Philip Turton Cosmetic Breast Surgeon

Organising Your Consultation - Initial EnquiryPhilip Turton Specialist Breast Oncoplastic and Aesthetic

 

All Private Enquiries are handled in confidence by Mr Turton's PA:

Lisa Harris: Email for any booking or pricing enquiries: Lisa.Harris@NuffieldHealth.com Direct Line to Lisa's Office- 0113 3882193

You have a choice to see Mr Turton at either the Leeds Nuffield Hospital or the Spire Hospital Leeds

Please note that after an out-patient consultation and any surgery, in line with medical recommendations and the vast majority of patient's own preferences, a letter is sent to your GP as a record. Please email Lisa Harris with explicit instructions if this is something you wish not to occur, and also make it clear at the consultation with written instructions for Mr Turton's medical file.Click here to jump down the page to see the list of the Specialist Breast Oncoplastic and Aesthetic Breast Services that you can access.

Nuffield Hospital Leeds:

Conveniently located in the city centre, 5mins walk from Leeds railway station, with on site underground car parking for all out patients and in patients. Located at 2 Leighton Street, Leeds, LS1 3EB. This is the flagship, state-of-the-art private hospital, one of the biggest in the UK. It has 88 beds, 2 floors of operating theatres and an intensive care unit. It is simply stunning! Please always contact my secretary to check availability for the Saturday clinic as these fill up quickly.

For breast augmentation and breast reduction enquiries, I carry out detailed breast augmentation and breast reduction planning clinics which take longer than a standard out-patient visit. Please do let Lisa know if you are attending for a new patient visit for consideration of breast enlargement or reduction. The Saturday clinic is partcularly popular for these. I carry out a full biodimensional assessments on all patients who are considering breast augmentation or reduction. Male patients who are enquiring about male breast reduction procedures may choose the Saturday clinic too. Availaibility for this clinic should be checked in advance. Further information and photos of the Leeds Nuffield Hospital? Click Here

Please remember that Mr Turton has very strong commitments to his specialised breast surgery practice within the private sector and within the NHS. This will include his breast and reconstructive breast surgery practice as well as periodic rostered on-call for breast surgery work. Mr Turton abides by the code of ethical practice in this respect. Clinics can run behind and if this occurs we apologise for any inconvenience. Please always ensure you arrive in good time for an appointment to avoid being re-booked, as it has a knock on effect with other patients.

Breast augmentation, reduction and breast uplift consultations take time. Your appointment provides an opportunity for a detailed analysis of your desires, to check whether the surgical options are safe and if your desires are realistic. It is an opportunity to plan your treatment precisely with the guidance of an expert in their field. It is important to bring information on any medications or herbal preparations that you are taking, any past medical or surgical history, and any family history. Occasionaly the clinic can run over meaning your appointment occurs later than the time given. Mr Turton asks that you give consideration to the complexity that some patients present with and that others may be presenting with breast cancer. Sympathetic handling of cases can therefore mean that clinics run late. We apologise where this occurs and hope you understand that we do everything to keep to time.

 

Spire Hospital Leeds-

Lisa handles all of my work at Spire Hospital Leeds too. Please be aware that she is physically based at the Leeds Hospital and you should email or call using the details above. I hold my specialist Breast Surgery Clinics at Spire Hospital Leeds on: Monday and Friday morning and at the Leeds Nuffield: on a Thursday evening and Saturday.

NHS enquiries:

Mr Turton also works as a specialist Consultant Breast and Oncoplastic Breast Surgeon at St James's Hospital, The Leeds Teaching Hospitals Trust. He has held this post since 2004.NHS referrals need to come from your own GP through the normal referral process. My NHS secretary is Ellie Kitchen: Tel 0113-2068724Leeds Teaching Hospitals Trust

Referrals to the NHS need to be made through your General Practitioner. I have a dedicated breast clinic on Tuesdays and Thursdays at the St James's Hospital Leeds. I run a diagnosic breast clinic on a Thursday morning, and hold a Breast Reconstruction and Breast Oncoplastic planning and post-surgery clinic on a Thursday afternoon. Cosmetic breast surgery is currently not allowed on the NHS except in exceptional circumstances and after approval by the Cosmetic Exceptions Panel at the Primary Care Trust. Where a cosmetic exception is considered, as assessment is made of each patient to plan a report for the panel. Only after panel approval would surgery be permissible through the NHS. Need further information on the Leeds Teaching Hospitals Trust? Click Here

 

List of Specialist Breast Services

 

Breast Augmentation

Biodimensional Breast Augmentation Planning. Assessing suitability for breast implants requires good communication, a critical eye', knowing what measurements to take and why they are important, and years of specialist experience. You also need to have the confidence to tell patients when something is not suitable or achievable. Mr Turton has a detailed specialist knowledge about the breast and of course the implants. You can be confident that he is an expert in his field, has a very up to date practice with a specialist level of training

Natural profile round implants- These can be used to produce a similar look to the anatomical implants without the risks of implant rotation. They cab be more advantageous in women who have "empty breasts" (especially if there is a scalloped appearance in the upper breast area) after previous pregnanacies or breast feeding). Mr Turton specialises in the use of the full Allergan Natrelle range of breast implants.

Anatomical Implants- Specialising in Allergan style 410 and style 510 dual gel, patients can consider this style of implant if they prefer a flatter upper pole profile or it they already have a very flat and very thin breast pattern where an anatomical implant may be more natural.

Round implants- In low, moderate, full and extra-full projection. Endless options for sizes and profiles from the leading implant manufacturers backed by their quality assurance programme. Please ask Mr Turton for advice.

New: micropolyurethane coated implants (anatomical and round, in 4 different projections from low to extra full, and in all sizes with increments in implant width of just 0.5cm giving a tailored fit). These implants offer the lowest capsulation rates. They are not suitable for everyone and can feel firmer and be harder to remove.

Computer assisted imaging software analysis (CAIS) and review of before and after photos as required.

Custom Size Breast Implants: The Allergan (formerly called Inamed or McGhan) and Polytech and Silimed implant ranges comprise a very diverse matrix selection system with which Mr Turton is very familiar. There is a huge choice of differing projection, height, and width fittings. The implant projection (profile) styles refer to the depth of an implant from it's back to it's front surface, in proportion to the width and height of the same implant. They vary from low, moderate, high, to extra high profile. The Allergan and MPU-coated Silimed and Polytech silicone anatomical shape (tear drop) implants of each projection style also comes in different height sizes; Following the consultation and biodimensional assessment a profile is chosen by the patient and Mr Turton based on the preferred projection and appropriate height selection, and in accordance with his patient's desires. Mr Turton has to take account of their suitability, before picking the exact best width of implant from the extensive range of different widths. Mr Turton will sometimes also need to order the implant that is either 0.25 to 0.5cm bigger and 0.25 to 0.5cm smaller than this so that the final choice can be adjusted intra-operatively to the best precision. This produces what is in essence akin to a custom made breast implant that fits your body and not the other way round. Selection of round or anatomical implants requires considerable experience and expertise; These are all high cohesive gel implants (some people use the term gummy bear implant). The major breast implant manufacturers have the most stringent quality assurance and Mr Turton therefore only uses these specialised products, although there may be occasions where a new product such as the B-Lite implants can be considered. These are CE marked, but a new technology where the implant is around 25-30% lighter than a traditional implant.

Implant advice: Mr Turton is independent and does not get paid any royalties for using one implant manufacturer over another. He is happy to fully discuss the Independent Review Group results and advise on short and long term outcome. As Mr Turton is a specialist breast surgeon, he is also happy to give a full breast assessment before cosmetic breast surgery where required.

Evaluation of capsulation. USS and MRI evaluation of implant integrity is available if required. Evaluation of patients previously augmented with PIP implants and all aspects of revisional surgery related to patients who have been unfortunate enough to have breast enalrgement by other providers with this product.

Revisional Breast Augmentation Surgery. Mr Turton is happy to evaluate patients who have had previous breast augmentation or reduction surgery that has not gone well or in whom the results have deteriorated with time. Mr Turton has a lot of experience of this type of revisional sugery in both simple and complex cases. There may be limitations as to what is safe, affordable and achievable and Mr Turton can discuss this with you after assessment.

Redo Breast Augmentation. Patients requesting a size change or implant renewal. Please be aware not all sizes are suitable. Choosing implants that are bigger than is ideal can affect the nipple position adversely, or cause excessive upper pole fullness. The breast tissue and overlying skin need to have compliance (elasticity) to accommodate larger implants. Mr Turton can advise on what is reasonable.

Exchange of older breast implants for modern generation implants. Mr Turton still sees patients who have had implants in for over 20 years and occasionaly 30 years! These are often hard from capsular contraction or contained ruptures. The revision is more complex and usually reqiures full capsulectomies with the implants.

Capsulectomy, Capsulotomy, Capsulorrhaphy. These are all different term: A capsulectomy means full excision of the hard tissue around the implant. A capsulotomy is a partial division of the capsule whichmay be carried out radially or circumferentially. A capsulorrhaphy is the buttressing of the tissue of the capsule to reinforce it where it has been stretched and causes implant malposition.

Removal of PIP implants, removal of extra-capsular silicone including axillary dissection where required.

Breast Mammaplasty. This is the reshaping of a breast, usually where a wide excision of a lesion is required and there are suitably large breasts to enable the approach. A therapeutic mammaplasty is where Mr Turton uses a breast reduction approach to remove a breast cancer. The other breast is then operated on using a breast reduction technique to symmetrise.

Breast Uplift and Breast Reduction for small, moderate or severe cases of macromastia and breast hypertrophy. Large breasts sometimes casuse functional problems to patients and at other times are just an unwanted cosmetic problem. The surgery is a skilled procedure requiring the right balance between safety and aesthetic artistry to produce a nice shape. This is an area of surgery that Mr Turton has a great deal of experience. It may include breast mastopexy and Benelli uplifts for breast droop and breast sagging. The standrd wise pattern breast reduction or breast mastopexy involve breast reshaping.

Correction of Nipple inversion. If you have nipple inversion that is new, please always have it assessed urgently by a breast specialist as it can be a sign of an underlying breast cancer. Many cases are caused by benign conditions. These can result in a cosmetic embarassement, or even lead to recurrent infections. Correcting this involves surgery to divide and release the tethered ducts under the nipple and to then evert it again.

Correction of breast asymmetry and hypoplasia. Correction of tuberous breasts. Around 5-10% of patients have obvious breast asymmetry. In some cases it is so marked that one breast doesn't form properly and the other breast looks disproportionately big or even sagging. Tuberous breasts or breasts with constricted lower poles are recognised by breast specialists but sometimes not easily by all GPs as the condition is less common. A typical tuberous breast has a narrow base with unnatural projection of thick breast tissue centrally usually proalpsing into the areola giving a puffy apperanace. Often the undersurface of the breast is relatively flat and this may extend around to the lower inner cleavage aspect too. Surgery may involve a complex array of procedures over more than one operation to get the results you require. This type of surgery is not straight-forward and there is usually always some residual difference or it may need further surgery as you get older and some of the differences manifest again. Mr Turton has a lot of experience with this type of surgery.

Breast liposuction and lipomodelling. Although liposuction is often not a good solitary option for patients with very large breasts, it may be combined with lipomodelling in some situations of asymmetry. However, lipomodelling is usually used in a variety of different ways: on its own to increase breast size, where there is breast asymmetry, where there is a constricted breast, after breast reconstruction or after breast conserving surgery where an indentation or small breast results. It can be an expensive treatment as it involves the liposuction of fat usually from the tummy or bottom areas, centrifugation and extraction of good quality fat (minus the oil and blood layers), and careful reinjection of 1cc per pass into the recipient area. Only a limited amount can be reinjected at each site or in one operation to reduce the amount of fat necrosis, oil cysts and hardening that would otherwise occur. Although around 30-40% of the transferred volume is lost in the first 3-months, after this time the fat is usually stable and part of the new area, with its own blood supply established from new capilary in-growth. This is when the procedure can be repeated. The cycle of treament, waiting three to four months then re-treatment is repeated until the desired result is achieved. Each treatment has to be seperately paid for usually costing around £3000. However, although it is expensive, it can be a much better solution to some breast problems. Mr Turton will carefully advise on this if it is a treatment you are looking for.

Male Breast Surgery

Breast tissue in men is called gynaecomastia. It can range from small nubbins of hard tissue behind the nipple, to larger areas of thickening causing prominence to a full breast that can look just like a female breast. It is referred to by male patients as many things such as 'man boobs', and patients may phone up asking about 'pectoral reduction', excision of male breast tissue, reduction of male breasts, removal of gynaecomastia or pseudo-gynaecomastia. Please be aware that your concerns will be treated sensitively and that we understand it is difficult for some men to talk about these problems, which are extremely common.

Most patients do not have an indentifiable 'cause' for their gynaecomastia, and we call it 'physiological'. But as some hormone imbalances can cause it, and be serious (such as a testicular cancer) blood tests are advised. Some patients may want to get their GP to do a hormone screen unless they have private insurance as the tests to look for secondary causes are expensive. Mr Turton recommends: FBC, U&E, LFT, TFT, Testosterone, Oestradiol, SHBG, FSH,LH, Prolactin, BHCG, LDH, AFP. Please bring a list of all medication or supplements you take regualarly or that you were taking before it formed. Please be 100% honest if you have taken anything you know may have caused it such as anabolic steriods or testosterone boosters, even in the distant past.

Where gynaecomastia is still tender, it may be worth a trial period of non-surgical treament. Mr Turton can advise if tamoxifen is appropriate.

Male breast reduction to remove gynaecomastia and pseudogynaecomastia may involve a combination of direct surgical excision through an incision at the areola edge, and liposuction of excessive fatty components. Where a breast has sagged as well, the results can be more difficult, as the redundant skin can also be a problem. In these cases, which are less common, it is possible that you would need to fund two different operations to deal with it.

Oncological and Oncoplastic Surgery. Female Breast Diagnostics and Breast Cancer Surgery.

Mr Turton is a specialist breast surgeon and carries out hundreds of breast operations per year. These may be to remove benign breast lesions, for diagnosis of breast lumps not proven from non-surgical biopsies, or for the removal of cancers. Breast cancer may require removal by lumpectomy or mastectomy. The final histology result sometimes means that lumpectomy has been insufficient and further surgery or mastectomy is required. Ultimately the cosmetic consequences of the surgery may mean further reconstructive surgery is required. However, doing each stage correctly and taking into account cosmesis is invaluable. Having a surgeon who can undertake an oncoplastic approach combining reconstructive and cosmetic aspects with the cancer surgery is more common place these days than 10-years ago. Ask your surgeon if they undertake oncoplastic approaches or carry out immediate reconstructive surgery.

Breast Investigations.

Mr Turton does assess people in his rapid access breast clinic, where Mammography, Ultrasound, MRI, Cytology and Biopsy, and a full cancer surgical service is available. All modern techniques are used including sentinel node biopsy, breast conserving oncoplastic surgery as well as radical surgery and reconstructive breast surgery. Mr Turton's breast clinics are supported by a breast care nurse. Whether you are interested in simple discussion because of a concern about your individual family history risks, or you are considering genetic testing for the BRCA gene, Mr Turton can discuss the suitability and options available. Other patients with any of these concerns can also be seen in his clinic: Investigation of Breast Pain - Lump - Thickening - Nipple discharge - Puckering - Family history - Breast Lump Removal (lumpectomy). Or patients diagnosed elsewhere requiring Breast Cancer Surgery and Breast Reconstruction (immediate and delayed)

Mr Turton works according to the National ABS guidelines for the treatment of Breast Cancer: His work is subjected to annual audit and appraisal and 5-yearly revalidation. He works with a full comprehensive multidisciplinary team. He caters for all apsects of breast problems including diagnosis, surgical treatment (breast conserving surgery, sentinel node biopsy, oncoplastic surgery, mastectomy and skin sparing mastectomy, partial and full breast reconstruction), adjuvant therapy with specialist breast oncologists providing breast radiotherapy, chemotherapy, herceptin, adjuvant hormone therapy with aromatase inhibitors: Arimidex, Letrozole, Exemestane or Tamoxifen, DEXA scans for bone health assessment, Vitamin D testing and treatment, and advice on bisphosphonates.

Mr Turton also provides medico-legal reports for general breast and aesthetic breast surgery problems.Mr Turton will happily take referrals for second opinions, complex revisional surgery, and medico-legal reports

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