Cosmetic Surgery Q&A: Mr Sam Orkar

In this Consultant Q&A video, Mr Sam Orkar, Consultant Plastic Reconstructive and Aesthetic Surgeon, delves into three key topics within his field of expertise.

He begins by addressing a common concern for those who have achieved significant weight loss: excess tissue. Then he tackles another important question: “What are my options for correcting breast asymmetry?” 

Finally, Mr Orkar shifts his focus to skin cancer and highlights who is at risk, how to reduce your risk, and common signs to look out for. 

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Q1. What are my options for body contouring post weight loss?

A. When people gain weight, they gain weight in different areas of their bodies and the options depends on where you have lost the weight and therefore, have excess tissue. For the majority of people, this would be in the abdominal area, and they will require a tummy tuck, sometimes breast surgery, which will include an uplift, and sometimes implants are needed. For some people, it's in the arms and therefore, they need arm reductions. For others, it involves their thighs, which involves a thigh lift. For some people, the weight loss actually involves the whole circumference of the body, and therefore, they require what we call a body lift, which can be a lower or upper body lift. 

Q2. What are my options for breast asymmetry correction?

A. Breast asymmetry is generally a developmental abnormality of the breasts where one breast is smaller than the other, or one is much bigger, or both breasts droop too early. The options are varied depending on what an individual has and can vary from an enhancement or enlargement of one breast, a reduction of another breast or uplift of one or both breasts, or a combination of all these techniques to give the best results and symmetry under the circumstances. 

Q3. Skin cancer: who is most at risk, how to reduce your risk, and common signs

A. Firstly, skin pigmentation is very important in reducing risk, so, the fairer you are, the more at risk you are. Secondly, sun exposure, excessive sun exposure, will really increase your risk of skin cancers. 

So, what are the common signs I should be looking out for? Firstly, if you develop a new mole later in life, you should get it checked, or, if you have a mole that may have been there for a long time but is changing especially if it's getting darker, the edges are getting rougher, or it bleeds, then you should need it checked. There is something we call an ugly duckling, so you may have many moles, but if there's one that just looks a bit different, you should get that checked as well.  

So how do you reduce your risk of skin cancers? Like I said, sun protection is the most important thing; avoiding the peaks of sunlight, using high factor sunscreen, even when you think the sun is not bright, is key to reducing your risk. 

Sam Orkar has been on the GMC specialist register for plastic surgery since 2009 and is a full member of The British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) and the British Association of Aesthetic Plastic Surgeons (BAAPS). He has obtained the Royal College of Surgeons (RCS) Cosmetic Surgery Certification in all areas of plastic Surgery.

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