Oncoplastic Reconstructive Surgery Oncoplastic reconstruction combines cancer removal with breast reshaping for a better appearance. It is performed during or after tumor removal, achieving both oncological and cosmetic outcomes. This comprehensive approach restores confidence and body image in breast cancer patients. Types of Oncoplastic Reconstruction Risk-reducing nipple-sparing mastectomy with immediate reconstruction Risk-reducing aesthetic flat mastectomy (nipple sensation preserving technique) Implant reconstruction (pre-pectoral vs sub-muscular) Autologous lateral chest wall perforator flap reconstruction Autologous Latissimus Dorsi flap reconstruction with implant Extended autologous Latissimus Dorsi flap reconstruction Fat grafting/lipo-modelling for deformity contouring Implant revision surgery Delayed breast reconstruction

Gender-Affirming Surgery Gender affirming top surgery is a surgical procedure primarily performed on transgender and non-binary individuals to modify the chest area. It typically involves the removal of breast tissue and reshaping the chest to create a more masculine, feminine, or gender-neutral appearance, depending on the individual's desired outcome. This procedure plays a significant role in affirming a person's gender identity and can have a positive impact on their self-esteem and overall well-being. Gender-Affirming Procedures Female to Male - Top Surgery (Mastectomy with nipple sensation preservation) Male to Female - Top Surgery (Breast Augmentation) Please contact us for more information about these surgical options. Contact Us

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

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

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