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Miss Judith Hunter is a Senior Consultant Plastic, Reconstructive & Aesthetic Surgeon, specialising in breast reconstruction; breast reduction; breast uplift (mastopexy) and breast augmentation. Miss Hunter has extensive experience in body contouring, including abdominoplasty (tummy tuck); brachioplasty (arm lift); inner thigh lift and liposuction. Miss Hunter sees patients in London at Imperial College Healthcare NHS Trust and within Imperial Private Healthcare at Charing Cross Hospital, where she is based full time; she also operates at the London Welbeck Hospital. Miss Hunter is listed on the General Medical Council Specialist Register for Plastic Surgery and is a member of BAPRAS, the British Association of Plastic, Reconstructive & Aesthetic Surgeons; she is Honorary Associate Professor at the University of East Anglia; a FRCS (Plast) Examiner and Chair of the North West London Oncoplastic MDT.

Miss Hunter read medicine at Cambridge, graduating with a First Class Honours degree and attaining her FRCS (Plast) in 2011 and her specialist registration in plastic surgery in 2013; she has undertaken three microsurgery fellowships, at the Royal Marsden and St Thomas’s Hospitals in London and a year in Australia, for which she was awarded the Ellison-Cliffe Travelling Fellowship from the Royal Society of Medicine.

Miss Hunter has a special interest in all forms of breast reconstruction, especially using free tissue transfer (DIEP); transverse upper gracilis (TUG) and breast symmetrisation; in addition to body contouring surgery after massive weight loss.

Miss Hunter very much enjoys guiding her patients through their breast reconstruction journey and is known for her attention to detail, caring approach and positive outlook.

Miss Hunter has established a breast reconstruction spoke clinic at Northwick Park Hospital, working alongside fellow breast surgeons, so making it easier for patients in North West London. Partly as a response to COVID 19, Miss Hunter has set up and chairs a weekly Oncoplastic Breast MDT meeting for all breast and plastic surgery colleagues in the sector to ensure patient safety and consensus. Together with breast oncology surgeons from Imperial, Ealing and Northwick Park, she is developing her practice in lymphaticovenous anastomoses, to reduce the incidence and effects of lymphoedema (arm swelling) after axillary lymph node surgery. Alongside her colleagues at Imperial, she has been working with the pioneers of the LYMPHA procedure in Genoa.

Miss Hunter supports the major trauma centres on call at St Mary’s and Charing Cross Hospitals for extremity trauma to aid with complex wound repair.

In addition to an MD research degree, Miss Hunter has over 30 scientific papers in peer-reviewed journals and has presented 31 papers at national and international meetings; her primary research interests are in the anatomical basis of flaps; pre-operative imaging of free flaps and outcomes in breast reconstruction surgery. Miss Hunter has been an invited speaker for international webinars organised by Stryker and Imperial College.

Miss Hunter has a strong teaching interest and is a faculty member on the MS oncoplastics course at the University of East Anglia and in her current post, she has set up a microsurgery simulation lab.  Miss Hunter is a judge at a national core training surgical simulation competition; a faculty member of the Imperial FRCS (Plast) viva course and in 2017, set up a flap simulation course. In recognition of her contributions, Miss Hunter has been made an honorary lecturer at the University of East Anglia.

In her spare time Miss Hunter enjoys cooking and entertaining friends, together with her husband Eric; travelling; skiing; swimming; going to the theatre and walking with their dog, Havana.

Research & publications

Journal papers published:

  1. Kwasnicki RM, R. M. K., EG, E. G., CR, C. R., GK, G. K., TD, T. D., JD, J. D., .Judith E Hunter.. & SHW, S. H. W. (2024). Quantifying Postoperative Recovery using Wearable Activity Monitors following Abdominal Wall Surgery; The AbTech Trial. Journal of Plastic, Reconstructive & Aesthetic Surgery.
  2. Kwasnicki, R. M., Irukulla, M., Bakri, N. A. C., Whiteman, E., Gardiner, M., Dunne, J. Hunter JE, … & Wood, S. H. (2024). Identifying variation in the cost of abdominally based breast reconstruction in the UK. Journal of Plastic, Reconstructive & Aesthetic Surgery, 88, 466-472.
  3. Savage, J. A., Hunt, B. J., Stansby, G., Dickson, J. K., Henton, J. M., Hunter, J., … & Mackey, S. (2023). A UK consensus statement on thromboprophylaxis for autologous breast reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery, 81, 138-148.
  4. Thiruchelvam, P. T., Leff, D. R., Godden, A. R., Cleator, S., Wood, S. H., Kirby, A. M., Hunter JE & Hadjiminas, D. (2022). Primary radiotherapy and deep inferior epigastric perforator flap reconstruction for patients with breast cancer (PRADA): a multicentre, prospective, non-randomised, feasibility study. The Lancet Oncology, 23(5), 682-690.
  5. Vermeersch, N., De Fré, M., Verhoeven, V., Hunter, J. E., Tondu, T., & Thiessen, F. E. (2022). Autologous fat transfer for hand rejuvenation: a systematic review on technique and outcome. JPRAS open, 32, 182-194.
  6. Gokani, V. J., Fouarge, A., Dunne, J., Jallali, N., Henry, F. P., Wood, S. H., & Hunter, J. E. (2021). Immediate autologous free-flap breast reconstruction in the COVID-19 era can be safely performed. Journal of Plastic, Reconstructive & Aesthetic Surgery, 74(9), 2392.
  7. Jallali N, Hunter Judith E, Henry FP, Wood S, Hogben K, AlMufti R, Hadjiminas D, Dunne J, Thiruchelvam P, Leff DR The feasibility and safety of immediate breast reconstruction in the COVID-19 era. The feasibility and safety of immediate breast reconstruction in the COVID-19 era–J Plast Reconstr Aesthet Surg. 2020 Nov; 73(11): 1917–1923. Published online 2020 Aug 22. doi: 10.1016/j.bjps.2020.08.044
  8. Rachel L O’Connell, Tim Rattay, Rajiv V Dave, Adam Trickey, Joanna Skillman, Nicola L. P. Barnes, Matthew Gardiner, Adrian Harnett, Shelley Potter, Chris Holcombe, on behalf of the iBRA-2 Steering Group, the Breast Reconstruction Research Collaborative The impact of immediate breast reconstruction on the time to delivery of adjuvant therapy: the iBRA-2 study– Br J Cancer. 2019 Apr 30; 120(9): 883–895. Published online 2019 Mar 29. doi: 10.1038/s41416-019-0438-1
  9. Berthelot M, Henry FP, Hunter J, Leff D, Wood S, Jallali N, Dex E, Lysakova L, Lo B, Yang GZ Pervasive wearable device for free tissue transfer monitoring based on advanced data analysis: clinical study report-J Biomed Opt. 2019. Jun;24(6):1-8
  10. Tania Samantha de Silva, Victoria Rose Russell, Francis Patrick Henry, Paul Thomas Ryan Thiruchelvam, Dimitri John Hadjiminas, Ragheed Al-Mufti, Roselyn Katy Hogben, Judith Hunter, Simon Wood, Navid Jallali, Daniel Richard Leff Streamlining Decision Making in Contralateral Risk-Reducing Mastectomy: Impact of PREDICT and BOADICEA Computations–Ann Surg Oncol. 2018; 25(10): 3057–3063. Published online 2018 Jul 17. doi: 10.1245/s10434-018-6593-
  11. Blakney AK, McKay PF, Izarzo Yus B, Hunter JE, Dex EA, Shattock RJ The Skin You Are In: Design-of-Experiments Optimization of Lipid Nanoparticle Self-Amplifying RNA Formulations in Human Skin Explants. ACS Nano. 2019 May 28: 13(5):5920-5930
  12. Grinsell DG, Hunter JE, Optimising Computed Tomography Angiogram Assessment in Breast Reconstruction Plastic Surgery and Modern Techniques, https://www.gavinpublishers.com/articles/Case-Report/Plastic-Surgery-and-Modern-Techniques-ISSN2577-1701/Optimising-Computed-Tomography-Angiogram-Assessment-in-Breast-Reconstruction
  13. Butler DP, Plonczak AM, Reissis D, Henry FP, Hunter JE, Wood SH, Jallali N Factors that predict deep inferior epigastric perforator donor site hernia and bulge J Plast Surg Hand Surg 2018 Sep 4:1-5
  14. Sadideen H, Hunter J, Henry F, Wood S, Jallali N- The impact of two operating surgeons on microsurgical breast reconstruction– Plast Reconstr Surg. 2017 Dec;140(6):826e-827e
  15. Vamadeva S, Henry F, Hunter J, Wood S, Jallali N- Thromboprophylaxis in autologous breast reconstruction- J Plast Reconstr Aesthet Surg. 2018 Mar;71(3):434-435
  16. Hunter JE, Drew PJ, Potokar TS, Dickson W, Hemington-Gorse SJ Albumin resuscitation in burns; a hybrid regime to mitigate fluid creep. Scars, Burns and Healing, Jan-Dec 2016 2: 2059513116642083
  17. Vamadeva S, Hunter J- Comment on myocutaneous gracilis flaps for unilateral breast reconstruction-Microsurgery 2017 Oct; 37(7):843
  18. Hunter JE, Dower DR, Lardi AM, Farhadi J. ‘Evolution from TUG to PAP for breast reconstruction-comparison and refinements of technique’ J Plast Reconstr Aesthet Surg. 2015 Jul;68(7):960-5.
  19. Hunter JE, Mackey SP, Boca R, Harris PA. Microvascular modifications to optimize the transverse upper gracilis flap for breast reconstruction Plast Reconstr Surg. 2014 Jun;133(6):1315-25
  20. Stammers J, Williams D, Hunter J, Vesely M, Nielsen D. The impact of trauma centre designation on open tibial fracture management. Ann R Coll Surg Engl. 2013 Apr;95(3):184-7.
  21. Hunter JE, Laing JHE. Demand management in plastic surgery for low priority procedures: the Welsh experience J Plast Reconstr Aesthet Surg. 2010 Nov;63(11):1778-86.
  22. Naderi N, Hunter JE, Boyce DE. Digital nerve tumour: duped by Dupuytren’s disease. J Hand Surg Eur Vol. 2010 May;35(4):329-30
  23. Hunter JE, Josty IC Protecting microvascular anastomoses from desiccation during lengthy procedures. J Plast Reconstr Aesthet Surg. 2010 May;63(5):e494.
  24. Hawkins S, Hunter J, Drew P. Domestic automated air fresheners: a significant burns risk to smokers. 2009 Nov;35(7):1036-7.
  25. Emery JD, Hunter J, Watson AJ, Hall P, Moncrieff M, Walter FM. Accuracy of SIAscopy for pigmented skin lesions encountered in primary care: development and validation of a new diagnostic algorithm. BMC Dermatol 2010 Sept 25; 10:9
  26. Hunter JE, Gilbert PM, Dheansa BS Correction of postburn superior pole breast deformity and macromastia – a novel approach 2009 Aug;35(5):746-9.
  27. Kitcat, J. E. Hunter, C. M. Malata  Sciatic Neuroma Presenting Forty Years After Above-Knee Amputation Open Orthopaedics Journal 2009 (3) pp.125-127
  28. Hall PN, Hunter JE, Walter FM, Norris P. Use of a spectrophotometric intracutaneous device in the real-time diagnosis of melanoma in the setting of a melanoma screening clinic Br J Dermatol 2008 158 (2):420-42
  29. Hunter JE, Hazari A, Gupta A. Safe, tension-free stabilisation of retrieved flexor tendon ends J Hand Surg Eur Vol. 2008 Apr;33(2):220-1.
  30. Hunter JE. The dark side of warfarin. Response to ‘Most patients at risk of stroke fail to get adequate anticoagulation’ [BMJ 2008; 337: a1529] article ID: 337/sep04_1/a1529
  31. Hunter JE, Teot L, Horch R, Banwell P. Evidence based Medicine: Vacuum Assisted Closure (VAC) in wound care management. Int Wound J. 2007 Sep;4(3):256-69
  32. Hunter JE, Malata CM. Refinements of the LeJour vertical mammaplasty skin pattern for skin-sparing mastectomy and immediate breast reconstruction. J Plast Reconstr Aesthet Surg. 2007 May;60(5):471-81
  33. Hunter JE, Wraight W, Dheansa B. Unrealistic expectations of plastic surgery trainees entering MMC. Ann R Coll Surg Engl (Suppl) 2007;89:75
  34. Rogers RD, Everitt BJ, Baldacchino A, Blackshaw AJ, Swainson R, Wynne K, Baker NB, Hunter J, Carthy T, Booker E, London M, Deakin JF, Sahakian BJ, Robbins TW. ‘Dissociable deficits in the decision-making cognition of chronic amphetamine abusers, opiate abusers, patients with focal damage to prefrontal cortex, and tryptophan-depleted normal volunteers: evidence for monoaminergic mechanisms. 1999 Apr;20(4):322-39
  35. Hunter J, Moncrieff M, Hall P, Emery J, Walter F, Cotton SIAscopy: an effective new approach for triaging pigmented skin lesions in primary care Melanoma Research, Sept 2006, Vol 16 S 87
  36. Williams D, Stammers J, Zainul Abdin S, Berber O, Hunter J, Leckenby J, Vesely M, Nielson D. The Management of Open Tibial Fractures: The experience of a London Trauma Centre Injury Extra 42 (9), Sept 2011, p 136 doi:10.1016/j.injury.2011.06.315
  37. Davis C, Manton R, Grinsell D, Hunter J, Horizontal breast reduction- technical refinements and patient selection European Journal of Surgical Oncology, 43(5), S42 (Abstr)
  38. Hunter JE, S.J. Hemington-Gorse, T.S. Potokar, P.J. Drew and W.A. Dickson. Fluid creep in colloid resuscitated burns patients: Is less more? Volume 35, Supplement 1, September 2009, Page S14 (Abstr)
  39. Hunter J, Malata CM, Hodgson EL, Purushotham AD. Refinements in the LeJour vertical mammaplasty skin pattern for skin sparing mastectomy and immediate breast reconstruction (Abstr) British Journal of Plastic Surgery,  January 2005; 58(1):128.
  40. Hunter J, Moncrieff M, Hall P, Emery J. Walter F, Cotton S. A comparison of Dermoscopy and SIAscopy for pigmented lesions in primary care. (Abstr) Dermatology, March 2006; 212(3):287
  41. Hunter J, Moncrieff M, Hall P, Walter F, Emery J, Cotton S, Burrows N. Diagnostic characteristics of SIAscopy versus dermoscopy for pigmented skin lesions presenting in primary care (Abstr) British Journal of Dermatology, July 2006, 155(Suppl 1):47
  42. Hunter J, Walter F, Emery J, Cotton S, Moncrieff M, Hall P. The diagnostic accuracy of GPs and the SIAscope in the assessment of pigmented skin lesions in primary care. (Abstr). Fam Pract 2006 23: Supplement 1
  43. Submitted: Is it safe to perform elective free flap surgery in patients with thrombocythaemia? Plonczak, Sadideen, Hunter, microsurgery 2018 
  1. Oral presentations at national and International Meetings:
  1. Jallali, N, Allan A, Hunter JE– Primary lymphatic reconstruction in breast cancer- results of the UK LYMPHA feasibility study- BAPRAS presentation 2022
  2. Hunter JE, Malata CM, Hodgson ELB, Purushotham AD Further refinements of the LeJour vertical mammaplasty pattern for skin sparing mastectomy and immediate breast reconstruction Presented at the British Association of Plastic Surgeons summer meeting, Dublin, 7th July 2004
  3. Hunter JE, Forouhi P, Purushotham AD, Canal AC, Malata CM. Refinements of the LeJour vertical mammaplasty skin pattern for skin sparing mastectomy and immediate breast reconstructionPresented at the 40th Congress of the European Society for Surgical Research, Konya, Turkey, May 27th 2005
  4. Hunter JE, Moncreiff M, Hall P, Emery J, Walter F, Cotton S A comparison of dermoscopy and SIAscopy for pigmented lesions in primary care Presented at the First International Dermoscopy Conference, Naples, Italy, April 25th-29th 2006
  5. Hunter J, Walter FM, Emery J, Cotton S, Moncrieff M, Hall P The diagnostic accuracy of GPs and the SIAscope in the assessment of pigmented skin lesions in primary care Oral presentation at the Annual meeting of the Society for Academic Primary Care, 14th July 2006
  6. Hunter J, Moncrieff M, Cotton S, Walls J, Hall P Solutions to diagnostic confusion over SIAscopy of seborrhoeic keratoses Annual meeting of the European Academy of Dermatology and Venerology, Rhodes 6th October 2006
  7. Hunter J, Tehrani H, Cotton S, Walls J, Price G, Sassoon E, Hall P. A novel imaging technique as an adjunct to the in-vivo diagnosis of non-melanoma skin cancer Annual meeting of the European Academy of Dermatology and Venerology, Rhodes 6th October 2006
  8. Hunter J, Hall P, Moncrieff M, Walter F, Emery J. SIAscopy: Effective triaging of pigmented skin lesions in primary care BAPRAS Winter meeting 6th Dec 2006
  9. Hunter J, J Thompson, C. Young, P.Drew, T Potokar- Modern Management Of Paediatric Scalds Reduces Costs And Hypertrophic Scarring BBA April 2008
  10. Hunter J, J Thompson, C. Young, P.Drew, T Potokar- Modern Management Of Paediatric Scalds Reduces Costs And Hypertrophic Scarring Nordic Burns Meeting Uppsala May 2008
  11. Hunter J, Laing JH Demand management in plastic surgery for low priority procedures: the Welsh experience BAPRAS Summer meeting 2009
  12. Hemington-Gorse SJ, Hunter JE, Potokar TS, Drew PJ, Dickson WA Analysis of adult burn deaths from 2003 – 2008 BBA 2009
  13. Hunter J, Hemington-Gorse S, Drew P, Potokar T, Dickson W Fluid creep in colloid resuscitated patients: is less more? European Burns association meeting, Lausanne Switzerland Sept 09
  14. Hunter J, Hemington-Gorse S, Drew P, Potokar T, Dickson W Fluid creep in colloid resuscitated patients: is less more? BAPRAS Winter meeting 2009
  15. Hunter J, Shokrallahi K, Boyce D Needle fasciotomy for Dupuytren’s disease: an effective tool in the surgeon’s armamentarium Winter BAPRAS 2009
  16. Stammers, J., Williams, D., Berber, O., Zainul Abidin, S., Hunter, J., Leckenby, J., Vesely, M., Nielsen, D.The Impact of a London Major Trauma Centre on the Management of Open Tibial Fractures. BOA / IOA 2011
  17. D Williams, J Stammers, S Zainul Abidin, O Berber, J Hunter, J Leckenby, Vesely M, Nielson D. The management of open tibial fractures: the experience of a London trauma centre British Trauma Society 2011
  18. Hunter JE, Mackey S, Boca R, Harris PA: Microvascular modifications to optimise the transverse upper gracilis (TUG) flap for breast reconstruction. Winter BAPRAS 2012
  19. Hunter J, Power K, Mackey S, Ramsey K, James S, Harris P, Searle A: Standardising surgical complication reporting in Deep Inferior Epigastric Perforator (DIEP) flap breast reconstruction using the Clavien-Dindo classification. Winter BAPRAS 2012
  20. Hunter JE, Mackey S, Harris PA: Microvascular modifications to optimise the transverse upper gracilis (TUG) flap for breast reconstruction. American Society Reconstructive Microsurgery, Naples, Florida, Jan 2013
  21. Hunter J, Lardi A, Farhadi J Evolution from the TUG to PAP flap for breast reconstruction: comparison and refinements of technique ORBS meeting September 2013
  22. Hunter J, Lardi A, Farhadi J Evolution from the TUG to PAP flap for breast reconstruction: comparison and refinements of technique BAPRAS Nov 2013
  23. Dower D, Hunter J, Lardi A, Farhadi J Evolution from the TUG to PAP flap for breast reconstruction: comparison and refinements of technique Euraps May 2014
  24. Hunter J, Grinsell D Assessment of CTA in breast reconstruction, Plastic Surgery, The Meeting, Chicago, Oct 2014
  25. Poster presentations at National and International Meetings:
  1. Hunter JE, Moncrieff M, Hall PN, Walter FM, Emery J, Cotton S. Triaging suspicious pigmented lesions in primary care using the SIAscope- a preliminary report 6th World Congress on Melanoma, Sept 6-10th 2005, Vancouver
  2. Hunter J, Moncrieff M, Hall P, Emery J, Walter F, Cotton S, Burrows N. Diagnostic characteristics of SIAscopy versus dermoscopy for pigmented skin lesions presenting in primary care British Association of Dermatologists, July 4-7th 2006
  3. Hunter J, Moncrieff M, Emery J, Walter F, Cotton S, Walls J, Hall PN The diagnostic accuracy of GPs and the SIAscope in the assessment of pigmented skin lesions in primary care Annual meeting of the European Academy of Dermatology and Venerology, Rhodes 4-8th Oct 2006
  4. Hunter J, Moncrieff M, Hall P, Emery J, Walter F, Cotton S SIAscopy: an effective new approach for triaging pigmented skin lesions in primary care Perspectives in Melanoma X, Holland, Sept 2006
  5. Hunter J, Rogers A, Dheansa BS A Survey Of Laser Doppler Imaging Use In UK Burns Units BBA April 2008
  6. Hunter J, Hemington-Gorse S, Drew P, Potokar T, Dickson W Fluid creep in colloid resuscitated patients: is less more? BBA 2009
  7. Morgan-Jones D, Hunter J, Josty I, Potokar T, Pallister I A National Service for Open Tibial Fractures: Are we achieving the 5 day target? Winter BAPRAS 2009
  8. Kokkinos C, Hunter J, Fleming A, Soldin M. Optimising the male chest following massive weight loss BAAPS 2011
  9. Davies C, Grinsell D, Hunter J– Horizontal breast reduction revisitied- refinements of indications and technique- ABS 2017
  10. Other publications/book chapters:
  11. Hunter JE. Patient information sections on British Association of Plastic Surgeons website: ‘Ganglion’, ‘Carpal Tunnel’, ‘Dupuytren’s disease’
  12. Hunter JE, Rozen W, Grinsell D Changes in vascular anatomy following reconstructive microsurgery: an in vivo angiographic demonstration of the delay phenomenon and venous recanalisation- Breast reconstruction: Art, Science and new clinical techniques- Melvin A Shiffman-Ed
  13. Hunter JE, Farhadi J- Profunda Artery Perforator flap in International Masters course cadaveric manual, Reconstructive Microsurgery, European School, Barcelona
  14. Invited speaker
  15. Stryker SEED- ICG use in Plastic and Reconstructive Surgery- webinar Sept 2020
  16. King Edward VII’s webinars for GPs- the LYMPHA procedure Oct 2020
  17. Imperial BSc course- plastic surgery of the breast Nov 2020
Miss Judith Hunter
Consultant Plastic, Reconstructive & Aesthetic Surgeon