"I strive to perform the most effective breast surgery in the finest aesthetic way. I take the time to thoroughly explain each diagnosis and utilize treatment options based on the medical innovations and breakthroughs of twenty-first century breast care."

 

The Role of Your Breast Surgeon

Areas of Expertise

  • A breast surgeon’s expertise encompasses benign breast disease through breast cancer, from prevention to diagnosis through treatment and beyond. Breast surgeons evaluate, diagnose and treat diverse symptoms including breast pain, breast lumps and nipple discharges, breast cysts and fibrocystic changes, breast infections such as mastitis and abscesses, breast cancer, high-risk breast lesions, as well as abnormalities on mammograms, breast ultrasounds or MRIs.
  • Breast surgeons assess breast cancer risk and arrange genetic counseling and testing. Breast surgeons monitor women who have a high risk for breast cancer and recommend risk-reducing strategies.
  • In addition to performing breast cancer surgery, a breast surgeon also coordinates multidisciplinary breast cancer care among a team of specialists individually selected for each patient. Breast surgeons monitor women after completion of breast cancer treatment.

Breast Surgery

  • Breast surgeons perform breast cancer-related surgery, including lumpectomies, using oncoplastic techniques if necessary to achieve the best possible cosmetic results.
  • Mastectomies, including nipple- sparing and skin- sparing types, are often combined with immediate breast reconstruction by a plastic surgeon. The breast surgeon may work in conjunction with a medical oncologist to use “up-front” chemotherapy to increase the possibility of breast conserving surgery instead of mastectomy for larger tumors.
  • Breast surgeons perform lymph node surgery such as sentinel node biopsy and axillary node dissection.
  • Breast surgeons place brachytherapy catheters for partial breast radiation and mediports for chemotherapy access.

Breast Biopsies- Advantages of having a breast biopsy by a breast surgeon

  • When your breast biopsy is performed by a breast surgeon, she will also recommend, coordinate and implement any needed treatment at the same time she informs you of the diagnosis. This relieves the anxiety of getting a breast cancer diagnosis without being told what it means or what to do about it.
  • Since breast surgeons perform both needle biopsies and surgical breast biopsies, they are well-equipped to advise which type of biopsy should be done based on the specifics of your situation. Needle biopsies are optimal for most breast abnormalities, being highly accurate and less invasive, but there are a few circumstances in which a surgical biopsy may be preferable.
  • Surgical training emphasizes technical skill, sterile technique, adequate anesthesia and the placement of incisions to reduce scarring and account for how a biopsy might affect subsequent breast surgery.

Breast Ultrasound-Advantages of having a breast surgeon who performs breast ultrasound

  • A surgeon skilled in breast ultrasound can use it to evaluate abnormalities on breast exam or mammogram, potentially resulting in an immediate diagnosis, eliminating hours or days spent waiting and worrying.
  • Breast surgeons can use ultrasound in the operating room to make surgery more accurate, resulting in a less invasive procedure and a better cosmetic outcome.
  • With intraoperative breast ultrasound, localizing wires (used in preparation for surgery to identify breast lesions which cannot be felt) can be placed by the breast surgeon in the operating room while the patient is under anesthesia, thus avoiding the need for wire insertion by a radiologist before surgery while the patient is awake.
  • A surgeon can use intraoperative breast ultrasound to increase the likelihood of removing breast cancers completely while minimizing removal of surrounding healthy tissue.
  • Not all breast surgeons perform breast ultrasound, so ask about this.

We can help if…