Concierge cosmetic surgery · London
Cosmetic surgery, by BAAPS or BAPRAS plastic surgeons only.
An honest, independent guide to the surgical and non-surgical cosmetic menu — face, breast, body — with the RCS cooling-off period, revision rates and red flags on the table before you commit.
Why patients choose us
- 01
BAAPS or BAPRAS plastic surgeons only
Every surgeon we recommend is on the GMC Specialist Register for plastic surgery and a member of BAAPS or BAPRAS — never a non-specialist doing cosmetic on the side.
- 02
RCS Cosmetic Practice Standards, applied
A proper two-stage consent, a mandatory cooling-off period, and the honest conversation about revision rates before you commit.
- 03
Independent concierge — no clinic commission
We take no kickback from any clinic. No bidding-style discounts, no pressure to book on the day, no upsell.
Indicative pricing
What private cosmetic surgery costs in London.
Indicative ranges across our BAAPS and BAPRAS-registered network. No bidding-style discounts, no time-limited offers — just a firm figure after your surgical consultation.
In short
Non-surgical from £300; a facelift with a plastic surgeon £12,000–£20,000.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Non-surgical consultation | £150–£300 | 30 min | Same visit |
| Surgical consultation (plastic surgeon) | £250–£500 | 45–60 min | 2-week cool-off |
| Botulinum toxin (upper face, three areas) | £300–£600 | 20 min | Same visit |
| Dermal fillers (per syringe) | £350–£750 | 30 min | Same visit |
| Blepharoplasty (eyelid, upper or lower) | £3,500–£6,500 | 1–2 hrs | Day case |
| Rhinoplasty | £7,500–£12,000 | 2–3 hrs | 1-night stay |
| Facelift (SMAS) | £12,000–£20,000 | 3–5 hrs | 1–2 night stay |
| Breast augmentation | £6,500–£10,000 | 1–2 hrs | Day case or 1 night |
| Breast reduction / mastopexy | £7,500–£12,000 | 2–4 hrs | 1-night stay |
| Abdominoplasty | £8,500–£14,000 | 3–4 hrs | 1–2 night stay |
| Liposuction (per area) | £3,500–£7,500 | 1–3 hrs | Day case |
Prices vary by surgeon, facility, implant choice and by whether combined procedures are staged together. Firm figures follow the consultation — never in an initial email.
The problem
The right surgeon, the right facility, the right conversation.
UK cosmetic surgery is famously poorly regulated on the front end. Discount packages, non-specialist surgeons and same-day sign-ups are the norm — but they should not be. We fix that upstream, before you commit.
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A non-specialist surgeon?
We only recommend plastic surgeons on the GMC Specialist Register — a BAAPS or BAPRAS member, never a GP or dentist retraining into cosmetic.
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Same-day pressure to sign?
RCS standards require a two-week cooling-off period. If a clinic pressures you to consent on the day, that is a red flag — and we will say so.
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A "too good to be true" quote?
The GMC prohibits bidding-style discounts and time-limited offers. Cosmetic surgery is a medical decision, not a Black Friday deal.
The journey
From enquiry to structured follow-up — with a cooling-off period built in.
One named plastic surgeon from consultation to review — with the RCS cooling-off pause between them, always.
Phase 1 · Before surgery
Consult, cool-off, plan
Phase 2 · On the day
CQC-registered theatre
Phase 3 · After
Structured follow-up
- 01
Before
You tell us what you are thinking about
A short, confidential form. What bothers you, how long, what you have already tried, and what outcome you are hoping for.
- 02
Before
Consultation with the plastic surgeon
A face-to-face consultation with the operating surgeon — not a nurse, not a patient co-ordinator. Photos, measurements and an honest view of what surgery can and cannot do.
- 03
Before
Cooling-off period
A mandatory two-week pause between consultation and consent for surgical cases. No deposits taken to lock you in, no time-limited discounts.
- 04
Before
Planning and pre-assessment
Bloods, medical history, medication review, and — if implants are involved — the specific device, size and manufacturer written into your record.
- 05
On the day
Surgery in a CQC-registered theatre
Consultant anaesthetist, full theatre team, and an overnight stay if the procedure warrants it. Never done in a treatment room upstairs from a shop.
- 06
After
Structured follow-up
Nurse review at one week, surgeon review at six weeks, and a final review at three to six months. Written aftercare and a direct number for problems.
- 07
After
Revision policy, in writing
The revision terms are agreed before surgery — what is covered, what is not, and who pays. No surprises later.
Typical end-to-end: 4–8 weeks including the mandatory cooling-off period. Full follow-up: 3–6 months.
Areas covered
Face, body, breast — and when NOT to operate.
The major areas we arrange, plus the situations where a good surgeon will decline surgery — and refer for support instead.
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Face — facelift, browlift, blepharoplasty
Age-related descent of the mid and lower face, heavy brows, or upper- and lower-lid excess skin and fat.
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Nose — rhinoplasty
Functional and aesthetic reshaping — dorsal hump, tip refinement, deviated septum. Often combined with septoplasty.
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Chin and neck
Chin augmentation with implant or filler, submental liposuction, and neck-lift procedures for jawline definition.
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Breast — augmentation, reduction, lift
Augmentation with implants or fat transfer, reduction for symptomatic macromastia, and mastopexy for ptosis after weight loss or pregnancy.
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Body — abdominoplasty, lipo, arm and thigh
Abdominoplasty after pregnancy or weight loss, liposuction for focal deposits, brachioplasty and thigh lift for skin excess.
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Non-surgical — toxin, filler, threads
Botulinum toxin, hyaluronic-acid fillers, PDO thread lifts, HIFU, RF microneedling, laser resurfacing and medical peels.
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Mommy makeover
A combined pathway — abdominoplasty with breast surgery — staged safely, not crammed into one long operation.
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When NOT to operate
Body dysmorphic disorder, unrealistic expectations, active infection, uncontrolled medical illness, or a smoker planning a high-risk flap. We say no in these cases.
Menu of options
The full surgical and non-surgical menu.
What each option actually involves — and which is right for which problem. Sometimes the honest answer is "nothing".
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Face — surgical
Facelift (SMAS), browlift, upper and lower blepharoplasty, rhinoplasty and chin augmentation — done by a plastic surgeon, not a dentist or GP.
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Body — surgical
Abdominoplasty, liposuction, brachioplasty (arm lift), thigh lift, and combined mommy-makeover pathways where safely staged.
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Breast — surgical
Augmentation with CE-marked implants (never PIP-era stock), reduction for symptomatic macromastia, and mastopexy for post-pregnancy or post-weight-loss ptosis.
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Non-surgical — injectables
Botulinum toxin and hyaluronic-acid dermal fillers, administered by a prescriber — never a beautician working on a standing prescription.
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Non-surgical — energy
HIFU (high-intensity focused ultrasound), radiofrequency microneedling and laser resurfacing for skin tightening, texture and pigment.
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Non-surgical — resurfacing
Medium and deep chemical peels and fractional lasers for pigment, fine lines and acne scarring.
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Non-surgical — threads
PDO and PLA thread lifts for mid-face lift and jawline definition — modest, temporary, and honestly described.
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Consultation only
An impartial second opinion on whether a surgical or non-surgical option is right for you — or whether nothing is the right answer.
Our vetted London network
A small panel of plastic surgeons, we picked them.
BAAPS and BAPRAS-registered plastic surgeons across central and west London. Not listed publicly — introductions are made privately, once we understand what you are considering.
Selection criteria
How we choose every plastic surgeon in our network.
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GMC Specialist Register for Plastic Surgery — no non-specialists doing cosmetic on the side
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Member of BAAPS or BAPRAS — the two UK specialty bodies
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Operates in a CQC-registered facility, never a treatment room
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Follows RCS Cosmetic Practice Standards including two-stage consent and a cooling-off period
Safety and honest expectations
Revision rates, red flags and when NOT to operate.
Cosmetic surgery is real surgery. It carries real complication rates and real revision rates — and there are patients where the correct answer is not to operate at all.
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Cooling-off period is mandatory
RCS standards require at least two weeks between consultation and consenting to surgery. Any clinic that pressures you to sign the same day is failing that standard.
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Honest expectations, in writing
The surgeon explains what surgery can and cannot achieve, with photos of typical results — not just the best-case gallery.
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Revision rates are real
Rhinoplasty revision runs at roughly 10–15%, breast augmentation reoperation at around 20% over ten years. We share the numbers before you commit.
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Body dysmorphic disorder screening
Any surgeon we work with will decline to operate — and refer for psychological support — where BDD is suspected. This is a red line.
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Medical fitness matters
Uncontrolled diabetes, hypertension, sleep apnoea and active smoking all raise complication rates. These are optimised before surgery, not ignored.
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VTE risk is planned for
Body-contouring procedures carry a real venous-thromboembolism risk. Risk assessment, mechanical prophylaxis and chemical prophylaxis where indicated.
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Implants are traceable
For breast augmentation the specific device, size, lot number and manufacturer are recorded and given to you in writing. No PIP-era stock, ever.
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Complications — seroma, dehiscence, capsular contracture
Persistent seroma, wound dehiscence and capsular contracture happen. The management pathway — including who pays — is agreed before surgery.
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GMC cosmetic guidance
No bidding-style discounts, no financial incentives to book, no combined package pressure. This is a medical decision, not a Black Friday sale.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever procedure you have, the note the plastic surgeon sends you keeps to the same shape.
A quiet reminder
Surgical language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the note before your review, just ask.
- 01 Header
Procedure, surgeon and facility
What was done, by which named plastic surgeon, in which CQC-registered facility, with which anaesthetist.
- 02 Technique
Technique, implants and volumes
Approach used, incision pattern, and — for implants — device, size, lot number and manufacturer. For lipo, the volumes removed per area.
- 03 Findings
Intra-operative findings
Any incidental findings and any deviation from the surgical plan agreed in consent — with the reason.
- 04 Impression
Recovery, review schedule, revision
Read this first: recovery milestones, when you can return to work and exercise, and the revision terms in writing.
Recognised by major UK insurers
Purely cosmetic procedures are self-pay in almost every case. Reconstructive elements — post-mastectomy, post-trauma, symptomatic breast reduction — may be insurer-funded. We confirm cover before booking.
Frequently asked
Everything we get asked about cosmetic surgery.
Honest answers on surgeon credentials, cooling-off periods, revision rates and when we say no.
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Are all cosmetic surgeons plastic surgeons?
No — and this is the most important thing to check. In the UK, only surgeons on the GMC Specialist Register for Plastic Surgery have completed accredited plastic-surgery training. Others are permitted to perform cosmetic surgery but have not been formally certified in it. Everyone we recommend is on the Specialist Register and a member of BAAPS or BAPRAS.
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What is the RCS cooling-off period?
The Royal College of Surgeons Cosmetic Practice Standards require at least two weeks between the consultation with your operating surgeon and formally consenting to surgery. It exists so patients are not pressured into decisions on the day. Any clinic that skips it is not following the standard.
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What are honest revision rates?
They vary by procedure. Rhinoplasty revision sits around 10–15%. Breast augmentation has a reoperation rate near 20% over ten years for reasons including capsular contracture, implant rupture and patient choice. Facelift revision is lower. The surgeon should give you their own audited numbers, not a marketing figure.
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When would you recommend NOT operating?
When body dysmorphic disorder is suspected, when expectations are unrealistic, when there is active infection or an uncontrolled medical condition, or when a patient is a current heavy smoker planning a high-risk flap procedure. Every surgeon we work with is willing to decline surgery in these situations.
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How much does private cosmetic surgery cost in London?
Non-surgical treatments start around £300–£750. Blepharoplasty runs £3,500–£6,500. Rhinoplasty £7,500–£12,000. Facelift £12,000–£20,000. Breast augmentation £6,500–£10,000, reduction and mastopexy £7,500–£12,000, abdominoplasty £8,500–£14,000. We confirm a firm figure after your consultation.
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Should I be worried about discount packages or "book today" offers?
Yes. The GMC's cosmetic guidance and the RCS standards both prohibit financial inducements — bidding-style discounts, time-limited offers, two-for-one deals or aggressive package pricing. Legitimate cosmetic surgery is not sold this way.
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What about PIP implants and modern breast implant safety?
PIP implants were withdrawn in 2010 after being found to contain non-medical-grade silicone. Any surgeon we recommend uses only CE-marked implants from established manufacturers, records the device details in your notes, and gives you an implant card. If you have PIP implants in situ, arrange a review.
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Can I combine procedures — a "mommy makeover"?
Sometimes yes, but safely staged. Combined abdominoplasty and breast surgery is possible for the right patient in a good facility, but total operating time and VTE risk both need careful assessment. We would rather stage two shorter operations than push a single very long one.
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What is the difference between botox, fillers and threads?
Botulinum toxin relaxes muscles that create dynamic lines (frown, crow's feet, forehead). Hyaluronic-acid fillers add volume to hollows, cheeks and lips. PDO thread lifts provide a modest, temporary lift for jawline and mid-face. Results, longevity and risk profile differ — the injector should explain all three honestly.
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When should I seek urgent medical attention after cosmetic surgery?
Fever, spreading redness, unilateral leg swelling or chest pain (possible DVT/PE), sudden increase in breast size after augmentation (haematoma), or wound dehiscence — call the surgeon or A&E the same day. A good clinic gives you a direct number.
Related treatments
Looking for something else?
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Cosmetic browlift
Endoscopic and open browlift for heavy or descended brows.
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Breast asymmetry correction
Correction of breast asymmetry and underdevelopment.
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Inverted nipple correction
Surgical correction of a turned-inward nipple.
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All tests & procedures
Every test and treatment we arrange.
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Acne
Related condition guide.
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Eczema
Related condition guide.
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Mole Check
Related diagnostic test.
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Mole Mapping
Related diagnostic test.
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In practice, in London
Booking cosmetic surgery privately in London — what actually happens
For cosmetic surgery, the private London route is mostly about consultant fit and hospital choice rather than raw waiting time. The wait for cosmetic surgery on the NHS depends heavily on where you live and how urgently the referral is graded. Central and West London private clinics can normally book within a week, with imaging or a procedure slot to follow shortly after. It’s worth being honest about the reason for going private: usually it’s time, not a fundamentally different test.
Once you’re in the private system for cosmetic surgery, the pace picks up noticeably. Consultant slots run to time, imaging is usually available in the same building or a short walk away, and the report comes back typed and detailed. It’s the coordination that tends to feel different — one person on the other end of the phone, not a switchboard. For cosmetic surgery in particular, we bias towards consultants who do this every week rather than every month.
The value of going through a concierge for cosmetic surgery isn’t access — anyone with an insurer or a credit card can get a private appointment in London. The value is knowing which consultant reads this particular presentation best, which unit turns reports around fastest, and which pathway won’t hit a dead end if the findings point somewhere unexpected.