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Camille 26-07-01 11:06 2 0

Year in Review: Most Popular Plastic Surgeries and Emerging Trends


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This is the annual review of what we actually performed at Centre for Surgery — drawn from our own caseload mix rather than from social media speculation or industry forecast pieces. It is a different question from "what is the most-talked-about procedure" or "what is going viral on TikTok"; it is the simpler question of what consultant plastic surgeons in a CQC-regulated London clinic spent their time doing across the year. The answer holds reasonably steady from year to year, with marginal shifts driven by underlying changes in patient demographics, available techniques, and the wider regulatory landscape.


For the wider commentary on UK cosmetic trends, see our piece on . This page focuses specifically on what our patient caseload looked like.



The procedures that dominate by volume


is consistently our highest-volume single procedure, typically accounting for around 25% of our annual caseload. The procedure has remained the most popular cosmetic surgery in the UK across BAAPS audit data for several years.


What has shifted within the breast augmentation caseload is the type of result patients now ask for. Implant size have moved noticeably smaller. Anatomical implants, smaller-volume implants in the cc range, and submuscular placement for thin tissue patients have become more common; very large round implants and overly augmented appearances are now distinctly less requested. The conversation at consultation is now more often about how to achieve a result that does not look obviously augmented than about how to maximise visible size.


The technical question that comes up most often in our consultations is implant pocket location (subglandular, dual plane, submuscular) — driven by the patient’s existing tissue thickness, breast shape, and lifestyle considerations rather than by surgeon preference.


A growing of our breast caseload is — accounting for 15-20% of breast cases. The combined procedure addresses two related but distinct problems at once: the volume loss that accompanies pregnancy, breastfeeding, and weight changes, and the position changes (ptosis) that accompany those same factors plus ageing.


Where appropriate, we use a vertical (lollipop) lift technique rather than the older anchor (inverted T) approach. The vertical incision produces less visible scarring and works well for moderate ptosis, though the anchor approach is still appropriate for more significant tissue redundancy. The right technique for an individual patient depends on the degree of ptosis, breast volume, and skin quality — not on a one-size-fits-all preference.


typically accounts for around 18% of our annual caseload, performed in two main contexts. The first is liposuction as a standalone for genuine localised stubborn fat in patients with good baseline body composition. The second is liposuction as a component of larger procedurescombined with abdominoplasty in lipoabdominoplasty, with breast surgery in mummy makeover, or with breast augmentation to refine the chest wall and axillary region.


Within the liposuction caseload, we have seen growing in:


What we continue to emphasise at consultation: liposuction is a contouring procedure, not a weight loss procedure. The best results come from patients who are at or near their goal weight and have specific areas of stubborn fat that have not responded to lifestyle change. The clinical evidence is clear that operating outside this poorer results and higher complication rates.


accounts for around 15% of our annual procedures, with the demand from two patient groups: post-pregnancy women whose abdominal wall and skin envelope have not returned to baseline, and post-weight-loss patients (both natural weight loss and now increasingly GLP-1-driven weight loss) with significant abdominal skin redundancy.


The procedure is technically demanding and the most consequential body contouring operation we perform. include:


Combined with breast surgery in a , abdominoplasty part of one of our higher-volume combined procedures.


has grown steadily across recent years and now consistently accounts for 12-15% of our breast caseload. The drivers:


Revision breast surgery is technically more demanding than primary surgery. The pocket may need to be modified, capsules excised partially or fully, implant size or shape changed, and skin envelope reduced or supported with a lift. The consultation for revision work is more involved than primary, with more imaging review and more careful pre-operative planning.



Procedures growing within the caseload


Demand for has grown consistently year on year. The procedurebilateral mastectomy with chest — is well-established with reliable techniques. The patient demographic for this work is significantly younger than for general cosmetic surgery, and the consultation pathway differs from cosmetic work, with more attention to psychosocial readiness and coordination with other care providers where relevant.


has grown consistently in our caseload, driven both by greater openness in discussing intimate concerns and by the increasing recognition that post-pregnancy and post-puberty changes can be effectively addressed surgically. Common variations include labia minora reduction (the most frequent), , labia majora reduction, and mons pubis liposuction or excision. These procedures are increasingly combined where multiple concerns coexist.


The most consequential growth area in our caseload is body contouring after weight loss — both the established post-bariatric pathway and the newer post-GLP-1 pathway. Procedures here , , , , and breast lift, often staged over multiple operations across 6-18 months. See for the full discussion.


The GLP-1 effect is real. Patients who had no realistic prospect of major weight loss before are now at the post-weight-loss stage in significant numbers, and we expect this category to continue growing across .



Procedures that have stabilised or moderated


Brazilian butt lift (BBL) demand has not grown the way some commentators predicted in . The procedure continues to attract patients, and we continue to perform it for appropriate candidates — but the volumes have not matched the hype, and patients are more cautious now about a procedure with a real (and well-publicised) safety history.


Buccal fat removal saw a brief spike in but demand has moderated. Patients are increasingly aware that the procedure is essentially irreversible and that the slim, hollowed mid-face appearance it may not age well into the patient’s 50s and beyond.


Very large breast implants — the requests have moved smaller, in line with the broader .



Non-surgical work continues to grow


Alongside the surgical caseload, our non-surgical work has grown steadily. The where the clinical evidence supports their use:


What we do not offer: any of the unregulated injectables thekeycollectionsthekeycollections.com/">OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines TreatmentCrow's Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis TreatmentChronic Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentBlepharospasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough FillersNasolabial Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling dissolving" or "magic" treatments outside the medical regulatory framework, devices marketed with claims that exceed published evidence, and treatments aimed at under-18s (which would in any case fall foul of the Botulinum Toxin and Cosmetic Fillers (Children) Act 2021).



The patient profile underlying these numbers


Our patient demographic skews female (consistent with national showing women for around 93% of UK BAAPS procedures), with the largest age band sitting in the range. The most common starting point for consultation is a specific concern that the patient has carried for a defined period — usually months or years — rather than an impulse . The we on most often have done significant before arriving, are clear on what they want, and are willing to engage with the realistic limits of what surgery can achieve.


We turn away a meaningful proportion of consultation patients — for some procedures, 25-40%. Reasons unsuitable medical status, expectations, signs of body concern that would not be helped by surgery, recent or active mental health issues that would benefit from stabilisation first, weight outside the appropriate range for the procedure, or signs that the patient is being pushed toward surgery by someone else rather than choosing it themselves.



Booking a consultation


If you are considering any of the procedures discussed here, the next step is an in-person consultation at our . Call or use the .


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Centre for Surgery is a CQC-regulated private hospital on London’s Baker Street, delivering plastic and cosmetic surgery through GMC-registered specialist surgeons. Our expertise spans facial procedures including and , , for men, and body contouring procedures such as and . Patient safety, and natural-looking results sit at the heart of everything we do.


Centre for Surgery is a CQC-regulated private hospital on London’s iconic , offering plastic and cosmetic surgery led by GMC-registered consultant surgeons.




Marylebone

London

W1U 6RN




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Saturday consultations available


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