I came to London in 1977 and started having cosmetic surgery in the mid-1980s when I was left a small inheritance. Cosmetic surgery was unusual when I had my first operation aged 32 at a London clinic in 1987. My older clients regularly opt for breast lifts, thigh lifts, body lifts, butt lifts, you name it. People always say to me that I must be used to having surgery and take it in my stride. Arm lifts used to be known for producing obvious scarring, which was off-putting to a lot of women.