Matthew James is a consultant Plastic and Reconstructive Surgeon at Guy's and St Thomas' NHS Trust, offering precise, safe surgical care with a focus on natural results and long-term wellbeing.
One of London’s most respected plastic surgeons, recognised for surgical precision, natural results and patient focused care.
Mr Matthew James is a consultant plastic surgeon with over 20 years of specialist experience in cosmetic, reconstructive and hand surgery. He is known for precise technique, natural results and a calm, patient focused approach. His care centres on clear explanation, careful assessment and steady support from consultation through to recovery.
He has held senior roles including Clinical Director of Plastic and Reconstructive Surgery at Guy’s and St Thomas’ NHS Trust and is the founder and Medical Director of Cavendish Clinic. His private practice includes leading London hospitals where he provides treatment tailored to the needs of each individual patient.
Trained at leading centres in the UK and Australia, with over two decades of experience across cosmetic, reconstructive and hand surgery.
Mr James trained in London, Cambridge, Adelaide and Sydney, completing fellowship training in facial aesthetic and reconstructive surgery at the McIndoe Surgical Centre. He is on the GMC specialist register for plastic surgery and is a full member of the British Association of Aesthetic Plastic Surgeons and the British Society for Surgery of the Hand.
His practice covers cosmetic surgery, reconstructive procedures and advanced hand surgery. He teaches on national surgical courses and has published work on breast augmentation and facelift techniques that support safe and natural results. His ongoing commitment to training and research reflects his focus on achieving the best possible outcomes for his patients.
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Breast augmentation involves an operation where implants are inserted into your breasts to increase their size, change their size or to make them more symmetrical. The procedure is often known as breast augmentation or as a “boob job”.Enhance your appearance or improve the symmetry of your breasts.
Improve your self-confidence. Correct uneven breasts after breast surgery for other conditions.
Tummy
Tuck
Miami, Florida
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Camphon
Austin, Texas
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Shamath
Los Angeles, California
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surgical optimisation
"I’m interested in the link between wellbeing and performance and how to empower people to reach their potential."
Deeper analysis of the importance of sleep and the different types to aid recovery, repair and cognitive ability.
Sleep is a fundamental pillar of health and recovery. During sleep the body releases growth hormones that repair tissue in the brain, muscles and organs and help regulate the immune system. Poor sleep can affect mood, focus and decision making and may throw the body’s balance off, contributing to chronic stress, low mood and an increased risk of conditions such as type 2 diabetes, cardiovascular disease and neurodegenerative illness.
Disrupted sleep can also affect the hormones that control hunger and satiety, increasing cravings for sugary or high calorie foods. Supporting good sleep before and after surgery helps the body heal more effectively.
The importance of daily exercise preferably outside - boosting mood and self-esteem; decreasing feelings of depression, anxiety and stress.
Movement supports healing by improving circulation, joint mobility and muscle strength. Regular activity reduces inflammation, boosts endorphins and supports mental wellbeing during recovery. Gentle stretching and low impact exercise help maintain flexibility, reduce stiffness and lower the risk of post operative complications.
Consistent movement also supports metabolic health and reduces the long term risks linked to inactivity. Establishing steady movement habits before surgery and gradually reintroducing them afterwards can contribute to a smoother recovery and better long term results.
Focus on the link between the gut microbiome and vagus nerve and the connection between gut health and mental wellbeing and tissue repair.
Nutrition plays a central role in tissue repair, immune function and overall wellbeing. A diet based on whole, minimally processed foods supports the gut microbiome, which influences hormone balance, inflammation and mental health. Adequate protein, healthy fats, micronutrients and fibre are important for wound healing and maintaining steady energy.
Diets high in sugar and ultra processed foods can increase inflammation and are linked to higher rates of obesity, metabolic disorders, bowel disease and cognitive decline. Focusing on nourishing foods before and after surgery helps create the best conditions for recovery.
Tips, tools and technology to help develop full awareness of how you are actually performing and feeling. How not be overrun by the thoughts whirling around your mind.
Mindfulness helps reduce stress and improve emotional resilience, both of which support physical healing. By bringing attention to the present moment, mindfulness can regulate cortisol levels, improve focus and promote steadier responses to challenges. Regular practice can increase self awareness, helping you understand how your energy, emotions and habits change throughout the day.
This can improve sleep, reduce anxiety and support healthier lifestyle choices. Integrating simple mindfulness techniques before and after surgery can contribute to a calmer recovery.
How bursts of good stress are beneficial to us – from cold, heat, fasting and even hypoxia. How these help strengthen our immune systems and help us repair.
Hormesis refers to the way small, controlled stressors can stimulate beneficial repair processes in the body. Approaches such as cold exposure, heat therapy, intermittent fasting or brief high intensity exercise can activate cellular repair pathways and improve resilience to future stress.
These methods must be used safely and tailored to individual needs, especially around the time of surgery. When applied appropriately, hormesis can complement other pillars of wellness and contribute to improved long term health.
Build habits to incorporate all 5 pillars into your daily routine.
Daily habits shape long term wellbeing more than motivation alone. Many behaviours are automatic, so creating simple, sustainable routines can make healthy choices easier to maintain. Small actions repeated consistently can support improvements in sleep, nutrition, movement, stress management and recovery.
By linking new habits to existing routines and introducing changes gradually, you are more likely to sustain them. Good habits create a stable foundation for healing after surgery and contribute to lasting health.