We are very happy to welcome you as Doctor Philippe Chout’s private patient.
Please find attached this 40 pages information pack that you requested regargind our practice.
Its content is as follow :
P.2 : Credentials of Doctor Philippe Chout
P 3-4 : Price policy and price list: cost of cosmetic surgery procedures
P 5-6 : Information concerning anaesthetic methods
P.7 : Treatment for lines: muscle relaxing injections
P.8-9 : Skin mole or scar removal
P.40 : Beauty Design : a new concept of Beautyfication and rejuvenation
face :
P.10-11 : Temporal Lifting surgery
P.12-13 :Face lift ( neck lift and Facelift )
P.14-16 : Eyelid cosmetic surgery : blepharoplasty
P.17-18 : Esthetic surgery of the nose : rhinoplasty
P.19-20 : Ears pinning surgery : Otoplasty
P.21 : fuller or thinner Lips
P.22 : chin & jaw augmentation or reduction :genioplasty
body :
P.23 : Breast Augmentation, breast enlargment with implant
P.27: Breast reduction or breast uplift
P.29 : Fat removal by Liposuction or Liposculpture
P.30 : Fat transfer (filling)
P.31-32 : Tummy Tuck (abdominoplasty), arms or thigh lift
P.34 : Labiae Vagina (labiaplasty)
P. 37: The buttocks lift
P.38 : General pre and postoperative recommendations
Dr Philippe Chout AIHP, ACCAHP, MD
Specialist in Plastic and Cosmetic Surgery
Registered with the UK General Medical Council n° 4783516.
Registered with the French Medical council n°64900
Email: mrchout@yahoo.co.uk
Tel: +44 207 193 8382
www.doctorchout.com
Dr Philippe Chout was born in 1964 in France.
His qualifications are as follows:
He is a MD, AIHP, ACCAHP. He graduated from the ‘Paris VI University’, Paris, France in 1996, with a DES Doctorate in Cosmetic and Plastic Surgery.
He has been a senior Registrar for two years at Hospital Ambroise Paré, attached to West Paris University.
He is registered with the French Medical Council as a Specialist in Cosmetic Surgery, Number 64900-75 since 1996. He registered with the General Medical Council in London in 2001, number 4783516.
Dr Chout’s career began in Paris as a plastic surgeon at the Belvedere Clinique in France.
In 1998 he embarked in private practice and in 2001 decided to go further afield to the UK.
Dr Philippe Chout’s private practice is based in central London. He consults and operates at the London Welbeck Hospital from Monday to Thursday. He also perform consultations and operations at the Milan Clinic in Paris, France.
His special area of interests include: refined cosmetic surgery procedures of the face, Beauty design, face lift, temporal and brow lift, rhinoplasty, liposuction/liposculpture, skin rejuvenation, including Botox Tm and fillers, breast surgery, abdominoplasty as well as fat transfers.
He is particularly known for his minimalism (Harper’s bazaar october 2007) that is to say selecting the most appropriate though minimal cosmetic surgery procedure achieving stunning yet natural results with a minimal recovery time.
Mister Chout is a truly independent plastic Surgeon that is to say that he doesn’t work for any mass cosmetic company nor for a hospital, therefore he has no time or marketing pressure. He believes that it is generally better for patients to be directly in touch with the responsible person (the Surgeon) rather than with go-between or laypersons…
He regularly attends courses and seminars and publishes articles on cosmetic surgery topics in medical journals, such as “La Revue de Chirurgie Esthétique de Langue Française”.
He has created the concepts of Beauty design and skin design.
Dr Philippe Chout believe that undergoing plastic surgery should be reserved to patients with a strong motivation who are financially secure, emotionally stable, disciplined and available. For a personalized price estimate please contact us.
Your operation will be performed by Dr Philippe chout under General Anaesthetic or under sedation in the hospital.
The Aneshesiologist is the person responsible for anesethesia and all medical (non surgical) outcome .
The following information is important:
Your stomach must be empty before a general anaesthetic therefore you should not eat or drink at all in the 7 hours prior to your operation.
Due to strong hypnotic drugs that will be injected to you, you will stop breathing spontaneously and will therefore breathe through a tube placed in your trachea, which is connected to a machine called a ventilator. You will be fully asleep and will therefore not see, nor remember the operation being performed.
With any anaesthetic there are certain risks and therefore precautions to be taken. With general anaesthetic these include:
- Notifying not driving yourself to the Clinic, as you will not be able to drive afterwards. Your blood pressure may drop after surgery and you could faint, even for minor surgery.
- Organising a friend or family member to escort you home and to remain with you for a few hours after the operation.
- Resting at home and not smoking or drinking alcohol.
- Taking the prescribed drugs.
- Post-operative care using an antiseptic and dressings must be respected.
- Allergies and any minor medical problems must be notified prior to the operation.
- Checking your daily temp is under 38øC or 99øF.
- Attending all the post-operative appointments.
Possible surgical complications are: haematoma, haemorrhage, infection, burn and scar problems, delayed healing or stiches rejection, local numbness or palsy, cutaneous necrosis. The following risks are also associated with general anaesthesia: occasional allergy to certain drugs, teeth loss, haematoma, abscess, infection, conjunctivitis, vomiting, deep vein thrombosis, pulmonary embolism, high blood pressure and
Some operations such as rhinoplasty, breast reduction or tummy tuck cannot be performed under sedation and require a general anaesthetic. In such a case the patient will have to sleep overnight in the clinic. For others a local anaesthetic possibly combined with sedation may be sufficient. Dr Philippe Chout.
LOCAL ANAESTHETIC
You operation will be performed under Local Anaesthetic by Dr Philippe Chout in the day surgery centre.
The following information is important:
For minor surgery, such as mole removal or small scar revision, a Local Anaesthetic is often sufficient.
A solution of Xylocaine (Lignocaine) with or without adrenaline is injected into the area to be operated on, in order to numb the area, which completely removes the sensation of pain. The only thing that you will feel is the actual injection. After the injection you will not feel any pain.
You will not be asleep, but will remain awake and alert.
Sensation will come back gradually approximately one hour after the operation. In the meantime oral painkiller will be started and should be sufficient for the first three days after the operation.
You will not see the operation being performed as sterile sheets protect the operated area.
Even under Local Anaesthetic there are certain risks and certain precautions to take. These include:
- Not driving yourself to the Clinic.
- Never driving your own car after surgery - Your blood pressure may drop and you could faint.
- Having a friend/family member to take you home.
- Even for minor surgery, freeing yourself for at least half a day from any obligations.
- Taking the prescribed drugs.
- Post operative care using an antiseptic and dressings must be respected.
- Notifying allergies or minor medical problems beforehand.
- Check your daily temp is under 38øC or 99øF.
- Postoperative appointments must be attended.
Apart from all the possible surgical complications, which include: haematoma, haemorrhage, infection and scar problems; complications under Local Anaesthetic are rare. They include: occasional allergy to certain drugs, haematoma, infection, high blood pressure, allergy, flush, cardiac arrhythmia and cutaneous necrosis.
If the patient is highly emotive or anxious, even minor surgery under Local Anaesthetic may need to be complemented by sedation.
SEDATION
Your operation will be performed under Sedation. Sedation is not a general anaesthetic, but more than a simple local anaesthetic. You will not be fully asleep, nor be fully aware during the operation and will not feel pain or much less. This kind of anaesthesia is also called twilight. Not all the patients are suitable for this type of anaesthesia.
The following information is important:
Sedation means that according to the Anesthesiologist choice and responsibility, prior to a local anaesthetic with Lignocaine you will be given an intravenous sedation with hypnotic drugs such as Midazolam, or Methadone, or Propofol, so that you will not be really aware during your operation. You will be sedated and covered with sterile drape and will therefore not see the operation being performed, though not being fully asleep.
With any anaesthetic there are certain risks and precautions. With sedation these include:
- After discharging you should return home directly.
- Not driving yourself to the Clinic.
- Never driving your own car after surgery - Your blood pressure may drop and you could faint.
- Having a friend/family member to take you home.
- Even for minor surgery, freeing yourself for at least half a day from any obligations.
- Taking the prescribed drugs.
- Post operative care using an antiseptic and dressings must be respected.
- Notifying allergies or minor medical problems beforehand.
- Check your daily temp is under 38øC or 99øF.
- Postoperative appointments must be attended.
Complications are rare but may include: occasional allergy to certain drugs, haematoma, infection, and high blood pressure.
Sedation is a suitable method of anaesthesia for cosmetic eyelid surgery, liposuction to one or two areas, male chest reduction, temporal lift, Breast up-lift or Breast augmentation.
The choice between sedation or general anaesthetic remains the anaesthetist’s choice. Dr Philippe Chout plastic surgeon.
MUSCLE RELAXING INJECTIONS : BOTOX TM
Muscle relaxing injections by dr Chout.
Botulism toxin injections into the muscles of the forehead, between the eyebrows or in the crow’s-feet, deactivate facial expression in these areas and temporarily reduce the appearance of lines and wrinkles. The active ingredient of the two following trade marks Botox or Dysport is Clostridium botulinum toxin type A haemagglutinin and it also contains albumin and lactose.
Botox is administered with a very fine needle after a local anaesthetic cream is applied. The injections are almost painless, and the results are noticeable one week later. After three months the product will need to be re-administered; but following several courses the effects may last longer than six months. The doses of injected Botox are very weak, thus there are usually no adverse side effects related to botulism toxin activity. An allergic reaction to the product is unlikely and the risk of skin infection is also negligible. However, the eyebrows may become slightly more arched if the forehead is treated, but this is an initial after effect, which will soon subside. Botox relaxes the muscles, therefore sensation is still present.
Undesirable side-effects or complications are rare.
Skin rash and or flu-like symptoms indicate an allergic reaction or an infection but this only occurs in exceptional cases. Other possibilities experienced by patients are: dizziness, headaches, frontal tension, bruising, haematoma (exceptional), and or swelling at the point of injection. Furthermore, if the product has dispersed deeply (by inappropriate massaging by patient) , exaggerated and asymmetrical drooping eyebrows and eyelids may result.
Precautions
You should not take aspirin five days before treatment because this drug facilitates bruising. In all cases, one must refrain from sleeping or dozing for four hours after the procedure. During this time it is also necessary to avoid making facial expressions and massaging the area, as this will spread the product, which could cause undesirable side effects. The use of Arnica cream on your face is recommended afterwards. Botox injections cannot be given during pregnancy.
SCAR REVISION AND MOLE REMOVAL
This fact sheet is for people who are considering having a skin lesion removed by Mister Chout plastic Surgeon.
Lesions on the skin are lumps or bumps such as moles, cysts, warts or skin tags or tatoo. Most are benign (non-cancerous), but if they are painful, unsightly or restrict movement, you may want to have them removed.
Why remove a skin lesion?
Most skin lesions do not cause serious problems, but you may want to have them removed for practical or cosmetic reasons. Surgical removal of lesions is usually only considered if other treatments such as medicines or creams and lotions are not an option. Your GP will be able to discuss your options with you. Surgery is also usually recommended to remove a skin lesion that shows any sign of turning cancerous, for example, a mole that has changed shape or colour. After these have been removed, a small sample of the removed tissue is sent to a laboratory for examination under a microscope. This is
called a biopsy.
How is a skin lesion removed?
Minor skin lesions, such as warts, may be frozen off with liquid gas or treated with chemicals that are painted on such as salicylic acid. For more precise removal or for larger lesions, surgical removal is often preferred. Surgery to remove a skin lesion is usually a quick and straightforward procedure that does not need an overnight stay in hospital. The treatment is performed as an outpatient or day case, which means that you can have the operation and go home the same day.
What happens before surgical removal?
Your GP or surgeon will discuss how to prepare for your operation. For example, you may be asked to give up or cut down on smoking because this increases the risk of infection and slows the healing of wounds.
It is important to discuss the operation with your surgeon so you know what to expect. For example, a margin of skin around the lesion may have to be removed as well as the lesion. This will leave a bigger wound than you may expect from the lesion's size.
The operation
The operation is usually performed using a local anaesthetic, in which case the area around your skin lesion will be numb but you will be awake. It can also be done under a general anaesthetic, which means that you will be asleep throughout the procedure and will feel no pain. The choice of anaesthetic will depend on the size and location of your lesion.
The technique for removing the lesion depends on factors such as its size and location. Your surgeon will advise which method is most appropriate for you. Some lesions can be shaved down to the level of the surrounding skin, either using a surgical blade or electro-surgery, which uses an alternating current to destroy skin tissue. Skin tags may be simply snipped off with surgical scissors.
Other lesions can be cut out entirely (excised) and the wound closed up with stitches. The stitches are usually removed 3-14 days later. If dissolvable stitches are used, these disappear on their own.
Your surgeon may apply a dressing to the operation site, which will need to be left in place for 24-48 hours. This is not always necessary as some operation sites heal better if left uncovered.
What to expect afterwards
Most people can go home within an hour or two of the procedure. If you have had a general anaesthetic, you should arrange for a friend or relative to drive you home and stay with you for the next 24 hours.
Recovering from skin lesion removal
As the local anaesthetic wears off, the operation site may feel sore. Painkillers such as paracetamol will help, and should be taken as advised by your surgeon. You should take it easy for the first few days and take special care not to bump or knock the operation site. If you have had a lesion removed from your face, it may be helpful to use extra pillows as this will help to reduce swelling and bruising. You should not apply make-up to the operation site until you have had your stitches removed.
Most surgical operation sites simply need to be kept clean by daily washing with cool water. A recent wound, or one that has just had the stitches removed, should not be soaked in water. Your surgeon will be able to give you more advice on bathing.
After having a skin lesion removed, the operation site generally heals fairly quickly. This can be about two to three weeks if your lesion has been cut out or one to two weeks if it has been shaved off.
However, you should contact your surgeon if the wound:
- Becomes more painful
- Looks red, inflamed or swollen
- Smells unpleasant
- Leaks any sort of liquid
These may be signs of infection.
Deciding on treatment
Having a skin lesion removed is generally a very safe surgical procedure. However, in order to give informed consent for treatment, anyone deciding to have this operation needs to be aware of the possible side effects and the risk of complications.
Side effects are the unwanted but usually temporary effects of a successful treatment. For this operation, they are likely to include:
- Numbness caused by the local anaesthetic
- Pain, swelling and/or bruising around the operation site
- Scarring, which, depending on the location of the lesion and how much healthy skin has to be removed, may be noticeable.
Complications are unexpected problems that can occur during or after the procedure. Most people are not affected. The main possible complications of any surgery are excessive bleeding during or soon after the operation, developing an infection and an unexpected reaction to the anaesthetic.
Complications of having a skin lesion removed include those listed below:
- Most people's scars heal normally but a small percentage of people have an inherited tendency to form scars that are unusually red and raised. These are called keloid scars.
- You may have bleeding under the skin, which may create a haematoma where a pool of blood collects under the skin around the operation site. This may need to be drained in a second operation.
- You may experience nerve damage as a result of an excision in an area with extensive and shallow nerve branches. This is usually temporary but can be permanent.
Other complications for this operation are uncommon. The chance of problems depends on the nature of the lesion, the exact type of operation used to remove it and other factors such as your general health. Your doctor will be able to explain how the risks apply to you.
BEAUTY DESIGN
This fact sheet is for rather young women (20-40) who are considering having an operation done in order to improve globally the appearance of their face, and actually reveal their Beauty.
The concept of Beauty Design has been created by Dr Philippe Chout in 2002 as opposed to rejuvenation. Rejuvenation's goal is to restore an individual original features when they have been altered by time. It is not to create something that did exist previously.
They are quite a few Plastic Surgeons who are good at rejuvenating faces via Facelift or Brow lift or blepharoplasty. These are common operations.
Reciprocally, Beauty Design is a more creative attitude : revealing a young individual natural Beauty when it is unfortunately hidden by unbalanced features such as a large nose, a small chin, flat cheeks, dropping eyes, a dull uneven skin. The challenge is to do it in one surgical operation only. That is litteraly creating something new : this requires additionnal skills such as creativity and taste that are not as important in any other cosmetic surgery procedure. This subtle surgery must give a beautiful but still natural appearance. It must be undetectable.
Each person is different and therefore each Beauty Design is different. It is
As Mister Philippe Chout often says, Beauty Design is the diamond of cosmetic surgery.
The goal is not to produce carbon copy faces, it is to create an original beautiful face looking so natural that nobody will be able to guess that some surgery has been done.
Creating natural Beauty is the ultimate art. Dr Philippe Chout.
Le “Beauty Design” ou Chirurgie d’embellissement.
La Chirurgie d’embellissement s’adresse à des femmes jeunes (20-40 ans) qui seraient gênée par des traits dysharmonieux et souhaiteraient révèler leur Beauté avant de faire leur vie, soit dit par opposition à la chirurgie de rajeunissement (liftings et blépharoplasties) qui sont beaucoup plus banales et s’adresse à des femmes de 50 à 70 ans.
La chirurgie d’embellissement (Beauty Design) consiste à révéler en un seul temps chirurgical la beauté d’un visage qui serait malencontreusement masquée par exemple par plusieurs défaut comme un nez proéminent ou déformé, un menton fuyant, des joues plates, des yeux tristes, des creux sous les yeux, une peau irrégulière , tachée ou porteuse de séquelles d’acné, etc...
La planification d’une telle opération et son exécution sans faute en un seul temps requiert des talents peu répandus car moins indispensables dans d’autres opération, comme le sens de la composition de la coordination, une certaine créativité et idéalement du goût. Le but ultime est en effet de paraître belle et naturelle.
Chaque personne étant unique, chaque opération d’embellissement doit l’être également. Il ne s’agit pas en effet de créer des visages stéréotypés et d’aspect peu naturels, mais bien de révéler la personnalité et la beauté cachée d’un visage, et ce sans que l’on puisse deviner qu’une opération à été réalisée. Un vrai challenge.
Révéler la Beauté naturelle est l’ultime forme d’art. Dr Philippe Chout.
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