Surgery - Breast
At Westchester Health, our Division of Breast Surgery contains board trained and certified physicians who specialize in improving the size, shape and appearance of a woman’s breasts through cosmetic, reconstructive or cancer-related surgical procedures.
With years of experience and a thorough command of the most advanced techniques and technologies, our breast surgeons provide the highest level of plastic, cosmetic and reconstructive surgery of the breast.
The Breast Institute: A Center of Excellence
A center of excellence is a specialized program within a hospital or ambulatory setting which provides an exceptionally high concentration of expertise and related resources centered on a particular area of medicine. Delivering world-class care, centers of excellence distinguish their medical institutions as concentrations of expertise for the care and treatment of particular conditions
As part of our commitment to delivering the very highest level of compassionate, personalized care to each one of our patients, we are very pleased to be aligned with our Northwell Health colleagues at Northern Westchester Hospital whose Breast Institute has been designated a Center of Excellence.
At the Breast Institute of Northern Westchester Hospital, patients experience an environment of compassion, comfort and expert medical care. The highly experienced Breast Center staff ensures that wherever you are in your journey — risk assessment, diagnosis, surgery and reconstruction, treatments, wellness, support and survivorship— your journey is as smooth and gentle as possible with the best possible outcome. For more information on the Breast Institute, click here.
Breast cancer surgery
In many cases, a woman requires breast surgery as a result of breast cancer. When caring for a patient with breast cancer, our breast surgeons’ philosophy is to provide a comprehensive, seamless and forward-thinking approach to the patient’s treatment plan, along with an understanding of the mental and emotional impact of the disease as well as the physical. Their goals are to remove barriers to treatment, provide the best possible diagnosis and care, deliver positive results and allow the women they treat to get back to their lives faster.
To provide the most innovative treatment possible for patients needing breast cancer surgery, our breast surgeons use a combination of three surgical technologies:
- a surgical guidance system which enables surgery to be more precise so that less healthy tissue is removed
- real-time intraoperative margin assessment
- intraoperative radiation therapy which can potentially prevent the need for six weeks of follow-up radiation therapy
Prevention as well as procedures
At Westchester Health, the focus of our Division of Breast Surgery is not only on performing procedures which improve the look and feel of a woman’s breasts but also on preventative care, especially when it comes to breast implants. Our breast surgeons highly recommend that women who have had breast augmentation surgery (either for cosmetic or cancer-related reasons) should have their breast implants checked by a board certified plastic surgeon once a year. This enables potential problems to be detected at an early stage.
What makes Westchester Health’s Division of Breast Surgery different?
At Westchester Health, we firmly believe that good treatment starts with good listening. We also believe that the best patient is an informed patient, and that patient education is critical to your long-term health.
From the first time you arrive at our offices, we spend as much time with you as is necessary to understand what you are hoping to achieve through breast surgery, which expectations are (and are not) realistic, and which procedure would be the best for your particular body type and personal goals. Throughout your journey with us, we will answer any questions you have so that you understand exactly what outcomes to expect.
Whether you have been with Westchester Health for years or are new to our practice, you quickly recognize that our Breast Surgery group truly cares about each and every one of our patients. When you need us, we are here for you.
Always at the forefront of medicine
The world of medicine continues to change and evolve, especially regarding breast surgery. As part of Northwell Health, our breast surgeons participate in its Division of Breast Surgery training programs, making sure they are continually up-to-date on the newest technological advances in the field of cosmetic, reconstructive and cancer-related breast surgical procedures and have ready access to the latest state-of-the-art surgery techniques.
Breast surgeons are experts at a variety of cosmetic, reconstructive and oncologic procedures, including:
For women who are unhappy with the size or appearance of their breasts, breast augmentation is a highly effective solution. Using breast implants, breast augmentation surgery is typically performed to enlarge small breasts, underdeveloped breasts or breasts that have decreased in size after a woman has had children. It can also make breasts more symmetrical if one is significantly larger than the other. There are three types of breast implants: saline (filled with sterile saltwater), silicone (filled with silicone gel) and the structured Ideal Implant (filled with saline but with the natural look and feel of silicone). Another option is fat transfer (injecting fat harvested from other parts of the body) as a way of increasing breast size.
A breast lift is a surgical procedure that raises the breasts by moving the nipple and areola to a higher position, tightening the surrounding tissue, removing excess skin and reshaping the remaining breast skin, creating a lifted, more youthful appearance. Typically, it is performed to restore the shape and contour of breasts that have sagged as a result of pregnancy, breastfeeding, weight loss, genetic factors and the natural aging process. In most cases, breast and nipple sensation can be preserved. For women who also want larger breasts, a breast lift can be performed in conjunction with breast augmentation using implants.
Many women who undergo a mastectomy choose to have breast reconstruction as a way of restoring the look and feel of their breasts as well as their self-image. There are two types of breast reconstruction: breast implants and autologous tissue flap reconstruction (rebuilds the breast by transplanting skin, fat and muscle from another part of the body, usually the abdomen, buttock, back, thigh or hip area). Each option has its own pros and cons and must be decided upon by each individual woman according to her particular situation.
Some women find that their breasts are too large and cumbersome, are painful or cause backache problems, or do not look proportionate to the rest of their body. Breast reduction surgery removes some of the fat, tissue and skin from the breasts in order to reshape them and reduce their size. It also alleviates discomfort from very large breasts and gives a more natural look. In many cases, breast reduction is considered a reconstructive procedure, since greatly oversized breasts may interfere with normal function and physical activity. It is also a cosmetic procedure, since it vastly improves the shape of the breasts and nipple areas.
Breast revision surgery is a viable option when a woman is dissatisfied with her breast surgery results and wants the procedure corrected or redone. Breast revision is commonly used to address the following issues: breasts that are too large or too small, breasts that are too high or too low, breasts that are too close together or too far apart, breast implant leakage or shifting, breasts that do not look natural enough, and breasts that are still too large even after a breast reduction.
Surgery to remove breast cancer
There are two main types of surgery to remove breast cancer. The first type is breast-conserving surgery (also called a lumpectomy, quadrantectomy, partial mastectomy or segmental mastectomy) in which only the part of the breast containing the cancer is removed. The goal is to remove the cancer as well as a portion of surrounding normal tissue. How much of the breast is removed depends on the size and location of the tumor and other factors. The main advantage of BCS is that a woman keeps most of her breast, but in most cases she will need radiation. The second type is mastectomy in which the entire breast is removed (sometimes both breasts), including all of the breast tissue and other nearby tissues. Some women worry that not having a mastectomy might raise their risk of their cancer coming back. However, studies following thousands of women for more than 20 years show that in most cases, mastectomy does not give a woman any better chance of long-term survival or a better outcome from treatment that when BCS can be done along with radiation.