Oncoplastic and Reconstructive Breast Surgery Breast Cancer Surgery, Reconstructive and Aesthetic Treatments from Dr Josie Todd About Dr Todd Dr Josie Todd is a highly skilled and experienced Consultant Oncoplastic Breast Surgeon. With expertise in breast cancer treatment and oncoplastic surgical techniques, she offers comprehensive consultations and a range of procedures, including breast-conserving surgery, therapeutic mammoplasty, and various reconstructive options. Dr Todd is also proficient in managing high-risk cases, performing prophylactic surgeries with immediate reconstruction for individuals with inherited gene defects. Her expertise extends to fat grafting, revision surgeries, and alternative autologous reconstructive options. ​ In addition to her specialisation in breast surgery, Dr Todd serves as a General Surgeon at Te Whatu Ora - Canterbury. Her extensive experience and training, including fellowships from the Royal College of Surgeons of Edinburgh, have equipped her with the skills to provide comprehensive care across multiple surgical disciplines. Dr Todd's commitment to patient care is evident through her involvement in various professional roles and dedication to promoting cancer awareness in diverse communities. Read More Specialist Procedures Non-wire (SCOUT) localised wide local excision Wide local excision with volume replacement Therapeutic reduction mammoplasty View All Contact Info To arrange an appointment, please contact the team at Oxford Womens Health. ​ Tel: 03 379 0555 ​ Clinic Locations Oxford Women's Health Forté Health 132 Peterboro ugh Street Christchurch 8013 ​ Surgical Locations Southern Cross Hospital 131 Bealey Avenue Richmond Christchurch 8013 ​ St George's Hospital 249 Papanui R oad Strowan Christchurch 8014 ​

Biography I am a UK-trained Oncoplastic Breast and reconstructive surgeon based in Christchurch, NZ. My family and I moved to Christchurch in 2009 where I was appointed as the first Oncoplastic Breast surgeon in Canterbury District Health Board. I qualified as a doctor from Lady Hardinge Medical College, Delhi University and moved to the UK in 1991 to pursue my surgical training. I became the Fellow of the Royal College of Surgeons of Edinburgh in 1996 and after completing Higher Surgical Training (JCHST) and Intercollegiate Fellowship (FRCS Ed Gen) in 2006; I was appointed as a Consultant Oncoplastic Breast and General Surgeon in 2006 in the UK. Following my appointment in Christchurch, I have introduced several surgical techniques to modernise breast cancer treatment in Christchurch, such as therapeutic reduction mammoplasty, nipple-sparing mastectomy and immediate reconstruction, even in patients who require Radiotherapy as part of treatment. I undertake risk-reducing mastectomy with immediate reconstruction for women with genetic mutations, such as BRCA1, BRCA2, ATM, CHEK2, and TP53. I introduced a novel skin-reducing/ nipple-sparing mastectomy technique and an extended lateral chest wall perforator flap for volume replacement and complete autologous flap reconstruction following mastectomy. More recently, I have introduced a non-wire localisation technique to help retrieve non-palpable cancers using SCOUT reflector (Merit Medical) so that women can be spared the need for a hook-wire prior to surgery. The first New Zealand woman to have the SCOUT procedure was undertaken in Christchurch. I have also introduced aesthetic flat mastectomy with nipple-sensation preservation and Goldilocks mastectomy for select cases. In addition to cancer surgery, I undertake a multitude of benign procedures such as breast reduction, breast lift, implant augmentation, correction of congenital asymmetry, fat grafting to correct contour deformity following previous surgery/ radiotherapy, gynaecomastia surgery for men and removal of old breast implants and corrective surgery. I have been a faculty member for the Oncoplastic workshop under the auspices of Breast SurgANZ since its origin in 2012; to help train post Fellowship trainees and established consultant surgeons in the art of Oncoplastic Breast Surgery. Some of my roles in include: Senior Lecturer at the University of Otago - School of Medicine and an External Specialist Advisor for ACC and the Health and Disability Commission (HDC). I am passionate about offering modern and safe surgical options for the treatment of cancer and benign breast conditions for women in New Zealand.

Contact Clinic Locations Oxford Women's Health Tel: 03 379 0555 Fax: 03 379 5299 Oxford Women's Health 132 Peterborough Street Christchurch 8013 Reception Hours Mon - Fri: 8:30am - 5pm ​ www.oxfordwomenshealth.co.nz Surgical Locations Southern Cross Hospital Tel: 03 968 3100 Fax: 03 968 3101 Southern Cross Hospital 131 Bealey Avenue, Richmond Christchurch 8013 Reception Hours Mon - Sun: 8am - 8pm ​ www.healthcare.southerncross.co.nz/christchurch-hospital St George's Hospital Tel: 03 375 6000 St George's Hospital 249 Papanui Road, Strowan Christchurch 8014 Reception Hours Mon - Sun: 7am - 8:30pm ​ www.stgeorges.org.nz

Oncoplastic Reconstructive Surgery Oncoplastic reconstruction combines cancer removal with breast reshaping for a better appearance. It is performed during or after tumor removal, achieving both oncological and cosmetic outcomes. This comprehensive approach restores confidence and body image in breast cancer patients. Types of Oncoplastic Reconstruction Risk-reducing nipple-sparing mastectomy with immediate reconstruction Risk-reducing aesthetic flat mastectomy (nipple sensation preserving technique) Implant reconstruction (pre-pectoral vs sub-muscular) Autologous lateral chest wall perforator flap reconstruction Autologous Latissimus Dorsi flap reconstruction with implant Extended autologous Latissimus Dorsi flap reconstruction Fat grafting/lipo-modelling for deformity contouring Implant revision surgery Delayed breast reconstruction

Benign Breast Surgery Benign breast conditions are non-cancerous changes in the breast that can cause symptoms like pain or lumps. Sometimes, surgery is recommended to treat these conditions and alleviate discomfort. Surgery can involve removing specific lumps, draining fluid-filled cysts, or addressing abnormal milk ducts. Benign Breast Procedures Excision benign breast lump (fibroadenoma) Gynaecomastia surgery Excision of Mammary Fistula - Total duct excision

Breast Cancer Surgery Breast cancer surgery is a vital procedure that removes cancerous tissues from the breast. It involves options like lumpectomy, where the tumour and surrounding tissue are removed, or mastectomy, which removes the entire breast. This surgery plays a crucial role in treating breast cancer and aims to improve outcomes for patients. Types of Breast Cancer Surgery Lumpectomy (Wide Local Excision WLE) Non-wire (SCOUT) localisation wide local excision WLE with volume replacement (perforator flap) Therapeutic reduction mammoplasty (TRM) Therapeutic mastopexy Simple Mastectomy Aesthetic flat mastectomy with nipple-sensation preservation Nipple-sparing/Skin-sparing mastectomy with reconstruction Skin-reducing/Nipple-sparing mastectomy (modified McKissock) with reconstruction More About Reconstruction

Aesthetic Breast Surgery Aesthetic breast surgery aims to enhance the appearance of the breasts. They include various surgeries such as breast augmentation (implants), breast lift (mastopexy), and breast reduction. These procedures are performed to address concerns related to breast size, shape, symmetry, or sagging. Cosmetic breast procedures offer individuals the opportunity to achieve their desired breast aesthetic and boost their self-confidence. Aesthetic Breast Surgery Breast implant augmentation Breast augmentation using autologous tissue/ fat grafting Breast reduction surgery (reduction mammoplasty) Correction of congenital asymmetry/ non-developed breast Implant revision surgery (removal of old/ruptured implants + capsulectomy) Removal of old breast implants with mastopexy (breast lift) Accessory breast tissue

Our Services Breast Cancer Surgery Oncoplastic Reconstructive Surgery Benign Breast Surgery Aesthetic Breast Surgery

Gender-Affirming Surgery Gender affirming top surgery is a surgical procedure primarily performed on transgender and non-binary individuals to modify the chest area. It typically involves the removal of breast tissue and reshaping the chest to create a more masculine, feminine, or gender-neutral appearance, depending on the individual's desired outcome. This procedure plays a significant role in affirming a person's gender identity and can have a positive impact on their self-esteem and overall well-being. Gender-Affirming Procedures Female to Male - Top Surgery (Mastectomy with nipple sensation preservation) Male to Female - Top Surgery (Breast Augmentation) ​ Please contact us for more information about these surgical options. Contact Us

Simple Mastectomy Mastectomy (or removal of the breast) is a very traditional approach to breast cancer treatment. Patients are left with a flat scar with loss of the nipple. Not all cancers require simple mastectomy (see section on Immediate reconstruction). This technique is only reserved for elderly patients or those with a high risk for general anaesthesia. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

Nipple-Sparing/Skin-Sparing Mastectomy with Immediate Reconstruction Women with extensive DCIS or multifocal cancer who require a mastectomy could consider nipple-sparing mastectomy with immediate reconstruction. The breast skin and nipple are preserved, and the type of reconstruction would depend on the individual patient. If the tumour is close to the nipple, patients could be offered skin-sparing mastectomy, where the nipple is sacrificed as part of the cancer operation. (Hyperlink to reconstruction) This is a useful option in women with high risk due to family history and an inherited genetic mutation (such as BRCA1, BRCA2, ATM, CHEK2, TP53, PALB2) who wish to consider risk-reducing mastectomy. (Hyperlink to Oncoplastic section) Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

Autologous Lateral Chest Wall Perforator Flap Reconstruction This is an option for selected patients who do not wish to have implant reconstruction and provided there is sufficient tissue to generate a reasonable volume reconstruction. This is a complex operation and requires formal assessment and detailed discussion before proceeding with surgery. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More