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.

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

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)

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

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

Contact Clinic Locations 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 Locations 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 St George's Hospital Tel: 03 375 6000 St George's Hospital 249 Papanui Road, Strowan Christchurch 8014 Reception Hours Mon - Sun: 7am - 8:30pm www.stgeorges.org.nz

Excision Benign Breast Lump Benign lumps in the breast is common (such as fibroadenoma) but is recommended for excision once it reaches size criteria for removal. Some lesions are indeterminate on biopsy and the pathologist would recommend removal for definitive pathological assessment. 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