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Mr David Thomson

Consultant Plastic Surgeon MA (Oxon), BMBCh, PGDip, EurDipHandSurg, FRCS
Specialisms
Plastic Surgery
Capabilities
Claimants & DefendantsRemote AppointmentsFace to FaceClaimant Age: 18+

Practice Locations

1 location available for appointments

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Cookham Medical Centre

Berkshire, SL6 9HX

Medico-Legal Experience

Mr Thomson is a Consultant Plastic Reconstructive and Hand Surgeon based in Berkshire and Buckinghamshire. He is able to accept instructions across the full range of plastic surgery including all aspects of scarring, soft tissue injuries including burns, extravasation, workplace accidents and other wounds, and hand injuries including tendon, nerve and bone injuries and trauma.

In his second year as a medico-legal expert, Mr Thomson was instructed in a broad range of cases involving both personal injury and clinical negligence. He is instructed on behalf of both Claimants and Defendants and to date he has completed over 60 expert reports, 20 of which relate specifically to clinical negligence.

His medico-legal reports cover causation, condition and prognosis, liability and breach of duty. Mr Thomson takes a meticulous, evidence-based approach to all aspects of his reporting. He has successfully obtained the Cardiff University Bond Solon (CUBS) certificate for civil expert witness and is committed to the highest standards of professional reporting and expert witness practice.

Mr Thomson has experience in cases associated with:

  • General plastics
    – Scarring (post-operative and post-traumatic)
    – Scar revision
    – Lumps/bumps/cysts/minor skin surgery
  • Aesthetic surgery
  • Hand surgery
    – Hand fracture
    – Tendons
    – Glass and knife lacerations
    – Chainsaw & other mechanical/industrial injuries
    – Elective hand surgery
    – Carpel tunnel and other nerve compressions
    – Hand arthrisitis
    – Trigger digits
    – Dupuytren’s
  • Breast reconstruction
  • Skin cancer
    – Melanoma
  • Reconstructive surgery
  • Upper and lower limb reconstruction
  • Soft tissue injury
  • Hidradenitis Suppurativa (HS)
  • Extravasation injury

Mr Thomson’s availability is 2 weeks and has a report turnaround time of  2 weeks.

Clinical Experience

Mr Thomson is currently appointed as a Consultant Plastic Surgeon at Frimley Health NHS Foundation Trust, where he focuses on skin cancer surgery, participates in local and specialist multidisciplinary teams (MDTs), and undertakes hand trauma surgery. He previously completed a nine month fellowship at the Melbourne Institute of Plastic Surgery, gaining advanced experience in skin cancer, hand and general plastic surgery.

He undertook an eight month fellowship in aesthetic and skin cancer surgery at the Melbourne Institute of Plastic Surgery in Australia, as well as fellowships in hand surgery and cosmetic surgery in London. He also holds the European Diploma of Hand Surgery, an advanced post-fellowship qualification focusing on hand and wrist surgery.

Mr Thomson qualified in Medical Sciences and obtained First Class Honours in 2010 with a BMBCh Medicine, receiving a distinction at the University of Oxford in 2013. He was at St Mary’s Hospital, London as The Limb Extremity Reconstruction Fellow (ST8). This was a six month followship in microvascular upper and lower limb reconstruction, this is an advanced surgical training position that focuses on complex reconstruction. Techniques that are used in this area: The Ilizarov method, intramedullary nailing and locked plating.

He also gained extensive experience in breast reconstruction and the surgical management of hidradenitis suppurativa at St Thomas’ Hospital, London. This rotational placement provided in-depth training in complex breast reconstruction (often following mastectomy) and the surgical treatment of hidradenitis, a chronic inflammatory skin condition.

Mr Thomson’s major NHS interest is skin cancer surgery and he is an integral part of the local and specialist skin cancer multidisciplinary teams. His practice covers all aspects of skin cancer assessment and surgery, with a focus on providing exceptional care for patients with skin cancer.

In addition, Mr Thomson is highly experienced in hand surgery, including the treatment of hand trauma, nerve compressions, Dupuytren’s disease and soft tissue lumps and bumps of the hand. He also performs general plastic surgery, addressing conditions such as lipomas, breast reconstruction and other soft tissue tumours.

Mr Thomson has completed seven full closed loop audits, each presented at local or regional governance meetings. His work has focused on improving compliance, safety and documentation in plastic and hand surgery. Topics have included venous thromboembolism (VTE) prophylaxis in deep inferior epigastric perforator (DIEP) breast reconstruction, hand trauma service standards, child protection documentation and operative note quality. These projects reflect his ongoing commitment to clinical governance and service improvement.

He holds a Postgraduate Diploma in Medical Education with a distinction in simulation based training and has served as a clinical tutor for Oxford University medical students at Balliol and Green Templeton Colleges. His roles have included faculty member, organiser and invited lecturer at regional and national training days.

He has also given presentations on many expert topics, “The Surgical Management of Trigeminal Neuropathies” 14th International Facial Nerve Symposium, Seoul, South Korea (virtual congress).

Mr Thomson has multiple awards and prizes;

  • £6,500, Imperial healthcare training recovery fund, St Mary’s Microsurgery Simulation Laboratory
  • £250, Plasta fellowship bursary
  • McLaughlin facial palsy prize, Queen Victoria Hospital
  • Kelsey Fry prize viva in head & neck oncology, Queen Victoria Hospital
  • £1,000, Needlemaker’s company bursary, Royal College of Surgeons of England
  • Best quality improved project prize, South Thames Surgical Training Regional Meeting
  • £500, Richard Mills bursary, Doctors Academy, Cardiff MRCS OSCE course
  • Doctors Academy bursary, RCSEd Future Surgeons; key skills course
  • £500, BAPRAS student elective bursary

 

Publications

  • Thomson DR, Berlinski NG, Gibson E, Ritz M. Ultrasound to detect flipped breast implants: A novel use for the base plate. Aesthetic Surgery Journal, 2024 (ePub ahead of print)
  • Christopoulos G, Thomson DR, Jones ME. A useful technique for templating the reverse radial forearm flap (RFF) for thumb degloving injuries. Plastic Surgery 2024;32(1):153-157.
  • Thomson DR, Lashansky B, Ritz M. Peri-operative management of Ozempic and other GLP-1 agonists during cosmetic surgery: What plastic surgeons need to know. J Plast Reconstr Aesthet Surg, 2023;87:213-214.
  • Thomson DR, Ritz M. New Australian laws regarding advertising of cosmetic surgery: An instant challenge to many plastic surgeons. Aesthetic Plastic Surgery, 2023; ePub ahead of print.
  • Misky A, Thomson DR, Jain A. Bizarre parosteal osteochondromatous proliferation (Nora’s lesion) of the hand: Management of a rare clinical entity. BMJ Case Reports, 2023;16(5):e253361.
  • Citron I, Thomson DR,… Nduka C. Descriptive study of facial motor contractions during voluntary facial movement in a healthy population: a new hypothesis leading to synkinesis. Facial Plastic Surgery & Aesthetic Medicine, 2023;25(3):244-249.
  • Thomson DR, Khoury A, Jones ME. Hand trauma Aetiology and Anaesthesia during the first UK lockdown: Lessons for pandemic planning. Hand and Microsurgery, 2022;11(1):65-66.
  • Christopoulos G, Thomson DR, Jones ME. A useful technique for templating the reverse radial forearm flap (RFF) for thumb degloving injuries. Plastic Surgery 2022 March 30.
  • Thomson DR, Songtum S, Mehdi SY. The modified posterior arm flap for axillary hidradenitis suppurativa. Ann Plast Surg, 2022;88(1):84-87.
  • Khan AJ, … Thomson DR, … Nduka C. Physical therapy for facial nerve paralysis (Bell’s palsy): An updated and extended systematic review of the evidence for facial exercise therapy. Clin Rehabil. 2022;36(11):1424-1449.
  • Barea A… Thomson DR, Soldin M. Five-year basal cell carcinoma recurrence rates treated with curettage and cautery, a single centre retrospective cohort study. J Plast Reconstr Aesthet Surg, 2021;74(8):1931-1971.
  • Thomson DR, Jones ME. Microsurgical training during pre- and post- COVID 19: Is there a relearning curve and lessons for lockdown three. J Plast Reconstr Aesthet Surg, 2021;74(8):1931-1971.
  • Thomson DR,…Kannan, RY. The surgical management of extra-cranial trigeminal neuropathies. J Plast Reconstr Aesthet Surg, 2021;74(9):2258-2264.
  • Trevatt AET, …Thomson DR, … A comparison of the academic impact of plastic surgery units in the United Kingdom and Ireland using bibliometric analysis. J Plast Surg Hand Surg. 2019, 53(2); 97104.
  • Rahman S, Cooper, L, Thomson DR, Soldin M. Quantifying the burden of litigation in UK plastic surgery: A national survey. J Plast Reconstr Aesthet Surg. 2019, 72(8), 1436-1447.
  • Thomson DR, Cooper L, King ICC, Odili J, Powell BWEM. Surgical Cost Implications of the AJCC v8 staging system for melanoma and the melanoma in focus consensus statement. J Plast Reconstr Aesthet Surg. 2019, 72(10); 1700-1738.
  • Dinnes J, …Thomson DR, … Cochrane Skin Cancer Diagnostic Test Accuracy Group. Visual Inspection for diagnosing cutaneous melanoma in adults. Cochrane Database Sys Reviews. 2018; 12:CD013194. doi: 10.1002/14651858.CD013194.
  • Dinnes J, …Thomson DR, … Cochrane Skin Cancer Diagnostic Test Accuracy Group. Dermoscopy, with and without visual inspection, for diagnosing melanoma in adults. Cochrane Database Sys Reviews. 2018;12:CD011902. doi: 10.1002/14651858.CD011902.pub2.
  • Thomson DR, Rughani MG, Kuo R, Cassell OCS. Sentinel node biopsy status is strongly predictive of survival in cutaneous melanoma: Extended follow-up of Oxford patients from 1998 to 2014. J Plast Reconstr Aesthet Surg. 2017;70(10):1397-1403.
  • Thomson DR, Trevatt AE, Furniss D. When should axillary drains be removed? A meta-analysis of time-limited versus volume-controlled strategies for timing of drain removal following axillary lymphadenectomy. J Plast Reconstr Aesthet Surg. 2016; 69:(12);1614-1620.
  • Thomson DR, Baldwin MJ, Bellini MI, Silva MA. Improving the quality of operative notes for laparoscopic cholecystectomy: Assessing the impact of a standardized operation note proforma. Int J Surg. 2016;27:17-20.
  • Thomson DR, Allin B, Long AM, Bradnock T, Walker G, Knight M. Laparoscopic assistance for primary transanal pull-through in Hirschsprung’s disease: a systematic review and meta-analysis. BMJ Open. 2015;24;5(3)
  • Thomson DR, Sadideen H, Furniss D, Wound drainage following groin dissection for malignant disease in adults. Cochrane Database Syst Rev. 2014 Nov 11;11:CD010933. DOI: 10.1002/14651858.CD010933.pub2.
  • Thomson DR, Sadideen H, Furniss D, Wound drainage after axillary dissection for carcinoma of the breast. Cochrane Database Syst Rev. 2013 Oct 20;10:CD006823. DOI: 10.1002/14651858. CD006823.pub2.
  • Sadideen H, Thomson DR et al. Carotid endarterectomy in the elderly: Risk factors, intra-operative carotid haemodynamics and short term complications; a UK tertiary centre retrospective analysis. 2013;21(5):273-77.
  • Kelley TA, Thomson DR, Furniss D. When should axillary drains be removed post axillary dissection? A systematic review of randomised control trials. Surg Oncol. 2012;21(4):247-51.

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