Warrington sits about twenty minutes from Circle Cheshire Clinic at Wincham, near Northwich, where Miss Rakhee Nayar holds her main private practice. She is a Consultant Plastic Surgeon and Consultant Mohs Surgeon, one of fewer than ten women in the UK dual-trained in both, and she also consults at Fairfield Independent Hospital in the Warrington and St Helens area.
For a skin cancer on the face, the dual training is the point. The cancer is removed under the microscope and the area reconstructed by the same consultant, usually in a single visit, rather than being passed to a second surgeon at a later date.
Mohs surgery for Warrington patients
Mohs micrographic surgery takes the cancer out in thin layers, mapping and examining each one under the microscope before deciding whether more needs to come out. It produces the highest cure rates for basal cell and squamous cell carcinoma while removing the least healthy tissue, which is why it is the standard of care for cancers on the nose, eyelid, lip and ear.
Once the margins are clear, the repair begins. Depending on the site and size that may be a direct closure, a local flap, a skin graft, or for larger nasal defects a forehead flap.
Getting to the clinic from Warrington
Circle Cheshire Clinic is at The Courtyard, Hall Lane, Wincham, Northwich CW9 6DG. The A559 runs almost directly from south Warrington to the clinic door, which makes it an unusually straightforward journey with no motorway needed. Alternatively the M56 at junction 10 brings you onto the A559 from the north.
Free patient parking on site. The route is equally convenient from Stockton Heath, Grappenhall, Appleton, Lymm, Latchford and Thelwall.
Mole, cyst and skin lesion removal in Warrington
Alongside skin cancer work, Miss Nayar removes benign lesions: moles, cysts, skin tags, lipomas and lesions on the lip. Anything removed goes for analysis. As a plastic surgeon her focus is on leaving the neatest possible result. See skin lesion removal.
NHS background in the region
Miss Nayar works as a Consultant Plastic Surgeon within Mersey and West Lancashire Teaching Hospitals NHS Trust, and serves as her trust’s specialty training lead. She is also National Chairwoman for Mohs training within the Training Interface Group, overseeing UK surgical training in Mohs surgery at what is currently the only approved training centre. Patients from Warrington are often being treated by someone who trains the surgeons treating them elsewhere.
Common questions
Can I be seen at Fairfield rather than Northwich? Miss Nayar’s main private practice and her Mohs list are at Circle Cheshire in Northwich. Please ask when booking and the options will be explained.
I am already under the NHS for this. Can I still see her privately? Yes, and many people do, either to be seen sooner or for a second opinion on the surgical plan. Bring your NHS letters and any biopsy results.
How long will the appointment take? Allow at least half a day for Mohs surgery. The number of stages depends on what the microscope shows, so it is not possible to predict exactly.
Nearby areas
Patients also travel to the same clinic from further west and north. There are separate pages covering Mohs surgery for Liverpool patients, Manchester and Stockport.
Book a consultation
Consultations for Warrington patients are usually available within days, not weeks, at Circle Cheshire near Northwich. Bring your referral letter or biopsy result if you have one.