Dr Zoë Winters is a Consultant Breast Cancer Surgeon. She is an experienced, highly regarded, nationally recognised breast surgeon specialising in the diagnosis, management and treatment of breast cancer.
Dr Winters has established a breast cancer surgery clinical practice based on more than 15 years of experience working internationally in Johannesburg, Cape Town, Oxford, and as a Breast Cancer Consultant Surgeon, at the University Hospital Bristol NHS Foundation practice and from 2013, in the newly amalgamated Bristol Breast Care Centre at Southmead Hospital, North Bristol Trust. The Bristol Breast Care Centre, which is now one of the largest patient throughput centres for breast surgery practice in the UK. Dr Winters consults with over 200 women per year in the NHS whilst running her private practice in the evening and on the weekends based at the Spire Hospital.
All patients are given a high quality, individual service. Most of the time, patients are given a diagnoses at their first consultation.
Dr Winters performs all types of breast cancer surgery and breast reconstuctions using oncoplastic techniques within the remit of breast cancer treatments including the close collaboration with Consultant Plastic surgeons in more complex micro-vascular breast reconstructions. Dr Winters can offer some patients immediate reconstruction, which is performed at the same time as your initial surgery. All options will be fully explored by Dr Winters, to find the best solution for you.
Specialist areas of works are:
- Breast cancer
- Oncoplastic reconstrucitve surgery
- Sentinel lymph node biopsy
- Breast pain
- Nipple discharge
Family history patients Breast reconstruction procedures include:
- Implant only (under the pectoral muscle or using an ADM)
- Back flap and implant
- Back flap tissue only (your own body tissue)
Dr Winters is able to perform cosmetic procedures in the context of achieving optimal symmetry between the breasts after breast conservation or types of breast reconstructions. This applies to breast augmentation, breast reduction and fat filling techniques. Dr Winters will invite the collaborations of the most expert plastic surgeons if required on any of these techniques if they involve more complex cosmetic revision procedures. This also applies to the performance of ‘free flap’ nipple reconstructions.
All patients have their recommended treatments discussed within a strong Multi-disciplinary team, involving pathology, radiology, oncology and radiotherapy as well as involving referrals to specialist services such as physiotherapy, pain clinics, psychologists, lymphoedema nurses, breast care nurses, and other supportive practices. Patients are recommended to undergo MRI together with mammography and ultrasound using these specialised imaging techniques to guide accurate biopsies. Other of the latest imaging techiques are also used to include PET scans.
She is also experienced in the field of preventative breast surgery after childhood radiotherapy and in women who have a high risk family history and require testing of the BRCA1 /BRCA2 gene abnormalities.
Dr Winters has established ‘gold standard’ approaches to detecting the sentinel lymph node and in using techniques to measure the results of the lymph node in theatre, thus avoiding unnecessary second surgical procedures to the axillary lymph nodes. The lastest innovations are used.
Dr Winters provides access to the latest OncoTypeDX genetic testing of breast cancers to help women make personalised decisions on their requirements for chemotherapy after breast cancer surgery. She is a strong advocate of women being given the opportunity to enter all new and available breast cancer clinical trials.
Expert in clinical evidence in breast reconstruction. Nationally recognized in clinical research in the field of breast reconstruction using patient reported outcome measures (PROMS) to assess each individual woman’s quality of life (functioning at all levels: physical. emotional and psychological) after breast surgery. Establishing national requirements for reporting standardized clinical outcomes such as complications after breast reconstruction as well as all types of breast surgery (including cosmetic breast surgery).