Oral Surgery


Oral surgery is used to correct a variety of problems in the mouth, teeth and jaw area. This can include removal of wisdom teeth and impacted teeth, removal of unsalvageable teeth placement of implants and reconstruction of jawbone to enable implants to be placed. It can also include more complex surgery, for example when severe damage has been caused by accident or severe disease or surgical correction of malformed jaws or deformities.

At 152 Harley Street, we appreciate that many of our patients feel nervous about such procedures and we will do our utmost to help you feel calm and relaxed. We offer IV Sedation or general anaesthetic and will advise you if we feel this is the best way to handle your treatment. Our anaesthetists are all Consultant Anaesthetists and experts in Sedation Techniques and General Anaesthesia.

Our oral surgery services (some of which are covered by medical insurance) include:

  • Removal of teeth and fractured roots
  • Removal of impacted and buried teeth
  • Exposure of buried teeth
  • Investigation of oral pathology
  • Investigation and treatment of mouth diseases
  • Biopsies
  • Reconstruction of missing jawbone
  • Jawbone reconstruction for implant placement
  • Implant placement
  • Removal of salivary gland stones
  • Investigation and treatment of pain in the face
  • Jaw correction surgery (orthognathic surgery)
  • Oral surgery under sedation
  • Oral surgery under general anaesthesia
  • Oral surgery designed to accelerate orthodontic treatment (Wilcko technique)
 
 

Prosthodontics & Restorative Dentistry


The aim of restorative dental treatments is to restore teeth that have been damaged – by accident, decay or other problems – back to full health and functionality. Treatment may involve the combination of root canal (endodontic) treatments, gum disease (periodontal) therapy and prosthodontic restorations. The final restorations may range from simple or complex fillings to crowns and bridges or removable dentures supported by either teeth or dental implants.

The restorative treatments we offer include:

  • Biomimetic restoration of teeth with either tooth colored fillings or porcelain veneers and restorations
  • Smile make-overs with bleaching and/or veneers depending on treatment needs
  • Treatment of discolored teeth
  • Crowns and bridges on teeth or dental implants. Both conventional and metal-free restorations are provided according to treatment needs
  • Root canal treatments
  • Gum disease treatments (Periodontal treatment), either surgical or non-surgical
  • Dental implants
  • Removable dentures
  • Rehabilitation of worn or eroded teeth and dentitions
 
 

Sinus Lifts


A sinus lift is a surgery that will add bone to your upper jaw and in the area of your premolars and your molars.  A sinus lift is sometimes referred to as sinus augmentation. Bone will be added in between your jaw and your maxillary sinuses. They can be on either sides of your nose. In order to make room for the bone, the sinus membrane may be moved upward or lifted. A sinus lift is performed by a maxillofacial surgeon or a periodontist.

A sinus lift is performed when there is not enough bone in the upper jaw or the sinuses to hold dental implants. Here are some of the reasons sinus lifts are used:

People who have lost teeth in their upper jaw like the back teeth molars may not have enough bone for implants to be placed. If you look at the anatomy of the skull, you will notice that there is less bone on the upper jaw than the lower jaw

Bone loss may have happened because of periodontal gum disease

Tooth loss may have led to bone loss because when teeth are gone, bone starts to get reabsorbed back into the body. If teeth have been missing for a long time then there may not be enough bone left for implants

The maxillary sinus could be too close to the upper jaw for the placement of implants. The size and the shape of the sinuses will vary among individuals. Moreover, the sinus may become larger as you get older

 
 

TMJ Disease Treatment


TMJ (the Temporomandibular Joint) is the jaw joint that allows the jaw to open and close. This is a complex area and problems that affect the jaw, such as your teeth not meeting together properly, or clenching or grinding your teeth, can go on to create further problems.

If you suffer from difficulty in opening your mouth or pain on opening, chronic headaches or migraines, or pain in the neck, shoulder, jaw, and ear, we may be able to help. Treatments are often relatively simply and painless, and can make a huge difference to your quality of life.

At 152 Harley Street, our experts can provide the following treatments:

  • Occlusal analysis and equilibration treatment
  • Bite guards
  • Surgical treatment of the TM
 
 

Periodontal Treatment


Early Gum disease is very common. Usually it can be kept under control by regular hygienist treatments and by a good daily oral healthcare routine. However, if left untreated, it can progress to become periodontal disease, which slowly destroys the gum tissue and bone which holds your teeth in place. Eventually your teeth can become loose and may fall out or need extracting.

As well as providing preventive services, our periodontal specialists can offer treatment to bring the disease back under control and to help save your teeth.

We offer conventional periodontal treatment, laser periodontal therapy (LANAP) and regenerative treatment, stimulating new growth of gums and bones and helping you to keep your teeth for years to come.

Our periodontal treatments include:

  • Preventive periodontal treatment
  • Periodontal or gum disease treatment
  • Regenerative treatment
  • Cosmetic periodontal treatment
  • Laser periodontal trearment
 
 

Orthodontic Treatment


Orthodontic treatment is used to correct misaligned or over-crowded teeth, in order to provide a beautifully straight smile. It can also help to correct problems with the bite and to improve facial contours.

At 152 Harley Street, our experts offer a full range of orthodontic treatment for both adults and children, including virtually invisible lingual braces and Invisalign aligners and self-ligating braces that radically reduce treatment time.

Our orthodontic treatments include:

  • Adult orthodontic treatment
  • Child orthodontic treatment
 
 

Acne


Acne or Acne Vulgaris is a skin condition that occurs when the hair follicles become clogged with dead skin cells and oil. Typical characteristics of acne include:

• Blackheads
• Whiteheads
• Greasy and combination skin
• Pimples
• Redness
• Scarring

Acne can affect the face, chest and back and can often be painful and uncomfortable along with affecting confidence and wellbeing. Acne not only affects teenagers but can be a persistent issue for people in their 20’s, 30’s and even 40’s.

At 152 Harley Street, we truly are experts in the treatment and prevention of acne and acne scarring and are proud to offer cutting-edge treatments that are not available elsewhere, including our bespoke combination therapy for acne scarring. We understand that everyone’s skin and acne is different and this is the reason why we adopt a holistic and team approach to the treatment of acne, to ensure that you receive a treatment plan that is perfectly suited to your individual needs and sometimes from more than one specialist at 152.

Depending on the stage and severity of your acne, there are many ways in which our expert Consultant Dermatologists can help you, including:

  • Bespoke Combination Therapy for Acne Scarring (a combination of subcision, punch excision & Co2 laser)
  • Dermabrasion
  • Medical grade skin peels and skincare
  • Microneedling
  • UltraPulse Co2 Laser
 
 

Abdominoplasty (Tummy Tuck)


An abdominoplasty procedure is for people who are in relatively good shape, but who are bothered by fat deposits or loose abdominal skin that will not respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients can also be improved.

The type of surgery required varies according to extent and type of problem. Often a full abdominoplasty is required. Sometimes it is possible to perform a more limited operation.If, for example, your fat deposits are limited to the area below the navel, you may require a less complex procedure called a ‘mini abdominoplasty’. Liposuction may also be performed in conjunction with abdominoplasty to enhance the overall results.

At 152 Harley Street, a tummy tuck is carried out under Local Anaesthetic & Sedation in our state-of-the-art day case theatre. You will be able to leave shortly after your procedure, but still receive the same thorough and excellent aftercare that you would expect with a general anaesthetic. For those living outside of London, we are able to personally arrange for you to stay in our partner hotel in Marylebone, just a few minutes from 152 Harley Street. Alternatively you can opt to have a general anaesthetic and your Consultant Plastic Surgeon will talk you through all the options that are available to you at your initial consultation.

 
 

Breast Lift (Mastopexy)


As skin loses its elasticity, breasts often lose their shape and firmness and begin to sag. Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume (for example, after pregnancy or weight loss) breast implants inserted in conjunction with mastopexy can increase both their firmness and their size.

There are many different techniques of mastopexy and the position of the resulting scars may vary. There is always a circular scar around the nipple. A second vertical scar running from the lower most point of the nipple to the fold beneath the breast is also common. In some techniques, there is also a horizontal scar in the fold beneath the breasts. The horizontal scar can usually be kept quite short but its length does vary depending on the original shape of the breasts. Some women also opt to have a breast implant inserted at the same time, in order to restore fullness and volume to the breasts.

If you are planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually does not interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.

At 152 Harley Street, breast uplift is carried out under Local Anaesthetic & Sedation in our state-of-the-art day case theatre. You will be able to leave shortly after your procedure, but still receive the same thorough and excellent aftercare that you would expect with a general anaesthetic. Alternatively, you can opt to have a general anaesthetic and your Consultant Plastic Surgeon will talk you through all the options that are available to you at your initial consultation.

 
 

Chin & Cheek Augmentation


The shape and proportion of the bones of the face are important in achieving a pleasing, overall facial harmony. In balancing the proportions, particularly of the nose, cheeks, chin and forehead can lead to a disharmony of facial appearance that some people find aesthetically unattractive.

An under or over developed chin and flat or overly prominent cheek bones can also result in disharmonies of facial proportion.

Many procedures are available to change the shape of the chin and cheeks and brow. In order to decide on the best treatment, it is usually necessary to perform an analysis of facial proportion. Often, this simply involves an analysis and morphing of digital photographs of the face which can be undertaken at your consultation. Occasionally, more complex bony disproportions require an x-ray or CT scan to show the shape of the underlying facial bones.

Chin

An overly prominent chin can often be reduced by removing some of the chin bone in a procedure called a reduction genioplasty. A recessive or underdeveloped chin can be built out either by inserting an implant or performing a sliding genioplasty to advance the existing bone of the chin. Each of these operations is carried out through an incision inside the mouth between the lower lip and gum.

More severe chin or jaw disproportions may require more complicated treatment and may involve orthodontics and surgery to re-align the teeth and jaws.

Cheeks

Flat cheekbones can be treated in a number of ways. Very mild flatness can be addressed by simply augmenting the soft tissue of the cheeks by fat transfer. More marked flatness requires the insertion of a cheek implant or occasionally bone grafts. Overly prominent cheekbones can be reduced through an incision inside the mouth.