View clinical photographs of procedures offered by Dr Josie Todd. All photographs have undergone patient consent for use on this site. 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)

The following are services offered by Dr Josie Todd and the team at Oxford Women's Health. Please click on the links to find out more information on procedures within each category. Our Services Breast Cancer Surgery Oncoplastic Reconstructive Surgery Benign Breast Surgery Aesthetic Breast Surgery

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... 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.

Please contact the team at Oxford Women's Health for more information and to arrange a consultation... Contact Clinic Location 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 Location 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

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... 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

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... 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

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... 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

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

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... 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

In small to medium-breasted women with larger areas of cancer/ DCIS, it may be possible to recruit additional skin and fat from the surrounding chest wall. Depending on tumour location, perforator flaps can be used to fill the large defect following WLE. This is a good option for those women... Wide Local Excision with Volume Replacement (Lateral Chest Wall Perforator Flap) In small to medium-breasted women with larger areas of cancer/DCIS, it may be possible to recruit additional skin and fat from the surrounding chest wall. Depending on tumour location, perforator flaps can be used to fill the large defect following WLE. This is a good option for those women who wish to conserve their breasts and avoid mastectomy with reconstruction. 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

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