From the Surgeon's Desk

Articles on plastic surgery, patient selection, and the cases behind the craft — written by Mr Adam Blackburn FRCS (Plast).

Minor Complications, Major Impact: Why We Started Scoring Every Adverse Event After Breast Reconstruction

Losing a flap is now rare. But the absence of disaster tells a patient very little about what her recovery will actually look like. Mr Blackburn explains a new scoring system — and what the numbers revealed about risk, age, and BMI.

Mr Adam Blackburn Mr Adam Blackburn | May 2026 | 8 min

More Than a Number on a Scale: Why the NHS Is Missing the Point on Breast Reduction

NHS breast reduction criteria focus on BMI and tissue weight — but ignore the psychological burden that makes the operation so transformative. A case for measuring suffering, not just size.

Mr Adam Blackburn Mr Adam Blackburn | May 2026 | 8 min

The Case for Functional Abdominoplasty — When Pilates Is Not Enough

For women with a post-pregnancy diastasis wider than 4–5 cm, no amount of physiotherapy or Pilates will close the gap. Mr Blackburn explains why surgery is sometimes the only answer, and what it can restore.

Mr Adam Blackburn Mr Adam Blackburn | May 2026 | 7 min

Before You Buy: Checking the Small Print on Private Health Insurance

If your policy does not allow you to see the specialist you need, were you mis-sold? Mr Blackburn explains what "unrecognised" really means, and what questions to ask before you sign up.

Mr Adam Blackburn Mr Adam Blackburn | May 2026 | 5 min

The BEAULI Protocol: Body-jet Water-Assisted Liposuction & Fat Transfer

Water-jet harvest and a closed processing system mean more viable fat cells reach the recipient site. Mr Blackburn trained in Berlin and now offers the BEAULI protocol at his clinics.

Mr Adam Blackburn Mr Adam Blackburn | May 2026 | 6 min

How to Look After Your Scar After Surgery

Micropore tape for at least six weeks, changed every ten to fourteen days. After that, continue the tape or move to a topical product with an evidence base. Mr Blackburn explains the reasoning behind each step.

Mr Adam Blackburn Mr Adam Blackburn | May 2026 | 5 min

What to Bring to Hospital for Your Operation

General advice for all breast, abdominal and thigh surgery under general anaesthetic, with specific guidance for DIEP, TUG, LUG flap, abdominoplasty and breast reduction.

Mr Adam Blackburn Mr Adam Blackburn | May 2026 | 7 min