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Some of the principal treatments carried out by Professor Zoe Winters at Spire include:
Breast cancer diagnosis (clinical and imaging using ultrasound), breast conserving surgery using cosmetic techniques, intra-operative radiotherapy at time of surgery to avoid whole breast radiotherapy, immediate Implant and biological sling breast reconstruction, immediate Pedicle flap breast reconstruction, sentinel lymph node diagnosis using dual localisation
I have established a “highly reputable” clinical practice in oncoplastic breast surgery techniques over the past 17 years within University teaching Hospitals in South Africa, Oxford and Bristol with tertiary referrals of complex cases and second opinions.
I have an established practice in symptomatic and screen-detected breast cancers reviewing over 650 patients annually. I have extensive clinical experience (over 250) in types of immediate breast reconstruction after mastectomy for breast cancer such as: combined back flap-implant and back flap tissue only techniques, biological sling-implant only (over 50) and complex types of breast conserving reduction mammoplasties (over 30) used for larger cancers or more than one breast cancer in the same breast in order to optimise cosmetic results.
Women recommended for radiotherapy after mastectomy are also given the opportunity to undergo temporary two-stage breast reconstructive approaches. Also I facilitate immediate micro-vascular breast reconstructions working alongside the best Consultant plastic surgeons in the country here at Spire Bristol Hospital.
I have developed an extensive photographic database of my breast reconstruction results for the purposes of best informing my individual patients results.
The national mastectomy and breast reconstruction audit showed that my patients scored their satisfaction with cosmetic outcomes in the 95th percentile. My return to theatre rates are extremely low at 3%.
I have also developed ready to use experience of administering a targeted dose of radiotherapy over 10 minutes during surgery at the time of lumpectomy in collaboration with top oncologists in the field. I am an expert in dual localisation sentinel lymph node biopsy and sit on the Trial Management Group for the UK trial on positive sentinel lymph nodes (POSNOC).
My sentinel lymph node biopsy audit data (2005-2010) in 132 women showed that I achieved 95% detection rates removing on average 2.8 nodes at a time with a false negative rate of 4.6% well below national averages. A snapshot NHS patient satisfaction survey in September 2016 scored patient’s satisfaction with my care as “excellent” by 10 out of 13 patients surveyed and “very good” by 3 out of the 13 women.
Benign breast problems
International Society of Quality of Life.
San Antonio Breast Cancer Symposium
Academic and Research committee of the Association of Breast surgeons
Chair of the European Organization for Research and Treatment of Cancer (EORTC) breast reconstruction quality of life group
Past chair of membership committee of British Breast Group
UK Breast Intergroup
British Association of Surgical Oncology (BASO)
Senior Academic advisor to Allergan, USA
Senior Academic advisor to Lightpoint Medical, UK
Trial Management Group for Positive sentinel Lymph node trial (POSNOC)
Trial Steering committee of the Low Risk DCIS trial (LORIS)
Trial Steering committee of of the MagSNOLL trial with Supra-paramagentic Iron Oxide, Kings Health Partners, and Kings College London
Principal Investigator for the Bridging the Age Gap Trial
Principal Investigator for the POSNOC trial
Principal Investigator for the EORTC modernisation of the QLQ-BR23 in breast cancer (2014-ongoing)
Chief Investigator of MIAMI feasibility trial on multifocal breast cancers
Honorary Associate Professor in Quality of Life, University of Sydney
Honorary Professor of Surgery, Division of Surgery and Interventional Science, University College London
King James IV Professorship from the Royal College of Surgeons of Edinburgh (2001)
Director and Head of the Breast Reconstruction Quality of Life and clinical outcomes research group, University of Bristol.
Lead for Clinical research at the Multidisciplinary meeting at the University Hospitals of Bristol NHS Foundation Trust.Back to top
I chill out on Sundays by swimming for fitness. I am passionate about art, live theatre, ballet and Wimbledon.Back to top
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24 September 2018
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