing, exfoliating, extracting, and hydrating the skin with serums that are infused into pores with the HydraPeel Tip, a pen-like device.

Profhilo acts as a fantastic antiaging solution. It’s a highly purified injectable hyaluronic acid skin booster. With special patented technology, Profhilo works by hydrating the skin from inside, like an internal moisturiser stimulating the production of elastin and collagen. This helps improve skin tone and skin laxity and results in glowing, radiant, smooth skin.

SkinPen microneedling can improve your complexion and texture of the skin, it can even improve certain types of acne scarring. It’s clinically proven to be effective for women and men of all skin types and tones. A natural and effective treatment, nothing injected, no chemicals or heat applied. SkinPen works by creating microchannels, targeting precise depth of the skin stimulating your skins natural wound healing process, producing elastin and collagen to rejuvenate your skin from the inside out.

We also offer a range of aesthetic injectable treatments. More details can be found in the ‘treatment’ menu on our website.

8. Exfoliate

Exfoliating is a great way of getting rid of dead skin cells leaving your complexion looking brighter, however, over exfoliation can cause your skin to react with excess oil production or breakouts, so best kept to minimum with a once a week session.

9. Don’t forget your neck and décolletage

Your neck and chest area need attention too. These are often neglected areas that are prone to sun damage and ageing.

10. Moisturise like a pro

There is a correct way to apply moisturiser! Massage your moisturiser in an upward motion, moving out and away from the centre of the face. Around the eyes use a specially formulated eye cream.

Let’s make 2023 the best skin year yet!

Do I Need to Use SPF in the Winter?

Thu, 23 Feb 2023 13:47:56 GMT

Do I need to use SPF in the winter?

This is a question that I am frequently asked, and I could sum up this blog in 3 words; Yes, Yes and YES! But it’s just as important for you to understand why we need to use SPF all year round and not just when we’re on our holidays and basking in the sun, as it is for you to know that you need it. SPF (Sun protection factor) is a cream or spray that helps to protect the skin from the sun’s UVA and UVB rays. The benefits to using SPF go way beyond simply protecting your skin from burning in the sun, and you may be interested to learn a little more about some of them.

Before we move onto that, we’re going to take a look at what the difference is between UVA and UVB rays as well as their effects on the skin. We’ll also explore how SPF works, for how long it is effective, and then the benefits that come with regular use of a medical grade SPF. Ultraviolet radiation is part of the natural energy produced by the sun. In the electromagnetic spectrum, ultraviolet light has a shorter wavelength than light, so the eye cannot see it, but the skin can absorb it. Tanning beds also emit ultraviolet light. Both types of UV light have been shown to increase the risk of skin cancer.

Ultraviolet A (UVA) has a longer wavelength and is associated with skin ageing.
Ultraviolet B (UVB) has a shorter wavelength and is associated with skin burns.

Although UVA and UVB rays have different effects on the skin, the two are problematic. Lack of UVA and UVB protection damages DNA in the skin, creating genes or mutations that can lead to skin concerns (including premature ageing). So let’s look at the two in a little more detail;

UVA RAYS:

UVA rays cause tanning and the short wavelengths of UVA rays also cause sunburn and have been shown to promote the growth of cancer cells in the skin.
UVA rays penetrate deeper into the skin to cause damage to cells in the inner layer of the skin. The skin darkens, trying to prevent further damage, which gives it a tanned appearance.
At the same time, UVA rays can also lead to premature ageing.
UVA radiation is the primary light source used in most tanning beds, which are just as damaging to the skin in the very same ways that UVA radiated from the sun is.
UVA rays are everywhere. UVA rays make up about 95% of UV rays that reach Earth, and their potency is the same regardless of the season.

UVB RAYS:

UVB rays penetrate the outer layers of the skin, damaging them to the point of sunburn and blisters.
UVB relates to the SPF factor on your skin protection. The factor number tells you how long you can stay exposed to the radiation before the skin starts to redden in comparison to if you were exposed without the use of a sunscreen.
The intensity of the UVB rays can fluctuate, although they can still damage your skin all year round, and equally when they meet your skin from a reflective surface such as ice or snow!

This neatly brings us to the final section of this blog. The benefits of using an SPF all year round.

SPF will aid protection from harmful rays that cause some types of skin cancer.
SPF will help keep the skin hydrated.
SPF will help protect your skin from damage such as burning or blistering.
SPF will help keep your skin more youthful and protect you against signs of premature ageing.

So I think the message is clear; yes, you do need to use SPF in the winter… and the spring.. And the summer… and of course, the autumn, too!

All You Need to Know about Coolsculpting

Thu, 23 Feb 2023 13:44:26 GMT

Everything you ever need to know about Coolsculpting

You may have heard the term ‘Coolsculpting’ and wondered just what it is and how it works. Well, in this blog we’re going to explore what it is, how it works and most importantly; if it works!

Let’s start with what Coolsculpting actually is. Coolsculpting is a brand name for the ‘fat freezing’ technique Cryolipolysis. There are a number of alternate brands that banish fat in similar ways using cryolipolysis, but Coolsculpting is the number one global brand operating in over 70 countries worldwide. With the most peer reviewed documents for a device of its kind, Coolsculpting is a firm favourite with practitioners and patients alike.

Cryolipolisis was discovered by pure accident way back in 1970 when Dr. Harvard noticed something curious happened to the cheeks of children when they sucked on frozen popsicles; they developed dimples. This intrigued Dr. Harvard, and following much research and having forged partnerships with scientists Rox Anderson & Dieter Manstein, they realised that this was due to the popsicle breaking down the fat cells in the cheeks, and killing them. Permanently. Of course, this is a much condensed version of the story, but it helps give context to how a theory became a revolution and how fat freezing became one of the most popular aesthetic treatments in living memory.

Coolsculpting works on effectively the same principles as the popsicles, but through carefully administered application cups using controlled cooling. Controlled cooling is important in the case of fat freezing, because much larger areas of fat are being targeted. During treatment, the application cups are placed on the skin with a gel pad which acts as a barrier between the extreme cold and the surface of the skin. This is to ensure that the skin doesn’t blister and isn’t harmed by the extreme temperature.

The excess fat is then ‘sucked’ into the cup, and controlled cooling is applied to the area of concern. The fat is then ‘frozen’ beyond temperatures it can withstand so that the fat breaks down and the dead fat cells are eliminated via the body’s natural lymphatic processes. A little post treatment massage of the area will help to evenly distribute the freezing effects as well as jump start the process of breaking down the fat ready to be expelled.

So that covers what Coolsculpting is and how it works, but what we still need to learn is:

Does Coolsculpting work?

In short, yes. Coolsculpting really does work. It’s particularly effective at targeting and eliminating pockets of stubborn fat that can’t be shifted through diet and exercise alone. It is important to know that while Coolsculpting is a very successful method of treating unwanted fat, it is not designed to be an alternative to healthy weight loss. People with extreme amounts of fat to lose should always look at diet and exercise as their first port of call, and once a healthy lifestyle and weight has been established, Coolsculpting can then be administered to help along those particularly stubborn pockets of fat that remain.

Coolsculpting boasts the ability to permanently reduce the number of fat cells in the treated area by a massive 25%. This can be life changing, particularly for people who have been trying to shift left over stubborn fat with little success.

The Facts abotu the Non-Surgical Nose Job

Thu, 23 Feb 2023 13:42:33 GMT

Everything you need to know about the Non Surgical Nose Job

Until recently, if you had a misshapen nose, be that crooked, hooked or showing the presence of a bump, then you would have been forgiven for thinking that the only option to straighten, lift or reduce the size of the nose was through surgical intervention.

Thankfully we now have less invasive methods that can give the appearance of a smaller, straighter nose in as little as 15 minutes.

A surgical nose job is an extremely difficult procedure, and the costs can run into the thousands! Not only is it invasive and expensive, there is a long period of recovery, as well as pain, bruising and if that’s not enough to put you off, you can’t be 100% certain that you’ll love your new nose post procedure. These issues with a surgical nose job (rhinoplasty) exactly highlight the benefits you can enjoy with a non-surgical nose job.

A non surgical nose job is quick, affordable, free of downtime and the result is temporary. The latter of these benefits is quite possibly one of the most desirable for those thinking of undergoing rhinoplasty. If you are dissatisfied with your non surgical nose job, you can request filler dissolving which will do exactly as it says – dissolve the filler and return your nose back to its original state. With a non surgical nose job, you will be able to see the final result without the fear that you may be left with an irreversible outcome that you’re not completely happy with.

That said, if you are happy with your ‘new nose’, then you may be pleased to hear that although temporary, the results can last as long as 12-18 months. Thereafter you’ll need top ups to maintain your perfect profile.

So what is a non surgical nose job, and how does it work?

During a non surgical nose job, your practitioner will use a fine needle to administer tiny doses of dermal filler beneath the skin in strategically placed areas to help restructure and contour the nose, giving it a more desirable profile and more balanced proportions.

This is particularly helpful for people with a bump on the nose (also known as a dorsal hump), because by filling out the dips and dents in the nose, the result can dramatically improve the appearance of the nose leaving it looking straighter and in most cases, smaller too! The dermal filler injections will be used to not only straighten out the profile, but it also means that light will reflect off the nose so as not to cause shadowing and in turn, the nose will appear smaller and straighter. It’s quite scientific, huh.

In the case where the patient may have a hooked nose, your practitioner will lift the tip of the nose to help reduce the appearance of the downturned hook. This type of procedure is also known as a pixie nose lift or pixie tip lift.