An Interview with

Mr Douglas McGeorge

http://www.douglasmcgeorge.com

Douglas McGeorge offers a high standard of excellence and personalised care to enable the provision of quality cosmetic treatment. Comprehensive treatment planning helps to ensure surgery goes smoothly and you achieve the results that you desire.

Review of your medical history, your current health, your expectations and your motivations for considering plastic surgery are all taken into consideration in assessing treatment options.

These will be explained along with all the limitations and potential complications to allow you to make informed decisions about your care.

Douglas McGeorge established the new Plastic Surgery Unit in the Countess of Chester Hospital in 1993, which he ran for 10 years. In Chester he developed the breast reconstruction service, introducing immediate breast reconstruction to the region.

He continues to assist as an Honorary Consultant at the Countess of Chester Hospital.

Douglas McGeorge set up his private practice in 2003 and covers the whole range of plastic surgery, specialising in breast surgery and facial rejuvenation. In addition, he continues to teach the senior trainees in Manchester and Liverpool Deaneries and have been on the Council of the British Association of Aesthetic Plastic Surgeons for over 15 years; having been President 2006-2008.

Douglas McGeorge has been a contributor to numerous medical literature journals, an invited speaker at national and international meetings and is closely involved in the training standards of cosmetic and plastic surgery as a Council Member of the British Association of Aesthetic Surgeons. Outside of clinical practice, Douglas McGeorge is involved in research for skin and scar products. His range, Solution for Scars, remains the only topical scar product backed up by level 1 science.

You can be reassured Douglas will focus on your individual requirements and will ensure he understands your objectives before going ahead with any procedure. You will also be able to access aftercare for as long as you need to.

INTERVIEW.

Douglas McGeorge – GMC number 2640709.

Specialist interest in breast surgery and facial rejuvenation surgery but carry out all aspects of aesthetic surgery.
Operates at:

Grosvenor Nuffield Hospital and the Spire Cheshire Hospital.

 Would you introduce yourself and advise what your areas of interest are?

Douglas McGeorge, Consultant Plastic, Reconstructive and Aesthetic Surgeon. My practice is based in Cheshire where I consult and operate at the Grosvenor Nuffield Hospital and the Spire Cheshire Hospital. I have a specialist interest in breast surgery and facial rejuvenation surgery but carry out all aspects of aesthetic surgery.

What are your qualifications?

FRCS(Plast)

Are you on the specialist register and when did you get entered into it?

I have been on the specialist register since its inception in 1996.

Are you affiliated or a member of any professional bodies?

I am a member of the British Association of Aesthetic Plastic Surgeons, (BAAPS), am a member of the International Society of Aesthetic Plastic Surgeons, (ISAPS) and a member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons, (BAPRAS). I have been a Council Member of BAAPS for nearly 20 years and was President 2006-2008.

If yes, why have you chosen to join that professional body and what do they do?

They are the Associations that represent the speciality at the highest level.

Do you charge a consultation fee and is it a set amount regardless of the procedure the patient is inquiring about?

I do charge a consultation fee for new patients. This is often reduced for minor procedures.

Do you ever perform breast augmentation under local anaesthetic and why, or if not, then why not?

I always carry out breast augmentation under general anaesthetic as I use a hospital environment and it is much more comfortable for the patient.

Do you perform reconstructive breast surgery?

Yes.

Do you perform Flap reconstruction?

Yes, but not microsurgical procedures where specialist nursing is required.

Do you have a preferred manufacturer of breast implants and if so why?

 
There are a number of quality breast implant manufacturers available to me.
The choice is dictated by the needs of any given patient. I usually use Motiva implants. They have the ability to flow, which helps give a natural look. They have a low incidence of capsular contraction and soft shells, with less of a problem from palpable knuckles.

Do you have a preference between silicone or saline-filled implants and if so, why?

I always use silicone. They look and feel more natural and do not have the problem of deflation from the failure of the filling valve. Saline is a poor second choice.

Do you use the range of Monobloc Hydrogel CMC breast implants manufactured by Laboratories Arion?

No.

Do you have a preferred incision and placement for breast implants and if so, why do you prefer those options?
I prefer to use the inframammary incision. The scar heals well. Placement is more accurate with lower rates of haematoma, infection and capsular contraction than the peri-areolar approach.

What alternative incisions do you offer?

 
Implants are often put in though mastopexy incisions and, occasionally, I will use a peri-areolar incision.

What is the largest cc volume, silicone breast implant and the largest cc volume saline implant, you have ever used and was it for reconstruction, revision surgery as patient desired larger implants or for standard breast augmentation?

Implant volumes are chosen on the needs of the patient and the frame they have. They are often larger with reconstructive surgery.

Do you use permanent expandable implants and what is the largest cc volume you have filled up to and was it for reconstruction, revision surgery as patient desired larger implants or for a standard breast augmentation

.
Permanent expandable implants are usually used in the reconstructive setting. The size is determined by the patients’ needs and their size.

Do you think there should be a limit on the maximum cc volume that can be used?

 
Ultimately the size of implants used is determined by the patient’s frame and the quality of their tissues. Large implants do have problems.

Do you ever use mesh or internal sutures to support larger implants?

No.

The FDA and GMC have advised that non-symptomatic patients with Textured Allergen implants that have now been withdrawn from the worldwide market due to the link with BIA-ALCL, should not have their implants removed, what is your opinion?

ALCL is a very rare, inflammatory tumour, more associated with coarsely textured implants. The risks of redo surgery are greater than the potential risk of the disease and re-operation is not indicated.

Have you had any patients diagnosed with ALCL-BIA?

No.

Did you ever use P.I.P implants and if you did, what did you offer to do for your patients when it was discovered that after 2010, they had been filled with non-medical grade silicone?

No. I have never been tempted to choose implants based on low price.

Did you ever use hydrogel implants manufactured by Novagold or Clover Leaf Products and if so, what did you offer to do for your patients when they were withdrawn from the market due to complications.

No.

Did you ever use soya, Trilucent implants and if so, what did you offer to do for your patients when they were withdrawn from the market due to complications?

I used Trilucent implants on 4 patients who insisted on their use, in preference to silicone. The implants were replaced with silicone implants later.

What is your opinion on fat transfer as an alternative to implants?

Fat transfer has its place in small breast augmentation and in correcting contour defects. It has limitations and can require multiple procedures. Silicone implants remain the best option for most patients.

In your opinion what is the most important information you need to ascertain when you are speaking to a patient, in order to achieve high levels of patient satisfaction?

It is important to understand the patient’s wishes and for them to understand the potential limitations of surgery, along with the small risks of complications. Only if what is wished mirrors what can be delivered should a patient proceed with surgery. This is a decision that must be made by the patient and also the surgeon.

Contact details: http://www.douglasmcgeorge.com
sian@douglasmcgeorge.com – 07973 130058