Where are the Skin Sparing Nipple Sparing Procedures Done?

I had a single NSM done 12/15/11.  Dr Javid and Dr Louis at SCCA/UW in Seattle. 

HI all, I am so disappointed myself...just had consult with PS, not only am I a lousy candidate (38DD at least, but pitosis is extreme.) I'd not want to have two surgeries with the good chance of necrosis and losing the nipple, to keep it.

I wish. 

Abbott Northwestern - Virginia Piper Breast Center - Minneapolis, MN



Dr Margit Bretzke - general surgeon

Dr Mark Migliori - plastic surgeon



Great results!

Theodore Tsangaris, MD at Johns Hopkins in Baltimore.  He offered nipple sparing despite my cancer diagnosis.  Clear margins post-op and I got to keep my nipples.  Excellent surgeon.

Mass General Hospital Boston, MA

BS Dr Barbara Smith

PS Dr Amy Colwell

Very good experiences

Does anyone know of any surgeons in Arkansas that do the NSM/SSM? 

Orange County, CA  -  Dr. Jane Kakkis at Orange Coast Hospital

I ended up being treated elsewhere for reasons unrelated to Dr. Kakkis, but Jane has an excellent reputation and I was very impressed with her. 

It is worth sparing nipples if the cancer is far enough away. Safe as well as for a prophylatic mastectomy.

Kd6blk - Unfortunately, NSM is not offered in my local area.  Reason, I am told, is that the breast surgeons are willing, but we don't have vascular microsurgeons here that do breast reconstruction like DIEP, etc.  Fortunately, my wonderful local BS knew I was a good candidate even though she couldn't offer NSM herself.  So she arranged for me to see a BS/PS team 2 hours away.  It's been difficult (had some healing issues), but definitely worth it!  I would recommend pursuing NSM even if you have to travel a bit to find it.  As LISAMG wrote, many docs who can't or don't offer a procedure will sometimes just not bring it up at all or downplay it.  

My BS followed a pretty common routine, which is to core out the tissue behind the nipple for separate scrutiny by the pathologist.  My cancers were not near the nipple and I was not very large before MX.  I knew if the pathologist saw anything initially during surgery the nipple(s) would not be saved and the possibility existed that one or both would have to be removed after the fact if more extensive pathology showed any cancer in that retro-nipple tissue.

I encourage you to at least schedule a consult with a BS who performs NSM even if you opt not to go that route.  I think it will help you to know that you at least checked out all of your options.

Best wishes! 

Sioux Falls SD and Rochester MN

I had a nipple sparring bilateral mastectomy with immediate alloderm implants---the plastic surgeon who performed the implants is Dr. Chasan in Del Mar, CA and the general surgeon is Dr. Sherman in La Jolla California.

NOLA and PRMA do NSM.

I had skin/nipple sparing bi-lateral mastectomies with reconstruction on 8/21/12 in Nashville, TN. Dr. Brian Tierney was my excellent PS but without my knowledgeable and skilled BS Dr. Pat Whitworth it would never have happened. I had read about the procedure, but just barely as there were not many write ups about it that I had run across. As soon as Dr. Whitworth named it as one of my options I jumped on it! I had a small malignancy on the far left edge of my left breast and had the right removed for prophylactic reasons (strong family history). I have yet to have my TEs filled (only 4 wks post-op) but am thrilled at keeping my own nipples. Both doctors do excellent work!



Cyndi

salarie - Tampa Bay Breast care also does NSM.  I can also give you a link with some stats and photos from the Univ. of S. Florida on NSM which has some good info, but the photos include both surgical photos (graphic) and "before and after" shots.

Were you happy with the results