Dr Esther Hansen

Job title

Consultant clinical psychologist


BSc (Hons), DClinPsy, PGDip

GMC Number

HCPC PYL 06606

Contact details

Email address: rf.psychologicaltherapies@nhs.net

Private practice email address: info@estherhansen.co.uk

Related services

Plastic surgery, Psychology


Dr Esther Hansen is the joint lead for psychological therapies and counseling across the Royal Free London NHS Foundation Trust, with a focus on ensuring that patients are able to access holistic care that considers their mental and physical health, and supports recovery where possible. She works clinically in the plastic surgery department, specialising in the treatment of body image concerns following injury, congenital issues, or after surgery that has altered appearance. She is involved in pre-surgical psychological assessments to support decision-making and planning for surgical interventions.

Across her 20 years of clinical practice, she has also worked for several years in a community physical rehabilitation team offering a service to patients with neurological disease/events, respiratory and cardiac conditions, generalised frailty, and those who are post-surgery. She has also been involved in co-leading the development of long-term conditions pathways in IAPT (psychological therapies) services as a pilot before being commissioned more broadly across the UK. She has published widely, teaches a variety of professional groups and is research active, focused on psychological aspects in surgical settings.


Hansen, E.L.E. (2004). Women’s Decision Making for Breast Augmentation Surgery. Unpublished Doctoral Thesis

Hansen, E., and Clarke, A.  (2008). Helping people with an Unusual Appearance. The Psychologist (Special Issue-Disfigurement). Vol. 21 (6).

Ekdawi, I. & Hansen, E. (2010). Working with Older People in Contexts of Difference and Discrimination. In G. Fredman; Anderson, E. & Stott, J. (Eds.). Being with older people: A systemic approach. Karnac Books (Chapter 6)

Milton, Alison & Hansen, E. (2010). Moving from Problems to Possibilities with Older People. In G. Fredman; Anderson, E. & Stott, J. (Eds.). Being with older people: A systemic approach. Karnac Books (Chapter 7)

Clarke, A.; Hansen, E.L.E.; White, P. & Butler, P.E.M. (2011) Low Priority? Cross sectional study of appearance anxiety in 500 consecutive referrals for cosmetic surgery. Psychology, Health & Medicine. 16(3): 304-312.

Baker, D.M. & Hansen, E. (2011). The psychological impact of axillary hyperhidrosis is not altered by botox treatment. British Journal of Dermatology, 165(1).

Baker, D. M. & Hansen, E. (2012). Botox treatment for axillary hyperhidrosis should only be offered with adjunct psychological input. British Journal of Surgery 99(6), 145.

Hansen, E.L.E. (2012). Screening for Depression in Older Adults with Chronic Physical Health Problems. 2010 Audit published by NICE in section on “Shared Learning Implementing Nice Guidance” http://www.nice.org.uk/usingguidance/sharedlearningimplementingniceguidance/examplesofimplementation/eximpresults.jsp?o=550

Hansen, E.L.E. & Butler, P.E.M. (2012). Challenges in Health Care Provision. In N. Rumsey & D. Harcourt (Eds.). The Oxford Handbook of the Psychology of Appearance. Oxford University Press.

Hansen, E.L.E.; Clarke, A.; Austins-Parsons, N. & Butler, P.E.M. (2012). The Psychological Impact of Split Skin Grafts. Journal of Wound Care, 21(10): 490-497.

Harcourt, D.; Griffiths, C.; Baker, E.; Hansen, E.; White, P. & Clarke, A. (2015). The acceptability of PEGASUS: an intervention to facilitate shared decision-making with women contemplating breast reconstruction. Psychology, Health and Medicine.

Joseph, J.; Randhawa, P.; Hannan, S.A.; Long, J. Goh, S.; O’Shea, N.; Saleh, H.; Hansen, E.; Veale, D. & Andrews, P. (2016). Body dysmorphic disorder in patients undergoing septorhinoplasty surgery. Should we be performing routine screening? Clinical Otolaryngology.

Rahman, S.; Langridge, B.; Hachach-Haram, N.; Hansen, E.; Bootle, A.; Bystrzonowski, N.; Hamilton, S. & Mosahebi, A. (2017). Assessing the effects of changes in care commissioning guidelines at a tertiary centre in London on the provision of NHS funded procedures of limited clinical effectiveness: an 11-year retrospective database analysis. BMJ Open, 7.

Hansen, E.; Barsky Reese, J. & Grayer, J. Body Image and Couples. In M.C. Fingeret & I. Teo (2018). Body Image Care for Cancer Patients. Oxford University Press, Chapter 15.

Clarke, A.; Paraskeva, N.; White, P; Tollow, P.; Hansen, E. & Harcourt, D. (2019). PEGASUS: the design of an intervention to facilitate shared decision-making in breast reconstruction. Journal of Cancer Education.

Almadori, A.; Griffin, M.; Ryan, C.M.; Hunt, D.F.; Hansen, E.; Kumar, R.; Abraham, D.J.; Denton, C.P.; Butler, P.E.M. (201). Stem cell enriched lipotransfer reverses the effects of fibrosis in systemic sclerosis. PLoS One 2019; 14(7)

Guest, E; Paraskeva, N.; Griffiths, C.; Hansen, E; Clarke, A; Baker, E.; Harcourt, D. (2021). The nature and importance of women's goals for immediate and delayed breast reconstruction. JPRAS.

Kang, N.; Woollard, A.; Michno, D.A.; Al-Ajam, Y.; Tan, J. & Hansen, E (2022). A consecutive series of target muscle reinnervation (TMR) cases for relief of neuroma and phantom limb pain: UK perspective. JPRAS, 75, 960-969.

Almadori, A.; Griffin, M.;  Jeon, F.H.K.; Hansen, E.; Denton, C.P; Butler, P.E.M. (2022). Long-term outcome of fat grafting in Systemic Sclerosis: a prospective cohort study on fat survival rate, mouth function and patient quality of life. in submission