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

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

Risk-Reducing Nipple-Sparing Mastectomy with Immediate Reconstruction Some patients have a high-risk for developing breast cancer due to inherited gene mutation (such as, BRCA1, BRCA2, ATM, PALB2, TP53, CHEK2, CDH1 mutations) or a significant family history of breast and other cancers. Risk reducing mastectomy (RRM)in these patients can significantly reduce their individual risks to below population risk. The usual age group where RRM is most beneficial is before the age of 50-55 as the age-related risk trends down towards population risk by the age of 60. Clinical Photographs Note: All images have been obtained with patient consent Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

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

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

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

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

Correction of Congenital Asymmetry/ Non-Developed Breast Significant asymmetry or congenital non-developed breasts can be corrected with aesthetic breast surgery. This may require more than one operation depending on the degree of asymmetry compared to the normal breast. This surgery is often designed for younger patients whose normal breasts may also develop and change over time. It may require surgery on the normal side in order to achieve the desired volume and symmetry for both sides. Clinical Photographs Note: All images have been obtained with patient consent Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

Implant Reconstruction (Prepectoral vs Subpectoral) Implant reconstruction is a well established technique following mastectomy (for cancer surgery or risk-reduction). The more traditional technique involves placing the implant under the pectoral muscle and using a dissolvable mesh to support the lower 1/3 of the implant. Prepectoral implant reconstruction is a newer technique where the implant is placed in front of the muscle. The main advantages include, less pain, early recovery, no animation and less capsular contracture. The decision for individual technique rest with the operating surgeon and depends on intraoperative patient factors. Clinical Photographs Note: All images have been obtained with patient consent Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

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