Add heading 1

Anne Peled Plastic Surgery

The blog of Dr. Anne Peled, board-certified plastic surgeon. Dr. Peled discusses breast reconstruction and breast cancer surgery topics and operates in the San Francisco area.

Dr. Anne Peled Interviewed About Breast Cancer Awareness Month

The Journey Outwards

Dr. Anne Peled was interviewed on KTVU about Breast Cancer Awareness Month to discuss both her experience with breast cancer and how she treats it at her practice. Watch the entire video here, and if you have questions about breast cancer surgery or breast cancer awareness, visit www.annepeledmd.com today to make an appointment or read more.

Continue reading
  97 Hits
  0 Comments
97 Hits
0 Comments

Exercising after Breast Cancer Surgery

5 Tips for Healing Safely and Smoothly Facebook post

One of the most frequent questions I get asked when I speak to patients about recovering after surgery is when they can exercise again. I love having active and healthy patients and strongly encourage exercise before and after surgery, but always spend a lot of time going over an exercise timeline to make sure it’s done safely. While you should ask your surgeon what his/her protocol is for exercising after surgery, here’s what I recommend:

1. Think of getting ready for surgery like training for a race or athletic event. The better shape you are going into surgery, the better shape you’ll be coming out of it. Having more muscle mass before surgery can help speed up the time it takes for swelling to go away afterward. And for certain procedures, such as tummy tucks, strengthening your core muscles before surgery can make it easier to get back into core exercises once you’re able to do them again after surgery.

2. Figure out what kind of special exercise gear you’re going to need for exercising after surgery and buy it before surgery so you’re ready. Depending on what type of surgery you’re having, you may be recommended to have compression garments or wear special types of bras. If you have whatever your surgeon has recommended at home in advance, as soon as you get the green light to exercise, you’ll be ready to start.

3. Consider restarting your exercise program with the help of a physical therapist or personal trainer. Even if you’ve carefully reviewed your exercise plan with your plastic surgeon, it can still often be helpful to enlist the help of an exercise professional for when you re-start. They may notice alignment or technique issues that they can point out to you to help your exercise be safer, or may be able to give you specific stretching or strengthening exercises based on the type of surgery you had. I personally refer almost all of my patients to physical therapy after surgery and many of them feel like they end up even stronger than they started thanks to their physical therapy.

4. Listen to your body. It seems obvious, but you know your body best. If a certain exercise is painful, or just doesn’t feel right, stop and ask your surgeon or physical therapist/personal trainer about it and make sure you’re not negatively impacting your surgical healing. Also, if you notice any concerning changes in your incisions or surgery site, contact your plastic surgeon to check in.

5. Set goals, but be flexible with your schedule and yourself. On a personal level, exercise is an incredibly important part of my life, both physically and psychologically, and I couldn’t wait to go back to it as soon as possible after my own surgery. I think for people who are used to being active, setting goals for yourself about getting back into your exercise program can make you feel better about and more in control of your recovery. But just remember that if you do have to slow things down because healing takes longer than expected or something doesn’t feel great, try to just accept it as part of taking care of yourself and being safe, rather than as a major setback- you’ll get back on track to your goals before you know it!

To discuss your surgical options or make an appointment, visit www.annepeledmd.com or call the office at 415-923-3011.  Our goal is to provide a personalized, thoughtful approach to care that comprehensively addresses all of the components needed to optimize your surgical outcome and your experience through the process.

Continue reading
  101 Hits
  0 Comments
101 Hits
0 Comments

What is Fat Grafting and How Is It Used in Breast Reconstruction?

What is Fat Grafting and How Is It Used in Breast Reconstruction

What is Fat Grafting and How Is It Used in Breast Reconstruction?

What is Fat Grafting?

Over recent years, taking fat from one part of the body and using it to add volume to another part of the body has become increasingly popular.  Fat can now be used to add volume to the face to make it appear more youthful, to the breasts for small breast augmentations, and also for breast reconstruction.  With fat grafting, fat is taken from one part of the body (often the abdomen or thighs) with typical liposuction techniques and then transferred to a different body part. In order for the fat to survive in its new location, the fat has to be carefully processed and put into the new area in small amounts in different layers.  With careful techniques, the majority of the fat that is transferred will "take" and be incorporated into the body.

How is Fat Grafting Used in Breast Reconstruction?

Fat grafting has become an important part of breast reconstruction after mastectomy, both in reconstructions using implants and those using your own tissue (flaps).  Fat grafting can help add more volume or projection to reconstructions, it can also help to camouflage irregularities or give a more natural appearance to the breast.  Fat grafting can also be used in women who have had lumpectomies in the past and have noticeable divots at their lumpectomy site.

Continue reading
  185 Hits
  0 Comments
185 Hits
0 Comments

Anne Peled M.D. Discusses Oncoplastic Surgery's Benefits

Anne Peled MD Oncoplastic Surgery 30 Sec Moment

Anne Peled M.D. discusses how Oncoplastic Surgery can have a positive effect on the lives of breast cancer reconstruction patients during Breast Cancer Awareness Month. For more information about Oncoplastic Surgery, visit https://annepeledmd.com today.

Continue reading
  117 Hits
  0 Comments
117 Hits
0 Comments

What Is Oncoplastic Surgery?

What Is Oncoplastic Breast Surgery

What Is "Oncoplastic" Breast Surgery?

Although many patients are aware of breast reconstruction following mastectomy, many do not know about the option of breast reconstruction done at the time of the lumpectomy. Oncoplastic surgery is the term used to describe rearranging the breast tissue at the time of lumpectomy to help improve the appearance of the breast after surgery.

What Types of Procedures Can Be Done For Oncoplastic Reconstruction?

Reconstruction following lumpectomy can include rearrangement of tissue alone, breast lift, or breast reconstruction. Breast lift or reduction is also often recommended to be done on the opposite breast as well to improve symmetry after surgery. Learn more about the different oncoplastic reconstruction options HERE.

Are These Procedures Covered By My Insurance or Are They Considered "Cosmetic"?

Although every situation needs to be confirmed individually, the State of California (and many others) mandates insurance coverage for any breast reconstruction for cancer, which includes Oncoplastic surgery.

What Questions Should I Ask to See If I'm a Good Candidate For Oncoplastic Surgery?

When you meet with your breast cancer surgeon, you should ask if he/she performs oncoplastic surgery or works with a reconstructive surgeon who does. Studies have shown that the best time to perform oncoplastic reconstruction is at the time of lumpectomy, not at a later surgery, so ask if you can have your reconstruction in the same stage.

Contact Our Office

For more information about Oncoplastic Breast Surgery or to schedule a consultation with Dr. Peled, please contact our office at 415-923-3008 or complete the online form here.

Continue reading
  188 Hits
  0 Comments
188 Hits
0 Comments

Pre-Pectoral Implant Reconstruction

Pre Pectoral Breast Reconstruction Title Card

Prepectoral ( or "above-the-muscle") breast reconstruction is an innovative, less invasive, breast reconstruction approach with quicker recovery, less pain, and better outcomes than older approaches that place implants under the muscle.  In this approach, implants are covered with a skin substitute that helps protect the implant and reduces the chance of hardening around the implant in the future.  With prepectoral reconstruction, the chest wall muscle is not cut or disturbed in any way, so recovery is faster and there's less chance of long-term chest wall pain.  Prepectoral reconstruction also completely eliminates a problem frequently seen with under-the-muscle reconstruction called "hyperanimation", where rippling of the muscle and movement of the implant is visible with flexing of the chest muscles.  Prepectoral reconstruction can often be combined with nipple-sparing mastectomy and one-stage implant reconstruction, which gives natural results and gets women back to their lives and activities more quickly and smoothly.

Continue reading
  134 Hits
  0 Comments
134 Hits
0 Comments

How to Choose Your Breast Surgeon

Surgical team pic

After finding out you need surgery, the next step is to find the right surgical team for you, which can feel stressful and overwhelming, especially after a new breast cancer diagnosis.  Here are some suggestions for finding your breast surgery team:

Seek out a breast surgery specialist: 

Breast cancer treatment is constantly evolving and you want a surgeon who is up-to-date on all of the latest treatments to get you the best care.  Fellowship-trained breast surgeons have specialized training in all of the different aspects of breast cancer care to help guide you towards the right overall treatment plan for you.  Breast surgery specialists also understand the importance of performing surgery in a way that hides scars and minimizes the visible effects of the surgery to help you move past your surgery without a constant reminder.

Ask to see examples of your surgeon's results:

To help you get a better sense of how you might look after your surgery, your breast reconstruction surgeon can show you examples of how other patients have healed after similar surgery.  You can also ask your surgeon about what kind of complications might happen after surgery and how often these complications happen in their practice. The goal from initial meetings with your potential surgical team is to help you have the best sense of what to expect after surgery, including how you might look and feel, and what your outcome would likely be.

Find someone who answers all your questions:

The best way to feel comfortable going into surgery is to feel like your surgeon will be there to help you through your recovery.  In choosing a surgeon, you should feel like you can ask her or him any question that will help you understand the surgical process better and make the best choice for you. 

Look for a board-certified surgeon: 

In order to know your surgeon has gone through rigorous review of her or his patient outcomes and demonstrated safe patient care, look for a surgeon that is board-eligible or board-certified by the American Board of Surgery (breast surgeons) or the American Board of Plastic Surgery (reconstructive surgeons).

Continue reading
  647 Hits
  0 Comments
647 Hits
0 Comments

Finding Your Healthcare Team

Finding Your Healthcare Team blog title

Continue reading
  262 Hits
  0 Comments
262 Hits
0 Comments

Getting the Diagnosis and Where to Begin: Tips From Dr. Anne Peled

Getting the diagnosis full Moment

Dr. Anne Peled talks about getting her own breast cancer diagnosis and some steps you can take immediately after getting your breast cancer news.

Continue reading
  155 Hits
  0 Comments
155 Hits
0 Comments

What Can You Do To Reduce Your Risk?

What Can You Do To Reduce Your Risk

As a breast cancer surgeon, I get asked all the time about the best ways to reduce your breast cancer risk.  For some women with a higher than average risk due to family history or a genetic mutation associated with breast cancer, discussing medical or surgical ways to reduce your risk may be recommended.  But for women who don’t have increased risk, while we know that there is not a magic way to prevent breast cancer, certain lifestyle factors can help decrease the chance of breast cancer, not to mention having other health benefits as well.  Here are some tips for improving your breast health:

  1. 1) Try to eat a rainbow diet full of different colors of produce

  2. 2) Exercise regularly, with a goal of 30 minutes five times weekly

  3. 3) Keep alcohol in moderation, ideally no more than 4-5 drinks per week

  4. 4) Stop/don’t start smoking

  5. 5) Maintain a healthy weight, especially after menopause

Continue reading
  171 Hits
  0 Comments
171 Hits
0 Comments

Genetic Screening: Know Your Risk

Know your risk

Once you’ve spoken with your family members about their cancer history, you should discuss what you’ve learned with your doctor. Depending on your family or personal history of cancer, you may be recommended for genetic counseling or testing. Genetic testing is typically done with either a blood test or saliva test, though it’s best to be informed and discuss the potential outcomes with a trained provider before you undergo testing. If you do end up having a genetic predisposition to breast cancer, a breast specialist can talk to you about the options for screening and prevention, which could include everything from more frequent imaging studies to taking a hormone-blocking medication to considering prophylactic mastectomies. There are many great resources to help you if you do find out you’re at higher risk for breast cancer:

https://ww5.komen.org/BreastCancer/OptionsforWomenatHigherRisk.html

http://www.facingourrisk.org/understanding-brca-and-hboc/index.php

https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html

Continue reading
  171 Hits
  0 Comments
171 Hits
0 Comments

Supporting A Great Cause: #BuyABraGiveABra

Supporting A Great Cause: #BuyABraGiveABra

One of the most important things about being in recovery from breast cancer, is to do things that will help you get back to normal as soon as possible. With their Empower Bras, Athleta does a wonderful job of supporting women both physically and emotionally. You can read what I have to say about their products here.

When you buy any Athleta bra between October 2 - 15, Athleta will donate an Empower Bra to women recovering from breast cancer surgery at the UCSF Helen Diller Family Comprehensive Cancer Center (up to 2,500 bras). Shop bras here.

My team headed out to Athleta to buy bras on Friday. We had so much fun that we’re inviting other women to post their Athleta bra shopping events on twitter. Tag #BuyABraGiveABra and @annepeledmd and I will retweet all your pics!

Continue reading
  375 Hits
  0 Comments
375 Hits
0 Comments

Breast Cancer Awareness Month Tips by Anne Peled, MD

Anne Peled, M.D. describes how exercise and physical exertion can help reduce the risk of breast cancer in women.  No matter what kind of exercise you’re getting, from jogging to playing with your kids, it all helps.  Get out there and exercise 30 minutes a day.

Continue reading
  266 Hits
  0 Comments
266 Hits
0 Comments

The Importance of Early Screening For Breast Cancer

MSLInfographic

Anxiety around mammograms can lead some women to avoid them altogether. Fortunately, the vast majority of women getting screening mammograms will find out their results are normal and not need additional testing.

There are many questions, myths and misconceptions about mammograms and how helpful they are in detecting health concerns. You can find answers to your questions by clicking here.

Continue reading
  327 Hits
  0 Comments
327 Hits
0 Comments

How To Do Good Self-Exams

2

The National Breast Cancer Foundation has some great information on how to do self-breast exams, what to do if you find a lump and when you should talk to your doctor. Visit here to find out more, get free information sent to you from their website and learn how to start examining your own breasts today.

Continue reading
  147 Hits
  0 Comments
147 Hits
0 Comments

What To Do When You Find a Breast Lump…

4 out of every 5 Breast masses areBenign

Most breast lumps are not breast cancer, but something less serious considered “benign breast conditions” like fibroadenomas, breast cysts or similar, which occur frequently in young women. Some lumps are related to your menstrual cycle and usually go away with the ending of your cycle. However, here is what you should do if you find any breast lump or mass:

Make an appointment to see your primary care provider, OB/GYN, breast surgeon or anyone who you see regularly for your health maintenance, especially if you discover any new breast changes or you have any concerns. This provider will typically do a physical exam and/or order imaging to further evaluate your concern.

A breast change can be anything from a lump or thickening in or near the breast tissue or even in your underarm area. It can be a change in size, shape or consistency of your breast. Breast changes can also be just nipple changes or the feeling in your skin or nipple/areolar area. Clear, bloody, or any fluid coming from your nipple should always be evaluated by a healthcare provider or any redness on the breast or nipple tissue.

To learn more about Breast Cancer Awareness and Breast Cancer Surgery, visit annepeledmd.com today. 

Continue reading
  217 Hits
  0 Comments
217 Hits
0 Comments

Breast Cancer Awareness Month

Breast Cancer Awareness Month

All through October, Dr. Anne Peled will be sharing stories and videos about Breast Cancer in honor of Breast Cancer Awareness Month. To learn more about Breast Cancer Surgery and Breast Reconstruction Surgery, visit https://annepeledmd.com today. Anne's posts will appear this month at https://annepeledmd.com/blog/breast-c... all throughout October.

Continue reading
  88 Hits
  0 Comments
88 Hits
0 Comments