Personalised breast cancer treatment

Harley Street Breast Care plans breast cancer treatment around you at 35 Weymouth Street, London W1G 8BJ. Consultant Breast & Oncoplastic Surgeon Mr Debashis Ghosh (GMC 4657664) leads your care with radiologists, oncologists and pathologists. An initial surgeon consultation costs £350, and we see self-pay and insured patients.

Call +44 (0) 207 034 6533 to book a consultation with Mr Ghosh, Monday to Friday 08:00-20:00. You do not need a GP referral.

Bespoke treatment options

After a breast cancer diagnosis, Mr Ghosh talks you through each treatment option that fits your cancer. He explains the benefits, risks and likely side effects of each one, so you can decide with him. Your care is consultant-led throughout, so you are not passed between junior doctors.

Your case is also reviewed at an MDT (multidisciplinary team meeting). There, breast surgeons, radiologists, oncologists and pathologists look at your scans and tissue results together. Mr Ghosh is Co-Chair of the specialist breast MDT at The Harley Street Clinic. The plan that comes out of that meeting covers surgery, any further treatment, reconstruction and aftercare.

The right treatment is different for each person.

Which options suit you depends on the type and stage of your cancer. They can include local therapies (treatment aimed at the tumour and the area around it). They can also include systemic treatments (medicines that reach cancer cells throughout the body). Results vary, and Mr Ghosh will tell you honestly what is realistic in your case.

Who plans your breast cancer treatment?

Mr Debashis Ghosh plans and leads your treatment himself. He is a Consultant Breast & Oncoplastic Surgeon (oncoplastic means cancer surgery that also reshapes the breast). He has been a consultant since 2012 and is GMC registered, GMC No. 4657664, which you can check on the GMC register.

He holds MS, FRCS (Edin), FRCS (Intercollegiate), FEBS (Breast Surgery) and FEBS (Surgical Oncology). That dual European Board certification in Breast Surgery and Surgical Oncology is an uncommon combination among UK surgeons.

He was formerly Clinical Director of Breast Services for NHS England’s NCL Cancer Alliance. He was also Clinical Lead for Breast Services at Royal Free London and Divisional Director at The London Clinic. You can read his full career on the Mr Debashis Ghosh consultant profile.

“Every step and option was explained in a clear and comforting way.” A patient, verified Doctify review

How is a personalised treatment plan made?

It starts with a consultation with Mr Ghosh of about 15-20 minutes. He goes through your history, your symptoms, any results you already have and what matters most to you. If you were diagnosed elsewhere, bring your scans, reports and biopsy results.

If more tests are needed, imaging and a biopsy (a small tissue sample sent to the laboratory) are arranged where clinically indicated. At our One-Stop Breast Clinic, assessment typically takes around 60-90 minutes from arrival to results, depending on the tests. Some results need further processing and a follow-up appointment.

Your case then goes to the MDT. Mr Ghosh meets you again to explain the plan, the choices within it and the likely timings. Surgery, reconstruction and follow-up stay within the same specialist pathway, so you are not passed between clinics.

What does treatment cost, and which insurers do you accept?

An initial consultation with the surgeon costs £350. Treatment fees depend on what your plan includes, so we give you a clear quote before you book any treatment. Fees are correct as of November 2026.

We see self-pay patients and accept all major private medical insurers. Our frequently asked questions page lists 11 insurers. They include BUPA, Alliance Health Group, Vitality, AXA PPP Healthcare, Cigna and WPA Healthcare. The others are Healix, Freedom Health, Allianz Worldwide, Simply Health and Aviva. If yours is not listed, contact us to check.

Insurer fees are honoured as per your policy cover. You do not need a GP referral to book a private consultation with us. If you are insured, check your insurer’s own rules before your first appointment.

Can you give a second opinion on a treatment plan?

Yes. If you were diagnosed at another hospital, you can see Mr Ghosh for a second opinion before you commit to a treatment plan. A second opinion is a normal and accepted part of cancer care.

Bring or send your imaging, your pathology reports (the laboratory results on your tissue) and the plan you have been offered. Mr Ghosh reviews them, examines you and explains whether he agrees with the plan or would suggest another approach. If further tests would help, he tells you which ones and why.

Patients come to us from London, from across the UK and from abroad for this. Read how it works on our Trusted Second Opinion page.

Can breast reconstruction be planned with cancer surgery?

Yes. Breast reconstruction can be planned as part of your treatment from the start, not sorted out later. Mr Ghosh discusses it at the same consultations as your cancer surgery. Some patients have reconstruction in the same operation; others choose to wait. Where a nipple-sparing mastectomy is suitable, it is typically combined with immediate reconstruction.

The oncoplastic techniques we use include therapeutic mammoplasty, round block mammoplasty and chest wall perforator flaps, each described further down this page. Each aims to remove the cancer and keep a natural breast shape. Mr Ghosh explains the scars, the recovery time and the risks of each option. Results vary, and he will tell you what is realistic for your body. See our breast reconstruction page.

Registered & Regulated for practice in the United Kingdom

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Local therapies

These treat cancer at the source – targeting the tumour & surrounding areas:

Systemic treatments

These involve drugs that work throughout the body to target cancer cells that may have spread beyond the breast

Treatment types

Surgery

A common option for treating early stage cancers. Can include tumour removal, mastectomy, lymph node evaluation & breast reconstruction

Radiotherapy

High Energy x-rays used to destroy remaining cancer cells in the breast, often following surgery.

Hormone Therapy

For hormone responsive cancers, this therapy aims to block or reduce hormones to slow the growth of cancer cells.

Chemotherapy

The use of powerful drugs to destroy cancer cells throughout the body and can be used before or after surgery, depending on the case.

Targeted Therapy

These therapies focus on specific molecules or pathways that are key to cancer cell growth and often comes with fewer side effects than chemotherapy however, only suitable for treatment of specific cancer types

Lymphadema Prevention Surgery

Microsurgical techniques that can help prevent lymphedema, a condition that occurs when fluid doesn't drain properly from the body

Our Surgical & Treatment Techniques

Every treatment plan is personalised. Below are some of the specialist techniques we offer as part of your care.

Therapeutic Mammoplasty

Combines breast-conserving cancer surgery with breast reshaping (reduction or uplift) in a single procedure, removing the tumour while preserving a natural contour, often with a symmetrising procedure on the opposite side.

Round Block Mammoplasty

An oncoplastic technique using a circular incision around the areola to remove a tumour and reshape the breast, particularly suited to centrally or periareolar located tumours, with scarring largely hidden at the areola edge.

Chest Wall Perforator Flaps

Local flaps, such as LICAP or TDAP, use a woman's own skin and fatty tissue from the side of the chest wall to fill the defect left after partial breast removal, avoiding the need for an implant or tissue from elsewhere in the body.

Nipple-Sparing Mastectomy

A mastectomy technique that removes the breast tissue while preserving the nipple-areola complex and skin envelope, typically combined with immediate reconstruction for a natural-looking result. Read more about breast reconstruction after mastectomy.

SAVI SCOUT Localisation

A wire-free radar localisation system used to mark a tumour or lymph node precisely before surgery, replacing traditional wire localisation and allowing more flexible scheduling and greater comfort for the patient.

Intraoperative Radiotherapy

A single, targeted dose of radiotherapy delivered directly to the tumour bed during surgery in suitable early-stage cases, which can reduce or replace the need for several weeks of radiotherapy after the operation.

LYMPHA

A microsurgical technique (Lymphatic Microsurgical Preventive Healing Approach) performed at the time of axillary lymph node surgery, reconnecting lymphatic vessels to a nearby vein to help reduce the risk of developing lymphoedema.

Why choose us

Comprehensive Same Day Diagnosis

We bring consultation, imaging and a biopsy where clinically required into one visit. It typically takes around 60-90 minutes from arrival to results, depending on the tests needed. Some results need further processing.

Specialist-Led Expertise

Led by a dual European Board-certified consultant (FEBS in Breast Surgery and Surgical Oncology), formerly Clinical Director of Breast Services for NHS England’s NCL Cancer Alliance, working alongside a multidisciplinary team of radiologists and oncologists.

State Of The Art Facilities

We use intra-operative testing, SAVI SCOUT wire-free localisation (a small radar marker placed before surgery) and intraoperative radiotherapy in suitable early-stage cases. Your surgeon will tell you which, if any, suit you.

Dedicated Support

Our dedicated breast care nursing team offer emotional and practical support, guiding you through each step of your diagnosis and treatment with compassion and expertise.

To talk to Mr Ghosh about breast cancer treatment, call +44 (0) 207 034 6533 or email onestopclinic@harleystreetbreastcare.com. Appointments run Monday to Friday, 08:00-20:00, at 35 Weymouth Street, London W1G 8BJ. The team at Harley Street Breast Care

Reviewed by Mr Debashis Ghosh, Consultant Breast & Oncoplastic Surgeon, GMC 4657664, November 2026.

Our Clinics

The Harley Street Clinic
The London Clinic
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Frequently asked questions

Lymph node surgery is a procedure that removes lymph nodes to check whether breast cancer has spread beyond the breast. It helps determine how advanced the cancer is, which guides your treatment plan. This is often done through a Sentinel Lymph Node Biopsy or Axillary Node Clearance.

A sentinel lymph node biopsy involves removing the first lymph node(s) that breast cancer is most likely to spread to. It is a minimally invasive procedure used to determine if cancer has reached the lymph nodes. If no cancer is found, further surgery may not be needed.

If cancer is detected in the sentinel lymph nodes, additional surgery, such as Axillary Node Clearance, may be recommended to remove more lymph nodes. Your medical team will also discuss further treatments like chemotherapy or radiotherapy to address the spread of cancer.

Axillary node clearance involves removing multiple lymph nodes from the underarm area if cancer has been detected in the sentinel nodes. This procedure helps prevent the cancer from spreading and allows for a more comprehensive assessment of its extent

Most patients experience mild discomfort after lymph node surgery. Any pain or discomfort is typically manageable with prescribed pain relief. Your surgeon will provide detailed aftercare instructions to help manage any discomfort during recovery.

Recovery from lymph node surgery varies depending on the type of surgery. Most people can return to light activities within a few days, but full recovery may take several weeks. Your surgeon will advise on activity restrictions and follow-up care to ensure proper healing.

Lymph node surgery carries some risks, including infection, bleeding, and lymphedema (swelling of the arm due to fluid build-up). However, these risks are minimised with proper surgical techniques and aftercare.

Lymphedema is swelling caused by the removal of lymph nodes, leading to fluid build-up in the arm. It can be managed with physical therapy, compression garments, and exercises to encourage drainage and reduce swelling.

If cancer is found in your lymph nodes, your treatment plan may include chemotherapy or radiotherapy. Your oncologist will discuss the best approach based on the extent of the cancer and your overall health.