londonplasticreconsurgery

londonplasticreconsurgery Dariush Nikkhah FRCS (Plast)

Consultant Plastic and Reconstructive Surgeon
The Royal Free Hospital, London

Beautiful photograph by to remind us of the permanence of Iran
07/04/2026

Beautiful photograph by to remind us of the permanence of Iran

Orthoplastic surgery is a specialized approach that combines orthopedic surgery (bones, joints, muscles) with plastic an...
07/04/2026

Orthoplastic surgery is a specialized approach that combines orthopedic surgery (bones, joints, muscles) with plastic and reconstructive surgery (soft tissue, skin, nerves) to treat complex injuries or defects—especially when both bone and soft tissue are involved.

What does it involve?

It’s typically used in situations where a single specialty isn’t enough. Orthoplastic surgery brings both skill sets together in one coordinated treatment plan. I work closely with and in both the upper and lower limb and co surgeon with my colleague

Common uses
• Severe trauma injuries (e.g., open fractures from accidents)
• Limb reconstruction after injury or infection
• Chronic wounds (like diabetic foot ulcers)
• Bone infections (osteomyelitis)
• Cancer-related reconstruction (after tumor removal)

Example

If someone has a badly broken leg with significant skin loss:
• An orthopedic surgeon stabilizes the bone (e.g., with rods or plates)
• A plastic surgeon repairs or replaces the damaged skin and soft tissue (e.g., using grafts or flaps) .london Email 📧 for appointments : mrnikkhah@theclinic.co.uk
Call ☎️ for enquires : 02045403903

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

06/04/2026

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

Thankyou to my patient for sharing her final result after bilateral delayed DIEP flap breast reconstruction. This recons...
05/04/2026

Thankyou to my patient for sharing her final result after bilateral delayed DIEP flap breast reconstruction. This reconstructive case I performed with my colleague . The patient had ni**le reconstruction and tattoo by .pixel.nurse . The tattoo is so life like that I won’t be able to share it or will not allow us to share the result . Less than 10 percent of my patients opt to have delayed reconstruction and in some cases it is patient choice . . photos shared with patient consent. Mr Nikkhah founded the London Microsurgery Group in 2021. He is a leading UK specialist in reconstructive microsurgery after cancer and trauma. His private mpractice is located in North London at St John and Elizabeth Hospital and The Royal Free Private Patients unit and HCA hospitals

Email 📧 : mrnikkhah@theclinic.co.uk

For more information ℹ️ regarding DIEP flap visit www.plasticreconsurg.co.uk

London 2026 celebrating Sizdah Bedar (Persian: سیزده‌بدر, romanized: sīzdæh bedar, lit. ‘thirteen outdoor’also known as...
05/04/2026

London 2026 celebrating Sizdah Bedar (Persian: سیزده‌بدر, romanized: sīzdæh bedar, lit. ‘thirteen outdoor’also known as Nature Day (روز طبیعت, rūz-e tabī’at),is an annual Iranian festival held thirteen days after Nowruz, which is on the thirteenth day of Farvardin, the first month of the Iranian calendar (and the first month of spring), during which people spend time picnicking outdoors.

What’s evolved in DIEP flap reconstruction in my practice in the last 5 years ? - Co-Surgeon operating - Flap and pedicl...
03/04/2026

What’s evolved in DIEP flap reconstruction in my practice in the last 5 years ?
- Co-Surgeon operating
- Flap and pedicle assessment with ICG
- Neurotised
- Minimal access sheath incision by Hand 🤚 By laparoscopic or robot 🤖
- Dual blood supply from deep and superficial systems
- LYMPHA
- Bipedicled flaps
.ruston 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 and

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

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

Breast reduction is a surgical procedure to reduce the size of the breasts, patients often seek this procedure if they h...
30/03/2026

Breast reduction is a surgical procedure to reduce the size of the breasts, patients often seek this procedure if they have pain and discomfort from heavy breasts. It is a functional operation that can significantly improve quality of life in patients. The breast is also lifted and the shape of the breast can be improved. Photo shared with written consent. For enquiries email 📧 mrnikkhah@theclinic.co.uk ☎️ 0204 540 3903 .london

What are the advantages of co- surgeon operating in DIEP flap surgery ? A co-surgeon (two-surgeon) approach means two ex...
29/03/2026

What are the advantages of co- surgeon operating in DIEP flap surgery ?

A co-surgeon (two-surgeon) approach means two experienced microsurgeons operate simultaneously—typically one focuses on flap harvest (abdomen) while the other prepares the chest vessels and performs microsurgical anastomosis.

Why co-surgeon operations are valuable ?

1. Shorter operating time

DIEP flap procedures are long (often 6–10+ hours).
Two surgeons working in parallel can significantly reduce operative time.🕰️ This lowers risks associated with prolonged anesthesia.

2. Improved patient safety

Shorter surgery → reduced risk of complications like:
Deep vein thrombosis
Pulmonary embolism
Hypothermia and pressure injuries
Fatigue is also reduced since workload is shared. This improves the longevity of the microsurgeon

3. Better surgical precision

Microsurgery (connecting tiny blood vessels) requires extreme focus.
Having two specialists allows:
Double-checking of critical steps
Higher consistency in technique
Often leads to improved flap survival rates.

4. Ability to perform bilateral reconstructions efficiently

For patients needing reconstruction on both breasts, co-surgeons can:
Work on each side simultaneously
Dramatically reduce total operative time compared to a single surgeon

5. Lower complication and revision rates (in experienced centers)

Studies suggest trends toward:
Fewer flap failures
Lower return-to-theatre rates

Particularly in high-volume microsurgical units

6. Enhanced training and team-based care

Facilitates mentoring and skill-sharing
Builds consistency within specialist reconstructive teams .
This approach however is not popular with some public and private providers due to cost 💲. However the value of a tissue transplant is priceless .

Hand surgery involves tendon, bone , nerve , vascular , aesthetic and transplantation surgery . This field is one of my ...
27/03/2026

Hand surgery involves tendon, bone , nerve , vascular , aesthetic and transplantation surgery . This field is one of my passions and has enabled me to become a better Plastic and Reconstructive surgeon.

- Great to see our article in this print featured in
27/03/2026

- Great to see our article in this print featured in

Mr Nikkhah performs both reconstructive and cosmetic surgery both in the NHS and Private sector .london . He is an expe...
23/03/2026

Mr Nikkhah performs both reconstructive and cosmetic surgery both in the NHS and Private sector .london . He is an expert in microsurgical reconstruction and cosmetic breast surgery. For more information ℹ️ https://hje.org.uk/consultants/mr-dariush-nikkhah/ .london Email 📧 for appointments : mrnikkhah@theclinic.co.uk
Call ☎️ for enquires : 02045403903

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

Patient reviews

mastopexy popart diepflap breastreduction breastlift tugflap papflap ldflap medicolegal

Mr Nikkhah is one of the few surgeons in London who sees paediatric patients privately and in the NHS for hand 🖐️ and fe...
21/03/2026

Mr Nikkhah is one of the few surgeons in London who sees paediatric patients privately and in the NHS for hand 🖐️ and feet 🦶 congenital differences . He also treats children for common skin lesions of the face body and limbs . .london images demonstrating markings for a syndactyly release from paper published by my research group https://pubmed.ncbi.nlm.nih.gov/33391647/ For the surgeons : I use the Flatt technique for syndactyly release which I learnt on fellowship . A robust dorsal flap is important to prevent webcreep. flatttechnique bssh .european For patient enquiries : email 📧 mrnikkhah@theclinic.co.uk

Address

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

Telephone

+442045403903

Website

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