londonplasticreconsurgery

londonplasticreconsurgery Dariush Nikkhah FRCS (Plast)

Consultant Plastic and Reconstructive Surgeon
The Royal Free Hospital, London

06/08/2026

Great work by 4 UK centres doing a randomised controlled trial in hand surgery . Proud to have led such a great team and work with such wonderful units

04/08/2026

I would not have helped so many people and become a plastic surgeon without my amazing wife . Happy 😊 10 year anniversary a little older but wiser . Dancing to our favourite ❤️ song

18/07/2026

Mr Dariush Nikkhah FRCS(Plast) is a fully accredited and Internationally trained Plastic and Reconstructive Surgeon. He is a full member of British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), and holds a substantiative NHS Consultant post at the Royal Free Hospital NHS Trust. He specialises in cosmetic surgery, microsurgery and hand surgery.

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 : [email protected]
Call for enquires : 02045403903

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

Patient reviews

16/07/2026

Severe carpal tunnel syndrome can result in sensory and motor defects and in rarer cases wasting of the thenar muscles. I perform this surgery under WALANT - this avoids the use of a tourniquet that can be painful 😥. More than 95 percent of patients get relief after simple open carpal tunnel release. Email 📧 for appointments : [email protected]
☎️ for enquires : 02045403903

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

Patient reviews

16/07/2026

What can you do to get the most out of your training ?
I have always used 5 approaches 1 ) Turning up on time 🕰️ 2) Academic and reading 📖 3) Learning new 🆕 techniques 4) Asking for help 🆘 5) 🧳 travel … I still use this approach way into my consultant career .

Vascular assessment of the pedicle and flap can reduce complications and is a great 😊 adjunct that is easy to use in mic...
27/06/2026

Vascular assessment of the pedicle and flap can reduce complications and is a great 😊 adjunct that is easy to use in microsurgery .microsystems

Mr Nikkhah founded the London Microsurgery Group in 2021 .He is a leading UK specialist in reconstructive microsurgery ...
27/06/2026

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 : [email protected]
Call ☎️ for enquires : 02045403903

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

Patient reviews

09/06/2026

TUG vs PAP Flap Reconstruction (Quick Summary)

Both TUG (Transverse Upper Gracilis) and PAP (Profunda Artery Perforator) flaps are breast reconstruction options that use tissue from the upper thigh.

🔹 TUG Flap

* Uses skin, fat, and a small portion of the gracilis muscle from the inner thigh.
* Suitable for women with limited abdominal tissue and smaller breast reconstruction needs.
* Leaves a scar hidden in the groin crease.

🔹 PAP Flap

* Uses skin and fat from the upper thigh but preserves the muscle.
* Can provide a larger volume of tissue and may reduce donor-site weakness.
* Scar is usually hidden in the crease beneath the buttock.

The main difference: TUG includes a small muscle transfer, while PAP uses only skin and fat, preserving muscle function. Both are excellent options for patients who are not candidates for abdominal-based reconstruction.

09/06/2026

Thankyou to my patient for allowing me to share her long term outcome after thumb base stabilisation .The Eaton–Littler ligament reconstruction is a hand procedure used to treat instability of the thumb carpometacarpal (CMC) joint—the joint at the base of the thumb. It is most often performed when the thumb base is unstable because of ligament injury ( as in this case ) , hypermobility, or early degenerative changes that have not responded to splinting, therapy, or other conservative treatments. Goals of the operation

* Reduce pain
* Improve thumb stability
* Improve pinch and grip function
* Potentially slow the progression of arthritis caused by chronic instability Images shared with patient permission

27/05/2026

A DIEP flap (Deep Inferior Epigastric Perforator flap) is often considered one of the best options after a failed implant-based breast reconstruction because it replaces the implant with living tissue from your own body, which can solve several problems that implants cannot.

Here’s why it’s commonly recommended after implant failure:

1. It brings in healthy, well-vascularized tissue

A DIEP flap uses skin and fat from the lower abdomen along with its blood vessels. The tissue is reconnected microsurgically to chest vessels.

That healthy blood supply can:

* improve healing in damaged or radiated chest tissue
* reduce tightness and pain
* help after infection, wound breakdown, or implant exposure
* soften severe scar tissue/capsular contracture

2. Better option after radiation

Radiation often causes:

* poor skin quality
* fibrosis/stiffness
* higher implant complication rates
* recurrent capsular contracture

Implants tend to perform poorly in radiated tissue, while DIEP reconstruction usually tolerates radiation damage much better because it adds new healthy tissue.

3. Lower long-term failure and maintenance

Implants may eventually need:

* replacement
* revision surgery
* treatment for rupture or contracture

A successful DIEP flap is living tissue and usually ages more naturally with the body, often requiring fewer future operations.

4. More natural feel and appearance

Compared with implants, DIEP flaps often:

* feel softer and warmer
* move more naturally
* can better recreate breast shape after scarring or tissue loss

This matters especially after a difficult implant course.

5. Can salvage difficult situations

DIEP is frequently used when implants fail because of:

* infection
* implant exposure
* repeated capsular contracture
* radiation damage
* chronic pain
* thin skin or poor tissue coverage

In many of these cases, simply replacing the implant has a high chance of failing again. For patient enquiries email 📧 [email protected]

Address

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

Telephone

+442045403903

Website

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