Where are the Skin Sparing Nipple Sparing Procedures Done?

In the Dallas, Tx. area, I would highly recommed Dr. Lynn Canavan (BS) and Dr. Richard Ha (PS)They do not office together, but both have offices in McKinney and Dallas (Canavan) and Plano and Dallas (Ha.)

The BS that the radiologist recommended said that he wouldn't do NSM because of recurrence, etc.  I did a little research on my own, and found Dr. Canavan.  She is very active in BC research, and tries to save the nipple whenever she can.  Luckily, my DCIS was still at stage 0 and my margins were clear, so my odds look good.

I could not recommend these Dr.s and their staffs more highly.

I think back, and if I had seen the Dr. that was first recommended, I would have lost my nipple, and it wouldn't have been necessary.

I had a bilateral skin sparing, nipple sparing procedure done at Johns Hopkins in Baltimore in November of 2010.   Surgeon said that as long as the tumor was at least 2 cm away from the center of the nipple, he would try and save it.  He did a great job - both nipples survived the surgery.  BTW, he is the only surgeon there that will do it.  At least, that is what I was told back in November.  It may have changed by now. 

Just found this thread so I thought I'd add my info.  I'm having NSBXM at California Pacific Medical Center (CPMC) in San Francisco.  Dr. Nima Grissom is my BS and Dr. Gabriel Kind is my PS.  My surgery hasn't taken place yet, but they are both highly recommended by my local BS and throughout this pre-surgical process I have heard repeatedly that I am in the best of hands.

Wish me luck on Wednesday!

Diagnosis:  12/8/10, Left ILC with LCIS, 5mm, Grade 1, ER+/PR+, HER2 -

Diagnosis:  12/20/10, Left DCIS, <1cm, Intermediate grade, ER+/PR+

Hi Megan - I am looking for BS & PS in the Boston Area and saw on your post

that you went to Mass General.  I am from the backwoods in Maine, and Nipple

Sparing is unheard of - I've ben under the knife three times, radiation once and

now faced with DCIS.  Thanks Janimal

Hi y'all:

Here is a recommendation for the Northwestern US: I had a NSM done on one side a week ago in Vancouver, WA. (Near Portland OR also). Both my cancer surgeon and plastic surgeon are wonderful. Private Message me for names. The PS uses botox at the time of surgery to relax the pec muscle and make it less likely to spasm. I had one fill at time of  surgery and another 2 days ago. So far, so good. Lucky60

I have posted this probably here before - but thought it might help someone. 

Salt Lake City, Utah  Surgeon - Erika Lloyd, Plastic Surgeon - J. Michael Self  - loved them both!!

CPMC (California Pacific Medical Center) - San Francisco

I'm having BMX with nipple-sparing on left in mid-May. Breast surgeon is Dr. Susan Cash and plastic surgeon is Dr. Pranay Parikh, both with Baystate, Springfield, MA. PM me for more info if you are considering going here for procedure and I'll share whatever I can.

-Jade

2.9 cm high-grade DCIS with T1mic. ER-/PR-, 0/2 nodes, HER2 unknown

Janimal, I don't know if you're still around here, but Dr Melinda Molin in Portland ME does this procedure. She was the only BS I asked, so either I got really lucky, or a lot more do it than we know. She's an amazing Dr all around. I've even found a PS who does fat gratfting with BRAVA. I didn't have to search high and low. The PS is my 2nd opinion guy. I happened to mention fat grafting on the phone with the office, and they brought up BRAVA. I'm still deciding what to do, so I cannot offer experienced advice on the procedure.

I'm not sure if you live near the woods, or if you're referring to the entire state as backwoods. If the latter, that's not been my experience at all. Keep asking around.

Crescemt5 - If you PM Timtam, Lilah or whippetmom they can give you access to a picture forum where you can see some photos for yourself.  I have been very happy with my results, my scars are underneath the breasts.  Hugs, Valerie

Crescent,

I had NS/BMX on March 18, 2011 - four weeks ago tomorrow. I hava implants and Alloderm was also used to help form a scaffold of sorts for the implants. I am still very near the time I had surgery, but at this point, I can say I am very happy I decided to have implants. My procedure was a PMX and this may make a difference in how well implants work for their success could have something to do with why they are being used. This would be a question for a medical person.

I am - at this point in time - thrilled with the way the left one looks! The right one has a mind of it's own and it taking a bit more time to "drop and fluff" but my PS assures me it will. It looks a bit different than the other breast but unless I told someone, it is unlikely they would notice this.

My husband thinks I look wonderful and he is brutally honest to a fault. I also think I look pretty natural naked and actually think I look far better than I did before the surgery for the new girls are more perky.

If I can answer anymore questions, please feel free to send me a PM and I will answer anyting I can answer.

Hugs

Sandy

Hi Sandy - thanks so much for this. I'm pre-surgery and needed to hear this !

For those of you in the Philadelphia area, University of Pennsylvania hospital, and Fox Chase Cancer Center both offer those reconstructive procedures.  I am meeting with a PS from Fox Chase next week.  I want to add that although I really like and respect my surgeon who is with a local community hospital, he did not mention the availability of this type of reconstruction when we met to discuss surgery and reconstruction options.  I don't know why this information isn't widely available to women facing mastectomy. The reconstruction portion of the cancer equation is certainly just as important to us as the treatment side.

Philadelphia, PA, Hospital of the University of Pennsylvania, Dr. Serletti

Has anyone had the nipple areola sparing mastectomy with  nipple sensation preserved? if yes what technique did the surgeon use?

Thanks