Professor Vivien Lees

Consultant Plastic Surgeon
MB BChir MD FRCS (Plast)

Practising at

Spire Manchester Hospital

Spire Regency Hospital Macclesfield

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Treatment information

Some of the principal treatments carried out by Professor Vivien Lees at Spire include:

Cosmetic surgery


Other treatments

  • Hand trauma
  • Joint fusion
  • Joint replacement
  • Osteoarthritis of hand
  • Wrist arthroscopy

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Professional profile

I am Consultant Plastic Surgeon with special interests in hand surgery which is reflected also in my NHS practice and in cosmetic surgery which I practise solely in the independent sector. I undertake a full range of cosmetic surgical procedures. I'm also known for my expertise in hand, wrist and upper limb surgery. I am happy to offer a fully female team to patients who require this on account of personal, cultural and religious preferences.

After completing my medical graduation at Oxford and Cambridge, I obtained a research Doctorate (MD) from Cambridge. I completed my training in prestigious Plastic Surgery units in the UK and USA before taking up the post of Consultant Plastic Surgeon in 1997 and therefore have extensive experience in my specialty areas. I am able to offer diagnosis, opinion and treatment for both routine and complex cases.

I'm the Chair of the Professional Standards Committee of British Society for Surgery of the Hand. I've also been part of the Certification and Credentialling in cosmetic surgery work group, that has produced the guidelines around recognition of practitioners of safe cosmetic surgical practice (post-Keogh report).

I'm the Clinical Academic Chair in Plastic Surgery at the University of Manchester.

As a Royal College of Surgeons of England Council Member, I have a range of roles including a commitment to the development of surgery internationally, award of research fellowships and supporting development of women leaders in surgery.


Clinical Interests

Hand surgery
Soft tissue injuries
Wrist surgery
Plastic surgery
Breast surgery
Cosmetic breast surgery
Dermatological surgery
Facial surgery
Hand surgery
Non-surgical cosmetic treatment
Reconstructive surgery
Skin cancer
Soft tissue injuries

Cosmetic and aesthetic surgical procedures routinely performed include: Facial surgery - Facelifts (using harmonic scalpel), platysmaplasty (central neck lift), foreheadplasty (similar to brow lift), blepharoplasty (eyelid rejuvenation), fat injection (lipomodelling), prominent ear correction, non-surgical rejuvenation; Breast surgery - Breast augmentation (implants), breast reduction and uplift (mastopexy), correction of developmental breast problems (asymmetry) including expansion techniques; Body contouring surgery including following massive weight loss - Abdominoplasty (tummy tuck), inner arm, thigh and buttock lift, liposuction (fat removal); Non-surgical cosmetic treatments - Skin rejuvenation (Obagi Nuderm and Vitamin C systems, chemical peels (Obagi blue peel), Restylane filler injections, Medik8 Dermaroller skin rejuvenation treatment; Hand and wrist surgery - Carpal tunnel release, cubital tunnel release, Dupuytren's contracture release, trigger finger release,ganglion excision, trapeziectomy, flexor tendon surgery, wrist arthroscopy, small joint fusion, partial and complete wrist fusion, wrist ligament reconstruction for instability; General Plastic Surgery - Skin lesions, skin cancer, scar revision including microneedling technique.

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Qualification and professional memberships

MA MB BChir (Cantab) / Oxford/Cambridge / 1985
Bacherlor of Medicine/Bachelor of Surgery
Basic medical qualification

Professional memberships

Board member Intercollegiate Specialty Examination in Plastic Surgery (current)
Council Member British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS) (current)
Examiner Intercollegiate Specialty Examination in Plastic Surgery
Council Member British Association of Aesthetic Plastic Surgerons (BAAPS) (recent)
Chairman of Education and Training Committee (developed Postgraduate Diploma in Hand Surgery - The 'Hand Diploma') (recent)
British Society for Surgery of the Hand (BSSH)
British Association Aesthetic Surgeons (BAAPS)
Member of Manchester Hand Institute and Plastic Surgery Foundation

Professional leadership

Previous Chair of Specialist Advisory Committee for Plastic Surgery
Immediate Past President of British Society for Surgery of the Hand
Current Council Member of Royal College of Surgeons of England

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Research and Publication

My research work centres around the distal radioulnar joint and I have contributed to the understanding of the biomechanics and functional anatomy of this part of the forearm and wrist. The information has helped in underpinning prosthetic development (APTIS joint) and in modelling normal and diseased states. The work has been published in peer-review journals and has been the subject of numbers of international presentations.

In addition we are working on the role of adipogenic stem cells in fat graft to best enhance the proportion of fat cells that survive when taken from one part of the body and injected into another site. We are also engaged at this time with a working group developing a systematic review seeking to determine the best surgical treatment for chronic scapholunate instability.

  • Former Editor European Journal of Hand Surgery
  • Reviewer - European Journal of Hand Surgery
  • Editor Biomechanics Section - Frontiers Online Journal


Johal KS, Lees V, Reid AJ. Selected adipose-stem cell supplementation for promoting autologous fat graft survival in plastic surgery Int J Surg 2015; 18 : 241.
Jan 2015

Malone PSC, Cooley J, Terenghi G, Lees VC. The effect of elbow extension on the biomechanics of the osseoligamentous strucutres of the forearm. J Hand Surg American 2015 ; 40(9) : 1776-84.
Jan 2015

KS Johal, VC Lees & AJ Reid. Adipose-derived stem cells; selecting for translational success. Regenerative Medicine 2015; 10(1): 79-96.
Jan 2015

Lees VC, Warwick D, Gillespie P, Brown A, Akhavani M, Dewer D, Boyce D, Papastasiou S, Ragoowansi R,Wong J. A multicentre, randomized, double-blind trial of the safety and efficacy of mannose-6-phosphate in patients having acute Zone II flexor tendon repair. J Hand Surg European 2015; 40(7) : 682-94.
Jan 2015

Malone PSC, Cooley J, Morris J, Terenghi G, Lees VC. The biomechanical and functional relationships of the proximal radioulnar joint, distal radioulnar joint and interosseous ligament. J Hand Surg European 2015; 40(5): 485-93.
Jan 2015

Peck F, Roe AE, Ng CY, Duff C, McGrouther DA, Lees VC. The Manchester short splint: A change to splinting practice in the rehabilitation of zone II flexor tendon repairs. Hand Therapy 2014; 19(2) : 47-53.
Jan 2014

Malone PSC, Hutchinson CE, Kalson NS, Terenghi G, Twining CJ, & Lees VC. Subluxation-related ulnar neuropathy (SUN) syndrome related to distal radioulnar joint instability. J Hand Surg European 2012; 37: 652-664.
Jan 2012

Kalson N, Malone P, Lees VC. Fibre bundles in the human extensor carpi ulnaris tendon are arranged in a spiral. J Hand Surg European 2012 : 37E(6): 550-554.
Jan 2012

Lees VC, Henley M, Sandhu D. Interface specialty training in the UK. Ann R Coll Surg Engl (Suppl) 2010; 92:126-128.
Jan 2010

Russell CJH, Bush JA, Russell GWP, Thorlby A, McGrouther DA & Lees VC. Dynamic skin tension in the forearm: Effects of pronation and supination. Journal of Hand Surgery 2009; 34A: 423-431.
Jan 2009

Shaaban H, Pereira C, Williams R & Lees VC. The effect of elbow position on the range of supination and pronation of the forearm. European Journal of Hand Surgery 2008; 33E: 1:3-8. [Number 1 journal download in 2008]
Jan 2008

Wilson S, Pollard R, Lees VC. Management of Carpal Tunnel Syndrome in Renal Dialysis patients using an Extended Carpal Tunnel Release Procedure. Journal of Plastic, Reconstructive & Aesthetic Surgery 2008:. 61(9):1090-4.
Jan 2008

Shaaban H, Giakis G, Bolton M, Williams R, Wicks P, Scheker LR & Lees VC. Pattern of contact area inside the DRUJ and the effect of injury of the distal radioulnar ligaments. Clinical Biomechanics 2007; 22; 313-318.
Jan 2007

Schenker M, Lees VC, Mc George DD, Orton CI & Hancock K. Aesthetic surgical training in the UK independent sector - the clients' view: results of a survey on 155 private patients. Journal of Plastic Reconstructive & Aesthetic Surgery 2006; 59 :1188-1192.
Jan 2006

Shaaban H, Giakis G, Bolton M, Williams R, Wicks P, Scheker LR & Lees VC. The load-bearing characteristics of the forearm: Pattern of axial and bending force transmitted through ulna and radius. Journal of Hand Surgery 2006; 31B: 274-279.
Jan 2006

H. Shaaban, G. Giakis, M. Bolton, R.Williams, L.R. Scheker & V.C. Lees. The distal radioulnar joint as a load-bearing mechanism – a biomechanical study. Journal of Hand Surgery 2004 : 29A: 1: 85-90.
Jan 2004

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Personal Profile

I have recreational interests in history and historical biography. I relax in my pottery studio. l hold a Private Pilot's Licence (PPL). Activity-based pursuits include scuba diving, pilates, fell walking and dog agility.

My husband and I lead a team to India once a year to undertake a surgical camp for leprosy and burns patients supporting that activity with our own registered Charity 'Hands for Life.' [Registered Charity 1109751 /]

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Private contact details

Telephone Regency: 01625 505 412 / 505 406. Manchester: 0161 447 6700
Private secretary Mrs Chris Frederick
Private secretary telephone 0161 491 2534
Private secretary fax 01625 501 800 (Regency)
Private secretary email