- Fee assured
- Verified this account
- Breast surgery
My enthusiasm for breast surgery started while still a medical student in the Edinburgh Breast unit and my interest has continued to grow since.
I have undertaken highly competitive and focused training in modern techniques in breast surgery, and am one of very few (if not the only) surgeons to have been selected for national training fellowships in both oncoplastic and cosmetic breast surgery. I was also awarded the prestigious Association of Surgeons of Great Britain and Ireland Gold Medal prize for achieving the highest score in the Royal College of Surgeons’ final exit examination (FRCS).
I am a consultant in a very busy breast unit at Queen Alexandra Hospital, Portsmouth and have been working there since 2013. We see and treat over 700 cancers per year with over 200 diagnosed via the Breast screening programme. I offer a full range of breast conserving and reconstructive options and work closely with my plastic surgery colleagues for free flap reconstructions.
I have a particular sensitivity for women who have breast symptoms and for those who ultimately are found to have breast cancer, as I am a mother of three young children and have personal experience of a close family member with breast cancer. I know the huge anxiety that is caused when women have concerns with their breasts, not only for themselves but for the impact it has on others around them. I therefore aspire to provide friendly and unhurried consultations to enable me to provide direct and balanced information and investigations for each individual person.
Oncoplastic breast surgery is where cancer surgery (“onco”) is combined with plastic surgical techniques to try and optimize the best long term cosmetic outcome for women requiring breast cancer removal. This can be as complex as full reconstructive surgery after mastectomy or can enable women to keep their breast by reshaping the breast tissue after removing the cancerous part. There are various techniques available for both these situations and I am happy to explain to patients in as much detail as they would like which options are available to them on an individually tailored basis.
I am also happy to see patients with other less life threatening conditions such as those with concerns with their family history, breast pain, nipple discharge, those unhappy with the size, shape or appearance of their breasts, as well as those wanting the reassurance of a breast assessment on an annual basis.
Areas of interest
Empathetic consultations; breast symptoms; breast lumps; breast pain; breast cancer; breast conserving surgery; mastectomy; sentinel node biopsy; breast reconstruction; breast reduction; breast lift; breast augmentation
Current NHS consultant posts held
Consultant breast surgeon- Queen Alexandra Hospital, Portsmouth
Breast conserving surgery in Paget's Disease
Online education for Royal College of Surgeons
I was brought up in Surrey and have returned here with my husband and three young children.
I enjoy being as active as I can while balancing the family and my career. This includes running, swimming, golf, riding, skiing and trying to enthuse my kids to follow suit!
Gold medal award of excellence for FRCS exit exams (Breast subspecialty)
Breast-conserving surgery in patients with Paget's disease. Helme S, Harvey K, Agrawal A.
Br J Surg. 2015 Sep;102(10):1167-74.
Screening mammography in women aged 40-49: is it time to change?
Helme S, Perry N, Mokbel K.
Int Semin Surg Oncol. 2006 Feb 6;3:4
RCS e-learning for healthcare module- Breast lumps
Helme S, Agrawal A
Should Mammography be offered as a screening tool to women aged 40-49?
S Helme, K Mokbel
www.senology.org. Mar 2006
A retrospective review of GP referral letters of patients attending a new patient clinic: does it work?
S Helme, M Bochner, D Speakman, JM Dixon.
The Breast 2001; 10: 360
Incidental Parathyroid Disease during Thyroid Surgery: Should We Remove Them?
Helme S, Lulsegged A, Sinha P.
ISRN Surg. 2011;2011:962186
Every wheeze does not merit a puffer! Case of an overnight cure of chronic asthma.
Balakrishnan S, Doddi S, Helme S, Sinha P.
Case Rep Med. 2010;2010:498372.
Complications of spilled gallstones following laparoscopic cholecystectomy: a case report and literature overview.
Helme S, Samdani T, Sinha P.
J Med Case Rep. 2009 Jul 24;3:8626.
Outcomes following colectomy for Clostridium difficile colitis.
Chan S, Kelly M, Helme S, Gossage J, Modarai B, Forshaw M.
Int J Surg. 2009 Feb;7(1):78-81
Endovascular stent graft repair of mycotic aneurysms of the thoracic aorta.
Sayed S, Choke E, Helme S, Dawson J, Morgan R, Belli A, Loosemore T, Thompson MM. J Cardiovasc Surg (Torino). 2005 Apr;46(2):155-61
Courses offered to GPs
Benign breast disease
Summary of modern breast cancer
- MBChB Edinburgh University 2002
- MSc Surgical Technology Imperial College, London 2008
- FRCS Royal College of Surgeons (Gold Medal) 2012
Reference number 6052473
Affiliations / memberships
Fellow of Royal College of Surgeons, England
Association of Breast Surgeons
- Clare Park Hospital, Farnham
- 12:00 - 15:00
- 01252 239039
- Spire Hospital, Portsmouth PO9 5NP
- 10:00 - 12:00
- 01252 239039
Post treatment communication
Following treatment of a Bupa member, I will communicate with GPs in line with Department of Health, GMC and appropriate professional bodies guidelines.