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Mr Pacifico has been extensively involved in the latest scientific developments in plastic surgery throughout his training period and continues to be at these frontiers. He is passionate about research and his inquisitive mind is forever analysing the challenges he faces as a plastic surgeon, trying to solve the problems encountered.

During Mr Pacifico’s undergraduate medical training he undertook a further year of study to focus on a science degree (a Bachelor in Science (BSc)) in physiology. In this year his research focused on the reactions of blood vessels to variations in temperature, particularly the cold. Blood vessel behaviour and response is fundamental to all areas of plastic surgery. Mr Pacifico was awarded a first class honours degree for the outstanding calibre of his work.

Later during his specialist plastic surgery training Mr Pacifico spent two years researching ways to improve outcomes in melanoma, the most deadly form of skin cancer. To support his research he was awarded a prestigious Royal College of Surgeons Research Fellowship scholarship in 2003. After completion of his work on melanoma, Mr Pacifico was awarded a Doctorate in Medicine (MD) by the University of London.

Mr Pacifico has published extensively in the plastic surgery medical literature, as well as presented at national and international plastic surgery meetings. Below are a list of Mr Pacifico’s scientific publications and presentations.

  1. Re: ‘The rectus sheath and serratus fascia “reverse” fashion flap for the coverage of the lower pole in immediate implant-based breast reconstruction’.Smith OJ, Pacifico M, Ross GL. J Plast Reconstr Aesthet Surg. 2015 Nov;68(11):1626-7.
  2. Technical refinements of the Wise pattern breast reconstruction.
    Odeyinde SO, Pacifico MD.  J Plast Reconstr Aesthet Surg. 2014 Aug 15
  3. Bowel obstruction following DIEP-flap breast reconstruction: an unexpected complication
     Mehta S, Blackburn AV, Pacifico MD.  J Plast Reconstr Aesthet Surg. 2014 Sep;67(9)
  4. Lateralising paraumbilical medial row perforators: dangers and pitfalls in DIEP FLAP planning: a systematic review of 1116 DIEP flaps.
     Kelly JA, Pacifico MD.  J Plast Reconstr Aesthet Surg. 2014 Mar;67(3):383-8
  5. Should we be analysing breast reduction specimens?  A systematic analysis of over 1,000 consecutive cases
    F Hassan, MD Pacifico.  Aesthetic Plast Surg.  2012 Oct;36(5):1105-13
  6. Exploiting the perforator concept to minimise donor site morbidity in harvesting the radial forearm free flap
    MJ Hallam, D Butt, D Coombes, MD Pacifico.   Br J Oral Maxillofac Surg. 2012 May 3.
  7. Invited Commentary on:  Preliminary report on the use of the SPECTRA implant for the correction of hypoplastic breasts with small-volume asymmetry
    MD Pacifico J Plast Reconstr Aesthet Surg. 2012 Mar;65(3):319-20
  8. Autologous fat grafting to the breast – lessons from stem cell biology
    Pearl RA, Leedham SJ, Pacifico MD. J Plast Reconstr Aesthet Surg. 2012 Mar;65(3):283-8
  9. Refining trunk contouring using the reverse abdominoplasty
    MD Pacifico, S Mahendru, RP Teixeira, G Southwick, M Ritz – Aesthet Surg J. 2010 Mar;30(2):225-34
  10. Correction of senile drooling using the nasolabial sling
    MD Pacifico, M Ritz. J Plast Reconstr Aesthet Surg. May 2009
  11. Fascial Suspension Mastopexy Combined with Augmentation Mammaplasty
    M Ritz, S Mahendru, MD Pacifico, O Goldan, RP Teixeira. Aesthetic Plast Surg. 2009 Mar 26
  12. The Dorsalis Pedis Fascial Flap
    M Ritz, N Somia, S Mahendru, MD Pacifico. J Reconstr Microsurg. 2009 Apr 3
  13. Dynamic Arteries of the Hand
    M Ritz, S Mahendru, M Smyth, A Lavoipierre, O Goldan, MD Pacifico. Surg Radiol Anat. 2008 Nov 27
  14. Incidence of “incidentalomas” in over 100 consecutive CTAs for pre-operative DIEP planning
    See MS, Pacifico MD, Harley OJ, Francis I, Smith RW, Jones ME. J Plast Reconstr Aesthet Surg. 2008 Nov 27
  15. Pre-operative planning for DIEP breast reconstruction: early results in the use of CT-angiography with VoNavix 3D software for perforator navigation
    MD Pacifico, M See, N Cavale, J Collyer, M Jones, A Hazari, J Boorman, RW Smith. J Plast Reconstr Aesthet Surg. 2008 Aug 15
  16. Stratification of patients by melanoma cell adhesion molecule (MCAM) expression on the basis of risk: Implications for Sentinel lymph node biopsy
    RA Pearl, MD Pacifico, FD Daley, PR Barber, B Vojnovic, F Buffa, PI Richman, G Wilson, R Grover. J Plast Reconstr Aesthet Surg. 2008; 61(3): 265-271
  17. The government two-week rule and its impact on melanoma prognosis: an evidence-based study
    MD Pacifico, R Pearl, R Grover. Ann R Coll Surg Engl. 2007; 89(6):609-15
  18. The Differential Fascial Glide: a technical refinement in abdominoplasty
    P Mallucci, MD Pacifico, N Waterhouse, W Sabbagh. J Plast Reconstr Aesthet Surg. 2007; 60: 929-933
  19. Ki-67 Expression in Melanoma. A Potential Method of Risk Assessment for the Patient with a Positive Sentinel Node
    RA Pearl, MD Pacifico, PI Richman, DJ Stott, GD Wilson, AO Grobbelaar. J Exp Clin Cancer Res. 2007; 26(1): 109-115
  20. The tuberous breast revisited
    MD Pacifico, NV Kang. J Plast Reconstr Aesthet Surg. 2007;60(5):455-64
  21. The Use of a Cocktail of Single Chain Fv Antibody Fragments to Improve the In Vitro and In Vivo Targeting of Melanoma
    MD Pacifico, R Pearl, J Kupsch. J Exp Clin Cancer Res, 2006 25(1):45-54
  22. CD44v3 levels in primary cutaneous melanoma are predictive of prognosis: assessment by the use of tissue microarray
    MD Pacifico, R Grover, P Richman, F Daley, F Buffa, GD Wilson. Int J Cancer. 2006 Mar;118(6):1460-4
  23. Nm23 as a prognostic marker in primary cutaneous melanoma: evaluation using tissue microarray in a patient group with long-term follow-up
    MD Pacifico, R Grover, P Richman, F Daley, F Buffa, GD Wilson. Melanoma Res. 2005 Oct;15(5):435-40
  24. Identification of P-cadherin in primary melanoma using a tissue microarrayer: prognostic implications in a patient cohort with long-term follow-up
    MD Pacifico, R Grover, P Richman, F Daley, F Buffa, GD Wilson. Ann Plast Surg. 2005 Sep;55(3):316-320
  25. Development of a tissue array for primary melanoma with long-term follow-up: discovering MCAM as an important prognostic marker
    MD Pacifico, R Grover, P Richman, F Daley, F Buffa, GD Wilson. Plast Reconstr Surg. 2005 Feb;115(2):367-75
  26. Validation of tissue microarray for immunohistochemical profiling of melanoma
    MD Pacifico, R Grover, P Richman, F Daley, GD Wilson. Melanoma Res. 2004 Feb;14(1):39-42
  27. Use of an early-detection strategy to improve disease control in melanoma patients
    MD Pacifico, R Grover, R Sanders. Br J Plast Surg 2004 Feb; 57 (2): 105-111
  28. Effect of imidazole on the solubility of his-tagged antibody fragments
    S Hamilton, J Odili, M Pacifico, GD Wilson, J-M Kupsch. Hybridoma and Hybridomics. 2003 Dec; 22 (6): 347-55
  29. Use of oncogene expression as an independent prognostic marker for primary melanoma
    R Grover, MD Pacifico, GD Wilson, R Sanders. Annals Plast. Surg. 2003 Feb; 50 (2): 183-187
  30. Long-term results of distal pancreatectomy for chronic pancreatitis
    RR Hutchins, RS Hart, M Pacifico, RCN Williamson. Ann Surg 2002 Nov; 236 (5): 612-8
  1. A solution to the high-riding nipple-areola complex
    BA Frenkiel, MD Pacifico, G Southwick. Accepted for publication by Aesthetic Plastic Surgery
  2. Suturing of fragile skin
    MD Pacifico, RP Teixeira, M Ritz. J Plast Reconstr Aesthet Surg. 2009 Apr 24
  3. The elliptical punch biopsy: a simple technique
    BA Frenkiel, MD Pacifico, M Ritz. J Plast Reconstr Aesthet Surg. 2009 Feb 18
  4. Keloids: when excision is the better part of valour
    D Marsh, MD Pacifico, D Gault. Plast Reconstr Surg. 2008 Apr;121(4):214e-5e
  5. Treatment of severe recalcitrant pyoderma gangrenosum with anti-TNF-α drug – Etanercept
    FJ Rogge, MD Pacifico, N Kang. J Plast Reconstr Aesthet Surg. 2008;61(4):431-3
  6. Further reporting of tibial stress fractures complicating free fibula grafts
    MD Pacifico, Floyd D, Wood SH. J Plast Reconstr Aesthet Surg. 2008;61(3):346
  7. Earlobe perforation after prolonged use of a topical corticosteroid
    F Rogge, MD Pacifico, AO Grobbelaar. J Plast Reconstr Aesthet Surg. 2007;60(1):100-1
  8. Massive haemorrhage following punch-biopsy of a longstanding ulcer
    B Rudge, N Jallali, MD Pacifico, NV Kang. J Plast Reconstr Aesthet Surg. 2007;60(9):1078-9
  9. Compartment Syndrome as a result of intramuscular anabolic steroid injection
    M Akhavani, MD Pacifico, NV Kang. Injury Extra 2006 37:407-8
  10. Mustard burns to the index finger
    B Rudge, MD Pacifico, N Jallali, AO Grobbelaar. BMJ “Minerva” section. 2005 3rd Dec 331:1348
  11. Tibial stress fracture as a complication of free-fibula vascularised graft for mandibular reconstruction
    MD Pacifico, Floyd D, Wood SH. Br J Plas Surg. 2003 Nov; 56 (8): 832-834
  12. Demonstrating in the light of MRCS
    M Pacifico. Surgery 1999 May; 17: 5
  1. Aesthetic breast contouring using autologous fat: a note of caution.
    RA Pearl, S Leedham, MD Pacifico
    Presented at the British Association of Aesthetic Plastic Surgeons Annual Meeting, Royal College of Physicians, September 2011
  2. Autologous fat grafting to the breast – lessons from stem cell biology.
    MD Pacifico, RA Pearl, S Leedham
    Presented at the British Association of Plastic, Reconstructive and Aesthetic Surgeons Annual Meeting, Royal College of Surgeons of England, December 2011
  3. Where is Breast Reconstruction Headed in the UK? Urgent Rethink for the Future of our Specialty
    MD Pacifico, E Sassoon, ME Jones, C Nduka, RW Smith. Winter BAPRAS scientific meeting, 2-4 December 2009, Royal College of Surgeons, London, UK
  4. Concepts in surgery on the tuberous breast.
    A Greensmith, MD Pacifico, NV Kang. 8th Advanced Plastic Surgery Workshop, 2nd- 6th February 2009, Melbourne, Australia
  5. Our early experience with the Quill SRS.
    MD Pacifico, S Mahendru, G Southwick, M Ritz. The Australian Society of Plastic Surgeons biannual meeting, 2nd-5th October 2008, Broadbeach, Gold Coast, Australia
  6. DIEP perforator mapping using VoNavix 3-D software – the future of flap planning?
    M See, MD Pacifico, N Cavale, J Collyer, M Jones, A Hazari, J Boorman, RW Smith. The British Association of Plastic, Reconstructive & Aesthetic Surgeons Summer meeting, 9th-11th July 2008, Liverpool, UK
  7. Pre-operative planning for DIEP breast reconstruction: early results in the use of CT-angiography with VoNavix 3D software for perforator navigation.
    M See, MD Pacifico, N Cavale, J Collyer, M Jones, A Hazari, J Boorman, RW Smith. International symposium on plastic surgery, 25th-28th June 2008, Bologna, Italy
  8. Stratification of risk in Melanoma Patients in the basis of MCAM Expression: Implications for Sentinel Node Biopsy.
    RA Pearl, MD Pacifico, FM Daley, F Buffa, P Barber, B Vojnovic, PI Richman and R Grover, British Association of Plastic Surgeons Winter Meeting, 30th November, 1-2 December 2005. The Royal College of Surgeons, London
  9. A novel pathophysiological classification of the tuberous breast: justification and surgical application.MD Pacifico, NV Kang. The British Association of Aesthetic Plastic Surgeons 2005, The Royal College of Physicians, London
  10. The role of P-cadherin expression in melanoma progression and its relevance to patient outcome.
    RA Pearl, MD Pacifico, FM Daley, F Buffa, PI Richman, R Grover. The 9th European Conference of Scientists and Plastic Surgeons, Leuven, Belgium, 16th – 17th September 2005
  11. Identification of MCAM as a prognostic marker in melanoma by tissue array.
    MD Pacifico, R Grover, P Richman, F Daley, F Buffa, J Kupsch, R Sanders, GD Wilson. The 7th European Conference of Scientists and Plastic Surgeons, Geneva, Switzerland. 19th -20th September 2003
  12. Melanoma targeting with a cocktail of single chain Fvs to distinct determinants on human melanoma.
    MD Pacifico, NV Kang, J Odili, J-M Kupsch, R Sanders. The 15th European Immunology Conference, Rhodes, Greece. 9th – 13th June 2003
  13. Use of a cocktail of single chain Fvs to target distinct determinants on human melanoma.
    MD Pacifico, NV Kang, J Odili, J-M Kupsch, R Sanders. The 3rd Research Meeting on Melanoma, Milan, Italy. 26th -28th May 2003
  14. An early detection strategy to improve the survival of melanoma patients.
    MD Pacifico, R Grover, R Sanders. The 3rd Research Meeting on Melanoma, Milan. 26th -28th May 2003
  15. Improving survival in melanoma: long-term evaluation of an early detection clinic reviewing 4399 patients.
    MD Pacifico, R Grover, R Sanders. Winter BAPS 2002. The Royal College of Surgeons of England, November 2002
  16. Improving the survival in melanoma with an early detection clinic.
    M Pacifico, R Grover, R Sanders. The 6th European Conference of Scientists and Plastic Surgeons. Vienna, 27th – 28th September 2002
  17. Long-term results of distal pancreatectomy for chronic pancreatitis.
    R Hutchins, RS Hart, M Pacifico, RCN Williamson. The Association of Surgeons of Great Britain & Ireland meeting, Birmingham, 2001
  1. Cell Adhesion Molecule Expression in Melanoma Progression – The Staging System of the Future?
    MD Pacifico, RA Pearl, G Wilson. Chapter in “Progress in Skin Cancer Research”, part of the “Horizons in Cancer Research” series; Nova Science Publishers, Inc. 2007 (VL Heinz Editor); pp.105-124
  2. Hypospadias Correction: 1 or 2 stages?
    NV Kang, MD Pacifico. Chapter in “Evidence for Plastic Surgery”, TFM Publishing Ltd. 2007 (Chris Stone Editor); pp.159-169
  1. The role of P-cadherin expression in melanoma progression and its relevance to patient outcome. RA Pearl, MD Pacifico, FM Daley, F Buffa, PI Richman, R Grover. J Plast Reconstr Aesthet Surg. 2006 Sep; 59 (9): S2-S3
  2. Identification of MCAM as a prognostic marker in melanoma by tissue array.
    MD Pacifico, R Grover, P Richman, F Daley, F Buffa, J Kupsch, R Sanders, GD Wilson. The European Journal of Plastic Surgery 2005
  3. Use of a cocktail of single chain Fvs to target distinct determinants on human melanoma.
    MD Pacifico, NV Kang, J Odili, J-M Kupsch, R Sanders. Melanoma Research 2004
  4. An early detection strategy to improve the survival of melanoma patients.
    MD Pacifico, R Grover, R Sanders. Melanoma Research. 14(2):S29-S29, April 2004
  5. Melanoma targeting with a cocktail of single chain Fvs to distinct determinants on human melanoma.
    MD Pacifico, NV Kang, J Odili, J-M Kupsch, R Sanders. Immunology Letters 2003 June; 87 (1-3): 207
  6. Improving the survival in melanoma with an early detection clinic.
    MD Pacifico, R Grover, R Sanders. Accepted for publication in the European Journal of Plastic Surgery
  7. Long-term results of distal pancreatectomy for chronic pancreatitis.
    RR Hutchins, RS Hart, M Pacifico, RCN Williamson. British Journal of Surgery (88), suppl.1. 2001, p58

Client Testimonial

My decision to have breast reduction surgery has been a life changing experience for me, as for the last two years I had noticed that my breasts were getting larger (even though I had lost over a stone in weight) and one noticeably more than the other.  This was having…read more

Liz I - Breast reduction

Having surgery is something I've wanted and been considering for a number of years.  When I decided to finally bite the bullet, I had to start looking for a suitable surgeon.  After doing some research and speaking to a number of sources, I had Marc Pacifico recommended.  Marc made me…read more

Jessica T - Correction of Tuberous breasts

A year has gone by since my Breast Implant Surgery and I would like to say a big thank you to Marc who has totally changed my life.  I wouldn't hesitate in recommending Marc as my experience from the very first Consultation to my last aftercare appointment was superb.  Marc…read more

Lauren H - Breast enlargement

The results of 2 children and breast feeding.  My breasts were a 34B and very empty with a bit of a droop, and I wanted to have back what I was like when I was breast feeding (a full C cup).  Mr Pacifico advised me to have an uplift as…read more

Nicky - Breast uplift and augmentation

You have really transformed my life and I am very grateful to you and you are now officially my hero.

MS - Breast Augmentation

The whole team: from the amazing secretary to the super duper Mr Marc Pacifico.  I had life changing breast enhancement done at the Spire Hospital Tunbridge Wells.  The team there were great too but from the initial consultation right through to the after care, Marc and his team have been…read more

Lorraine B - Breast enlargement

From my first consultation with Marc I felt I would be in safe hands and I have been.  I had a full abdominoplasty along with breast augmentation-mastopexy at the same time.  I returned to work three weeks after the operation.  My breasts look and feel completely natural, I actually forget…read more

Vanessa P - Augmentation-mastopexy (breast lift and enlargement) and abdominoplasty (tummy-tuck)

My operation was very successful and was exactly what I wanted.  I found Mr Pacifico to be very professional, competent and understanding.  Mrs Ireson was very efficient, friendly and pleasant, and the nursing staff kind, attentive and helpful.

Mr P - Gynaecomastia surgery

From the moment I walked in for my first consultation Mr Pacifico made me feel at ease with his friendly and professional manner, telling me about the pros and cons of what I was to expect during surgery.  I was confident I had chosen the right surgeon and I was right :)…read more

Polly M - Rhinoplasty (nose job)

I would say to anyone who is considering surgery - Do it now! Marc Pacifico was recommended to me by a friend who had recently undergone breast surgery.  Having breast fed two children over twenty years ago, my breasts had sagged considerably and age had not helped.  After reading through Marc…read more

Tracey A - Breast Lift (Mastopexy)

I could not have hoped for a better result, and I am surprised at how quickly everything healed without any problems at all.  I am so happy that my breasts now look just as they did before I breast fed three children, and they look and feel natural.  I feel…read more

MS - Breast augmentation

He's been fabulous from start fo finish - great to deal with, professional but also really approachable.  He's clearly a very talented surgeon and I'm really really pleased with the end result - everything I wear feels so much nicer and fits so much better.  I haven't had to buy…read more

Mrs T B - Augmentation-Mastopexy

A couple of years ago my health hit a bump in the road.  Anyway without boring you with the details, I'd gained weight and was left feeling frumpy, bumpy and lumpy and inside I was miserable!  I had to do something about it and so started researching my options.  With my…read more

Mrs P - Liposuction to thighs and upper blepharoplasty

I have rated Mr Marc Pacifico as above because of the overall excellent experience and result. I located him through internet research. The whole experience from my first consultation to the post operative appointments have been excellent. I found Mr Marc Pacifico very professional and friendly. He explained the procedure…read more

BD - Abdominoplasty

I researched on the net (which is why I thought it important to write a review so others can share my experience) and then attended one of his information evenings. I had the surgery at The Spire Hospital in Tunbridge Wells. I have written a diary of my experience which…read more

JD - Neck lift

My wife had her "bingo wings" done on 10/12/12 by Mr Pacifico at the Chaucer Hospital (Canterbury).  The appointment before where all things are explained, the care during the operation and  the care after surgery was top class! I would highly recommend Marc Pacifico for this operation - full marks…read more

MS - Brachioplasty

I found him on the Internet after extensive research into the best surgeon within the south of England. I was willing to travel anywhere to get the best care. After all elective or not surgery is a big decision. I was very lucky to come across him. From start to…read more

Highly recommended - Breast Augmentation

I contacted the McIndoe Surgical Centre due to it's excellent reputation and experience in plastic surgery. Mr Pacifico was put forward by them as the right surgeon to discuss a complex nose problem. Nose Reconstruction (Open septorhinoplasty & Tutorplast graft) After two NHS operations on my nose by ENT surgeons…read more

JC

I met with Mr Pacifico to find out about the procedure. He was very honest and caring from the first consultation, explained everything there was to know and made me feel very at ease. The procedure was as I expected, and the after care was amazing. With all the advise,…read more

Win

I decided a couple of years ago to enter the, what I thought, unreal world of cosmetic surgery.  I have never had a tattoo, my ears pierced or anything else I would shudder at - so how desperate was I when I signed up for a lower face and neck…read more

Jane