
My Services
Innovative Approaches
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Oncoplastic Surgery
This innovative approach to the treatment of breast cancer utilizes plastic surgery techniques to reshape the remaining breast or reconstruct the breast after excision of a malignancy. It may also include correcting any imbalance relative to the unaffected breast.
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Goldilocks Surgery
"Goldilocks" surgery for breast cancer refers to a personalized approach aimed at achieving the "just right" balance between removing cancerous tissue while preserving healthy breast tissue. This technique involves a meticulous surgical method where only the necessary amount of tissue is removed, reducing the chances of extensive damage to the breast. By striving to strike this delicate balance, Goldilocks surgery seeks to promote optimal cancer treatment outcomes while preserving the natural appearance of the breast as much as possible.
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Nipple-Sparing Mastectomy
This procedure removes breast tissue while preserving the nipple-areola complex, allowing for a more natural-looking breast reconstruction. This technique is often chosen for select patients who meet specific criteria and desire to maintain the aesthetic appearance of their breasts post-surgery.
Diagnostic and Minimally-Invasive Procedures
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Needle Biopsies
Generally preferred over operative biopsies, these are done with local anesthesia and take a small amount of tissue while using image guidance, to make a diagnosis of benign or malignant breast disease. They may be done in one of our offices with ultrasound guidance, or for certain imaging abnormalities, at a hospital or free-standing radiology facility using mammogram or MRI guidance.
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Excisional Biopsy
Done in the operating room when a needle biopsy cannot be obtained or is inconclusive, this surgical procedure removes a palpable or imaging abnormality for diagnosis.
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Duct Excision
Often performed for abnormal nipple discharge or a small growth inside a milk duct, this outpatient procedure removes the last portion of a few or all of the ducts.
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Wire or Needle Localization Techniques
A procedure done to target the abnormal area in the breast when it cannot be felt on examination; it may use a wire, radioactive seed, radiofrequency device or other techniques. it is usually performed by your surgeon or a radiologist prior to surgery, although it may be, at times, performed intraoperatively.
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Lumpectomy
Also known as breast-conserving surgery, segmental mastectomy, quadrantectomy, partial mastectomy or wide local excision, this technique removes just the tumor and a small amount of normal surrounding tissue. Typically, this is performed for early-stage breast cancer, and if the tumor is small in size compared to the size of your breast. When done for cancer, some of your lymph nodes may also be removed during the same operation to obtain the proper staging of your tumor. Radiation therapy is usually recommended following a lumpectomy done for cancer to reduce recurrence rates.
Axillary Surgeries
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Sentinel Lymph Node Biopsy
Using special dyes, this procedure samples the first few lymph nodes in the underarm which drain the breast in order to determine spread of disease and stage.
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Axillary Node Dissection
Removal of more lymph nodes than in the Sentinel Lymph Node Biopsy--this procedure may be done when the cancer is already known to have spread to the lymph nodes.
Mastectomies
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Simple/Total
The breast is removed but the lymph nodes under the arm and muscle tissue beneath the breast are not removed. It may be combined with lymph node sampling, such as the sentinel lymph node biopsy. It may be done prophylactically, for risk reduction.
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Skin-Sparing
For women opting for immediate breast reconstruction, much of the skin is left intact allowing for a more natural looking reconstructed breast. This procedure is performed in coordination with a reconstructive plastic surgeon.
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Modified Radical
In this procedure, the entire breast including the nipple and areolar complex and all of the underarm lymph nodes are removed. This is typically done for certain types of aggressive breast cancers or locally advanced disease that has already spread outside the breast.
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Prophylactic Mastectomy
Usually performed on the unaffected breast for risk reduction when a woman is undergoing a mastectomy for breast cancer. It may also be done for women with a high risk of getting breast cancer.
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Radical Mastectomy
Rarely if ever performed anymore, in this procedure the surgeon removes the entire breast, all of the underarm lymph nodes, and chest wall muscles under the breast. This procedure may also include removal of ribs to control disease.
Other Breast Surgeries/Services
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Brachytherapy Catheter Placement (Mammosite, Contura, Savi)
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High Risk Assessment, Genetic Testing and Counseling
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In-Office Needle Biopsies (Both Fine and Core Needle)
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Evaluation of Breast Imaging Abnormalities
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Community Educational Lectures
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Breast Pain, Nipple Discharge, Ectopic Breast Tissue, Gynecomastia
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Medication Port Placement/Removal
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Case Presentation/Tumor Board/Multidisciplinary Assessment
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Second Opinions