1984 MBChB University of Manchester, England
1988 MRCGP London, England
1990 Diploma of Obstetrics, royal Australian College of Obstetrics and Gynaecology, Melbourne
1999 Board Certified in Cosmetic Laser Surgery, American Board of Laser Surgery (written examination passed with one of the highest scores ever recorded).
ACCS – Fellowship of the Australasian College of Cosmetic Surgery.
Specifically accredited in breast augmentation, facelifting, laser surgery, eyelid surgery and liposuction.
Hospital Accreditation
Clinical Privileges in Cosmetic Surgery Spring Hill Specialist Day Hospital, QLD
Gaythorne Day Hospital, QLD
Canossa Day Hospital, QLD
Courses, Meeting Attended
1995 CO2 laser resurfacing course Westmead Hospital, Sydney
1996 CO2 laser resurfacing seminar, Gold Coast
International Society of Cosmetic Laser Surgeons Annual Meeting, Sydney
Fulton Skin Institute, Cosmetic Surgery Meeting, California
1997 World Congress of Dermatology, Sydney
Erbium Skin Resurfacing Course, Sydney
Fulton Skin Institute, Cosmetic Surgery Meeting, California
1998 International Society of Cosmetic Laser Surgeons’ Annual Meeting, Orlando
American Society of Plastic and Reconstructive Surgeons Annual Meeting, Boston
European Academy Dermatology and Venerology Congress, Nice
1999 American Academy of Cosmetic Surgery Annual Scientific Meeting, Los Angeles
Training Workshop: The “S” Facelift, Newport Beach, California
Cosmetic Physicians’ Society of Australasia Meeting, Adelaide
European Academy of Dermatology and Venereology Congress, Amsterdam
Cosmetic Physicians’ Society of Australia and Australasian Academy of Facial Plastic Surgeons conference, Adelaide
2000 American Academy of Cosmetic Surgery Annual Scientific Meeting, Orlando, Florida
2001 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Sydney.
2002 Second World Congress in Cosmetic Surgery, Sydney.
2003 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Gold Coast.
2004 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Canberra.
2005 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Gold Coast.
2006 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Adelaide.
2007 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Melbourne.
2008 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Gold Coast.
Visit to Dr Constantin Stan, Plastic Surgeon, Bacau, Romania
Visit to Dr Per Heden, Plastic Surgeon, Akademikliniken, Stockholm, Sweden
2009 Asia Pacific Macrolane Workshop, Hong Kong
First World Congress in Body Contouring, Manila, Philippines
X International Symposium of Plastic Surgery, Sao Paulo, Brazil
Australasian College of Cosmetic Surgery Annual Scientific Meeting, Sydney
Beauty Through Science Aesthetic Plastic Surgery Meeting, Akademikliniken, Stockholm, Sweden
Visit to Dr Constantin Stan, Plastic Surgeon, Bacau, Romania
British Association of Aesthetic Plastic Surgeons’ Annual Meeting, Cardiff, Wales
2010 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Adelaide
2nd International Eurasian Aesthetic Surgery Course, Turkish Society of Aesthetic Plastic Surgery, Istanbul, Turkey
Modern Concepts: Breast Aesthetics and Reconstruction Conference. Department of Plastic Surgery
University Hospitals Coventry and Warwickshire, England. Modern Concepts: Breast Aesthetics and Reconstruction Conference. Department of Plastic Surgery University Hospitals Coventry and Warwickshire, England
2011 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Hobart
Breast Augmentation Workshop, Dublin Ireland
2012 2nd World Meeting for Silimed users, Rio de Janeiro, Brazil
Israeli Society of Aeathetic Plastic Surgeons Annual Meeting, TelAviv, Israel
AWOGyn Conference, Dusseldorf, Germany
2013 Silimed Distributors’ Meeting , Rio de Janeiro, Brazil
2014 Australasian College of Cosmetic Surgery Annual Scientific Meeting, Gold Coast.
Papers Presented, Clinical Teaching and Training Conducted
1997 Cosmetic surgery seminar for general practitioners (RACGP approved for CME points)
Presented paper “CO2 Laser Resurfacing RIP?- Erbium is going to replace it.” The Fulton Skin Institute, Los Angeles, USA
First ever erbium laser resurfacing training course in China – Department of Dermatology, Beijing Hospital
1998 Cosmetic laser surgery teaching course with Professor Roland Kaufmann for cosmetic surgeons, plastic surgeons, opthalmologists, maxillofacial surgeons and dermatologists, Tuttlingen, Germany
Cosmetic laser surgery training for cosmetic surgeons and cosmetic physicians, Franklynn Laser Clinic, Haywards Heath, UK
Cosmetic laser surgery training for cosmetic surgeon, Dublin, Ireland
Cosmetic laser surgery training for opthalmic surgeons and maxillofacial surgeon, Antwerp, Belgium
Cosmetic laser surgery training for maxillofacial surgeon, opthalmic surgeon, plastic surgeon and cosmetic surgeon, Brussels, Belgium
Seminar and cosmetic laser surgery training for cosmetic surgeons, plastic surgeons and dermatologists, Utrecht, Holland
Cosmetic laser surgery seminar and laser surgery demonstration for cosmetic surgeons, plastic surgeons and dermatologists, Madrid, Spain
Seminar and cosmetic laser surgery training for cosmetic surgeons, plastic surgeons and dermatologists, Greece
Presented paper “Why Erbium Laser Resurfacing is Better than CO2 Resurfacing” the Annual Meeting of the International Society of Cosmetic Laser Surgeons, Orlando, USA
Presented paper “Why Erbium Laser Resurfacing is Better than CO2 Resurfacing”, European Academy of Dermatology and Venereology, Amsterdam
Cosmetic laser surgery seminar for plastic surgeons and dermatologists, Antwerp
Cosmetic Laser Surgery seminar, Brussels, Belgium
Cosmetic Laser Surgery seminar, American Society of Plastic and Reconstructive Surgeons Annual Meeting Boston, USA
Cosmetic Laser Surgery Seminar, European Academy of Dermatological and Venerology Congress, Nice, France
Cosmetic Laser Surgery Seminar to plastic surgeons and dermatologists in Paris, France
Cosmetic Laser Surgery teaching course for plastic surgeons, ocular plastic surgeons, cosmetic surgeons and dermatologists with cosmetic plastic surgeon, Mr Paul Levick, Birmingham, England
1999 Seminar and cosmetic laser surgery training for plastic surgeons, cosmetic surgeons and dermatologists, Beverley Hills, USA
Presented submission to NSW Inquiry into Cosmetic Surgery.
Cosmetic laser surgery teaching course with Professor Peter Bjerring for cosmetic surgeons, plastic surgeons, opthalmologists, maxillofacial surgeons and dermatologists, Tuttlingen, Germany
Cosmetic Laser Surgery Seminar to plastic surgeons and dermatologists in Altenburg, Germany
Cosmetic laser surgery seminar and laser surgery demonstration for cosmetic surgeons, plastic surgeons and dermatologists, Department of Dermatology, University of Leuven, Belgium
Cosmetic laser surgery course and laser surgery demonstration for cosmetic surgeons, plastic surgeons and dermatologists, Franklynn Laser Centre, Haywards Heath, England
Presented papers “Why Erbium Laser Resurfacing is Better than CO2 Resurfacing” and “The Future of Cosmetic Surgery”, Cosmetic Physicians’ Society of Australia Meeting, Adelaide
Cosmetic Laser Surgery Seminar, European Academy of Dermatological and Venerology Congress, Amsterdam, Holland
Laser resurfacing teaching workshop for plastic surgeons, Ghent, Belgium
Facelift and laser resurfacing workshop for plastic surgeons and dermatologists, Saint Lucas Hospital, Ghent, Belgium
2000 Laser training workshop for a dermatologist, Los Angeles, USA
Presented papers and gave live instructional surgery workshop on the S facelift technique and erbium laser resurfacing to the College of Plastic Surgeons of Belgium, Hospital Saint Lucas, Ghent
Presented paper on Erbium laser resurfacing, European Laser Users’ Association annual scientific meeting, University Hospital, Leuvan, Belgium
Presented paper on laser resurfacing, laser blepharoplasty and anaesthesia for laser resurfacing to Cosmetic Physicians’ Society laser training course, Sydney
Cosmetic Laser Surgery teaching workshop for cosmetic surgeons, plastic surgeons and dermatologists, Vilnius, Lithuania
Cosmetic laser surgery teaching for facial plastic surgeons and dermatologists, Luxembourg
Cosmetic laser surgery teaching for facial plastic surgeons and dermatologists, Prague, Czech Republic
Presentation and live surgery demonstration to The German Society of Plastic Surgeons’ Annual Meeting, Magdeburg, Laser resurfacing and S-lifts
2001 Laser resurfacing training for Dr Sik Ham Lauw, plastic surgeon, Oostende, Belgium
Presentation and live surgery training for dermatologists, maxillo-facial surgeons and other doctors, The Manchester Clinic, England
2002 Laser resurfacing training for dermatologists, Belgium
2002-08 Trainer for Australasian College of Cosmetic Surgery registrar programme.
Trainees typically spend 3 months with Dr Fleming learning cosmetic surgery with particular emphasis on breast augmentation
2004 The strange case of the expanding implant – presentation at ACCS conference, Canberra
Orbital oedema presenting as a retro-bulbar haemorrhage after blepharoplasty – ACCS conference, Canberra
2005 Does laser resurfacing still have a place? – co-presentation with Dr Anne Evans, ACCS conference, Gold Coast
Double capsule formation as a cause of rotation in an anatomical breast implant – ACCS conference, Gold Coast
Breast augmentation advanced training course, live surgery demonstration, Port Macquarie, NSW
2006 Titanium coated breast implants – The Australian study – presentation at ACCS annual conference, Adelaide
A new technique for treating the double fold deformity in implanted breasts – presentation at ACCS conference, Adelaide
Management of difficult breasts – workshop presented at ACCS conference, Adelaide
2007 Does periprosthetic amikacin gel reduce capsular contracture rates in primary breast augmentation patient? Co-presentation at the ACCS conference, Melbourne
Breast augmentation update – presentation at ACCS conference, Melbourne
The titanium breast implant study, progress report – presentation at ACCS conference, Melbourne
2008 Polyurethane covered silicone gel breast implant review –presentation at ACCS conference, Gold Coast
Form stable anatomical breast implants – presentation at ACCS conference, Gold Coast
Simplification of the Akademiklinken method for calculating the correct position of the inframammary incision –presentation at ACCS conference, Gold Coast
24 hour recovery breast implant technique, how to do it – presentation at ACCS conference, Gold Coast
2009 Polyurethane covered silicone gel breast implants – the elephant in the room, 1st World Congress in Body Contouring, Manila, Philippines
Polyurethane covered silicone gel breast implants – the elephant in the room – 10th International Symposium of Plastic Surgery, Sao Paulo, Brazil
Anatomical form stable breast implants – X International Symposium of Plastic Surgery, Sao Paulo, Brazil
1 day workshop to teach the use of polyurethane covered silicone gel breast implants, Sydney
Polyurethane covered silicone gel breast implants – the elephant in the room – Australasian College of Cosmetic Surgery Annual Scientific Meeting, Sydney
Macrolane technical considerations – Australasian College of Cosmetic Surgery Annual Scientific Meeting, Sydney
Polyurethane foam covered breast implants – Beauty Through Science Aesthetic Plastic Surgery Meeting, Akademikliniken, Stockholm, Sweden
Polyurethane covered silicone gel breast implants – workshop for plastic and cosmetic surgeons, The Royal Society of Medicine, London, England
Polyurethane covered silicone gel breast implants – workshop for plastic surgeons, Leeds, England
Polyurethane covered silicone gel breast implants – the elephant in the room – British Association of Aesthetic Plastic Surgeons Annual Conference, Cardiff, Wales
2010 Anaplastic large cell lymphoma and textured breast implants – Australasian College of Cosmetic Surgery Annual Scientific Meeting, Adelaide
Advanced user workshop for polyurethane foam covered breast implants – Australasian College of Cosmetic Surgery Annual Scientific Meeting, Adelaide
Polyurethane covered silicone gel breast implants – workshop for plastic surgeons, Brussels, Belgium
Polyurethane covered silicone gel breast implants – The inconvenient truth. 2nd International Eurasian Aesthetic Surgery Course, Turkish Society of Aesthetic Plastic Surgery, Istanbul, Turkey
Polyurethane covered silicone gel breast implants – advanced workshop for plastic and cosmetic surgeons, Anglia Ruskin University, Chelmsford, England
Polyurethane covered silicone gel breast implants – The inconvenient truth. Modern Concepts: Breast Aesthetics and Reconstruction Conference. Department of Plastic Surgery University Hospitals Coventry and Warwickshire, England
Polyurethane covered silicone gel breast implants – The inconvenient truth. AWOGyn Conference, Dusseldorf, Germany
2011 Breast implants – what the informed cosmetic physician needs to know. Cosmetic Physicians’ Society of Australia NSW meeting, Sydney
Polyurethane covered silicone gel breast implants – The inconvenient truth. Australasian College of Cosmetic Surgery Annual Scientific Meeting, Hobart
Polyurethane covered silicone gel breast implants – The inconvenient truth. Breast Augmentation Workshop, Dublin Ireland
2012 Polyurethane covered silicone gel breast implants: Better for you and your patient – the evidence. 2nd World Meeting for Silimed users, Rio de Janeiro, Brazil
Testified at the Australian Government Senate Inquiry into PIP breast implants, Canberra
Polyurethane covered silicone gel breast implants: Better for you and your patient – the evidence. Israeli Society of Aeathetic Plastic Surgeons Annual Meeting, Tel Aviv, Israel
1 day workshop and live surgery demonstration on breast augmentation with polyurethane covered breast implants, for central European plastic and oncological surgeons, Pecs, Hungary
Polyurethane covered silicone gel breast implants: Better for you and your patient – the evidence and live surgery demonstration AWOGyn Conference, Dusseldorf, Germany
2013 Update on Polyurethane foam covered and textured breast implants. Silimed Distributors’ Meeting, Rio de Janeiro, Brazil
2014 Textured breast implants, the Emporer’s new clothes? Australasian College of Cosmetic Surgery Annual Scientific Meeting, Gold Coast.
2015 Whistle blower exposing unlawful and dangerous practices at TCI clinic in Sydney resulting in Health Care Complaints Commission enforcing change to protect patients.
2016 Initiator, member of and presenter at TGA Expert Advisory Panel on Breast implant associated large cell lymphoma (ALCL).
Publications
1999 Journal of Cutaneous Laser Therapy
Erbium skin resurfacing – an effective modality for the treatment of superficial and deep rhytids – a discussion of controversies.
2002 Co-author with Professor Roland Kaufmann, Erbium Laser Resurfacing, chapter in Textbook of Minimally Invasive Facial Rejuvenation, editor Professor Nick Lowe.
2005 Australasian Journal of Cosmetic Surgery
Auto-expansion of a saline breast implant masquerading as capsular contracture.
2007 Australasian Journal of Cosmetic Surgery
A simple algorithm to avoid operative planning mistakes in breast augmentation. Co-authored with Dr David Topchian.
2010 Instructional DVD for surgeons
Polyurethane foam covered silicone gel breast implants
2012 Biomaterials in plastic surgery – breast implants (Woodhead Publishing, Cambridge, UK) Textbook chapter on polyurethane foam covered breast implants.
2017 Aesthetic Surgery Journal (submitted and under review) Spontaneous resolution of breast implant associated anaplastic
large cell lymphoma, lead author with Dr Jason Stone and Dr Patrick Tansley.
External Audit
1998 Griffith University, Queensland
An Investigation into the Emotional Impact of Cosmetic Surgery
Roy Morgan Research – Survey of Results of Breast Implants performed by Dr Daniel Fleming
1999 Roy Morgan Research – Eyelid Surgery Satisfaction Survey of cosmetic eyelid surgery performed by Dr Daniel Fleming
Note: These independent studies showed patient satisfaction levels of 85-95 percent. Further details are available on request.
Dr Fleming participates in annual peer reviewed audit as part of the Australasian College of Cosmetic Surgery’s annual recertification programme.
Research
1) Histological comparison of different treatment protocols for CO2 laser resurfacing
2) Clinical and histological comparisons of CO2 and erbium laser resurfacing
3) Comparison of results of upper lip erbium laser resurfacing using different treatment protocols
4) Effects of specific motivational factors on women’s receptivity to undergo cosmetic surgery: A comparison of pre-cosmetic surgery patients and non-cosmetic surgery respondents. Research project with Rebecca Shears, postgraduate student Bond University
5) Does periprosthetic amikacin gel reduce the incidence of capsular contracture in primary breast augmentation patients?
6) The titanium coated breast implant study. Dr Fleming led a TGA registered study to determine if a new titanium coated silicon breast implant reduces capsular contracture rates.
7) Non-adherence rates in textured breast implants.
8) Evolution of breast implant associated anaplastic large cell lymphoma.
9)Delamination of one brand of polyurethane foam covered breast implants
Offices and Advisory Positions Held
President of the Australasian College of Cosmetic Surgery 2007-2009
Examiner, Australasian College of Cosmetic Surgery
Examiner, American Board of Laser Surgery
Member of the Medical Advisory Panel, Medical Insurance Group Australia
Member of Medical Advisory Panel – Cosmetic Surgery sub-committee, Medical Insurance Group Australia
Member of TGA Expert Scientific Advisory Panel on PIP Breast Implants
Member of Chief Medical Officer’s Advisory Committee on PIP Breast Implants
Advisor to ABC re dangerous anesthetic practices in Sydney cosmetic surgery clinic, 2015-16
Council member, Australasian College of Cosmetic Surgery, 2016 – present
Chairman, BIA –ALCL Safety Committee, Australasian College of Cosmetic Surgery, 2016 – present
Member of TGA Expert Advisory Panel on BIA–ALCL