Philosophy of Care

  • Listening to patients
  • Holistic treatment
  • Matching expectations with realistic aims
  • Patient safety paramount
  • Performing surgery to highest possible level
  • Working in a team
  • Managing complications effectively
  • Constantly re-assessing practice

Deciding to embark on cosmetic surgery is clearly a very personal decision. Mr Cadier’s endeavors to provide the best possible result, and to ensure your comfort and safety during and after surgery.

Maintaining Professional Standards

  • On-going training and professional development
  • Measuring outcome
  • Regular appraisals by colleagues and patients
  • Regular audit of process and outcome
  • Root cause analysis when a problem occurs
  • Involvement in national associations
  • Training of junior plastic surgeons

Media

  • Mr Cadier is a regular contributor to television, radio and also magazines. His start with the media; however, was at a much younger age.
  • His father wrote for television and, at the age of six, Mr Cadier took the role of a grandchild in the situation comedy series called ‘Meet the Wife’ starring Thora Hird. His acting career was however very short and was limited to a handful of these programmes.
  • In 1994, Mr Cadier was involved in a programme for Tomorrows World in which he was helping Mr Hobby (a Consultant Plastic Surgeon, now retired) undertake pioneering surgery to reanimate upper limbs in quadriplegic patients using multiple electrodes on muscles with a small computer implanted into the neck.
  • Subsequent to that when Mr Cadier became a Consultant in Salisbury Distinct Hospital he was invited to undertake Plastic Surgery for the BBC South City Hospital programme. Numerous operations were televised including the first toe to hand transfer undertaken at Salisbury for a little child who had lost his thumb in an accident.
  • Mr Cadier has also undertaken charity missions each year to Pakistan to operate on babies and children with cleft lip and palate. This has formed the focus of many newspaper articles and short television excerpts. In 2002 Mr Cadier was joined by a television crew for the BBC and their visit to a remote area in northern Pakistan formed the subject of a BBC television documentary called ‘Changing Smiles’.
  • In 2006 Mr Cadier was been invited to undertake surgery for the Extreme Makeover UK series, these having been televised for Living TV.
  • Mr Cadier continues to make regular contributions and articles to magazines on all aspects of cosmetic surgery.

Managing Complications

  • Identify risks before surgery and manage as required
  • Detailed and thorough pre-operative assessment
  • Where necessary seek advice from other specialists
  • Decline surgery in those patients where it is inappropriate or risks too high
  • Full pre-operative discussion regarding complications
  • Stress limitations and ensure that expectations are realistic
  • Highly detailed and comprehensive information sheets
  • Early identification when complication does occur
  • Prompt treatment when appropriate
  • Delayed treatment when appropriate
  • Involvement of colleagues in difficult cases
  • Total clarity regarding complications policy and financial implications:

Most of the time, the surgery and the subsequent post-operative recovery are uneventful. When complications do occur, all attempts are made not only to remedy the problem in as speedy a manner as possible but also to optimize the final result. As with all cosmetic surgical procedures undertaken by Mr Cadier, there is a fixed fee policy, which means that no further charges are incurred for the treatment of complications that occur within 6 months following the initial surgery. On the unusual occasions when revisional surgery is required, provided that this is identified and agreed to prior to six months following the original surgery, and undertaken within 12 months of the original surgery, then no charges will be incurred. Any subsequent revision or patients seeking revisional surgery after six months will incur costs.

Academic

  • Over the years Mr Cadier has been involved in both research and training.
  • At Oxford University in the 1980 he undertook research in molecular genetics culminating in a thesis and the award of a MA(Oxon).
  • He has had numerous publications and presentations both to national and international level.
  • In 1998, the University of Southampton awarded a Master of Surgery to Mr Cadier following two years of research in the treatment of facial portwine stains with the Cutaneous Laser.
  • Since 2005 Mr Cadier has undertaken research in the measurement of facial symmetry in cleft lip and palate patients pre and post repair and also in assessing their aesthetic outcome. This has led to several presentations both in the UK and overseas on this subject. Additionally Mr Cadier has presented and published widely in other aspects of cleft lip and palate surgery.
  • In his aesthetic practice Mr Cadier has again presented and published widely.
  • In 1993 he was awarded the Hackett Prize for the Best Research Paper, this being an annual prize given by the British Association of Aesthetic Plastic Surgeons. This piece of research, which demonstrated the beneficial effects of using adrenaline in Breast Reductions, not only to reduce blood loss but also to reduce complication rates, was subsequently published in the European Journal of Plastic Surgery.
  • In 2000, Mr Cadier published a paper on the harmful effects of soya bean oil Implants (Trilucent Implants). This was the first report on any deleterious effects of these Implants that was subsequently followed by many other reports. A paper immediately followed Mr Cadier’s paper that was published in the same British Journal of Plastic Surgery from the Medical Devices Agency recommending the immediate withdrawal and removal of all of these Implants.
  • In 2006 Mr Cadier had a publication on the potential harmful effects of Hydrogel Breast Implants, this paper was published in the British Journal of Plastic Surgery.

He is currently undertaking research in the following areas:

  • Treatment of transverse cervical rhytides
  • The use of a novel graft technique in rhinoplasties
  • An evaluation of psychological impact of a variety of cosmetic surgery procedures using a 6-point questionnaire.
  • Long-term results of a new face and necklift technique.