Breast Reconstruction and Implant Revision in London

Consultant-led breast reconstruction with Mr Debashis Ghosh, Consultant Breast & Oncoplastic Surgeon, at 35 Weymouth Street in London’s Harley Street medical district. We accept both self pay & Insured Patients (Insurer Fee’s honoured as per policy cover).

Breast Reconstruction in London: Who It Is For

The same consultant surgeon carries out both your cancer surgery and your reconstruction — planned together from the outset, with no onward referral to a separate reconstructive team.

Breast reconstruction surgery helps rebuild the breast after it has been fully removed by mastectomy or partly removed by lumpectomy. The aim is to restore a more natural look, symmetry and chest contours, which many women find helps with self-esteem, body image and quality of life. Every reconstruction is different, and your surgeon will talk honestly with you about what is realistic for you.

At Harley Street Breast Care, our private specialist breast clinic at 35 Weymouth Street, London W1G 8BJ, breast reconstruction is carried out by Mr Debashis Ghosh, Consultant Breast & Oncoplastic Surgeon and Founder & Lead Surgeon. Reconstruction is not a separate thing to sort out later: it can be planned as part of your breast cancer treatment pathway from the start.

Who breast reconstruction is for

  • Women having a mastectomy or breast-conserving surgery for breast cancer who want to discuss reconstruction as part of their treatment plan.
  • Women who have already had a mastectomy and are considering delayed reconstruction.
  • People with a family history or known genetic risk who are planning genetic testing and risk-reducing surgery and want reconstruction planned alongside it.
  • Women with a previous reconstruction who are considering revision, implant exchange, symmetrisation or fat grafting (see also breast implant issues).
  • Patients already diagnosed elsewhere who would like a specialist second opinion on their surgery and reconstruction options before committing to a plan.

Breast reconstruction is an option for most women following breast cancer surgery. Our expert surgical team will discuss your options and help guide you toward the best solution to match your individual needs. For a detailed look at your choices, timing and recovery, read our guide to breast reconstruction after mastectomy.

Breast reconstruction can take place at different times of your treatment plan. Options include:

Your surgeon will recommend the best option based on your cancer type and stage, personal preferences, and any additional treatments required.

Your breast reconstruction surgeon in London

Mr Debashis Ghosh is a GMC-registered Consultant Breast & Oncoplastic Surgeon (GMC No. 4657664) and has practised as a consultant since 2012. His qualifications are MS, FRCS (Edin), FRCS (Intercollegiate), FEBS (Breast Surgery) and FEBS (Surgical Oncology) — dual European Board certification in Breast Surgery and Surgical Oncology. He is a former Clinical Director of Breast Services for NHS England’s NCL Cancer Alliance, former Clinical Lead for Breast Services at Royal Free London, former Divisional Director at The London Clinic, and Co-Chair of the specialist breast MDT at The Harley Street Clinic. He specialises in breast cancer surgery, oncoplastic breast conservation, reconstruction, risk-reducing surgery and complex breast care.

Your care is consultant-led throughout: you are seen by Mr Ghosh, not passed between junior clinicians. Treatment and reconstruction plans are developed with multidisciplinary input from radiologists, oncologists and pathologists.

How a breast reconstruction consultation works

  1. Get in touch — call +44 (0) 207 205 2281, email onestopclinic@harleystreetbreastcare.com or request an appointment online. No GP referral is required for a private consultation, though insured patients should check their insurer’s requirements.
  2. Consultation with Mr Ghosh — your history, diagnosis and treatment so far, risk factors, concerns and preferences are discussed, followed by a clinical breast examination.
  3. Your options explained — the reconstruction approaches that may suit you, the timing (immediate, delayed or delayed-immediate) and how they fit with any other treatment you need, including the possible risks.
  4. A personalised plan — developed with multidisciplinary input, covering surgery, oncoplastic options, reconstruction and aftercare.
  5. Treatment and follow-up — surgery, reconstruction and follow-up within the same specialist pathway.

If you have not yet been diagnosed and have noticed a breast change, our One-Stop Breast Clinic brings consultation, examination, appropriate imaging, biopsy where clinically indicated and a results discussion into a single streamlined visit.

Registered & Regulated for practice in the United Kingdom

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Reconstruction options

Surgery

Breast reconstruction can involve several types of surgery, including the use of your own tissue (autologous reconstruction), implants, or a combination of both.

Implants

Silicone or saline implants are commonly used for breast reconstruction. This method can offer aesthetically pleasing results but might require multiple surgeries.

Autologous Reconstruction

This involves using tissue from another part of your body (such as your abdomen or back) to rebuild the breast which can give a more natural look and feel.

Skin Sparing Mastectomy

This technique removes the breast tissue whilst preserving the skin which can allow for a more realistic result,

Breast Conservation

An advanced technique (chest wall perforator flaps) to reconstruct and preserve the breast’s natural shape after tumour removal using local tissue.

Therapeutic Mammoplasty

Tumour removal & breast reduction or reshaping combined allowing for effective treatment & natural appearing breasts.

Fat Grafting

A minimally invasive technique that uses your own body fat to promote soft tissue healing, restore volume and improve the shape of the breast after surgery.

Implant Revision and Revision of Previous Reconstruction

Implant Exchange

Replacement of an existing breast implant due to age, size change, capsular contracture, rupture or a change in personal preference, restoring comfort and a natural profile.

Symmetrisation

Reshaping or adjusting the opposite breast — through uplift, reduction or augmentation — to achieve better balance and symmetry with a previously reconstructed breast.

Fat Grafting

A minimally invasive technique using your own body fat to refine contours, smooth irregularities and improve the shape of a previously reconstructed breast.

Why choose us

Comprehensive Same Day Diagnosis

We provide consultations, imaging and biopsy where clinically indicated in a single visit, with same-day results where clinically appropriate — timing depends on the investigations required.

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

Our clinics use advanced technologies and techniques, including intra-operative testing, to support accurate diagnosis and effective treatment.

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.

In our patients’ words

Excerpts from verified Doctify reviews:

  • “The care was always respectful and never patronizing.”
  • “The team was honest, realistic, and always had my best interest at heart.”
  • “Every step and option was explained in a clear and comforting way.”

Breast reconstruction in London: more questions

Will the same surgeon do my cancer surgery and my reconstruction?

Yes. Mr Debashis Ghosh carries out both your cancer surgery and your reconstruction, planned together from the outset, with no onward referral to a separate reconstructive team.

Do I need a GP referral?

No GP referral is required for a private consultation, though insured patients should check their insurer’s requirements.

Can reconstruction be planned with risk-reducing surgery?

Yes. If you have a family history or known genetic risk, reconstruction can be discussed as part of your genetics and risk-reducing surgery plan. Your specialist will advise on the options that are appropriate for you.

I have been diagnosed elsewhere. Can I get a second opinion on reconstruction?

Yes. A second opinion is a normal and accepted part of cancer care. Our Trusted Second Opinion service lets you discuss your surgery and reconstruction options with Mr Ghosh before committing to a treatment plan.

Do you see self-pay and insured patients?

Yes. We accept both self-pay patients and patients with major private medical insurers. Our current fees are published on our FAQ page.

Where is the clinic and when can I be seen?

Harley Street Breast Care is at 35 Weymouth Street, London W1G 8BJ, in the Harley Street medical district, and sees patients from London, across the UK and internationally. Clinics run Monday to Friday, 08:00–20:00, by appointment. Call +44 (0) 207 205 2281 or email onestopclinic@harleystreetbreastcare.com, or use our contact page.

Our Clinics

The Harley Street Clinic
The London Clinic
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Book your appointment online

Frequently asked questions

Breast reconstruction is a surgical procedure to rebuild the shape and look of the breast following a mastectomy (breast removal) or other breast cancer treatments. The surgery can help restore symmetry and achieve a natural appearance.

Breast reconstruction can be performed at the same time as a mastectomy (immediate reconstruction) or at a later date (delayed reconstruction), depending on individual health factors, cancer treatment plans, and patient preference.

Common breast reconstruction options include implant-based reconstruction, which uses silicone or saline implants, and autologous tissue reconstruction, where tissue from another part of the body, such as the abdomen or back, is used to create the new breast shape. The choice depends on your anatomy, treatment plan, and personal preference.

The duration of breast reconstruction surgery varies based on the technique used. Implant-based reconstruction generally takes a few hours, while autologous reconstruction (using your own tissue) may take longer. Your surgeon will provide a time estimate based on your specific procedure.

Recovery times vary by procedure type. Most patients can resume light activities within a few weeks, but full recovery may take several months, especially for autologous reconstruction. Your surgeon will provide detailed aftercare instructions to support a smooth recovery.

Reconstructed breasts may have reduced or altered sensation, as the nerves that control sensation are often affected by mastectomy and reconstruction. Some sensation may return over time, but it may not be the same as before surgery.

As with any surgery, breast reconstruction carries potential risks, including infection, bleeding, scarring, and issues with implant integrity if implants are used. Additionally, autologous reconstruction may involve risks associated with tissue transfer. Your surgeon will discuss these with you in detail.

While breast reconstruction aims to create a natural look, reconstructed breasts may not look or feel identical to natural breasts. Factors like shape, size, and sensation can differ. However, advanced techniques can achieve highly natural results.

Breast implants used in reconstruction do not last a lifetime and may need to be replaced after 10-15 years or in case of complications like rupture or capsular contracture. Your surgeon will discuss monitoring and replacement options with you.

In many cases, breast reconstruction after mastectomy or cancer treatment is covered by insurance. It’s best to check with your insurance provider to understand the specifics of your coverage for this procedure.

Yes, reconstruction is possible after radiation therapy, but it may influence the timing and choice of reconstruction method. Radiation can affect skin and tissue quality, which may require additional planning with your surgeon.

During your consultation, your surgeon will discuss your medical history, personal preferences, and reconstructive goals. They’ll explain the options available, answer questions, and develop a customised plan to meet your needs.

Breast conservation surgery is a procedure designed to remove breast cancer while preserving as much of the natural breast as possible. Techniques like chest wall perforator flaps are used to reconstruct and maintain the breast's shape after tumour removal.

A chest wall perforator flap uses local tissue, including skin and fat, from the chest area to reconstruct the breast after tumour removal. This technique helps maintain the breast’s natural appearance while ensuring effective cancer treatment.

Therapeutic mammoplasty combines cancer surgery with a breast reduction or reshaping procedure. It’s particularly suited for women with larger breasts, allowing for tumour removal while improving breast symmetry and aesthetics.

Therapeutic mammoplasty is ideal for women with larger breasts who need tumour removal and desire a breast reduction or reshaping at the same time. Your surgeon will determine if this option is appropriate for your case.