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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.

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.

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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).

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Finding Your Healthcare Team

Finding Your Healthcare Team blog title

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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.

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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

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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

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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!

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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.

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The Importance of Early Screening For Breast Cancer

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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.

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How To Do Good Self-Exams

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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.

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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. 

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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.

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