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In this episode, Nav is joined by consultant ophthalmologists Elizabeth Hawkes and James Neffendorf — a husband-and-wife duo balancing private practice, surgical careers, and family life. Specialising in oculoplastic surgery and retinal surgery respectively, they offer a unique lens into the world of modern eye care.

Nav, Elizabeth, and James explore the changing face of training in ophthalmology and aesthetics, the rise of the private sector in delivering care and mentorship, and the pitfalls of short-cutting formal training. They also reflect on building a career with long-term satisfaction, the realities of running a clinic, and how to responsibly expand a practice while raising a family. From ptosis surgery and laser eye treatments to retinal trauma and medtech startups, this conversation offers a rare behind-the-scenes look at what it takes to build a sustainable and fulfilling surgical career.
Whether you're a trainee navigating the current system, a consultant eyeing private practice, or simply curious about the day-to-day life of two top eye surgeons, this episode is packed with practical insights and candid reflections.

Follow on Instagram:
Elizabeth Hawkes: ⁠⁠@dr_elizabethhawkes⁠
James Neffendorf: ⁠@londoneyedoc⁠
Nav:⁠⁠ ⁠@realplastics⁠
The REAL Clinic:⁠⁠ ⁠@_therealclinicbat⁠
42 South Films:⁠⁠ ⁠@42southfilms⁠

About The REAL Clinic:
The REAL Clinic is a renowned centre for excellence in aesthetic treatment, cosmetic surgery, and eye care, located in London’s Battersea. Led by some of the UK’s top specialists, it is committed to evidence-based treatments and patient safety.
Sponsor:
The Real Clinic Podcast is proudly sponsored by 42 South Films, a London-based video production company helping surgeons and clinics elevate their marketing through high-quality video content.

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#10 A Pair of Eye Surgeons - Elizabeth Hawkes and James Neffendorf

Nav and Laura delve into the nuances of virtual nursing, exploring how it addresses patient anxiety and provides crucial support when clinics are unavailable. They candidly discuss the stigma sometimes attached to aesthetic nursing and how Laura's passion ensures patients receive the empathetic and professional care they deserve, even identifying potential red flags before surgery. This insightful conversation sheds light on the growing importance of dedicated, holistic patient support in the private cosmetic surgery sector, offering a fresh perspective on elevating the patient experience.

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Empathetic care as an aesthetic nurse

In this episode, Nav is joined by Laura Summers, a registered nurse and the visionary behind a 24/7 virtual nursing service for plastic and cosmetic surgery patients. With a unique approach to patient care, Laura discusses the evolution of her service, designed to support individuals from pre-operative preparation through their entire recovery journey.

Nav and Laura delve into the nuances of virtual nursing, exploring how it addresses patient anxiety and provides crucial support when clinics are unavailable. They candidly discuss the stigma sometimes attached to aesthetic nursing and how Laura's passion ensures patients receive the empathetic and professional care they deserve, even identifying potential red flags before surgery. This insightful conversation sheds light on the growing importance of dedicated, holistic patient support in the private cosmetic surgery sector, offering a fresh perspective on elevating the patient experience.

Follow Laura Summers on Instagram: ⁠@spealist_cosmetic_care⁠

Find out more about Laura's services at her website: ⁠www.specialistcosmeticcareltd.com⁠

Follow on Instagram:

Nav:⁠⁠ ⁠⁠⁠@realplastics⁠⁠⁠
The REAL Clinic:⁠⁠ ⁠⁠⁠@_therealclinicbat⁠⁠⁠
42 South Films:⁠⁠ ⁠⁠⁠@42southfilms⁠

About The REAL Clinic: The REAL Clinic is a renowned centre for excellence in aesthetic treatment, cosmetic surgery, and eye care, located in London’s Battersea. Led by some of the UK’s top specialists, it is committed to evidence-based treatments and patient safety.

Sponsor:
The Real Clinic Podcast is proudly sponsored by 42 South Films, a London-based video production company helping surgeons and clinics elevate their marketing through high-quality video content.

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#9 - Laura Summers - The Virtual Nurse

In this episode, Nav is joined by Ed Keelan, Partner at Octopus Investments, who was instrumental in helping set up The Real Clinic. With a background in entrepreneurship and venture capital, Ed brings a sharp financial lens to the conversation — sharing the realities behind funding, structuring, and scaling a private surgical practice.

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Legal agreements are not marriage agreements

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#8 - Funding Your Clinic Right with Ed Keelan

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What To Expect at Initial Nutrition Appointment

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Lifestyle and Nutrition Introduction 1

A clip from the The Real Clinic Podcast Episode 7 sponsored by 42 South Films

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The benefit of Medical PR #business #podcast #surgeon #medical #pr

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Build Your Medical Brand with PR Expert Rebecca Lee on The REAL Clinic Podcast

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#7 Building a Medical Brand with PR Expert Rebecca Lee | The REAL Clinic Podcast

Day-case surgery has come a long way in improving patient experience and recovery. Learn more on Episode 6 of The REAL Clinic Podcast.

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The advances of day-case surgery

Georgios and Nav talk about the high level of post-surgery care they provide to all their patients.

Learn more on Episode 6 of The REAL Clinic Podcast.

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Post-surgery care with Georgios Orfaniotis

Nav and Georgios talk about the positive impact of day-case surgery.

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Episode 6 of The REAL Clinic Podcast with Georgios Orfaniotis is out now!

In this episode, Nav is joined by Mr Georgios Orfaniotis, a renowned plastic surgeon specialising in facial rejuvenation surgery. With an extensive background in reconstructive microsurgery and experience across the UK, Greece, Taiwan, and Australia, Georgios has honed his expertise in deep plane facelifts, neck lifts, and lip lifts—offering natural and long-lasting results.
Nav and Georgios dive deep into the evolving landscape of day-case facial surgery, the benefits of performing complex procedures outside traditional hospital settings, and the meticulous techniques behind extended deep plane facelifts. They also discuss lip lift surgery, its growing popularity, and why precise surgical execution is key to achieving the best outcomes.
Whether you’re a fellow surgeon, a patient considering facial surgery, or simply fascinated by the intricacies of aesthetic procedures, this episode is packed with valuable insights from one of the field’s leading experts.
Follow on Instagram:
Georgios Orfaniotis:⁠@dr_georgios_orfaniotis⁠
Nav:⁠@realplastics⁠
The REAL Clinic:⁠@therealclinicuk⁠
42 South Films:⁠@42southfilms⁠

About The REAL Clinic:
The REAL Clinic is a renowned centre for excellence in aesthetic treatment, cosmetic surgery, and eye care, located in London’s Battersea. Led by some of the UK’s top specialists, it is committed to evidence-based treatments and patient safety.

Sponsor:
The Real Clinic Podcast is proudly sponsored by 42 South Films, a London-based video production company helping surgeons and clinics elevate their marketing through high-quality video content.

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#6 - Mastering the Deep Plane Facelift with Georgios Orfaniotis

In this episode, Nav is joined by Tom Weiss, Director at Scottvale Insurance Solutions and a specialist in medical malpractice insurance. Tom shares his insights on how clinics and surgeons can safeguard their practices through tailored insurance solutions. With his unique background in mechanical engineering and the medical device industry, Tom has a deep understanding of the risks faced by healthcare professionals and how to mitigate them effectively.

Discover practical advice on professional indemnity, personal insurance, and navigating the complexities of medical malpractice coverage. Whether you’re a seasoned surgeon or a clinic owner, this episode is packed with valuable takeaways to help you protect and grow your business.

Follow Tom: S⁠cottvale Insurance Solutions⁠
Follow Nav: ⁠@realplastics⁠
Follow The Real Clinic: ⁠@therealclinicuk⁠
Follow 42 South Films: ⁠@42southfilms⁠

About The Real Clinic:

The Real Clinic is a renowned centre for excellence in aesthetic treatment, cosmetic surgery, and eye care, located in London’s Battersea. With a commitment to evidence-based treatments and patient safety, it’s led by some of the UK’s leading medical specialists in plastic surgery, ophthalmology, and anaesthesia.

Sponsor:

The Real Clinic Podcast is proudly sponsored by 42 South Films, a London-based video production company helping surgeons and clinics enhance their marketing with high-quality video content.

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#5 - Protecting Your Practice with Tom Weiss | The REAL Clinic Podcast

In this episode, Nav sits down to talk with Dr. Maryam Zamani, a world-renowned Oculoplastic Surgeon and facial aesthetics doctor with a global reputation for a subtle, beautiful and ultra-precise approach to help achieve elegant eyelid contours and fabulous skin.
Maryam shares with us her journey of tenacity, taking the scenic route & building her global skincare empire, MZ Skin.

Follow Maryam: ⁠@drmaryamzamani⁠
Follow Nav: ⁠⁠⁠⁠⁠⁠@realplastics⁠⁠⁠⁠⁠
Follow The Real Clinic: ⁠⁠⁠⁠⁠@therealclinicuk⁠⁠⁠⁠⁠
Follow 42 South Films: ⁠⁠⁠⁠⁠@42southfilms⁠⁠⁠⁠⁠

About The Real Clinic:
The Real Clinic is a renowned centre for excellence in aesthetic treatment, cosmetic surgery and eye care centrally located in London’s Battersea. Founded by some of the UK’s leading medical specialists who bring with them a wealth of expertise in plastic surgery, ophthalmology and anaesthesia, the state-of-the-art clinic has a strong ethos of providing only the best, evidence-based treatments and prioritising patient safety above all else.

Sponsor:
The Real Clinic Podcast is sponsored by 42 South Films, a London based video production company helping surgeons and clinics improve their marketing through high quality video content.

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Dr. Maryam Zamani | #4 - The Scenic Route to Building an Empire? | The REAL Clinic Podcast

In this episode, Nav sits down with Mark Solomos, a Consultant plastic surgeon in London (including Nav's ⁠Real Clinic⁠ in Battersea). Practicing exclusively privately Mark has over 20 years experience and to date has done over 20,000 operations including amongst others some 4,000 noses and 10,000 breast surgeries, making him one of the most prolific surgeons in the UK.

Follow Mark: ⁠@marksolomos⁠
Follow Nav: ⁠⁠⁠⁠@realplastics⁠⁠⁠
Follow Real Clinic: ⁠⁠⁠@realclinicuk⁠⁠⁠
Follow 42 South Films: ⁠⁠⁠@42southfilms⁠⁠⁠

About Real:

The Real Clinic is a renowned centre for excellence in aesthetic treatment, cosmetic surgery and eye care centrally located in London’s Battersea. Founded by some of the UK’s leading medical specialists who bring with them a wealth of expertise in plastic surgery, ophthalmology and anaesthesia, the state-of-the-art clinic has a strong ethos of providing only the best, evidence-based treatments and prioritising patient safety above all else.

Sponsor:

The Real Clinic Podcast is sponsored by 42 South Films, a London based video production company helping surgeons and clinics improve their marketing through high quality video content.

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#3 - How to do 4000 nose jobs and live to tell the tale | Mark Solomos - The REAL Clinic Podcast

In this episode, Nav sits down with Gary Monaghan. Gary has been involved in the Cosmetic Surgery industry for over 20 years. In more recent years, Gary has become an expert in the building of clinics for plastic surgeons, including Nav's ⁠Real Clinic⁠ in Battersea. Gary's expertise extends to every element of project management from finding a venue, business plans and cashflows, architects, builders, layout design, equipment purchase, staff sourcing, contract sourcing, CQC and business planning.

Follow Gary: ⁠www.thecosmeticconsultants.com
Follow Nav: ⁠⁠⁠@realplastics⁠⁠
Follow Real Clinic: ⁠⁠@realclinicuk⁠⁠
Follow 42 South Films: ⁠⁠@42southfilms⁠⁠

About Real:
The Real Clinic is a renowned centre for excellence in aesthetic treatment, cosmetic surgery and eye care centrally located in London’s Battersea. Founded by some of the UK’s leading medical specialists who bring with them a wealth of expertise in plastic surgery, ophthalmology and anaesthesia, the state-of-the-art clinic has a strong ethos of providing only the best, evidence-based treatments and prioritising patient safety above all else.

Sponsor:
The Real Clinic Podcast is sponsored by 42 South Films, a London based video production company helping surgeons and clinics improve their marketing through high quality video content.

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#2 - Gary Monaghan - The Clinic Builder - The REAL Clinic Podcast

In this inaugural episode of the Real Clinic Podast, Nav sits down to talk with Francesca Ogiermann-White, Tatler’s Health & Beauty Editor-at-Large, about how surgeons can feature in Tatler's Guide and build an impact through PR opportunities.

Francesca also talks about The Beauty Triangle and her work bridging the disconnect between patients and practitioners – while steering a new dialogue that informs and inspires.

Follow Nav: ⁠@realplastics⁠
Follow Francesca: ⁠@francescaogiermannwhite⁠
Follow Real Clinic: ⁠@realclinicuk⁠
Follow 42 South Films: ⁠@42southfilms⁠

About Real:
The Real Clinic is a renowned centre for excellence in aesthetic treatment, cosmetic surgery and eye care centrally located in London’s Battersea. Founded by some of the UK’s leading medical specialists who bring with them a wealth of expertise in plastic surgery, ophthalmology and anaesthesia, the state-of-the-art clinic has a strong ethos of providing only the best, evidence-based treatments and prioritising patient safety above all else.

Sponsor:
The Real Clinic Podcast is sponsored by 42 South Films, a London based video production company helping surgeons and clinics improve their marketing through high quality video content.

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#1 - Tatler's Guide and building an impact through PR - The REAL Clinic Podcast

Neel Desai, Medical Director, and Anaesthetist at REAL explains the types of anaesthesia we use in the clinic.

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Types of Anaesthesia at REAL

This is a little tour of the ambulatory area (the closest we have to a traditional 'ward' for our patients - as you can see it is 'compact' - this is very deliberate - the bays are all very close to theatres, and the recovery room. Nurses are very close by, so safety is excellent. We have avoided the use of closed-off rooms, which means that patient treatment is quick, safe and efficient.

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REAL Theatre & Ambulatory Area Tour

A brief tour of our plastic surgert theatre, capable of TIVA GA, fopr day cases.

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Plastic Surgery Theatre Theatre Tour - Nav Cavale, CEO

A quick tour of the facilities in our ophthalmology theatre - a brief intro.

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REAL Ophthalmology Theatre Theatre Tour - Nav Cavale, CEO

We believe in keeping things REAL at our stunning new clinic in London’s Battersea.

With on-site Aestheticians, Doctors, Surgeons and Ophthalmologists, our expert team bring you a range of treatments across several disciplines. Whether you’re looking for aesthetic treatments, skincare, eye-care or surgery, we are here to help unleash your confidence, and show the world the REAL you.

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REAL at The Battersea Clinic

Breast reduction surgery can help to relieve the pain and discomfort associated with large breasts. When very large breasts are a concern, they often cause backache, neck pain, shoulder pain, and even rashes and soreness beneath the breast. Breast reduction surgery works by removing excess breast tissue to reduce the size and improve the shape of the breast. We may also find it necessary to lift the breast, as excessively large breasts may also be prone to sagging due to their weight and size. The size of the nipple may also require reduction so that it is more aesthetically balanced and proportionate to the smaller breasts.

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What is breast reduction?

The nose is the most central facial feature, and one that other people can be drawn to when communicating. The appearance of the nose does not always take on the form that one prefers, whether it’s due to genetics or from damage to the structure caused by an accident or injury. Concerns such as: bump on the nose (dorsal hump), crooked nose, hooked nose, a wide bridge or a less defined tip can often impact the affected person’s confidence and self-esteem, seeking a ‘nose job’ to help balance the features and improve their overall look.

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What is rhinoplasty?

HydraFacial is an effective microdermabrasion technique which exfoliates skin, extracts impurities and rehydrates. It uses a patented Vortex Technology as well as serums customised to your skin type to deeply cleanse and treat your skin without irritation. This is unlike any other facial you’ve ever had.

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What is hydrafacial?

Cataracts are the natural clouding of the lens inside our eyes. Cataracts develop as we get older and affect our vision. They will affect most of us in our life and are considered a normal part of ageing. Common complaints from cataracts include decreased vision, blurry vision and glare, especially around lights at night. Colour can also be affected as the blue light is absorbed by the cataract. Cataracts develop slowly over time, and when the decreased vision caused by the cataract starts to affect your life, this is the time to consider surgery.

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Membrane After Cataract

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Plastic Surgery

Fat transfer to breast is a popular treatment that can be chosen to increase the volume of the breast, either independently for a small increase in size / volume, or alongside an implant for more dramatic results. Fat transfer to breast quite literally involves the extraction of fat from one area of the body (usually the abdomen or thighs) which is then transferred to the breast. Whilst this procedure is favourable for increases of up to one cup size, it is not a replacement for breast augmentation using implants where more than one cup size increase is desired.

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What is fat transfer?

Otoplasty (also known as pinnaplasty) is a surgical procedure that aims to reposition or improve the shape of the ears. There are a number of concerns that can lead to a person seeking otoplasty, but primarily this is due to asymmetrical or protruding ears. Just like our other facial features, the shape and size of our eyes is largely due to genetics.

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What is ear surgery or otoplasty?

Mr. Cavale is one of the founding members of REAL. He is passionate about his work and always puts his patient’s needs at the heart of every procedure. Patient safety is top of his agenda and he will only make a recommendation if he feels it is in the best interest of the patient. Mr. Cavale has an extensive repertoire of accolades and holds some of the most prestigious positions with surgical bodies, such as;

– National Secretary for UK, ISAPS, 2018 — Present
– President, Royal Society of Medicine, Plastic Surgery Section, 2019 — Present
– Vice-Chair, British Foundation for International Reconstructive Surgery & Training
– Patron, KCL Medical School Plastic, Reconstructive & Aesthetic Surgical Society
– Member, BAAPS, BAPRAS, ISAPS, ASPS, British Society for Rhinoplasty Surgery, Rhinoplasty Society of Europe

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Mr Naveen Cavale: My Mission

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Tummy Tuck

Cataracts often affect older people and are determined by the cloudy appearance of the lens, which should be clear. This can lead to difficulties in vision as for the affected person, it can seem like they are looking through a frosted window. Cataracts can develop slowly and may affect either one or both of the eyes (although not always at the same time), with visual impairment and sensitivity to light increasing as the cataract grows. It is usually when the cataract starts to affect a person’s daily life, that treatment is looked into.

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What is cataract surgery?

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Liposuction

Gynaecomastia is a very common condition that refers to excess breast tissue or breast swelling in men. This concern is also known as ‘man boobs’ or ‘moobs’ and can cause a man to feel self conscious about his physique, specifically the appearance of his chest. At REAL we perform a lot of male reduction surgeries, and can help you achieve a more proportionate, defined chest.

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Male Breast Surgery

Welcome to REAL!
Find out about all we have to offer in our state-of-the-art retail space, clinic and hospital.

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The REAL Experience

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Visia

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Robbie Walker

We put safety first, yet will remain competitive and effective – something that other places try to use as an excuse to ‘trade off’ less effective treatments.

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Patient Safety

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Cool Sculpting

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Piezo Rhinoplasty

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Scar Removal

A detached retina describes a condition in which the retina comes away from its supporting tissues at the back of the eye. The retina is a thin layer of light sensitive nerve cells and a healthy retina is imperative to clear vision. Retinal detachment can occur due to damage, trauma or injury, inflammation or structural changes to the eye that occur over time.

Symptoms of retinal detachment may include; sudden flashes of light in the peripheral vision (outside of the central field of vision), a sudden increase in floaters (black strand like debris in the field of vision that appear to be floating and are particularly noticeable when looking at a plain surface), shadowing of the peripheral vision that appears to be moving toward the central field of vision and a sensation that a semi transparent curtain is covering / impairing the vision.

Depending on the type and severity of retinal detachment, the appropriate type of surgery required will vary. In essence, all retinal detachment surgery aims to repair holes or tears in the retina and / or traction or pulling. The outlook for retinal detachment surgery is very good, with 90% of cases being successfully at the first operation, but time from symptoms to treatment is crucial, so don’t delay.

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Retinal Detachment

We are proud to be an evidence based clinic, for all our surgical, non-surgical, skin care and eye care procedures. This means we put safety first and will only recommend the appropriate treatment for you

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Our Mission

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Our Range Of Services

Microneedling can improve the complexion and texture of the skin, with more significant changes seen when professionally administered in a clinic with the industry leading SkinPen.

It can even improve certain types of acne scarring. Best results are achieved with a course of 3 treatments in conjunction with an optimised skin care regime.

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Skinpen

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Skin Surgery

Droopy eyelids are a common ageing-related concern that develops from stretched skin and weakened muscles around the eye area. This concern can continue to progress as a person gets older, which gives the face a weary look. In significant cases of droopy upper eyelids, the skin can start to cover over the eye, leading to difficulties with vision.

Blepharoplasty is a surgical procedure that can create a long-term solution for removing loose skin on the eyelids to help restore a youthful and refreshed look.

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Eye Lid Surgery

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Face Lift

A Macular hole is a gap in the part of the retina that is most sensitive to light, and as such is responsible for the central vision. The hole causes a gap in your central vision, making it difficult to read, see faces or see detail when looking at something. The peripheral vision is usually preserved and is not affected by the hole in the macula. Macula holes occur in approximately 1 in 10,000 people. Unfortunately, if it happens in one eye, there is a much greater chance of it also happening in the other eye.

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Macular Hole Surgery

Floaters occur most frequently due to the vitreous jelly separating from the retina (light sensitive layer) behind it. If you see new floaters, or flashing of lights, this could signify that the vitreous jelly is coming away from the retina and you should see an ophthalmologist straight away as there is a chance that as the jelly separates, a tear in the retina can form. Urgent treatment can reduce the risk of retinal detachment.
If you have stable, longstanding floaters in your vision, these can removed by a procedure that removes the vitreous jelly (vitrectomy). The operation takes less than an hour, and typically you will need 1-2 weeks off work.

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Flashes and floaters

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Epiretinal Membrane

We pride ourselves on Safety, Quality and Evidence.
Everything we offer at REAl has been vetted, thought through, before being added to our range of products or services.

To say that our team is 'expert' is an understatement.

All treatments, from basic skin-care advice, through non-surgical treatments (such as Botox, Fillers, and CoolSculpting) to cosmetic/aesthetic/ophthalmology surgery (and anaesthesia) are delivered by fully accredited and super-highy qualified nurses, doctors, surgeons and anesthetists.

Do contact us for more info or to arrange a consultation

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Our Expertise at REAL

Nav is a plastic surgeon, and one of the founders of REAL.
He has an NHS Practice and a private (cosmetic surgery) practice, both in London

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Mr Naveen Cavale, Founder and CEO of REAL

We are all properly trained, accredited and insured. You are in the very best of hands.

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An Honest Approach

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Breast Surgery

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Anaesthesia

Small breasts may be hereditary, or as a result of weight loss, pregnancy or breastfeeding, as well as a loss of volume due to the natural process of ageing. When small or less shapely breasts affect a woman’s self-esteem or confidence, she may seek breast enlargement surgery (breast augmentation) to increase the size and / or enhance the shape of the breasts.

Here at REAL, a pre-operative assessment will be carried out, during which time we will discuss your desired results as well as your reasons for seeking breast augmentation so that we can advise the correct procedure for you.

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Breast Enlargement

It is very common for a woman’s breasts to begin to take on a less pert appearance over time. This may be due to a number of reasons, such as; ageing, post-pregnancy, breastfeeding and weight loss. Breast uplift surgery (mastopexy) can help to lift, reposition and enhance the shape of the breast by raising the position of the nipple and tightening the skin. It is sometimes desirable to increase lost volume to the breast by placing an implant as well as lifting which is known as mastopexy-augmentation. The type of surgery required will be determined following your pre-operative assessment at REAL.

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Breast Uplift

There are a number of changes that occur on the face during ageing, and the eye area often displays these changes first. As well as wrinkles, droopy eyelids, dark circles and eye bags, the eyebrows can change their positioning slightly as they begin to sit nearer to the eyes. Known as ‘fallen brows’ this condition can add to the development of a tired appearance causing a person to seek a treatment that works to lift the brow and restore the eyes’ youthful look.

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Brow Lifting

Botulinum toxin has been extensively and safely used in clinical practice since the 1970s. It decreases muscle movement and leads to less wrinkling of the overlying skin. Over time, natural skin regeneration smooths out the existing wrinkles. Other common cosmetic uses of botulinum toxin include lifting the brow, smoothing and lifting the neck area, and slimming the face. It is also an effective treatment for areas of the body that suffer with over-sweating, otherwise known as Hyperhidrosis.

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Botulinum Toxin (Botox)

Here at REAL, we understand that your choice to undergo treatment is one that has taken a lot of careful consideration, research and emotion.

Our understanding team know that this decision wasn’t taken lightly, and we pledge to treat every patient with care, compassion and respect – always putting your safety and comfort first.

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