I have seen a significant increase in the number of cosmetic operations I am doing on the female genital area,  including labiaplasty and fat injections.

It seems reasonably common across various age groups for women to have concerns about the appearance of their vulval area. This may be developmental variations in the size and symmetry of the labia minora, sometimes changes after pregnancy and childbirth, and sometimes age related loss of fullness of the outer area (labia majora). This leaves the inner area (labia minora and clitoral hood area more exposed and more visible.

A change in my practice over the past few years is the development of a system whereby I can to labiaplasty surgery under local anaesthetic, with very little discomfort at all during the injection and procedure itself. We are able to do this as an outpatient surgery, and this in turn makes the operation significantly cheaper.

There is a lot written about this operation on the internet, with good information and images.

This video shows the surgical removal of PIP silicone containig lymph nodes from a patients left armpit region. She had PIP implants removed, which had been in for only 5 years. Corrective surgery carried out by Mr John Davison, Plastic Surgeon in Canterbury, Kent

PIP Implants – Is it a mountain or a molehill??

Dear all,

Firstly if you have had breast implants with John Davison you need not worry that you have these implants – because I have never used them.  You will almost certainly know from the media that these implants were made in France and sold worldwide, and contain a non medical grade Silicone Gel. 

Is there a problem with these implants? There is an impression from many surgeons, and we would agree with this, that the PIP implants are of poor quality generally and are more at risk of rupture.  The Gel inside is quite liquid, and causes more inflammation inside the breast, and may travel to the lymph nodes in the arm pit more easily than other Gels.  I have removed these implants and observed these problems.

Should I be worried about my implants?  Not if you have implants inserted by me – all implants can rupture or encapsulate, and I will have discussed this with you before your operation, but it is the nature of the PIP implant Gel which is worrying.

What if you have PIP implants put in elsewhere?  The first port of call is the original surgeon / clinic who did your operation.  They may be able to help but if you have lost confidence in them then feel free to contact me for advice or an appointment.  I am experienced at breast revision surgery including implant exchange and can offer you appropriate advice and surgery if required.

In conclusion;

• Mr Davison has never used PIP implants
• PIP implants contain non licensed Gel and we think should be removed
• There is no emergency to do this, the evidence thus far is that the Gel is non toxic and non cancerous but is very liquid and can cause local problems in the breast and armpit upon rupture.

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