Miss Christina Choy is Consultant Oncoplastic Breast Surgeon at the London Breast Institute in London's Harley Street medical district. She specialises in reconstructive breast surgery, sentinel node biopsy, fat transfer to the breast (lipofilling) and aesthetic breast surgery.
An experienced breast surgeon
Miss Christina Choy FRACS, FRCS, FCSHK graduated from the Medical School of the University of Sydney, going on to complete her postgraduate surgical training at units in Australia, Hong Kong and the UK, including St Bartholomew's Hospital and The Royal Marsden Hospital in London. Before moving into the private sector on a full time basis, until 2007 she held the post of consultant breast surgeon, Lead of the Breast Service at the Homerton University Hospital. She is a current trustee for Breast Cancer Hope Charity.
Now based at the London Breast Institute
, a leading independent unit that brings together world-renowned specialists in the field of breast cancer, Miss Choy works as part of an expert multidisciplinary team to provide accurate diagnosis and the most up-to-date therapies for both benign breast conditions and breast cancer.
Miss Choy offers specialist consultation for breast conditions such as:
- Breast lumps
- Nipple discharge
- Nipple areolar rash and itchiness
- Breast pain and discomfort
- Male breast lumps and swelling - gynaecomastia
- Axilla lumps and swelling
- Hereditary breast cancer (family breast cancer risk assessment and risk reduction mastectomies, genetic risk counselling)
Expert treatment for breast cancer
Committed to helping each individual patient find the most appropriate
treatment solution, Miss Choy favours an oncoplastic approach to breast cancer surgery,
combining the latest breast preserving techniques with modern plastic surgery procedures such as implants, skin flaps, nipple sharing grafts and fat transfer. Compared to past techniques, oncoplastic surgery produces excellent cosmetic results and can be performed immediately after the cancer excision.
Miss Choy is also skilled in the use of sentinel node biopsy, a specialist technique that allows for the accurate sampling of the lymph nodes under the arm to determine if cancer cells have spread from the breast. Using an injection of blue and/or radioactive dye, the first or sentinel lymph nodes are revealed, removed and examined by a pathologist. If they are clear of cancer cells, the decision may be made that no further armpit surgery is required, avoiding the problems associated with lymph node clearance, i.e. lymphedema, arm stiffness and pain. If the sentinel nodes are found, however, to contain cancer cells, all the lymph nodes in the armpit will need to be removed.
Aesthetic breast surgery
Miss Choy offers a full range of reconstructive and cosmetic breast procedures, including breast reduction, breast augmentation, breast uplift (mastoplexy) and fat transfer.
Miss Choy plays an active role in research and has published peer-reviewed papers in leading medical journals in the field of skin sparing mastectomy and reconstruction, ductal carcinoma in situ and lipofilling.
Current projects that Miss Choy is involved in include:
- A study of the gene arrays and demographic data of young women, particularly Afro-Caribbean women and other ethnic groups, presenting with breast cancer - conjoint with the pathology department, St Bartholomew's Hospital
- Research into barriers to women accessing early diagnosis and treatment for breast cancer in various ethnic groups - conjoint with King's College Hospital and recently presented in Parliament for BAEM (Black Afrocaribbean and Ethnic Minority Group)
- The development of a 23 hours model for early discharge after breast cancer surgery
- Audit - to determine if sentinel node of highest isotope count can be the predictor of nodal status in breast cancer
Nipple-sparing mastectomy using a hemi-periareolar incision
with or without minimal medial-lateral extensions; clinical outcome and patient
satisfaction: a single centre prospective observational study. El Hage Chehade H, Headon H, Wazir U,
Carmaichael AR, Choy C, Kasem A, Mokbel K, Am J Surg. 2016.
Clinical outcome and patient satisfaction with the use of
bovine-derived acellular dermal matrix (SurgiMend™) in implant based immediate
reconstruction following skin sparing mastectomy: A prospective observational
study in a single centre. Headon H, Kasem A, Manson A, Choy C, Carmichael AR,
Mokbel K, Surg Oncol. 2016.
Current treatment of DCIS. Choy C , Mokbel K , WJCO. 2015
Towards optimal treatment of DCIS. Choy C, Mokbel K, WJCO. 2014.
Evaluation of outcome after immediate breast reconstruction: prospective comparison of four methods. Gui G, Kodayaprath G, Tan SM, Faliakou El, Choy C et al. Plast Reconstr Surg. 2005
Immediate breast reconstruction using biodimensional anatomical permanent expander implants: a prospective analysis of outcome and patient satisfaction. Maxwell GP, Gui G, Tan SM, Faliakou E, Choy C, A’Hern R and Ward A,
Plast Reconstr Surg. 2003
Predictors of positive margins after local excision of ductal carcinoma in situ. Mokbel K, Choy C et al . Am J Surg. 2001
Adjuvant radiotherapy for DCIS. Mokbel K, Choy C, Carpenter R, Lancet. 2000