Miss Rakhee Nayar sees Macclesfield patients at Circle Cheshire Clinic in Wincham, near Northwich, around half an hour across the Cheshire plain. She is a Consultant Plastic Surgeon and Mohs surgeon, one of fewer than ten women in the UK dual-trained in both.
If a lesion on your face has been diagnosed as a basal cell or squamous cell carcinoma, the question is no longer what it is but how it comes out and what the area looks like afterwards. Those two things are best decided by the same person.
Mohs surgery for Macclesfield patients
Mohs micrographic surgery removes the tumour in thin layers, checking each under the microscope before deciding whether more needs to go. Nothing is guessed at and nothing extra is taken. It gives the highest cure rates available for basal cell carcinoma and squamous cell carcinoma, and it preserves the greatest amount of healthy skin — which is what makes the reconstruction better.
Getting to the clinic from Macclesfield
Circle Cheshire Clinic is at The Courtyard, Hall Lane, Wincham, Northwich CW9 6DG. From Macclesfield the natural route is the A537 west through Chelford and Ollerton, joining the A556 and then the A559 at Northwich. It is a cross-country run rather than a motorway journey, usually around thirty minutes.
Free patient parking on site. The route also suits Prestbury, Bollington, Gawsworth, Siddington, Chelford and Alderley Edge.
Mole, cyst and skin lesion removal
Benign lesions are removed at the same clinic: moles, cysts, skin tags, lipomas and lip lesions, all sent for analysis afterwards. The scar is planned with the same care as a cancer reconstruction. See skin lesion removal.
Credentials
- Dual-trained Consultant Plastic Surgeon and Mohs surgeon, 20+ years’ experience.
- National Chairwoman for Mohs training within the Training Interface Group, overseeing UK training in Mohs surgery.
- Mohs fellowship representative for BAPRAS.
- MD in Cancer Studies, University of Liverpool, with published research and international presentations.
- Member of the Training Interface Group (TIG) and the Royal College of Surgeons of Edinburgh.
Common questions
My GP has referred me to Macclesfield District General. Should I still consider private surgery? That is entirely your decision. Some patients want to be seen sooner; others want a specific surgical approach or a second opinion on the plan. Both are reasonable and neither affects your NHS care.
Do I have to travel for every appointment? Consultation, surgery and follow-up all take place at the Northwich clinic. An e-consultation can often be used as a first step before you travel at all.
What if it turns out not to be cancer? That is a common and welcome outcome. If the lesion is benign, you will be told plainly and given the option of removal for comfort or appearance, or of leaving it alone.
Nearby areas
If you are coming from elsewhere in east Cheshire or from Greater Manchester, see the pages for Stockport, Wilmslow and Crewe.
Book a consultation
Consultations for Macclesfield patients are usually available within days, not weeks, at Circle Cheshire near Northwich. Bring your referral letter or biopsy result if you have one.