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Last updated: 11 Aug 2020
- Breast surgery
Mr Neil Johns is a Consultant Oncoplastic and Reconstructive Breast Surgeon. He is adept at incorporating the latest plastic surgical techniques in the management of breast disease, enabling the best cosmetic outcome after surgery.
Mr Johns completed his specialist breast surgery training in the world renowned Edinburgh Breast Unit. He went on to complete the prestigious National Oncoplastic Breast Fellowship, regarded as the gold standard for breast reconstructive training in the UK at the Royal Free Hospital plastic surgery department, London.
Mr Johns treats all aspects of breast disease, benign or cancerous, and patients with a family history of breast cancer. He ultilises the latest oncoplastic techniques such as therapeutic mammoplasty / mastopexy, partial breast reconstruction with lateral chest wall perforator flaps (such as LTAP and LiCAP), full breast reconstruction with implant, LD muscle flap, and lipofilling techniques.
He feels passionate about being able to offer the most contemporary management of breast cancer to his patients and provides a clear, understandable, and holistic approach to personalise each individual patient’s management plan.
Other specialist interests include Screen-detected breast cancer, newer localisation techniques, patients with Family History of Breast Cancer & Risk-Reducing Surgery, benign breast conditions including all symptoms affecting women of all ages. He is widely published in the field of cancer cachexia, and aspects of breast disease.
Mr Johns offers a ‘One-Stop Diagnostic’ clinic and is happy to see all patients with breast symptoms with or without a referral on an insured or self-funded basis.
Areas of interest
One stop clinics with a Consultant Breast Radiologist to fully investigate all breast symptoms.
Mr Johns’ philosophy is to utilise oncoplastic breast surgical techniques to push the boundaries of breast conserving surgery by being able to excise large areas of the breast which provides the best oncological outcome, and at the same time being able to reshape or rebuild the breast to provide the best aesthetic outcomes. He is one of the few who regularly performs partial breast reconstruction with a fat only flap (chest wall perforator flap) following large lumpectomy thus maintaining breast shape and avoiding mastectomy in many case
Breast Reduction; Breast lumps; breast pain; breast cancer; nipple discharge; family history of breast cancer; breast infection; breast reconstruction, Benign Breast Conditions, Breast Surgery, Oncoplastic breast surgery, risk reducing surgery.
Current NHS consultant posts held
Consultant Oncoplastic Breast Surgeon
Breast Unit Queen Elizabeth II Hospital
Welwyn Garden City
Mr Johns completed his Doctorate of Medicine in the field of cancer associated weight loss at the university of Edinburgh. He is widely published in this field, as well as breast disease, and other disciplines in surgery. He has been a member of faculty at international conferences and has presented his work globally. He has written contributions for peer reviewed textbooks and is a peer reviewer for a number of journals.
I live in Hertfordshire with my wife and 3 children. I am a parent governor at my eldest son's school. I like spending time with my family and when I have time I enjoy a variety of sports.
Mr Johns received the coveted Syme Medal from the Royal College of Surgeons of Edinburgh. This is a prestigious mark of excellence awarded by the College to a Fellow of the College in good standing, on the basis of a submitted thesis (MD or PhD), culminating in the research being published in high quality peer reviewed journals.
A Selection of publications
1. Johns N, Dixon JM et al
Autologous Breast Reconstruction Using the Immediately Lipofilled Extended Latissimus Dorsi Flap
2. Johns N, Dixon JM
Should patients with early breast cancer still be offered the choice of breast conserving surgery or mastectomy?
3. Tang S et al. Current margin practice and effect on re-excision rates following the publication of the SSO-ASTRO consensus and ABS consensus guidelines: a national prospective study of 2858 women undergoing breast-conserving therapy in the UK and Ireland.
Eur J Cancer. 2017
4. Johns N, Dixon JM.
Estimation of tumour size by imaging and excision in breast conserving surgery for breast cancer
5. Alterations in the in vitro and in vivo regulation of muscle regeneration in healthy ageing and the influence of sarcopenia.
6. A randomized phase II feasibility trial of a multimodal intervention for the management of cachexia in lung and pancreatic cancer.
7. Comprehensive proteome analysis of human skeletal muscle in cachexia and sarcopenia: A pilot study.
8. The relationship between muscle protein content and CT-derived muscle radio-density in patients with upper GI cancer.
9. Ken Fearon.
Cell Metab. 2016
10. Johns N, New genetic signatures associated with cancer cachexia as defined by low skeletal muscle index and weight loss.
11. Loss of oxidative defense and potential blockade of satellite cell maturation in the skeletal muscle of patients with cancer but not in the healthy elderly.
12. Health-Related Quality of Life, Cachexia and Overall Survival After Major Upper Abdominal Surgery
13. Skeletal Muscle Changes After Elective Colorectal Cancer Resection
14. Influence of body composition profile on outcomes following colorectal cancer
Br J Surg.2016
15. Risk factors, complications and survival after upper abdominal surgery
16. Low muscularity and myosteatosis is related to the host systemic inflammatory response in patients undergoing surgery for colorectal cancer
17. Habitual myofibrillar protein synthesis is normal in patients with upper GI cancer cachexia.
Clin Cancer Res.2014
18. Contemporary outcomes of open repair of thoracoabdominal aortic aneurysm in young patients.
19. Genetic basis of inter individual susceptibility to cancer cachexia
Courses offered to GPs
Oncoplastic breast surgery
Breast cancer management
Benign breast disease
- Intercollegiate FRCS Royal College of Surgeons Edinburgh 2018
- Doctor of Medicine (MD) University of Edinburgh 2016 2016
- Bachelor of Medicine & Bachelor of Surgery (MBBS) University of East Anglia & Norfolk & Norwich University Hospital 2007
- Bachelor of Science Degree (BSc with honours) – Cell Biology and Business University of East Anglia 2002
Reference number 6155799
Professional bodies (positions held - last 3 yrs)
- Fellow of the Royal College of Surgeons of Edinburgh Royal College of Surgeons of Edinburgh 2018
- Associate member of the Association of Breast Surgery Association of Breast Surgery 2018
- Member of the Faculty of Surgical Trainers Edinburgh (MFSTEd) Royal College of Surgeons of Edinburgh 2018
- Associate Fellowship of the Higher Education Academy (AFHEA) Higher Education Academy 2018
- Membership of the Academy of Medical Educators (MAcadMEd) Academy of Medical Educators 2018
Details of entry to specialist register
- General surgery, 2019
Affiliations / memberships
Associate member of the Association of Breast Surgery (ABS)
Member of the Faculty of Surgical Trainers Edinburgh (MFSTEd)
Fellow of the Royal College of Surgeons Edinburgh (FRCS)
Associate Fellow Higher Education Academy (AFHEA)
Academy of Medical Educators (MAcadMEd)
General Medical Council
Medical Protection Society
- Pinehill Hospital, SG4 9QZ
- 17:00 - 21:00
- 01462 427216
Post treatment communication
Following treatment of a Bupa member, I will communicate with GPs in line with Department of Health, GMC and appropriate professional bodies guidelines.
In the event of an urgent query following treatment, Bupa members should use the following contact details
Please contact the hospital where Mr Johns has seen the patient for emergency contact