Lumpectomy (Wide Local Excision) For many women with early and small breast cancer, it is possible to treat by removing the cancerous area with a small margin of normal breast tissue. This is known as Lumpectomy or Wide local excision (WLE) and is a relatively small procedure with early recovery (approximately 2 weeks). Provided the margins are adequate, patients are then offered Radiotherapy as part of treatment for most cases. There is good evidence that long-term survival following WLE is equivalent to mastectomy for early breast cancer. Oncoplastic techniques performed uses aesthetically placed incisions to help ensure good cosmetic outcomes in the long term. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

Removal of Old Implants with Mastopexy (Breast Lift) Old implant removal with mastopexy is a comprehensive surgical procedure that involves removing outdated or problematic breast implants while simultaneously performing a breast lift. This combined approach addresses both implant-related issues and any breast sagging or drooping. The goal is to achieve a more youthful and aesthetically pleasing breast contour by removing the old implants, reshaping the breast tissue, and repositioning the nipple-areola complex. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

Fat-Grafting/ Lipo-Modelling for Deformity Contouring This is a useful technique to correct small to medium deformities from previous breast surgery or reconstruction. It involves harvesting the fat from the abdominal wall and injecting into the breast. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

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

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

Breast Reduction (Reduction Mammoplasty) This surgery is offered to large-breasted women who wish to achieve smaller breasts suited for their body frame. Many large-breasted women suffer from chronic neck, shoulder and upper back pain due to the weight of their breasts. They find it difficult to find clothes which fit them well or exercise due to the size of their breasts. Patients can gain many benefits from reduction surgery - please contact us for more information and to arrange a consult. 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

Therapeutic Mastopexy This technique was first introduced by Josie Todd in the South Island for medium-breasted women with moderate-sized cancer without the need for a formal mastectomy. This is a more extensive operation involving bilateral surgery and a slightly longer recovery period (approximately 6 weeks) compared to a simple WLE. The main advantage of this procedure is that it avoids poor cosmetic outcomes and asymmetry in patients compared to a simple WLE. All patients must have a formal clinical assessment to determine suitability for this technique. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

Non-Wire SCOUT Localisation Wide Local Excision This is a new technology which replaces the traditional hook-wire localisation for small, non-palpable breast cancers. It involves placing a tiny ultrasound emitting device in the breast (smaller than a grain of rice) to help the surgeon locate the exact tumour site. This technique was first introduced in New Zealand by Josie Todd in 2022. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

Clinical Gallery Below are clinical photographs of procedures offered by Dr Todd. If you have any questions, please don't hesitate to contact the staff at Oxford Women's Health for additional information. ​ Disclaimer: All photos displayed have been obtained with patient consent for use on this website Breast Cancer Surgery Oncoplastic Reconstructive Surgery Benign Breast Conditions Aesthetic Breast Surgery Gender-Affirming Surgery Breast Cancer Surgery 1/1 Lumpectomy (Wide Local Excision) Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 WLE with Volume Replacement Perforator Flap Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Therapeutic Mastopexy Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Aesthetic Flat Mastectomy (Nipple Preserving Technique) Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Skin-Sparing Mastectomy with Reconstruction Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Non-Wire (SCOUT) Wide Local Excision Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Therapeutic Reduction Mammoplasty Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Simple Mastectomy Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Nipple Sparing Mastectomy with Reconstruction Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Skin-Reducing Mastectomy with Reconstruction (modified McKissock) Oncoplastic Reconstructive Procedures 1/1 Risk-Reducing Mastectomy with Immediate Reconstruction Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Implant Reconstruction Pre-Pectoral & Sub-Muscular Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Autologous Latissimus Dorsi Flap Reconstruction with Implant Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Fat Grafting / Lipo-Modelling for Deformity Contouring Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Risk-Reducing Aesthetic Flat Mastectomy (Nipple-Sensation Preserving) Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Autologous Lateral Chest Wall Perforator Flap Reconstruction Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Extended Autologous Latissimus Dorsi Flap Reconstruction Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Implant Revision Surgery Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Delayed Reconstruction Benign Breast Conditions 1/1 Excision Benign Breast Lump (Fibroadenoma) Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Mammary Fistula Excision Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Gynaecomastia Surgery Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Total Duct Excision Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Accessory Breast Tissue Removal Aesthetic Breast Surgery 1/1 Breast Implant Augmentation Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Breast Reduction Surgery (Reduction Mammoplasty) Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Tubular Breast Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Breast Augmentation using Autologous Tissue / Fat Grafting Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Correction of Congenital Asymmetry / Non-Developed Breast Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Implant Revision Surgery (Removal of Old/Ruptured Implants + Capsulectomy) Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 Removal of Old Breast Implants with Mastopexy (Breast Lift) Gender-Affirming Surgery 1/1 F to M (Mastectomy with Nipple Sensation Preservation) Non-Wire (SCOUT) Wide Local Excision Describe your image Non-Wire (SCOUT) Wide Local Excision Describe your image 1/1 M to F (Top Surgery)

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

Breast Augmentation Using Autologous Tissue (Fat-Grafting) Some women may wish to have larger breast volume without the use of silicone breast implants. This is a complex procedure and is only applicable to select patients. Please contact us for further information and a consult. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More