Breast Cancer & Cosmetic Surgery | D B Ghosh

Harley Street Breast Cancer Specialists

Breast Cancer Treatments in London - Diagnosis, Surgery & Ongoing Care

Our private breast cancer clinic on Harley Street offers expert-led treatment for all types and stages of breast cancer. From your first consultation through to surgery, recovery and long-term follow-up, every step of your care is planned by a specialist multidisciplinary team and led by Mr Debashis Ghosh, Consultant Oncoplastic Breast Surgeon who is Board Certified for Cosmetic Surgery and currently the Divisional Director of Surgery at The London Clinic.

What to Expect from Diagnosis to Recovery

Breast cancer treatment begins with an accurate diagnosis and ends with a plan built around you. At our London clinic, every stage is guided by specialists who combine clinical expertise with personal, compassionate support.

 

1. Initial Consultation & Diagnosis

Your journey begins with a thorough clinical assessment led by Mr Debashis Ghosh at our Harley Street clinic. This typically includes a physical examination, imaging (mammogram, ultrasound or MRI) and, where needed, a biopsy. In many cases, all three are completed in a single visit through our one-stop clinic model, giving you faster clarity and reducing the anxiety of waiting for answers.

 

2. Personalised Treatment Planning

Once your diagnosis is confirmed, your case is reviewed by our multidisciplinary team (MDT), which includes surgeons, radiologists, oncologists, pathologists and breast care nurses. Together, they recommend a treatment plan that is medically appropriate, considers your personal preferences and goals, and takes into account the stage and biology of your cancer. You will have the opportunity to discuss your options fully with Mr Ghosh before any decisions are made.

 

3. Recovery, Follow-Up & Long-Term Support

Treatment may involve surgery, radiotherapy, chemotherapy, hormone therapy or a combination, depending on your diagnosis. Our care continues well beyond the initial treatment. You will receive structured follow-up appointments, access to breast reconstruction, physiotherapy, psychological support and practical recovery guidance designed to help you move forward with confidence.

 

A photo of a Breast Cancer Machine

Breast Cancer Treatment Options We Offer

There are several main types of breast cancer treatment available in the UK today. Most patients receive a combination of treatments, tailored to the type, stage and biology of their cancer. At our Harley Street clinic, Mr Ghosh and the multidisciplinary team will guide you through the options that are right for you.

 

Surgery is the most common first-line treatment for breast cancer. The goal is to remove the cancer while preserving as much healthy tissue and natural appearance as possible. We offer:

  • Breast-conserving surgery (lumpectomy) – removes the tumour and a margin of surrounding tissue, keeping the rest of the breast intact. Often followed by radiotherapy.
  • Therapeutic mammoplasty – combines cancer removal with breast reshaping for a better cosmetic result, particularly suited to larger-breasted patients.
  • Mastectomy – removal of the entire breast, recommended when cancer is widespread or when the patient prefers this approach. We offer skin-sparing and nipple-sparing techniques to support immediate reconstruction.
  • Sentinel lymph node biopsy – tests whether cancer has spread to the lymph nodes under the arm, helping to avoid unnecessary full lymph node clearance.

Mr Ghosh specialises in oncoplastic surgery, which combines cancer surgery with reconstructive techniques to achieve the best possible outcome in a single operation.

Reconstruction can be performed at the same time as cancer surgery (immediate) or at a later date (delayed). Options include implant-based reconstruction and autologous (flap) reconstruction, where tissue from another part of the body is used to rebuild the breast. Mr Ghosh will discuss the approach best suited to your body, your treatment plan and your personal goals.

Radiotherapy uses targeted radiation to destroy any remaining cancer cells after surgery. It is most commonly recommended after breast-conserving surgery and sometimes after mastectomy. Treatment is typically delivered as a course of daily sessions over several weeks. Where appropriate, we also offer intraoperative radiotherapy (IORT), which delivers a single targeted dose during surgery itself, reducing the need for post-operative sessions.

Chemotherapy uses medication to kill cancer cells or stop them from growing. It may be given before surgery (neoadjuvant) to shrink a tumour, or after surgery (adjuvant) to reduce the risk of the cancer returning. Your oncologist will recommend whether chemotherapy is appropriate based on the type and stage of your cancer, and the biological characteristics of the tumour.

Many breast cancers are hormone receptor-positive, meaning they are fuelled by oestrogen or progesterone. Hormone therapy (also called endocrine therapy) blocks or lowers these hormones to reduce the risk of recurrence. It is usually taken as a daily tablet for five to ten years after initial treatment and is one of the most effective long-term treatments available for this type of breast cancer.

Some breast cancers have specific biological markers, such as HER2-positive status, that can be treated with targeted drugs. These treatments work by attacking the specific proteins that help cancer cells grow, while causing less damage to healthy cells than traditional chemotherapy. Immunotherapy, which helps the immune system recognise and fight cancer, is also increasingly used for certain types of breast cancer, particularly triple-negative breast cancer. Your oncologist will advise whether these treatments are suitable for you.

Why People Choose Us For Breast Cancer Treatment

Choosing where to have breast cancer treatment is about more than finding a clinic nearby. Patients want the reassurance of experienced consultant-led care, fast access to answers, and a team that sees them as a person, not just a diagnosis. We are chosen for our specialist expertise, joined-up approach, and commitment to making treatment feel clearer, calmer and more personalised from the very start.

 

Doctor and patient

Consultant-Led Specialist Care

Your treatment is led by Mr Debashis Ghosh, an experienced breast cancer consultant and oncoplastic surgeon with a strong focus on precise diagnosis, clear recommendations and continuity throughout your care. Patients value knowing exactly who is responsible for their treatment and having confidence in every decision made.

 

Breast Cancer Nurse

Fast Access to Expert Assessment

When facing breast cancer, long waits can add unnecessary stress. Patients choose our Harley Street clinic for prompt access to consultations, imaging, biopsy and treatment planning, helping them move from uncertainty to clarity as quickly as possible.

 

Cosmetic Surgeon in London

Truly Personalised Treatment Decisions

No two patients are the same. We take time to understand your diagnosis, medical needs, concerns and priorities, so your treatment plan is tailored to you with careful specialist input and options explained clearly at every step.

 

Breast Cancer Types We Treat

There are several main types of breast cancer treatment available in the UK today. Most patients receive a combination of treatments, tailored to the type, stage and biology of their cancer. At our Harley Street clinic, Mr Ghosh and the multidisciplinary team will guide you through the options that are right for you.

 

Ductal Carcinoma In Situ (DCIS)

An early-stage, non-invasive form of breast cancer where abnormal cells are found in the lining of the breast ducts but have not spread. Treatment usually involves breast-conserving surgery or mastectomy, sometimes followed by radiotherapy. With expert assessment and prompt treatment, outcomes for DCIS are excellent.

Invasive Ductal Carcinoma (IDC)

The most common form of breast cancer, accounting for around 70-80% of all diagnoses. Cancer cells have spread beyond the milk ducts into surrounding breast tissue. Treatment typically involves surgery (lumpectomy or mastectomy), often combined with radiotherapy, chemotherapy, hormone therapy or targeted therapy depending on the stage and biology of the tumour.

Invasive Lobular Carcinoma (ILC)

The second most common type of breast cancer, starting in the milk-producing lobules. ILC can be harder to detect on standard imaging, which is why specialist assessment including MRI is often recommended. Treatment follows a similar approach to IDC but may require different surgical planning due to the way the cancer grows.

Male Breast Cancer

Breast cancer in men is rare but requires the same specialist attention. We provide discreet, expert-led diagnosis and treatment, including surgery, hormone therapy and ongoing follow-up tailored to male patients.

Paget’s Disease of the Breast

A rare form of breast cancer involving the nipple and areola, often associated with an underlying ductal carcinoma. Treatment typically requires surgery and may involve reconstruction to restore the appearance of the breast.

Therapeutic Mammoplasty

A combined approach to remove cancer while reshaping the breast for better cosmetic outcome.

Skin- and Nipple-Sparing Mastectomy

Preserves the natural appearance of the breast while safely removing cancer, often paired with immediate reconstruction.

Breast Reconstruction (Implant & Flap)

Advanced options including autologous (flap) and implant-based reconstruction, offered both immediately and as delayed procedures.

Lymphedema Prevention (LYMPHA Technique)

Microsurgical method to prevent arm swelling after lymph node removal — available in very few UK centres.

Inflammatory Breast Cancer

A rare and fast-growing form of breast cancer that causes the breast to become red, swollen and warm. It requires urgent diagnosis and an aggressive treatment approach, usually starting with chemotherapy before surgery, followed by radiotherapy.

Specialists. Care. Continuity.
Precision Tools for Breast Cancer Surgery

Advanced Surgical Techniques

We use the latest innovations to support safer, more accurate breast cancer treatment at our London clinic. These technologies help improve precision, reduce complications and support better recovery.

Outstanding Patient Experience - Doctify

5 Star Testimonials From Patients Around The World

Our clinic is known for calm, professional care, combining surgical expertise with emotional support at every step.

DECADES OF EXPERIENCE

Your Breast Cancer Surgeon – Mr Debashis Ghosh

Mr Debashis Ghosh is a leading Consultant Oncoplastic Breast Surgeon in London, providing private breast cancer diagnosis, treatment and reconstruction at The London Clinic on Harley Street. He is widely respected for his skill in breast cancer surgery, oncoplastic reconstruction and cosmetic breast procedures. In addition to treating patients, he holds senior leadership roles as Divisional Director at The London Clinic and Clinical Director for Breast Services at NHS England’s NCL Cancer Alliance. His research has supported advances in intraoperative radiotherapy, sentinel node surgery and fluorescence-guided surgery. From same-day triple assessment to advanced oncoplastic surgery and LYMPHA microsurgery, Mr Ghosh and the multidisciplinary team deliver expert care with a personal approach at every stage.

Expert Breast Cancer Clinic

Where We're Based in London

Where to Find Us – Harley Street, Marylebone & Hampstead

Local London Clinics

Mr Ghosh provides expert-led breast cancer care with fast access to diagnostics, personalised treatment plans, and supportive follow-up at every stage.

The London Clinic

20 Devonshire Place, Marylebone, London W1

Rapid Diagnostic Centre

146 Harley Street, London,

W1G 7LD

Royal Free Hospital

Pond Street, Hampstead, London NW3

Always Beside You

Ongoing Support from Breast Care Nurses and Specialists

From your first consultation to recovery and long-term follow-up, we are with you throughout. Our team provides continuous support, clear guidance, and compassionate care tailored to your needs at every stage of the journey.

Screening, Reconstruction and Life After Treatment

Early Detection Matters

Routine breast health checks can lead to earlier diagnosis and better outcomes. Find out who benefits from screening and the full range of tests available at our clinic.

Restoring Confidence After Cancer

Breast reconstruction is available for those looking to restore shape and symmetry after treatment. We offer advanced surgical methods tailored to your needs and timing.

Life After Treatment

We support patients not just through treatment, but well beyond. Our recovery and wellbeing services are designed to help you adjust, rebuild, and move forward with confidence.

Frequently Asked Questions About Breast Cancer Treatment

We’ve answered the most frequent questions to guide you through your next steps with clarity.

What happens at my first breast clinic appointment?

At your first appointment, you’ll be seen by a consultant who will review your symptoms and medical history. You may also have imaging (such as mammography or ultrasound) and, if needed, a biopsy — often on the same day, as part of the one-stop clinic model.

How quickly will I get results?

Where appropriate, results from imaging and biopsy are available the same day. If further analysis is required, your breast care nurse will explain when and how you’ll be contacted. Our aim is to minimise delays and anxiety at every stage.

Who will I see during my diagnosis and treatment?

You’ll be under the care of Mr Debashish Ghosh, Consultant Oncoplastic Breast Surgeon, supported by a team of radiologists, pathologists, oncologists, and breast care nurses. All decisions are reviewed in a multidisciplinary setting to ensure comprehensive planning.

Do I need a referral to be seen at the clinic?

No, you can self-refer for a private consultation. Referrals are also accepted from GPs, specialists, and hospital consultants. NHS referrals are typically made through your GP or local breast service.

What surgical options are available?

We offer breast-conserving surgery (lumpectomy, therapeutic mammoplasty), various types of mastectomy (including skin- and nipple-sparing), and sentinel lymph node biopsies. The best approach is based on your diagnosis, personal preference, and clinical suitability.

Can I have breast reconstruction at the same time as cancer surgery?

Yes. Many patients are eligible for immediate reconstruction at the time of mastectomy. Options include implant-based and autologous (flap) reconstruction. Mr Ghosh will guide you through your choices based on safety, timing, and long-term outcomes.

What support is available during treatment?

Every patient is paired with a named breast care nurse who provides personal support throughout treatment and beyond. We also offer access to psychological care, nutritional advice, physiotherapy, and recovery guidance tailored to individual needs.

Is genetic testing available for high-risk patients?

Yes. We offer BRCA1, BRCA2, and other genetic testing for patients with a family history or other risk factors. High-risk patients can also access enhanced screening and, where appropriate, risk-reducing surgery and counselling.

What kind of aftercare can I expect?

After surgery, you’ll receive structured follow-up appointments, recovery planning, and long-term support. This includes scar care, movement therapy, lifestyle advice, and symptom monitoring — all designed to help you recover confidently and safely.

Still have questions? Let’s discuss!

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We’re here to guide, not push. Every decision is yours – supported by calm, expert insight.

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