Fiona MacNeill: Profile

Miss Fiona MacNeill qualified from St Bartholomew's Hospital, London in 1983, obtained her MD thesis from the University of London in 1994 and has been a specialist consultant breast surgeon since 1996. Her main interest is oncoplastic and breast reconstruction surgery – achieving the best outcomes in cancer surgery and breast appearance.

She collaborates closely with her oncology colleagues to use the latest drugs and treatments to preserve the breast and the axilla (armpit) with less radical surgery.  Working alongside plastic surgeons as the oncoplastic team she is able to offer a wide range of breast reconstruction surgery to maintain the breast shape and body image after breast cancer surgery.

As well as working as a breast surgeon, Miss MacNeill is now National Clinical Lead for a major standard setting and quality improvement programme in breast surgery (GIRFT) at NHS improvement in the Department of Health.

Miss MacNeill is actively engaged in local and national research trials and lectures nationally and internationally on oncoplastic surgery, breast surgery training and the changing role of breast surgery in the treatment of breast cancer and importance of multidisciplinary working and treatment planning in the delivery of modern breast cancer care. She acts in an advisory capacity to a number of charities and Department of Health committees.

Miss MacNeill practices exclusively in reconstruction and oncoplastic breast surgery at The Royal Marsden Hospital (RMH), The London Breast Clinic - 108 Harley Street. She operates at The RMH, The Harley street clinic and The Portland Hospital.

Areas of interest

  • Rapid access and diagnosis of breast problems
  • Second opinions
  • Oncoplastic breast surgery (reshaping/remodelling)
  • Breast reconstruction
  • Risk reducing breast surgery
  • Breast surgery

The London Breast Clinic

The London Breast Clinic provides an integrated service staffed by a dedicated multi-disciplinary team specialising in the assessment, diagnosis and treatment of all benign and malignant breast disease. It aims to achieve this with the highest standard of professional care, and a minimum of delay in relaxing and friendly surroundings.

This private breast clinic in London is dedicated to minimising patient anxiety. The caring, highly experienced, professional team is available every weekday, so appointments can be usually be offered within 24 hours sometimes even the same day. 

This multi-disciplinary team comprising consultant surgeons, radiologists, pathologists, oncologists, nurses and other experienced health professionals, offers the best possible assessment of benign and malignant breast disease in the shortest possible time and within one site.

The expertise of their specialist breast care team enables them to provide care to breast patients at all stages - from screening through surgery, to radiotherapy and chemotherapy both at 108 Harley Street and at associated hospitals.

One stop day surgery centre

The centre offers same day consultations and minor operations under local anaesthetic whilst avoiding the formal admission procedure required at larger private facilities. The surgery is staffed by trained theatre personnel and experienced nurses. The operating theatre and breast clinic treatment rooms have the latest state-of-the-art equipment where the following procedures can be carried out:

  • Breast cyst aspiration
  • Breast abscess drainage
  • Fine needle aspiration cytology
  • Core biopsy
  • Nipple biopsy
  • Nipple discharge analysis
  • Cytological assessment
  • Surgical excision of lesions where appropriate

Clinical interests

  • Breast care advice and counselling 
  • Breast screening and assessment of screening abnormalities
  • Lump assessment
  • Mastalgia (breast pain)
  • Familial breast cancer
  • Fine Needle Aspiration Cytology (FNAC)
  • Cosmetic surgery
  • Reconstructive surgery
  • Oncology
  • Radiotherapy