Mr Marc Pacifico MD FRCS(Plast) has been described as one of his generation’s rising stars in plastic surgery. His academic, surgical and practice achievements include, amongst others, coming top in the UK’s consultant level plastic surgery examinations (being awarded the Gold Medal), the publication of over 50 international peer-reviewed papers, being a regular invited speaker at conferences and the opening of his own private clinic, Purity Bridge, alongside his busy private surgical practice. He has built his reputation on a combination of a high level of surgical skill, his artistic eye and his holistic, friendly approach to patient care. His particular areas of interest include plastic surgery to the face and breast, as well as body contouring surgery. The look Marc aims to achieve is a natural, fresh look, in all areas of aesthetic surgery. Marc particularly focuses on the care his patients receive pre- and post-operatively, in order to optimize the outcome of surgery and provide all under his care with a smooth recovery after their procedure. Marc recognizes the continuum between non-surgical and surgical techniques, using all available options to formulate a bespoke treatment plan for every individual. This process has been further enabled by the opening of his private clinic Purity Bridge in Tunbridge Wells, that provides the best level of care possible to his patients. The art of rejuvenation is not a “one stop shop” but rather a process, with the right procedure required at the right time for the right outcome. That means maintaining surgical results with specifically timed non-surgical interventions, as well as a global approach to the individual that is outcome driven. Marc Pacifico is a fully accredited specialist in plastic surgery, and is on the Specialist Register in Plastic Surgery with the General Medical Council (number 4412407) and a member of BAAPS,BAPRAS and ISAPS. See a short video introduction to Marc here ›
Ms Nora Nugent FRCS(Plast) has joined Purity Bridge where she offers an individually tailored modern plastic surgery practice. The cornerstones of her practice are good communication with you and meticulous attention to detail as she feels this is vital to your decision to undergo any treatment under her care. This ethos is continued from your first consultation through to the end of your treatment to ensure that you get the highest possible care and are fully supported during this time. Nora aims to provide you with a clear and honest opinion on your condition and will ensure that you have the opportunity to ask any questions you may have before proceeding with treatment. Nora graduated from medical school at University College Dublin and completed her specialist training in plastic surgery with the Royal College of Surgeons in Ireland. To further develop her clinical expertise and skills, she then undertook specialist fellowships in North America and Australia. Training in advanced burn critical care and burn surgery (acute and reconstructive) was undertaken during her fellowship at Shriners Hospitals for Children – Galveston, Texas. Prior to taking up her consultant post in the Queen Victoria Hospital, East Grinstead, Nora obtained additional subspecialty training in Australia completing a plastic surgery fellowship at St. Vincent’s Hospital, Sydney which encompassed both aesthetic (cosmetic) surgery and reconstructive surgery (including microsurgery) and also a hand surgery fellowship with Victorian Hand Surgery Associates, Melbourne. This allows her to offer you a wide range of procedures across the spectrum of plastic surgery. She has experience in all areas of aesthetic surgery including breast, facial and abdominal surgery and strives to achieve a natural rejuvenated appearance for her patients. For some this may be a skin rejuvenation technique while for others surgery can be a better option. Nora Nugent is a fully qualified plastic surgeon with the FRCS (Plast) qualification and has specialist registration in plastic surgery with the General Medical Council. She is a member of BAPRAS and IAPS. Nora maintains a broad range of clinical interests within plastic surgery and regularly attends conferences within the specialty to keep up to date with evolving techniques and new developments in plastic surgery. She is also a member of multidisciplinary clinical groups overseeing the management of burns, skin cancer and lower limb injuries in the South East of England. While always looking for ways to improve the care she can provide, Nora will only offer new procedures once she is satisfied that they have been evaluated fully and offer a clear benefit to her patients.
The operation itself may take between 10-minutes and 45-minutes, depending upon what is being removed. You will be in the treatment room for slightly longer than this for the preparation of the surgery and the injection of the local anaesthetic.
After the surgery the wound will usually be dressed with medical tape. This is splash-proof and shower-proof (but not bath-proof!). You will be able to shower from the day after surgery, and dab the tape dry with a clean towel, kitchen towel (or even use a hair-dryer on a cold setting). You will be able to return to sedentary activity (i.e. an office job or light duties) the following day, but should avoid strenuous physical activity for a minimum of 2-weeks. Stitches are removed between 1-and 2weeks after the surgery.
We usually advise that strenuous activity should be avoided for at least 2-weeks. You will be able to drive the following day if the operation was on your face, head or neck. If the operation was elsewhere, it can be advisable to avoid driving for a week. This is because if you had to perform an emergency stop or similar manoeuvre the wound may come apart (from seatbelt pressure or from a sudden movement of your arm or leg). Finally, if the operation was on your face or head, it is advisable not to bend down for 48-hours after the operation, to minimise the risk of bleeding (for example, when doing up shoe laces, bring your foot up whilst sitting down, rather than bending down).
This is a routine safe, reliable and simple procedure with a low complication rate. Occasionally some skin lesions come back in the future, and if so, repeat surgery is usually possible.
Complication rates for removal of skin lesions are low. However, sometimes complications can occur, such as:
A further problem occasionally encountered is “suture spitting” -this refers to the deeper dissolvable stitches poking out of the wound at some time, often several weeks after the surgery. This happens because sometimes these stitches do not dissolve as quickly as intended, and they then try to work their way out of the wound in much the same way as a splinter would. These stitches can either be removed at one of your check-up visits or they may work their way out on their own.
Prices starts from £425