James McDiarmid, MBChB

I have been on quite a journey with Dr James McDiarmid over the last ten years. I saw him from working in a private hospital to now his own facilities at Wood Medi-spa Okehampton.
He is by a long shot the most attentive, professional and skilled surgeon I’ve ever met. The care you’re given under his care is 5 star and worth every penny the surgery costs. I couldn’t trust another surgeon like I do dr McDiarmid. He’s performed rhinoplasty, abdominal plasty and breast augmentation on me and has changed my life. He is a huge success with his achievements and has sacrificed a lot to provide the most outstanding service. I’d be happy to be contacted by anyone considering his service. I’m happy to send pictures privately.

I recently underwent breast Augmentation surgery at wood MediSpa on the 1st April. The whole experience was absolutely amazing, James and his team are miracle workers, couldn’t fault them and the spa. The nurses felt like family and made sure I had everything I needed. I’m so ecstatic with my results.

James is incredible. Lots of people told me to go to a rhinoplasty/facial specialist, but I couldn’t be any happier with my results from James. He really listens but is also so realistic and wants to give you a result which is balanced with your individual proportions and features. You instantly feel calm in his hands, he clearly is so experienced and has a really lovely way with him. I had my cast removed today, and I am already so over the moon, he has far surpassed my expectations. All my family have said it fits my face perfectly and is the nose I always should have had.

The hospital is so beautiful and I had the most amazing experience with the nurses, so attentive.

Would do it all over again in a heartbeat.

Early days but am so excited to see how my nose looks as it heals.

I had the best experience with my rhinoplasty, I had wanted it done since I was 18 (now 37) and had even been for a consultation previously in Liverpool with a different surgeon but I just wasn’t ready after meeting the surgeon. Shortly after I met with Dr James McDiarmid I booked in for surgery On 15th jan 2020 at the Nuffield in Plymouth.

The morning Of the surgery I was a little nervous but the staff at the hospital couldn’t have been nicer and very through, shortly before surgery James popped in to answer any last minute questions and discuss my operation. Everything went great and I woke up feeling fine, I stayed in over night as planned My nose was packed and I didn’t sleep at all as I was just uncomfortable Breathing only through my mouth and my throat was really dry but the minute the packing came out I felt 100% better. Healing was fine I slept on extra pillows for the first 7 days until my follow up appointment, I had minimal bruising. My follow up went well and healing has been a lot easier than I ever imagined. Dr McDiarmid and his lovely secretary Mandy are fantastic at following up and keeping in touch. Thank you :)

After having a child at 17 I spent 19 years unhappy with my breasts , James has given me back my confidence , from start to finish my experience was positive the support I received was amazing I was able to contact him with any problem at any time for reassurance , having a bad back and arthritis in my spine I was concerned about the weight aspect , I opted for b- lites weighing half the weight of a silicone implant and there have been no no issues at all , I would recommend him to anyone who is thinking about breast surgery the results have been outstanding x

I honestly can not fault Dr McDiarmid in the slightest. I am currently 4 weeks post op for a breast augmentation. During my first consultation he was so honest about what my body could handle, how things would fit, what would be possible for my frame and what would look proportionate. He made me aware of every single possible risk and how to look after them and not once did I feel slightly uncomfortable or uneasy about the procedure!
We went ahead with the possibility of 420 cc and 460cc, (both round) he brought both implants on the day of my surgery and I fully trusted him to make the decision whilst I was under. I ended up with the 420cc above muscle and I fell in LOVE.
The scars are tiny and so neat, and sit perfectly in the underboob scoop, they’ve already “dropped and fluffed” into a more natural shape and are everything I’ve ever wanted for myself. I’ve literally cried of happiness about 4 times since coming out of hospital. I have my final check up on the 6th March and honestly I’ll be sad the ordeal is over!!

Like many of the ladies who have reviewed on here I found this site very helpful when making decisions re size and placement of implants but also with expectations of what the surgery and recovery would be like also. So I decided to do my own review, particularly as there weren’t a huge number of reviews with smaller implants.
I’ve just turned 45. Have 2 children and breast fed both for 2 years each. I am tallish - 172cm slim and athletic -52kg.
I’ve never had large breasts, not even when pregnant or breast feeding. The upside of which means I’ve defied gravity ( for my age in the words of my surgeon ) but have very little to fill a bra or bikini.
When I met my surgeon for the first time I couldn’t stress enough how much I didn’t want large breasts but just a subtle enhancement to make me feel more feminine.
I chose my surgeon because I had a couple of friends with similar physique to me who had their enhancement with them. Personal recommendation was more important to me than locality or price.
My surgeon suggested two options to achieve the look I was after:-
Round moderate implants over the muscle or
Anatomical ( teardrop ) implants dual plane. Between 180cc -210cc.
I opted for round implants as although the risk of the anatomical implants flipping is minimal, I am a runner and was worried I would be that small percent of people that it happens to due to activity!
I’ve included some before photos and will hopefully be able to continue my update.

Updated on 1 Feb 2020:
It was an early start for me as the hospital is a 5 hour drive from home. Hubby and I had decided (after much deliberation) that I would drive myself on the morning of surgery as my admission time was 11am and he would get the train the following day and drive me home. This meant life at home with children and dogs etc could carry on as normal as possible.
I left home at 5am. I was allowed to eat until 7.30am so had taken a flask and something to eat on the way.
I arrived early ( a miracle for me ) and was shown to my room. The Nurses admitted me and told me I was expected to go to theatre around 4.30pm so I could drink water until 2.15pm and have a shower ( with a anti bacterial sponge they gave me ) and get ready about an hour before hand.
I knew I would get a headache, as I always do if I don’t eat every few hours and sure enough I did.
I met the anaesthetist who allowed me to take some paracetamol pre operatively and then my surgeon came for a chat and to ‘mark’ me up.
We discussed sizing as I hadn’t settled on a final size. I was happy that he would make the final choice in theatre as to what he thought was best. The original plan was to have over the muscle placement but as I had lost around 5kg since my original consultation we agreed that that might not be the best choice anymore and again I left it to him to make the decision.
I was desperate to get to theatre just so I could go to sleep and get rid of my banging headache. I’d warned the anaesthetist that I’ve suffered with nausea in the past post GA and he promised to load me up with anti emetics.
It was all very straight forward and stress free.

Updated on 3 Feb 2020:
I woke from surgery back in my room around 8pm with fairly severe pain to my right side ( round my ribs and back ). The nursing staff were quick to get me some pain relief ( Oramorph) and within 15 minutes it was gone and to be honest I haven’t really had any other pain since just some discomfort.
I had something to eat and then caught up with some Netflix in between dozing.
I felt fine when I got up to use the bathroom and clean my teeth and was pleased to see that my new boobs were not up by my chin!

Updated on 4 Feb 2020:
I’ve been feeling pretty good. The hospital gave me Tramadol to take at home along with paracetamol. I haven’t really had pain just some discomfort so have only taken the paracetamol. The worst thing for me was That the antibiotics given intraoperatively Upset my stomach so I have been running for the toilet for the first 3 days post op. Sorry tmi. thank fully it’s settling now.
I seem to be retaining a lot of fluid around my abdomen but I’ve read on others reviews that this is quite common so not worried but just look a bit pregnant!!
Sleeping has been ok. I didn’t buy any fancy pillows or cushions. Just used 1 big square pillow and my 2 normal pillows behind me and another under my thighs to stop me slipping down the bed. I supported my neck with my travel pillow ( used when flying ) and I haven’t slipped down the bed at all. Consequently I’ve not woken up too swollen either.
I’m rubbish at taking it easy. It’s my sons 10th birthday party tmw so I have been dealing with final preparations for that (25 ten year olds to entertain ) and icing the cake I made pre op. I’m tired but I’m.
Boobie wise My right is dropping quicker than my left I think but is more swollen but less uncomfortable which I’m surprised about as I’m right handed.

Updated on 5 Feb 2020:
Not much to report if I’m honest.
I’ve taken my dressings off now. There’s a little bruising but nothing significant. My right breast feels great, like I haven’t had anything done to it really but I’m still getting some pain in the left, a sort of burning shooting pain from sternum to nipple. However it is only when I move around not all the time.
I managed to wash my hair myself in the shower today too ...yay!
Officially I’m not supposed to be driving until 2 weeks post op but my Hubbie is now away on business so I don’t have much choice if I want to keep things as normal as possible at home for my little boy. My car is automatic and practically drives itself. I’m not saying it’s the right thing to do and you should follow the advice of your surgeon but it’s been fine for me.
Excuse all the wrinkles on the photos I’d only just taken my bra off.

Updated on 7 Feb 2020:
So having been feeling really well, I’ve realised tonight that I have totally over done it these last couple of days and now feel dreadful. I’m cold, achy, shivery and my right breast which was previously fine is now uncomfortable. On the plus side my left is now ok.
Hubby has been away on a business trip so I’ve been doing pretty much everything including walking the two dogs. I’m currently having to walk them separately as I can’t manage them together at the moment but consequently I’m covering twice the distance. Not sure 12k per day is classed as taking it easy?!
Anyway I’ve decided to have a Netflix day tmw and will hopefully feel better for the weekend.

Updated on 9 Feb 2020:
Felt much better over the weekend.
Still struggling to actually find a bra that’s comfortable though. I bought M & S post surgical sports bra which is supposed to be seamless but does have a seam which digs into my incision site. The other 2 bras I bought are softer but synthetic and I find they irritate my skin after a while. I’m thinking of ordering the Macom bra and seeing if that’s any better?
Saw my surgeon today for my follow up appointment. Decided to do the sensible thing and get the train rather than driving for 6 hours. He was really pleased with my recovery and healing and cleared me to start running on an incline on a treadmill from next week.
Still can’t lift my right arm high ( left is completely normal ) ... surgeon said to give it more time to recover.

Updated on 11 Feb 2020:
Really pleased with how the girls are dropping. Annoyingly I have developed Mondors cords underneath both breasts. The left ones don’t bother me at all but the ones on the right are more prominent and extend further down. I can feel them way down in my abdomen. I think this maybe why I’m struggling to find a comfortable bra as they all seem to irritate that area. I emailed my clinic to get some advice. My surgeon messaged back almost immediately and advised that they are benign, self limiting and normally resolve after 6 weeks and to massage them with moisturiser. So I’m massaging them with bio oil 2-3 times a day. Hopefully will see some improvement.

18th October Consultation day

I’ve had 3 children and now lacking volume in my breasts.
Last year I booked an appointment with Harley which left me feeling really negative about the whole procedure.
I had a consultation and was quoted for 2 things, implants and implants with a “slight lift” which I had to book the surgery and pay a deposit before I was even able to see a surgeon. When it came to seeing the surgeon he said I had to have an uplift otherwise my boobs won’t sit right with the implant. Of course that came at an extra £2500 as the price was already quite high I felt I couldn’t justify an extra 2500. (after a complaint I was able to get a full £500 refund)
I waited and waited and then I finally plucked up the courage to actually book an appointment with Nuffield.
I booked a consultation for breast uplift with implants and to discuss a mini tummy tuck.

I saw James mcdiarmid, who I felt very at ease with. He said I’m definitely not In need of an uplift and just implants would be fine to get back volume in my breasts.
He said I wouldn’t need the b-lite implants (which are 30% lighter and slightly more expensive) as im not having very big implants. He also said I would need one implant slightly bigger on one of the breasts just to bring back the symmetry.
I felt confident I was in the right hands with this surgeon as firstly he wasn’t trying to upsell anything. I also like that my appointment was directly with the surgeon not just a mandatory meeting with a consultant/sales advisor before seeing a surgeon on a separate date.

We then discussed a mini tummy tuck where I was advised to go to the gym LOL
long story short he said he could do a mini tuck but feels I could get results I’m happy with by just going to the gym. Unfortunately I guess that means to also go easy on the chocolates And cake :(

I went home feeling very positive about the whole procedure and quite excited to have it done so I called them up and booked the surgery.
I thought I would have to wait much longer but I was able to book surgery on the 4th December so that’s very exciting!!!!
Just need to work on getting into a little better shape by then.

Updated on 29 Oct 2019:
Today I received my letter from Nuffield confirming my surgery date and also requesting payment within 7 working days.
About to make the call to pay for the surgery which makes it definite it’s going to happen. Scary!
All paid for and now I just wait for my appointment for the mrsa swab.
Before paying I did just triple check there would be no hidden extra costs but all is good just 36 days to go eeeeweek.
I also spoke with the receptionist at wood clinic (James mcdiarmids office) regarding recovery. my implants will be placed over the muscle, as I have plenty of tissue to cover it, which means recovery should be a lot faster.
I’m also confused as to which size bra to buy. In my letter it said not to use a compression bra but a Soft seamless non wired bra or sports bra.
Does anyone know how to figure out which size is required

I have lost 10 stone in weight,and had a lot of loss skin on my arms,and was very unhappy with what I used to look at,I went to see Mr James McDiarmind ,and had it all taken off and I AM SO HAPPY WITH THE RESULT, ( NO I AM OVER THE MOON WITH THE RESULT) I am now going back to have more skin removed ((Tummy Tuck ) I can not praise Mr McDiarmid enough for all the care and support he shows ,I feel so very lucky to have found him ,Also his team . Thank you

Please see my previous review about my primary surgery by Mr Mcdiarmid. I was so happy with my results, but has the smallest residual bump which was distracting from what would have otherwise been a perfect result. Mr mcdiarmid about the bump and kindly agreed to revise it with a small rasping in surgery. He did not charge for the revision. I am now just over three months post op and have to say I am upset that I even had it done. I understand I am early in the healing process, but I have ended up with a completely different shape nose even though I thought I was just having the bump filed down. I had my three month post op review last month and I didn’t express my concerns at that point as I thought things might improve with time and healing. I’m a month further on and I am concerned. I’m dislike my sloped (scooped) profile and I’m sure I have the start of an inverted V. I have scheduled another appointment for September to express my concerns. I still stand by my 5 star initial revise for my primary surgery and pray he will be understanding and we able to advise me what has happened. Updated on 7 Jul 2019: I do know that Mr Mcdiarmid is highly talented especially in rhinoplasty so I’m not quite sure what has happened and how I’ve ended up with such a different shape when I was only meant to be having the tiny residual bump rasped down. I’m leaving my review at 5 stars at the moment as I have another consultation scheduled for early September and it wouldn’t be fair to score less until I express my concerns and see what he says. Updated on 7 Jul 2019: Updated on 30 Sep 2019: I requested a follow up appointment to express my concerns. Mr Mcdiarmid did agree that there was an area which was about 1mm lower than planned. We discussed what could be done and he said going in for another surgery would be a bit risky and would involve taking a bit of ear cartilage and grafting it in, but I might then end up with it showing through as my skin is thin. I don’t think I want to risk it again anyway as I do kind of regret even going for a revision for a tiny residual bump. Mr Mcdiarmid then want on to discuss the possibility of using a temporary filler to add the 1mm height needed to get my preferred result. He discussed what this would involve and said I would only have to pay the cost of the filler and not for his time. These fillers can last 3-12 months so would be something that I would have to repeatedly have done. I do appreciate him offering his and it is something for me to think about. A non surgical approach is obviously less risky than a surgical rhinoplasty, but still does carry some risks which I am unsure at this moment in time if I want to go down that route. I do feel my nose is still settling into its final shape and i am getting used to the more sloped look. It has only been 6 months post revision. I think I’m going to give myself more time to heal and then decide if it bothers me enough to spend more time and money chasing a near perfect result. I still stand by my initial review and do not regret one bit embarking on this journey. I am still so much more confident than I ever was with my natural shape nose. I would still very much recommend Mr Mcdiarmid and my only advise would be don’t put yourself through a revision if you are almost totally satisfied with your primary rhinoplasty. Updated on 1 Apr 2020: Updated on 23 Jun 2020: I’ve been shielding due to immunosuppressive medication and this has resulted in too much time looking in the mirror and being sad about my revision results. If only I could go back and not do it. I’m aware my results aren’t awful, but know my bridge is just too low. I long for the straighter profile I had after my primary. Considering fillers as suggested by James but this is only a short term fix which I will have to commit to forever. The whole point of undergoing a surgical rhinoplasty is because I wanted a long term fix without the repeated expense and commitment of fillers.