FEES 2023

Private (Non NHS) Patients




Consultation Fees 2023



Consultation costs vary depending on the type and complexity of the patient’s condition.



SELF FUNDING PATIENTS WHO WISH TO ATTEND FOR COSMETIC PROBLEMS

• For most patients, initial consultations typically cost £150 and any follow up consultations e.g. following surgery, are typically free.
• However for patients with more complex cosmetic problems e.g. for patients requesting a second opinion following surgery performed by another surgeon, the initial consultation cost is £250.



SELF FUNDING PATIENTS WHO WISH TO ATTEND FOR FUNCTIONAL PROBLEMS

• Initial consultation appointments cost £150.
• There may be additional costs for diagnostic procedures performed in clinic and Mr Cheung will inform the patient fully about these before performing any tests.
• Follow up consultation appointments are typically free as they are included as part of the surgery package costs.



PATIENTS WITH PRIVATE MEDICAL INSURANCE WHO WISH TO ATTEND FOR FUNCTIONAL PROBLEMS

  • Mr Cheung will charge your medical insurer £250 per consultation for both initial and follow up appointments.
  • Please ensure that you know the claims excess on your insurance policy as this is typically collected from the patient at the initial consultation.
  • Mr Cheung is a recognised provider for all major health insurance companies e.g. BUPA, AXA/ PPP, PruHealth, Aviva, WPA, Simply Health, PHS/ PoliceHealthcare etc but is NOT a ‘fee-assured’ provider. This is because he believes in an individual patient’s freedom of choice to see whichever consultant he/ she wishes. Click here for further information from the Federation of Independent Practitioner Organisations (FIPO).
  • Please ensure that any costs have been preauthorised by your health insurer before booking an appointment as any shortfalls will be charged to the patient directly.
  • Mr Cheung believes in fairness and charges the same surgeon fees for operations to all patients regardless of their method of funding i.e. surgeon fees for surgery are the same for patients with medical insurance as they would be for self funding patients.
  • Patients with medical insurance are therefore strongly recommended to discuss with their insurers what seeing a 'non-fee assured consultant' entails and the probability of shortfalls in funding as Mr Cheung's surgeon fees are usually higher than what most insurance companies are prepared to pay.
  • Unfortunately due to previous problems with certain medical insurance companies reneging on their promises to pay pre-agreed fees following surgery, resulting in stress and potential unexpected debt on the patient, Mr Cheung will insist that prior to surgery taking place, all shortfalls in funding be paid by the patient in full.
  • Patients are therefore strongly recommended to liaise with their insurers about this and if necessary making alternative arrangements.



  • Please note some patients incorrectly expect that by having a consultation with Mr Cheung, that a surgical or non surgical treatment option will always be recommended. They thus become disappointed when these expectations are not met.
  • Patients are reminded that an initial consultation with Mr Cheung is merely a consultation to obtain his professional opinion about their functional or cosmetic problem.
  • Having a consultation with Mr Cheung, is therefore not a guarantee that surgery or non surgical procedure will be offered or that their problem is going to be resolved. Indeed for many patients, Mr Cheung may recommend that no treatment is the best management plan for them based on his professional clinical opinion.



APPOINTMENT DEPOSITS
Appointments are precious. To deter non attendances, since January 2023 our clinics have been collecting a £150 consultation deposit fee which is collected at the time of appointment booking. This £150 booking fee will be deducted off your consultation fee. Any remaining consultation fee therefore will be collected at your consultation. This £150 appointment booking fee is non-refundable if you fail to cancel your appointment without 48 hours of notice. Please ensure that you arrive punctually. To see a new patient properly, Mr Cheung takes about an hour typically. Thus if you arrive late, Mr Cheung may not be able to see you and may therefore ask you to reschedule your appointment, possibly losing your deposit.


Please bear in mind that rush hour traffic congestion can be severe especially during school term time in central Birmingham and if necessary allocate additional travelling time for this.




Surgery Fees 2023



Procedures vary greatly in complexity and the fees reflect this. Each patient is different and the treatment offered is bespoke for that patient. It is for this reason that many fees are not given in this website but you will be informed of all costs prior to your surgery. Mr Cheung's fees are in line with equivalent providers. Full payment will be due and payable before the day of your treatment or surgery.


Click here for information about The Westbourne Centre's payment plan which many patients find helpful.





Guideline fees for commonly requested operations at the Westbourne Centre



  • These guideline fees are provided for guidance only and represent fees from Mr Cheung's patients for 2023.
  • The are subject to ongoing change and may increase or decrease.
  • Please be advised that an individual patient's quoted fee at their initial consultation may be higher or lower than these guideline fees and will be customised for them.
  • These fees are for provided for general guidance only are not contractually binding.
  • These provided surgery fees typically represent more or less the total fee that patients pay for their surgery i.e. including surgeon fees, hospital fees, any anaesthetist fees, prescribed medication fees, suture removal fees and postoperative consultation fees.




Blepharoplasty Surgery/ Ptosis Surgery

Last reviewed January 2023

Costs vary quite a bit and are customised for every patient depending on operation complexity and the options they choose e.g. whether they’d like the operation under sedation or whether they’d like to stay in the hospital overnight.

Most of patients have upper lid blepharoplasty surgery under local anaesthetic only.

However for 4 lid blepharoplasty surgery (combined upper and lowers) or just lower lid blepharoplasty, most patients would opt for an anaesthetist to be present to administer some sedation or general anaesthetic.

The vast majority of patients go home the same day as the operation and do not need to stay in the hospital at all i.e. day case surgery. However if you do wish to stay overnight the hospital would charge £400 per night. We wouldn’t recommend staying in the hospital though, it’s not really necessary.

As a rough guide then on average:

Bilateral Upper lid blepharoplasty/ ptosis correction under local anaesthetic costs from £3950.
Lower lid blepharoplasty under sedation/ GA costs from £4045
Combined upper and lower lid blepharoplasty under sedation/ GA costs from £7220


All prices are fully inclusive and include postoperative medication, suture removal, clinical photography, all necessary postoperative consultations, etc.



Entropion/ Ectropion Surgery

Last reviewed January 2023

Costs vary quite a bit and are customised for every patient depending on operation complexity and the options they choose e.g. whether they’d like the operation under sedation or whether they’d like to stay in the hospital overnight.

Most of patients have entropion/ ectropion surgery under local anaesthetic only.


The vast majority of patients go home the same day as the operation and do not need to stay in the hospital at all i.e. day case surgery. However if you do wish to stay overnight the hospital would charge £400 per night. We wouldn’t recommend staying in the hospital though, it’s not really necessary.

As a rough guide then on average:

Entropion/ Ectropion surgery to one eyelid only costs from £2050
Entropion/ Ectropion Surgery to two eyelids only costs from £2800

All prices are fully inclusive and include postoperative medication, suture removal, clinical photography, all necessary postoperative consultations, etc.



Minor Surgery

Last reviewed January 2023

Costs vary quite a bit and are customised for every patient depending on operation complexity and the options they choose e.g. whether they’d like the operation under sedation or whether they’d like to stay in the hospital overnight, whether histological analysis is performed

Most of patients have minor surgery under local anaesthetic only.


As a rough guide then on average:

Cyst drainage surgery (up to 3 lesions) typically costs from £775
Biopsy removal of small lesions costs from £775
Mr Cheung may recommend additional histological analysis of biopsy specimens at a cost of £140.

All prices are fully inclusive and include postoperative medication, suture removal, clinical photography, all necessary postoperative consultations, etc.



Pricing for Restylane Tear Trough Filler Treatment

The typical cost for a course tear trough rejuvenation with injectable fillers by Mr Cheung is around £1240 (£150 for initial consultation and £1090 for a course of tear trough filler treatment with Restylane at the Westbourne Centre).

• Tear trough filler treatment is performed personally by Mr Cheung at The Westbourne Centre, Birmingham.
• Following an initial consultation (consultation fee £150) which can take place at any of the clinics where Mr Cheung consults, tear trough filler treatment may be recommended. Mr Cheung will supply information to allow you to make an informed choice about whether they wish to proceed. If you are still happy to proceed, please then contact Mr Cheung or his PA directly, who will ask Westbourne Centre to liaise with the patient to arrange a convenient date of treatment and collect payment in advance of the procedure. From January 2023, the treatment charge for this treatment is £1090 and includes procedure fee, facility fees, consumables and necessary review appointments.
• Most patients require a 1ml vial of hyalauronic acid filler for their treatment. However for patients who have excessively deep troughs, larger volumes of filler may be necessary which the Westbourne centre may need to bill for.
• For patients undergoing their initial treatment course, it is recommended that they attend clinic again 2-4 weeks following their treatment to be reviewed in person Mr Cheung. However if the patient is comfortable and has no problems, they may decide to forgo this review appointment and keep in contact with Mr Cheung via email.





Image
..Now I understand why there’s a waiting time to see you and for surgery! You were so worth the wait though. I bit more expensive than my local plastic surgeon but so much more thorough. The plastic surgeon I saw before I saw you didn’t do half the tests that you did. I had total confidence in your care. Now to save up for my lowers! Thanks so much David!
Miss MB (Bristol). Surgery performed: Bilateral upper eyelid blepharoplasty with ptosis correction under local anaesthetic at the BMI Edgbaston Hospital, Birmingham


Image
..Oh David, I don’t want to big up your head too much but what others say about you is true! You are where medicine, art, science and habit meet. As you can tell I’m so damn happy with what you’ve done with my eyes. Thank you so so much....
Miss MS (Manchester, Lancashire). Surgery performed: Bilateral lower lid blepharoplasty under local anaesthetic with twilight anaesthesia at the West Midlands Hospital, Halesowen