Terms and Conditions

A. The Surgeon 
 
Mr Nizar Hamadeh, registered with the General Medical Council (GMC Number: 7009480). In the UK, surgeons hold the title “Mr”; Mr Hamadeh is qualified in both the UK and France. 
 
B. The Patient / You / Your 
 
A natural person seeking or receiving medical advice and care directly from Mr Hamadeh via Cedre Aesthetics. 
 
C. Procedure 
 
Any treatment or operation performed by The Surgeon, excluding Revision Procedures. 
 
D. Revision Procedure 
 
Any treatment or operation intended to adjust or address complications from a previous Procedure performed by The Surgeon. 
 
E. External Facilities 
 
Private hospitals or clinics where The Surgeon holds practising privileges and where procedures may be carried out. 
 
F. Patient Information 
 
Includes these terms, proposed surgery details, consent forms, and aftercare instructions 
provided by The Surgeon. 
 
G. We / Our / Us 
 
The Surgeon and his support team. 
 
H. Booking Fee 
 
A non-refundable fee payable at the time of booking an initial consultation (whether Zoom or  Face-to-Face). This fee covers administrative time, the reservation of clinic time, and  preparation for your appointment. The booking fee is payable regardless of attendance or 
completion of the consultation. It does not entitle the patient to a refund in the event of non-attendance, cancellation, or rescheduling outside of the terms set out in this agreement. The booking fee does not apply to aftercare appointments following surgery. 
 
1. Agreement to These Terms & Conditions 
 
1.1. These Terms and Conditions will be provided to you as soon as practicable after first contact, to ensure you have time to review them fully before making any commitments. 
 
1.2. By booking and paying for a consultation, you acknowledge that you have read, understood, and accepted these Terms in full. This creates a binding contract between you and Mr Hamadeh. 
 
1.3. The contract is strictly between you and us. If a third party pays for your consultation or procedure (e.g., family or partner), they do not acquire any rights under this contract. 
 
1.4. Due to the personal nature of medical services, your contract with us cannot be transferred to anyone else. 
 
1.5. Only the parties to this contract have rights under it. No other person may enforce any of its terms. 
 
1.6. If any part of this contract is found to be invalid or unenforceable, the remainder will continue in full force. 
 
2. Our Duties to You 
 
2.1. We are committed to providing our services with reasonable skill and care, in accordance with the law of England & Wales and best medical practice. 
 
2.2. We will arrange consultations and ensure that they are conducted appropriately, provided that payment terms have been met. 
 
2.3. If you and The Surgeon decide to proceed with surgery, we will coordinate with External Facilities to arrange theatre time, staff, anaesthetist, and all required equipment. 
 
2.4. While we will make all reasonable efforts, we cannot guarantee the availability of External Facilities or other essential resources. If unavailable, your procedure will be rescheduled or fees refunded as appropriate. 
 
2.5. External Facilities and anaesthetists are independent professionals. We are not responsible for their actions, errors, or omissions. 
 
2.6. The Surgeon is solely responsible for your surgical care. Anaesthesia is managed by a qualified anaesthetist, who is independently accountable for their practice. 
 
2.7. Should The Surgeon become unavailable, we are not obliged to provide an alternative surgeon. 
 
2.8. While we will make reasonable endeavours to arrange consultations and any post- procedure follow-up care at a location convenient to you, neither The Surgeon nor his team guarantees that consultations and post-procedure follow-up care will take place at your preferred location. Factors such as facility availability, clinic schedules, and operational requirements may necessitate alternative arrangements. 
 
3. Your Duties and Obligations 
 
3.1. You must be at least 18 years of age and provide valid photographic ID. Proof of age is a legal requirement. 
 
3.2. You must have full mental capacity to make informed decisions about your care. 
 
3.3. If you need help understanding medical information (due to language, disability, or other reasons), you must inform us so we can accommodate your needs where possible. 
 
3.4. You must provide complete and accurate medical information at all times. Failure to do so risks your health and may result in cancellation of your treatment. 
 
3.5. You must take time to understand the advice given, including risks, limitations, and potential outcomes. 
 
3.6. Keep us informed of any changes in your health, medical history, or personal details, especially leading up to your procedure. 
 
3.7. You are required to update us with any changes to your contact details for at least 24 months following your surgery. 
 
3.8. You must cooperate with requests to obtain relevant medical records from other healthcare providers. 
 
3.9. If you need to cancel or reschedule your procedure, you must inform us as early as possible. 
Early notice helps us manage our schedule and may reduce or avoid cancellation fees. 
 
3.10. You must attend all post-operative follow-up appointments and comply with aftercare advice. This is essential to monitor your recovery and optimise your results. 
 
3.11. Free aftercare appointments are available for up to 24 months post-surgery. This includes routine post-operative check-ups and clinical reviews, provided these are attended as scheduled. Appointments beyond the 24-month period will incur a fee of £100 per appointment. This fee applies whether appointments are attended in person or by video conference. International patients are expected to return for a 3-month post-operative appointment. 
 
3.12. Missed follow-up appointments without providing at least 24 hours’ notice will incur a £100 charge for any future follow-up appointments. This ensures fairness and helps manage clinic resources effectively. 
 
3.13. If you miss or cancel two or more post-operative check-ups, a £100 payment will be required to secure your next appointment. This policy encourages continuity of care and helps safeguard your recovery process. 
 
3.14. Failure to attend follow-up appointments within the first six months after surgery will result in your discharge from our care, with no further entitlement to follow-up. 
 
4. Our Right to Refuse Services 
 
4.1. All procedures are provided at the discretion of The Surgeon. 
 
4.2. We may refuse to perform a procedure if: 

‍

• Your age cannot be verified. 
• You refuse consent for clinical photography, which is necessary for your care and our medical records. 
• We believe the procedure is not in your best clinical interest. 
• Informed consent cannot be obtained for any reason. 
• You have provided incomplete or inaccurate medical history that may place you at risk. 
• You have failed to comply with any of your obligations under these terms. 
 
4.3. If we refuse to provide services, we will notify you as soon as practicable and explain our reasons for doing so. 
 
4.4. We are under no obligation to provide a substitute or alternative surgeon in the event that The Surgeon becomes unavailable. 
 
5. Fees 
 
5.1. Booking Fees for Consultations 
(All prices are exclusive of VAT, where applicable) 
• Video Conference Consultation (Zoom): £75 
• Primary Rhinoplasty In-person Consultation: £100 
• Revision Rhinoplasty In-person Consultation: £150 
• Other Facial Surgery In-person Consultation: £100 
 
Important clarification: 
 
The Booking Fee applies only to consultations (Zoom and In-person). It covers administrative time, reservation of clinic time, and preparation for your appointment. The Booking Fee is non- refundable and is not contingent upon the appointment taking place. Booking Fees do not apply to aftercare appointments unless otherwise specified in Section 3. 
 
5.2. Administrative Fees 
 
• Medical Records Request: 
In accordance with your rights under the Data Protection Act 2018 and UK GDPR, we will  provide you with a free copy of your personal data upon request (Subject Access Request). However, if you require additional copies of your medical records, or if your request is manifestly unfounded or excessive (e.g. repetitive or requiring disproportionate effort to process), an administrative fee of £450 will apply to cover reasonable costs of retrieval, duplication, and processing. Processing time is typically 28 days. 
 
5.3. Payment Terms for Procedures 

• Surgery fees must be paid in full no later than 4 weeks prior to the scheduled procedure date. 
• If you wish to pay by cash, you must notify the clinic and arrange payment no later than 6 weeks prior to your procedure date. 
• Accepted payment methods are: 

o Bank Transfer (clinic bank details will be provided upon request) 
o Pay By Link (secure payment link provided by the clinic; please note American Express (AMEX) is not accepted via this method) 
o Cash (subject to 6 weeks’ notice) 

• Failure to make payment in full within the stated timeframes will result in automatic cancellation of your surgery. 
• In the event of cancellation due to non-payment, you will be liable for all fees incurred by the clinic, including but not limited to administrative costs and lost theatre time. 
 
5.4. Procedure or Revision Procedure Fees 
 
If The Surgeon and The Patient have agreed that a Procedure or Revision Procedure should go ahead, the fees will depend on the exact nature and scope of the procedure. We will provide The Patient with the total cost of the procedure shortly after the face-to-face consultation. 
 
The total fee will include: 
‍

• The surgical fees, 
• Post-operative appointments, including treatments such as steroid injections whenever required, 
• Hospital fees, 
• Anaesthetic fees. 

‍

Important exclusions: 

‍

Certain costs are not included in the procedure fee. These may include: 
• Mental health assessments, if required 
• Overnight stays for day-case procedures, should your care require extended recovery time 
• Tests or investigations for any pre-existing conditions, such as blood tests, ECGs, or scans requested as part of pre-assessment clearance 

These additional costs will be discussed with you in advance wherever possible. 
 
Revision Procedures: 
 
In the event that The Surgeon offers a Revision Procedure, The Surgeon’s surgical fee will be waived. However, The Patient will still be responsible for the hospital and anaesthetic fees, and any associated costs related to the procedure. 
 
5.5. Exclusion of Revision Procedure Costs 
 
Please note that the fees for a Procedure do not include any Revision Procedure that The Patient may want to adjust the Procedure outcome, nor any Revision Procedure needed in relation to complications arising from the Procedure. 
 
Before going ahead with a Procedure, it is the responsibility of The Patient to consider the advice given by The Surgeon about the risks of the Procedure, and the chances of requiring a Revision Procedure, and to consider how The Patient would fund the cost of a Revision Procedure if one became necessary. 
 
It is not the responsibility of The Surgeon to ensure that The Patient can pay for (afford) a Revision Procedure if one becomes necessary. 
 
6. Cancellation & Rescheduling (Consultations) 
 
Cancellation and Rescheduling Policy for Consultations: 
‍
• Non-refundable booking fee: The booking fee for consultations (both Zoom and in-person) is strictly non-refundable. 
• Rescheduling with more than 48 hours’ notice: You may reschedule your appointment at no extra cost if you notify us at least 48 hours in 
advance. 
• Rescheduling with less than 24 hours’ notice: If you reschedule within 24 hours of your appointment, 50% of your booking fee will be 
forfeited, and you will need to pay an additional 50% to secure your new appointment. This policy enables us to allocate clinic time effectively and minimise the impact of late changes or cancellations.

‍

7. Cancellation & Rescheduling (Procedures) 

‍

Patient-Initiated Rescheduling: 
• More than 4 weeks’ notice: No fee. 
• 2–3 weeks’ notice: £750 rescheduling fee. 
• 1–2 weeks’ notice: £1,000 rescheduling fee. 
• Less than 1 week: Fee to be advised on a case-by-case basis. 

Patient-Initiated Cancellation: 
• More than 3 weeks’ notice: 25% retained, 75% refunded. 
• 2–3 weeks’ notice: 50% retained, 50% refunded. 
• Less than 2 weeks’ notice: 75% retained, 25% refunded. 

Surgeon-Initiated Rescheduling or Cancellation: 
• In emergencies or unavoidable circumstances (e.g., illness), procedures may need to be rescheduled. We will notify you as soon as possible. 
• If we reschedule, there is no additional cost to you. 
• If we cancel your procedure, you will be refunded, excluding any non-refundable third- party costs (such as facility or anaesthetist fees). 
 
8. Refunds 
 
8.1. No Refund Policy for Consultations (Booking Fees) 
 
Booking Fees paid for consultations, including face-to-face or Zoom appointments, are strictly non-refundable. The Booking Fee secures clinical time and administrative preparation and is not dependent on the appointment taking place. This applies equally to appointments that are missed, cancelled with insufficient notice, or not attended for any reason. 
 
8.2. No Refunds for Surgical Procedures Once Performed 
 
Once a surgical procedure has been completed, no refunds will be offered under any circumstances. This includes dissatisfaction with aesthetic outcome, healing progress, or unmet expectations. 
Patients are advised to refer to Section 10 of this agreement for a full disclaimer on surgical results, risks, and limitations. 
Any consideration for revision surgery is a separate matter and will not affect the payment status or refund eligibility of the original procedure. 
 
8.3. Method and Eligibility for Refunds 
 
Refunds are rare and will only be issued under specific circumstances, such as: 
• Where The Patient is deemed unsuitable for surgery following pre-operative health assessments or mental health screening, 
• Or where Dr Hamadeh decides not to proceed with the surgery due to clinical or ethical concerns. 
 
In such cases, any refund due will be processed exclusively via bank transfer to the account of the original payer. 
 
Refunds will not be issued via card, Pay By Link, cash, or any other method. 
The clinic may request proof of account ownership before processing the refund. 
Processing time can take up to 28 days. 
 
9. Informing Us of External Care 
 
• You are free to seek second opinions or additional care elsewhere, at your own expense. 
• We recommend informing us if you choose to consult another practitioner, to ensure safe and continuous care. 
• We may share your medical records with other healthcare providers for your safety and continuity of care. 
• Please notify us if you are seeking external advice or treatment related to your procedure. 
 
10. Surgical Results Disclaimer 
 
10.1. The Patient acknowledges that there is no guarantee or warranty that an intended outcome (clinical, aesthetic, or otherwise) can be achieved from a Procedure or Revision Procedure. Every patient’s anatomy is unique, and while we aim for the best possible outcome, 
results can vary significantly. 
 
10.2. The Patient acknowledges that pre-operative photos or morphs are used for communication, explanation, and advisory purposes only. There is no guarantee or warranty that the surgical outcome will match the images presented during consultations. These tools 
help to illustrate possible changes, but they do not predict or promise a final result. 
 
10.3. The Patient acknowledges that there is no guarantee or warranty that they will subjectively find the result of a consultation, Procedure, or Revision Procedure pleasing or satisfactory — even where an objectively good clinical outcome has been achieved. In particular, it is important to understand that issues such as a deviated or asymmetric nose may not be fully or even partially corrected by surgery. 
 
10.4. The Patient acknowledges that, in general, there is around a 10% chance that a patient may feel subjectively unhappy with their results. This risk increases after revision surgery. While we do everything possible to align expectations, aesthetic perception is personal and subjective. 
 
10.5. The Patient acknowledges that all Procedures carry an inherent risk that revision surgery may be wanted or needed. The Surgeon will advise on the likelihood of this risk in relation to the specific procedure you are considering. 
 
10.6. The Patient acknowledges that if they subjectively dislike their result, or if complications arise, or if revision surgery is wanted or needed, this alone does not indicate that there has been any error or shortcoming in the care or advice provided by Us. 
 
10.7. No refunds, compensation, or other payments will be made purely because The Patient subjectively does not find the result pleasing or satisfactory, or if a Revision Procedure is wanted or needed. 
 
10.8. The Surgeon will explain the potential risks and range of possible outcomes of your specific procedure. However, The Patient acknowledges that for rhinoplasty procedures in particular, even when the surgery is performed competently, risks and adverse outcomes may include: 

‍

• V-shaped inverted deformities 
• Breathing difficulties 
• Weakness in the internal nasal valves 
• Retracted nostrils or columella 
• Hanging columella 
• Asymmetries 
• Deviations 
• Pollybeak deformity 
• Lack of satisfaction with the overall size of the nose (too large or too small) 
• The requirement or desire for revision surgery to correct or improve these outcomes 
 
The Patient understands that the above risks are inherent to the nature of surgery and accepts these as part of informed consent. 
 
11. Clinical Photography 
 
• Clinical photographs form an essential part of your medical record. Refusal to consent to photography may prevent us from providing treatment. 
• These images must be retained as part of your records and cannot be deleted upon request, as they form an essential record of your clinical journey. 
• Photos may be used for your care and, in some cases, for training purposes (with your identity protected). 
• De-identified photos may be shown to other patients to explain potential outcomes. 
• Separate consent will always be sought if we wish to use your images for marketing or promotional purposes. You will not be obliged to provide this consent. 
 
12. Patient Use of Social Media and Review Sites 
 
• It is increasingly common for patients to publish comments and reviews about their doctors and surgeons on social media, review sites, blogs, websites, or podcasts. These may include positive comments or critical/negative reviews. 
• We acknowledge that patients are entitled to share their opinions publicly. However, The Patient also acknowledges that publishing criticism or negative reviews can cause unnecessary worry or distress to other patients, and potentially harm professional reputations. 
• The Patient is under no obligation to publish praise or positive reviews about The Surgeon or his team. 
• The Patient agrees not to publish any criticism or negative reviews about The Surgeon or 
his team without first allowing us the opportunity to address your concerns through our internal complaints process to its conclusion. 
• If you remain dissatisfied after following our complaints process, you are, of course, free to express your opinion. However, we respectfully request that you engage constructively with us first, to resolve any concerns. 
 
13. Complaints, Claims & Dispute Resolution 
 
13.1. Initial Complaint Process 
 
We value open communication and aim to resolve any concerns promptly and fairly. If you have a complaint, you must submit it in writing (by email or letter) to our clinic as soon as possible. We will acknowledge your complaint within 7 working days and aim to provide a full 
response within 28 working days. If we require additional time, we will inform you accordingly. 
If you remain dissatisfied following our response, you may escalate the complaint to stage two of our internal complaints process. 
 
13.2. Binding Arbitration Agreement 
 
If the complaint process does not resolve the dispute and the patient wishes to pursue legal action, both parties agree that any dispute, claim, or controversy — including allegations of negligence in connection with this agreement — will be resolved exclusively through binding arbitration, rather than through litigation in a court of law. 
 
The decision of the arbitrator will be final and binding on both parties, and judgment may be entered upon the award in any court with jurisdiction. 
 
By agreeing to this clause, both parties waive any rights to a jury trial or to bring claims in court related to allegations of negligence. Arbitration is the exclusive method for resolving such disputes under this agreement. 
 
13.3. Confidentiality Clause 
 
All arbitration proceedings, related communications, and outcomes shall remain strictly confidential. 
 
13.4. Costs Allocation 
 
In the event of arbitration, the losing party shall be responsible for bearing all associated costs, including: 
• The arbitrator’s fees, 
• Any legal expenses incurred by the prevailing party, 
• Any other costs directly associated with the arbitration process. 
 
13.5. Indemnity 
 
• The Patient agrees to indemnify and hold harmless The Surgeon against any claims, damages, or expenses arising from The Patient’s own actions or omissions. 
• This indemnity extends to any claim for negligence brought by The Patient against The Surgeon which is found to be without merit, as well as any investigations initiated by regulatory bodies, or complaints made by The Patient that are subsequently determined to be unfounded. 
• This indemnity does not apply to claims arising from negligent or wrongful conduct of The Surgeon. 
• Furthermore, The Patient acknowledges that before initiating any legal claim or complaint, they must first follow the complaints resolution process outlined in these 

‍

Terms and Conditions. 
• Should The Patient fail to follow this process and instead initiate a claim prematurely, The Surgeon shall not be liable for any associated costs or damages, and The Patient agrees to indemnify The Surgeon for any costs incurred as a result of such premature actions. 
 
13.6. Expert Report Requirement 
 
In the event of any claim made against Mr. Nizar Hamadeh, it is required that The Patient obtains an independent medical expert report. 
The designated expert must: 
• Possess qualifications and experience equivalent to or greater than those of Mr. Nizar Hamadeh. 
• Specifically, for claims relating to rhinoplasty, the expert must have performed at least the same number (or greater) of rhinoplasty surgeries within the last three years and have demonstrable expertise in the specific procedure in question. 
• The name of the expert and their qualifications must be disclosed at the time of submitting the claim. 
This requirement ensures that all expert assessments are conducted by professionals of the highest standard, with superior experience and knowledge directly relevant to the procedures and practices in question. 
This stipulation aims to ensure fair and expert evaluation of any claim. 
 
14. Limitation of Liability 
 
• We are not liable for the actions or omissions of third-party providers, including external facilities and anaesthetists. 
• Third parties are independent professionals responsible for their own services. Any claims or concerns relating to the conduct or performance of third-party services must be directed to them directly. 
• Our liability to you is limited to the provision of our services, in accordance with these Terms and Conditions. 
 
15. Governing Law 
 
• These Terms and Conditions are governed by the laws of England & Wales. 
• Any disputes will be subject to the exclusive jurisdiction of the courts of England & Wales, except where arbitration has been agreed in Section 13 of these Terms. 
 
Patient Declaration 
 
By signing this document, you confirm you have read, understood, and accept these terms. 
Please retain a copy for your records. 
 
Appendix: Complaints Process 
 
We take all concerns seriously and are committed to resolving complaints in a fair, transparent, and timely manner. Our complaints process is structured in clear stages to ensure that each concern is addressed thoroughly and with care. 
 
Stage 1: Informal Resolution 
 
• We encourage you to raise any concerns as early as possible. Direct, informal communication can often resolve matters quickly and amicably. 
• You may raise your concern verbally or in writing, and we will listen carefully to understand your experience. 
• Our aim at this stage is to resolve your concerns promptly without the need for formal proceedings. 
 
Stage 2: Formal Complaint 
 
• If your concern is not resolved informally, you should submit your complaint in writing to our clinic. Please include as much detail as possible to help us understand your issue. 
• We will acknowledge receipt of your complaint within 7 working days. 
• A full investigation will be undertaken, and we will aim to provide a comprehensive response within 28 working days. 
• If we require additional time to complete our investigation, we will inform you of the delay and provide an estimated timeline for our response. 
• Our response will detail our findings and any actions we propose to resolve your complaint. 
 
Stage 3: Escalation 
 
• If you remain dissatisfied with our formal response, you may escalate your complaint to Stage 3. 
• At this stage, we may offer: 
o Independent mediation with a neutral third party, or 
o A review by an external advisor who is independent of our practice. 

• The aim of this stage is to facilitate constructive dialogue and explore solutions that may resolve the complaint without the need for legal action. 
 
Stage 4: Binding Arbitration 
 
• If your complaint remains unresolved after Stage 3, the matter will proceed to binding arbitration, as set out in Section 13 of these Terms and Conditions. 
• Arbitration is a private, legally binding process that avoids the need for court proceedings. 
• Both you and we agree to abide by the decision of the appointed arbitrator, whose ruling will be final. 
• The arbitration process is strictly confidential, and the losing party will bear the costs of the process, as detailed in Section 13.4 of these Terms. 

Important Notes 
• Good faith participation: We ask that you engage with our complaints process in good faith and allow us the opportunity to address your concerns before taking external action. 
• Independent Expert Reports: Should you proceed to make a claim, please note that we require any allegations to be supported by an independent expert report, as outlined in Section 13.6 of these Terms. 
• Confidentiality: All discussions, correspondence, and proceedings during the complaints process will remain confidential. 
We encourage patients to engage with us openly and at the earliest opportunity so that we can work towards a positive and fair resolution together. 
 
© 2025 Dr Hamadeh Private Clinic. All rights reserved. 

‍

Disclaimer: These Terms and Conditions form a legally binding agreement between Cedre Aesthetics and the patient. Please review carefully before proceeding with any consultation or procedure. By proceeding with a consultation or procedure, you confirm your full acceptance of these Terms and Conditions. 
 
Cedre Aesthetics reserves the right to update these terms as necessary, and any updates will take effect from the date of publication. The most current version will always be available upon request. 

‍