Delayed Breast Reconstruction Patients who have previously undergone simple mastectomy for cancer surgery, can be offered a range of delayed reconstruction options. This is a complex discussion and depends on previous treatment, the chest wall contour, physical activities and ability to tolerate lengthy general anaesthetic. Clinical Photographs Note: All images have been obtained with patient consent Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

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

Breast Implant Augmentation Women with small breasts or those with ptosis after childbirth/ breastfeeding may wish to consider implant augmentation to achieve a fuller appearance. The implant may be placed in the sub-glandular space (under breast tissue) or submuscular depending on the volume of existing breast tissue. Clinical Photographs Note: All images have been obtained with patient consent Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

Skin-Reducing/ Nipple-Sparing Mastectomy (Modified McKissock) with Immediate Reconstruction This is a more complex operation suitable for large-breasted women who wish to achieve smaller breast size following mastectomy as part of cancer treatment or risk-reducing mastectomy. The type of reconstruction depends on the individual patient and any additional treatment, such as Radiotherapy, which could influence the cosmetic outcome in the medium to 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

Aesthetic Flat Mastectomy with Nipple-Sensation Preservation This is a relatively new technique which aims to remove the entire breast tissue but preserve the nipple and the reconnect the nerve supplying the nipple. Some women are choosing to have this option, particularly high-endurance athletes or those who do not wish to consider immediate reconstruction. This is an increasing number of women who seek risk-reducing AFM due to inherited gene mutation and high risk for breast cancer based on strong family history. Clinical Photographs Note: All images have been obtained with patient consent Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

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

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

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.

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

Female to Male (Mastectomy with Nipple Sensation Preservation) F to M top surgery, also known as female-to-male chest reconstruction or masculinizing chest surgery, is a gender-affirming procedure that involves removing breast tissue to create a more masculine chest contour. The surgery includes a mastectomy to eliminate excess breast tissue, repositioning of the nipple-areola complex to a more masculine location, and contouring the chest to achieve a flatter, more masculine appearance. This surgical intervention plays a significant role in helping individuals align their physical appearance with their gender identity and can have a positive impact on their overall well-being and self-confidence. Please contact us to enquire more about this procedure. 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

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