Mrs Claudia Harding-Mackean

Consultant breast and oncoplastic surgeon

MB ChB FRCS (Glas) FRCS (England), Oncoplastic Fellow Paris

Specialises in

Also available for:

Virtual consultations:

I specialise in breast surgery breast surgery with special interest in oncoplastic surgical tumour excision; involving reconstruction techniques to maintain or restore breast shape and volume, optimise breast symmetry with the other breast, and restore form of the treated breast. The techniques involve breast reduction (therapeutic mammaplasty), implant based reconstruction, dermal slings and acellular dermal martrices, local tissue replacement (autologous techniques such as lipomodelling and perforator flap eg LICAP) and whole breast reconstruction with autologous techniques (muscle-sparing LD flaps using implants and/or lipomodelling).

I have performed Mastectomy >1,250 mastectomy and immediate reconstruction 450 implant based reconstructions >500 LD flap reconstruction > 150 TRAM flap > 60 LICAP/anterior perforator flaps > 25 therapeutic mammaplasty > 200 wide local excisions >600 breast reductions >200 sentinel node biopsy >1,300

I was appointed full time consultant general surgeon with special interest in breast surgery in 2001 having completed my general surgical training in the Manchester and Mersey regions. I undertook an oncoplastic fellowship at the Institut Curie in Paris to complement my specialist training in breast reconstruction techniques. I have worked in Chester in general and breast surgery up until 2010, then wholly in breast and thyroid surgery.

I assess and manage the full range of breast symptoms needing medical assessment and perform surgery for benign and malignant conditions. My priority is oncoplastic breast reconstruction solutions where feasible.

Clinical Lead for Breast and Plastic Surgery at Countess of Chester Hospital Lead for clinical audit and for clinical research at the Countess of Chester Breast Unit.

I maintain a strong interest in clinical research to further advance breast cancer care and prevention and I am principle investigator for a number of clinical trials. I am involved in teaching medical students and trainee surgeons as well as allied professionals.

Teaching on Intercollegiate Exam Course for Higher Surgical Trainees annually for several years Honorary Lecturer at University of Liverpool Medical School Teaching on the Cadaveric Skills Course at Manchester Medical School Sim Lab. In recent years I have demitted office as Royal College Tutor at the Countess of Chester Hospital, from organising the annual prospective medical student course at Liverpool Medical Institute, and was a committee member on the Chester BMA LNC and the Chester and North Wales Medical Society.

Please note, after booking an appointment with Mrs Harding-Mackean online, you will need to call 0151 919 5181 to complete a breast symptom questionnaire and confirm which clinic you require.


Treatment information

Some of the principal treatments carried out by Mrs Claudia Harding-Mackean at Spire include:

Breast care and surgery

Cosmetic surgery

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Additional information

Breast care
Benign breast problems
Breast cancer

MB ChB / Edinburgh / 1987
Bachelor of Medicine, Bachelor of Surgery

FRCS / Glasgow / 1999
Fellowship of the Royal Colleges of Surgeons

FRCS / London / 2000
Fellowship of the Royal Colleges of Surgeons

Professional memberships

Royal College of Surgeons of England

Royal College of Physicians and Surgeons of Glasgow

Association of Breast Surgeons

British Association of Endocrine and Thyroid Surgeons

General Medical Council

Medical and dental Defence Union Scotland

Professional leadership

Lead for clinical audit and for clinical research at the Countess of Chester Breast Unit
Clinical Lead for Breast and Plastic Surgery at Countess of Chester Hospital

Research interests:

  • Oestrogen regulated proteins in breast cancer
  • Heat shock proteins in breast cancer
  • All forms of breast reconstruction

I mentor surgical trainees to develop projects for research, publication and presentation.


Muscle-sparing latissimus doors flap breast reconstruction;less is more? Hamilton-Burke W, Redmond E, Seward J, Harding-Mackean C.

Infection complications of breast reconstruction using acellular dermal matrices and implants. Granger S, Hamilton Burke W, Seward J, Harding Mackean C.

Audit of mastectomy cases: Review to improving day case rates Cho Ng, C Harding-Mackean EJSO 44 (6) 91 2018. Use of oncoplastic techniques for breast conserving surgery. T Kiernan, C Mackean EJSO 40 (5) 662 2014.

National Oncoplastic Breast Reconstruction meeting (ORBS) Sept 2015.

Countess of Chester Hospital NHS Foundation Trust

I enjoy exploring the vineyards of the world, choral singing and musical theatre.

Telephone 0151 929 5408
Private secretary Karen Lindsay
Private secretary telephone 0151 929 5342
Private secretary email