The face is a delicate part of our body and one that reflects so much about who we are. Hiroshi is very conscious that the men and women he sees have got particular aspects of the face they would like to completely change. Mostly, patients are looking for facial rejuvenation or to correct asymmetry or a perceived imperfection; ultimately everyone wants to achieve an attractive look. Hiroshi enjoys working closely with his patients to ensure the end results meet their expectations.View Procedures
Advances in breast surgery under local anaesthetic & sedation means that regardless of whether you are undergoing breast enlargement, breast uplift, or breast reduction, this can be performed in the safest way possible. With local anaesthetic and sedation, there is a diminished incidence of nausea and vomiting, and recovery is more rapid. This in turn diminishes complications associated with slow postoperative recovery. With every individual, Hiroshi strives to achieve the most natural-looking results and offers advanced surgical solutions, using the most technically advanced and reliable products. Hiroshi pays particular attention to incisions and stitches, in order to achieve the neatest and minimalist scarring possible. It’s all about the end result and having a comfortable and safe experience along the way.View Procedures
Hiroshi believes that it is possible to achieve the aspirational characteristics of a flat tummy, round bottom, toned arms without ‘bingo wings’, and slim legs through safe surgical methods, conducted under local anaesthetic with or without sedation.View Procedures
Gynaecomastia is a cosmetic treatment to reduce the size of male breast tissue. If your Gynaecomastia is caused by breast tissue overdevelopment, weight loss will not resolve the issue. Hiroshi performs the surgery under local anaesthetic & sedation as a day case.View Procedures
The most commonly documented preoperative fear is of anaesthesia. The majority of cosmetic surgery at The Westbourne Centre is either carried out under local anaesthetic or a combination of local anaesthetic with sedation. This means that the recovery for patients from anaesthesia is rapid, meaning procedures that previously required a hospital stay overnight, can be carried out as a day case.Local Anaesthetic & Sedation
Your most common questions answered
Have a question about our procedures? Call us to find out more +44 010 1234 5678 or check out the following frequently asked questions from customers.
Can I see before and after pictures of patients considering the same procedure?
Most certainly! During consultation I am happy to share before and after photos with you of people who have had the same procedure(s) you are considering. By doing this during the consultation, and in person, I have the opportunity to relate the example specifically to your situation, highlighting outcomes and helping with expectations.
What if I’ve already had a consultation elsewhere, are you happy to provide a second opinion?
A decision to move forward with surgery following a consultation forms the basis of a contract between surgeon and patient; if you are not comfortable with your medical professional in this process then you certainly must seek out a second opinion. I am happy to provide a consultation for someone who has already had a consultation with another cosmetic surgeon. The process is the same as any initial consultation and I will likely ask many of the same questions but this is necessary for me to make a decision about suitability, outcomes and potential risks.
Can you tell if rhinoplasty will help me based upon photographs?
The question whether a rhinoplasty would help really depends on the patient’s insight into what they feel is wrong. However, to judge the possible outcome of a rhinoplasty it is necessary to have a good idea of the true proportions of the face. This includes the vertical and horizontal relationships between the lower middle and upper thirds of the face with the apparent length of the nose from the tip to its root at the base of the forehead. The relationship of the position of the eyes as well as the width of the eyelids and the position of the eyes in relationship to the width of the nose are also important features to analyse. It is very difficult to accurately ascertain this information from photographs and to give truly objective advice, hence the reason an in-person consultation is always recommended. Wide angle photographs can distort the position of the eyes and make the size of the chin appear small. With all rhinoplasty procedures one has to be very careful in reducing the size of the nose in terms of the width of the area between the eyes and also the length because by doing this there is a chance of accentuating other features of the face unintentionally. The eyes may look further apart and because the chin is small the nose may still appear large post operatively. Perhaps the shape of the tip can be altered but only after assessment clinically by an experienced clinician who can look at your features accurately as well as the state of your health, skin and psychology that can greatly affect outcome of any surgery. With all rhinoplasty and septorhinoplasty procedures, the surgeon can concentrate on aspects of the nose which are troubling you as well as excluding any functional problems such as airway disturbance.
Does jaw alignment have an affect on rhinoplasty?
I think that the position of the jaw can sometimes have a significant effect on the out come of rhinoplasty. It is always important to assess the proportions of the whole face before planning any surgery that may alter the dimensions of a nose. I believe that it is wise to make sure nasal asymmetry or apparent size is not due to disproportion elsewhere in the face. For example, the nose may appear large or protruding because of a small recessed chin or an upper jaw, which is disproportionately backward in relationship to the lower jaw. The prominence of the cheeks, or the lack of, can also influence the planning of rhinoplasty especially when determining any change in projection. The surgeon should also check that a bend in the nose is true and not apparent. Abnormal neck positions, known as torticollis, can give the optical illusion that the nose is bent. Sometimes the nasal deviation is part of rare craniofacial conditions such as plagiocephaly, when the twist to the nose is part of a larger facial deformity. Lastly, the position of the eye sockets (orbits) can greatly influence the apparent shape and size of the nose. If the orbits are slightly positioned wider apart then noses can appear smaller therefore decreasing the width of the nose can accentuate the characteristic of the widely placed eyes. In conclusion, part of the planning for a rhinoplasty must include an experienced assessment of the whole craniofacial skeleton in order to advise the patient about predicted outcomes.