Mr Aditya Manjunath - Urology

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GMC Number: 6147240

Year of first qualification: 2006, Cardiff University

Speciality: Urology

Clinical interests: Penile Cancer and Genitourethral Reconstruction

Secretary: Warsame Said

Telephone: 0117 414 5004

Mr Manjunath completed his higher surgical training in Urology in the South West of England.  He completed a post CCT fellowship in Andrology and Genitourethral Reconstruction at St George's Hospitals NHS Foundation Trust, London (2016-2018).

He was appointed Locum Consultant at the Royal United Hospital, Bath from April 2018 to December 2018 and subsequently appointed to the Bristol Urological Institute.

Mr Manjunath has a particular interest clinically and academically in the management of penile cancer and urethral stricture disease including urethroplasty. In addition he is able to assess and manage general urological conditions.

He is a Fellow of the Royal College of Surgeons of England and a full member of the British Association of Urological Surgeons (BAUS).
 

 

Manjunath

Miss Philippa Jackson - Plastic Surgery

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GMC Number: 6143070

Year of first qualification: 2006, London

Speciality: Plastic Surgery

Clinical interests: Microsurgical breast reconstruction

Secretary: Andrea Thompson

Telephone: 0117 4147626

Dr Philippa Jackson joined the Trust in November 2018 as a Consultant Plastic Surgeon with specialist interest in Breast Reconstruction.  She completed a prestigious cross-specialty fellowship in Oncoplastic Surgery and a microsurgical breast reconstruction fellowship prior to taking up her post.

Jackson

Mr Angelo Pichierri - Neurosurgery

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GMC Number: 7464349    

Year of first qualification: 2009, University of Rome Sapienza

Speciality: Neurosurgery 

Angelo Pichierri Consultant photo

Clinical interests: Epilepsy surgery, neuro-oncology

Secretary: Ms Katie Ball

Telephone: 0117 414 6708

Italy-trained Neurosurgeon, born in 1980, CCT equivalent completed in 2009.
2009-2012 PhD in Clinical Neurosciences on dye-guided resection of intrinsic brain lesions.
Moved to the UK in 2014 and joined the Specialist Register (Surgical Neurology, no. 7464349).
2014 Endoscopic Pituitary and skull base Fellow at the QEH NHS Foundation Trust, Birmingham
2015  Minimally invasive spine surgery Fellow at the QEH NHS Foundation Trust, Birmingham
2016 -2017 RCS Senior Clinical Fellowship in Neuro-oncology
2017- 2018 Senior Epilepsy Fellow in Southmead Hospital and in the internationally renowned Centre of Epilepsy Surgery “C. Munari”, Milan, Italy.
Consultant Neurosurgeon at NBT since December 2018, with a special interest in Epilepsy Surgery and Neuro-oncology.

Patient's feedback can be left at: http://iwgc.net/ejxha

Pichierri

Dr Anna Bibby - Respiratory Medicine

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GMC Number: 6120268

Anna Bibby consultant image

Year of first qualification: University of Bristol, 2005

Speciality: Respiratory Medicine 

Clinical interest: Lung cancer, mesothelioma, pleural disease, clinical trials & research

Secretary: Tracey Ayshford 

Telephone: 0117 414 2016 

Email: Respiratoryadmin@nbt.nhs.uk 

Dr Anna Bibby was appointed in 2018, having completed her speciality training in respiratory medicine and general internal medicine in the Severn Deanery in 2015. As well as a brief period working for Medicins sans Frontieres (MSF) in Mozambique, she spent three years working towards a PhD in mesothelioma at the University of Bristol. She maintains an active interest in clinical research, and holds a personal NIHR research fellowship with the University that allows her to run several mesothelioma trails alongside her clinical commitments. 

She is co-lead for Lung Cancer Services at North Bristol NHS Trust, and sits on the steering committee for the British Lung Foundation Mesothelioma Research Network. She ran the Europian Respiratory Society Taskforce on Malignant Pleural Effusions and is a member of the 2018 British Thoracic Society Pleural Disease Guideline group.  She sits on the faculty for the British Thoracic Society thoracic ultrasound training course and the European Respiratory Society ultrasound and pleural procedure courses.

Bibby

Dr Rahul Bhatnagar - Respiratory Medicine

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GMC Number: 6102725

Year of first qualification: University of Bristol, 2004

Speciality: Respiratory Medicine

Clinical interests: Pleural disease, respiratory infection, respiratory intervention, thoracic ultrasound, academic medicine

Secretary: Rachael Tucker 

Telephone: 0117 414 2016

Email: Respiratoryadmin@nbt.nhs.uk

Dr Rahul Bhatnagar was appointed as a Consultant Respiratory Physician at North Bristol NHS Trust in 2018. He has an interest in pleural disease and clinical education and acts as organiser and senior faculty for the European Respiratory Society and British Thoracic Society courses. 

 

Bhatnagar

Dr Gauhar Malik - Stroke Medicine

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GMC Number: 7015012

Year & location of first qualification: 2008 Cardiff Medical School

Speciality: Neurology

Clinical interests: Stroke, headache, epilepsy, Parkinson’s disease, Multiple Sclerosis.

Secretary: Jan Duggan

Telephone number: 0117 414 6698

Dr Gauhar Malik is a Consultant Neurologist with specialist interest in Stroke Medicine. He is a member of the Association of British Neurologists (ABN) and Bristish Association
of Stroke Physicians (BASP).

Malik

Miss Jessica Preshaw - Gynaecology

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GMC Number: 6145658

Year of first qualification: 2006

Speciality: Gynaecology

Clinical interests: Benign gynaecology, endometriosis, laparoscopic surgery

Secretary: Alison Hodges

Telephone: 01174 146748

Miss Jessica Preshaw qualified in 2006 from the University of Bristol  and has been working in Gynaecology since 2010. She was appointed consultant at North Bristol NHS Trust 2018.

Jessica's areas of interest include benign gynaecology, advanced laparoscopic (key hole) and hysteroscopic (womb cavity) surgery, gynaecological ultrasound and endometriosis. She was awarded one of only five posts nationally in advanced laparoscopic surgery, which she completed at Southmead Hospital. This equipped her with expertise to manage all benign gynaecological conditions through laparoscopic surgery and she continues to work within the Southmead Endometriosis Centre. Jessica has published and presented (nationally and internationally) on many topics related to ultrasound and laparoscopic education. She is keenly involved in research and teaching (both at undergraduate and post graduate level) and is active within the British Society for Gynaecological Endoscopy.

Personally Jessica is committed to collaborating at the highest level with both patients and colleagues to provide excellent patient-centred care and promote women's health.

Preshaw

Dr Georgina Russell - Diabetes & Endocrinology

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GMC Number: 4714790

Year of first qualification: 2000

Specialty: Diabetes and Endocrinology

Clinical interests: General diabetes and endocrinology, subspecialty interest in thyroid, parathyroid, pituitary and adrenal disease 

Secretary: Karen Webley

Telephone: 0117 414 6421

Senior Clinical Research Fellow, University of Bristol, research interest in glucocorticoid replacement therapy and endocrine hormone dynamics.

Russell

Acne scarring

Regular Off Off

Fractionated CO2 laser for acne scarring 

Fractionated laser treatment has become the most popular treatment for acne scarring. The aim is to improve the skin texture and appearance of acne scarring.

How does fractionated CO2 laser work?

The laser beam from a CO2 laser is divided up (fractionated) into thousands of very narrow shafts of light which make tiny holes in the surface of the skin.

As the skin heals, new healthy collagen forms which tightens the skin and smooths the acne scars.

How much improvement can I expect?

Studies have show 30-50% improvement in acne scarring from a single treatment, but results vary between individuals.

This treatment is not suitable for thick keloid scars and may not make much difference to deep ice-pick scars.

How many treatments will I need?

One to three treatment sessions may be required, with six months between sessions.

In the first session a small area will be treated to make sure it is safe and effective for you.

What does the procedure involve?

You will be asked to attend an hour before your treatment. 

The laser nurse will put a numbing cream on which will take about an hour to work. 

During treatment the laser feels uncomfortable, and some people describe it as painful. The numbing cream will help reduce the discomfort and a stream of cold air may be blown across the skin which also helps.

You may find it helpful to take paracetamol or ibuprofen before you leave home.

The procedure itself will take about half an hour.

You will be provided with laser proof goggles or patches to protect your eyes.

What happens after treatment?

Your skin will look and feel like moderate sunburn. It may be swollen and slightly oozy for 24 hours. After this the skin surface will peel for three to seven days.

The skin will heal in about seven days and may look pink for another three to six weeks. You can use makeup to cover it as soon as the skin has healed.

You should be prepared to take a week off work, contact sports, and swimming.

You will be given a detailed leaflet about how to look after your skin after the laser treatment.

When will I see improvement?

Improvement in scars can be seen from a week after treatment, but the skin texture can continue to improve for three to six months. 

What are the possible side-effects?

Lightening or darkening of skin pigmentation can happen after CO2 laser treatment. This is usually temporary but can be permanent. Darkening of the skin is more common in darker skin types and can sometimes be treated with topical bleaching creams.

Scarring can happen after CO2 laser treatment but this is uncommon.

A flare-up of acne spots or white bumps (milia) can happen on the skin surface.

Infection after CO2 laser treatment is possible but uncommon. If you have a history of cold sores you may be prescribed anti-viral medication to take before treatment to prevent a flare-up of the cold sore virus.

Who is not suitable for treatment?

You may not be suitable for this treatment if:

  • You are on warfarin.
  • You are on Roaccutane (isotretinon) or have taken it within the past 12 months.
  • You are on oral steroids.
  • You have an active facial or skin infection, including cold sores.
  • You are pregnant or breastfeeding.
  • You are sun-tanned or have a fake tan.
  • You have very dark skin.
  • You have active acne spots.

How do I book in? 

A consultation with our specialist doctor or consultant dermatologist is always required before treatment and costs £120.

Fractionated CO2 laser treatment will cost £350 for a test area and £950 per session for facial treatment.

If you have any questions or would like to arrange a consultation, please phone us on 0117 414 1212.

Or fill in our online form: Contact Bristol Laser Centre

© North Bristol NHS Trust. This edition published March 2025. Review due March 2028. NBT003197

Contact Bristol Laser Centre

If you are already attending the Laser Centre, please phone 0117 414 1212.

If you are a new patient, would like to get on our waiting list, or have any queries please use our Contact form or phone us on 0117 414 1212.