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.