Ageing causes the skin of the face especially around the jaw line to sag. This is because the skin loses its elasticity and also the supporting muscle layer underneath also becomes stretched This gives rise to jowls, deepening of the lines around the mouth (nasolabial folds) and development of skin folds in the neck.

Sagging of the breast is associated with a reduction in the psychological wellbeing of women. This can occur after pregnancy and after gradual weakening of breast tissue support as a result of aging. It can also occur with no predisposing factors in young women as a result of normal breast development.

In patients who have lost weight or post pregnancy, as a result of stretching, loose skin accumulates in the lower abdomen. Despite exercise and dieting the excess loose skin will remain. This is not only unattractive but also can be restrictive in clothing and a significant obstacle in regaining confidence.

The nose is one of the most prominent features of the face. A strong aesthetic balance is achieved when the nose is well proportioned to the face. The cause of nasal deformities may be either a result of previous injury or just normal development. There are many reasons why cosmetic surgery on the nose is contemplated. These include a large nasal hump, abnormal curvature of the nose, prominent tip or a large base.

Mr Sabbagh is one of the UK leading surgeons in reconstructive surgery of the ear. He provides a national service in the NHS at the Royal Free Hospital. Ear Reconstruction is considered one of the most complex operations in Plastic Surgery. It is performed for patients born with an underdeveloped ear ( Microtia ) or those who have lost a normal ear through trauma.

Botox (botuilnum toxin A) is a protein used to eliminate or reduce facial wrinkles. Botox acts by temporarily reducing the action of the underlying muscles. This results in a reduction in facial movements which consequently reduces the wrinkling. Mr Sabbagh also uses fillers to improve the contours of the face. Fillers are a useful technique in reducing the wrinkles around the lip and in enhancing the volume of the lip.