I have Had my ear fixed after it was very badly split in two places Dr small done a brilliant job I am very happy with the results i would highly recommend him he's great at what he does I'm very thankful .
Fantastic experience, I had a breast augmentation in his Belfast Clinic on 25th July, everything is healing well, I feel great and I couldn't be happier! From my first consultation I felt relaxed, at ease and confident that he knew exactly what I was looking for.
I had Otoplasty - ear pinning - with Mr. Small in August 2015. I have no regrets and am very happy with my new ears! I have gone from having zero confidence and having my hair down constantly to almost two years on, forgetting I ever had it done and wearing my hair back with confidence. He dealt with my queries and concerns adequately, and despite being worried after my op that my ears were not turning out as I wanted, he was correct and after waiting a few months they were perfect. No pain once they settled. I'm very pleased with them and would do it all again.
I have opted for full tummy tuck on 16th April at 2.30pm with no over night stay. Because I fear my boys will miss me too much and vice versa, being a single mum I'm always there for them but understood I won't b able to hold or lift them after the op. When I came round after the op I had no pain and happily noticed a new flat tummy under the compression garment. I'd fainted twice just before I was released. Instead of picking me up to go home my ex partner and my boys had to say an emotional goodbye not knowing the outcome. Was rushed to a major hospital and had to be opened up again to clear the problem.. I had haematoma. I'd lost a lot of blood but recovered well in hospital for further 4 days but kept bleeding heavily through drain exit every time I went to the toilet. It was a very emotional 4 days for us all as this should have been avoided and I can feel my boys suffering. Before the op I thought I'd read it all, done all my research and planned everything, picked an experienced surgeon in a well known private clinic, got the right foods, vitamins and tablets needed for before and after op, got my reclining chair, everything to hand, compression tights, big comfy pants, child minders, house and clothes cleaned and had boys daily rota done out for the next 14 days so they don't miss out on a normal routine... and then this happens! It goes to show you can't exactly plan these things. I started to worry how my scar will look because tge 2nd surgeon wasn't a specialised plastic surgeon like the 1st. I got my main dressing off 4 days ago but I still have the strips over my incision.. but on my left hip I can see a bulge of skin at the end, to my right side I can see a fold of skin. . It has deflated how I feel about my choice of getting a tummy tuck. I'm wondering has it been worth it? Yes the saggy flap of skin is gone but I've still got uneven skin and because of the strips I cannot see the scar well.. apparently the strips will come off itself when I shower over the next few days. I keep wondering.. Was it worth putting my boys through this emotion and I can't even hug them better but they are glad I'm home so that keeps a smile on my face for now. I know I'm only 14 days post op and will need alot of time before I could see the proper results.. but if I'm not happy and need another op.. I don't know if I could chance putting everyone through that scary experience where they didn't know if I was gonna make it.. but money has been spent and the op has been done.. so time will tell but fingers crossed it will b ok Updated on 12 May 2015: I am nearly 4 weeks post op now.. feeling better emotionally and want to say that. . I hope my 1st comment dont put other people off having a tt. It is a big procedure and should have a lot of thought and research put into it. I understand all surgical procedures carries risks.. and i don't blame my surgeon or anyone for what had happened to me. I believe I was looked after the best possible way and these things do happen. I am on the mend.. at the moment my hip to hip scar isn't as nice as I'd like it but I know it's still early days but looking back of pics of what I did have.. The sagging loose skin.. its a small price to pay. I am neatly 40.. my body isn't perfect.. I didn't want a perfect body.. I just wanted the horrible bulge to b away and I was very unhappy bout my jelly belly.. so I would def say it has been worth the the journey. Oh and the pain isn't too bad.. Most painful part was getting in and outta bed and sneezing.
My decision to undergo a rhinoplasty was a highly personal one. I had always felt that my nose never actually blended with my other facial features as it was quite coarse and unattractive. I researched the procedure extensively and realised that I had to find a cosmetic plastic surgeon with proven rhinoplasty expertise. Mr Small was highly recommended to me and after a lengthy consultation, I felt that I had both confidence in my surgeon and realistic expectations regarding the results. My operation was an outpatient surgery in The Clinic, Sandymount Green, Dublin performed under local anaesthesia with sedation. It went very smoothly as every member of Mr Small’s team gave me the full benefit of their years of experience and specialist knowledge. Surprisingly, I had no post-operative pain, no bruising and was fully recovered within a few days. After 7 days, the tape and stitches were removed by Mr Small. There was naturally some degree of swelling especially at the tip, which Mr Small assured me was perfectly normal and would slowly resolve over time. It is still ‘early days’, however I am already starting to appreciate the subtle changes. Already my nose looks much more refined and I’m sure that it will continue to improve over the next few months. All in all, I’m delighted with my results to date and that that I chose to have the surgery done by Mr Small. I only wish that I had had the procedure done sooner!
I have had lower eyebags for as long as I can remember, and from my early 20’s, I’ve always been bothered by people always asking me whether I’d had a ‘heavy’ night and constantly telling me that I looked tired or sad. It affected my confidence, and working in my particular career, confidence is everything. I had put off having surgery before now as I was always worried that I’d look unnatural and strange with that ‘surprised’ look that is a characteristic of bad surgery, but Mr Small came highly recommended and I arranged for my first consultation. I was so impressed with the level of advice and care I received from Mr Small and his team, before, during and after my procedure. I felt like I was their only patient and very important to them – which of course I was! Mr Small proved himself to be an accomplished, proficient, patient, understanding and talented surgeon who has given me back my confidence. I cannot recommend him highly enough. The few people who I confided in about my surgery have told me how fresh faced and natural I look – like I’ve had a long relaxing holiday. The people who didn't know, including some members of my family, haven’t mentioned it, but I have noticed them looking at me as if wondering what it is that’s different. The best bit is that I, luckily, healed so quickly after following the ‘after care’ advice from Mr Small to the letter, and every morning, I wake up with a skip of my heart knowing that I won’t cringe when I look in the bathroom mirror. I have become a truly happy and confident person since my surgery and I have Mr Small to thank for that. If I’d known how well I would be treated, how easy and quick the healing process would be and what the final results would look like, I’d have gone to Mr Small years ago!!! Thank you Mr Small – you are a true gentleman and a genius! Fiona. Belfast.
My eye lids were hooded and I looked tired. My GP referred me to Mr James Small. Having had an upper Blepharoplasty, I want to give a first class recommendation to The Clinic Sandymount Green. At my consultation Mr James Small talked me through the whole procedure and the results which could be achieved. He gave me pre-surgery advice as in how to limit the bruising by taking Arnica tablets, he also explained that the down time would be approximately 2 weeks before the swelling and bruising had completely disappeared and I was given literature to take home. I also carried quite a bit of research before I took the plunge and booked my procedure. On the day of the surgery nerves set in but after I had another chat with Mr Small, my confidence and trust in him relayed any worries I may have had. I had the surgery under local anaesthetic and was home 2 hours after my operation. The procedure was completely pain free as was the whole recovery period. I have been back to see Mr Small for my 3 post op consultations since as is his aftercare policy. The staff and the aftercare I was given I could not praise highly enough. The results of my surgery, I could not have been more pleased with, even better than I had hoped for as my eyes look so natural. I would not hesitate to have more procedures carried out by Mr Small.
When I decided to have a rhinoplasty, I did loads of research and had consultations with various cosmetic surgeons. I was very disappointed not only with their qualifications but manner and understanding of what I wanted. Mr James Small was the last surgeon on my list. On the way to my consultation I said to my husband that if I wasn’t 100% happy I was going to give up. I came straight out from my consultation and told him I’m getting it done! On the day of my operation I attended at 1.30pm and was home in my own bed by 6.30pm. I was so nervous about looking in a mirror I explained to the nurse that I didn’t want to look until I got home. I knew there would be white splints (looks just like small white plasters) on for a week so I prepared myself for the worst. To say I was amazed is an understatement. My nose looked fantastic. I could immediately see the difference. At last I felt I had the nose I should have been born with and from beginning to end there was absolutely no pain whatsoever and minimal bruising. My family and friends who were totally against me having the operation could see the difference immediately and loved my new nose. They couldn’t believe it was so simple and that the outcome would be so good. Also the aftercare was excellent. Now when I look in the mirror it puts a big smile on my face. I have a whole new lease of life all thanks to Mr Small. I couldn’t recommend him highly enough.
Lower face, neck lift and upper eye lift... ear lobes are now different sizes, with thick scars and pleat of skin below lobes. Eye lift scars come out an inch past natural eye folds, one side has a thick raised scar which is very noticeable and my eyes appear smaller. Scar under chin goes from one side of chin to the other, is very thick and can be seen coming slightly up chin from side profile... neck lift starting to sag and looks not much better than before andvits only been 6 weeks since surgery... cost £9100. Scarring outweighs the improvement I gained which are very subtle and no one noticed apart from asking about scar on chin.
Hi, this is a relatively long review about Mr. James Small from The Clinic Sandymount Green, Dublin 4, I urge everybody to read it fully and not just flick through. Discover how Mr. James Small claims that my nose is in fact not crooked and that we may call it “an illusion”. I invite you to take a look at the pictures and decide for yourselves if this is an illusion. They say hindsight is 20/20, well alarm bells should have started ringing when there was a discrepancy over the cost of the surgery. At our initial consultation he quoted me “around €7000”, about 6 weeks later I had a bill come through the door for €8000, this was about 6 weeks prior to the surgery. In my opinion, this is a sign that he is more interested in the money than the patients outcome and wellbeing. I also believe he overcharged me as I had been to see some more expensive surgeons in England (which I told him about). I have seen a similar job (lifting the tip) on here that Mr. Small performed and the girl was only charged €6800. Funnily enough, she is not overly happy with the results either! I had a rhinoplasty procedure performed in December of 2015. My surgeon had said in a post-op consultation that with time things would sort themselves out, this gave me a false sense of hope. The reason I am writing this review now is because things have not turned out the way I would have hoped. I feel the need to share my story with you now so that you know my opinion of this surgeon’s skills and limitations with regards to rhinoplasty and take it into account when choosing your surgeon. I have always had a large nose that I wanted to do something about. I was also involved in a number of accidents when I was younger that caused trauma to my nose, making the nose crooked and bumpy. It took me years to save the money up to finally go and do something about it, I went for roughly 7 or 8 consultations with different surgeons in Ireland and England, I only wanted to go through this procedure once. After a few consultations with different surgeons, I had originally planned to go with a Mr. Matti in London. During a consultation he used digital imaging to show me how he planned to change my nose. The result looked great from the side but the main thing I was unhappy with was the crookedness and size of my nose from the front view, the imaging was still not showing my nose to be perfectly straight like it used to be before the accidents. I was a little put off by this, so I went seeking more consultations. My final consultation was with Mr. James Small from The Clinic Sandymount Green, Dublin 4. I had told the secretary when I was arranging the consultation that I had some images I wanted to show Mr. Small. These images would show how I would like the end result, she said there would be no problem with this and to bring them along. Whilst I am fully aware that these are only images and you have to work with the nose you have to achieve the final outcome, I feel that at the very least they should give the surgeon an idea of the changes you want made. In my opinion when the doctor looks at this he should then raise any concerns he has and let you know in clear terms what CAN and what CANNOT be achieved. I brought along images on a USB device but I also had them on my phone just in case. When i arrived, the secretary was not on the grounds and Mr.Small said that she would usually sort these things out. To my surprise, he did not know how to get the images up on the screen, so i had no other choice but to use my phone. Upon examining the images that Mr.Matti had digitally altered he said "well, we should be able to get it a bit better than that", he repeated this multiple times. Mr. Small now denies ever having said this, this was the main reason I chose Mr.Small over Mr.Matti. I then continued to show him the images that I made in photoshop myself, he looked at these images and just had positive things to say, he never mentioned that he would not or could not do any of these things. He spent a long time with me in the initial consultation, something that the other surgeons I visited did not do, I would say we chatted for an hour whereas the other surgeons spent 15 minutes with me. This was another key reason why I chose Mr. Small, I thought he was listening to me and that we were on the same page. The initial things I asked Mr. Small to change were : 1.Fix the crookedness 2.Remove the bumps / lumps on the bridge (each bump and lump was discussed) 3.Lift the tip as it was drooping down 4.Reduce the bulbous tip 5.Bring in the nostrils 6.Generally make the nose smaller The problems that now exist (some of which were not an issue prior to the operation): 1.Nose is still crooked 2.Lump on the left side of my bridge remains 3.Bulbous tip remains and may even be wider 4.My nostrils are completely different and you can see in the right nostril from front profile. 5.The bridge is wider than before 6.The nose is noticeably bigger overall From looking at the pictures, it appears to me that the only change that was made was to lift the tip of my nose, even when he did this he left the columella drooping down so it now hangs down and is too big from the front view. As you can see from the pictures I have included, the nose is extremely crooked, it actually appears even more crooked than before, this is something that myself and Mr. James Small have talked about post-op, he continues to dismiss claims that my nose is crooked, he says “what you call crooked or deviated, I would call asymmetry”. This is a simple case of six and half a dozen, I agree that there is asymmetry, while this is to be expected with any human face, the sheer amount of asymmetry is the problem. After my surgery I was allowed to remove the cast myself after about 10 days. As soon as i removed the cast I was unhappy looking at the result. It was crooked, bumps remained where they were before (they had just been shaved down a little), the nostrils were uneven and completely different. I put this down to swelling and tried to convince myself that I liked the result. I avoided people completely for a month afterwards. I went to see Mr. Small in January so he could have a look at the result. He looked at the nose and said "Well, what do you think?", I said "it looks a lot better from the side, but my nose is still crooked and bumps remain, it's still too big", he replied with "well that's just swelling it will get smaller, I can see the bump on the left still, if that doesn't go down we can remove that, don't worry", I said "remove it? will I have to pay for that" he replied "No, no I will do that for free, how does that sound", I felt a little bit happy as I had a comeback, at least if the bumps did not go down he would re-do the job, I pushed about the nose being crooked again he said "Your nose is not crooked, that nose is dead central", I said "my nose is crooked", he replied "Listen we must wait 6 months to a year to see the final results this could all be swelling". Once I had done my best to show him my nose is still crooked, he then said “you have one good line there now”, this is in relation to the right deviated side of the nose (left in the pictures). I did not pay a lot of money for one good line, I paid for a straight nose. The one “good” line he refers to is only “good” because it is bump free. The “good” line points off to one side of my face and in my mind is the main reason that my nose is crooked. He spent about 10 minutes with me in the post op compared to the length he spent pre-op, I would imagine he felt uncomfortable looking at the result and having an unhappy patient, I felt like he had my money now and that was it. He was dismissive of everything I said and passed all the problems off as swelling, he even made mention to “swelling of the bone”, which doesn’t actually exist! As the weeks went on and my nose became a little bit more refined, the main problems I listed above still persisted, the crookedness, the bumps, the uneven nostrils etc. I arranged another post op consultation with Mr.Small, I wrote a letter to him before I arrived explaining the problems with the operation, the letter was long and extremely detailed. It provided quotes of things he had said such as "This is the kind of thing that you only want to get done once" which he repeated over and over pre-op. The consultation was booked weeks in advance and I sent the letter about a week prior to the appointment, the day before the consultation he tried to cancel the meeting with me and said he would need more time because of the letter I wrote. I refused and said that I would be leaving the country soon. He agreed to meet because of the circumstances. The letter I wrote was sent on February 25th 2016, to which I only just received a reply on June the 16th 2016, I suspect that he was in contact with a lawyer who told him he must reply to the letter to cover himself. At the second (and most recent) post-op consultation, the secretary was there and she was nice (as usual), she said that Mr. Small would be out soon. This consultation was very disturbing for me. He started off by saying "I received your letter",I could tell he was not happy and he was nervous as he kept stuttering and repeating things. I asked him to go down through the letter (he had printed it and it was in front of him), he refused and raised his voice saying "I do not want to go down through the letter, you need to wait 6 months". There was a lot of disturbing things said in this consultation, I wrote them all down as soon as I came out of the consultation when they were fresh in my mind. I said during this consultation that I felt the ratio was not right with the bridge to the tip, I wanted the bridge reduced, Mr James Small chuckled condescendingly and said “the ratio?” and then chuckled again, he then said “you never mentioned the ratio”, I may have not said the word ratio, but I did say I wanted the bridge to be slimmer, something that wasn’t done. That said, I also told him I wanted the bulbous tip reduced and this was not done either. During the consultation I asked Mr. Small "are you happy with this job you have done", he replied with "look, this is the thing with surgery, there are always risks". He repeatedly told me that my nose was not crooked. He actually said "your nose is not crooked, you may call it an illusion", I think we can all agree from the pictures that this is no illusion, it is in fact crooked. In retrospect and after much deliberation with other parties, it seems as though he was treating the symptoms rather than the root cause during this operation. It’s fairly plain to see based on my before picture that the bridge is crooked and twisted and this is actually the cause of both the lumps on the sides. The fact that he could not see that my nose was crooked after the operation is even more disturbing. I believe that the course of action he recommended to achieve my desired results was simply incorrect. As he was the expert with the qualifications in the field, I trusted him, I believed in him. I now feel as though this trust was massively misplaced. He stated on numerous occasions that “this is kind of thing that you only want to get done once”. I hope you can all see what his "once" is like and act accordingly. Given the results of my operation and after care, I’ll leave you all to make up your own minds as to whether or not you’d trust this man to operate on you, if I could have my time back, I certainly wouldn’t.
