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Mr Russell Bramhall

BSc(hons) MBChB MRCS(Eng) FRCS(Plast)

Plastic Surgeon

21 years of experience

Glasgow, G52 3NQ

(+2 more)

20 connections in healthcare

Skill endorsed

by Mr Shanmugasundaram Rajkumar, Mr Neil Fairbairn

5

/5

(32 reviews)

21 years of experience

Glasgow, G52 3NQ

(+2 more)

20 connections in healthcare

Skill endorsed

by Mr Shanmugasundaram Rajkumar, Mr Neil Fairbairn

Areas of expertise

All
Reviews
Skill Endorsements
Eyelid Surgery (Blepharoplasty)
22
Breast Augmentation (Enlargement)
4
Breast Reduction
4

Contact

Book


Expert in:

About Mr Russell Bramhall

Mr Russell Bramhall is a Consultant Plastic Surgeon who works within the NHS at Glasgow Royal Infirmary. He graduated in medicine from University of Edinburgh and completed his specialist training in plastic surgery across several of the UK’s leading centres. He subsequently undertook advanced fellowship training in cosmetic surgery on London’s Harley Street, where he refined his skills alongside highly regarded aesthetic surgeons.

In private practice, Mr Bramhall focuses on aesthetic procedures, particularly breast surgery, body contouring, and facial surgery. He is known for a meticulous approach, aiming to achieve natural-looking results that complement each patient’s individual features. He places strong emphasis on clear communication, ensuring patients feel informed and comfortable when considering surgery, and is recognised for his calm and supportive consultation style.

His clinical interests also include oncoplastic breast surgery, general plastic surgery, and the treatment of non-melanoma skin cancer. He is a member of several professional organisations, including the British Association of Reconstructive, Aesthetic and Plastic Surgeons, the British Association of Aesthetic Plastic Surgeons, the International Society of Aesthetic Plastic Surgery, the Royal College of Surgeons, the British Medical Association, and is registered with the General Medical Council.


Subspecialties

  • Breast Surgery
  • Reconstructive Surgery
  • Facial Plastic Reconstructive Surgery
  • Facial Cosmetic & Reconstructive Surgery
  • Cosmetic Plastic Surgery

Areas of expertise

All
Reviews
(38)
Skill Endorsements
(9)

Click the bar to read reviews or skill endorsements

Eyelid Surgery (Blepharoplasty)
22
Breast Augmentation (Enlargement)
4
Breast Reduction
4
Deep Plane Facelift
3
Breast Uplift Surgery (Mastopexy)
1
1
Facial Rejuvenation
1
Face Lift
1
Cosmetic Breast Surgery
1
Gynaecomastia
1
Cosmetic Surgery
1
Arm Lift (Brachioplasty)
1
Breast Implants
1
Brow Lift
1
Mammoplasty
1
Neck Lift
1
Body Contouring Surgery
1
Breast Implant Revision
1
Facial Surgery
Breast Symmetrisation Surgery
Breast Implant Removal
Breast Augmentation Mastopexy (Enlargement & Lift)
Breast Reconstruction
Abdominoplasty (Tummy Tuck)
Excision of Benign Lesions
Breast Surgery
Breast Implant Exchange
Skin Lesion Removal (Warts, Verruca, Moles and Skin Tags)
Labiaplasty
Skin Cancer Surgery
Excess Skin Removal
Shave Biopsy
Scar Revision Surgery
Capsular Contracture
Skin Grafts
SMAS Facelift
Post Weight Loss Surgery
Nipple Reconstruction
Nipple Surgery
Mole Removal
Mummy Makeover
Lipoma Removal
Lip Lift
Tuberous Breasts
Implant Reconstruction
Skin Tags
General Plastic Surgery
Skin Cancer
Breast Implant Problems
Lipoma
Areola Reduction Surgery
Cysts
Fat Transfer/Grafting (Lipomodelling)
Acellular Dermal Matrix
Breast Asymmetry
Sebaceous Cyst Removal
Basal Cell Carcinoma
Excision of Skin Cancer
Breast Reconstruction with Fat Grafting Surgery
Melanoma

Registered with

General Medical Council

No. 6120528

British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS)

No. 6120528

British Association of Aesthetic Plastic Surgeons

No. 6120528


Education

University of Edinburgh

Medicine

Graduated 2005


Qualifications

COURSES

2026  New Frontiers of Face Lifting, Rome, Italy.

2026  Good Clinical Practice, Glasgow, UK.

2025   Adult Level 3 Protection course, Glasgow, UK

2025  Canniesburn Flap Course, Glasgow, UK. (faculty)

2024  Deep plane facelift surgery course, Milan, Italy.

2024  Canniesburn Flap Course, Glasgow, UK. (faculty)

2023  Professional Behaviours in Aesthetic Surgery, London, UK

2023  Canniesburn Flap Course, Glasgow, UK. (faculty)

2023  BAAPS Regional Training Course in Facelift Surgery, Yorkshire, UK. (faculty)

2022  BAAPS Psychology Course, London, UK

2022  Canniesburn Pre-Fellowship Course, Glasgow, UK. (faculty)

2021  Canniesburn Pre-Fellowship Course, Glasgow, UK. (faculty)

2020  Canniesburn Pre-Fellowship Course, Glasgow, UK. (faculty)

2019  Canniesburn Pre-Fellowship Course, Glasgow, UK. (faculty)

2019  Canniesburn Pre-Fellowship Course, Glasgow, UK. (faculty)

2019  Scottish Educational Supervisor Boot Camp, Edinburgh, UK.

2019  Association of Breast Surgeons Cadaveric Dissection Course, Glasgow, UK. (faculty)

2018  Canniesburn Pre-Fellowship Course, Glasgow, UK. (faculty)

2018  Canniesburn Flap Course, Glasgow, UK. (faculty)

2018  Canniesburn Pre-Fellowship Course, Glasgow, UK. (faculty)

2017  BAPRAS Microsurgery Masterclass, Manchester, UK.

2017  Canniesburn Flap Course, Glasgow, UK. (faculty)

2017  Canniesburn Pre-Fellowship Course, Glasgow, UK. (faculty)

2016   BAPRAS Advanced Course – Breast Surgery, Manchester, UK.

2016   Advanced Trauma and Life Support Course, Birmingham, UK.

2015   Royal Society of Medicine Study Day – Lipofilling, London, UK.

2015  Mentor Advanced Breast Augmentation Course: Secondary revision and complex cases, Manchester, UK.

2015  Level 1 Oncoplastic Breast Reconstruction Course, Royal College of Surgeons, London, UK.

2015  BAPRAS Advanced course – Aesthetic Surgery, Manchester, UK.

2015  BAAPS educational day – Facial aesthetic surgery, Liverpool, UK.

2015  ORBIX internal fixation system workshop for breast reductions, Brussels, Belgium.

2015  Polyurethane coated implant workshop day, Chelmsford, UK.

2015  National TIG Residential Management Course, Bristol, UK.

2015  National TIG Breast Reconstruction Cadaveric Dissection Course, Newcastle, UK.

2014   ADM and Mesh-Assisted Implant Reconstruction Study Day and iBRA Launch Meeting, Birmingham, UK.

2014  Advanced Skills in Breast Disease Management, Royal College of Surgeons, London, UK.

2014  Speciality Skills in Breast eLearning Programme, Royal College of Surgeons, London, UK.

2013  BAPRAS Advanced course – Skin cancer, Manchester, UK.

2013  Leadership and Management Course, Yorkshire Deanery Leeds, UK.

2013  BAPRAS Advanced Educational Course – Cosmetic Breast Surgery. Manchester, UK.

2013  Canniesburn Flap Dissection Course, Glasgow, UK.

2013  Yorkshire Deanery Course – Ethical Issues in Medicine, Leeds, UK.

2012  Yorkshire Deanery Course – Legal Issues in Medicine, Leeds, UK.

2012  BAPRAS Advanced Educational Course – Breast Reconstruction. Manchester, UK.

2011  BAPRAS Advanced Educational Course – Reconstructive Limb Surgery. Manchester, UK.

2011  6th Zurich Workshop on Hand Flaps, Switzerland.

2010  BAAPS Non-surgical Facial Aesthetics Course, BAAPS, London.

2010  BAPRAS Advanced Educational Course - Melanoma and Sarcoma, Manchester, UK.

2009  Introduction to Leadership and Management Course, Developmedica, London.

2009  Training the Trainers Teaching Course, Royal College of Surgeons.

2009  Microsurgery Workshop, Northwick Park Institute for Medical Research

2007  Microvascular Skills Workshop, St Andrew’s Burns and Plastics Unit, Broomfield Hospital, Chelmsford

Prize and Awards

27/09/2013  Best Poster Prize at The British Association of Aesthetic Plastic Surgeons (BAAPS) Meeting in London, 26-27th September, 2013.

15/07/2002  Class Prize in BSc (Hons) year for Anatomical Sciences, 2001-2.

University of Edinburgh School of Medicine

1999 – 2005   MB ChB

2001 – 2002  BSc (Med Sci), 1st Class Hons (Anatomical Sciences)

Post Graduate Qualifications

12/10/2016  CCT in Plastic Surgery

03/03/2014  FRCS(Plast)

07/10/2008  MRCS(Eng)

PUBLICATIONS

2022  Sapino G, Tay SK, Maruccia M, Nanhekhan L, Watfa W, Mantovani GP, Guillier D, Tedeschi P, Bramhall R, Di Summa PG.

Abdominal-Based Microsurgical Breast Reconstruction: How to Inset the Flap to Maximize the Aesthetic Result-A Systematic Review.">Abdominal-Based Microsurgical Breast Reconstruction: How to Inset the Flap to Maximize the Aesthetic Result-A Systematic Review.

J Clin Med. 2023 Sep 22;12(19):6135.

 

2022  Watfa W, Martineau J, Giordano S, Sapino G, Bramhall RJ, di Summa PG. Long-term evaluation of Nipple-Areolar complex changes in inferior versus superomedial pedicle reduction mammoplasty: A comparative study.">Long-term evaluation of Nipple-Areolar complex changes in inferior versus superomedial pedicle reduction mammoplasty: A comparative study.

J Plast Reconstr Aesthet Surg. 2022 Mar;75(3):1179-1186. 


2021  Guillier D, Sapino G, Schaffer C, Borens O, Thein E, Bramhall RJ, di Summa PG. 

Lower limb reconstruction involving osteosynthesis material: A retrospective study on propeller flaps outcomes.">Lower limb reconstruction involving osteosynthesis material: A retrospective study on propeller flaps outcomes.

Injury. 2021 Oct;52(10):3117-3123. Epub 2021 Apr 7.

 

2021  Arthur, L, Bramhall RJ.

 Oncoplastic Breast Surgery. In: So you want to be a brain surgeon? (4th ed). Eds: Spurr L, Harris J, Warrwick G. (2021) Oxford University Press, Oxford, UK.

 

2020  Horgan K, Clement RF, Dodwell D, Chaudhuri I, Bramhall RJ, MacNeill FA,. 

Breast Conservation Surgery. In: The Oxford Textbook of Plastic and Reconstructive Surgery. Eds: Kay SP, Wilks DJ, McCombe D. (2020) Oxford University Press, Oxford, UK. (in press).

 

2019  Thiruchelvam P, Bramhall RJ.

Oncoplastic Breast Conservation Techniques in Upper Pole Lesions. In: Breast Surgery (2nd ed). Eds: Bland KI, Klimberg VS. (2019) Wolters Kluwer, US. 

 

2019  Watfa W, Zaugg P, Baudoin J, Bramhall RJ, Raffoul W, di Summa PG.Dermal Triangular Flaps to Prevent Pseudoptosis in Mastopexy Surgery: The Hammock Technique.">Dermal Triangular Flaps to Prevent Pseudoptosis in Mastopexy Surgery: The Hammock Technique. Plast Reconstr Surg Glob Open. 2019 Nov; 7(11):e2473

 

2019  Guiotto M, Bramhall RJ, Campisi C, Raffoul W, di Summa PG. A Systematic Review of Outcomes After Genital Lymphedema Surgery: Microsurgical Reconstruction Versus Excisional Procedures.">A Systematic Review of Outcomes After Genital Lymphedema Surgery: Microsurgical Reconstruction Versus Excisional Procedures. Ann Plast Surg. 2019 Dec; 83(6):e85-e91.

 

2018  di Summa PG, Tay SK, Stevens R, Doughty JC, Bramhall RJ. Neo-adjuvant radiotherapy (NART) in breast reconstruction - The future for autologous reconstruction in locally advanced disease?">Neo-adjuvant radiotherapy (NART) in breast reconstruction - The future for autologous reconstruction in locally advanced disease? J Plast Reconstr Aesthet Surg. 2018 Jun; 71(6):935-937.

 

2018  Wade RG, Watford J, Wormald JCR, Bramhall RJ, Figus A. Perforator mapping reduces the operative time of DIEP flap breast reconstruction: A systematic review and meta-analysis of preoperative ultrasound, computed tomography and magnetic resonance angiography.">Perforator mapping reduces the operative time of DIEP flap breast reconstruction: A systematic review and meta-analysis of preoperative ultrasound, computed tomography and magnetic resonance angiography. J Plast Reconstr Aesthet Surg. 2018 Apr; 71(4):468-477.

 

2018  Bramhall RJ, Hernan I, Harris PA. A single-centre, retrospective proof-of-concept review of salvage of infected or exposed implant breast reconstructions with explantation and one-stage free flap replacement.">A single-centre, retrospective proof-of-concept review of salvage of infected or exposed implant breast reconstructions with explantation and one-stage free flap replacement. J Plast Reconstr Aesthet Surg. 2018 Feb; 71(2):194-200.

 

2017   Bramhall RJ, Lee J, Concepcion M, Westbroek D, Huf S, Kabir M, Thiruchelvam P, Gui GPH. Central round block repair of large breast resection defects: oncologic and aesthetic outcomes. Gland Surgery 2017 Dec; 6(6):689-697.

 

2017  Bramhall RJ, Thiruchelvam P, Conception M, Gui GPH. Use of acellular dermal matrix in nipple reconstruction following breast reconstruction; the ‘central-pillar technique’. Gland Surgery 2017 Aug; 6(4):394-398.

 

2016  Rowlett R, Bramhall RJ, Khan MAA, Riaz M. 

Facelift for an Ehlers-Danlos Syndrome Patient: A Case Report.

Aesthetic Surgery Journal 2016; 36(3):131-4.

 

2014  Bramhall RJ, Mahady KF, Peach AHS. 

Spontaneous regression of metastatic melanoma – clinical evidence of the abscopal effect. 

European Journal of Surgical Oncology 2014; 40(1):34-41.

 

2014  Sayers AE, Bramhall RJ, Akali A. 

Flap within a flap: a case report highlighting the benefit of a musculocutaneous flap over a pure muscle flap. 

JPRAS 2014; 67(2):286-7.

 

2014  Bramhall RJ, Timmons MJ.

NHS negligence claims: lessons for plastic surgeons from the NHS Litigation Authority.

JPRAS 2014; 67(1):134-5.

 

2012  Bramhall RJ, Gorman M">Gorman M, Holmes WJ">Holmes WJ, Haeney JA">Haeney JA.

Should we treat all haemangiomas with beta-blockers? ">Should we treat all haemangiomas with beta-blockers? 

JPRAS 2012 Aug; 65(8): 1126-7.

 

2012  Bramhall RJ, Gorman M, Khan MAA, Riaz M. 

A new continuous suture technique in ear reconstruction with full thickness skin grafts. 

Journal of Craniofacial Surgery. 2012 Jul;23(4): 1196-7.

 

2012  Khan MAA, Bhutto AM, Bramhall RJ, Gorman M, Sobani ZA, Riaz M. 

Assessment of professionalism in surgery. 

Journal of Research in Medical Education and Ethics. 2012; 2(1): 9-14.

 

2011  Bramhall RJ, Foo IT.  

RE: Experience with the Mentor Contour Profile Becker-35 expandable implant in reconstructive breast surgery.">RE: Experience with the Mentor Contour Profile Becker-35 expandable implant in reconstructive breast surgery.

JPRAS 2011; 64(4): 556-7.

 

2011  Bramhall RJ, Deveraj, VS. 

Traumatic sciatic nerve injury after gluteal injections. 

European Journal of Plastic Surgery. 2011; 34: 137-138.

 

2009  Bramhall RJ, Badran M, Shelley OP, Philp B, Dziewulski P.

CT Brain Scans in Burn Patients - A Worthwhile Investigation? (abstract) Burns 2009; 35s:S3.

 

2008  Bramhall RJ, Mathur B, Ramakrishnan V.  

Large dorsal intercostal artery perforator flap in extensive neurofibromatosis.  

Plastic and Reconstructive Surgery 2008; 121(6); 2178-2179.

 

2008  Bramhall RJ, Quaba A.

A review of 58 patients with periorbital haemangiomas to determine appropriate cases for intervention.

JPRAS. 2008; 61, 138-149.

 

Prize and Awards

27/09/2013  Best Poster Prize at The British Association of Aesthetic Plastic Surgeons (BAAPS) Meetingin London, 26-27th September, 2013.

 

15/07/2002  Class Prize in BSc (Hons) year for Anatomical Sciences, 2001-2.

 

 

University of Edinburgh School of Medicine

 

 

1999 – 2005   MB ChB 

2001 – 2002  BSc (Med Sci), 1st Class Hons (Anatomical Sciences)

 

 

Post Graduate Qualifications

 

12/10/2016  CCT in Plastic Surgery

03/03/2014  FRCS(Plast) 

07/10/2008  MRCS(Eng)

 




Languages spoken

  • English

Fees

  • New appointment

    £350
  • Follow-up appointment

    £0
*May vary on location

Locations

Ross Hall Hospital (part of Circle Health Group)

221 Crookston Road, Glasgow, United Kingdom, G52 3NQ

4.90(808 reviews)

Opening hours

Monday - Friday
Saturday
Sunday

Facilities

Wheelchair Accessible
Free Parking
View practice profile

Opening hours

Monday - Friday
Saturday
Sunday

Facilities

Wheelchair Accessible
Free Parking
View practice profile

Ross Hall Clinic Braehead (part of Circle Health Group)

Kings Inch Place, Renfrew, United Kingdom, PA4 8WF

4.94(534 reviews)

Opening hours

Monday - Friday
Saturday
Sunday

Facilities

Wheelchair Accessible
Free Parking
View practice profile

McKeown Medical

167 Bath Street, Glasgow, United Kingdom, G2 4SQ

0.00(0 reviews)

Opening hours

Monday - Friday
Saturday
Sunday

Areas of expertise

All
Reviews
Skill Endorsements
Eyelid Surgery (Blepharoplasty)
22
Breast Augmentation (Enlargement)
4
Breast Reduction
4

Contact

Book

Reviews

AI Review Summary

This summary was created by AI based on recent reviews

Mr Russell Bramhall is professional, caring, and supportive, instilling patient confidence from initial consultation through to follow-up. Patients report excellent results and positive life-changing impacts from procedures, including upper blepharoplasty, breast reduction, and deep plane facelifts. He provides comprehensive information and exceptional aftercare, ensuring patients are well-informed, relaxed, and happy with decisions and results. The most frequently praised treatments include eyelid surgery, various breast procedures, and facelift interventions.

5
verified patient
09 Sep 2026

Consultations were easy and Mr Bramhall was really helpful at allowing me to come to a decision about what size etc that I wanted. Really happy with the results of my breast augmentation as I feel they look quite natural but with better cleavage / fullness which is exactly what I wanted and what I described at the initial consultation.

5
verified patient
09 Sep 2026

After years and years of talking about it, 10 months ago I had breast reduction surgery and it was the best thing I ever did. No more pain, much better posture and able to do things with much more confidence. From the initial consultation to the surgery and follow up appointments Mr Bramhall and everyone involved has been excellent. Always put at ease and there to answer any questions. I can’t thank everyone enough. Would highly recommend.

Patient seen for:
5
verified patient
09 Sep 2026

Russell was extremely professional but also very friendly Explained the procedure fully and encouraged me to ask questions I would have no hesitation in recommending him for further treatment

5
verified patient
07 Sep 2026

Dr Bramhall was excellent from start to finish. He alleviated all my fears and concerns and made me feel safe in his hands. The procedure itself went smoothly and the aftercare was excellent. Most importantly the results are amazing. I feel a new person and don’t look as tired. All in all I would highly recommend Dr Bramhall for his skill, kindness, care and expertise.

5
verified patient
25 Aug 2026

From start to finish, the care and professionalism were excellent, and I felt completely supported throughout the process. I’m so happy with the outcome and would highly recommend the team to anyone considering cosmetic surgery.

5
verified patient
19 Aug 2026

I was very nervous going in but the team and Mr Bramhall explained everything simply and easy to understand and the aftercare was great they had phoned me and emailed me to ask how I was doing overall my experience was excellent and very happy with my results

5
verified patient
19 Aug 2026

On my initial consultation with Dr Bramhall, he asked what my expectations were and what I hoped to achieve before advising me of what he thought best for me. The whole procedure was explained clearly and the Dr asked if I had any questions or concerns. All of which he was happy to answer and offer advice. After deciding to have my eyelift, I got more anxious about the procedure as the date came closer. But on the day, Dr Bramhall & his nurse made me feel completely ease. The procedure went quickly and smoothly. I was a little shaky afterwards but the Dr & nurse made sure I was ok before leaving the clinic. The aftercare was better than I expected, with scheduled appointments even after the removal of my stitches. The first couple of weeks after the op., I was a bit scared how my eyes looked. I was worried about the swelling and thought my eyes looked a bit odd. Made a fool of myself crying down the phone thinking something had gone wrong. Thankfully, the clinic reassured this was normal and offered to put me in touch with the Dr. if I needed further communication. This was not necessary and as explained, everything settled down with the swelling in a few days. The results of my eyelift have far exceeded my expectations. I can’t put into words how happy I am with the work I’ve had done. I feel more confident, not hiding my eyes behind a fringe or sunglasses for the first time in 10 years. I could not be happier with the whole experience from start to finish. The biggest hurdle was getting over my own impatience and allowing myself time to heal. I would strongly rec...

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5
verified patient
19 Aug 2026

Dr Russell was extremely professional and realistic about my expectations. I am over the moon with my results. Very natural and I look awake! After 2 babies he has given me my confidence back! Thank you x

5
verified patient
27 Jul 2026

Russell instilled confidence from the start in terms of providing all information in terms of risks and alternative options for my heavy eyelids. He examined my eyes, provided me with information from which I could make an informed decision. The procedure itself was quick. Russell and the team made me feel relaxed and comfortable throughout and kept me informed of what he was doing throughout the procedure. I am extremely happy with the results and would recommend Russell and this treatment to friends and family.

5
verified patient
27 Jul 2026

I’ve had the most wonderful experience with Mr Russell Bramhall. From the initial consultation to the actual procedure and now to the follow up post op the whole process has been incredible. Mr Bramhall spent time with me to go through the details around the procedure and was thorough and so caring and supportive. The procedure itself was a breeze, and now I have results which are way beyond my expectations. I had an upper blepharoplasty which has rejuvenated my face completely whilst still retaining my natural features. It has been pretty life changing for me, and has affected my confidence in such a positive way. Thank you so much for your thoroughness, care and kindness Mr Bramhall. You are not only talented and so detail orientated, but your thoughtfulness and support for the individuals in your care is amazing. 🙂

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Skill Endorsements

Mr Russell Bramhall is an excellent plastic surgeon well liked by his colleagues and patients alike and has excellent outcomes in his he field of plastic surgery

29 May 2026
Endorsed for
Arm Lift (Brachioplasty)
Breast Uplift Surgery (Mastopexy)
Breast Implants

Mr Shanmugasundaram Rajkumar

Mr Shanmugasundaram Rajkumar

Orthopaedic Surgeon
Is a colleague

Mr Bramhall is a well respected colleague. He is highly trained and has accumulated a wealth of experience in cosmetic and reconstructive breast surgery, body contouring and facial rejuvenation. I would have no reservations recommending him to patients, friends and family.

21 May 2026
Endorsed for
Facial Rejuvenation
Gynaecomastia
Cosmetic Breast Surgery

Mr Neil Fairbairn

Mr Neil Fairbairn

Plastic Surgeon
Is a colleague

FAQ

What are Mr Russell Bramhall's reviews like?

Mr Russell Bramhall's overall patient rating is 5 out of 5 stars on Doctify. This is based on 32 reviews.

What languages does Mr Russell Bramhall speak?

Mr Russell Bramhall speaks English

Where is Mr Russell Bramhall located?

Mr Russell Bramhall primarily practices at Ross Hall Hospital (part of Circle Health Group), located at 221 Crookston Road, Glasgow, United Kingdom, G52 3NQ
See more locations

Does Mr Russell Bramhall accept new patients?

Mr Russell Bramhall generally accepts new patients.

Get in touch with this specialist to enquire as a new patient