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Topic: NSM in NY

Forum: High Risk for Breast Cancer — Due to family history, genetics, or other factors.

Posted on: Oct 11, 2017 04:31AM

Randi74 wrote:

Can anyone recommend a nipple sparing mastectomy surgeon in NY? Im a 34DD and do not want to have a reducution first; I also dont want to have expanders.

I haven't consulted with anyone yet. But from what Im reading I think Dr Salzberg would require me to have a reduction first and then he would do direct to implant.

I also think Dr. Karp only uses tissue expanders? (so that would be 2 surgeries).

Is this info correct? Anyone know of anyone who can do it without reduction and direct to implant?



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Oct 12, 2017 03:48AM beach2beach wrote:

My PS felt direct to implant was best option for me. I'm thin and tight skin and he said to use expanders would not be a viable option. DIEP was similar in that I did not have enough lower fat for it and I did not want to use thighs or butt and have scars there too. \

If I have this right, which ever boob is removed(or both), tissue expanders are put in and then filled until desired cup/cc size then swapped out for the implant in the 2nd surgery. I'd say you probably could not get it to match closely without a reduction unless both boobs are being removed. I could be wrong. What about DIEP? You could try posting in the reconstruction forum if you havent already for any questions on reduction etc.

You could call my PS office and speak to his PA. She is lovely and would be able to give you information I'm sure on it. Pm me if you want her name and I'll give you the office number.

Dx 7/28/2017, LCIS/DCIS/ILC, Right, <1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 8/8/2017 Mastectomy: Left, Right; Reconstruction (left); Reconstruction (right) Hormonal Therapy 9/11/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Oct 12, 2017 06:15PM dtad wrote:

Hi Randi...I had direct to implant reconstruction with Dr. Christine Rohde at Columbia University Medical Center. IMO she is a brilliant surgeon. Good luck and keep us posted.

Dx 3/20/2015, IDC, Left, 1cm, Stage IA, Grade 2, ER+/PR+, HER2- Dx 4/10/2015, ILC, 1cm, Stage IA, Grade 2, ER+/PR+, HER2- Surgery 5/21/2015 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant

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