Upper eyelid surgery under local anaesthetic – a patient’s blog DAY 7

Final result photos added

Ms Angelica Kavouni Cosmetic Plastic Surgeon


I’m almost there! Still have a lot of swelling but the bruising has almost gone. Stitches came out today and I’m ready to rock!

SOOOOOOO pleased, thank you Angelica!

As I mentioned before, it’s very strange as my eyes feel so less tired and ‘lighter’ than they didpriorto surgery. Once I have them, I’ll post my before and after photos.

Here’s to a much brighter Xmas!


MUCH LATER (several years actuallyyy!!!) I was revisiting my blog and realised I hadn’t posted my final photos! Here they are (needless to say I’m one very happy pup!) Angelica, you’re my superstar!

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Dramatic and see-saw weight losses can result in body image crises says UK’s leading female plastic surgeon Ms Angelica Kavouni

A growing trend towards healthy lifestyle sees huge numbers of us increasing exercise and improving our nutrition, which in turn incurs (often) welcome weight losses.  Much has been documented re the importance of maintaining a healthy *BMI and it’s great that the message is getting through.  There is a tragic irony however – the +ve feelings caused by achieving target weight reduction can be severely offset by the -ve experience of having to face residual loose, flabby skin (most commonly around the stomach, breasts and upper arms).

Fad diets followed by binge eating are habits that many of us develop over our adult life and can result in large weight fluctuations.  Youthful skin is generally able to bounce back thanks to high levels of collagen but as middle age looms skin can be left literally hanging.

  Patients who come to me for help generally ask for help to fix flabby arms, belly and sagging empty breasts.  Before any surgery can be considered patients must be in good health and within a healthy BMI. Sometimes professional psychological and dietetic support is needed if they experience serial weight loss/weight gain issues.

Ways to help reduce excessive loose skin during weight loss:

  • Try to avoid fast, dramatic weight losses
  • Once achieved try to maintain your target weight instead of yo-yo’ing
  • Try to build muscle which can help to support the skin
  • Sometimes a surgical support garment can help to contour the stomach area
  • Include collagen boosting foods in your diet such as leafy greens and citrus, Omega-3 rich fish and grass fed meat
  • Be careful in the sun – wear factor 20+ sunscreen when exposed

Of course surgery can help remove excess skin but it comes at a price which is scarring. Scarring can be extensive: under the forearm (brachioplasty ), across the bikini line (abdominoplasty) and also around the breasts (mastopexy). It’s essential for thorough pre operative consultations to ensure patients fully understand. Many go ahead regardless as they’re tired of covering up and want to show off their toned, post weight loss bodies.

The overall message needs to be to try to avoid excessive weight gain in the first place – something which is easier said than done. Yes, surgery can fix most issues but it is not the answer for all woes. Scarring, cost, protracted recoveries and future potential weight gains and losses all need to be given serious thought.



*BMI: The body mass index (BMI) is a measure that uses your height and weight to work out if your weight is healthy. The BMI calculation divides an adult’s weight in kilograms by their height in metres squared. For example, A BMI of 25 means 25kg/m2.

Posted in Abdominoplasty, Angelica Kavouni, Bikini ready, Breast uplift, Cosmetic Plastic Surgery, Female plastic surgeon, Mastopexy, Ms Angelica Kavouni, plastic surgery, Tummy tuck, Weight loss | Tagged , , , , , , , , , , | Leave a comment

Image obsessed culture: Instagram is a major influencer of the young psyche suggests The Times…a blog by leading plastic surgeon, Ms Angelica Kavouni

Distorted reflection of a woman No-one could have foreseen the cultural tsunami caused by Instagram, especially the psychological effects felt by the young and emotionally immature.   It’s a sad time for my profession as this industry that I love profoundly lacks legislation, checks and balances, which has led unscrupulous service providers to manipulate society’s most vulnerable – the young.

The Times put Instagram to the test by setting up an account under the guise of a 13year old girl. As ‘she’ followed certain influencers and realty TV stars, unsolicited pop-up posts showing before and after shots of rhinoplasty, a young women having facial fillers and another offering trial lip fillers.

This is obviously a widespread issue transcending borders and cultures and in my opinion, is a scandal in the making.  Practitioners need to take a long look in the mirror and examine their practices. Sadly there will always be someone out there willing to inject for a price, regardless of whether it’s ‘right or wrong’.

When is an acceptable age to have facial fillers?  Not an easy question to answer as its very subjective, and can depend a great deal on the individual context.  Kylie Jenner recently reversed her inflated lips and I can only hope that others in the limelight follow her example – let’s get our young girls back to looking normal!

Posted in Aesthetic anti-ageing, Angelica Kavouni, Body Dysmorphic Disorder, Cosmetic Plastic Surgery, Female plastic surgeon, Fillers, Kim Kardashian, Ms Angelica Kavouni | Tagged , , , , , , , , | Leave a comment

Men want it too! Angelica’s Career Facelift®, goes gender-neutral in the face of extra demand

man-wrinkles-before-and-after-picture-id918073280   No longer the domain of women – increasing numbers of men also seek to look their natural best for as long as they can…reasons are many but tend to relate to workplace pressures  

We all worry about the ‘new kid on the block’ at work and being left behind in the promotional stakes.  This compounded by the blurring of retirement age can leave us feeling very vulnerable in the workplace.

Angelica has tempered her signature Career Facelift® to enable both men and women options to turn back time and feel happier with the ageing process

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Angelica: “Patients – both male and female – don’t ask to look 20 but instead want to look less tired and worn out, more refreshed and youthful and perhaps 5-10 years younger!”

She continues: “It’s an exciting time to be a plastic surgeon, as modern aesthetic techniques are constantly improving, offering us more scope to help patients turn their backs on the ageing process without major surgical intervention.  Personally, I offer combination therapies as there is no one treatment that can give natural looking results. During consultation options and expectations are discussed and treatments adjusted accordingly.”

Angelica’s Career Facelift®’s 3 X R approach:

Replace – facial volume usually with Hyaluronic Acid fillers

Resurface – fractional laser, chemical peels etc

Reconstruct – 60 minute local anaesthetic facelift, Puppet facelift, jaw defining semi-permanent fillers etc

Call 020 7486 9040 for more information


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Mediterranean diet lowers skin age and helps to keep weight in check (no great surprise says London based – and Greek – plastic surgeon)

GreekEnjoying-Dinning-Eating-Concept-585482828_4091x2439.jpg   Mediterranean food makes UK news headlines this week thanks to Tom Watson’s extreme weight losses, but really is this actual ‘news’ asks the UK’s leading female (Greek) plastic surgeon, Ms Angelica Kavouni? 

Angelica: Those of us lucky enough to have been nurtured in Southern Europe embrace home cooked, locally sourced fresh food.  Diets packed with fresh fish, seasonal vegetables and salads have long been the mainstay of the so-called ‘Mediterranean Diet’, and eating healthily has been our way of life for centuries.

Naturally low in carbohydrates (especially the processed type) and full of vital vitamins, minerals and fibre this way of eating helps to regulate blood sugar levels and reduce laying down of fat.  When combined with increased physical activity quite marked weight loss can be achieved.

 How does the Med Diet  help to lower skin age?   Jam packed with Omega-3 / protein / anti-oxidants (Vit’s a, b, c, e) / natural anti-inflammatories / alpha hydroxy acids (AHAs) – all these components are vital to keeping skin naturally plump, elastic and glowing.

There is not much point following the healthy Mediterranean Diet and nurturing your skin from the inside if you do not protect it from external factors, such as sun damage and 21st century pollutants!  In addition to your diet, daily UV skin protection of at least factor 20, day and night cleansing and Vit C serums are some of the key ways you can help reduce your skin age.

‘Eat less, move more’ has been the ethos of many diet pundits and to be honest maintaining a healthy weight is not rocket science – BUT it takes discipline to ignore the fast food delights that surround us daily.  Eating well isn’t difficult and can be a delight, (as I tuck into Souvlaki, Horiatiki and Yemista!).




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Facial filler reversal trend obvious in UK way before Kylie Jenner’s lip ‘shrinking’ says leading plastic surgeon, Ms Angelica Kavouni

IMG_2385There is no doubt in my mind that the burgeoning numbers of impressionable young women seeking facial filling has been spurred on by reality TV, such as ‘The Only Way Is Essex’ and the Kardashians.

I feel both personal and professional relief to see Kylie Jenner turn her back on her inflated lips, however it comes as no surprise as I’ve been seeing an increasing trend of women asking me to reverse their filler – both lips and cheeks.   I have never been a proponent of caricature-esque facial augmentation – my professional ethos of ‘enhance not change’ has served me well.  My patients know that when they leave my office they will look fresh and not ‘done’.

Almost all TEMPORARY lip fillers consist of an Hyaluronic Acid base, a substance which is naturally found in the body and is essentially sugar and water.  The good news with these products is that they degrade on their own over 3 – 6 months.  To speed up the process they can also be ‘melted’ using an injectable product called Hyaluronidase.

FAQ: will the skin be stretched and look odd?  The lip tissue should revert to its pre injected state.

Here’s hoping the terms ‘pillow face’ and ‘duck lips’ will soon be relegated to the history books.  Maybe even next year’s ‘Love Island’ will look completely different with the girls reverting to their natural beauty…hmmmmmmm can live in hope!




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Angelica’s Career Facelift® allows women to look their natural best for as long as they need/want

Angelica comments:

“I have been perfecting my Career Facelift® concept for several years and now offer women (and men) multiple options for boosting their confidence in the workplace.

With retirement age becoming a distant blur, working until 60+ and having to compete with the ‘new kids on the bloc’ can take its toll on morale.  To look good is to feel good and taking a few years off can really boost self esteem.

Treatments are bespoke and range from fillers to mini-facelift. The lady in this feature had wrinkle relaxation injections, 8-point facial fillers to replace lost volume and ‘dermaroller’ skin needling therapy to improve pigment and texture.”

If you are feeling more than a little threatened by ‘newbies in the office then help is at hand.  Book a consultation so Angelica can address individual concerns face-to-face.



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As another plastic surgery tourist disaster makes headlines, London based plastic surgeon Ms Angelica Kavouni highlights issues of travelling abroad for surgery

Medical-tourism-concept.-503398892_5500x3667.jpg   It saddens me to read about yet another woman suffering after seeking surgery abroad.  It’s unclear the reason(s) for her issues, but the fact remains that her surgeon, who is based in Turkey was not able to help.

Undergoing cosmetic surgery has become increasingly socially acceptable over the past decade, with consumers being more open about having procedures and often with celebrities leading the way.  It’s great that many people no longer feel the need to hide the fact they have undergone plastic surgery, but I think this trend has a downside.

Aside from unreasonable expectations,  many patients do not fully appreciate that surgery involves a certain amount of risk – especially when a general anaesthetic is involved.  In addition, post operative problems can occur, and often not immediately after surgery but days or weeks afterwards (even in the most competent and experienced hands.)

Of course fully qualified surgeons practice abroad, but it’s not that easy to check their credentials.  Often surgery abroad is offered by big clinics and it can be difficult to find out if you .  Here are some questions to consider:

  1. Can you meet your surgeon before surgery?
  2. Will I be seen by the same surgeon post operatively? If not, why not?
  3. Be honest about your past and current medical history – many private clinics do not perform through pre-operative assessments. This is when health issues can be identified
  4. See around 3 surgeons in consultation before you make up your mind.
  5. Research your surgeon, how many of these procedures have they performed? Are they on a specialist register (ie EBOPRAS – the European decide to UK’s BAAPS)
  6. Can you talk to a past patient who has been operated on by this surgeon?

Do not make a decision on price point alone – this is not the time to be saving pennies.  If you do still decide to go abroad for your procedure then I would advise to stay near the clinic for a full 2 weeks post operatively so any immediate issues can be identified and dealt with.   Some reputable clinics/surgeons will have allocated surgeons based in the UK to offer follow up care, which is good practice.




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NON-SURGICAL 3D-Lipomed body sculpting by Ms Angelica Kavouni on tonight’s episode of SKY TV’s ‘Dr Christian Will See You Now’

The majority of mothers are happy to bear the physical results of child birth and this I applaud.  However there are many who mourn the loss of their shape and wish to return it to some semblance of its pre pregnancy state.

When thinking about body sculpting it’s tempting to jump straight down the surgical route, but these days wth technological advances there are many other less invasive options.

At the Kosmesis Skin Clinic we offer 3D-Lipomed, which combines several market leading sculpting technologies in one machine.

3D-Lipomed gives both surgeons and patients a real alternative to ‘the knife’ and offers predictable skin tightening and circumferential inch losses. 3D-lipomed is unique. Not simply a beauty device, this intelligent device combines radiofrequency, ultrasound and cryolipolysis – all widely recognised as industry standards for skin tightening and fat removal.

CRYO-COOL: ‘fat freezing’ for stubborn love handles

High FREQ RADIOFREQUENCY: helps to shrink the skin

CAVITATION HIGH FREQ ULTRASOUND: this agitates fat cells and helps reduce belly circumference

To find out more about this treatment call 020 7486 9040       http://www.cosmetic-solutions.co.uk/3d-lipo

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SKY TV’s ‘Dr Christian Will See You Now’ – featuring Ms Angelica Kavouni – launches

IMG_2909   Angelica takes to the small screen as a key member of Dr Christian’s crack team of medical specialists helping those with troubling health problems.

Launching March 22nd on SKY 109 ‘W’ channel at 2100 UK time (also Virgin ch 125 and BT 311), Angelica can be seen helping Jasmin reduce the size of her oversized JJ breasts.


Throughout the plastic surgery genre there has been a switch in attitudes, leading to women seeking more body proportionate changes, and this is most obvious in the area of breast enhancement.  In the main, gone are over-large breast enlargements (in my opinion thank goodness!) with women requesting implants that compliment their shape and frame.

This is probably one of several reasons why I am seeing increasing numbers of women seeking breast reduction surgery – along with the physical downside to having large heavy breasts, they also wish for body proportion.

I have seen first hand how breast reduction surgery can transform a woman’s psyche for the better BUT it is major surgery and must be not undertaken lightly.  It is also very technical so you must be certain your surgeon is experienced in the procedure.


Issues to consider before seeking breast reduction:

SCARRING – it’s not possible to reduce breasts without leaving scars.  These scars should become mush less visible over time but can take up to a year to fully mature.  The incision travels around the areola and vertically down to the base of the breast (known as the ‘lollipop’).  With extra large breasts, often the cut follows the breast outline up towards the under arm (known as the ‘anchor’). Of course a good plastic surgeon tries to limit the extent of all scarring, but in the quest for a pleasing result, it can be a challenging balance

NIPPLE DESENSITISATION – the nipple needs to be moved during surgery and nerves are sometimes disturbed

NIPPLE NECROSIS – thankfully not a common problem, but moving the nipple can interfere with the tissue blood supply




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