Your Consultation

What to expect from your consultation

You may feel a little nervous at your first consultation. This is very natural. Our consultations are friendly and thorough and are designed to put you at ease. Discussing your needs and expectations  are a key part of a successful treatment pathway.

Your safety

Reducing risk and ensuring your safety is of upmost importance. This begins at your first consultation when key medical issues can be identified. There are some pre-operative factors, such as smoking and diet, which can significantly influence your chances of success. These can be openly discussed and addressed at your pre-op consultations. Safety continues through to the post-operative period when we ensure there is always someone at hand from the team to talk to.

Preparing for an operation

Is there any medication I should avoid?

Ideally non-steroidal anti-inflammatory drugs such as Aspirin, Ibuprofen and Diclofenac should be avoided for two weeks before to two weeks after your surgery. For minor procedures however Aspirin can generally be continued. If you have any doubts or questions please feel free to ask at you consultation.


Smoking can significantly increase your risk of experiencing wound-healing problems including wound infections. This is due to the chemical nicotine found in cigarette smoke that reduces the blood supply to surgical wounds and thereby increases the chances of healing problems. Furthermore smoking also increases the risks of a general anaesthetic for example smokers are more likely to develop a chest infection after being put to sleep for an operation. Stopping smoking at least six weeks prior to a procedure significantly reduces these risks.

What if I catch a cold prior to my surgery?

Should you become unwell prior to your procedure please contact Bran Sivakumar’s office as it may be safer to postpone your surgery. We can also advise you on how to best manage your symptoms whilst you recover.

When should I stop eating and dirnking prior to my procedure?

For procedures under local anaesthesia you can eat and drink as per usual. For procedures under general anaethesia you should stop eating six hours prior to surgery and stop drinking water for at least 2 hours.


To book an appointment with Mr Sivakumar or for more information please call 020 7432 8329 or email


Mr Sivakumar works within three of London’s leading specialist hospitals: The Royal Free Hospital, The Hospital of St John of Elizabeth and the Platinum Medical Centre, part of The Wellington Hospital.

The Royal Free

Royal Free Hospital
Pond Street

Hospital of St John and St Elizabeth

Hospital of St John and St Elizabeth
60 Grove End Road
St John's Wood

Platinum Medical Centre

Platinum Medical Centre
The Wellington Hospital
Wellington Place
St John's Wood

Harley Street Clinic

Harley Street Clinic
79 Harley Street

Weymouth Street Hospital

42-46 Weymouth St

Enquire now

For more information, general enquiries and to book an appointment please complete the form.

If you prefer, please call 020 7305 5673 or email