Treatments / Body / Revision surgery
Complex and revision surgery
Revision and Complex Cosmetic Surgery in Kent, Surrey, Sussex and London
When surgery needs putting right
Revision and complex cosmetic surgery with Mr Siva Kumar, a reconstructive plastic surgeon who manages complex cases in the NHS: implant problems, tummy tuck revision, difficult scars and problems after surgery abroad.
Medically reviewed by Mr Siva Kumar Veeramani, Consultant Plastic Surgeon, FRCS (Plast), GMC 6114710 · Last reviewed
At a glance
About revision surgery
Reconstructive skills for cosmetic problems
Most cosmetic surgery goes well. But sometimes the result is not what was hoped for, something changes over time, or a complication needs putting right. Revision surgery is usually more complex than the first operation: there is scar tissue, the blood supply may have changed, and there is less spare tissue to work with.
This is where a reconstructive background matters. In the NHS, Mr Kumar regularly deals with complex reconstruction, including the head and neck after skin cancer, where tissue is limited and every decision counts. The same skills of planning, moving tissue and managing difficult healing carry straight across to revision cosmetic surgery.
Mr Kumar takes on revision cases selectively, including for people who had surgery abroad. He will always give you an honest view of what can realistically be improved, what cannot, and whether now is the right time.
Revision surgery can help with
- Breast implant problems: hardening (capsular contracture), rippling, rupture, poor position or a size you are unhappy with
- Asymmetry after breast surgery
- Tummy tuck problems: “dog ears”, a high or uneven scar, an unnatural belly button or remaining loose skin
- Wide, raised, tight or poorly placed scars
- Dents and irregularities after liposuction or body contouring
- Problems after cosmetic surgery abroad
What it won’t do
- Guarantee a perfect result: revision aims for a clear improvement
- Usually be done before the tissues have settled, which often takes 6 to 12 months
- Remove scars completely: they can be improved, not erased
Common revision procedures
What can be put right
Every revision is planned individually after a thorough examination and, where possible, a look at the notes from your previous operation.
Breast implant revision
Replacing or removing implants, treating capsular contracture, correcting implant position, or combining with an uplift where the breasts have dropped.
- Best for: implant problems, a size change or older implants
- Implant replacement · Breast asymmetry
Tummy tuck revision
Correcting dog ears at the ends of the scar, lowering or straightening a scar, refining the belly button, or removing remaining loose skin.
- Best for: an uneven scar, dog ears or remaining loose skin
- Tummy tuck
Scar correction
Wide, raised, tight or badly placed scars can be re-cut, re-orientated or released, often followed by laser or IPL to improve texture and colour.
- Best for: scars that are wide, raised, tight or in the wrong place
- Scar correction · Keloid scars
Problems after surgery abroad
Assessment and planned correction after cosmetic surgery overseas, from wound problems to results you are unhappy with. Urgent problems need urgent care first; correction follows once you have healed.
- Best for: complications or a disappointing result after surgery abroad
- Book an assessment
Watch & read
Everything you need to know, in one place
Patient guide
Revision surgery: your patient guide
A detailed booklet written by Mr Kumar. It explains the procedure in depth, how to prepare, every risk and complication, and how to look after yourself afterwards.
The online version of this guide is on its way. You will receive a printed copy at your consultation.
Your journey
Your step-by-step journey
Your journey starts the moment you get in touch. From your first enquiry to your final check-up, you deal with the same small team, and you will always feel listened to, informed and never rushed.
Get in touch
Call, email or send an enquiry. Our team replies promptly and personally, and finds a time and clinic that suit you.
There is no pressure and no sales script. Tell us a little about what prompted you to get in touch, and we will make sure your consultation is with the right person for you.
Consultation
An unhurried, face-to-face appointment with Mr Kumar himself, who will be your surgeon from start to finish.
He listens to what you would like to change, examines you, explains every option, including non-surgical ones and doing nothing, and gives you an honest view of the likely result.
Time to decide
You receive a written plan, a clear quote and your patient guide, then take as long as you need.
A second consultation is included before surgery, and there is a cooling-off period of at least two weeks. Bring someone with you, ask anything, and change your mind at any point.
Day of treatment
Most revision surgery is done under general anaesthetic, although smaller scar revisions can be done under local. A revision can take longer than the original operation because of scar tissue. Many people go home the same day or after one night, depending on the operation.
He will see you beforehand to go through the plan and answer last-minute questions, and you will have clear instructions and a number to call once you go home.
Aftercare and follow-up
Reviews at each stage of your recovery, with support 24 hours a day whenever you need it.
Follow-up appointments are included in your package price, and continue until you have healed and are happy with how things have settled.
Recovery
Healing, step by step
Everyone heals at their own pace. This is a typical recovery, and Mr Kumar will give you a personal plan.
Rest at home and wear any support garment as advised.
Wound checks. Many people are back at desk work after one to three weeks, depending on the operation.
A gradual return to normal activity and exercise.
Swelling settles and scars mature.
Patient results
Before & after
Photographs are shared only with each patient’s written consent. Everyone is different, so individual results vary.
More patient results coming soon
In the meantime, Mr Kumar can show you results for patients with similar concerns during your consultation.
Safety
Risks and staying safe
All surgery carries some risk. Mr Kumar will go through these with you in detail, and the patient guide covers them in full, so you can make an informed decision.
Possible risks
- Bleeding, infection and wound-healing problems, which can be more likely after previous surgery
- Further scarring
- Asymmetry, or a result that is better but still not perfect
- The need for further surgery
- Numbness or altered sensation
- Blood clots in the legs or lungs
Lowering your risk
- Bring any operation notes, implant details and photos from your previous surgery
- Stop smoking and vaping at least six weeks before and after surgery
- Allow the tissues to settle, usually 6 to 12 months after the first operation, unless there is an urgent problem
- If you have fever, spreading redness or a wound opening, seek urgent care first: NHS 111, your GP or A&E
- Tell Mr Kumar about all your medicines and health conditions
- Tell us about all medicines and supplements, especially blood thinners
Fees
FeesPrice on consultation
Self-pay consultations £250.
One package price. No hidden surprises.
If you go ahead, you receive a single package price covering your whole journey, so you know exactly what you are paying before you commit. It usually includes:
- Your surgeon’s fee
- Anaesthetist’s fee
- Hospital and theatre fees
- Follow-up consultations
- Aftercare, with 24/7 support
- A clear written quote
FAQs
Your questions, answered
How long should I wait before revision surgery?
Usually 6 to 12 months after the first operation, so swelling has settled and scars have matured. Urgent problems such as infection are treated straight away.
Do you treat problems after surgery abroad?
Yes, selectively. Mr Kumar will assess you, ask for your operation notes and implant details, and give an honest view of what can be done and when. If you have an urgent problem, such as fever, spreading redness or a wound opening, seek urgent care first.
Will the NHS fix problems after private or overseas surgery?
The NHS treats urgent complications, but correcting a cosmetic result is not usually funded.
Is revision surgery more expensive than the first operation?
Often, because it can be more complex and take longer. You receive a written quote after your consultation.
Should I go back to my original surgeon?
You can, and many surgeons review their own patients. If you would like an independent second opinion, Mr Kumar is happy to see you.
Can scars be removed completely?
No, but they can often be made narrower, flatter, better placed and less noticeable, especially when surgery is combined with laser or IPL.
What should I bring to my consultation?
Any operation notes, your implant details (often in an implant card or passport), photos from before and after your first operation, and a list of your medicines.
Is it covered by insurance?
Cosmetic treatment is not usually covered by health insurance. Where there is a medical reason, it may be. Insurers will need Mr Kumar’s full name, Siva Kumar Veeramani, and GMC number 6114710.
Locations
Where to have your revision surgery in Kent, Surrey and Sussex
Your consultation and follow-up appointments with Mr Siva Kumar are at The Ü Clinic in Sevenoaks, Kent, or The Ü Clinic in Oxted, Surrey. Depending on your treatment plan, it is done at the clinic or at one of his partner hospitals: The McIndoe Centre in East Grinstead, West Sussex, KIMS Hospital in Maidstone, or North Downs Hospital in Caterham. See all of Mr Siva Kumar's clinic and hospital locations.
Both clinics are within easy reach of Tunbridge Wells, Tonbridge, West Malling, Westerham, Swanley, Dartford, Gravesend, Orpington, Bromley, Redhill, Reigate, Caterham, Coulsdon, Purley and Croydon. KIMS Hospital in Maidstone is close to Rochester, Chatham, Gillingham, Aylesford and Ashford, and The McIndoe Centre in East Grinstead is close to Crawley, Horley, Haywards Heath and Edenbridge. Patients also travel from across Sussex, including Brighton, Worthing, Horsham, Eastbourne, Hastings and Crowborough.
Revision surgery cost: the price depends on your treatment plan and is confirmed in a written quote after your consultation. See all prices.
Thinking about revision surgery?
Start with an unhurried consultation with Mr Siva Kumar at The Ü Clinic in Sevenoaks or Oxted. Self-pay consultations cost £250.