What to Expect - The Consultation
At your consultation you will be given the time that is needed to listen to your concerns and aspirations. An appropriate medical examination will be performed where necessary, including taking measurements, and photography (also known as medical illustration). If you attend on your own, a chaperone will be available if required and/or is necessary.
Mr Riaz routinely has a registered nurse working with him, who specialises in cosmetic surgery, during his Out-patient Clinics. At the Spire Hospital this is Helen Button, and at St Hugh’s Grimsby this is Lynda Thorndike. Both are a valuable source of information also, and are very happy to talk to patients independently of Mr Riaz, if required.
It is important to discuss with Mr Riaz, what you are hoping and/or expecting to gain from the proposed surgery. Based on a full clinical assessment he will then be able to tell you what you can realistically expect. If these outcomes are not what you expected he will explain why.
You will receive an honest and professional opinion, based upon years of specialist training and experience. Not every person is suitable for surgery and you will be advised if in his expert opinion you should wait before embarking on surgery, or perhaps consider other options.
The proposed treatment or operations, including any associated risks and limitations will be explained in full. If during the assessment additional risks have been highlighted specific to you, these will be discussed in yet greater detail. You will be required to sign a Consent Form based on this information, but not until the day of treatment.
Mr Riaz has an extensive portfolio of ‘before’ and ‘after’ photographs of ‘real’ patients, which you may wish to see. (These patients have given their consent for the photographs to be used for this purpose, so there is no breach in Patient Confidentiality). Sometimes it helps to see final results of different techniques in order to make a better-informed decision.
You will be encouraged to ask questions and take time to consider the information and the proposed plan of treatment. This helps promote Good Medical Practice. You will never be pressurised into undergoing any treatment. If it helps, you should jot down a list of questions that you might want to ask Mr Riaz during the consultation. He will not be offended! You will receive a significant amount of information and it is easy to come away having forgotten to ask something you consider to be very important.
Sometimes it is necessary to have more than one consultation prior to surgery, and this is often a much shorter appointment. No charge is made for these further consultations, and if you wish to see Mr Riaz again prior to making a final decision, please call Gale Gibson, my Practice Manager to discuss.
She will help you directly if she can answer your questions. If not she will refer directly back to Mr Riaz for a response.
Following Your Consultation
Following your consultation Gale Gibson my Practice Manager will contact you and provide you with a full estimate of the costs involved with surgery. If you require a written quote the hospital will send you this. Printed literature on the procedure you will be undergoing can be provided – please ask Gale. The hospitals also have literature on the different surgical procedures, which is also available to you.
It is important that you spend enough time to consider you treatment and make an informed decision that is based on sound professional advice. If you have any further questions, we would be very happy to arrange further consultations, at no additional charge.
Booking Your Operation
If you would like to proceed with treatment, please contact Gale Gibson on 01482 841228. No deposit is required to secure a provisional booking. However, if for any reason you are unable to attend for your surgery, it is essential that you inform Gale and/or the hospital as soon as possible, as the sessions are often heavily subscribed to. The hospitals will re-allocate the surgical time.
If you have any questions regarding scheduling your procedure your first point of contact is Gale Gibson. She will liaise with the respective hospitals.
Preparing for Forth-coming Surgery
If you decide to go ahead with surgery, you will receive a pre-admission questionnaire direct from the hospital, which you should complete as soon as possible and return, ideally within 3 days. This information is used to help the hospital staff plan your care by taking into consideration your previous medical history. It helps to highlight any other risks that may not have been discussed previously, which can then be managed.
You will receive detailed written information from the hospital on how to prepare for your operation, and your stay in hospital. Prior to surgery you will be contacted by the hospital, usually by telephone, to arrange a pre-operative-assessment. This is an essential part of your plan of care. The Pre-assessment Nurse will discuss with you your completed pre-admission questionnaire. In addition to this you will need to tell her about any medication which you are taking. Depending on the procedure you are going to have, you may need to have some blood taken, for routine analysis.
It is quite normal to feel nervous about your surgery and it is often helpful to discuss any queries or concerns. Please do not hesitate to ask any questions you may have, at any time, of any of the team.
Mr Riaz’ operating sessions are:
St Hugh’s Hospital
Alternate Thursdays: 11.00am – 18.00pm
Spire Hospital, Hull & East Riding
Alternate Thursdays: 11.00am – 20.00pm
Every Friday – 13.00hrs – 20.00hrs
Once a month, and if necessary Mr Riaz operates on a Saturday to accommodate patients who find it difficult to fit surgery in during the week. This is often by negotiation. Please discuss with Gale, and she will inform you of availability sessions.
Immediately Prior to Surgery
When you arrive at the hospital and have made the Reception Staff aware, you will be shown to your room and you will be ‘admitted’ in a formal manner. The nurse will introduce herself, and she will look after you, along with a small number of other colleagues allocated to the team, until the end of her shift when she will hand-over to the nurse on the next shift.
Admission includes a barrage of questions (which you almost certainly WILL have answered before, and probably on more than one occasion!) and safety checks. There is always a raft of paperwork for the Nurses to complete so please bear with them! This is a mandatory requirement, both legislative and hospital policy and helps to ensure your safety throughout your stay.
You will be required to change into a theatre gown and remove all make-up and jewellery prior to going to Theatre. If you are having a general anaesthetic Dr Rafique, or the attending anaesthetist will visit you and discuss your surgery and past medical history – again as a safety measure. Mr Riaz will see you also. Depending on the type of surgery you are having, he may need to ‘mark’ you up with a marker pen. This is quite usual, and most patients experience this. These marks have largely disappeared by the end of surgery, but if not are easily removed.
He may also take photographs for medical illustration. These remain private and confidential, in your file. If they are useful for teaching purposes you will be asked for your permission for him to use them, prior to use. He will also discuss your surgery again and the associated risks, and you will have the opportunity to ask any final questions you might have. Mr Riaz will ask you to sign the Consent to Treatment form, which is a legal document. This is also a legal requirement.
Before you come to Theatre you will be asked another raft of questions to confirm your identity and date of birth – again a safety check. When you arrive at the Theatre Transfer area, you will once again be asked these same questions by the healthcare personnel taking over from the ward nurse!
The staff will not proceed on to the next stage, until this has all been completed and signed off as accurate.
Mr Riaz’s core team stays the same generally, except during holidays and other absences. Dr Rafique anaesthetises most of Mr Riaz’ patients, almost without exception. However, if for any reason he is not available to anaesthetise, there is a handful of Consultant Anaesthetists who Mr Riaz calls upon, who also have significant experience with cosmetic surgery patients, and are very familiar with the procedures.
Mr Riaz believes that his patients should have confidence in the team as a whole and not just his skills and expertise. Annette (who is a Registered Nurse with almost an entire career background working in an operating theatre environment) assists Mr Riaz in all major surgery, but Mr Riaz undertakes all of the surgical procedures without exception, including the suturing (stitching).
Scrub Nurse - In each of the hospitals and for each procedure there is a ‘scrub nurse’ who assists in the operation with handling and management of the instruments, swabs, needles etc. She is responsible along with Mr Riaz for accurate accounting of the instruments and the like. Generally the scrub nurses have experience with the types of surgery Mr Riaz is undertaking.
She is also responsible for confirming your identity and the procedure you are having, when you arrive in Theatre and prior to surgery– but don’t worry, you will be asleep by then!
ODP – The ODP (Operating Department Practitioner) assists the Consultant Anaesthetist in preparing the patient for his/her anaesthetic immediately prior to surgery, during the procedure, and waking up at the end of the surgery. Often patients are unaware that during their time ‘asleep’ there is always at least 5 qualified healthcare professionals, and 1 healthcare assistant in the Operating Theatre at one time directly involved in their care and treatment – at the very minimum!!
He/she is responsible, along with the Anaesthetists for preparing and managing the medications and equipment used throughout the surgery. The ODP, like the Anaesthetist is always present throughout the entire procedure, for every patient.
After your procedure/s is completed you will be transferred to the PACU (Post Anaesthetic Care Unit, formerly know as the Recovery Unit). There you will be received by a Registered Nurse trained to care for unconscious patients. She will monitor your pulse, blood pressure and oxygen saturation levels regularly and manage any other interventions in place e.g. intravenous drip.
Dr Rafique (or other attending anaesthetist) will stay with you and the nurse, until he is satisfied that you are ‘coming out’ of your anaesthetic in the expected manner. You may still have a device in your mouth which helps to maintain your airway while you are still drowsy, but this will be removed soon after arriving in the PACU. It is highly likely that, although you may appear to be fully awake whilst in PACU, you won’t remember your time there. This is quite normal.
Pain management is integral to the care you will receive throughout your treatment, will be monitored closely in PACU and managed accordingly.
When you are responding, and sufficiently awake (albeit drowsy) you will be transferred back to the ward. One of the nurses who is in your care team will collect you from the PACU, and you will return to your room, where you will be cared for by the ward staff once again.
Dr Rafique (or other attending anaesthetist) never leaves the hospital until he is satisfied that you are properly ‘recovered’.
Post Op Check Up
Following major surgery Mr Riaz often returns to the hospital late at night for a final check on his patients. He lives locally and is never more than a phone-call away should there be any cause for concern.
The hospital staff are obliged to contact him if they have any concerns what so ever. If the surgery has taken place later into the evening, he will return early the following morning to check on his patients, before engaging in any other commitments.
Post Op Follow Up
Depending on the type of surgery you have had, and if you need them, at least 2 follow-up appointments are included in the package price.
The Support Team
Annette is a registered nurse qualified in operating department practices, who assists Mr Riaz with the majority of surgical procedures in the operating theatre, within his private practice. She is also responsible for liaising with the respective operating departments across the hospitals he works in, ensuring that the correct equipment is available for Mr Riaz and his patients. She has worked in this capacity since 2006, when Mr Riaz' practice had grown to such an extent that he felt his practice would benefit from an additional surgical presence.
Annette qualified as a registered nurse in 1980 and has had a nursing career predominantly in the operating environment. She started her surgical career working in the Operating Department at the Kingston General Hospital in Hull , where Hull 's Plastic Surgery Department was based before the service moved to Castle Hill Hospital in Cottingham, East Yorkshire . She went on to work as a Theatre Sister and subsequently the Theatre Manager at the Spire Hospital (formerly the Classic Hospital and Bupa Hospital) for a number of years, where historically a significant amount of cosmetic surgery has always been undertaken.
Dr Rafique - Consultant Anaesthetist
It is mandatory that anaesthetists in the UK undertake six years of rigorous postgraduate training, and pass several exams after graduating as doctors, before becoming Consultant Anaesthetists. I undertook and completed my postgraduate training in anaesthetics in the West Midlands and East Yorkshire.
Since 2003 I have been working as a Consultant Anaesthetist with the Hull and East Yorkshire Hospitals Trust. I started working with Mr Riaz in 2004 when he joined the Plastic Surgery team in Hull, and have continued to do so ever since. I anaesthetise almost all of Mr Riaz's patients in his private practice. I also work with Mr Riaz as the lead Consultant Anaesthetist with a small local charity for the patients who undergo reconstructive surgery in Pakistan and other Third World countries. In the previous 4 years I have anaesthetised more than one thousand of Mr Riaz' private patients, undergoing almost every type of cosmetic procedure, including 150 face lifts, more than 350 breast surgeries and 150 tummy tucks. I also anaesthetise for other Consultant Surgeons including Mr Peter Sedman (General Surgeon), Mr Owen Stewart (Ophthalmic Surgeon) both in the NHS and in the private sector. My special interests are in Cosmetic and Reconstructive Surgery, Bariatric (weight reduction) Surgery, Ophthalmic Surgery and Obstetrics.
Apart from my private and NHS work I am actively involved in charity work since 2001. Both myself and Mr Riaz are trustees of a national charity called OPSA (Overseas Plastic Surgery Appeal Reg'd charity number 1116561). As members of this charity a small team including myself travels to third world countries to perform cleft lip and palate surgery on underprivileged babies, children and young adults. We do this in our own time taking annual leave from our work place. To date we have carried out more than 2500 operations of this nature, improving the quality of life of patients.
Gale is the Practice Manager for Mr Riaz' private practice. She is responsible for the day-to-day running of Mr Riaz' practice. Her role includes liaising directly with the patients, and the private hospitals where Mr Riaz works, scheduling & co-ordinating appointments and surgery. Her role is critical to the smooth-running of the practice.
Gale worked as Personal Assistant and Senior Secretary for the Consultant Plastic Surgeons within the NHS in the East Yorkshire region for over 21 years before leaving to take up the role as Mr Riaz' Practice Manager in June 2007.
Gale is the first point of contact for patients and can be contacted via the Cottingham office address. She is available to speak to directly Monday-Friday 8.30-5.00pm. She is happy to talk patients through many of the questions that patients might have prior to them booking their surgery.
Lynda is a registered nurse and has worked at St Hugh's Hospital for eight years.
Working as a Senior Staff Nurse on the ward, Lynda, who has always had interest in cosmetic surgery, was seconded by the Hospital Director to play an active part in setting up and promoting the cosmetic service at St Hugh's Hospital.
The interest from the local and regional community grew to such an extent that it was evident that there was a need for a dedicated role to support the service. The role of Cosmetic Surgery Liaison Sister was formalised, and in February 2010 this became Lynda’s role.
Lynda’s role involves free nurse-led cosmetic assessments, and offers initial advice to anyone who is interested in finding out more about the range of surgery and treatments available at the hospital.
Lynda is dedicated to providing comprehensive care for cosmetic surgery patients. Her objective is to ensure that the ‘journey’ of the cosmetic patient will be the equivalent to that of a "personal shopper", recognising that cosmetic surgery is very personal and can be life-changing; patients seek researched, up-to-date information from a reputable and reliable source.
Free one-to-one appointments with Lynda can cover some of the many questions and anxieties people have about potential treatment and can provide the very foundation for the eventual outcome/results of their surgery.
Lynda works directly with Mr Riaz, during his Out-patient Clinics and on surgery days. She is there to support both him and his patients. She is available both before and after treatment for advice, and is very happy to talk to patients informally to discuss any concerns they may have. She is usually on-duty on the day of surgery, so is a familiar and friendly face before and after treatment, which offers re-assurance to many patients.
Lynda's working week varies according to the demands of the service. She can be contacted at St Hugh's Hospital - Tel 01472 251100 Ext 2216. If she is not available please leave a message on her answer-machine and she will respond to your call as soon as possible.
Finance & Fees
This is between £120 and £150, depending on what you are going to see Mr Riaz about. When you book your appointment Gale, or the Clinic Appointments Officers at the hospitals, you will be advised of the fee.
You will be invoiced directly by Gale on Mr Riaz’ behalf. You will not be invoiced by the hospitals for this, and they do not take payment for this consultation.
When you attend your appointment you may be asked by the Reception staff at the hospitals for a credit card/debit card. However the fee for your consultation will NOT routinely be taken from this card. The hospitals take details of payment to cover any additional costs generated at the hospitals, but they will not take payment for anything without informing you first.
You will be required to make payment for surgery prior to it taking place. This is a requirement of the hospitals and is not negotiable.
Credit and debit cards - If you are paying by credit/debit card, it can be paid on the day of surgery.
Cheques - If you wish to pay by cheque you should make payment at least 7 working days prior to surgery.
Cash - Should you wish to pay by cash it is advisable to pop in to the hospital prior to surgery, as this takes a little more time to process. However, if this is not convenient payment can be made on the day.
If you have any queries regarding this please contact the Customer Service Officers at the respective hospital, and they will be happy to advise you.
Both hospitals offer finance options. Please call the hospitals directly for further information.
The Spire Hospital now offers 10 months interest free credit. This will be offered through First Medical Loans. Please telephone 0845 618 5375 for more information (Please note: a £55 administration fee will apply)