Is there information comparing me with other cosmetic surgeons

Can I meet you for a chat before moving ahead with a full consultation?

Yes I provide a free 10 minute consultation service where I provide information about whether I can provide treatment you are looking for. During this time, I can show you photographs of my patients. After we meet I provide an estimate of cost and information about the procedure in a letter.

If you decide to progress things past this point to a full consultation, which requires a full examination and your medical history I charge £150.

A full consultation is required before surgery can be considered.

What do I get when I pay for a full consultation?

A full consultation usually lasts about 45 minutes. I take a full medical history, perform a detailed examination, ask about you reasons for wanting cosmetic surgery and what you want to achieve. I also show representative photographs of my patients to allow you to see what sort of result you are likely to achieve.

You will receive a detailed letter covering the consultation and a copy will go to your GP unless you ask for it not to. I will provide you with a quotation for the cost of the surgery and an information sheet about the surgery.

If you decide want to go ahead we will meet again to make sure we are both happy with the decision and that you have a full understanding of what is involved before we book you in.

Some patients come for a second consultation before they make a decision, which is fine, as I am keen for patients to be certain and comfortable before they commit. All of this is included in the consultation fee.

How much is a full consultation?

The total price for a full consultation and a second pre-surgical consultation is £150.00 payable by cheque, cash or bank transfer.

This can include an additional consultation if you want one before making a decision.

Who will I see for my consultation?

You will only see me for the pre-operative consultations, although there is a pre-operative screening medical which is done by a member of the nursing staff the hospital if you move ahead with surgery.

Why isn’t my consultation free?

The fee you pay covers all consultations up to the day of surgery and may involve us meeting up to 3 or 4 times although it is usually only twice for complex cosmetic cases and once for simple procedures eg mole excisions.

It is a formal medical consultation in the private sector and will cover all aspects relevant to considering having a cosmetic surgical procedure. All consultations of this type have a fee. Free full consultations could conflict with GMC guidelines.

Where do you work?

In the private sector I work in Nottingham at BMI The Park, Arnold, The Woodthorpe, Mansfield Road and The BMI Lincoln

Where will my treatment be carried out?

The hospitals I work at are the following. Often you will have your treatment in the hospital where you have your first consultation

The Park Hospital (BMI)

Woodthorpe Nottingham Hospital

The Lincoln Hospital (BMI)

How do I make an appointment?

You can either call 0115 870 0447, email info@peterbrookscosmeticsurgeon.co.uk, or use the contact form on this website to set up an appointment, or for any other information you are after.

Do I need a referral?

No, you don’t. You can make a cosmetic surgery appointment with a Consultant without a referral from your GP.

You can use the contact information on this website to make an appointment.

Can I combine procedures?

Yes, there are a number of procedures, which can be carried out simultaneously, such as combining breast surgery with liposuction and/or tummy tuck. The factors which limits it is the duration of the total operating time and whether one procedure prevents another from being performed to the normal standard.

If this is something you feel may be for you please use the information line for early advice.

Is it always possible to have surgery?

The straight answer is no. Sometimes after a full consultation I have to advise I do not consider the surgery to be in the patient’s best interests.

The three main reasons surgery is unwise from my perspective are; serious uncorrectable medical problems which make surgery unsafe (this is rare), expectations of the surgical outcome I do not think I can deliver. (again this is rare), or a strong disagreement between the patient and their closest confidant ( partner, parent or brother or sister) about whether the surgery is a good idea.

How much does surgery cost?

Each individual procedure page has price guide information on it. Accurate cost estimates are provided in writing after a consultation has taken place. This includes all treatment including, the surgeon, anaesthetist and hospital fee, all follow-up appointments and any additional treatment required to provide care if there are surgical complications up to three months from the surgery.

The formal binding quotation is sent once a booking for surgery is received. It is unlikely to be different from the cost estimate sent initally.

How long are the quotes valid for?

Most quotes are valid for three months.

Is finance available?

BMI The Park and Lincoln Hospitals offers the BMI Card – a unique credit card from BMI Healthcare that allows you to spread the cost of your treatment. For more information or to apply for a card visit https://www.bmihealthcare.co.uk/patient-information/bmi-card

Will my GP be informed of my decision to have surgery?

I normally send copies of all my letters to GPs. If you ask that I don’t, I will want to know why and it may impact on me taking you on as a patient. If you opt to go ahead with surgery I may write to your GP asking for details of your medical history. This is good medical practice and important if you’ll be having a general anaesthetic.

Is smoking important?

If you smoke the risks of complications is higher. For example for facelifts the complication rate can be 20 times higher. This is exceptional. If you smoke I recommend you stop cigarettes for 3 weeks before and 3 weeks after surgery. If you need nicotine I recommend patches or gum. All the other types of cigarette substitutes lead to short high levels of nicotine in the blood stream like a cigarette with many of the same problems.

What smoking does to your skin

what smoking does to your skin - plastic surgery implications

This is a thermal image of the blood flow to the skin of a hand before and after a cigarette. Red is warm, blue is cold. It explains why there are more problems with wound healing, and infection in smokers. Also the blood is pushed back to the heart from the skin and so blood pressure goes up and so does the risk of bleeding after an operation.

The Oral Contraceptive Pill and HRT

If you are on a combined pill or HRT the risk of Deep Vein Thrombosis (DVT) and related complications is much higher. For this reason I would recommend stopping HRT or the Pill one month before surgery and to restart when fully mobile.

If you stop oral contraception ensure you use alternative contraception to avoid unwanted pregnancy.

What does the Photography Consent form look like

What happens after I have had an operation?

You will be discharged from hospital when you are ready to go home. I will see you at one week to check your wounds and reduce the dressings. Then I will see you in clinic at 1, 3, 6 and 12 months from the operation. After 3 months assuming all is well for most people I am happy if they don’t want further follow-up, but it is included in the price.

How do I know what to do after I go home after surgery?

You will receive a post-operative instruction leaflet and thermometer sent to your home before you come to hospital. That allows you to get organised for your return home. It provides information about what to look out for and for what to do if you have concerns and the numbers for you to telephone. I always advise patients to make a call if they have any concerns at all.

What do I do if I think I have a problem?

Telephone the number on the post-operative instruction sheet you were sent. If you have can’t find that, phone the hospital. I will be called and will call you and find out what is happening and advise you what to do.

Do not wait for several days to see if the problem settles. It is best to phone on the same day. If it is late at night use your judgement about whether the call can wait until the morning, but if in doubt make the call.

What should I expect from my surgery?

I will talk you through the outcomes of the surgery you are interested in, the recovery period, how much time off from work (downtime) you may need and any follow up care you will require. I will ask you about what you want to achieve from the surgery and will only take you as a patient if I am happy I can deliver the result you want. If you have any questions or concerns about your surgery or the procedure you are interested in – ask me. And if your circumstances change after your consultation, you should get in touch once again and get the information you need.

The photographs I show you are of my patients undergoing the same or related procedures. They are representative of my work and although all patients and operations are different you should expect a similar result, although outcomes cannot be guaranteed.

Why do some scars look red?

Scarring is a part of the healing process. In the beginning for the first few weeks the scar is new and not very visible. From about 4 weeks to about 12 weeks (these time frames are quite variable and depend on things like age and skin colour) the scars naturally become redder and lumpier. After about 12 weeks the scars start to settle down, losing their redness and lumpiness.

Sometine around 12 months (between 6 and exceptionally 24 months) the scar will have faded to a white smooth line.

Very occasionally people’s scars do not settle of their own accord and treatment is required. This treatment if it is required is normally included in the cost of the surgery.

How long is the recovery?

For most operations people are able to get on with their lives after 1 to 2 weeks.

For bigger operations like Breast reduction or Abdominoplasty expect to feel unusually tired for up to three months gradually improving as time goes on.

Full recovery takes from 3 to 12 months. For example liposuction takes about 4 months for the swelling to fully settle and scars can remain pink for about 12 months in some cases longer (some scars have faded by 3 months).

When can I go back to work?

For most people it is 2 to 3 weeks off work, but it depends on what procedure you have had done, as there’s a significant difference between different procedures and the associated recovery times.

It’s also dependant on what type of work you do; whether you have physical, office or home based work.


Does my work need a sick note and will that tell them what I have had done?

After 1 week off work you will need a sick note (Med 3) unless you have taken leave. I will provide this. The information on it will be “Operation” that is all. Your medical care is confidential and your employer cannot normally demand you disclose it.

When can I drive?

Most people can drive at about 2 weeks following surgery. My recommendation is that when you feel up to driving, you go to an industrial park or a supermarket car park at night with someone else driving you there and try driving where there are no pedestrians or traffic. If that is alright then you are probably ready to drive on the roads. If you are still taking strong painkillers (more than paracetamol and brufen) then you should probably not drive.

When can I go back to exercise?

For most procedures I recommend 1 week of rest, the next 2 weeks gentle walking. At three weeks you can go swimming or do spin classes or long walks and from six weeks return to full high impact exercise.

How soon after surgery can I fly?

I recommend 6 weeks to go abroad. After 3 weeks it might be reasonable. I recommend you take an Aspirin (if you aren’t allergic) the day before the flight each way.

On the aeroplane drink plently of non-alcoholic fluid and move around every hour.

There is no risk with breast implants exploding in Aeroplanes!!

What if I am not happy with the result?

In the rare and unlikely event that the surgery leads to an outcome which is not acceptable in terms of appearance, at the discretion of the hospital, a cosmetic revision procedure will be provided at not extra cost. If this happens, it mainly involves small local anaesthetic ‘walk in walk out’ procedures.

Nearly all, if not all of the requests I have made for unfunded cosmetic revisions have been agreed by the Hospitals.

Is cosmetic surgery right for me?

Cosmetic surgery isn’t right for everyone. I will give you honest and clinically accurate advice about the procedure you’re considering. As you’re talking to a surgeon, rather than a sales team, the advice will help you make a fully informed decision before you decide to proceed. Those considering cosmetic surgery should always be aware that no procedure is without risk.  When performed under the right circumstances, cosmetic surgery can have a positive psychological impact and may improve quality of life.

Can any doctor call themselves cosmetic or plastic surgeons?

Yes. Any doctor may call him/herself a cosmetic or plastic surgeon without any specific surgical training. The GMC requires only that a doctor should have specialist training in order to be on the Specialist Register.

Being on the specialist register does not mean being on the specialist register for Plastic Surgery. You can always check whether a surgeon is on the Specialist Register quickly by going on line or telephoning the General Medical Council Registry line 0845 357 3456.

A fully trained Plastic Surgeon will be on the GMC Specialist Register for Plastic Surgery.

Can any plastic surgeon perform cosmetic surgery?

The recent guidelines from the GMC make it clear that to provide a cosmetic service doctors need to show they have the necessary skills and training specifically in Cosmetic procedures. So not all plastic surgeons are fully trained in cosmetic surgery. This is particularly true of more recently trained plastic surgeons as there is no longer an opportunity to train in and perform cosmetic surgery during NHS training.

When I trained, operations like abdominoplasty, breast augmentation, breast reduction and rhinoplasty were available on the NHS and as a trainee I was able to get well trained. These procedures are no longer readily available on the NHS. So getting the right training is much more difficult today.

I have private health insurance is cosmetic surgery covered?

I am recognised by BUPA, PPP and other Health Insurance companies. Although cosmetic surgery is not reimbursable, many related procedures are part of the medical treatment and reconstructive surgery and may therefore be covered. You should check with your company prior to your consultation.

Why is cosmetic surgery more expensive in the UK?

1) All private hospitals in the UK have to comply with stringent and costly regulations for the highest possible standard of care and safety from the Care Quality Commission.

2) UK plastic surgeons have to pay high indemnity insurance fees, often in excess of £40,000.00 a year as a safeguard for patients, before they are allowed to carry out cosmetic surgery. This is not the case in the rest of Europe, and in most of the developing countries indemnity against medical mishaps and negligence does not exist.

My friend has had cosmetic surgery as a holiday package deal with no problems, why can’t I?

You can and although it is possible for patients have satisfactory outcomes from cosmetic surgery abroad, a significant number find that they need treatment when they come back to the UK, either urgently because of surgical complications and being prematurely discharged from care, or later when they discover that they are unhappy with the overall result.

Early complications can happen 7-14 days after surgery, so make sure you have a thorough check up during this period and that they do not fly you home too early.

I do not recommend that people do this as the risks, in my opinion, are unacceptably high.

Cosmetic Surgery FAQ’s