Professor Charles Malata

Visiting Professor

Faculty:Faculty of Medical Science

Department:School of Medicine

Location: Chelmsford

Professor Malata’s focus is on breast reconstruction after mastectomy for cancer, using the patient’s own tissues or implants with special interest in microvascular surgery. He also specialises in revision cosmetic breast implant surgery and gynaecomastia correction.

www.cambridgeshirecosmeticsurgery.com

Background

After graduating from the University of Zambia Medical School, Professor Malata underwent general surgical training on the Newcastle & Leeds University Hospital Rotations. He was then a Research Registrar at Bradford University Plastic Surgery Research Unit (1991-4). His clinical training in plastic surgery took place in Leeds, Newcastle and Canniesburn (Glasgow). He then took up substantive superspecialty fellowships in breast and cosmetic surgery in the USA at Georgetown (Washington DC) and Emory University Hospitals in Atlanta (1998-9).

As well as being a member of the team at the School of Medicine, Professor Malata is Consultant Plastic Surgeon in the Department of Plastic & Reconstructive Surgery and Cambridge Breast Unit, at Addenbrooke’s Hospital, Cambridge.

Professor Malata has a long-standing interest in surgical research. Following three years in a research laboratory he has pursued an active academic and clinical research interest with more than 200 publications, including 28 invited book chapters and review articles and over 125 peer-reviewed PubMed [CM1] papers. He was President of the European Society for Surgical Research (ESSR) from 2011-2013 having joined the ESSR in 1996, becoming a Board Member in 2006 and serving as Secretary General between 2009-2011. He is Associate Editor for Reconstructive and Plastic Surgery (Frontiers of Surgery), an editorial board member of European Surgical Research and a reviewer for multiple journals. He supervises research projects for PhD students, residents and medical students. He currently has 110 international and 120 national scientific presentations in addition to over 40 invited lectures.

Spoken Languages

  • English
  • Chibemba (Zambian)

Research interests

  • Optimising outcomes and reducing donor and recipient site morbidity of mastectomy and immediate breast reconstruction
  • Patient-reported and clinician-reported outcome measures in aesthetic surgery and reconstructive breast surgery
  • Oncological and aesthetic outcomes of immediate breast reconstruction after mastectomy for cancer: a 20-year tertiary referral centre experience. Trends in oncoplastic surgical procedures over the last ten years (2008-2018)
  • Investigating unipedicled and bipedicled DIEP free flap perforasome vascular anatomy and physiology

Areas of research supervision

  • Mr Roshan FRCS (Plast)– awarded 2017: Regulation of human epidermal stem cells in wound healing
  • Miss Mohan FRCS – in preparation 2018: Understanding anatomical perfusion and strategies to optimize vascularity in free tissue transfer for autologous breast reconstruction using the Deep Inferior Epigastric Artery Perforator (DIEP) flap
  • MPhil 1: Dr Elsheshtawy – applicant 2018-2020: Oncological and Aesthetic Outcomes of Immediate Breast Reconstruction after Mastectomy for Cancer: a 20-year Tertiary Referral Centre Experience. Trends in oncoplastic surgical procedures between 2008-2018)

Teaching

  • Supervision of local and elective medical student research projects and Medical Student Selected Components (SSC)

Qualifications

  • Certificate in Breast and Cosmetic Surgery, Emory University Hospital, Atlanta, GA, USA, 1999
  • Certificate in Breast & Cosmetic Surgery, Georgetown University Medical Center, Washington DC, USA, 1998
  • FRCS (Plastic Surgery), Intercollegiate Board of Royal Colleges of Surgeons, UK, 1997
  • FRCS (Glasgow), Royal College of Physicians and Surgeons of Glasgow, 1990
  • MRCS, LRCP (London), Royal College of Physicians (London) & Royal College of Surgeons, 1988
  • PLAB (Professional & Linguistic Assessments Board) test, General Medical Council, London, 1987
  • MBChB Medical Degree, University of Zambia Medical School, 1984
  • BSc (Human Biology) with Distinction, University of Zambia Medical School, 1981

Memberships, editorial boards

Memberships
  • American Society of University Surgeons (SUS), Honorary Member since 2014
  • International Society of Aesthetic Plastic Surgeons (ISAPS), Full member since 2010
  • British Association of Plastic Surgeons (BAPRAS), Full member since 2000
  • UK Association of Aesthetic Plastic Surgeons (UKAAPS), Founding member since 2010
  • Surgical Research Society of Southern Africa (SRS-SA), Overseas Member since 2010
  • British Association of Head and Neck Oncologists (BAHNO), Member, 1999-2006
  • Maurice Jurkiewicz Plastic Surgical Society (Emory Alumni), Member since 1999
  • European Society for Surgical Research (ESSR), Member since 1996
  • Society of Academic and Research Surgeons (SARS UK),Member since 1992
Editorial boards

Associate EditorFrontiers in Plastic & Reconstructive Surgery, 2014–present

Editorial Board Member, European Surgical Research, 2010–present

Reviewer (ad hoc positions): 

  • Journal of Plastic Reconstructive & Aesthetic Plastic Surgery, 2003–present
  • Annals of Plastic Surgery, 2008–present
  • Journal of Wound Care, 2008–present
  • International Journal of Surgery, 2009–present
  • British Journal of Surgery, 2010–present
  • Aesthetic Plastic Surgery Journal, 2012–present
  • Annals of Surgical Oncology, 2017–present
Committee work (national and international)
  • President of the European Society for Surgical Research (ESSR), 2011–2013
  • ESSR General Secretary, 2009–11, organising the society, yearly meetings and Fellowship Awards
  • ESSR Board Member, 2006–9, Board formulates policy and implements executive decisions
  • Editorial Board Member, European Surgical Research Journal, 2011-present
  • Honorary Member, Department of Health Subcommittee on Breast Implant Safety, December 1992
  • Co-opted Member, British Standards Institution Technical Committee (Surgical Implants International) working on Establishing Standards for Breast Implants, November 1992–January 1994

Research grants, consultancy, knowledge exchange

Professor Malata's two PhD research registrars obtained the following grants:

  • 2010-2011: Royal College of Surgeons Research Fellowship Fund: £40,000; tenable for one year
  • 2011–2013: Cambridge Cancer Centre Clinical Research Fellowship: £180,000; tenable for three years
  • 2013-2016: RAFT – London Research Fellowship: £120,000; tenable for three years

Selected recent publications

Professor Malata’s peer-reviewed publications can be accessed through Malata PubMed Publications.

Malata, C.M., McIntosh, S.A. and Purushotham, A.D., 2000. Immediate breast reconstruction after mastectomy for cancer. BJS, 87(11), pp.1455-1472.

Malata, C.M. and Rabey, N.G., 2015. Decision making in double-pedicled DIEP and SIEA abdominal free flap breast reconstructions: an algorithmic approach and comprehensive classification. Frontiers in Surgery, 2, p.49.

Fruhstorfer, B.H. and Malata, C.M., 2003. A systematic approach to the surgical treatment of gynaecomastia. British Journal of Plastic Surgery, 56(3), pp.237-246.

Malata, C.M., Feldberg, L., Coleman, D.J., Foo, I.T. and Sharpe, D.T., 1997. Textured or smooth implants for breast augmentation? Three-year follow-up of a prospective randomised controlled trial. British Journal of Plastic Surgery, 50(2), pp.99-105.

Hodgson, E.L., Fruhstorfer, B.H. and Malata, C.M., 2005. Ultrasonic liposuction in the treatment of gynecomastia. Plastic and Reconstructive Surgery, 116(2), pp.646-653.

Weiler-Mithoff, E., Hodgson, E.L. and Malata, C.M., 2002. Perforator flap breast reconstruction. Breast Disease, 16(1), pp.93-106.

Malata, C.M., Moses, M., Mickute, Z. and Di Candia, M., 2011. Tips for successful microvascular abdominal flap breast reconstruction utilizing the “total rib preservation” technique for internal mammary vessel exposure. Annals of Plastic Surgery, 66(1), pp.36-42.

Karthikesalingam, A., Kitcat, M. and Malata, C.M., 2011. Abdominoplasty in patients with and without pre-existing scars: a retrospective comparison. Journal of Plastic, Reconstructive & Aesthetic Surgery, 64(3), pp.369-374.

Malata, C.M. and Abood, A., 2009. Experience with cortical tunnel fixation in endoscopic brow lift: the “bevel and slide” modification. International Journal of Surgery, 7(6), pp.510-515.

Wong, K.Y. and Malata, C.M., 2014. Conventional versus ultrasound-assisted liposuction in gynaecomastia surgery: a 13-year review. Journal of Plastic, Reconstructive & Aesthetic Surgery, 67(7), pp.921-926.

Qian, S.Y. and Malata, C.M., 2014. Avoiding pitfalls in open augmentation rhinoplasty with autologous L-shaped costal cartilage strut grafts for saddle nose collapse due to autoimmune disease: the Cambridge experience. Journal of Plastic, Reconstructive & Aesthetic Surgery, 67(8), pp. e195-e203.

Rizki, H., Nkonde, C., Ching, R.C., Kumiponjera, D. and Malata, C.M., 2013. Plastic surgical management of the contralateral breast in post-mastectomy breast reconstruction. International Journal of Surgery, 11(9), pp.767-772.

Kitcat, M., Molina, A., Meldon, C., Darhouse, N., Clibbon, J. and Malata, C.M., 2012. A simple algorithm for immediate postmastectomy reconstruction of the small breast — A single surgeon's 10-year experience. Eplasty, 12 : e55. Epub 2012 Dec 10.

Fruhstorfer, B.H., Hodgson, E.L. and Malata, C.M., 2004. Early experience with an anatomical soft cohesive silicone gel prosthesis in cosmetic and reconstructive breast implant surgery. Annals of Plastic Surgery, 53(6), pp.536-542.

Hsieh, F., Kumiponjera, D. and Malata, C.M., 2009. An algorithmic approach to abdominal flap breast reconstruction in patients with pre-existing scars–results from a single surgeon's experience. Journal of Plastic, Reconstructive & Aesthetic Surgery, 62(12), pp.1650-1660.

Azzawi, K., Ismail, A., Earl, H., Forouhi, P. and Malata, C.M., 2010. Influence of neoadjuvant chemotherapy on outcomes of immediate breast reconstruction. Plastic and Reconstructive Surgery, 126(1), pp.1-11.

Miyagi, K., Di Candia, M., Patel, A.J. and Malata, C.M., 2016. Avoiding Pitfalls in Microvascular Breast Reconstruction. In Breast Reconstruction (pp. 571-592). Springer, Cham.

Ball, J.F., Sheena, Y., Saleh, D.M.T., Forouhi, P., Benyon, S.L., Irwin, M.S. and Malata, C.M., 2017. A direct comparison of porcine (Strattice™) and bovine (Surgimend™) acellular dermal matrices in implant-based immediate breast reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery, 70(8), pp.1076-1082.

Rosich-Medina, A., Bouloumpasis, S., Di Candia, M. and Malata, C.M., 2015. Total ‘rib’-preservation technique of internal mammary vessel exposure for free flap breast reconstruction: A 5-year prospective cohort study and instructional video. Annals of Medicine and Surgery, 4(3), pp.293-300.

Hunter, J.E. and Malata, C.M., 2007. Refinements of the LeJour vertical mammaplasty skin pattern for skin-sparing mastectomy and immediate breast reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery, 60(5), pp.471-481.

Recent presentations and conferences

Invited lectures (2013-2018)

Free Flap Breast Reconstruction: Overview & Recent Advances. Travelling Surgical Society of Great Britain and Ireland, Trinity Hall, University of Cambridge, Cambridge UK, 15 September 2017.

Complex abdominal wall reconstruction: role of the plastic surgeon. Cambridge Abdominal Wall Reconstruction Symposium, Girton College, Cambridge, UK, 1 June 2017.

Introduction to fat grafting in breast surgery. Regional Aesthetic Surgery Training Day , Deakin Centre, Addenbrooke’s Hospital, Cambridge, UK, May 16, 2017.

Arm Lifts & Arm Reduction After Massive Weight Loss. BAAPS Regional Aesthetic Training Day: Breast & Body Contouring, Girton College, Cambridge, UK, 23 September 2015.

Thigh Lifts & Thigh Reductions After Massive Weight Loss. BAAPS Regional Aesthetic Training Day: Breast & Body Contouring, Girton College, Cambridge, UK, 23 September 2015.

Complex abdominal wall reconstruction – synergy between abdominal and plastic surgeons. Invited Faculty – Royal Society of Medicine Coloproctology Section. Teaching Day, Cancer Research UK Cambridge Institute, Li Ka Shing Center, Cambridge. 27 February 2015.

Revision augmentation-mastopexy post-cosmetic tourism: Cases I wish I had never done. Invited Faculty: Reconstructive & Aesthetic Breast Surgery Conference RABS 2013 Controversies & Technical Challenges, Postgraduate Medical Institute Anglia Ruskin University, Chelmsford, UK. Nov 4-5, 2013.

Liposuction and Direct Lipectomy in the Treatment of Gynaecomastia. Invited Faculty: Breast Reduction, Mastopexy and Management of Breast Asymmetry Course, The Royal College of Surgeons of England, London, UK, 2 October 2013.

Optimising Outcomes in Abdominal Flap Breast Reconstruction and Strategies for Reducing Free Flap Recipient & Donor Site Morbidity – Experience from Cambridge. International Speaker at the 62nd Congress of the Italian Society of Plastic & Reconstructive Surgery – SICPRE, Bari, Italy, 29 September 2013.

Reducing Recipient & Donor Site Morbidity in Microvascular Breast Reconstruction: Experience from the Cambridge Breast Unit. International Speaker: Surgical Research Society of Southern Africa - 41st Annual Meeting, Pretoria, South Africa, 3–5 July 2013.

Male Cosmetic Breast Disorders – An Algorithmic Approach. Advanced Educational Courses in Plastic Surgery, BAPRAS International Meeting. Cosmetic Breast Surgery, Manchester, UK, 15–16 April 2013.

International Conferences (2016-2018)

DIEP Free Flap Breast Reconstruction: Review of Impact of Surgical Procedure on Donor Site Morbidity. Tomouk T, Mohan AT, Azizi A, Conci E, Brickley E, Malata CM. American Society of University Surgeons 2016 Meeting, 3 February, Jacksonville Florida, USA.

Procedure Type, Post-op Pain, Recovery and Clinical Outcomes in DIEP Flap Breast Reconstruction.  Azizi A, Mohan AT, Tomouk T, Conci E, Brickley E, Malata CM. American Society of University Surgeons 2016 Meeting 3rd February, Jacksonville Florida, USA.

A comparison of patient satisfaction (using the Breast-Q questionnaire) with bilateral breast reconstruction following risk-reducing or therapeutic mastectomy. Kazzazi F, Haggie R, Kazzazi F, Forouhi P, Wyld L, Kazzazi N, Malata CM. 51st Congress of the European Society for Surgical Research, May 25–28, 2016. YOUNG RESEARCHER AWARD SESSION Prague, Czech Republic.

Global perspectives on rhinoplasty exposure amongst plastic surgery trainees. e-Poster presentation. Esparza I, Kain N, Malata CM. 51st Congress of the European Society for Surgical Research, May 25–28, 2016. Prague, Czech Republic.

Nipple Sparing Mastectomy and Immediate Implant Reconstruction using the Hemi-Y incision: Technique, Indications and Pitfalls. Full oral presentation. Nabulyato WM, Hariparsard S, Malata CM, Forouhi P. 51st Congress of the European Society for Surgical Research, May 25–28, 2016. Prague, Czech Republic.

Comparison of Strattice and Surgimend Acellular Dermal Matrix in Implant Based Breast Reconstruction. Ball J, Tarek D, Sheena Y, Forouhi P, Benyon SL, Irwin MS, Malata CM. 51st Congress of the European Society for Surgical Research, May 25–28, 2016. Prague, Czech Republic.

Intraoperative blood loss and perioperative transfusion requirements in autologous free flap breast reconstruction: A study of predictive factors. Conci E, Khatib M, Barakat MF, Forouhi P, Malata CM. Full oral presentation. 51st Congress of the European Society for Surgical Research, May 25–28, 2016, Prague, Czech Republic.

Marking clips for tumour-bed localization as a cause of chronic sinus formation and pain after breast conservation surgery for cancer: A case series of 4 patients. e-Poster presentation. Rossi SH, Malata CM, Forouhi P. 51st Congress of the European Society for Surgical Research, May 25–28, 2016. Prague, Czech Republic.

DIEP free flap breast reconstruction: review of impact of surgical procedure on donor site morbidity. Tomouk T, Mohan AT, Azizi A, Conci E, Brickley EB, Malata CM. Burns & Plastic Surgery Section of Society of Academic and Research Surgery 2016 Meeting 7th January 2016, London, UK

Procedure type, postoperative pain and early morbidity in deep inferior epigastric artery perforator (DIEP) flap breast reconstructions. Azizi A, Tomouk T, Conci E, Brickley EB, Mohan AT, Malata CM. Burns & Plastic Surgery Section of Society of Academic and Research Surgery 2016 Meeting 7th January 2016, London, UK,

Patient-reported satisfaction with bilateral breast reconstruction in risk-reducing and therapeutic mastectomy. Kazzazi F, Malata CM, Haggie B, Kazzazi N, Forouhi P, Wyld L. Joint Meeting of Finnish Association and BAPRAS, 15-17 June 2017, Helsinki, Finland.

A head-to-head comparison of porcine (StratticeTM) and bovine (SurgimendTM) acellular dermal matrices in implant-based immediate breast reconstruction. Ball J, Sheena Y, Tarek Saleh DM, Forouhi P, Benyon SL, Irwin MS, Malata CM. Joint Meeting of Finnish Association and BAPRAS, 15-17 June 2017, Helsinki, Finland.

New surgical technique – simultaneous use of the 3rd and 2nd intercostal spaces during total-rib preservation exposure of the internal mammary vessels in microvascular breast reconstruction. Oni G, Huang M, Malata CM. Joint Meeting of Finnish Association and BAPRAS, 15-17 June 2017, Helsinki, Finland.

Advantages of internal mammary vessel exposure in the second intercostal space during total rib-preserving microvascular free lap breast reconstruction. Huang M, Oni G, Di Candia M, Malata CM. Joint Meeting of Finnish Association and BAPRAS, 15-17 June 2017, Helsinki, Finland. POSTER

Trends in post-mastectomy breast reconstruction types in a university hospital breast unit before and after introduction of acellular dermal matrices. Kankam HKN, Hourston GJM, Fopp LJ, Forouhi P, Agrawal A, Benyon SL, Irwin MS, Benson JR, Malata CM. Joint Meeting of Finnish Association and BAPRAS, 15-17 June 2017, Helsinki, Finland.

Initial Management of Traumatic Digit Amputation: A Retrospective Study on Functional Outcomes.  Ngaage LM, Oni G, Buntic R, Malata CM, Buncke G. 9th Congress of World Society for Reconstructive Microsurgery, 14-17 June 2017, Seoul, Korea.

New surgical technique - simultaneous use of the 3rd and 2nd intercostal spaces during total-rib preservation exposure of the internal mammary vessels in microvascular breast reconstruction. Oni G, Huang M, Malata CM. 9th Congress of World Society for Reconstructive Microsurgery, 14-17 June 2017, Seoul, Korea.

A comparison of the topography and vascular anatomy of the 2nd and 3rd intercostal spaces for internal mammary vessel exposure during total rib-sparing microvascular free flap breast reconstruction. Huang M, Oni G, Di Candia M, Malata CM. 9th Congress of World Society for Reconstructive Microsurgery, 14-17 June 2017, Seoul, Korea.

Trends in reconstructive breast surgery at a UK tertiary referral centre pre and post Acellular Dermal Matrices. Kankam HKN, Hourston GJM, Fopp LJ, Forouhi P, Agrawal A, Benyon SL, Irwin MS, Benson JR, Malata CM. Society of University Surgeons Academic Surgical Congress 2017 Meeting 7-9th February, Las Vegas, Nevada, USA.

Patient satisfaction with bilateral breast reconstruction in risk-reducing and therapeutic mastectomy.  Kazzazi F, Haggie R, Forouhi P, Kazzazi N, Wyld L, Malata CM. Society of University Surgeons Academic Surgical Congress 2017 Meeting 7-9th February, Las Vegas, Nevada, USA.

DIEP Flap Breast Reconstruction: Predictive Factors for Perioperative Blood Loss and Transfusion. Conci E, Khatib M, Barakat F, Forouhi P, Malata CM. Society of University Surgeons Academic Surgical Congress 2017 Meeting 7-9th February, Las Vegas, Nevada, USA.

Initial Management of Traumatic Digit Amputations: A Retrospective Study of Functional Outcomes. Ngaage LM, Oni G, Buntic R, Malata CM, Buncke G. American Society for Reconstructive Microsurgery January 13-16, 2018, Phoenix, Arizona, USA.

The role of CTA in assessing DIEP flap perforator patency in patients with pre-existing abdominal scars. Ngaage LM, Di Pace B, Hamed R, Oni G, Fopp L, Koo B, Malata CM. American Society for Reconstructive Microsurgery January 13-16, 2018, Phoenix, Arizona, USA.

The effect of CT angiography and venous couplers on surgery duration in microvascular breast reconstruction: A single operator’s experience. Ngaage LM, Di Pace B, Hamed R, Oni G, Fopp L, Koo B, Malata CM. American Society for Reconstructive Microsurgery January 13-16, 2018, Phoenix, Arizona, USA.

The effect of CTA and venous couplers on surgery duration in microvascular breast reconstruction. Ngaage LM, Di Pace B, Hamed R, Oni G, Fopp L, Koo B, Malata CM. 13th Annual Academic Surgical Congress. January 30, 2018, Jacksonville, Florida, USA.

The role of CTA in assessing DIEP flap perforator patency in patients with pre-existing abdominal scars. Ngaage LM, Hamed R, Di Pace B, Oni G, Koo B, Malata CM. 13th Annual Academic Surgical Congress. January 30, 2018, Jacksonville, Florida, USA.

Assessment of breast symmetry in breast cancer patients undergoing therapeutic mammoplasty. Madada-Nyakauru RN, Vella-Baldacchino R, Bellizzi A, Kazzazi F, Forouhi P, Malata CM. 13th Annual Academic Surgical Congress. February 1, 2018, Jacksonville, Florida, USA.