Tomasz Graja: Consultant Breast, Hernia and General Surgeon in West Dorset

Training and experience

Mr Tomasz Graja graduated from Poznan University of Medical Sciences in Poland in 1992 and undertook postgraduate training in France, the United States and the United Kingdom. He was awarded a PhD for his work comparing the quality of life for women following mastectomy versus those treated with breast conserving surgery for breast cancer in 2005, after which he settled in the UK.

Mr Graja’s first specialty is breast surgery. Trained at Broomfield Hospital in Chelmsford, the Royal Marsden Hospital in London and the Moffitt Cancer Centre in Tampa, Florida, he has a particular interest and expertise in breast oncoplastic surgery, employing these techniques where possible to achieve the best possible cosmetic result without compromising the treatment for cancer. He also performs reconstructive breast surgery following mastectomy and cosmetic breast procedures such as breast augmentation, breast reduction and breast uplift.

He consults patients with various benign and malignant breast problems and organises appropriate investigations and treatment if needed.

Mr Graja offers a wide range of surgical techniques for hernia repair under general anaesthetic that allow most of his patients to return home on the same day. In his practice he uses a whole range of techniques involving novel materials. In line with the new developments in hernia surgery he prefers open surgery rather than laparoscopic. The attention is on low tension repair and using non-absorbable composite meshes. He is in favour of self-fixating meshes where suturing is not required. This reduces the risk of chronic pain, while providing long-term reliable repair.

The key principle is to repair hernia in the safest possible way and enable swift recovery.

A hernia can be painful and, for some patients, can significantly limit the ability to work and participate in daily activities and sport. In view of this, Mr Graja is committed to providing hernia surgery as soon as possible. The usual waiting time can be as short as a week or two. Mr Graja discusses in detail post-operative care and how soon the patient is able to return to normal activities. He provides follow-up after surgery to closely monitor recovery.

Mr Graja also provides minor general surgery like excision of lipoma, sebaceous cyst and removal of skin lesions.

Treatments

Breast cancer

• Breast cancer diagnosis and management
• Breast cancer treatment planning
• Breast conserving surgery (lumpectomy, wide local excision)
• Mastectomy (simple or skin sparing to enable immediate reconstruction)
• Sentinel node biopsy
• Axillary lymph node clearance
• Oncoplastic breast surgery
• Therapeutic mammoplasty (lumpectomy combined with breast reduction)
• Primary hormone therapy

Breast reconstruction

• One-stage mastectomy with immediate reconstruction (reconstruction at the time of mastectomy)
• Two-stage implant reconstruction
• Latissimus dorsi flap reconstruction
• Nipple preserving reconstruction
• Nipple reconstruction with tattooing

Cosmetic breast surgery

• Breast augmentation
• Breast reduction
• Breast uplift (mastopexy)
• Breast asymmetry correction

Other breast problems

• Benign breast problems
• Breast infections
• Nipple inversion
• Nipple discharge
• Breast pain
• Family history and breast risk assessment
• Male breast problems
• Gynaecomastia

General and skin surgery

• Inguinal hernia repair
• Umbilical hernia repair
• Femoral hernia repair
• Incisional hernia repair
• Spigelian hernia repair
• Lipoma
• ‘Lumps and bumps’ surgery
• Benign skin lesions that require removal for cosmetic reasons or because of discomfort except for facial procedures 

Private practice

Mr Graja is available for private consultation at BMI The Winterbourne Hospital in Dorchester on Mondays 18.00 to 20.00 and Thursdays 10.00 to 12.00.

Initial consultation fee: £200

Follow-up consultation fee: £100

Research interests

Mr Graja research interests include treatment for breast cancer, breast reconstruction and oncoplastic breast surgery

What patients say about Tomasz Graja

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