The Plastic Surgeons of the London Breast
Reconstruction Associates are a dedicated
team of Consultants specialised in breast
restoration. Alongside their consultancy
at Guy’s and St Thomas’ NHS Foundation
Trust, they offer the most advanced breast
reconstruction techniques at London
Bridge Hospital.These include implant-
based reconstruction and microvacular
autolologous reconstruction from the
abdomen, the buttocks or the inner thigh.
All five Consultants are actively involved
in the development of new techniques
in breast reconstruction, and strong links
with King’s College have been established.
The team has worked closely together for
a number of years and are well-established
within the multidisciplinary team. In order
to provide the highest standard of care to
patients, all microvascular procedures are
performed by two Consultants. One of
the Consultants is available to patients 7
days a week.
Patients will experience clinical care that
goes beyond their expectations. From
initial consultation to full recovery, the
dedicated team at London Bridge Hospital
provides support at every stage.
Every woman facing breast cancer has a right
to breast reconstruction.
In January 2009, a Lymphoedema Service was established at London Bridge Hospital to augment
the existing Breast Care Service.
at London Bridge Hospital
The service offers support to all patients who develop secondary
lymphoedema due to any cancer-related treatment, and
appointments are available from early morning to late evening
to provide flexibility for patients. Referrals can be made by
Consultant Breast Surgeons, Oncologists, Breast Care CNS,Ward
Nurses or Physiotherapists.
London Bridge Hospital is the only hospital to provide a
dedicated Lymphoedema Nurse.
Some insurance companies will pay for lymphoedema
management, however, there is a package available when
treatment is self-funded.
The nurse will initially see a patient during a Consultant
appointment. Subsequent visits will coincide with either surgical
or chemotherapy admissions.
By providing education and advice to patients from an early
stage, the nurse aims to increase awareness of the condition
and the management options available. For patients with
existing lymphoedema, the nurse aims to reassure them that the
condition can be controlled and that use of the affected limb will
Due to the service growing rapidly, there are plans to increase
the number of staff trained in lymphoedema management, thus
improving availability for patient consultations.
The service provides:
• Post operative assessment and education for all patients who
have had breast-related surgery and removal of lymph nodes.
• Advice on skincare.
• Manual Lymphatic Drainage (MLD) for uncomplicated
lymphoedema of both arms and legs.
• Initial hosiery fitting and six-monthly reviews.
• Education and support for patients and relatives who are
predisposed to develop lymphoedema.
• Bandaging or MLD for palliative conditions.
• Flight and travel information.
Mr Jian Farhadi
MD PD FMN (Plast) EBOPRAS
Consultant Plastic Surgeon