Meet the Anaesthetist: A Day in the Life of Dr Neel Desai at The REAL Clinic in London

'In this blog, the REAL Clinic addresses common questions about breast augmentation, covering everything from implant types and surgical details to recovery.'

“Help! My belly button has swallowed my dressing!” (Disclaimer, patient and belly button were fine!)  This is just one of the thousands of messages that are received from patients to our holistic and virtual nursing postoperative support service which is provided for Mr Naveen Cavale’s patients who have undergone cosmetic and plastic surgery at The REAL Clinic

'After just three sessions of polynucleotide injections under my eyes, I saw a significant reduction in dark circles and fine lines. My skin feels more hydrated and firmer.'

'At The REAL Clinic, your comfort, safety and individual needs are at the core of everything we do.'

Perimenopause and menopause bring numerous changes to a woman’s body, often impacting gut health. Many find themselves facing sudden weight gain, food intolerances, and uncomfortable symptoms like bloating, gas, and reflux. However, there’s good news! As we gain more insights into gut health, we discover powerful tools and practices that can support our well-being during this time.

Renowned plastic surgeon Mr Naveen Cavale, founder of The REAL Clinic, has recently launched an exciting new podcast series, the REAL Clinic Podcast , sponsored by 42 South Films .

Not everyone wants to undergo the knife which leads many individuals to seek non-surgical options to rejuvenate their facial appearance. Here are The REAL Clinic, we offer a range of cutting-edge treatments designed to enhance your natural beauty. Below, we explore the key non-surgical options that are greatly popular amongst our patients.

As fun as the festive season is, it can play havoc with our skin, meaning often we enter the new year with a dull, dry complexion or suffering breakouts and darkened eyes circles as a result of too many late nights knocking back the cocktails! On top of this our skin is constantly enduring temperature switches from chilly outdoor conditions to centrally heated indoor environments. But don’t despair as we enter in to the new year! Just as we start fresh with resolutions and goals for the year ahead, it’s also time to revitalise your skin care regime! Here are some of our top tips to get your skin glowing again: 1. Hydrate Our bodies are 60% water and our blood is 90% water. From flushing out toxins to preventing acne, water is one of the most inexpensive solutions for skin issues. It also helps promote a healthy gut and aids digestion, flushing out toxins to help your skin remain clear. If you struggle to drink 2-3 litres of water a day why don’t you try adding natural flavours such as lemon/lime slices, mint or cucumber. 2. Eat the rainbow Often when we enter the new year we start new diet regimes which focus on restriction. A different way of approaching this is to think about the range of nutritious food to include in our diet rather than what we are taking away. Simply put, eating the rainbow involves eating fruit and vegetables of different colours every day. Focussing on eating a variety of colours increases your intake of different nutrients and antioxidants which have an anti-inflammatory effect, benefitting your skin. 3. Choose skin care products formulated for your skin type Get to know your skin type so you can select the right choices when it comes to what products to use. Skin types include: -normal, characterised by hydrated and comfortable feeling skin -dry, which can feel tight, flaky and scaly -oily, characterised by shiny skin, prone to breakouts -combination, which is when the skin is oily in the T zone area but not elsewhere 4. Invest time in a good skincare routine Establishing a consistent daily skincare routine will help a long way towards getting a clear, glowing complexion. Start off by double cleansing with cool or luke-warm water. The first cleanse can move dirt around your face so by doing it twice you’re getting deeper into your pores. Use a toner to help further balance your complexion, tighten pores and restore nutrients to the skin that cleansing may have removed. Follow this with a vitamin c serum in the morning as it can help collagen production and acts as an antioxidant and alternate this with retinol at night. Retinol can prevent acne and slow the aging process. Finish up with a high-quality moisturiser and SPF. 5. Use a good quality product range If you are wanting to upgrade your skincare routine or perhaps the products that you’re currently using don’t work well for you, you may consider using a cosmeceutical range. Cosmeceuticals are medical grade skincare products that offer both medicinal and cosmetic benefits allowing you to treat unwanted blemishes and concerns without prescription or procedure. They are formulated using medical grade ingredients to penetrate deep into your skin and deliver stronger better results compared over-the-counter products. They are popular choices when it comes to targeting common skin problems such as fine lines, dryness, acne scarring, pigmentation, sun damage and minor signs of ageing. 6. Wear sunscreen daily Always wear an SPF even in winter as the sun’s rays still get through and sun damage is one of the biggest contributers to premature ageing, leading to wrinkles, hyperpigmentation, spider veins and an uneven complexion. 7. Have professional in-clinic treatments Besides promoting relaxation, regular professional facial treatments can provide many benefits including noticeable improvements to your skin texture, tone and appearance. Facials can also help improve circulation to optimise cell health and collagen production. Here at REAL clinic we offer a range of skin care and aesthetics treatments, designed to make you look and feel fabulous. If you’re looking for an advanced facial which exfoliates, extracts impurities and rehydrates, then why not try a HydraFacial. The HydraFacial is one of the most popular clinic-based facial treatments right now. It’s so popular, that one is performed every 15 seconds around the world. The reason why? Because it targets many of the most common skincare concerns like dryness and signs of aging with little to no side effects. For those unfamiliar, this treatment is a medical-grade resurfacing treatment that clears out your pores and hydrates your skin. The four-step treatment includes cleansing, exfoliating, extracting, and hydrating the skin with serums that are infused into pores with the HydraPeel Tip, a pen-like device. Profhilo acts as a fantastic antiaging solution. It’s a highly purified injectable hyaluronic acid skin booster. With special patented technology, Profhilo works by hydrating the skin from inside, like an internal moisturiser stimulating the production of elastin and collagen. This helps improve skin tone and skin laxity and results in glowing, radiant, smooth skin. SkinPen microneedling can improve your complexion and texture of the skin, it can even improve certain types of acne scarring. It’s clinically proven to be effective for women and men of all skin types and tones. A natural and effective treatment, nothing injected, no chemicals or heat applied. SkinPen works by creating microchannels, targeting precise depth of the skin stimulating your skins natural wound healing process, producing elastin and collagen to rejuvenate your skin from the inside out. We also offer a range of aesthetic injectable treatments. More details can be found in the ‘treatment’ menu on our website. 8. Exfoliate Exfoliating is a great way of getting rid of dead skin cells leaving your complexion looking brighter, however, over exfoliation can cause your skin to react with excess oil production or breakouts, so best kept to minimum with a once a week session. 9. Don’t forget your neck and décolletage Your neck and chest area need attention too. These are often neglected areas that are prone to sun damage and ageing. 10. Moisturise like a pro There is a correct way to apply moisturiser! Massage your moisturiser in an upward motion, moving out and away from the centre of the face. Around the eyes use a specially formulated eye cream. Let’s make 2023 the best skin year yet! Contact us today for bookings and for helpful advice on the treatments we offer.

Do I need to use SPF in the winter? This is a question that I am frequently asked, and I could sum up this blog in 3 words; Yes, Yes and YES! But it’s just as important for you to understand why we need to use SPF all year round and not just when we’re on our holidays and basking in the sun, as it is for you to know that you need it. SPF (Sun protection factor) is a cream or spray that helps to protect the skin from the sun’s UVA and UVB rays. The benefits to using SPF go way beyond simply protecting your skin from burning in the sun, and you may be interested to learn a little more about some of them. Before we move onto that, we’re going to take a look at what the difference is between UVA and UVB rays as well as their effects on the skin. We’ll also explore how SPF works, for how long it is effective, and then the benefits that come with regular use of a medical grade SPF. Ultraviolet radiation is part of the natural energy produced by the sun. In the electromagnetic spectrum, ultraviolet light has a shorter wavelength than light, so the eye cannot see it, but the skin can absorb it. Tanning beds also emit ultraviolet light. Both types of UV light have been shown to increase the risk of skin cancer. Ultraviolet A (UVA) has a longer wavelength and is associated with skin ageing. Ultraviolet B (UVB) has a shorter wavelength and is associated with skin burns. Although UVA and UVB rays have different effects on the skin, the two are problematic. Lack of UVA and UVB protection damages DNA in the skin, creating genes or mutations that can lead to skin concerns (including premature ageing). So let’s look at the two in a little more detail; UVA RAYS: UVA rays cause tanning and the short wavelengths of UVA rays also cause sunburn and have been shown to promote the growth of cancer cells in the skin. UVA rays penetrate deeper into the skin to cause damage to cells in the inner layer of the skin. The skin darkens, trying to prevent further damage, which gives it a tanned appearance. At the same time, UVA rays can also lead to premature ageing. UVA radiation is the primary light source used in most tanning beds, which are just as damaging to the skin in the very same ways that UVA radiated from the sun is. UVA rays are everywhere. UVA rays make up about 95% of UV rays that reach Earth, and their potency is the same regardless of the season. UVB RAYS: UVB rays penetrate the outer layers of the skin, damaging them to the point of sunburn and blisters. UVB relates to the SPF factor on your skin protection. The factor number tells you how long you can stay exposed to the radiation before the skin starts to redden in comparison to if you were exposed without the use of a sunscreen. The intensity of the UVB rays can fluctuate, although they can still damage your skin all year round, and equally when they meet your skin from a reflective surface such as ice or snow! This neatly brings us to the final section of this blog. The benefits of using an SPF all year round. SPF will aid protection from harmful rays that cause some types of skin cancer. SPF will help keep the skin hydrated. SPF will help protect your skin from damage such as burning or blistering. SPF will help keep your skin more youthful and protect you against signs of premature ageing. So I think the message is clear; yes, you do need to use SPF in the winter… and the spring.. And the summer… and of course, the autumn, too!