Dr. Sheina Macadam


Dr Macadam is an Associate Professor (Clinical) within the Division of Plastic Surgery at the University of British Columbia (UBC). She is Head of the UBC Breast Reconstruction Program and the Research Director within the Division of Plastic Surgery. She also is the Director of the UBC Breast Reconstruction Fellowship which trains national and international plastic surgery graduates. 


Dr Macadam performs both reconstructive and aesthetic surgery and works hard to deliver the best surgical results and care to her patients. Through clinical research she reflects on and improves her outcomes and is known to be an advocate for her patients. All of this is balanced with her family life which includes caring for her baby son Kieran.


Dr Macadam started her practice in 2008. Prior to this she obtained her medical doctorate at UBC. She went on to train at UBC and the University of Alberta as a plastic surgery resident. At the culmination of her residency Dr Macadam was awarded the IB Holubitsky Award which honors one resident across all surgical specialties who demonstrates the highest qualities of surgical excellence. She completed board examinations in both Canada and the United States and is a fellow of the Royal College of Physicians and Surgeons of Canada and certified by the American Board of Plastic Surgery.


Following residency training Dr Macadam went on to complete a Masters of Science in Epidemiology at the Harvard School of Public Health. She has utilized this training to incorporate clinical outcomes research into her practice. To date she has authored over 35 peer reviewed journal articles and her research has been funded by over $300,000 in grant monies from research funding agencies such as the Canadian Research Alliance. Early in her career Dr Macadam was awarded the Mentored Clinician Scientist Award from the Vancouver Coastal Health Research Institute. This competitive award promotes research capacity through peer-reviewed salary support. This early funding allowed her to dedicate time to research that examined patient satisfaction and quality of life after surgery. Dr Macadam also has a strong presence within the Canadian Society of Plastic Surgeons where she has served as both the Secretary and President of the Group for Advancement of Microsurgery.


Dr Macadam completed fellowship training in aesthetic breast surgery and reconstructive breast surgery with a focus on microvascular reconstruction. During her residency at UBC, microvascular reconstruction was rarely performed. During fellowship in Baltimore, Maryland and Winnipeg, Manitoba she trained specifically in methods to reconstruct a breast using a “free flap” such as the DIEP, SGAP and TUG flaps. She then came back to UBC and started the microvascular breast reconstruction component of the UBC Breast Reconstruction Program in 2008. This involved lobbying for dedicated operative time at Vancouver General Hospital, training nurses in both the OR and on the postoperative recovery wards and training fellows and residents in this type of surgery. Today this program is strong after a decade of growth and now offers every type of reconstruction to the patients of British Columbia. As an expert in breast surgery Dr Macadam is frequently called upon by the media for commentary and has been seen on Global TV and CTV, interviewed on the CBC and CKNW and has been quoted extensively in local and national newspapers. 


Dr Macadam has incorporated the most advanced techniques into her practice as they have become available. Examples include single stage breast reconstruction, use of acellular dermal matrix for primary breast reconstruction, prepectoral breast reconstruction, complicated revision surgery, fat grafting, nipple-sparing mastectomy, autologous reconstruction in combination with an implant, and use of SPY technology to assess blood supply to mastectomy skin. She has studied many of these newer techniques and published research assessing the best candidates for single stage reconstruction, the UBC incidence of problems with blood flow to mastectomy skin, use of a novel medication to improve blood supply to mastectomy skin, reasons for delay to surgery in BRCA patients, quality of life after saline versus silicone implants, quality of life after different abdominal flap breast reconstruction techniques and cost analyses of incorporation of these newer techniques into practice. She has presented her research nationally and internationally and has been recognized as an author of the ‘Best Breast Paper’ at the American Society of Plastic Surgery national meeting. She was also recognized as an expert on breast reconstruction and invited to author two review articles on breast reconstruction in the journal Plastic & Reconstructive Surgery.

For a more detailed description of Dr Macadam’s research, presentations and awards please see her resume here. 

Scientific articles:


Patient satisfaction and health-related quality of life following breast reconstruction: patient-reported outcomes among saline and silicone implant recipients.
Authors: Macadam SA. Ho AL. Cook EF Jr. Lennox PA. Pusic AL.
Download this article

The Surgical Management of Granulomatous Mastitis
Authors: Farrah M. Yau, MD, Sheina A Macadam, MD, FRCSC, Urve Kuusk, MD, FRCSC, Michael Nimmo, MD, FRCPC, and Nancy Van Laeken, MD, FRCSC
Download this article

The Canadian plastic surgery workforce survey: interpretation and implications.
Authors: Macadam SA. Kennedy S. Lalonde D. Anzarut A. Clarke HM. Brown EE.
Download this article

Nontuberculous mycobacterial breast implant infections.
Authors: Macadam SA. Mehling BM. Fanning A. Dufton JA. Kowalewska-Grochowska KT. Lennox P. Anzarut A. Rodrigues M.
Download this article

Retrospective case review of capsular contracture after two-stage breast reconstruction: is colonization of the tissue expander pocket associated with subsequent implant capsular contracture?
Authors: Macadam SA. Clugston PA. Germann ET.
Download this article

Silicone Implant Illness: Science versus Myth? 

Authors: Rod J. Rohrich, M.D. Jordan Kaplan, M.D. Erez Dayan, M.D.

Download this article

Download Dr. Macadam's Resume

Leah Grandmaison


Leah joined our team in February 2014. She has 7 years clinical experience in a medical laboratory and a strong arts background. This combination makes for an excellent fit in the world of permanent makeup and plastic surgery. Leah was originally trained in permanent makeup in Victoria BC, and later came to Vancouver to further her education including paramedical tattooing and skin revisions. She has been a practicing permanent makeup artist for 6 years.

Azin Yazdani

Azin Yazdani.jpg

Azin Yazdani is a Registered Nurse with over 10 years in the aesthetic industry. She has advanced training in the Operating Room and specialized in Cosmetic Plastic Surgery which is where she met Dr. Macadam. She branched into the field of injectables after working with some of the best in the industry, including Dr. Humphrey and Dr. Carruthers. Azin traveled to Toronto to gain one on one training for advanced techniques and continues to increase her education by attending conferences and lectures. 



BSc - University of Victoria

BSN - British Columbia Institute of Technology

Perioperative Nursing -  Vancouver Coastal Health


Services include:

Botox injections

Dermal filler injections (Hyaluronic acid and Radiesse)

Deoxycholic acid injections


Customized skincare 


Advanced areas/techniques:

Tear troughs



Necklace lines

Non-surgical body contouring

Michelle Lingham

Michelle Lingham.jpeg

Michelle joined our team in September 2017.  She has 20 years of experience working as a medical office assistant. From an early age, Michelle has always been interested in the medical field and helping others. Building relationships with her patients and co-workers has always been important to her. During her time off, Michelle enjoys spending time with her family and friends, watching the latest horror movie and finding new recipes to wow her family and friends with.