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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)... 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

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... 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

This is a well established reconstruction technique which involves lifting a large muscle from the back - the latissimus dorsi or LD (usually with some skin) and bringing it to the front. The additional volume is achieved by using an implant behind the LD flap... Autologous Latissimus Dorsi Flap Reconstruction with Implant This is a well-established reconstruction technique which involves lifting a large muscle from the back - the latissimus dorsi or LD (usually with some skin) and bringing it to the front. The additional volume is achieved by using an implant behind the LD flap. This is a useful option for delayed reconstruction, especially in women who have previously undergone mastectomy with radiotherapy. Clinical Photographs Note: All images have been obtained with patient consent Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

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... 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

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... 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

Implant removal with mastopexy is a procedure that combines the removal of breast implants with a breast lift to address sagging or drooping. 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

Some women with smaller breasts or who are more athletic may choose to have aesthetic flat mastectomy (AFM) with nipple preservation. The nipple-sensation preservation can be offered if desired... Risk-Reducing Aesthetic Flat Mastectomy (Nipple Preservation) Some women with smaller breasts or who are more athletic may choose to have an aesthetic flat mastectomy (AFM) with nipple preservation. The nipple-sensation preservation can be offered if desired. Clinical Photographs Note: All images have been obtained with patient consent Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

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 in select patients. Please contact us for further information and a consult... 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

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. 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

Mammary fistula excision is a surgical procedure performed to remove an abnormal passage or tract that has developed between the mammary gland and the skin. This procedure aims to eliminate the fistula, which can cause pain, infection, and discharge, restoring normal function and promoting healing.. Excision of Mammary Fistula - Total Duct Excision The excision of a mammary fistula involves surgically removing an abnormal passage or tract that has developed between the mammary gland and the skin. This procedure aims to eliminate the fistula, which can cause pain, infection, and discharge, restoring normal function and promoting healing. Total duct excision, on the other hand, refers to the complete removal of the milk ducts in the breast. This surgical procedure is often performed to address conditions such as recurrent breast infections (mastitis) or the presence of abnormal cells within the ducts (atypical ductal hyperplasia), providing symptom relief and diagnostic clarity in certain cases. Clinical Photographs Note: All images have been obtained with patient consent Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

This technique was introduced by Josie Todd as the first Oncoplastic Breast Surgeon appointed in the South Island in 2009, for treatment of breast cancer in larger breasted women. This technique uses breast reduction surgery as part of cancer treatment and women are able to achieve smaller... Therapeutic Reduction Mammoplasty (TRM) Josie Todd introduced this technique as the first Oncoplastic Breast Surgeon appointed in the South Island in 2009 for the treatment of breast cancer in larger-breasted women. This technique uses breast reduction surgery as part of cancer treatment, and women are able to achieve smaller-sized breasts. This is a more extensive operation involving bilateral surgery and a slightly longer recovery compared to simple WLE (approximately 6 weeks). The main benefits include reduced shoulder, neck and upper back pain and avoiding heavy/uncomfortable breasts after radiotherapy. All patients must have formal clinical assessments 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

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.. 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