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

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

Gynaecomastia Surgery Gynaecomastia or male breast enlargement can occur in all age groups for different reasons. Depending on the size of the gynaecomastia, the surgical techniques can range from simple to complex. Please contact us for a formal consultation. 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 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

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

Extended Autologous Latissimus Dorsi Flap Reconstruction In women with a slightly raised BMI, this is a suitable option for delayed reconstruction. This involves raising the LD muscle and recruiting any additional subcutaneous fat to generate the desired breast volume. It is possible to generate a reasonable breast volume. Some patients may require additional fat grafting to correct any contour deformities as a secondary procedure. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More

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

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

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 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

Male to Female (Top Surgery) M to F top surgery, also known as male-to-female breast augmentation or feminizing breast surgery, is a gender-affirming procedure designed to create a more feminine chest appearance for individuals transitioning from male to female. The surgery involves the placement of breast implants to enhance breast volume and shape, as well as reshaping the chest contours to achieve a more feminine silhouette. This surgical intervention can contribute to aligning one's physical appearance with their gender identity, helping to improve self-confidence and overall well-being. It is typically performed as part of a comprehensive treatment plan for gender transition. ​ Please contact us for more information on 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

Accessory Breast Tissue Accessory breast tissue removal is a surgical procedure performed to eliminate extra breast tissue that develops outside of the normal breast area. This tissue, also known as supernumerary breast tissue, can appear in various locations such as the armpit, upper chest, or even along the milk line (the area from the armpit to the groin). The goal of accessory breast tissue removal is to enhance aesthetic appearance, reduce discomfort, and eliminate any associated functional or psychological concerns. Clinical Photographs Note: All images have been obtained with patient consent​ Photos Coming Soon Placeholder Photos Coming Soon Placeholder 1/1 View More