Another Use for Fillers

There are many different brands of fillers such as Juvederm (which we use at Reflect Clinic) and also each brand has arrange of fillers which have a thicker or thinner consistency depending on what area of the body or face is being filled. For example, Lip Fillers are usually * in consistency Fillers are brilliant in many ways and one of them is that they provide instant results so a patient can see immediately the difference it is making for example to enhancing their lips and giving them fuller lips which is the current trend for Instagram and other social media photographs.
Uses for Filler
Another use that we have found most recently is that the filler can be applied to BCG Scars for a vast improvement!
What is a BCG Injection?
BCG (stands for Bacille Calmette Guerin. BCG is a weakened version of a bacteria called Mycobacterium bovis which is closely related to Mycobacterium tuberculosis, the bacteria responsible for tuberculosis). It is usually given to babies and children in the United Kingdom to protect them against Tuberculosis, although it works for anyone under 35. In the United Kingdom babies and children are routinely vaccinated shortly after birth. Sometimes the trauma to the arm by the injection can result in a range of scarring from small circles, dimples or more infrequently a large “divot” in the arm. The patient in this before picture was 45 years old and had a really nice shoulder line which was spoiled to some degree by the large scar on one upper arm.  She was due to attend a host of Summer parties where lots of pictures would be taken and felt that the scar restricted her choice of clothing especially as bandeau tops were her favourite choice but she felt self-conscious of the scar and covered it with a range of scarves or cardigans over the years. Luckily, it is quite easy to improve this type of scarring and other benefits to this type of procedure is that it is quick, easy and shows immediate results! I was able to cover the area first with a numbing cream and waited 30 minutes before this took effect. I then released the scar by injecting 1ml of Juvederm filler into the area which firstly lifted the scar tissue (which had been tight and in place for 45 years!) and then gently add little by little until the “small valley” of scarring was plumped up until it gave a gentle and natural  looking curve to the arm to make it equal to her other arm.  The effects were impressive and took less than an hour for a problem of 45 years!
“I was so happy to be in the kind care of Mr Lambe who listened carefully to the problem and explained the options that were available to me.  I chose the filler procedure as it would produce a quick and cost effective solution so that I could be confident when having photos taken in my favourite style of dress without being self conscious of the big divet in my arm! I couldn’t believe that something that had annoyed me for years was very quickly filled in and I am so pleased with the result.  I cannot wait to go to the wedding and wear my strapless designer dress and look forward to seeing the photographs afterwards. Mr Lambe made me feel so much at ease I decided to have the procedure there and then but there was no pressure from him.  If you have anything similar then it’s such a simple and easy procedure that I would advise you to definitely just go ahead and have it done, life’s too short!”
We took the picture above 30 minutes after the filler had been applied, when the initial pinkness had subsided.  On touch the area was slightly harder than the surrounding skin but over the next week it settled down and felt the same as the surrounding area. Juvederm is our preferred brand of filler and it comes in a range of strengths and consistencies, depending on the area to be treated for example lips  and under eyes. With the Christmas party season on the horizon with lots of photos to be taken with friends and family, it’s worth thinking and planning now to improve any areas of your face and body so that you are not grimacing or avoiding having photos in what should otherwise be joyous occasions to be cherished with family and friends. Mr Lambe said
“The procedure above is slightly unusual but I was pleased to use the product in a new way and very pleased with the results for both the patient and myself!”
If you have an area of your body that you are self-conscious about, then please don’t hesitate to ring Jayne for an initial chat.  Mr Lambe can see you at your convenience when you have had a chance to think over your options.

Diet & Fitness Trends – The Alkaline Diet

Recently I went to a restaurant purporting the benefits of a certain diet which made me think about the recent trends for clean eating and alkaline diets.

I can only think that the perceived benefit of having an alkaline diet is working on the theory that food and drinks which are “acid” are bad for you, for example the recent press stories about acid being thrown in people’s faces and acid in the stomach causing Irritable Bowel Syndrome (IBS) and causing people discomfort and distress. “Acid” is now seen as being equal to “pain” in many peoples’ minds.

Recently, the alkaline diet is supported by many as a way of improving health and indeed possibly even fighting cancer. The proposition is that by eating certain foods, and avoiding processed foods, it is possible to shift the acid/alkali balance of the body and that this is beneficial for your health.

Unfortunately, anyone who has done basic biology will know that the acid/base balance of your body is very tightly controlled and for good reason! A change in your body’s pH balance is a marker of very serious illness. Our bodies work on the basic principle of maintaining a steady state, this is known as homeostasis. It is just as silly to state that eating or drinking warm liquids will raise your body temperature above 37° Celsius. Your temperature is another very good example of homeostasis and even though we may be in a hot or cold environment our body makes adjustments and our temperature stays at 37°Celsius as this is the optimum temperature for keeping us healthy. Your pH balance is the same. This does not mean that following a healthy diet of fresh, unprocessed foods and avoiding excess red meat and fatty foods does not have significant health benefits because it does.

However, we should not be fooled by these claims which are not backed up by science. Our stomachs produce a very strong acid (hydrochloric acid) and this will neutralise any alkaline foods as soon as they enter the stomach. Also if we have stomachs that produce such a powerful and concentrated acid, why is it that our bodies are not acid too?  Therefore, we can now see that it is not possible for us to shift our acid base balance (and that we should not want to) as it is a sign of illness and not health.

We should work towards a fresh, healthy, balanced diet which provides a range of vitamins especially vitamins A-E, minerals, carbohydrates and fats and not denying our bodies foods which will in turn ensure that our bodies crave the foods it has been denied ensuring a vicious circle of binge and purge.

All the studies on diet and health conclude that we should enjoy a healthy, balanced diet and exercise regularly which means around 20 minutes at least 3 times a week but if you can fit in more than that in an enjoyable way such as through a dance class, running or being in a team then the lifestyle change will do more in prolonging your life by making you a happier, healthier person who enjoys their food and because of a balanced diet and the raising of your heartbeat, then any excess calories enjoyed in cakes, sweets, potatoes and alcohol will be burned up and utilised by the body for energy and not stored as fat!


Healing Well after Cosmetic or Plastic Surgery

No matter what type of plastic surgery procedure you have; Breast Reduction, Breast Augmentation or a Tummy Tuck, the most important thing is that you are able to heal your wounds. Your body is a truly amazing machine in that it is able to carry out such a complex process as healing it’s own cuts in most cases in only 10 days!

Patients sometimes ask if there is anything they can do to help the healing process and that is what this article is about. In general, wound healing depends on you being in good health and well nourished but there are some other important factors.

Do NOT Smoke

The worst enemy of wound healing is probably smoking and nearly all Plastic Surgeons will not operate on heavy smokers as it has such a drastic effect on wound healing. Smoking prevents effective healing by causing the tiny blood vessels next to the wound to narrow. All wounds require a good blood supply to heal and that is why certain areas like the face tend to heal very well whereas areas such as the sole of the foot do a lot worse.

Other Illnesses

Other important factors include any pre-existing illnesses such as diabetes or autoimmune diseases like rheumatoid arthritis. Medications like immune suppressants, sometimes used in arthritis treatment can have negative effects on wound healing too.


Wounds that are under tension also do less well and this can sometimes be down to the skills of the Surgeon but patient factors play a role too. Trying to squeeze in very high volume implant during a Breast Augmentation and performing a skin tightening Breast Lift (Mastopexy) at the same time will put wounds under more tension and can lead to serious wound healing problems.

Follow Post Op Instructions

During your rehabilitation it is important to follow the guidance from your Surgeon. Mobilising after surgery will help to prevent complications such as blood clots but overdoing it can cause problems with healing and so always ask your Surgeon’s advice especially when it comes to returning to vigorous exercise after any cosmetic surgery operation.

Your Diet

Diet can also  help with healing and in general a well balanced diet with plenty of fresh fruit and vegetables will provide all essential vitamins and minerals required for healthy wound healing,  but foods that are rich in Vitamin A, C, E, iron and zinc may be particularly helpful. Such foods include sweet potatoes, carrots, dark leafy green vegetables, red meat and poultry.

In general. most patients who undergo cosmetic surgery procedures are in good health and eat well, so wound healing complications are infrequent and tend to be minor. Most wounds if kept clean and free from infection will heal in a few weeks. Areas that are more prone to slow healing are the T junction region on Breast Reduction patients and the mid point of Abdominoplasty scars. Breast Augmentation operations usually produce well concealed scars and rarely have any wound healing issues. This is another reason why Breast Augmentations are so popular today as the results are great and the risks are low.

Skin Care Success

There is no doubt that healthy, glowing blemish free skin is something most people desire in order to look and feel their best, but most of us as adults do not have baby soft skin and this is down to a number of factors:-


There is undoubtedly a genetic element to good skin and some people will fare better than others through the years, this is one element of skin care that is out of our control.


However, if we want to know what we can do to keep our skin at its best. The biggest enemies of your skin are probably smoking and sun damage, and let’s face it, these are two things that we can control. Heavy smokers damage their skin by reducing the oxygen supply to their biggest organ thereby depleting collagen and constant pursing of the lips to inhale on a cigarette gives us fine lines around the mouth.

Sun Damage

The sun will also dry the skin, cause damage to your DNA (the repairing and protein synthesis mechanism) and collagen and prolonged exposure can give rise to pre-malignant changes in the skin that may not manifest themselves till some year later. This may show itself as brown spots, lesions and may result in skin cancer.

So what can we do other than avoiding smoking and using a good quality sunscreen?


A good quality moisturiser will help to keep the skin in good shape and prevent it drying out.  If it comes with a sunscreen (marked as SPF on the container, usually SPF15, which stands for Sun Protection Factor) then you are getting two for the price of one.

Diet and Exercise

healthy diet and exercise will also help ensure, via the blood supply, that oxygen and nutrients are at their highest and these two things are essential for skin to thrive.

Drinking Water
Unfortunately there is no real evidence to back up the theory that drinking water (and how much) is good for the skin, but some effect has been measured through the assessment of skin ‘turgor’. This is a measurement of how fast it takes the skin to return to ‘normal’ if you pinch some skin and lift it up. If you are dehydrated, your skin will take longer to get its shape back. A good measure of what amount to drink is if you are thirsty to drink!
Other Treatments

What about lasers, vampire lifts, peels etc? It can be a confusing world now with so many different terminologies and branded treatments and trying to determine what works and what doesn’t can be difficult. I will therefore try and break the treatments down into what they are trying to do and explain how they work or maybe don’t work.

A number of treatments work by removing the top layer of the skin (epidermis).  This can be done with Lasers, Chemicals or by mechanical means and this just aims to remove the dead cells on the surface and then stimulate the lower layers to start work making new healthy cells. The important aspect of these treatments is that the skin can be different thicknesses in different areas of the face and so the depth of treatment must be very carefully controlled in order to prevent problems with scarring or loss of pigmentation so it can be wise to have a test patch before proceeding.

Vampire Lift

The vampire lift is a treatment that is not in favour with Plastic Surgeons as there is very little evidence of it’s effectiveness. It involves drawing blood from you and then extracting platelets (tiny cells involved in clotting). This are then injected back under the skin. The science is rather poor but it does receive good reviews on

Micro Needling

Other procedures involve controlled injury to the skin through micro needling in order to stimulate blood supply and repair. These treatments can involve a short downtime and will produce a temporary effect from swelling but the evidence for long term benefit is not yet available.

Celebrity Plastic Surgery

In today’s society it seems that we are all under increasing pressure to look youthful and not age gracefully. Much of this is pressure from the media, including Social media such as Instagram, which was blamed most recently by newspapers, magazines and TV which had themselves been blamed for objectifying women’s bodies in the past!

Teenagers these days are said to have problems with their body images which is exacerbated by airbrushed images in advertisements or on the News and is in part driven by celebrities who look good in their advancing years but perhaps deny having had any help from a Plastic Surgeon!

There are good and bad examples of those in the Celebrity world who have had plastic surgery procedures and some names that immediately spring to mind are Michael Jackson who clearly underwent several nose reshapings (Rhinoplasty). By looking at a series of images over time (and after incremental surgeries) everyone will have an opinion on when he should have stopped having procedures. 

There are many celebrities these days who are very open about the fact that they have had cosmetic surgery, people like Joan Rivers and Sharon Osbourne have been very frank about their cosmetic surgery experiences and many people admire the transformation in Sharon Osbourne who is back on TV in the latest series of X Factor and despite being 64 years of age is looking amazing (for her age, or indeed any age!)

Sharon has been open about having a neck lift and two face lifts as well as operations on her arms (called a Brachipoplasty) as she lost a considerable amount of weight at one point and often the loose skin that results from this can only be removed by surgery. She has also admitted to having a Tummy Tuck (Abdominoplasty) amongst other cosmetic surgery. In fact she said

“There’s not much I haven’t had tweaked, stretched, peeled, lasered, veneered, enhanced or removed altogether.  I don’t think I’m as bad as some women – like Jocelyn “Bride of Wildenstein” according to The Mail Online.

Looking at images from her on TV over the years it is clear that the shape of her face has changed through a combination of face lifts and neck lifts with the judicious use of fat transfer to improve the volume in areas that had lost fullness. This is the way she has achieved such good results as the philosophy in Plastic surgery has changed. We now better understand that ageing changes are driven by descent and deflation of facial tissues and so a correcting procedure involves both lifting the tissues and replacing volume to create the most natural end result.

Celebrities should not be the driver for anyone to undergo surgery, however, if you do want to go ahead, then please be aware that having a General Anaesthetic or Local Anaesthetic is s big decision as well as having the surgery itself and before embarking on any such intervention it is very important to have a full consultation with a fully trained Surgeon who can inform you of all the potential risks and benefits as well as the likely down time before you can return to your normal life.

A good Surgeon will always give you time to think things over, ask as many questions as you need to know the answers for and provide you with full information sheets and perhaps include some Frequently Asked Question sheets (eg FAQs) which are available by clicking the FAQ box which appears on each of our Procedure pages .

It can also be helpful to provide them with pictures of you when your were younger in order for them to plan the correct combination of lifting and volume replacement to give you the most natural end result. In this way you can restore yourself, the way you used to look and how you would like to look again!

Research Before Your Breast Surgery Consultation

As a Patient we always recommend you do your research thoroughly before embarking on any surgery so we thought we would share with you some of the routes to finding out what you need to know:-
  1. Am I a suitable patient?

  2. What look am I hoping to achieve?

  3. What are my concerns?

  4. What results can I expect?

  5. Have I picked the right Surgeon?

  6. What is the recovery time?

  7. What should I ask at my Consultation?

  8. What is the cost of my surgery?

1) Am I a suitable patient?

Generally speaking, you are a suitable Cosmetic Surgery patient if you are in good health, are a non-smoker and are NOT overweight. If you have any particular conditions or are on any medication(s), then this should be discussed thoroughly at your Consultation to ensure you have the best care for YOU.

2) What am I hoping to achieve?

If you can be clear in your mind for eg do you want your breasts to be simply bigger or do you think they should be higher? (This would mean including a Breast Uplift). You could look at pictures of other people and bring in one or more (as they say a picture says a thousand words) so that you and your Surgeon are clear on what you would like to achieve, bearing in mind your own particular body before cosmetic surgery.

3) What are my concerns?

We all have thoughts going around in our head, some that repeat continually but are sometimes difficult to speak about.  If you really want surgery, but are concerned about, for example, the time in the operating theatre or recovery time before a big event, then you should write down all your questions beforehand and ask them all during your time with Mr Lambe. If you write them down it is more likely that you will remember to ask them when you are discussing your body and how you wish to improve it as it can be out of your comfort zone, especially if you are not used to discussing  a body part that bothers you or showing that particular area to anyone. You should also write down the answers so that you can look back and consider them carefully to give yourself plenty of time to make your decision once your questions have been answered. Good Surgeons and reputable companies will NOT put pressure on you to make a decision quickly so please bear this in mind.  Any time pressure put on you to book surgery or commit to any offers in a limited time frame should be seen as a RED FLAG and you should NOT HAVE SURGERY with them as they are driven by profits and not by care of the patient ie YOU.

4) What results can I expect?

You may be thinking about cosmetic surgery from looking at pictures in the newspapers, magazines or on TV, or your friends and family may have had the surgery you want and you like the results. Either way, in the first instance it’s always good to ask your friend or family member lots of questions about what they had before and for example in breast surgery, what implant size and shape they had. They may even show you some before and after pictures and some women are so happy with their breasts that they show them at every opportunity so you can see first hand the results you could achieve. However, you are likely to be another size and shape to your friend, therefore it makes sense that you would need another size and shape of implant to achieve similar results. For this reason, we use Crisalix 3D Virtual Reality software so that you can be scanned and see yourself with a host of implant possibilities such as size and shape.  This is the best indicator in Virtual Reality of how YOU could look after surgery and is included in your breast surgery consultation. You can also take the images away with you to think over it and discuss what looks best with your friends and family. If there are some questions they cannot answer then there are a number of cosmetic surgery forums where you can ask questions and see pictures of other patients who have had a whole host of cosmetic surgery procedures.  Click here to see a full list of procedures.

5) Have I picked the right Surgeon?

Some cosmetic surgery companies employ large numbers of surgeons or practitioners to carry out their surgeries so the person you see for your initial consultation will probably not be the same person who is carrying out your surgery and will probably not be the same person you see for your after care. At Reflect Clinic, Mr Lambe will speak with you personally at your Consultation (or Consultations) and you can ask him your questions personally and in confidence.  He will listen to your concerns and offer you his advice based on over 20 year’s experience working for the NHS and privately. He will give you an honest and understandable appraisal of what you have and how you can achieve the look you want. Click here to see Mr Gerard Lambe’s Reviews. We are also on Facebook, Twitter and Instagram. All reputable surgeons are members of BAAPS, who promote excellence and best practise in Aesthetic Surgery with their Be Safe, Be Sure campaign.   It is made up of more than 300 Member surgeons who follow a code of practice and ethics to improve overall safety standards, and to enhance the education of the public about aesthetic cosmetic surgery, and in particular the benefits and risks of different procedures. BAPRAS is another organisation which is the “voice of plastic surgery in the UK”, whose aim is to raise awareness of the breadth of plastic surgery, to promote innovation in teaching, learning and research and to increase overall understanding of the profession” with their Think Over Before You Make Over campaign.

6) What is the recovery time?

Please give yourself enough recovery time by booking time off work and/or carrying out roles which are less physically demanding on your return to work. Make arrangements with friends and family to not only look after you but to take on some of your responsibilities for a while such as picking the children up from school, dropping them off at clubs or entertaining them depending on their age, of course. If you have a specific occasion such as a Wedding or Holiday for which you want to look your best and hence the reason for your surgery, then please give yourself weeks to recover and so that your have optimum results for photos or videos.  This will also reduce stress on yourself if your timeline is too strict and will not help in your recovery process. You need to be calm, relaxed and have lots of TLC and support from friends and family. Please discuss specific recovery times for you and your particular operation at your Consultation.

7)  What should I ask at my Consultation?

As a first step you should ask friends, family, read up via the internet or magazines, or ask specific questions via a cosmetic surgery forum.  These are for your general questions such as “How long does the operation take?” Our website has a range of FAQs for each procedure so please look on the procedure first then click on the FAQs for that page eg Mummy Makeover. Once this first step has been completed, you may also have more detailed questions that you would like answered and there will also be questions which are specific to you such as “What position is best for my nipples?”

8) What is the cost of my surgery?

We are frequently asked for a price for cosmetic surgery such as Breast Augmentations (or Boob Jobs), however, it is very difficult to give a price over the telephone for a lady before she has been seen personally. As you can imagine, our patients are all unique and breasts come in so many different shapes and sizes with many variables such as body frame, skin elasticity, nipple size, nipple position, symmetry, asymmetry, volume of breast tissue, rib cage size, fat available etc etc and their needs and wishes are all completely different. However, as a guideline, prices are

Breast Augmentation                   £4,500-£6,000 Breast Reduction                           £5,500-£7,500 Breast Uplift                                    £5,000-£6,500 Implant Exchange                         £4,000-£5,500

If you have any more questions, or would like to book a Consultation, please call Jayne on 0161 393 3993 during office hours who will be happy to talk with you. You can also reach us out of office hours via our Contact page. We look forward to hearing from you!

Tummy Tucks in Cheshire

Many ladies find that after completing their family they have loose skin and fat in the lower abdomen that can be very resistant to both diet and exercise. If this excess is significant, then an Abdominoplasty is sometimes the only way to achieve a full correction of this problem.

An Abdominoplasty is an operation to remove excess skin and fat from the lower tummy area and at the same time the underlying muscles can be tightened to give you an improved waistline. Ideally you will be at the optimal weight that you wish to be post op, a non-smoker and have completed your family. It is best to have completed your family as further pregnancy can undo the good work.

A full Abdominoplasty involves a well-tailored incision to fit within your underwear or swimwear. The skin is lifted up to the rib cage after carefully freeing the belly button (umbilicus). The muscles are then tightened using a strong stitch and this really helps to shape the waist.  The wound is then closed with dissolving stitches.

I do not use any drains as I preserve a layer under the skin that helps prevent fluid (seroma) collection. The operation requires an overnight stay but after that you can go home and I encourage you to start mobilising early and gently to prevent the risk of possible blood clots. I will then review you 10-14 days later to check that the wound is healing and then again at 6-8 weeks post op. It is advisable to lift only light loads for the first 12 weeks after surgery as heavy lifting can disrupt the repair of the muscles.

There are variations on the operation known such as an Apronectomy or Mini Abdominoplasty. An Apronectomy is only for ladies who have high BMI and have a large overhang of skin and fat. It is not safe to lift the skin in these patients and so the umbilicus is not moved.

A Mini Abdominoplasty is for patients who have only a small excess of fat below the tummy button. These patients can have a smaller incision and do not require the umbilicus to be moved but also cannot have the tightening of the muscles.

A further variation is known as a Fleur de Lys and is named after the pattern of skin excision. This uses a long vertical scar as well and is usually for patients who have lots of excess skin after a massive weight loss. It is very important to have your Surgeon assess you in detail to advise you of the correct operation to achieve your goals.

It is popular to supplement an Abdominoplasty with areas of Liposuction to further tailor the result. Liposuction can be used to improve the flank area or sometime your inner and outer thighs. The benefits of this include a saving in operating and recovery times.  There is only one General Anaesthetic (GA) needed and one downtime rather than having cumulative and separate procedures.

An Abdominoplasty can also be part of a package of procedures known as a Mummy Makeover. This frequently involves Abdominoplasty plus Breast surgery such as a Breast Augmentation, Breast Reduction or Breast Uplift (sometimes known as a Mastopexy) to achieve an overall harmonious effect.

Here’s an example of just one of our Patient Testimonials


Mr Lambe and his Secretary Jayne, along with the New Spire Manchester Hospital make up THE NEW DREAM TEAM in Cosmetic Procedures in my opinion. I recently had Surgery under their care and all aspects were exceptional.

The results were amazing, the pain levels for me were so minimal I did not even finish a packet of paracetamol. Mr Lambe’s quiet, calm manner leaves you feeling completely at ease, he explains what he can achieve and is very realistic. Lots and lots of literature from all concerned which is always good. I had an underlying health condition, he understood this and guided me through. He made the whole process appear effortless, it was like dealing with a good friend. I am so glad I chose this Consultant, it is very difficult to decide who to use as it’s a major event in your life and not something to be taken lightly.  I am so glad I made the decision to do this after such a long time thinking about it, I still think I am dreaming. 5 stars to Mr Lambe and his great team.

5 out of 5 stars Overall rating
Another patient Nic from Cheadle Hulme has said
I had dreamed of a tummy tuck for a really long time.  After having 3 children I hated the way my tummy hung.
I’m so glad I decided to go ahead and have the procedure. I am thrilled with my results. I can’t praise my Surgeon Mr Lambe enough. He gave me realistic expectations and my procedure and recovery have been excellent!
We are delighted to have provided an exceptional service and helped these patients and many more like them to achieve the tummy they all wished for!
If you are thinking of having a Tummy Tuck, or know someone who hates her tummy post children or after a large amount of weight loss, then please do your research thoroughly on both the operation, it’s pros and cons and what you are hoping to achieve such as looking good is your bikini again or simply to wear fitted clothes without a “muffin top” or “roll” spoiling the line of your clothes.
Thorough research includes checking that your Surgeon is registered with the GMC (General Medical Council) and will their own unique reference number, they should be fully registered on the BAAPS (British Association of Aesthetic Plastic Surgeons and BAPRAS (British Association of Plastic, Reconstructive and Aesthetic Surgeons websites.  These memberships ensure that the Surgeon is fully trained to practise medically and surgically in the United Kingdom.
If you would like to know more about Mr Lambe and how he could help you achieve your body goals then please call Jayne on 0161 393 3993 during office hours or simply click here for our Contact Us page.

Mummy Makeovers in Manchester Month

Judging by the title it’s been an MMM month here at Reflect Clinic! We’ve had our editorial published in The Cheshire Magazine and having gone into Manchester City Centre to have a meeting, we came across the July 2017 issue of The Cheshire Magazine featuring yours truly! It’s great to know that it is so widely distributed and read around Greater Manchester as well as around Cheshire! As the Summer months have approached we’ve seen an increase in patients asking us about Mummy Makeovers, Breast Surgeries including Breast Augmentations, Breast Reductions, Breast Uplifts and also for Tummy Tucks.   To reassure our potential patients, I thought I would include some fabulous reviews that we have been gathering from our Facebook page and also which is an international women’s forum where breast surgery is discussed in detail with patients who have had breast surgery or are thinking about it and gives patients a useful forum to ask questions and gain some detailed answers which help them decide on questions such as which surgery to have, which Surgeon to choose, which implants to use and what shape and size.
Having hankered after a cleavage for years, I finally bite the bullet and went for it. Should have done it years ago.  It wasn’t scary at all.  I can honestly say I didn’t have any pain after the surgery.  Discomfort yes, but not pain.  I was pretty evangelical about the post operative instructions I was given though so perhaps that helped. Now six weeks later, I feel great.  The boobs look fantastic. So if you’re considering it, go and talk to a Professional and then go for it! Mr Lambe is considerate, compassionate, a good listener and an all round nice guy. Five Star ***** Overall Rating Five Star ***** Doctor’s Bedside Manner Five Star ***** Answered my questions Five Star ***** Aftercare folow up Five Star ***** Time Spent with me Five Star ***** Phone or Email responsiveness Five Star ***** Staff professionalism & courtsey Five Star ***** Payment process
Five Star ***** Wait times Sue, Frodsham
  Our patients rave about the Crisalix 3D Virtual Reality Visors. We scan your body so you can see yourself in Virtual Reality and then you can use our Samsung visors to see yourself in a range of outfits from bikinis to dresses as you would appear if you had your implants in, as well as being able to increase and decrease the size of your breasts in Virtual Reality you can see the effect of both round and tear drop implants and vary the volume in your implants so that you can see clearly from the left side, the right side and crucially looking downwards as if you were looking at your own cleavage.  This really helps patients choose the look they want and show it clearly to Mr Lambe so that he can replicate your desired “look”.  Patients really appreciate the fact that it takes away the guess work of deciding which implant size to go for, so they feel more relaxed before going into surgery. Another Breast Surgery patient said
I saw Mr Lambe giving a talk at Spire Hospital and he impressed me so much with his general demeanour and sincerity that I immediately thought if I’m going to have a surgery I want him to do it. I then saw him on 3 occasions before deciding to go ahead. He was not a bit pushy, he answered all my questions and was patient when I had a bit of a ‘meltdown’. I also spoke to his secretary, Jayne, on a number of occasions, she is so understanding and easy to talk to. I was very apprehensive on the day of surgery, Mr Lambe came to see me beforehand as did the Anaesthetist, what a lovely man also. When I saw myself after I looked down and said ‘WOW’! That looks so good ! I am 4 weeks post op and back at the gym, all is good. I would highly recommend Mr Lambe and his team to anyone thinking of surgery. From initial consultation, surgery and after care he has been so professional and reassuring and has this calmness about him that makes you feel comfortable and confident in him. Thank you Mr Lambe, I think I now look pretty amazing, even if I do say so myself! There is a saying ‘You can’t make a silk purse out of a sow’s ear’ Well….Mr Lambe can!!
A Tummy Tuck patient took the time out of her busy day to tell us this

Mr Lambe and his Secretary Jayne along with the New Spire Manchester make up the new dream team in Cosmetic Procedures in my opinion. I recently had Surgery under their care and all aspects were exceptional. The results were amazing, the pain levels for me were so minimal I did not even finish a packet of paracetamol. Mr Lambes quiet, calm manner leaves you feeling completely at ease, he explains what he can achieve and is very realistic. Lots and lots of literature from all concerned which is always good. I had an underlying health condition, he understood this and guided me through. He made the whole process appear effortless, it was like dealing with a good friend. I am so glad I chose this Consultant, it is very difficult to decide who to use as its a major event in your life and not something to be taken lightly. I am so glad I made the decision to do this after such a long time thinking about it, I still think I am dreaming. 5 stars to Mr Lambe and his great team.

5 Stars ***** Overall rating
Jackie, Northwich
For the full listing of our 5 STAR Reviews, at Real click here. As always, please conduct thorough research about your surgery, your Surgeon and any questions you may have before going ahead with any Consultation or cosmetic surgery.  A good surgeon will answer your questions fully, in an understandable way and supply you with information sheets such as FAQs so that you have the full range of information at your fingertips before making a final decision.  If you would like any more details of any specific surgery then click here Breast Augmentation Breast Reduction Breast uplift Tummy Tuck Mummy Makeover You should not feel pressured in any way. If you would like to discuss your surgery, then please call Jayne initially on 01613933993 to discuss your needs and/or make an appointment to see Mr Lambe at either The Christie Private Hospital, Spire Cheshire or Spire Manchester Hospitals. We look forward to hearing from you soon!

Are you waiting to have Breast Surgery?

  We have had so many reviews recently from patients who have waited, sometimes for many years, before having the confidence to come and have a consultation for either a Breast Augmentation (sometimes known as a Boob Job) or a Breast Reduction.
I have wanted to have a breast reduction for half of my life now but never had the confidence to actually go ahead with it. I came close around 8 years ago but didn’t go ahead with it. Now, having done it (finally!), I can honestly say it’s one of the best decisions I’ve ever made in my life. I only wish I done it sooner!!
A Breast Augmentation operation is a big decision and one that many ladies mull over for some time.  There is now so much information available on the internet that it can become quite overwhelming to decide what is right for you.
Throughout the whole experience of my breast reduction he and his team, especially Jayne, were absolutely amazing. Right from the word go I knew Mr Lambe was the person I wanted to perform my surgery (and I saw 5 other surgeons as well!). Mr Lambe answered every single question I had beforehand (and he will tell you himself that there was an awful lot of them!). He was patient and kind and made me feel totally comfortable and at ease. There was no pressure whatsoever, I just honestly felt that Mr Lambe wanted me to make the right decision for myself.
I’m always looking for new ways in which to help patients make the right choice for them about breast surgery and to give them the best idea of just how they will look after a procedure.  That is why for the last 18 months I have been using Crisalix 3D Virtual Reality software to help my patients make the right decision about how to progress with their Breast Augmentation surgery. This software uses a small lens  attached to an ipad to take an accurate dimensional scan of your body and it only takes about 3 minutes if you are a victim of this fast paced world and short on time!  This image can then be used to simulate how different breast implants will look on you. The best part of these images is that they can be viewed in Virtual Reality using a phone and a Virtual Reality (VR) headset. This then allows you to look down and see your new cleavage as it would look using different sized and shaped implants. It  is possible to simulate both round and shaped implants as well as how they will both look under and over the muscle.  The full catalogue of implants can be selected to really hone in on the exact result you want tot achieve.  The images can be shared with you via a secure email address so that you can view a shortlist of implants at home and can then discuss your options with your friends, partner or family. This takes away the element of guesswork in deciding which size and shape will look best on YOUR BODY. Another fantastic advantage is that you can also “try on” a range of swimwear in Virtual Reality to see how your chosen implants will look on the beach or by the pool. You can also “try on” a range of clothes, again in Virtual Reality, which will allow you to see yourself as you would look after breast surgery, clothed in a choice of dresses which would give you an idea of the cleavage and body shape you could expect. I always recommend a second consultation before any cosmetic procedure.  This allows you the time to reflect on your decision, hence our Company name, Reflect Clinic, with no pressure and in the comfort of your own home or wherever you have the time and space to review the results that are possible and how you wish to proceed.  It also allows you time to think of any questions you may have regarding recovery, complications or an issue that is personal to you. A Breast Augmentation requires you to be asleep for approximately one hour and can often be done as a day case ie no overnight stay or packing is required.  I recommend that you wear a sports bra in the post operative period until your incisions are fully healed.  This is normally just 5-6cm long and is positioned in the crease of your breast and is closed up with dissolving stitches so that no drain or stitch removal for both convenience and to reduce a further visit to the hospital, leaving you to rest up, relax and help you towards a smooth recovery.  If you have a sedentary job, where you mostly sit listening or perhaps at a Computer, you can usually return to normal office work in 2 days (48 hours) and only perform light exercise in those two weeks. There have been a number of media stories about concerns regarding breast implants and it is important to know which manufacturer your Surgeon uses.  I always use implants from reputable companies as they provide a warranty with the implant which covers you and me should the implant fail.  Fortunately this is now very unusual in the age of modern implant shell technology. It is important to remember that cosmetic surgery is a BIG DECISION and therefore you should ALWAYS TAKE YOUR TIME to think it over and at Reflect you will not feel at all pressured into making a quick decision. There really is no harm in weighing up the pros and cons of surgery for yourself or simply to find out the facts before you go ahead.
As I write this I am 2 weeks post surgery and I am incredibly happy with the results, even this early on. From day one I could see that the size and shape were fantastic and as the swelling has reduced each week I feel that even more. I now feel in proportion to my own body and I’m excited to get bra’s, bikinis and clothes that I’ve never been able to wear before. I have always had terrible ridges on my shoulders from my bras and in the past few years have been having physio for neck and back pain. I have not taken any of my neck pain / nerve blocker tablets since the operation and my shoulders are now smooth and flat…..two more huge plus points! Thank you Mr Lambe… life has been changed!!
For more information about Mr Lambe, Breast Augmentations or 3D Virtual Reality Breast Augmentation Consultations, please call Jayne on 0161 393 3993 or click here for our contact us page.  

Why I became a Plastic Surgeon in Manchester

The popular image of plastic surgery, as shown on the overload of extreme makeover shows on TV at the moment, is of a wealthy Cosmetic Surgeon who mainly spends their days performing Facelifts and Breast Augmentations. This is not, however, the real picture of many working Surgeons in the UK and definitely not what attracted me to the speciality in the first place. Plastic Surgery is a very difficult specialty to gain entry to and requires a long period of training.

I first became inspired to pursue this career after a talk from a group of Plastic Surgeons while I was in medical school. They showed us the breadth and variety of surgery they did and what I considered to be miracles such as reattaching fingers and saving people from life threatening burns.

There simply is no other branch of surgery that tackles the vast array of problems and body regions that plastic surgeons do. I have been privileged to operate on all ages from a new-born to a 96 year old. I have been able to perform surgery in all areas of the body;  hands, faces, breasts, chest walls, feet and everything in between.

Plastic Surgeons are often called upon to deal with the most challenging problems that other surgeons cannot solve. This can make for both very interesting and very stressful days. However, it is rarely boring and always calls upon using your brains to think of creative solutions and not just perform the same operation day after day. It is because of this training and constant self-criticism and desire to improve patient’s lives that Plastic Surgeons make the best Cosmetic Surgeons in my mind.

I am proud to be part of a specialty that has led the way in frontiers such as face transplants and hand transplants and continues to look at ways that surgery can develop and innovate in order to solve the most difficult surgical problems and benefitting patients’ bodies and minds and ultimately vastly improve their quality of life.

Plastic Surgery is about restoring the form and function of the body and not just allowing patients to survive but providing and restoring a real quality of life and self-confidence to patients who have been injured through a trauma such as a fire or who are born with a deformity or through radical cancer surgery require a reconstruction eg a breast mastopexy. It is a real honour to be part of it and a challenge every day to live up to the high standards set by the pioneers of the discipline. I have been fortunate enough to travel the world and train with truly inspiring figures who have pushed me to my limits and beyond. The title of Plastic Surgeon is hard to earn but it is worth it if you love surgery.

Cosmetic surgery is just one facet to our work but it is a very demanding one in which we are required to call upon all of our training and skills to achieve rejuvenation and harmonious changes in a patient to look naturally beautiful and to achieve their aesthetic goals.

If you are considering a cosmetic procedure, make ensure that your research the operation, the hospital and your surgeon thoroughly before booking an appointment and to come with some questions and pictures of the look you are trying to achieve so that you and your surgeon can achieve the best results for YOU.  Ensure they are registered with BAAPS or BAPRAS who are the professional bodies in the UK that ensure surgeons keep to the highest standards.

Do not be pressured into any procedure.

And enjoy your cosmetic surgery journey!

Mr Gerard Lambe  MD, FRCS (Plast)

Consultant Plastic and Reconstructive Breast Surgeon