t. 0117 3250325 (Bristol) 020 7299 0382 (Harley Street) e.

Initial consultation and assessment

We believe strongly that good communication and a feeling of mutual trust lies at the heart of all successful medical and surgical treatment. Your initial consultation is the important first step in developing this relationship.

How do I arrange a consultation?

Simply contact our office, either by phone or email, and we will do the rest. When you contact us please have some idea of your potential availability to come.

When and where are consultations held?

Consultations are held on Wednesdays, either in Bristol at the Spire Hospital Outpatients Department, or in London at 10 Harley Street. We do not hold consultations anywhere else.

Who will I see and talk to?

You will only ever see our surgeon, Mr Philip Guest (who was the first UK surgeon to be trained in the QuickLift technique). You will not see a 'nurse consultant' or similar – we believe that is the wrong approach.

What happens during an initial consultation?

Our surgeon will discuss with you the reasons you are considering surgery and what outcome you might realistically expect. He will ask you about your medical history and take a set of clinical photographs. It is very important to us that you have realistic expectations so any questions you have will be answered frankly and honestly.

Any questions about practical issues (e.g. when can I have surgery, where can I stay, how much will it cost etc?) are best answered by our practice manager on a separate occasion.

What will you do with the photographs you take of me?

A set of clinical photographs is an integral part of the medical record and everyone who is being considered for surgery must agree to be photographed. We retain these photographs securely and we will never use them for anything other than as part of the medical record. Specifically, we will not use your photographs for advertising or disseminate them in any way.

We do ask that you sign a form giving your consent to show your 'before and after' photographs anonymously to other prospective patients in the future. You are of course at liberty to refuse this.

Can I see some photographs of previous patients?

Yes. Our surgeon has a portfolio of thousands of patient photographs, but only a few of these will be relevant to your particular situation. This is one reason why we do not publish 'before and after' photographs on our website. He will show you selected photographs that are pertinent to your current appearance and to demonstrate what you might realistically expect to achieve. He will not simply show you photos of his 'best results'.

Can I see and talk to other patients who have had an Advanced Mini Facelift?

Yes, this is often possible on the afternoon of your initial consultation (although we cannot guarantee this). We schedule the consultations so that patients who have been operated on recently will be in the Outpatient's Department having their sutures removed. This is an ideal opportunity to see what you might be 'letting yourself in for' and we strongly encourage patients who are considering an Advanced Mini Facelift to talk to someone who has recently undergone the procedure. This is a very powerful encounter for many people and almost everybody who does this decides to go ahead with surgery. Obviously, we expect you to 'pay it forward' if you do decide to have a face lift in the future.

How long does the initial consultation take?

Approximately thirty minutes. If you do decide you would like to see and chat to a patient who has recently undergone an Advanced Mini Facelift things will obviously take longer.

Can I have a consultation and treatment on the same day as this would be more convenient for me? 

No. You need adequate time to think things through, to weigh up the pros and cons and come to a proper decision. There is also clear advice from the General Medical Council that there should always be a minimum six week 'cooling-off' period between consultation and cosmetic surgery. In addition we always have a significant waiting list for surgery.

Can I bring someone with me for moral support?

Of course, but please bear in mind that the surgeon will be asking you for confidential personal and medical information and you need to be comfortable discussing this in front of another person.

We cannot carry out a consultation and assessment for your escort during the same appointment – this will need to be arranged separately. There is no reason, however, that these cannot be arranged for the same afternoon.

How much does the initial consultation cost?

Consultations in Bristol are free of charge. Our fee for a consultation in Harley Street is £105.

Should you decide that you need a second consultation (for example, if you delay making a decision for a significant period of time and want to go through things again) we make a nominal charge for this service.

Am I committing myself to anything if I choose to have a consultation?

No. In fact, we think it is a good idea to seek a second or third opinion if you are considering having any kind of facelift.

Is there any alternative to a face to face consultation?

Everyone who is considering an Advanced Mini Facelift will need a face to face consultation with the surgeon. However, you are at liberty to send us a set of photographs of yourself so our surgeon can give you some initial idea of your suitability for the procedure.

It is also possible to arrange an initial Skype consultation, but this will not be with the surgeon, although it will be with a doctor who is intimately familiar with the procedure. This is a prelude to, rather than a replacement for, a formal surgical consultation and assessment.

What happens after my initial consultation?

By this stage, most people have a good idea of what surgery can offer them. If we feel that surgery is appropriate for you, we will send you a letter confirming that this is the case with a detailed breakdown of the costs and other relevant information.

The next stage is for you to make a decision.