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Prepare & Repair™

Treatment-at-a-glance

Evidence based lifestyle medicine approaches to make the best of preparing for surgery

2 week ‘Prepare’ plan to optimise your health for your surgery

2 week plan to make the best of the ‘Repair’ phase after surgery

3 levels of mentoring by the Lifestyle Medicine Physician for your bespoke ‘Prepare & Repair’ programme for you to choose from

In person or virtual consultation with the Lifestyle Medicine Physician

Questionnaire-based, bespoke programmes tailored to your life choices

Glowing, positive reviews of health and attitude change

Habit-changing for healthy longevity.

Enduring change for confidence in appearance and confidence in performance.

The Jonathan Britto Clinic sets itself apart with our peri-operative Prepare & Repair plan.

A complimentary four-week plan for all our surgical patients, it is integral to our surgical pathway, ensuring best health is achieved and maintained prior to, during and after surgery. It follows our unique philosophy and four-pronged approach for healthy longevity.

EAT ~ MOVE ~ REVIVE ~ SLEEP

“I was given Mr. Britto’s details by a specialist in Suffolk. I had been trying to get a lipoma removed from my jaw for over a year, I could not find anyone who was willing to do this operation due to the position. In the meantime, my face was getting lopsided and I was very conscious of this. I hated having my photo taken. On meeting Jonathan Britto in Chelmsford, I was so happy that he spoke confidently about the removal and to my delight said that he would have to even up my face, which in turn meant a neck and lower face lift. This operation was booked for a few months later. I opted to see the lovely Dr Shyamala beforehand at the London Clinic, for the Prepare & Repair consultation. By following her suggestions, I was eating protein and vegetables, drinking orange shots, exercising and getting plenty of fresh air. I really felt looked after and confident that I was doing the best I could for good repair of my skin and muscles after the surgery. She also helped me with a weight loss programme and keeps in touch with me to help me get to my goal. Its working. The operation seemed to be over very quickly, I had a faint memory of chatting during the procedure, but it all went smoothly and I felt no pain or nervousness. Jonathan called me the following day and I go to the pre planned checkups at Colchester. It is now just over 6 weeks since the operation. I looked in the mirror a few weeks ago and thought ‘oh there I am’, it was my face before the lump and sagging jowls, he had turned back time. Thank you.”
– Amanda –

What can I expect?

The plan starts two weeks before surgery to set your mind and body physiology for the impact of the surgery and anaesthesia. Dr Shyamala is a consultant anaesthetist and our Lifestyle Medicine Physician, and she works in close liaison with Paolo, Oliver and Anita, our consultant anaesthetists who care for you, for both daycase general anaesthesia procedures and our signature ‘twilight technique’ of facial surgery and recovery.

Her programmes for you begin two weeks before surgery and, for maximum benefits, your plan is continued for two weeks afterwards.

You will prepare your body for the inflammatory response associated with surgery. The ‘Prepare’ part of the programmes reduces the surgery ‘stress response’: reducing post-surgery infection (zero incidence in the last 10 years to date), reducing post-surgery pain (see reviews), reducing post-surgery water retention and discomfort and optimising sleep and repair.

The ‘EAT’ philosophy of our four-pronged approach resets the gut microbiome and replenishes nutrients ensuring sufficient protein intake and a balanced inflammatory response.

The activities prescribed in ‘MOVE’ promote cardiovascular health, reducing blood clots (0%) and chest infections (0%) and improving mental wellbeing. The latter is enhanced further with a bespoke REVIVE plan and attention to SLEEP.

At the Jonathan Britto clinic, we realise that simply identifying the stressors around surgery and prescribing the interventions is not enough. These changes have to be mentored to be effective and maintained in the context of busy lives, multiple commitments and social & environmental temptations.

Shyamala, the Lifestyle Medicine Physician at the Jonathan Britto clinic, is at hand to provide a personalised programme, and to help our clients adhere to the Prepare & Repair plan, taking on and maintaining the prescribed lifestyle changes before surgery and in the recovery phase. The results and the testimonials speak for themselves…

Dr Shyamala Moganasundram’s Certified Lifestyle Medicine Physician diploma
“Throughout the procedure I was also supported by Dr Shyamala Moganasundram, a member of the Jonathan Britto team. Under her guidance and support I benefitted from the lifestyle medicine programme she heads in the clinic. Her advice on nutrition, and lifestyle habits before and after the surgeries were highly appreciated and made my preparation for the surgery and the subsequent recovery smoother and more holistic. I would highly recommend it.”
– Emma –

Dr Shyamala Moganasundram provides individual coaching sessions to help our clients through this four-week plan. Coaching is preceded by a consultation three weeks prior to surgery which will include a pre-consultation questionnaire and a medically guided lifestyle assessment. Based on this Shyamala creates personalised bespoke programmes for the individual. The coaching programme includes a diet sheet, menus and recipes, exercise guidance and follow-up as required.

Two levels of coached programmes are available, PREMIUM and PLATINUM, in addition to the complimentary, non-coached ESSENTIAL plan.

The Essential

  • Four-week Plan
  • Nutrition Prescription
  • Activity & Exercise Recommendations
  • Mindfulness Recommendations
  • Sleep & Stress-Busting Strategies
  • Upgrade to Personalised Coached Programmes Available
  • Complimentary

The Premium

  • Four-week Plan
  • Nutrition Prescription with Daily Dietary Needs. Sample Menus & Recipe Links
  • Activity Schedule & Exercise Plan
  • Mindfulness Strategies Wellness Treatment Plan
  • Sleep & Stress-Busting Plan to prepare for Surgery & for Recovery
  • Part Coached with Lifestyle Questionnaire & Treatment Plans
  • 30-minute Consultation, & Two Reviews
  • £495

The Platinum

  • Four-week Plan
  • Nutrition Prescription with Bespoke Daily Diet Sheets, Menus & Personalised Recipes
  • Daily Activity Schedule & Exercise Plan with Recommendations for Streamed Classes
  • Bespoke Mindfulness Plan Daily Affirmations Guided Wellness and Positivity Plan
  • Sleep & Stress-Busting Personalised Plans before Surgery & for Recovery Complimentary “The Power of Sleep” Gift Bag
  • Fully Coached with Lifestyle Questionnaire Bespoke Treatment Plans with Personalised Recommendations
  • 45-minute Consultation, Weekly Reviews, FollowUp Report with Medical Wellness Recommendations
  • £1395

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