Category: Press Articles & Interviews

Abdominoplasty is a procedure most commonly requested by women post pregnancy or after extreme weight loss. Leading plastic surgeon Mr Gary Ross explains… Motherhood has a huge impact on a woman’s life, both in terms of her outlook and her figure. The change in priorities can often be a very positive thing – the changes to her body much less so. Read More below.

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The awareness of gene testing in women at risk of breast cancer has been brought to the fore by the Angelina Jolie Effect. The Cosmetic Surgery Guide asked Mr Ross for his opinion.

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The term ‘mummy makeover’ is increasingly being used in cosmetic practice and in the media. For this issue’s Spotlight On… feature, we ask Mr Gary Ross to explain exactly what this involves and how combination treatments can transform the body after pregnancy.

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The use of non-surgical injectables is on the increase. Providers are increasingly being scrutinised. Delivery of injectables requires a detailed appreciation of facial ageing, a discussion of the alternatives and that the delivery of injectables is given in a safe environment by a clinician who can demonstrate that injectables is part of their scope of practice. There is no accepted gold standard for quality and no registry as yet for injectibles. There remains a need to collaborate with other specialities and disciplines to deliver the optimal care to patients, provide universal training and accreditation to safeguard patients.

BAPRAS Breast Special Interest Group Chair Gary Ross comments on how BAPRAS is helping patients to make informed decisions about breast reconstruction The Angelina Jolie effect (1) has had a long-lasting and global impact, and appears to have increased referrals for genetic testing to centres appropriately since her surgery last May. Although not all patients will be suitable for prophylactic mastectomy there is an increased awareness of the risks and increasingly patients are requesting preventive surgery.

The commonest form of reconstruction following prophylactic mastectomy globally is implant based reconstruction either in combination with autologous flap coverage or with non autologous mesh / matrix coverage over the lower pole of the implant. A national audit of the practice and outcomes of immediate implant based reconstruction currently aims to evaluate the variations in techniques and outcomes. There has been a large uptake amongst plastic surgeons in the iBRA (implant based reconstruction audit) study and BAPRAS remains focused on improving patient safety through validated outcomes. The choice of immediate reconstruction following mastectomy with implants needs to be weighed up against autologous forms of reconstruction such as the deep inferior epigastric perforator flap (DIEP) and allow patients an informed decision as how best to proceed in both the short and long term. Earlier this year BAPRAS produced guidance relating to the very rare (Anaplastic Large Cell Lymphoma) ALCL and its association with breast implants.

We still remain focused on the need for an implant registry that will allow more robust data relating to specific issues such as ALCL and provide valuable information for clinicians and patients alike. Reference 1. The Angelina Jolie effect: how high celebrity profile can have a major impact on provision of cancer related services. Evans GR et al Breast Cancer Research 2014,16:442