Blog

Patients often come to me with one specific concern: heavy brows, shadows under the eyes, or just looking tired. But this area doesn't age in isolation. The eyes, brows, and cheeks all shape each other, which is why I treat it as one unit, the peri-orbital area.

One of the most common questions I am asked, both in consultation and online, is whether it is possible to combine procedures. The answer, in the majority of cases, is yes. There are several reasons why this is so, and understanding them helps patients think more clearly about what they can realistically cope with, and also about the consequences of not proceeding in a single stage.

A breast lift, or mastopexy, is one of the most rewarding operations I perform, but it is also one of the most misunderstood. The two questions I am asked most often are whether a lift can be combined with an implant and whether the result will look natural. This article answers questions and honestly explains what the surgery involves, the options, and what recovery is really like.

The eyes are often described as the mirror to the soul, and there is some truth in it: ageing around the eyes can make us look tired, sad or worried when we feel nothing of the sort. Blepharoplasty is the operation that addresses this, and it is one of the procedures I am asked about most. This guide explains what blepharoplasty is, the difference between upper and lower surgery, how it is performed, what recovery involves, what it costs, and how to avoid a poor result.

The neck is one of the earliest areas to show the effects of ageing, but it is also one of the most consistently underaddressed. Skin laxity, muscle banding, and fat accumulation beneath the chin can all significantly alter the profile, yet many patients spend years managing these concerns with non-surgical treatments that cannot address the underlying anatomy. This article covers what a neck lift involves, from the first consultation through to full recovery, and what patients should realistically expect at each stage.

The face does not age in a single layer. Skin loosens, fat descends, and the underlying muscle and connective tissue shift over time. Procedures that address only the surface layer cannot correct this fully. The deep plane facelift works beneath the skin to lift and reposition the structures responsible for facial ageing at their source. This article covers what the procedure involves, how it compares to a standard facelift, and what patients at Dr Cotrufo’s Harley Street practice can expect at every stage.

Jowling, a softened jawline, and the loss of definition between the chin and neck are the signs of facial ageing I am most frequently asked about in consultation. They are structural changes resulting from the gradual descent of the deeper facial tissues, and they cannot be reversed by skincare, injectables, or energy devices (lower evidence in this direction) once established. A lower facelift is certainly the most effective approach to address them at their anatomical source. This article explains exactly what a lower face lift can and cannot achieve, how the procedure works, what recovery involves, and how to determine whether it is the right option for you.

Hooded eyelids are one of the most frequently discussed concerns I see in my practice. Patients arrive knowing what bothers them but rarely knowing why it has happened or exactly what surgery involves. This article covers both: the anatomy and causes of hooded eyelids, the surgical options available, and an honest account of what recovery looks like.

For anyone concerned enough about the size of their breasts, one of the most effective, safe, and confidence-boosting options remains the use of silicone breast implants. As a double board-certified plastic surgeon based in London, I’ve performed hundreds of breast augmentation procedures and know firsthand how transformative this surgery can be for patients’ self-esteem and body confidence.