If you are experiencing a life-threatening emergency, call 999 immediately or go to your nearest Accident & Emergency department. Do not delay to contact a private clinic in a genuine emergency.
For emergency plastic surgery referrals from A&E (lacerations, facial injuries, hand injuries), the treating A&E team can request an on-call plastic surgery consultation via the hospital switchboard. Private patients may additionally contact Mr Naparus directly.
Private Emergency Plastic Surgery — Mr Naparus
For private patients requiring urgent assessment and treatment — during working hours — Mr Naparus operates an emergency plastic surgery service from Chelsea & Westminster Hospital Private Care (The Chelsea Wing). This service covers:
- Facial lacerations and complex wound repair
- Dog bites and animal bites to the face
- Soft tissue injuries requiring specialist closure
- Urgent assessment of suspicious or rapidly changing skin lesions
- Post-operative wound concerns (dehiscence, infection, haematoma)
- Facial and craniofacial trauma assessment and management
This is not an out-of-hours service. For after-hours emergencies, please attend Chelsea & Westminster Hospital A&E or your nearest emergency department. True emergencies: call 999. For urgent but non-life-threatening situations out of hours, call 020 3432 3411 and leave a message — calls are reviewed the next working morning.
How to Contact
Telephone: 020 3432 3411
Email: appointments@naparus.com
Chelsea & Westminster Hospital Private Care, 369 Fulham Road, London SW10 9NH
Facial Fractures
Craniofacial trauma is a subspecialty area of Mr Naparus's practice. Facial fractures are assessed clinically and radiologically (CT scan) and managed in accordance with current BAOMS/BAPRAS guidelines.
Frontal Bone Fractures
Fractures of the frontal bone and frontal sinus. Managed jointly with neurosurgery where intracranial involvement is present. Displaced fractures of the anterior table require surgical repair to restore forehead contour. Posterior table fractures require neurosurgical assessment and may require cranialization.
Orbital Fractures (Blow-out)
Fractures of the orbital floor or medial wall following blunt orbital trauma. Present with diplopia (double vision), enophthalmos (sunken eye), infraorbital nerve numbness and restricted eye movement. Small isolated fractures may be managed conservatively; those with persistent diplopia, enophthalmos or large bony defects require surgical repair (typically within 2 weeks). Managed jointly with ophthalmology.
Zygomatic Fractures (Cheekbone)
Fractured zygoma or zygomatic arch following direct trauma. Present with flattening of the cheek, trismus (restricted mouth opening), facial numbness and step deformity. Displaced fractures are repaired surgically via small incisions to restore malar prominence and orbital volume.
Mandibular Fractures (Jaw)
Fractures of the lower jaw, usually from direct trauma. Present with malocclusion, pain, swelling and step deformity. Managed jointly with oral and maxillofacial surgeons. Treatment may include closed reduction (wiring) or open reduction and internal fixation (ORIF) with plates and screws.
All facial fractures require CT imaging and specialist assessment. Do not delay seeking emergency care if you suspect a facial fracture following trauma.