OPINION: Why is the NHS Losing Surgical Talent?

New You Harley Street's Dr Onur Gilleard, one of the standout trainee surgeons from ITV's 2009 documentary series “Surgery School,” has raised concerns about the NHS losing valuable surgical talent. Gilleard is one of only three out of ten trainees from the series still practicing surgery 15 years later. He attributes this alarming trend to financial pressures and family circumstances, stating, "Around one in five will drop out before they become a consultant."

Gilleard, now a renowned Harley Street rhinoplasty and nasal reconstruction surgeon, emphasizes the significant challenges trainees face in balancing their careers with personal lives. He also highlights the financial burdens, noting that junior doctors, including surgeons, often work unpaid extra hours, and the escalating costs of childcare make it difficult to start a family.

For a deeper insight into the issues facing the NHS and Gilleard's perspective on retaining surgical talent, read the full article here.

Ultrasonic Piezo Rhinoplasty: Precision Thermal Sculpting

Dr Arda Kucukguven

Ultrasonic Piezo Rhinoplasty represents a groundbreaking advancement in nasal surgery, utilising sophisticated ultrasonic technology to reshape the nasal bones with unprecedented precision. This innovative technique employs specialised piezoelectric instruments that convert electrical energy into mechanical vibrations, allowing surgeons to modify nasal bones without damaging surrounding soft tissues. Unlike traditional rhinoplasty methods that rely on manual tools like chisels and rasps, Piezo technology offers controlled and precise bone modification. This revolutionary approach minimises trauma to adjacent tissues, resulting in reduced post-operative swelling and bruising. The technology's precision allows for more predictable outcomes and enhanced aesthetic results.

Closed MicroSculpt Male Rhinoplasty

Dr Arda Kucukguven

MicroSculpt technology represents a revolutionary advancement in male rhinoplasty procedures, incorporating ultrasonic bone reshaping and power-assisted micro-motor tools. This sophisticated approach utilises precise thermal sculpting techniques to modify nasal structures with unprecedented accuracy. The ultrasonic technology allows surgeons to reshape nasal bones without the trauma associated with traditional osteotomes, resulting in significantly reduced post-operative swelling and bruising. The integration of power-assisted micro-motor tools enables surgeons to perform more precise modifications to both bone and cartilage. These instruments operate at carefully controlled frequencies, allowing for gentle tissue manipulation whilst maintaining structural integrity. Compared to conventional techniques, MicroSculpt technology offers enhanced precision, reduced tissue trauma, and more predictable outcomes.

Ultrasonic Bone Shaping Technology in Rhinoplasty

Dr Arda Kucukguven

The piezo technology operates by converting electrical energy into mechanical vibrations at ultrasonic frequencies. These precise vibrations allow surgeons to selectively target bone tissue while preserving delicate surrounding structures. The ultrasonic instruments operate at frequencies between 25-30 kHz, creating micro-movements that effectively sculpt nasal bones without causing trauma to adjacent tissues.