londonplasticreconsurgery

londonplasticreconsurgery Dariush Nikkhah FRCS (Plast)

Consultant Plastic and Reconstructive Surgeon
The Royal Free Hospital, London

Mr Nikkhah runs a weekly minor ops list .london . Many plastic surgery procedures can be performed under local anaesthet...
23/05/2026

Mr Nikkhah runs a weekly minor ops list .london . Many plastic surgery procedures can be performed under local anaesthetic from mole biopsies to skin cancer removal and reconstruction. Email 📧 for appointments : mrnikkhah@theclinic.co.uk
Call ☎️ for enquires : 02045403903

For more info visit my website www.plasticreconsurg.co.uk

Working together as a team in complex microvascular surgery can help us through challenging cases and to help patients t...
22/05/2026

Working together as a team in complex microvascular surgery can help us through challenging cases and to help patients through otherwise difficult operations.

21/05/2026

Ni**le reconstruction is a surgical or tattoo-based procedure used to recreate the appearance of a ni**le and ar**la, most commonly after a mastectomy and breast reconstruction for breast cancer treatment. It can also be done after trauma, burns, gender-affirming surgery, or congenital conditions.

Common approaches include:

* Surgical ni**le reconstruction: A surgeon reshapes small flaps of skin on the reconstructed breast to form a raised ni**le.
* Ar**la tattooing: Medical tattooing adds color and shading to create the ar**la (the darker skin around the ni**le) and can also create a realistic 3D ni**le effect.
* Ni**le grafting: Tissue from another body area or part of the opposite ni**le may be used in some cases.
* Prosthetic ni**les: Removable silicone ni**les are another non-surgical option.

The procedure is usually done after the reconstructed breast has healed and settled into its final shape, often several months after breast reconstruction surgery.

Results vary, but important considerations include:

* Reconstructed ni**les may flatten somewhat over time.
* Sensation is often reduced or absent compared with a natural ni**le.
* Tattoo pigment may fade and need touch-ups.
* Risks include infection, poor healing, asymmetry, or loss of projection.

Some people choose ni**le reconstruction because it helps them feel more “finished” after reconstruction, while others prefer to skip it entirely. Both choices are common and valid. **lereconstruction Mr Nikkhah founded the London Microsurgery Group in 2021. He is a leading UK specialist in reconstructive microsurgery after cancer and trauma. His private practice is located in North London at St John and Elizabeth Hospital and The Royal Free Private Patients unit.

Email for appointments : mrnikkhah@theclinic.co.uk
Call for enquires : 02045403903

For more info visit my website www.plasticreconsurg.co.uk

 we specialise in microsurgical breast reconstruction with the DIEP flap (tissue transplant from the abdomen) for :* fai...
19/05/2026

we specialise in microsurgical breast reconstruction with the DIEP flap (tissue transplant from the abdomen) for :

* failed implant reconstruction
* capsular contracture,
* radiotherapy deformity,
* asymmetry,
* animation deformity,
* previous failed flap reconstruction . Mr Nikkhah founded the London Microsurgery Group in 2021. He is a leading UK specialist in reconstructive microsurgery after cancer and trauma. His private practice is located in North London at St John .london and Elizabeth Hospital and The Royal Free Private Patients unit.

Email 📧 for appointments : mrnikkhah@theclinic.co.uk
Call ☎️ for enquires : 02045403903

For more info visit my website www.plasticreconsurg.co.uk

Patient reviews

The DIEP flap involves an abdominal free tissue transplant for breast reconstruction. The donor site can be closed like ...
17/05/2026

The DIEP flap involves an abdominal free tissue transplant for breast reconstruction. The donor site can be closed like a tummy tuck. DIEP flap provides a like for like reconstruction of the breast after cancer. He accepts referrals from both the U.K. and international ✈️ patients. We offer dual consultant operating and work with all major insurers . What makes us unique we perform Co Surgeon operating , minimal access techniques by hand 🤚 or lap/robot , imaging systems such as ICG.

Email 📧 for appointments : mrnikkhah@theclinic.co.uk
☎️ for enquires : 02045403903

For more info visit my website www.plasticreconsurg.co.uk

Patient reviews
.london illustration by .ruston

We are one of the few centres in the UK that offer private orthoplastic services for hand 🤚 surgery  . This includes all...
16/05/2026

We are one of the few centres in the UK that offer private orthoplastic services for hand 🤚 surgery . This includes all aspects of complex extremity reconstruction, hand trauma and elective hand surgery . I work closely with my colleagues Yazan Al Ajam and to achieve the best outcomes . fixation Call ☎️ for enquires : 02045403903 or email 📧 mrnikkhah@theclinic.co.uk

09/05/2026

During your DIEP flap breast reconstruction, we may also perform procedures to help treat or prevent lymphedema. Two common techniques are lymphovenous bypass and lymph node transfer.

Lymphovenous bypass, or LVB, is a microsurgical procedure where tiny lymphatic vessels are connected directly to nearby veins. This creates a new pathway for lymphatic fluid to drain, helping reduce swelling in the arm.

Lymph node transfer involves transplanting healthy lymph nodes — often from the lower abdomen during the DIEP flap procedure — into the underarm area. These lymph nodes can help restore lymphatic drainage and improve long-term function. Mr Nikkhah founded the London Microsurgery Group in 2021. He is a leading UK specialist in reconstructive microsurgery after cancer and trauma. His private practice is located in North London at St John and Elizabeth Hospital and The Royal Free Private Patients unit.

Email for appointments : mrnikkhah@theclinic.co.uk
Call for enquires : 02045403903

For more info visit my website www.plasticreconsurg.co.uk

Patient reviews

We demonstrate the medial femoral condyle free flap to be a versatile and reliable flap that can be used successfully to...
08/05/2026

We demonstrate the medial femoral condyle free flap to be a versatile and reliable flap that can be used successfully to reconstruct a variety of challenging osteochondral defects from head to toe. It’s a workhorse flap for scaphoid non union . We are one the few centres in the uk 🇬🇧 to offer this complex orthoplastic surgery both privately and in the NHS

02/05/2026

What “robotic DIEP” means

Robotic DIEP is a newer variation where surgeons use robotic assistance to harvest blood vessels through smaller incisions. It’s still the same fundamental reconstruction (using your own abdominal tissue to rebuild a breast), but with potentially less muscle disruption. We have also performed small fascial incision by hand 🖐️ and by laparoscope but robot provides the best control .



Potential benefits

Compared to traditional DIEP:

* Smaller incisions in the abdominal muscle
* Lower risk of muscle damage or hernia
* Possibly less post-op pain and faster recovery
* More precise dissection of blood vessels
👉 For many patients, standard DIEP already has excellent outcomes, so robotic assistance may offer only incremental improvement rather than a dramatic difference.

End of a busy week
01/05/2026

End of a busy week

Breast autoaugmentation is a cosmetic breast surgery technique where a surgeon reshapes and enhances breast volume using...
30/04/2026

Breast autoaugmentation is a cosmetic breast surgery technique where a surgeon reshapes and enhances breast volume using your own existing breast tissue, instead of implants.



What it means

“Autoaugmentation” here = self-augmentation
So instead of adding something artificial (like implants), the surgeon:

* Repositions and redistributes your natural breast tissue
* Often moves tissue from the lower part of the breast to the upper part



How it’s typically done

It’s usually part of a breast lift (mastopexy):

* Excess or sagging skin is removed
* Breast tissue is lifted and reshaped
* Volume is shifted upward to create fuller-looking upper breasts



Who it’s for

This technique is often suitable if you:

* Have sagging breasts (ptosis)
* Have lost volume after weight loss, aging, or pregnancy
* Want improvement without implants



Benefits

* No foreign implants
* More natural look and feel
* Lower risk of implant-related complications
* Can improve shape and lift at the same time



Limitations

* Doesn’t significantly increase overall breast size
* Results depend on how much natural tissue you already have
* Not ideal if breasts are very small to begin with
Email 📧 for appointments : mrnikkhah@theclinic.co.uk
☎️ for enquires : 02045403903

For more info visit my website www.plasticreconsurg.co.uk

Patient reviews

Address

Hospital Of Street John And Elizabeth, Royal Free Private Patients Unit
London
NW89NH

Alerts

Be the first to know and let us send you an email when londonplasticreconsurgery posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to londonplasticreconsurgery:

Featured

Share