What types of plastic surgery do you offer in Bristol?

I offer a variety of plastic surgery services including breast reconstruction, tummy tucks, breast reduction, breast asymmetry correction and skin cancer surgery.

How do I choose the right plastic surgeon in Bristol?

Look for board-certified surgeons with experience in the specific procedure you are considering, and schedule consultations to discuss your options. In the UK that means checking the specialist register at the GMC which you can do easily at www.gmc-uk.org. Qualified plastic surgeons are on the specialist register for Plastic Surgery and many will also have additional qualifications in Cosmetic Surgery such as the Royal College of Surgeons Cosmetic Surgery Certification, both of which I hold.

What is the recovery time for a tummy tuck in Bristol?

Recovery time for a tummy tuck can vary, but most patients can return to normal activities within 4 to 6 weeks. You should expect driving to be restricted for up to 6 weeks and no exercise for 6 weeks. Most people can return to work after 2-3 weeks for desk based activity whereas physical jobs may require longer time off work.

Are there any risks associated with plastic surgery?

As with any surgery, there are risks involved, including infection, scarring, and anesthesia complications. It's important to discuss these with your surgeon.

What should I expect during my consultation for plastic surgery?

During your consultation, you will discuss your goals, medical history, and the procedure details with your surgeon. I will discuss what is possible and give a recommendation for treatment.

Is financing available for plastic surgery in Bristol?

Yes, there are various financing options via the hospitals where I work to help make plastic surgery more accessible to our patients.

How can I prepare for my plastic surgery procedure?

Preparation may include medical evaluations, avoiding certain medications, and following pre-operative instructions provided by your surgeon. You will need some help at home after surgery and may need someone to stay with you if you live alone. You can buy some simple painkillers from your local pharmacy but you will also be provided with some medication when you are discharged from hospital. Read about the surgery you are having and make sure your questions have been adequately answered well before your surgery is due. I am always happy to go over any details we have discussed prior to a procedure.

What are the benefits of breast reduction surgery?

Breast reduction can alleviate physical discomfort, improve posture, and enhance self-esteem by achieving a more proportionate body shape. Some patients suffer with infections and sore skin under the breasts which will be better after breast reduction surgery. You should also find it easier to get clothes that fit your frame and exercise will be more straightforward without causing pain.

Where is your plastic surgery clinic located in Bristol?

Our clinic is conveniently located in Bristol, UK, providing easy access for patients seeking plastic surgery services.

Breast Implant Removal or Replacement: When, Why, and What to Expect

Introduction

Breast implants are not lifetime devices. Over the years, natural body changes, medical concerns, or shifting personal preferences may lead women to consider removal or replacement. Whether you wish to restore comfort, update your look, or return to a more natural shape, the procedure can be performed safely and predictably by an experienced reconstructive surgeon.

Why Women Choose Implant Removal or Exchange

Capsular Contracture: Scar tissue tightening around the implant can cause hardness, pain, or visible distortion.
Implant Rupture or Leakage: Although modern implants are durable, shells can weaken with time. Silicone rupture is often silent but detectable by MRI.
Aesthetic Reasons: Some prefer a smaller, softer, or more natural appearance, especially as their body shape changes with age.
Health or Lifestyle Changes: Some choose removal due to autoimmune concerns, pregnancy, or preference for low-maintenance, implant-free living.

Capsule management

The scar tissue around your implant is called the capsule. This is normal and in the absence of an abnormality it can be left alone. However, when it is straightforward to remove it is good practice to refresh the pocket, especially if you are having your implants replaced.

Options:

No capsulectomy - The capsule is left in tact.
Partial capsulectomy - Some of the capsule is removed. Where implants sit under the chest muscle this is the most likely outcome unless there is a specific reason to remove all the capsule. This reduces your risk of significant complications related to bleeding and the proximity of the lungs.
Total capsulectomy - All of the capsule is removed. It will be discussed if this is necessary when you attend clinic.

Whenever capsule tissue is removed this is sent to the lab to be checked.

Your Options Explained

Removal (Explant) Only – The implant and capsule are removed. The breast settles naturally over time.
Removal + Mastopexy (Lift) – Skin tightening and nipple repositioning create a firmer contour after implant removal.
Implant Replacement – New, modern implants are fitted to update shape or size.
Autologous Conversion – Fat transfer or flap reconstruction replaces volume naturally, combining aesthetic and reconstructive expertise. This would be used in cases where a patient has had a previous mastectomy.

The Procedure and Recovery

Implant removal or exchange is usually performed under general anaesthetic and takes 1–2 hours. Most patients go home the same or next day. Mild swelling and discomfort subside within a few weeks. Scarring is discreet, often along the previous incision line.

Post-operative reviews ensure smooth recovery, and patients are guided on scar care, exercise, and long-term breast health.

Long-Term Results

Results depend on factors like skin elasticity and the presence of a lift. With fat grafting or modern cohesive-gel implants, natural, long-lasting outcomes are achievable.

Conclusion

Choosing to remove or replace implants is a personal decision — one that deserves expert guidance. With Philippa C. Jackson’s background in both aesthetic and reconstructive breast surgery, patients receive tailored care that balances safety, proportion, and natural beauty.