Dr Fiona Tsang-Wright

With over 28 years at the forefront of breast surgery, Mrs Fiona Tsang-Wright is a distinguished Consultant Breast and Reconstructive Surgeon and one of London's foremost experts in breast cancer care. Patients describe her as exceptionally skilled yet genuinely warm and compassionate — a rare combination, supported by a dedicated team that places each individual at the heart of every decision. Seamless, Same-Day Care All of Fiona's clinics operate as One-Stop Breast Clinics, meaning you can be seen, assessed, and fully investigated — including mammogram, ultrasound, MRI, and needle biopsy — in a single visit. Urgent referrals are frequently accommodated the same day or within 24–48 hours, because Fiona understands that waiting is the hardest part. Second Opinions Fiona is widely recognised as the surgeon patients turn to when a second opinion matters most. Whether facing an uncertain diagnosis, a complex treatment decision, or needing reassurance, patients travel from across the UK and internationally for her expertise. Her ability to review cases with fresh eyes, communicate findings with clarity and sensitivity, and deliver considered, evidence-based opinions has made her a trusted authority — bringing not only answers, but confidence and peace of mind. Expert Care Across All Aspects of Breast Health Fiona's expertise spans the full spectrum of breast disease, with particular distinction in the early detection, diagnosis, and surgical management of breast cancer — including cancer during pregnancy and across all age groups. She is among a select group of female consultant surgeons in the UK with specialist confidence in managing breast conditions in young women and adolescents, supported by dedicated paediatric nursing. Her oncoplastic surgical skill is exceptional: from therapeutic mammoplasty to advanced volume replacement techniques, Fiona achieves outstanding oncological outcomes without compromising cosmetic results. She believes no two patients are the same and dedicates as much time as needed to ensure treatment is perfectly tailored — including thoughtful guidance on the choice between lumpectomy and mastectomy. Breast Reconstruction & Pioneering Techniques For patients requiring reconstruction following mastectomy, Fiona is an expert in immediate implant-based reconstruction and collaborates closely with leading plastic surgeons specialising in advanced microsurgery. Together they offer the full range of autologous options — including DIEP flap, PAP flap, SGAP flap, and latissimus dorsi reconstruction. The team also offers lymphovenous anastomosis (LVA) for patients undergoing axillary clearance, significantly reducing the risk of lymphoedema. Fiona believes the reconstruction conversation should begin at the very first consultation, so every patient can make fully empowered choices about their body and future.

Consultant oncoplastic and reconstructive breast surgeon. Patients and referral pathways Adults and adolescents/teenagers with breast conditions Independent second opinion on breast diagnosis or treatment plan One-stop breast clinic - same-day examination, imaging and biopsy where appropriate Follow-up and survivorship after breast cancer treatment Symptoms and assessment Breast lump, pain and swelling; nipple discharge or skin changes (including Paget's disease) Benign breast disease; clinical breast examination and mammography Breast cancer Diagnosis and treatment; breast cancer in young women (under 40) and during pregnancy Oncoplastic breast-conserving surgery (wide local excision / lumpectomy) Risk-reducing (prophylactic) mastectomy; sentinel lymph node biopsy ; axillary clearance Mastectomy; breast cancer surveillance and long-term monitoring Nipple and duct surgery Nipple lump and nipple adenoma; microdochectomy; total duct excision (Hadfield's procedure) Benign conditions Fibroadenoma; breast cyst aspiration; lipoma removal; gynaecomastia (where referred) Genetics, risk and hormones Family history of breast or ovarian cancer Genetic testing (BRCA1, BRCA2, PALB2, ATM, PTEN, TP53, CHEK2, STK11) High-risk breast cancer surveillance; HRT and breast health Reconstruction and oncoplastic surgery Oncoplastic and reconstructive breast surgery; therapeutic mammoplasty DIEP flap breast reconstruction ; implant-based and autologous reconstruction (LD, PAP, SGAP) Mastectomy with immediate reconstruction; nipple reconstruction; fat transfer (lipofilling) Lymphovenous anastomosis (LVA) for breast cancer-related lymphoedema Other Breast implant surgery and implant-related concerns Re-excision after breast-conserving surgery; impalpable lesion localisation