What’s up Doc?

What's up Doc?
What's up Doc?

‘What’s Up Doc’ is a health column in association with Spire Gatwick Park, your local private hospital, which gives you the opportunity to ask questions regarding general health and wellbeing. Answers are provided weekly from our specialist consultants at Spire Gatwick Park Hospital.

If it’s a long-standing illness or simply a worry which you would like to get off your mind then we would like to try to help. Spire Gatwick Park is a private hospital located in Horley, Surrey providing a range of treatments, from orthopaedic to ophthalmic, ENT to cosmetic. Each year we see around 30,000 out-patients, and treat over 7,000 day-case and in-patients. You do not need private medical insurance to use our facilities, and we can offer patients consultations within 2 weeks.

I’m 48 years old and my wife has just had out twins, she is very down at the moment and I’m looking into options for her - can you advise on any suitable procedure? I am looking into liposuction, how does this work?


Dear reader, pregnancy can have several effects on the body and twins often cause more significant effects. The tummy muscles get stretched, stitch marks develop, loose skin doesn’t shrink back, the breasts droop and to top it all the weight gain of pregnancy is hard to shift as you are too busy looking after the new arrivals. Before considering any surgery it is sometimes best to wait a little while to let your wife’s body slowly settle to a steady weight and allow any loose tissues to resolve. This can take up to a year. Options like liposuction are not always the best if the main concern is loose skin, stretched muscles or breast droop.

Liposuction may be useful for any stubborn areas of fatty tissue but only once your wife has achieved a steady weight she is happy with as it removes only fatty tissue but can sometimes leave loose skin behind. It is not really useful for weight loss. Often the best approaches to consider for post pregnancy changes include tummy tuck (abdominoplasty) which gives a flatter, firmer tummy and breast uplift (mastopexy) which could be combined with breast implants to give firmer (and bigger) breasts. These two procedures also need a period of recovery which may be more difficult when you have young children so it is important to plan carefully. The most important thing is to chat with your wife to see how she feels and if she does have concerns to discuss them with an experienced plastic surgeon who can give you both specific and safe advice.

Spire Gatwick Park Hospital are holding a free cosmetic information evening at Arora Hotel, Crawley on Thursday 27 February at 7pm. Book your free places today by calling 01293 778 906 or email info@spiregatwick.com.

Mr Baljit Dheansa, consultant plastic, burns & reconstructive surgeon, offers appointments at Spire Gatwick Park Hospital on Tuesday and the first Saturday of every month. To book an appointment call 01293 778 906 or email info@spiregatwick.com