I practised in the NHS for over a decade before founding my own practice. The care was genuine, the colleagues were excellent, and the clinical experience was formative. But the system was designed around volume- around moving patients through efficiently and not around the kind of unhurried, detailed assessment that facial surgery requires.

When I founded The Centre London at 23 Harley Street, the design decision I was most clear about was specialisation. Four core procedures; facelift and neck lift, blepharoplasty, rhinoplasty, and chin and facial implants. Nothing outside the face. No body surgery. No dilution of focus.

The reason this matters practically:

* Everything in the clinic from the instruments, the technology, the team's specific training, the post-operative protocols, is optimised for facial surgery. There is no sharing of resources with other procedure types.
* My own skills are concentrated in a very specific anatomical area, practised at high volume, refined over fifteen years and more than a thousand cases.
* The consultation, the surgery, and the aftercare are all within the same team, the same environment, and the same relationship. Continuity of care in facial surgery is not incidental and it directly affects outcomes.

Surgical skill develops through repetition and through the continuous refinement that comes from tracking your own results honestly over time. Doing one thing well, consistently, is a deliberate choice. It is the choice I made.

Why I built a facial-only clinic, and what that means for how surgery is performed.