SUBTLETY - Now, be careful, you might look at this (very happy) patient, and say ‘Why bother?’. Please don’t do that. That would be simplifying things too much - I’ve gone on enough about why people have cosmetic surgery, and why it is ok, so long as they are doing it just for themselves, have realistic expectations, and realise the risks, consequences etc. This is no different. So please don’t judge. This patient had a very specific request - she did not like how much her nose stuck out from her face. So, we discussed and agreed to ‘deproject’ the nose. She was also very specific that she liked pretty much everything else about her nose - it reflected her ethnicity, it was in keeping with others in her family, and she did not want to change that. It’s interesting, I’m hearing this more and more - for example, ‘I’m from Iran, but I DO NOT want a typical ‘Iranian rhino’ please! That’s too much’. This is music to my ears - means people are educating themselves, thinking, and talking their time before coming to me. This lady had a ‘deprojection’ of the tip, but if you do just that, the rest of the nose will look out of balance, so she had the rest of the nose balanced out, whilst still maintaining the bits she liked - all done using an open #piezorhinoplasty approach, combined with a ‘preservation’ technique for the rest of the nose. If you are after a subtle result, or want to discuss the options available to you, please get in touch - details below, and in bio. #rhinoplasty #piezo #piezorhinoplasty #ultrasonicrhinoplasty #deproject #subtle #subtlety #lessismore #natural #formyself #realisticexpectations #dontjudge ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, Battersea, London⠀⠀ 🌍 www.realplasticsurgery.co.uk ________________________________________________________

DO NOT HAVE PLASTIC SURGERY! Unless you have considered the following: 1. THINK. Have you have spent AGES thinking about this? Do so. Don’t rush. 2. WHY are you doing this? If you understand your reasoning, you are much more likely to be happy after. 3. WHY NOT? Think of reasons why not to go ahead. Will you really be happier after? Aren’t you happy enough now? Why should you go ahead and take all the risks, spend all that cash? 4. WHO are you doing this for? I hope it is just FOR YOURSELF. Do not have surgery for anyone else. 5. WHAT IF? What if you had problems, what if you’re disappointed? How are you going to cope? What about the extra costs? The extra, unplanned downtime? 6. WHO is doing the surgery - do your research, get to know your surgeon even BEFORE YOU MEET THEM. Also: 7. WHO WITH? Do not do this alone. Have a ’support crew’ - a relative, a close friend, or partner perhaps. Make sure they are on your side and understand. Because if things don’t go to plan, you will need them by your side. Things will be stressful so have someone around who won’t judge and make things worse. 8. WHERE? If you’re going abroad, how long should you stay there? What happens with complications? Who exactly is the surgeon? Will they listen to and understand exactly what you want? Will there be a language barrier? Is the hospital any good? And how will you deal with all of the above AND be abroad? Be very careful #REALPlasticSurgery #Think #BeCareful #TakeYourTime #DoNotRush #ForMe #GetSupport #YouAreNotAlone #Safety #SafePlasticSurgery #SafeCosmeticSurgery For more info regarding safe plastic surgery, and to come discuss if you should be doing this, please get in touch. Details below, and in Bio. Thanks. ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, Battersea, London⠀⠀ 🌍 www.realplasticsurgery.co.uk ________________________________________________________

THE GUARDIAN NEWSPAPER doesn’t tend to feature things about plastic surgeons (I wish they would, not all of us are just going on about implants and facelifts all the time) So, I’m all the more pleased and proud to have been featured in these articles in their paper. They’re all a little ‘off-the-beaten-path’ for plastic surgeons and I think they show the other (perhaps odder) sides to me. They’re also the articles I’m most proud to have been part of, over the years. Please do have a little read - links in bio. Thanks, Nav #SurgeonsCut #Music #Dreams #Charity #Humanitarian #AvoidThis #TheGuardian #Media #Press #Unusual #REAL #Life ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, Battersea, London⠀⠀ 🌍 www.realplasticsurgery.co.uk ________________________________________________________

‘IF YOU’RE SAD NOW, YOU MIGHT STILL FEEL SAD THERE’ It’s all about MANAGING EXPECTATIONS when it comes to a lot of things, especially when there is a significant emotional load attached. Surgery is very much one of these things. Sometimes, I meet people who expect a whole load of things to change after surgery. That just isn’t going to happen. Yes, often patients feel great after surgery, and I hear things like ‘it’s changed my life’ but the fact is that you are still going to be the same ‘you’ but with a better nose, a younger face, nicer breasts, a flatter tummy etc. That doesn’t mean that everything else in your life is also going to be sorted. Might sound obvious, but it’s surprising how much people attach to an operation. I’m therefore always saying things like ‘what if it isn’t good enough after? How will you deal with that? You might have to live with the result forever, how’s that going to make you feel?’ I think it’s really important to have thought about these things before you commit to the operating table, and put your trust in someone like me. I know for a fact that by doing so, my patients are much happier. If I think we’re not managing your expectations properly, I’ll either refuse to operate or I’ll make you wait and think longer. The key thing is to take your time and not rush towards the knife! ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, Battersea, London⠀⠀ 🌍 www.realplasticsurgery.co.uk ________________________________________________________

MIND THE GAP With breasts, think 3 things: SIZE, SHAPE & POSITION Implants address just one of these ie size. They won’t deal with shape or position issues (unless you go massive in which case you start looking #fake - don’t do that, please!) SHAPE can be addressed with extra things like Fat Transfer, but this can be difficult, unpredictable (and expensive). You might need more than one go (with more costs…). So, please THINK carefully before you have ‘just implants’ - yes, you will be bigger, but you will not necessarily be different in shape or breast position. This might bother you. Shape and Position are to do with what you’re born with, your rib shape, muscle shape/bulk, as well as SYMMETRY. If you have breast size asymmetry, we can improve this by using different sized implants. Addressing shape and position asymmetry is more complicated. It’s worth taking a bit of time to appreciate these before you have implants. You will be much happier after! If you are interested in #realworld surgery, do get in touch. We are all about making things #BetterNotPerfect. Perfect doesn’t exist! ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, Battersea, London⠀⠀ 🌍 www.realplasticsurgery.co.uk ________________________________________________________

MIND THE GAP With breasts, think 3 things: SIZE, SHAPE & POSITION Implants address just one of these ie size. They won’t deal with shape or position issues (unless you go massive in which case you start looking #fake - don’t do that, please!) SHAPE can be addressed with extra things like Fat Transfer, but this can be difficult, unpredictable (and expensive). You might need more than one go (with more costs…). So, please THINK carefully before you have ‘just implants’ - yes, you will be bigger, but you will not necessarily be different in shape or breast position. This might bother you. Shape and Position are to do with what you’re born with, your rib shape, muscle shape/bulk, as well as SYMMETRY. If you have breast size asymmetry, we can improve this by using different sized implants. Addressing shape and position asymmetry is more complicated. It’s worth taking a bit of time to appreciate these before you have implants. You will be much happier after! If you are interested in #realworld surgery, do get in touch. We are all about making things #BetterNotPerfect. Perfect doesn’t exist! ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, Battersea, London⠀⠀ 🌍 www.realplasticsurgery.co.uk ________________________________________________________

HAVING REGRETS? It happens, but they do say it’s better to regret something you have done, rather than something you haven’t. This lady is not alone - she was young and impulsive, and had huge implants put in 20 years ago. She liked them at first (big was all the rage back then), but this didn’t last. 2 more kids later, some weight-gain, and they were now feeling way too heavy. She took to hiding them - wearing over-sized clothes at work, never wearing bikinis and so on (this is very similar to the stories I hear from women who have developed breasts that are too large, who then go on to have large reductions). So, we decided to down-size. But this wasn’t going to be simple - her 600cc implants still sat high and made up most of the top volume of her breasts, and she didn’t want to lose this ‘upper pole fullness’ - most women like this. Her natural breast tissue had drooped and was now too low - this created a ‘double-bubble’ effect with implant causing a bulge at the top, and the natural breast making another bulge, lower down - look at the side-view here. She needed a full-on breast reduction (removing 250g each side, with all the scars, and nipple changes), as well as smaller 310cc round implants (my usual muscle-split technique). And we got there. Here she is 3 months later. The scars have already faded well (she has been lucky here), the nipples are smaller, and her smaller implants are giving her a much better, natural shape, and proportionate size. She looked so much happier and confident when she came for her check-up. If you’re regretting a previous decision like this, and want a change, come talk to us. We can discuss options, timing and try to work out what’s best for you. Contact details are below and in our bio. PS Sorry about the cheesy #SongLyrics #RegretNothing #AskForHelp #YoungAndFoolish ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, Battersea, London⠀⠀ 🌍 www.realplasticsurgery.co.uk ________________________________________________________

HERE’S A DIFFICULT ONE TO ’SHOWCASE’ Thought long and hard about posting this, but, I kept thinking that it made a good point. I am always going on about #safety and even though this shows a case of mine that had problems, it also show how we dealt with these problems. I’m really proud and pleased with the outcome. This happened 4 WEEKS after a tummy tuck, this patient suddenly started to feel unwell, she got in touch and the team was amazingly quick to escalate her care up to me. I spoke to her on the phone, and she sounded awful, so we got her into hospital that evening. She had a scan that showed fluid collected under the tummy skin, so we took her back to the operating room, opened the painful area of the incision and drained the fluid. It was probably an early infection, so by releasing it, we stopped it getting worse, collecting more and potentially threatening the overlying skin. She stayed in hospital for a few days, and one she was better (with the use of a vacuum sponge dressing), we closed the wound again. She went on to get better pretty quickly, and as you can see, she healed-up pretty well too. Her scar is still quite good, maybe not quite as good as it could have been, but I think that will settle with time. Compare that with the patient from abroad (who I posted about a while back), who lost lots of skin, got really ill, and nearly died! This is not a post to say that surgery abroad is performed badly. The problem is the distance and the communication difficulties. Unlike the previous patient, my patient got hold of me quickly, and got sorted quickly. This does not happen so often with problems from abroad, and small problems end up becoming big ones. That’s why, I advise people to STAY CLOSE TO THEOR SURGEON FOR SEVERAL WEEKS. The best way to do this? HAVE SURGERY CLOSE TO HOME. ________________________________________________________

TELL ME WHY, I don’t like Uplifts I’ve really gone off pure uplifts these last few years. No matter what’s done, the breast tissue drops back down again and all that’s left are loads of scars, and for no good reason. So, I’ve pretty much stopped doing pure ‘mastopexy’ and ‘mastopexy-augmentation’ ie an uplift with implants. The whole reason a woman needs an uplift is because: 1. The skin is stretchy 2. The breast tissue is heavy This combination results in low, heavy breast tissue and emptiness up top. The ideal solution is to find a way to lift this heavy tissue back up, remove excess skin, and keep it all there forever. Trouble is, the skin is still stretchy and the breast is still heavy. So the problem happens all over again. Lots of scars for no good reason. So, I’ve gone a little radical. I remove the heavy breast tissue and excess skin altogether by doing a breast reduction. I then replace the volume with an implant. By putting the implant under the muscle (my usual preferred technique of a muscle-split), we end up with an implant that likes to stay high-up. This is a one of the characteristics of sub-muscular implants, they sit high. This is also one of the problems with them - they can end up too high. We are taking advantage of this characteristic here. But, there’s a price to pay. There are all the downsides of a reduction (scars, nipple sensation loss, and lack of breast feeding), and the down-side of implants (need changing every 15 years ish). But at least you don’t get a ‘lift’ that lasts a couple of years at most and lots of scars for no good reason. You get a solution that should last much longer (in my opinion - other surgeons disagree and we debate this constantly!). If you think this might be for you, please do get in touch. We can have a chat, take a look and come up with a solution tailored to you, that is safe, honest and effective. #breastsurgery #breastreduction #breastlift #mastopexy ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk ________________________________________________________

BUYER BEWARE! There’s a lot of #bull and #hype out there. Take the ‘2cm Breast Implant Scar’. Just not possible with silicone implants. But there are those out there selling this… I just don’t buy it. I like to make small scars. Keeping scars minimal is a good idea. And I can just about get down to 3cm with small implants (this case was 210cc, muscle split) in a thin patient. But, I often have to go longer, if I am to safely insert a bigger implant. If the incision is too small the implant gets really squeezed as it’s inserted. This can damage the silicone gel permanently (gel fracture) and distort the implant such that it ends up oddly shaped forever. Not a great look!! It might even be more susceptible to rupture, so that’s not good either. A truly 2cm incision just doesn’t work. It’s too traumatic on the implant, even if a Keller Funnel is used. So it’s too risky to do. The smallest I can manage is 3cm, and that is often pushing it. I often end up increasing the length, just to be safe. So, don’t fall for the hype. A slightly longer scar is probably fine, so long as it is placed close to the breast fold, underneath the breast. Even if it is slightly longer, it will still be hidden in the shadow of the breast. As always, if you want to know more, and want good, honest, safe surgery, please get in touch via the details in our bio. Thanks. 🙂 ⠀ ________________________________________________________⠀ #HonestSurgery #NaturalResults #LessIsMore #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 3031 0820 ⠀⠀⠀ 🏥 25 Patcham Terrace, London ⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

The Many Faces of Istanbul I’ve spent a week in Istanbul at the ISAPS Meeting here. An amazing gathering of plastic surgeons from around the globe - over 2000 delegates, from over 100 countries (ISAPS has almost 6000 members, so it’s amazing that a third of the best plastic surgeons travelled all the way here!) Here’s a compilation of the views from the balcony of my hotel - as awesome and as comprehensive as the conference itself. See you in #Athens in 2023! PS Who spotted the #TimeLapses - comment below! 😊 #isapsplasticsurgeons #isapsistanbul2022

HOLIDAY GEEKERY

REDUCTION RHINOPLASTY Rhinoplasty in most of the world tends to involve reducing the size as well as reshaping the nose. In the ‘Far East’, however, noses often need to be built up or ‘augmented’. So, like breasts, it’s also possible to have an augmentation or a reduction. 😀 Here, a lot of tissue needed to be removed. The risk here is that we are left with too much skin, which can hang down loosely. Unlike a breast, it is not possible to reduce the skin of the nose. We rely on elasticity to shrink the skin down. Where the skin might not be elastic enough, we have to compromise and reduce less. In this case, the skin was great and a really drastic reduction was achieved. This patient literally said that surgery ‘has changed my life’. You can probably see what she means. Surgery at REAL @realclinicuk is done as a ‘day case’, you go home the same day. It’s done under a full (TIVA) general anaesthetic with BIS brain monitoring. Please get in touch if you’re interested. Contact details are below. ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 🌍 www.realplasticsurgery.co.uk ________________________________________________________

LESS MEANS LESS With a breast reduction, we often see a dramatic change in all aspects of our patient’s life. The weight can be like carrying a backpack around on your front. Permanently. In this case the weight was 817g and 936g - almost 2 kilograms! This weight causes back ache, neck pain, sores and infections under the breasts, bra strap pain and sores on the shoulders and more. Women can’t exercise, they can’t swim, hugging their loved-ones is difficult and embarrassing. They can’t swim (because the extra fat in the breasts acts like a float). Large breasts can be a nightmare. Surgery does come with a price - nothing is perfect. There are the scars, the nipples are often numb, permanently and breast-feeding usually isn’t possible. There’s also a (very) small risk of losing the nipples altogether - but it can be reconstructed. None of this is ideal, but it is often a price women are willing to pay, and they don’t mind the risks. The relief felt after a reduction is worth it. If you’re considering a breast reduction, come in for a discussion and balanced advice. We will let you know if this great operation is right for you. Contact details below. ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 🌍 www.realplasticsurgery.co.uk ________________________________________________________

SUPER-NATURE Here’s another natural case, using smaller, round, nano-textured implants. I used my favourite submuscular-split (SMS) technique. Results are shown at 6 weeks and things have settled really nicely. She no longer needs to wear the band, but a support bra will be her friend for life, I advise all my breast surgery patients to wear a bra 24/7 forever! Those of you who are eagle-eyed will have spotted a small dressing under the left breast. This was a tiny ‘stitch-reaction’, and a little area was still sore - about the size of a pimple, this will settle in no time. The great thing is that a small issue like this didn’t turn into something large. She emailed us with her concerns, we saw her within 24hrs and all is well. This doesn’t always happen with surgery abroad, away from home, no matter how good the surgery is or how great the hospital is. So please, stay close to home. If you’re interested in surgery with us, please do get in touch. We’d be glad to have a chat and advise what’s best. Contact details below. ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 🌍 www.realplasticsurgery.co.uk ________________________________________________________

Trying to get into Reels more! Another compilation from the highlights. Trying to be productive while waiting for NHS patient to be anaesthetised (takes longer as they tend to be more complex…) 🙂 ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 🌍 www.realplasticsurgery.co.uk ________________________________________________________

A COMPILATION OF CASES Please do get in touch if you’d like to have surgery in our brand new, state-of-the-art facility @realclinicuk Check out the highlights to see more. ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 🌍 www.realplasticsurgery.co.uk ________________________________________________________

TUMMY TUCK AFTER WEIGHT LOSS - a case from today Will post the longer term results eventually. Meanwhile, if you’ve been struggling to pluck up the courage to do this, come in and have an honest chat. We will lay out the good and the bad, openly, with your safety in mind at the forefront of all considerations. It’s not as scary as you think! And we are a nice bunch, we will hold your hand throughout the process. Contact details below. ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 🌍 www.realplasticsurgery.co.uk ________________________________________________________

ULTRASONIC NOSE Open Piezo Septorhinoplasty 6 Week Result, so there’s still more swelling to go down. And the scar is still quite fresh, it will fade more with time. Improved breathing, still very natural, still ‘her nose’, nothing extreme, doesn’t look ‘fake’ or ‘done’. One very happy patient! 🙂 ‘I wish I’d done it years ago!’ Please do get in touch if you haven’t quite felt brave enough to make the leap. Come speak to us and we can see if you’re ready. 🙂 #Rhinoplasty #NoPressure #PiezoRhinoplasty #SeptoRhinoplasty #BreatheEasy #RealPlasticSurgery ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 🌍 www.realplasticsurgery.co.uk ________________________________________________________

Dinner in #Istanbul yesterday Here for the #Rhinoplasty course with @teorhinoplasty and fellow #plasticsurgeon @dr_manafkhatib

DON’T FEAR THE FACELIFT Book Recommendation: ‘The Park Avenue Face’ by @drjacono This is a really good read if you are considering facial rejuvenation (surgery or non-surgical). Came out not that long ago and everything there still stacks up. eg NEVER EVER go to an unaccredited facility or practitioner. It’s a good read even if you’re thinking about #cosmeticsurgery in general. DO YOUR HOMEWORK & REDUCE YOUR FEAR Please get in touch I f you’re considering such procedures, including the #DeepPlaneFaceLift. We will give you honest, unbiased advice with no pressure to proceed. Contact details below. 🙂 ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 4EX 🌍 www.realplasticsurgery.Co.uk ________________________________________________________

#IMCAS 2022 in Paris - 10 minutes of walking around the exhibits condensed to 1 minute And I only covered about a third of the area!

REAL CLINIC @realclinic.uk We’re not just an ‘aesthetics clinic’, or a skin care shop… WE ARE ALSO A PROPER HOSPITAL. We have consulting/treatment rooms, and operating theatres. We can anaesthetise patients under FULL GENERAL ANAESTHETIC, we can also offer local and sedation. We have amazing kit: Renuvion Micro-Aire Lipo Body Jet Lipo Powered Fluid Infiltration Pump (seriously fast with volume indicator). Mectron Piezo Acteon Piezo Sebbin Implant stock QA4 Day Surgery Operating Table/Trolleys KLS Martin Operating Lights - 2 in each theatre, ceiling mounted Zeiss Lumera 700 Microscope - ophthalmic but adaptable for plastics. Heildelberg Anterion Heildelberg Spectralis OCT Alcon Constellation Alcon Centurion Zeiss Humphrey’s visual field machine Proper Instrument sets in theatre, reusable, loads of supplementary kit. We also have lots of Blink and Malosa disposable instruments Alaris TIVA Pumps Brand New GE Anaesthetic Machines Piped Oxygen Piped Medical Air (also 7 bar surgical air) Piped Suction x25 Air changes per hour A Difficult Airway Trolley that’s actually up to spec - including GlideScope A Resus trolley much as you’d expect to see in bigger (eg NHS hospitals) We have NATURAL LIGHT in theatres - huge windows with LCD controlled opaque film - all at the flick of a switch! And finally, and most importantly, THE most amazing sound system in theatres! Makes all the difference! Please do come play, get in touch if you fancy working at The Battersea Clinic at REAL. ________________________________________________________ 📧 info@realclinic.uk⠀ ☎️ +44 203 8181 889 🏥 25 Patcham Terrace, London SW8 4EX 🌍 www.realclinic.uk ________________________________________________________

CALLING ALL SURGEONS & ANAESTHETISTS! Our brand new, state of the art facility in Battersea, South London, is more than a ‘spa’ or ‘aesthetics facility’. We are a FULL BLOWN HOSPITAL! We are happy to host you in our theatres, please contact us to apply for practising privileges. We offer full TIVA GA facilities for ambulatory, clean day case patients. ASA 1 & 2. For Full Consultant Privileges, you need to be: On the GMC Specialist Register Properly Insured (surgeons minimum £10 million) Based near enough to the clinic, in case there are complications after surgery, and you and your patient have to return in a hurry. Cleared by our MAC - the usual: references, occ. health, appraisals, DBS. Ideally, be a member of your respective association(s), and have an NHS practice. Associate, Fellow, Trainee and Student Privileges also available on an individual basis. CONTACT DETAILS BELOW TO APPLY. ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 4EX 🌍 www.realplasticsurgery.co.uk ________________________________________________________

WASTED CASH? I’m totally riding the coat-tails of 2 #instalegends here. Please, do #follow them (as if you don’t already!) @nayakplasticsurgery and @dr.subbio recently posted asking what you have had done that turned out to be a total steaming waste of time, effort and cash. So, here I am, asking the same. Let’s share, educate and help others to avoid the mistakes we have made. SPEAK NOW (or forever hold your peace) ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 4EX 🌍 www.realplasticsurgery.co.uk ________________________________________________________

A GOOD DAY So, we did it! After the disappointing delay last week, when we had to cancel what would have been our first case, we did 3 cases in one of our our brand new theatres today. All 3 patients received TIVA General Anaesthesia, all did really well and went home the same day. We had a great team, everyone worked really hard. We also had support from @generalelectric and @sebbin_uk And it all came together! ________________________________________________________ 📧 info@realplasticsurgery.Co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 4EX 🌍 www.realplasticsurgery.Co.uk ________________________________________________________

Brilliant, from @thelisagilroy

REAL SURGERY!⠀ We did our first ‘proper’ operation yesterday under local anaesthetic at REAL. ⠀ ⠀ Thank you so much, Gary, from @the_clinic_builders for being our guinea pig! Gary had a small skin lesion on his nose that Nav spotted whilst Gary was project-managing the build. ⠀ ⠀ We used the opportunity to pretend we were doing a General Anaesthetic case - check all processes are in place, check all equipment is working and practical (there’s always the worry we have missed something important!) - all went really well, the team were amazing and we had good fun at the same time!⠀ ⠀ Thank you @terouzpaints for the photos and vids, and thanks to Gary and the team for staying late last night!⠀ ⠀ ________________________________________________________⠀ 📧 info@realclinic.uk⠀⠀ ☎️ +44 203 8181 889⠀ 🏥 25 Patcham Terrace, London SW8 4EX⠀ 🌍 www.realclinic.uk⠀ ________________________________________________________

TOP 40! NEW ENTRY No, I haven’t been taping the Charts off Radio 1 this weekend (#IfYouKnowYouKnow) No, we have made it into the #TatlerGuide for #Beauty and #CosmeticSurgery Nav Cavale features as one of the Top Surgeons in the guide, and he’s amongst great company - check out the fellow doctors and surgeons! On top of that, the new clinic in Battersea, REAL @realclinicuk also features - really proud of this as we have barely just opened - we really do have great things planned for the place! #WatchThisSpace _______________ #MerryChristmas HappyNewYear #Teamwork #SkinCare #Aesthetics #EyeCare #Surgery #HydraFacial #CoolSculpting #Botox #Fillers #BreastSurgery #Rhinoplasty #DeepPlaneFaceLift ________________________________________________________ 📧 info@realplasticsurgery.Co.uk⠀ ☎️ +44 20 3031 0820 🏥 25 Patcham Terrace, London SW8 4EX 🌍 www.realplasticsurgery.co.uk ________________________________________________________

3 DEATHS FROM ONE OPERATION! This is from@one of my favourite TV Programmes, QI on the BBC. It’s a sort of quiz show, more like controlled rambling really. Here, they’re discussing Robert Liston, pioneer surgeon, who was known for being one of the fastest at amputating limbs - took him seconds! But, this speed came with a price. Bet he would have been an Insta/TikTok surgeon if he was around today! 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk

BRAIN SURGERY It’s true, #aestheticsurgery is #brainsurgery too. By improving the overall harmony of the nose, we not only improve the look and function, we also improve #confidence. I see this so often in my patients - it’s one of the reasons before and after photos are often different - this patient has come in wearing makeup after surgery (for her 6 week check here), unlike for the before consultation. (The different background annoys me, by the way, but the clinic was in the middle of a major refurb - sorry!) Rhinoplasty is about making a better version of your nose. It’s not about a drastic change. You will still look like you. The idea is that you will have a better version of your own nose. But, the improvement in confidence can be life-changing. Please get in touch if you’d like to discuss #rhinoplasty and whether it could work for you. ________________________________________________________ #piezorhinoplasty #ultrasonicnose #FindASurgeon #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale #VCons #F2F ________________________________________________________ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk ________________________________________________________

THE ENEMIES OF THE BREAST…⠀ ⠀ This previous patient came back to see me 6 years after I performed a muscle-split breast augmentation on her using 325cc round implants. ⠀ ⠀ She was now heavily pregnant, looked fantastic , but was worried. ⠀ ⠀ Would the implants affect the pregnancy, breast feeding?⠀ ⠀ Would the pregnancy ruin her breasts. She was really happy with the results, still was, even many years later and would like to stay happy. ⠀ ⠀ Here are the questions she asked and I did my best to answer (even if she didn’t ask every single one of them! 😜)”⠀ ⠀ Questions and Answers in comments below. ⠀ ⠀ Hope this helps!⠀ ⠀ Please get in touch if you’re interested in implants, have concerns about your existing ones, or are just worried. ⠀ ⠀ ⠀ ________________________________________________________⠀ #FindASurgeon #Pregnancy #Breastfeeding #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale #VCons #F2F ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

DO YOUR HOMEWORK, PLEASE!⠀ ⠀ It’s difficult finding a good surgeon. There’s a lot of #disinformation out there, a lot of hype and BS. ⠀ ⠀ So, please spend some time trying to find a ‘proper’ and #RealPlasticSurgeon⠀ ⠀ Here’s a short guide that the nice people at @beyondbeauty_mag and I recently put together. ⠀ ⠀ We’ve tried to keep it simple. Hope it helps!⠀ ⠀ If you want to see how I do, if you apply these tips to me, check out my #LinkInBio and check out this insta feed!⠀ ⠀ Thanks 😊 ⠀ ________________________________________________________⠀ #FindASurgeon #Colleagues #peerReview #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale #VCons #F2F ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

PEER REVIEW!⠀ ⠀ In medicine and science we rely on a process called ‘Peer Review’. ⠀ ⠀ This is where people who are similarly qualified to you look at your work and give an honest opinion. ⠀ ⠀ This is done for scientific publications, research, audit, and looking at complications after surgery (morbidity and mortality). It helps keep things safe, regulated and real. It stops people going too ‘off piste’. Definitely a good thing. ⠀ ⠀ With aesthetic surgery, things a are less straightforward. So we do our best to publish our data, both in terms of how many cases we do, and in terms of success rates and complications. ⠀ ⠀ We also rely a lot on reviews, word of mouth, before and after photos and social media. ⠀ ⠀ A review website called @doctify is really good in that they also get COLLEAGUES to ‘review’ you. ⠀ ⠀ Here are my recent ‘peer reviews’. All I can say is I’m glad I have good friends and colleagues! ⠀ ⠀ Thank you for your kind words. ⠀ ⠀ 😊⠀ ________________________________________________________⠀ #Colleagues #peerReview #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale #VCons #F2F ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

NOSES ARE SUBTLE, DIFFICULT THINGS⠀ ⠀ We each have our own ideas of what is ‘ideal’ or ‘perfect’ for us. Some of us are perfectly happy with the nose we were born with, others are not. ⠀ ⠀ What bugs us can be ‘obvious’ or ‘dramatic’ and having a rhinoplasty can make a mega ‘transformation’. ⠀ ⠀ Or, more often, the changes are subtle. Add enough of these subtle changes together and you can still get a significant change. ⠀ ⠀ This patient had lots of things that added up to her wanting surgery. ⠀ ⠀ It took a lot of work to address all of these issues - careful discussion beforehand, and a lot of fiddly surgery in the operating room. ⠀ ⠀ Both the patient and I were really happy with the result. Hope you agree. ⠀ ⠀ If you don’t agree, that’s fine too, as it’s only what the patient thinks that really matters, after all!⠀ ⠀ 🙂⠀ ________________________________________________________⠀ #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale #VCons #F2F #PiezoRhinoplasty #UltrasonicNose #UltrasonicRhinoplasty #AlarBaseReduction #NostrilReduction #Septoplasty ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

BREAST AUGMENTATION ⠀ Just a selection of recent cases where patients have been really kind and allowed me to share. ⠀ ⠀ Thank you!⠀ ⠀ The ‘predicted after’ is using sizers in a bra. These look sort of like teardrop implants but they are designed to go over the breast amd give you an idea of size. ⠀ ⠀ Please do get in touch if you like these results and think you’d want similar. We can arrange a virtual or face-to-face consult for you. ⠀ ⠀ 🙂⠀ ________________________________________________________⠀ #Teardrop #Round #Anatomical #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale #VCons #F2F⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

NOT A BREAST IMPLANT CAPSULE⠀ ⠀ This is a rare complication after tummy surgery. So in theory, it could happen after a tummy tuck, I guess. So far I haven’t seen this in a cosmetic surgery patient. ⠀ ⠀ This wasn’t a tummy tuck case, it was in a reconstructive case - a patient who was on blood thinning medication (to fight blood clots). ⠀ ⠀ After abdominal surgery this patient must have had an area of bleeding. This blood was too much for the body to absorb itself (by the way, most tummy tuck patients don’t get this much bleeding, and even if they do, as I only choose to operate on fit, healthy patients, they are generally very able to deal with small blood collections). ⠀ ⠀ The blood turns into a ‘haematoma’. Haematomas then ‘organise’ by separating into liquid (seroma) and solid (cellular) parts. The liquid should then just be soaked up and the solid either gets removed by the immune system or turns to scar. ⠀ ⠀ Here there was just too much, so it stuck around for too long and the body just decided to ‘wall it off’ by encapsulating it - very similar to the soft capsule that forms around a breast implant. ⠀ ⠀ It was very big (weighed 850 grams!) and was very uncomfortable. So it required surgery to remove. ⠀ ⠀ The patient should hopefully feel much better now!⠀ ________________________________________________________⠀ #Seroma #ReconstructiveSurgery #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

SELFIES DISTORT THE NOSE Here’s a vid from a little while back by @voxdotcom Shows how close ups taken with a small lens ie mobile phones can make your nose look disproportionately large. Think carefully before you sign up to go under the knife! You might not look as bad as you think. 📧 info@realplasticsurgery.co.uk ☎️ +44 20 7751 4055 🏥 120 Sloane St. London 🌍 www.realplasticsurgery.co.uk #selfie #selfiedysmorphia #rhinoplasty #nosejob #becarefuloutthere

WHAT IS THIS? Made of wood, it’s hollow, belonged to my grandfather and handed down to me via my father (both were also doctors, I’m’Dr Cavale VII apparently). ANSWERS IN COMMENTS PLEASE! 🙂 📧 info@realplasticsurgery.co.uk ☎️ +44 20 7751 4055 🏥 120 Sloane St. London 🌍 www.realplasticsurgery.co.uk

YEAH, I KNOW, I PREFER MY ‘BEFORE’ LOOK TOO... Instagram is not Real Life. I’m sure you know this, but thought I’d compile a reminder. Be careful out there. #instagramisnotreallife #fitspo #fitspoisnotreallife #realtransformation #beforeafter 📧 info@realplasticsurgery.co.uk ☎️ +44 20 7751 4055 🏥 120 Sloane St. London 🌍 www.realplasticsurgery.co.uk

BUBBLES AND BREASTS⠀ ⠀ One of recent posts showed how times change and you might eventually decide to have your implants removed. But it might not be simple.⠀ ⠀ This lady had implants put in quite a while ago, time moved on, she put on a little weight and her breast tissue also enlarged. ⠀ ⠀ She always felt her implants were too big, but made the most of them, so to speak - she enjoyed life (and boy has she had a life!) but now, at over 60-years-old felt it was time ‘to act her age, not her shoe size’ as a great artist once sang. ⠀ ⠀ Her implants had stayed sitting higher up, but her own breast tissue had dropped, giving a ‘double-bubble’ appearance out of a bra. In a bra she now felt huge. Hiding these bug breasts was getting to be a pain. ⠀ ⠀ I removed her implants and lifted what remained using a ‘Wise pattern’ anchor-scar lift, much like a breast reduction. ⠀ ⠀ I hope you agree she looks much more in proportion and has a much nicer shape - no more bubbles!⠀ ________________________________________________________⠀ #TimesChange #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

BETTER, NOT PERFECT⠀ ⠀ That’s all I ever offer my patients.⠀ ⠀ If I don’t think I can make things better, I won’t offer you surgery. ⠀ ⠀ I will never make things ‘perfect’ - no one is perfect and everyone’s idea of perfection is different anyway - ie it is ‘subjective’, depends on who you speak to. ⠀ ⠀ If ‘better’ isn’t ‘good enough’ for you, then you should not go ahead with surgery. It’s better to wait and think more, perhaps. ⠀ ⠀ This young lady had surgery as a child, to correct ‘pectus excavatum’ where the breast bone (sternum) goes inwards and can push on the heart. Fairly major stuff, but it left her with bumps and dips in the bone, as well as different sized breasts. ⠀ ⠀ It took a lot of working out to come up with a plan - several consults, and then lots of sizing and drawing before starting surgery. ⠀ ⠀ She had a combination of fat transfer and implants (different sizes each side). ⠀ ⠀ Things turned out pretty good I think. ⠀ ⠀ But, as always, it’s not perfect. It’s good enough for her and she’s really really happy. ⠀ ⠀ And that’s the most important thing here. ⠀ ⠀ (OH, AND ALWAYS WEAR SUNSCREEN - JUST LOOKS AT THOSE RED ARMS! 😬)⠀ ________________________________________________________⠀ #BetterNotPerfect #LessIsMore #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

NEW GLOW-IN-THE-DARK IMPLANTS!⠀ ⠀ With a built in ‘Blue Beacon’ warning system. ⠀ ⠀ White = Good⠀ Red = Warning - change ASAP. ⠀ ⠀ This new revolutionary warning system is built into these new amazing implants. They will glow in the dark white if all is well, and red if there’s a problem. Simply turn the lights off to see what they’re doing. ⠀ ⠀ Contact us to find out more. 🙂⠀ ________________________________________________________⠀ #Innovation #NaturalResults #LessIsMore #RealResults #BreastImplants #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale #AprilFool #BikeLights #Sorry 😬 ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

OBJECTIVE PHOTOS (AS BEST AS I CAN MANAGE) - BREAST IMPLANTS 200cc⠀ ⠀ Here’s an example of where ‘less is more’ - a subtle breast augmentation that has increased size a little, still kept things very natural but has made a huge difference to shape and proportions, relative to the body. ⠀ ⠀ Just 200cc - these are tiny by most people’s standards! But the trend is for smaller implants these days and I think that’s a good thing. They look better (in my opinion) and last longer (less drooping due to weight etc). ⠀ ⠀ Placed half under, half over the muscle using my version of the muscle-split technique. ⠀ ⠀ Just 45 mins surgery time, full TIVA general anaesthetic, home the same day, bra and band for 6 weeks, 24/7. ⠀ ⠀ And all this adds up to one happy customer!⠀ ⠀ ⠀ ________________________________________________________⠀ #NaturalReaults #LessIsMore #RealResults #Quality #RealPlasticSurgery #SafeSurgery #MummyMakeover #NaturalResults #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

#MassiveWeightLoss #MummyMakeover #MommyMakeover #TummyTuck #BreastImplants #Liposuction

MUMMY MAKEOVERS AREN’T JUST FOR MUMMIES⠀ ⠀ (Or ‘Mommies’, if you’re separated from us Brits by a common language...)⠀ ⠀ This is a young woman who lost about 40kg (all by herself, without any Bariatric surgery) and now had a BMI of 23. ⠀ ⠀ She wanted her breasts, tummy and thighs sorting, so we undertook a full tummy tuck, liposuction to the flanks and thighs and a breast augmentation - all in one sitting, surgery took 3.5 hours. No drains, no overnight stay, home wearing a lot of compression garments. ⠀ ⠀ She’d had a difficult relationship with food since her childhood, starting off as an overweight child, then developing bulimia and losing too much weight. By the time she came to Dee us, she was stable, with a healthy relationship with food and a good exercise regime to go with it. ⠀ ⠀ So, a good time to consider corrective, post weight loss surgery. ⠀ ⠀ She had what was effectively a ‘mummy-makeover’ ie breasts and tummy - the same surgery that we carry out in women after they have completed their family. ⠀ ⠀ Massive weight loss does the same things to your body as having (and breastfeeding) children can do, so the surgery is the same. ⠀ ⠀ You can see the result immediately after surgery and 6 weeks later - one happy customer! 🙂⠀ ________________________________________________________⠀ #ManagingExpectations #RealResults #Quality #RealPlasticSurgery #SafeSurgery #MummyMakeover #NaturalResults #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

Plastic surgeons use ‘loupes’ to operate with - the same things that #jewellers and #watchmakers use (you see the one-eyed version in movies when they are trying to see if the diamonds from the heist are genuine!) These are mine. Had them for about a year, cost an absolute fortune (that’s Danish engineering for you), but worth every penny. They magnify everyone x3.3, so great for fiddly operating. And the light is the coolest bit - batteries last 2 hours each (I have 3) and charge using USB.

Got to test out a new light to use during breast augmentations. It’s a stick on LED light - the great thing is it works with my favourite retractor (the Deaver) and it’s really bright. We usually struggle with fibre-optic lights, big cables and usually not very bright. There are disposable ones with a built in battery but even these are never bright enough. So I’ve used a head light on my loupes (operating glasses) when needed. Could be a game changer! (I have no financial interest in this device just to be clear - I should buy shares!)

LIFE CHANGES⠀ ⠀ People move on. ⠀ ⠀ This lady had implants put in over 20 years ago, and now felt they were far too big. “That was a very different life back then, I’ve moved on”. ⠀ ⠀ She had been really sensible and gone for a modest enlargement for her frame. It looks like she had gone to a really good surgeon. She had also been good about wearing a supporting bra most of the time. ⠀ ⠀ As a result things hadn’t dropped very much and she managed to get a good result by just having implants removed and not need an uplift. ⠀ ⠀ She’s now really happy. “This is much more me, now”. ⠀ ⠀ We change as the years go by. Implants might be a great idea when you’re young. But later in life having a large bust might not be that important or make you feel as good as before. ⠀ ⠀ It’s also important to realise that if she had gone for crazy large implants she might have been looking at lots of uplift scars now, and maybe not such a ‘normal’ breast shape. Her tissue quality and elasticity has also stayed very good, so that has helped too. ⠀ ⠀ So it’s definitely worth planning for the future and trying to think how you might feel down the line. Difficult to know for sure as life can be unpredictable. ⠀ ⠀ Time spent thinking, before you commit to surgery, is definitely time well spent. ⠀ ________________________________________________________⠀ #ManagingExpectations #RealResults #Quality #RealPlasticSurgery #SafeSurgery #LifeMovesOn #NaturalResults #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

DO YOU HAVE REALISTIC EXPECTATIONS FROM SURGERY?⠀ ⠀ It’s really important to ‘manage’ expectations during the time before surgery and to make sure we don’t forget these after. ⠀ ⠀ This is difficult!⠀ ⠀ For example, a breast augmentation will give you bigger breasts (obviously...). But it won’t necessarily change other parts of your life. Yes, it might make you feel more confident about your body, happier in yourself and so forth. ⠀ ⠀ Surgery isn’t necessarily going to fix everything that isn’t right in your life. Again, this might seem obvious, but if things aren’t right, people look for quick fixes. And cosmetic surgery could be one of those. ⠀ ⠀ I sometimes see patients who are not necessarily just doing this for ‘themselves’ (this is the best reasons to have cosmetic surgery).⠀ ⠀ They might be trying to revive a failing relationship, maybe make themselves look more competitive in the job market, or get ‘one-up’ on their friends (I’ve heard things like ‘my mates got 300cc implants, so I need to be bigger than that’) - these are not the right reasons, I’m my opinion. ⠀ ⠀ Also, it’s important to get a realistic idea of what your actually getting, physically. See the photos here. ⠀ ⠀ With breast implants, this is relatively easy - I use these trial implants in a sports bra, and the real result mostly depends on the size of trials that are put in the bra. ⠀ ⠀ With a nose, the face, the tummy, it’s more difficult. It takes more of the ‘minds eye’ to try to work out what the result could be. Difficult. ⠀ ⠀ Even 3D simulation software can be misleading (I’ve tried it, I’m not a fan).⠀ ⠀ It’s much better to try to imagine (and expect) a ‘better version’ of what you’ve already got. Don’t expect a radical change or ‘transformation’. ________________________________________________________⠀ #ManagingExpectations #RealResults #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

RHINOPLASTY CAN CHANGE YOUR VOICE⠀ ⠀ Rhinoplasty (and especially septorhinoplasty) can alter the airway - we often perform septorhinoplasty to improve breathing. So it can have an effect on your voice, making it ‘open up’ - you rely on air escaping (and resonating) through the nose as well as the mouth when you talk/sing. ⠀ ⠀ Here’s an example - the amazing singer @jamesarthur23 - I did a septorhinoplasty on James a while back - he was a great patient, and a true gent. We even got a photo with him (that’s top anaesthetist, Dr Rich), which the kids were quite impressed by (it’s virtually impossible to impress them now that they are teens...). ⠀ ⠀ James had always been very open about wanting a rhinoplasty. And when he got surgery, he tweeted a selfie from the hospital. He also went on to say it had improved his vocal range. ⠀ ⠀ Rhinoplasty can also narrow the airway a little, so that can sometimes have an effect. It’s common to be a little blocked up and sound nasal after surgery, but this is usually temporary and you get your old voice back. ⠀ ⠀ Glad to see you’ve gone from strength to strength, James.⠀ ⠀ And thanks for agreeing to share these pics. It was an honour treating you. 😊⠀ ________________________________________________________⠀ #CreditWhereCreditsDue #Quality #JamesArthur #RealPlasticSurgery #Rhinoplasty #SafeSurgery #NaturalResults #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

SILICONE AND NOSES DON’T MIX⠀ ⠀ (If you ask me). ⠀ ⠀ Silicone implants are still a cheap alternative to a ‘proper’ #rhinoplasty in some parts of the world. They have gone out of fashion in the UK because of problems like this. ⠀ ⠀ This lady had had an implant a few years ago (not many) and it had started to poke out of her left nostril. ⠀ ⠀ This must have then allowed bacteria to enter the space between the skin and implant and an infection developed. There are loads of (mostly friendly) bugs in our noses, if these get on to an implant they can then multiply and cause a nasty infection. ⠀ ⠀ Here, this lady had become quite unwell. ⠀ Removing the implant and cleaning things out, along with antibiotics sorted things and she went on her way. ⠀ ⠀ Silicone isn’t a great idea in the nose, if you ask me. A better way to build up the nose is to use your own tissue - I like to use a piece of your rib cartilage, it is your own tissue, so doesn’t need changing. and if an infection does develop (this is rare, but possible), it usually settles with antibiotics and time. ⠀ ⠀ ________________________________________________________⠀ #Complications #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

IT’S EASY WHEN THINGS ARE GOING FINE. ⠀ ⠀ The real test is when things don’t go so well. ⠀ ⠀ This lady had a breast augmentation in the morning. Later that evening, she was in loads of pain on the right side, and she rang up worried. The right breast was really swollen and painful. ⠀ ⠀ So we got her back in the hospital at midnight and removed a ‘haematoma’, a collection of blood and blood clot. There was an annoying, small blood vessel that was still bleeding - maybe the cauterised seal we use in surgery opened up, maybe it was in spasm at the end of surgery (and not bleeding), the spasm relaxed and off it went, slowly bleeding around the implant. ⠀ ⠀ We are always really careful to stop all bleeding, but sometimes this happens. ⠀ ⠀ Sh*t happens...⠀ ⠀ It how you deal with this that sets the quality teams apart from the cowboys. It’s how you manage problems that’s the real test. ⠀ ⠀ All ended well here, she will have a really good result. ⠀ ⠀ But what if she’d gone ‘cheap and cheerful’...?⠀ ⠀ You get what you pay for. ⠀ ________________________________________________________⠀ #Complications #Quality #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

SCARS ARE FOR LIFE⠀ ⠀ This is not meant to be a flippant post - scarring affects lots of people in different ways. ⠀ ⠀ Scars are caused by lots of different things, and the visibility of a scar is a constant reminder of that ‘event’ - surgery, injury, a stupid mistake or lapse of attention, others who were less fortunate in the same event, abuse, self-harm... ⠀ ⠀ I tell my patients that there is no surgery info that does bot leave a scar. As plastic surgeons, we do our best to minimise scarring, to hide it, and to treat them so that they are less visible. ⠀ ⠀ It might be possible to replace a ‘bad’ scar with a ‘good’ or ‘better’ one. ⠀ ⠀ It is never possible to get rid of a scar. ⠀ ⠀ The same goes for the memories associated with the scar - they are for life too. ⠀ Photos via 2Tone4Real on @twitter ________________________________________________________⠀ #BodyPositivity #ScarPositivity #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

BREAST REDUCTION - 2 recent cases⠀ ⠀ And, as the first slide says, warning for sensitive content. ⠀ ⠀ I’d like to show you 2 before and afters (immediately on the operating table, and 2 months later)⠀ ⠀ And a huge Thank You to the 2 patients who have given their consent for this. ⠀ ⠀ Both significant reductions, 2 different skin-types, so please note the difference in scarring.⠀ ⠀ Also note that things look a bit bunched up and weird straight after but all of this flattens out with time, as you can see from the later pictures. ⠀ ⠀ Both had surgery performed safely, during lockdown etc, and have recovered really well. ⠀ ⠀ No, overnight stay, no drains, shower the next day, support bra, 24/7 for 6 weeks, about 2 weeks off work (if you travel to an office), anchor scars (Wise Pattern), Superomedial Pedicle. ⠀ ⠀ Both VERY VERY HAPPY! ⠀ ________________________________________________________⠀ #BreastReduction #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale ⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

YOU CAN TAKE THE PLASTIC SURGEON OUT OF NERDSVILLE, BUT...⠀ ⠀ I’m really pleased to be featured (for the first time! 😇) in the Tatler Beauty & Cosmetic Surgery Guide this year. This is seen as THE publication to get your name into, so thank you @francesca_white for a really nice piece on the boom in tech and apps in the aesthetics sector. ⠀ ⠀ I’ve posted about this a few times. I think lockdown has forced us to adapt quickly and rethink how we do things. ⠀ ⠀ Virtual consults are something that I think have been a really positive change. I’m now encouraging all my patients to consider a virtual consult before seeing me face-to-face, lockdown or not. ⠀ ⠀ One of the problems with face-to-face consults to start with is that they are inevitably set in a ‘hospital’. I wonder if this immediately makes patients behave more like patient and me behave more ‘doctor-like’. Perhaps sitting in your own home means that this behaviour is softened, and we are then more likely to get to know each other? Not as ‘Doctor-Patient’, but more as ‘people’ or ‘friends’?⠀ ⠀ I swear that my relationship with my patients is better for it. ⠀ ⠀ And I’m really glad to see that top publications like Tatler have picked up on this too.⠀ ⠀ The best thing is, my inner geek gets to have an outing more regularly! 🙂⠀ ________________________________________________________⠀ #VCons #F2F #TechInSurgery #TatlerGuide #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale #The GeeksShallInheritTheEarth⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

YOU CAN TAKE THE PLASTIC SURGEON OUT OF NERDSVILLE, BUT...⠀ ⠀ I’m really pleased to be featured (for the first time! 😇) in the Tatler Beauty & Cosmetic Surgery Guide this year. This is seen as THE publication to get your name into, so thank you @francesca_white for a really nice piece on the boom in tech and apps in the aesthetics sector. ⠀ ⠀ I’ve posted about this a few times. I think lockdown has forced us to adapt quickly and rethink how we do things. ⠀ ⠀ Virtual consults are something that I think have been a really positive change. I’m now encouraging all my patients to consider a virtual consult before seeing me face-to-face, lockdown or not. ⠀ ⠀ One of the problems with face-to-face consults to start with is that they are inevitably set in a ‘hospital’. I wonder if this immediately makes patients behave more like patient and me behave more ‘doctor-like’. Perhaps sitting in your own home means that this behaviour is softened, and we are then more likely to get to know each other? Not as ‘Doctor-Patient’, but more as ‘people’ or ‘friends’?⠀ ⠀ I swear that my relationship with my patients is better for it. ⠀ ⠀ And I’m really glad to see that top publications like Tatler have picked up on this too.⠀ ⠀ The best thing is, my inner geek gets to have an outing more regularly! 🙂⠀ ________________________________________________________⠀ #VCons #F2F #TechInSurgery #TatlerGuide #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale #The GeeksShallInheritTheEarth⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

I LOVE TO KISS...⠀ ⠀ I am a simple surgeon. ⠀ ⠀ I don’t like complications. The best way is to do things as simply as possible - when all these simple things come together, the result is so much better. ⠀ ⠀ We have a saying in surgery (another one...):⠀ ⠀ KISS: ‘KEEP IT SIMPLE STUPID’⠀ ⠀ If things are too complicated, they will have unpredictable consequences, interactions, and therefore, results. ⠀ ⠀ This dressing is a really good example. ⠀ ⠀ Micropore (made by 3M) is a simple, paper tape that is porous. It is also very cheap, and it happens to be the best. ⠀ ⠀ But beware, cheap if often bad (and expensive doesn’t necessarily mean the best either)⠀ ⠀ If I ruled the world all surgical incisions would be dressed with Micropore - open heart surgery, hip replacements, brain surgery, adults, babies, you name it. ⠀ ⠀ Come the Revolution...⠀ ⠀ ⠀ ________________________________________________________⠀ #KISSPrinciple #Simplicity #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

TRIAL & ERROR - That’s what research is all about. Sometimes it works, sometimes it doesn’t. ⠀ ⠀ But we can learn stuff even when it doesn’t work - how to do things differently next time, and so on. Properly done research is never time wasted. ⠀ ⠀ I was very lucky to get a letter via my GP and the #NHS to take part in the @imperialcollege trial of a COVID Antibody Home Test Kit. ⠀ ⠀ I spent about 30 minutes doing the test, uploading a photo of the result and answering loads of questions - took ages!⠀ ⠀ But it will be worth it. ⠀ ⠀ Even if the test turns out to be inaccurate, it is important to take part in these sorts of trials where possible. The next kit tested could be the one that we all end up using. Maybe it will be this one, time will tell. ⠀ ⠀ I had COVID back in March last year, I tested positive for antibodies (IgG) a few months later and I have recently had the first dose of the Pfizer/BioNTech vaccine (again, thank you NHS). ⠀ ⠀ The result of this (research) test was positive for IgG, same as my blood test from last year. ⠀ ⠀ Who knows if this is because of my previous infection, or the vaccine. Or both?⠀ ⠀ Time will tell. The research trial might tell. ⠀ ⠀ But what’s really important is:⠀ ⠀ LET THE SCIENCE SPEAK⠀ ⠀ ________________________________________________________⠀ #COVID19 #ANTIBODY #RESEARCH #Science #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

THANK YOU so much @britishvogue for speaking to me (of all people), about upcoming development and #tech in #aesthetics⠀ ⠀ You will have to buy the print version to see it though. ⠀ ⠀ Also, very chuffed to be sharing print space with the likes of #covergirl @dualipa nonetheless! ⠀ ⠀ Thanks to @georgialday for putting such a great piece together. ⠀ ⠀ ________________________________________________________⠀ #StrikeAPose #SkinPen #Vogue #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

JUST SAY NO!⠀ ⠀ I turn away a lot of patients. Or I ask them to take time thinking if this is really what they want doing, because I am not convinced it is right for them. And then return if they still really want surgery. And we talk some more...⠀ ⠀ So, why do I say no to some people? ⠀ ⠀ With aesthetic surgery, it basically comes down to one thing:⠀ ⠀ DO I THINK I AM GOING TO MAKE YOU HAPPY?⠀ ⠀ If the answer is no, I don’t think I should operate on you. And that’s even if you really want me to. ⠀ ⠀ If I don’t think I’ll make you happy, it means I’ll probably make little improvement or, I might make you worse. And I really don’t want to do that. No matter how much you’re willing to pay me!⠀ ⠀ I can take the money and run, but you will hunt me down and probably make my life more difficult, and I’d deserve that!⠀ ⠀ So, no, I will refuse to operate if I don’t think it’s a good idea. ⠀ ⠀ Any good surgeon will do the same. ⠀ ⠀ One of my favourite ‘surgical sayings’:⠀ ⠀ Every surgeon knows HOW to operate. ⠀ A good surgeon knows WHEN to operate. ⠀ A great surgeon knows when to NOT operate. ⠀ ⠀ ________________________________________________________⠀ #WorryingIsGood #Nervous #Think #Rhinoplasty #PiezoRhinoplasty #NoseJob #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

IF YOU’RE NOT NERVOUS, IT MAKES ME NERVOUS!!⠀ ⠀ It’s very normal to be frightened and nervous before surgery. And I take that to be a ‘good’ sign! ⠀ ⠀ Those who are not even slightly nervous or scared worry me. It indicates that you might not be taking things seriously. ⠀ ⠀ This is surgery, it’s not a haircut, or manicure... It’s permanent. Just scroll to the video at the end! (WARNING - SENSITIVE CONTENT!)⠀ ⠀ So, you need to be sure this is what you want to do, and that you are happy to take a ‘leap of faith’. I can’t guarantee or promise you will be happy with the type of result you are hoping for. ⠀ ⠀ Hopefully we will have spent enough time discussing things together and you will have spent loads of time thinking things over yourself, before you decide to have an anaesthetic and surgery. ⠀ ⠀ And if that has happened, yes, YOU WILL BE NERVOUS!⠀ ________________________________________________________⠀ #WorryingIsGood #Nervous #Think #Rhinoplasty #PiezoRhinoplasty #NoseJob #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

SAFETY FIRST - YES, WE ARE OPEN, BUT...⠀ ⠀ We can’t relax too much. Yes, in London, this is ‘Lockdown 3’, here we go again etc etc, but it is more important than ever to stay safe.⠀ ⠀ There’s nothing different for us to do. Washing hands, wearing masks, social distancing, staying at home. ⠀ ⠀ BLAH BLAH BLAH, Eh?⠀ ⠀ NO!!!⠀ ⠀ This is now a race between the vaccine and the new variant of COVID that spreads more easily between people. ⠀ ⠀ Once EVERYONE is vaccinated, that’s when we can relax, not before everyone has been jabbed. ⠀ ⠀ Even if you have had the vaccine, you can still catch the virus, YOU JUST DON’T GET ILL FROM IT). ⠀ ⠀ So you can still spread it, even after you’ve been vaccinated. ⠀ ⠀ I’ve had my first dose, but I’m still wearing a mask, we are still minimising patients in the clinic. They are all sanitising their hands, wearing masks and staying 2m away from each other. And we are trying to get people in and out as quickly as possible. ⠀ ⠀ I have my first day of surgery for 2021 tomorrow, it’s going to be the same in the operating theatre as well. ⠀ ⠀ SAFETY FIRST.⠀ ________________________________________________________⠀ #LondonLockdown #Safety #StaySafe #happy2021 #HappyNewYear #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

IT’S NOT ALWAYS THE LOUDEST WHO NEED HELP⠀ ⠀ I’ve been reading about a thing called ‘Survivor Bias’ recently. It was a letter to a surgery journal, written by @orthopodreg that really made me think. ⠀ ⠀ Basically an out-of-touch, retired, dinosaur of a surgeon wrote a stupid letter to the journal saying ‘in my day... surgeons were trained properly, they worked long hours, never slept and were better for it blah blah....’ or words to that effect. ⠀ ⠀ This is so wrong. Whilst, yes, there are issues with modern training methods, there was also a lot wrong with the ‘good old days’. Sexism, racism were far more of a problem back then and we are thankfully improving things (slowly). ⠀ ⠀ Why do we think ‘old music is so much better than modern day rubbish’? It’s because all the crap that was released back then never gets played anymore. The strongest stuff survives. ⠀ ⠀ In a mass-casualty event, such as a bomb-explosion, you don’t immediately go to the injured who are screaming the loudest (they are well enough to be able to scream). ⠀ No, you first go check on the quiet ones, they are the ones hurt really bad (or dead). You get to the loud ones a little later. ⠀ ⠀ In a discipline like surgery, where a lot of the worst traits have been allowed to ‘survive’ or go unchecked, I’m now really glad that things are changing and we are better caring for those who didn’t traditionally make it - females, minorities, the less wealthy and so on. ⠀ ⠀ I’m therefore very grateful NOT to be a God!⠀ ⠀ P.S Watch the original movie of ‘Doctor In The House’, from 1954, and it was filmed in my university, @ucl (I didn’t get there until 1989) so that’s another reason it has a special place for me. ⠀ ________________________________________________________⠀ #collaboration #cooperation #subtle #happy2021 #HappyNewYear #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

SUBTLE, COLLABORATION, CO-OPERATION ⠀ ⠀ These are the words I’m thinking of for 2021. ⠀ ⠀ ‘Brexit’ is a done deal for us in the UK, the COVID Vaccines are here etc etc - and yes, we all have different views on whether these are good things or bad. ⠀ ⠀ But they are here to stay and 2021 may as well be the time to get on with things and help each other to lead better and safe lives. ⠀ ⠀ In the world of aesthetics 2021 also seems like the year when ‘bygones can be bygones’ and we move forwards. ⠀ ⠀ I was very pleased to be quoted (on New Year’s Day!) by Vogue magazine on what trends we can look forward to in 2021. ⠀ ⠀ And I really think this is the year that traditional ‘battle lines’ between ‘surgeon’ and ‘non-surgeon’ are wiped away. ⠀ ⠀ My relationship with my non-surgical colleagues is healthier than ever and I think the respect we feel for each other is greater than ever. ⠀ ⠀ I’ve been working more and more closely with such colleagues as it’s really clear that we are so much better than the other when it comes to certain things. ⠀ ⠀ I’m a very ‘surgical surgeon’ and I know so many non-surgical colleagues who are simply better than me at things that aren’t surgical. ⠀ ⠀ Similarly they seem to be so much happier referring patients to me that would be better off under my knife. ⠀ ⠀ So here’s to 2021, the year we all got on with things and got on with each other. ⠀ ⠀ Let’s look after each other?⠀ ⠀ ________________________________________________________⠀ #collaboration #cooperation #subtle #happy2021 #HappyNewYear #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

PLEASE DON’T GO OUT PARTYING THIS NEW YEAR’S EVE⠀ ⠀ The vaccines are here, but until enough (at least 70% of us) are vaccinated, the risk of transmission to the vulnerable is too high. ⠀ ⠀ If too many vulnerable people get ill at the same time, our hospitals won’t cope and people will die unnecessarily. ⠀ ⠀ We are all so linked to each other, so it does t take many steps before everyone is potentially transmitting COVID to everyone. ⠀ ⠀ Take a look at the Six Degrees of Separation stuff that has been studied. And the ‘Kevin Bacon Number’ is a more lighter-hearted way to look at the same way be are all intertwined. ⠀ ⠀ PLEASE STAY HOME. ⠀ ⠀ That could mean we can go back to partying next year. ⠀ ⠀ ________________________________________________________⠀ #StaySafe #StayAtHome #ProtectTheNHS #SaveLives #RealPlasticSurgery #SafeSurgery #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

WOUND CARE, SUTURE TECHNIQUE, AND DRESSINGS MATTER!⠀ ⠀ These might all seem simple, but they are so important and should be done really well. ⠀ ⠀ I will write a book about this one day - the number of times I watch a movie and see surgery being done all wrong...⠀ ⠀ Here, we see ‘top surgeon’ (watch out for those...), Daredevil, performing minor surgery on his ex, Elektra. ⠀ ⠀ There’s so much wrong here:⠀ ⠀ I’ve never tied a knot at the end of my suture before I start stitching. I do do this when stitching buttons back on my shirts though! 😅⠀ ⠀ I make sure my knots are all ‘snug’ ie right, or else they will untie and the wound will open up...⠀ ⠀ And I always use a non-stick layer on wounds. Putting gauze straight on an open wound like this will hurt like hell when removed. ⠀ ⠀ There’s so much more wrong here. I haven’t mentioned everything I can see...⠀ ⠀ PLEASE COMMENT WITH OTHER THINGS YOU SPOT. ⠀ ________________________________________________________⠀ #RealPlasticSurgery #SafeSurgery #Marvel #Daredevil #Elektra #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

HAPPY CHRISTMAS EVERYONE⠀ ⠀ From Mr. Ed, the Cavales, and all at Real Plastic Surgery⠀ ⠀ Hope you get to rest-up a bit, and here’s to a safe and happy 2021. ⠀ ________________________________________________________⠀ #RealPlasticSurgery #SafeSurgery #Christmas #2021 #catsofinstagram #NaturalResults #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

LOCKDOWN CONTINUES TO BE A CRAZY TIME⠀ ⠀ It’s been really busy these last few months. Lockdowns seem to have made everyone and their dog think about plastic surgery.⠀ ⠀ We have never been busier. ⠀ ⠀ 6 #PiezoRhinoplasty cases last week. 3 this week. A breast reduction at least once a week (We saw an awesome result today, wish the patient was happy to share photos, but alas, no, got to respect privacy), and a steady flow of #BreastImplants. ⠀ ⠀ Surgery on the #face seems to be up the most. I’m hearing that dentists are busy too. ⠀ ⠀ Staying/Working from home seems to be conducive to plastic surgery - time to hide away from the rest of the world, the masks are convenient to disguise swelling and maybe it’s that people have time as well as money burning a hole in their pocket because they’ve not got away on holiday this summer?⠀ ⠀ Whatever the reasons, we are more than happy to ‘make hay whilst the sun shines’, provided you are a good candidate and surgery is the right and safe option for you. ⠀ ⠀ As always, standards are not being compromised, and safety is paramount. We seem to have worked out a reasonable way to work alongside this horrible virus, and not let it get in the way of our work. Maybe that’s how to beat the damn thing ⠀ ⠀ If you’re thinking of surgery, please contact us - details below and in bio. We promise to look after you ⠀ ________________________________________________________⠀ #realplasticsurgery #SafeSurgery #COVIDSwab #Rhinoplasty #BreatheEasy #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

NEW GADGET What do you think? Not quite as slick as the @thingsyoudidntknowyouneed original... And it was a bit too runny even for my liking. #boiledeggs Now, just to work out how it can be applied to Plastic Surgery...

COVID SWABS ARE NOTHING COMPARED TO RHINOPLASTY SURGERY!⠀ ⠀ Check this out and see the sort of stuff we get up to when you’re asleep... 😬⠀ ⠀ After that, if you’re still interested in rhinoplasty surgery, do get in touch! ⠀ ________________________________________________________⠀ #realplasticsurgery #SafeSurgery #COVIDSwab #Rhinoplasty #BreatheEasy #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

WE LOVE RECEIVING PATIENT SELFIES!⠀ ⠀ Please keep them coming in. Not only is it great to see our results ‘in the real world’ it’s also nice to hear and see what you’ve been up to since surgery. ⠀ ⠀ Please let us know if you want to be tagged, or kept anonymous. We will gladly oblige. ⠀ ⠀ You’re an amazing bunch, getting up to some amazing things. ⠀ ⠀ And we’re proud to feel that we have contributed to that in some small way. ⠀ ⠀ Thank you. ⠀ ________________________________________________________⠀ #realplasticsurgery #SafeSurgery #tagafriend #tagus #selfie #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

THE SOLUTION TO POLLUTION IS DILUTION⠀ ⠀ Washing and showering wounds is so important. Even the most advanced, expensive dressing won’t make up for keeping a wound clean. ⠀ ⠀ (I was sort of inspired to post about this after my daughter showed me a scrape from school today, and I sent her to the bathroom to give it a good wash with soap and lots of water). ⠀ ⠀ You’re all probably fed up of hearing about #washyourhands to prevent the spread of coronavirus. Well, it’s really important. ⠀ ⠀ The same goes for your surgical wounds. I use a really simple paper tape for most suture lines. And I make you shower after just 24 hours. This not only makes you feel human again, it also cleans the dressing and wounds, and encourages healing without infection. ⠀ ⠀ Simple stuff, but it works. ⠀ ⠀ P.S. #SaveFerris⠀ ________________________________________________________⠀ #realplasticsurgery #SafeSurgery #dressings #showerscene #shower #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

THE VACCINE IS A GREAT CAUSE FOR HOPE, BUT...⠀ ⠀ It’s full effects won’t kick I until next summer, earliest. ⠀ ⠀ Even if you get the vaccine, it doesn’t mean you can’t catch coronavirus. You get it and recover much faster.⠀ ⠀ YOU CAN STILL SPREAD IT TO OTHERS!⠀ ⠀ So, we still need to be careful, wash hands, wear masks, protect the vulnerable etc. ⠀ ⠀ That’s what we plan to continue doing so that we can keep working safely. We seem to be doing ok so far. 🤞🏼⠀ ⠀ (Oh, and it wasn’t the Desperate Cheeto who developed the vaccine, so ignore his lies. It was Drs Ugur Sahin and Ozlem Tureci, and Pfizer who did that! 😡)⠀ ________________________________________________________⠀ #realplasticsurgery #SafeSurgery #vaccine #hope #anewhope #NaveenCavale⠀ ________________________________________________________⠀ 📧 info@realplasticsurgery.co.uk⠀⠀⠀ ☎️ +44 20 7751 4055⠀⠀⠀ 🏥 120 Sloane St. London⠀⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀ ________________________________________________________

1 IN 8 WOMEN GET BREAST CANCER⠀ ⠀ That is a lot! Think about your class at school. For every 8 girls in the classroom, one of them will get breast cancer. ⠀ If I look out of the window of my clinic, for every 8 women that walk by, one of them...⠀ ⠀ You get the idea.⠀ ⠀ I used to do a lot of breast reconstruction back in the day, and I do miss it. The gold standard reconstruction is still a microsurgical DIEP Flap, and here is a nice example. I think @marcpacifico and I did this case together when we were at East Grinstead together. ⠀ ⠀ Anyway, the message here is simple. ⠀ ⠀ CHECK YOUR BOOBS! ⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #breastcancerawareness #SafeSurgery #reconstruction #NaveenCavale⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

BAD SCARRING HAPPENS⠀ ⠀ This particular example is a ‘Keloid’ scar - it’s where the healing process goes into overdrive and the scar grows big and beyond the borders of the original wound. ⠀ ⠀ It’s one of those things. It just happens. ⠀ ⠀ We know it happens in certain parts of the body more than others and in certain skin types. ⠀ ⠀ But the bottom line is we can’t control it and we can’t really prevent it. And we don’t really understand why. ⠀ ⠀ I tell my patients that I will stitch things together as neatly as possible. I’ll do my best to hide them (under clothes, in the hairline etc). ⠀ ⠀ But ultimately, the quality of the final scar depends on how the body wants to make the scar. ⠀ ⠀ Yes, it is possible to do a dreadful job and leave terrible scars (and I’ve seen some incredibly bad work over the years), but most half-decent surgeons can stitch really neatly. ⠀ ⠀ So it’s really important to realise that bad scarring is a possibility. ⠀ ⠀ A good surgeon will help make them better, wherever possible. ⠀ ⠀ With this case, the worry now is that the keloid might return with a vengeance... ⠀ ⠀ Let’s see. 🤞🏼⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #aestheticplasticsurgery #SafeSurgery #swab #COVID19 #NaveenCavale⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

I’M HOPING THIS LASTS UNTIL HE IS 40! #Kids #Family #DadJokes

I’M REALLY HOPING THIS LASTS UNTIL HE IS AT LEAST 40! #Kids #Family #DadJokes

THE THINGS WE DO FOR LOVE...⠀ ⠀ Well, the things we do in order to operate. ⠀ ⠀ My latest COVID swab, shown here, warts and all, so that I can continue operating safely in these new times, this, the ‘new normal’. ⠀ ⠀ Brings tears to the eyes! ⠀ ⠀ 😂😂😂😂🤣🤣🤣🤣😂😂😂😂⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #aestheticplasticsurgery #SafeSurgery #swab #COVID19 #NaveenCavale⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

A GOOD SUPPORT BRA WILL HELP KEEP BREASTS LOOKING YOUNGER⠀ ⠀ I’m absolutely convinced of this. For anyone who has a size of more than am A-Cup, I think it makes a difference. ⠀ ⠀ I’ve seen patients who had implants 20+ years ago and they followed instructions to wear a good, support bra 24/7, and still have really young looking breasts. ⠀ ⠀ It’s a bit like running with heavy shopping bags... ⠀ ⠀ If you support the bag from underneath, and not hold them by the handles, your hands and the bags survive much better. ⠀ ⠀ And you don’t end up like a young @culkamania in Home Alone. ⠀ ⠀ A good bra, to my mind, has wide shoulder straps, a good strap under the breasts, not very stretchy material, tight fitting cups , and is back-fastening (even for after surgery) - most good sports bras fit the bill. ⠀ ⠀ A good bra often doesn’t look good, but when it comes to your everyday ‘work-horse’ bras, function is way more important than looks. ⠀ ⠀ And yes, wearing nice bras (thin straps, skimpy materials etc) or even wearing no bra, is fine for the odd occasion. Just don’t make a daily habit of this. ⠀ ⠀ Your breasts (and back, shoulders and neck) will all thank you. ⠀ ________________________________________________________⠀⠀⠀⠀⠀ ⠀ Clips credits: @cracked @20thCenturyStudios⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #aestheticplasticsurgery #SafeSurgery #bra #breastawareness #NaveenCavale⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

WHAT EXACTLY ARE YOU PAYING FOR?⠀ ⠀ I’m watching the @netflixuk documentary @thesocialdilemma and there was an amazing quote I was reminded of:⠀ ⠀ ‘In tech, we have a saying. If you’re not paying for the product, you are the product’. ⠀ ⠀ Tech companies who provide you with free access to things like social media platforms (including one that’s really close by, here...) are using us as free customers to gather data, information and knowledge about us, our habits etc. And they are making their businesses better and better. ⠀ ⠀ It’s not that different in the cosmetic surgery industry. ⠀ ⠀ You get what you pay for. ⠀ ⠀ And what are you NOT getting because you’re NOT paying for it? In other words, by going for a cheap deal, what is being left out? And, what are you being used for?⠀ ⠀ Are you being used as a guinea pig? Is your cheap and cheerful surgeon using you to learn their trade? It’s quite possible. Training up a proper #realplasticsurgeon in the UK isn’t cheap. As a result, surgery in the UK isn’t always cheap either. ⠀ ⠀ Training,in much of the rest of the world, is much shorter, and surgeons set up shop on their own very quickly, and then learn their trade! It’s called ‘surgical practice’ for a reason...⠀ ⠀ So, please ask yourself, ARE YOU THE PRODUCT?⠀ ⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #aestheticplasticsurgery #SafeSurgery #NaveenCavale⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

Especially when it comes to breast implants. ⠀ ⠀ But it isn’t all about size. ⠀ ⠀ WHAT ALSO REALLY MATTERS IS WIDTH! ⠀ ⠀ Because SIZE and WIDTH affect SHAPE. ⠀ ⠀ An implant that is too big will ruin the shape of a nice breast and make it look fake. I’m not at all keen on the fake look but it is something that people sometimes want. I’m willing to listen, so long as we are not talking anything extreme. ⠀ ⠀ And an implant that’s too small can also be a problem - it won’t adequately work on the whole breast, and can make a nice shape look pointy or droopy...⠀ ⠀ So, how to choose?⠀ ⠀ The best advice I can share here is to TALK TO YOUR SURGEON and choose together. ⠀ ⠀ A good surgeon will listen, and advise you as to what is sensible, safe, longer-lasting, value for money, and hopefully going to make you very happy!⠀ ⠀ 😊⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #aestheticplasticsurgery #SafeSurgery #NaveenCavale⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

REAL PATIENTS AND THEIR REAL REVIEWS⠀ ⠀ Lockdown stopped all surgery, but we have got started again and seem to be doing ok. ⠀ ⠀ So far, we have done around 65 operations in just over 2 months. It seems like patients are behaving ‘normally’ - similar results, the usual, same occasional, little problem that need looking after (and all seem to be doing ok, with the right attention and care, as usual) and so forth. ⠀ ⠀ But, it isn’t business as usual, by any means. ⠀ ⠀ We are living in a ‘new normal’ -I’m really growing to hate that phrase...⠀ ⠀ So, there are extra precautions, such as pre-surgery swabs, social distancing in the clinic, extensive use of masks and other PPE. But we are settling into this different way of working nicely. ⠀ ⠀ And the best thing seems to be that we are still producing the same, happy patients, with great results! ⠀ ⠀ Have a look here - I’ve tried to be totally honest. These are all post lockdown patients, you can see their befores and afters. ⠀ ⠀ And you can see their kind reviews. ⠀ ⠀ As always, thank you. 😊⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #aestheticplasticsurgery #SafeSurgery #BreastReduction #rhinoplasty #breastimplants #NaveenCavale⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

TRAUMA SURGERY IS FOR LIFE⠀ ⠀ With major trauma, it isn’t just a case of doing the life-saving surgery, and that’s it. ⠀ ⠀ There are often more operations to be had. ⠀ ⠀ There’s rehab - both physical (physio and occupational therapy) and psychological. ⠀ ⠀ The entire family are also affected - home might need adapting. There might be new things for everyone to learn - managing a stoma bag, doing dressings, for example. ⠀ ⠀ There will be dozens (sometimes hundreds) of visits to the hospital, to see all the various teams looking after you. ⠀ ⠀ And all of this can take ages - in this case, we are 4 years down the line from a really nasty stabbing to the belly, that almost killed this man. ⠀ ⠀ And we haven’t even touched upon the social factors here - why knife crime is on the rise in London etc. That’s probably beyond the scope of a plastic surgery account. ⠀ ⠀ And the journey hasn’t ended for him. It probably won’t really end. Ever. ⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #aestheticplasticsurgery #SafeSurgery #BreastReduction #NaveenCavale⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

BREAST REDUCTION⠀ ⠀ Spoke to @glamourmag recently about this procedure. ⠀ ⠀ THIS HAS HIGHEST SATISFACTION RATE OF ALL THE AESTHETIC PROCEDURES WE DO. ⠀ ⠀ Way more than implants, more than facelifts, rhinoplasty etc etc... ⠀ ⠀ It is truly life-changing. The ability to exercise is improved, for example swimming is easier, as large breasts act as ‘floatation devices’ because of the high fat-content (Remember from school? Oil floats on water). ⠀ ⠀ Back, neck, shoulder pain are all improved. ⠀ ⠀ But there are some serious downsides and risks to consider.⠀ ⠀ Please have a read here, I’ve tried to cover most things I think are important. ⠀ ⠀ Please ask any questions in the comments. Message us if you’d like to book a consult. ⠀ ⠀ 😷🙂😷⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #aestheticplasticsurgery #SafeSurgery #BreastReduction #NaveenCavale⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

BEFORES/AFTERS - Lots of these in the Highlights in our profile section. ⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #aestheticplasticsurgery #BeforeAfter #SafeSurgery⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

SPOT THE DELIBERATE MISTAKE...⠀ ⠀ Here is a recent tricky case I did with liver transplant colleagues. ⠀ ⠀ This lady was left with a large hernia after a liver transplant. Often, it is too risky to repair the muscles after a transplant as it can put pressure on the new liver and risk its survival. So just the skin is closed. ⠀ ⠀ Once the transplant has settled in, we can fix the muscle, which has now developed into a hernia. ⠀ ⠀ We often use biological meshes, to reinforce the repair - these are made from processed cow or pig skin - one piece can cost as much as £15,000! They are much better and more comfortable than older plastic meshes. ⠀ ⠀ However, in this case there was a little ‘deliberate mistake’... The patient had been warned of this possibility and was absolutely fine with it.⠀ ⠀ Let us know in the comments if you saw it 🙂⠀ ⠀ ________________________________________________________⠀⠀⠀⠀⠀ #realplasticsurgery #livertransplant #hernia #londonplasticsurgeon #difficultsurgery #mercedes ⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

WHY DO I WORRY?⠀ ⠀ Surgeons can be worriers and often look stressed and grumpy...⠀ ⠀ Surgery is not an exact science, so we can’t always be sure of achieving the result both surgeon and patient want. ⠀ ⠀ So, we do our best, and hope for the best. ⠀ ⠀ And then worry about it all. ⠀ ⠀ This lady had developed very different sized breasts and had an implant put in to her right side, to even them up.⠀ ⠀ Things were mostly ok to start with, but as time went by, with kids, weight changes etc, both had grown too big, and she desperately wanted the weight and size reduced. ⠀ ⠀ The old implant was now rock solid from a capsular contracture (similar to my previous post). ⠀ ⠀ This made things complicated. We can reduce breasts, and even them out, when they are different sizes. But there was also an implant here, making life even trickier. ⠀ ⠀ Things looked ok by the end of surgery but it’s often difficult to tell if all is ok when the patient is lying down. And sitting them up whilst asleep is limited, so not very helpful, and potentially dangerous (patients have been known to fall off operating tables!)⠀ ⠀ So, there was the lonely wait after surgery, to see what she really looked like once she was awake and able to sit up properly. ⠀ ⠀ So far so good...⠀ ⠀ One less thing to worry about...⠀ ⠀ For now...⠀ ⠀ 😅⠀ ________________________________________________________⠀⠀⠀⠀⠀ #implantchange #breastreduction #londonplasticsurgeon #difficultsurgery⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

ON THE SHOULDERS OF GIANTS (AND EXTREME #PIMPLEPOPPING ...) ⠀ ⠀ This lady had breast implants put in 35 years ago, by one of my heroes. ⠀ ⠀ Brian Morgan, plastic surgeon was my very first boss when I became a doctor in 1995. ⠀ ⠀ Mr Morgan was also house officer in plastic surgery at UCH when he qualified, in 1959. I did the same job in 1995!⠀ ⠀ He was also one of the surgeons who treated victims of the King’s Cross fire in 1987 (scroll to see his painting of the fire in the last pic). ⠀ ⠀ This lady’s implants still looked pretty good 35 years later, but they had become hard and painful due to ‘capsular contracture’. So they needed changing. ⠀ ⠀ Trouble was, we had no idea what size they were, so we had dozens of different implants available to replace them. ⠀ ⠀ We used the Archimedes principle (the Greek mathematician of ‘Eureka!‘ fame), to work out the volume of the old implants. They turned out to be 200ml. ⠀ I then replaced them with slightly larger (270ml) implants to fill the resulting gap nicely. These were chosen to fit her chest and breast widths. ⠀ ⠀ The end result will take time to settle, but it should be a lot more comfortable and look much more natural. ⠀ ⠀ Hopefully these will last another 35 years!⠀ ⠀ (Huge shoutout to @zoha.ixm and @manafkhatib for working out the volumes and making these vids! Thanks!)⠀ ________________________________________________________⠀⠀⠀⠀⠀ #mentor #heroes #realplasticsurgery #StandingOnTheShouldersOfGiants⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

WE LOVE A GOOD REVIEW⠀ ⠀ And we love to bathe in the glory and good feeling they give us. ⠀ ⠀ But, it’s very easy to start believing your own hype... So we also take feedback seriously.⠀ ⠀ After all, what’s the point of asking for feedback if you’re going to ignore the suggestions of how to improve. ⠀ ⠀ The reviews shown here (no editing, and I have never deleted a review etc) also mentioned things that could have been better. ⠀ ⠀ For example, I’ve given more time for consultations (I now spend longer for a breast augmentation consultation that the actual surgery takes!). Our communication is way better with more info sheets, notes and photos being automatically provided to patients and so forth. ⠀ ⠀ So, please do continue to tell us how great we are, and please continue to tell us how we can do better.⠀ ⠀ Please check out the reviews @realself - link in bio⠀ ⠀ There is always room for improvement. ⠀ ⠀ ________________________________________________________⠀⠀⠀⠀⠀ #reviews #realplasticsurgery #feedback #learningfrommistakes⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

I SAW A LIVING, BEATING HEART THE OTHER DAY...⠀ ⠀ Plastic Surgery isn’t just about boobs and noses...⠀ ⠀ We do a lot of RECONSTRUCTIVE procedures too. ⠀ ⠀ Here’s an example from a while back - a heart that became exposed to the world because of infection after open-heart surgery. ⠀ ⠀ It needed complex ‘soft-tissue reconstruction’. I had to use her nearby muscles (the pec majors) to fill the defect. But it wasn’t just a quick job. It was done in stages - the first to get the wound clean and free of infection, then allowing time for things to stabilise, before then going back and performing the ‘fun part’ of reconstructing things as shown here. ⠀ ⠀ Plastic surgery is so much more than cosmetic surgery. ⠀ ⠀ It also involves a lot of working with other colleagues (cardiac surgeons, neurosurgeons, ortho surgeons, paediatric surgeons etc etc). ⠀ ⠀ We tend to know EVERYONE in the hospital as we are the ones who are often called when things aren’t going to plan (this week alone, I’ve seen and reconstructed over a brain and a spinal cord, 2 different ops). ⠀ ⠀ The most fun and satisfying part of my job is stuff like this. ⠀ ⠀ And it is truly life saving. ⠀ ⠀ Love it! ⠀ ⠀ #realplasticsurgery #naveencavale #reconstructivesurgery⠀ ________________________________________________________⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

IT’S ALL ABOUT TEACHING & LEARNING⠀ ⠀ I think if you’re teaching you can’t help but learn at the same time. Teaching keeps you thinking about what you are doing. ⠀ ⠀ For example, today, I found myself teaching a neurosurgery trainee (I saw a living brain!) about how plastic surgeons handle tissue and how we like to obsess over suturing - fairly basic stuff but I then found myself being questioned by the trainee surgeon, and had to really think about why I do some of the simple things I’d do all the time. Made me think! ⠀ ⠀ So, I try to use every chance I get to teach (and learn)⠀ ⠀ When I appear on TV, it’s about public education - safety, taking your time before having cosmetic surgery, how to find a good surgeon etc. ⠀ ⠀ I also run seminars for fellow surgeons. I’m currently the president of the Plastic Surgery Section of the Royal Society of Medicine and we have a great webinar coming up for students, trainees and new consultants on Breast Surgery. ⠀ ⠀ In October, we have the next UK Symposium with ISAPS, the International Society of Aesthetic Plastic Surgery (I’m the UK Rep). ⠀ ⠀ I’ve taught undergrad med students for years at KCL - both through KCLPRASS, the students’ plastics society, and as a tutor for the formal syllabus. ⠀ ⠀ And I also thing Instagram is a place to teach and learn. ⠀ ⠀ It’s very easy to just show off and advertise here, but I think I also have an obligation to share the love (and knowledge!) with others. ⠀ ⠀ Please let me know if there’s anything specific you want to learn about here. I’ll see what I can do!⠀ ⠀ ________________________________________________________⠀⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

IN THE MEDIA⠀ ⠀ Quite a few of the things I’ve got up to, over the years, have made their way in to the news. ⠀ ⠀ @huffpost have written about major trauma and stabbing - a lot of what we see in the NHS @kingscollegehospital ⠀ ⠀ @juliamacfarlaneabc accompanied us on what was my first charity trip to Gaza - you can see me looking really scared in her piece!⠀ ⠀ I’ve commented on new cosmetic surgery procedures, trends in surgery, strange stories, cosmetic surgery gone wrong, including tragic deaths that really should have been avoided. ⠀ ⠀ I’ve been interviewed live on the @bbcnews both to do with the Gaza work, as well as on the Victoria Derbyshire Programme (petrifying!)⠀ ⠀ My peers at the @thepmfajournal_nova recently interviewed me about my role as Plastic Surgery President @roysocmed ⠀ ⠀ And most recently (today!) I’m in @britishvogue discussing the increase I’ve seen, in demand for cosmetic surgery, in lockdown. ⠀ ⠀ Throughout all of this, I hope my message has been clear - please make sure you stay safe. For example, cosmetic surgery can be a dirty business, and there are some real cowboys out there. ⠀ ⠀ ________________________________________________________⠀⠀⠀⠀⠀⠀ #RealPlasticSurgery #naveencavale ⠀⠀ ________________________________________________________⠀⠀⠀⠀⠀⠀ 😷🙂😷________________________________________________________⠀⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. #London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

THE TIMELINE OF A CRAZY BUSY DAY, POST-LOCKDOWN⠀ ⠀ I’m a little tired. So this caption is going to be relatively short. ⠀ ⠀ Now back in my garden, sitting with my feet up, continuing to listen to the dodgy iTunes playlist we’ve all been listening to all day (something to offend everyone, there...).⠀ ⠀ As I’ve posted before, we are living in strange, interesting times, and today was a prime example of our new normal. ⠀ ⠀ A crazily busy operating list, all done brilliantly by the team here, in good time and as safely as we know how to best do.⠀ ⠀ Goodnight everyone. 🙂⠀ ________________________________________________________⠀⠀⠀⠀⠀⠀ #RealPlasticSurgery #naveencavale ⠀⠀ ________________________________________________________⠀⠀⠀⠀⠀⠀ 😷🙂😷________________________________________________________⠀⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. #London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________

ANY IDEAS? I CAN’T QUITE WORK IT OUT...⠀⠀ ⠀⠀ I’m seeing more new cosmetic surgery patients than ever, at the moment (both #VCons and #F2F)⠀ ⠀ And I’m operating on more patients than ever. Fully booked out until the Autumn - four cases today (had to open up extra operating days to meet the demand). ⠀ ⠀ I’m not expecting this to continue, once we start returning to ‘normal’ or the ‘new normal’ that everyone’s talking about.⠀ ⠀⠀ But, what I’d like to understand is: ⠀ ⠀ WHY NOW, FOR COSMETIC SURGERY?⠀ ⠀ Is it:⠀ ⠀ Money burning a hole in your pocket because you haven’t gone on your summer hols?⠀ ⠀ Time on your hands because you haven’t taken leave from work because you’ve not gone away?⠀ ⠀ Too much time working from home, more time to think about stuff?⠀ ⠀ Too much time staring at yourself on Zoom? (Requests for rhinoplasty is crazy!)⠀ ⠀ Had time to work out more, eat better, so you’re now after a bit of help from my scalpel, for stubborn areas?⠀ ⠀ Please, if you’re suddenly thinking about cosmetic surgery, or have any ideas about why, do let me know. I’m curious and would like to understand better. Thanks! 😊⠀⠀ ________________________________________________________⠀⠀⠀⠀⠀⠀ #RealPlasticSurgery #naveencavale ⠀⠀ ________________________________________________________⠀⠀⠀⠀⠀⠀ 😷🙂😷________________________________________________________⠀⠀⠀⠀⠀⠀ 📧 info@realplasticsurgery.co.uk⠀⠀ ☎️ +44 20 7751 4055⠀⠀ 🏥 120 Sloane St. #London⠀⠀ 🌍 www.realplasticsurgery.co.uk⠀⠀ ________________________________________________________