Miss Caroline Payne

Consultant Plastic and Cosmetic Surgeon

BSc (Hons), MSc, FRCS (Eng), FRCS (Plast)


Specialises in

I perform all aspects of breast surgery from reconstruction to asymmetry and cosmetic surgery. I also have a specialised field in surgery to correct prominent skin folds after excessive weight loss. I also run a clinic for Botulinum toxin and fillers and also for the evaluation and removal of facial and body skin lesions.

As well as being the Head of plastic surgery and Lead in breast reconstruction at St Bartholomew’s and Royal London Hospitals, my specialist area is in procedures such as breast enlargement/reduction, breast symmetrisation, lipofilling, tummy tuck, liposuction, body sculpting and corrective surgery after massive weight loss. All of which I perform at the Spire London East Hospital.

I have dedicated my training to achieve a high standard in aesthetic and reconstructive surgery. I attended QMC (London University) to obtain a first class BSc(Hons) degree in genetics, then completed my medical degree St Thomas’ and Guy's hospitals in 1994 followed by a Masters degree at UCL, London. In 2007 I became a Fellow of the Royal College of Surgeons of England in plastic surgery FRCS (Plast) and I'm listed on the GMC Specialist Register. Two fellowships fine-tuned my training: a year at Toronto General/Mount Sinai Hospitals, Canada, specialising in microsurgery, breast reconstruction and head and neck surgery, and another in cosmetic surgery at the Chelsea and Westminster Hospital.

I am head of the department at Barts and the Royal London Hospitals including the clinical lead for breast aesthetic and reconstructive surgery. I have a Fellowship from the Royal College of Surgeons of England in cosmetic surgery. As part of my practice at the Royal London I am joint lead in the reconstruction of the lower limb after trauma or tumour removal.

I have peer reviewed publications, co-authored book chapters and have been invited to lecture at national and international meetings on a variety of topics in aesthetic and plastic surgery.

I have a specialist interest in research into breast cancer. I am currently working with the professor of breast oncology to look at surgery for breast cancer and how to improve outcomes.

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Treatment information

Some of the principal treatments carried out by Miss Caroline Payne at Spire include:

Cosmetic surgery

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Important information about Covid-19 tests

COVID-19 testing or antibody tests are not available as a standalone service at Spire London East Hospital.

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Additional information

Aesthetic dermatology
Cosmetic surgery
Dermatological surgery
Skin cancer

Special clinical interests: Fat transfer for breast reconstruction, fat transfer, nipple reduction/correction, liposuction, dermabrasion, tummy tuck (abdominoplasty), facial skin cancer removal, removal of facial skin lesions, lower limb reconstruction, carpal tunnel syndrome treatment, trigger finger treatment, abdominal wall reconstruction, breast reconstruction with LD flap, correction breast asymmetry/under development, reconstruction after trauma, reconstruction and correction of scars, revision surgery after primary bariatric consultation, Breast reconstruction DIEP flap, breast reconstruction with TRAM flap.

Professional memberships

Royal College of Surgeons of England

Brisitsh Association of Plastic and Reconstructive surgeons

I have a specialist interest in research into breast cancer. I am currently working with the Professor of breast oncology to look at surgery for breast cancer and how to improve outcomes.

Media Coverage

Live Interview with Caroline Payne
February 2018

Head of the department at Barts and the Royal London Hospitals including the clinical lead for breast aesthetic and reconstructive surgery

I have undertaken several charity events over the last few years. I enjoy road cycling and have raised over £3,000 for multiple sclerosis and the breast charity by riding the Cyclone in Newcastle and the Coast to Coast. My last adventure this summer took me up Mount Kilimanjaro and all four of us managed to raise £2,600 for the Multiple Sclerosis charity. To keep myself even busier I have an Arab Gelding from which I enjoy seeing the wonders of Epping forest.