Anne Peled Plastic Surgery

Based in San Francisco, Dr. Anne Peled is a surgeon, an educator, a researcher, a mother, an athlete, and a breast cancer survivor. Just a few years into starting her own thriving breast cancer and plastic surgery practice, Anne was diagnosed with breast cancer herself, which gives her the unusual perspective of both the expert and the patient. This has also only strengthened her dedication to provide the most empathic and personal care for her patients, to research and innovate the most cutting edge techniques and practices for breast cancer surgery and reconstruction, and to educate her peers and the public on the best care and prevention for breast cancer and breast health.

What is A P.A.?

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In this video Anne Peled and Nicole Daoud discuss what it means to be a P.A. in 2019.

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Breast and Ovarian Cancer Week

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Do you know somebody who has had breast, ovarian or any other hereditary cancers? September 29th - October 5th is Hereditary Breast and Ovarian Cancer (HBOC) week and the entire month of October is Breast Cancer Awareness Month. It’s a good time to remind ourselves what these weeks and month are about and to talk to your family members, friends and healthcare providers about their story and your own history.

In 2010, HBOC made its debut with the goal of raising awareness about hereditary cancers. As we move into Breast Cancer Awareness Month, we are recognizing men and women and all those affected by hereditary breast, ovarian and related cancers including those with BRCA mutations, survivors, previvors, family and friends of those who have been affected by breast, ovarian and related cancer and those with strong family histories of cancer.

Millions of people carry inherited mutations or have strong family history of cancers, but don’t know their individual risk. In some families, breast and ovarian cancer have a predominance to develop and these cancers usually affect woman and men much younger than the average age of diagnosis and some individuals may develop different types of cancers - this is known as HBOC.

Most often, HBOC is caused by inherited gene mutations in the BRCA1 or BRCA2 genes, as well as others. Some families have HBOC based on the predominance of cancer history in their family without a detected gene variant or mutation. Breast and ovarian cancer are very high in women and men with these inherited gene mutations and individuals with strong family history, those of Ashkenazi Jewish descent, and/or family members with HBOC should talk to their healthcare provider about possible genetic counseling to help estimate their lifetime risk of developing these types of cancers. With more knowledge comes more informed decision making and this can guide the discussion with your healthcare provider, gynecologist, breast or plastic surgeon or anyone else involved in your healthcare about what screening tools, guidelines and recommendations that might be right for you and your family. For some women, these recommendations may include increased screening and surveillance, while for others they may include considering prophylactic breast or ovarian surgery.

Know your risk and know what options are available to you. Some resources to find out more are:

cancer.org, HBOC, The Breasties, National Breast Cancer Organization, Anne Peled, MD

Join us throughout the month of October as we celebrate and raise awareness surrounding all those affected by breast, ovarian and related cancers!

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Dr Anne Peled Discusses Breast Cancer Surgery in San Francisco

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Dr. Peled was featured on ABC News 7 in San Francisco speaking about performing breast cancer surgery on a breast cancer activist in San Francisco. She discussed the procedure and how a new device called a Biozorb is helping to make a target for radiologists in follow-up procedures. Dr. Peled is on the cutting-edge for breast cancer treatment in San Francisco.
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Breast Cancer Advocate Reveals Why BioZorb Was Right for Her

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Breast Cancer Advocate Reveals Why BioZorb Was Right for Her

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Dr. Anne Peled Implant Reconstruction

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Dr. Anne Peled explains the different types of breast implants used in breast implant surgery. Learn more or contact Dr. Peled about breast reconstruction or enhancement surgery today at https://annepeledmd.com
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Dr Anne Peled Interviewed About Breast Cancer Awareness Month KTVU FOX2

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Dr Anne Peled Interviewed About Breast Cancer Awareness Month KTVU FOX2
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Breast Cancer Surgeon Is 'Shocked' to Learn She Has Breast Cancer — and Then Becomes a Survivor

"I kept reminding myself, 'Remember what you tell your patients,' " Dr. Anne Peled tells PEOPLE

By Wendy Grossman Kantor 
July 26, 2019 01:53 PM
Each product we feature has been independently selected and reviewed by our editorial team. If you make a purchase using the links included, we may earn commission.
GENE COHEN PHOTOGRAPHY

In November 2017, Dr. Anne Peled of San Francisco was taking a shower and doing the monthly self-exam she encourages her patients to do when she felt a lump in her right breast. The now-38-year-old board-certified plastic and breast surgeon told herself it was probably nothing. After all, she’s a super-fit pescatarian, tri-athlete and distance runner, and she has no family history of breast cancer.

But that lump didn’t go away.

On Dec. 7, 2017, she had a biopsy. The next morning, Dr. Peled was preparing to perform a double mastectomy and implant reconstruction on a patient when her phone rang.

“I was getting ready to put on my gloves,” she tells PEOPLE. But she saw her pathologist was calling and answered the phone. “I was sure she was going to tell me it was a cyst and I was going to go on with my day.” 

Instead, the pathologist told the breast cancer surgeon that she had breast cancer herself.

“I was so shocked,” says Dr. Peled. “There were no words. Literally, I tell women breast cancer diagnoses multiple times a week. What I tell all my patients is: ‘This is very treatable. Most breast cancer nowadays — not all — is very curable.’ I kept reminding myself, ‘Remember what you tell your patients.'”

It was a Friday when she received her diagnosis. She immediately began assembling her team. That afternoon she had a breast ultrasound. On Monday, she had a breast MRI.

Dr. Peled’s the type of mom who makes M&M pancakes and regularly piles her three kids and two yellow labs, Kahlua and Clementine, into the car and drives them to the beach or on a hike. “I make my kids go on adventures,” she says. In April, they stayed in a treehouse in Costa Rica.

Husband and wife Dr. Anne Peled and Dr. Ziv Peled, operating on a mutual patient
 
DR. ANNE PELED

But after she was diagnosed with breast cancer, Dr. Peled decided not to tell her young children she had cancer. Her now-8-year-old son Simon, and now-5-year-old twin daughters, Charlotte and Eveline, have friends whose grandparents died of cancer, and she didn’t want them to worry.

Her parents stayed with the children. She scheduled her surgery in Vancouver, Washington, with a surgical team she trusted and would give her the type of hidden-scar surgery she performs herself.

A week later, she came home, told the kids mommy couldn’t lift them because she had “an ouchie,” went back to work and signed up for a 10K.

“By the time I came home, I felt great. And my kids didn’t have any idea that anything had happened,” she says. “In many ways, I look better than how I started, which is pretty amazing.”

The day she learned she didn’t need chemotherapy, she and her husband, fellow surgeon Ziv Peled, toasted with champagne.

“I got really lucky,” she says. “After that first scary phone call, every other piece of information I had after that was great news.”

Dr. Anne Peled with her husband, Dr. Ziv Peled
 
DR. ANNE PELED

Dr. Peled wore her running clothes to her radiation treatments and ran afterwards every day.

“It would clear the space in my head,” she says. “We have really good data that shows that exercise decreases recurrence. I take hormone-blocking pills and I exercise. I think of this as part of my treatment.”

She finished radiation in March and ran the 10K the following month.

Dr. Peled worked with Athleta to design their second https://athleta.gap.com/browse/product.do?pid=869609#pdp-page-content" Empower Bra. She is an incredibly strong and inspirational woman and we are honored to have been able to work with her,” says Casey Schumacher, Athleta’s senior director of design. “Dr. Anne Peled brought invaluable insight, given both her personal and professional experience with breast cancer and reconstruction surgery.” 

Post-cancer bra shopping was something Dr. Peled hadn’t thought too deeply about until she had to do it for herself, she says. Some bras rub where incisions are. “And a lot of women have mobility restrictions, so options of zippers and clasps are important,” she says. “And the fabric — when you get radiation, your skin gets sunburned when you’re healing. So you don’t want the fabric to chafe or rub.”

Once a month, Dr. Peled travels the country to train other surgeons in the type of hidden-scar surgery technique she had herself, because she wants other women to have the “amazing care” that she had. She talks about the technique on social media and invites surgeons to come to her practice to watch and learn the technique.

“Many women don’t realize that not all lumpectomies are the same. A lot of times, there are big scars right over where the cancer was. And then they get closed without reshaping the breast,” she says. “Women get these holes in the breast where your tissue caves in — and that can be pretty disfiguring for women. You wake up in the morning and get out of the shower and you’re reminded every day.”

Dr. Peled wants women to know their options before they have breast cancer surgery.

“I feel lucky to have this job,” she tells PEOPLE. “In so many ways, it’s so scary. It’s so much more filled with hope than it used to be. Our treatments get better and better.

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Dr. Peled in Medium - Cancerversary

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Dr. Peled shared her Cancerversary story on //medium.com/@annepeledmd/cancerversary-946a5480c51b" target="_blank" rel="noopener" style="box-sizing: border-box; background-color: transparent; color: rgb(47, 47, 47); text-decoration: none !important; transition: all 0.5s ease 0s;">Medium and with Kevin M.D. 

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Dr. Anne Peled on ABC

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Dr. Peled was featured on ABC News 7 in San Francisco speaking about performing breast cancer surgery on a breast cancer activist in San Francisco.  She discussed the procedure and how a new device called a Biozorb is helping to make a target for radiologists in follow-up procedures.  Dr. Peled is on the cutting-edge for breast cancer treatment in San Francisco.
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Dr. Anne Peled In the Columbian

Dr. Anne Peled's story has been featured in the Columbian.  Please follow the link to read the well-written article by @MarissaHarshman.  

http://www.columbian.com/news/2018/jan/22/breast-cancer-surgeon-diagnosed-with-breast-cancer-advocates-oncoplastic-surgery/

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Dr. Anne Peled on ABC

Dr. Peled's story was featured on ABC 7 in the story Bay Area surgeon views breast cancer treatment from new angle.  Watch and read the whole story here to get more information on Dr. Peled's treatment and how her recovery is progressing.

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Dr. Anne Peled in WellAndGood.com

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Anne Peled MD BreastCancer Surgery

Dr. Peled was featured in the story titled "How this one bra could make a difference for breast cancer survivors, according to a cancer surgeon", where she discussed her experiences on both sides of Breast Cancer, as a surgeon that has helped hundreds of patients and as a patient who beat Breast Cancer.  Read the article here to learn more about Dr. Peled's story and the Athleta bra.

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Dr. Peled In Medium

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Dr Anne Peled In Medium

Dr. Peled was interviewed by Yitzi Weiner for his article “I’d Love To Take A Movement Like #Ilooklikeasurgeon One Step Further” With Dr. Anne Peled for Authority magazine.

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WHAT I LEARNED FROM SURVIVING THE CANCER I TREAT AS A SURGEON

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No woman can fully comprehend how breast cancer can affect her life until she experiences it personally. As a breast cancer specialist who is also a breast cancer survivor, I can certainly attest to the gap between understanding the disease and battling it firsthand. Unfortunately, I've also found personally and in my practice that a huge repercussion of surgery — emotional and psychological trauma — is chronically overlooked.

While survival is paramount, few consider the emotional impact that accompanies the visible scarring from breast cancer treatment. Many women who undergo breast cancer surgery never fully come to terms with their physical appearance, often having daily reminders of their surgery every time they look in the mirror. The emotional trauma related to incision scars can severely impact a woman's mental health, her feelings of attractiveness and self-confidence, and sexual intimacy and relationships.

A staggering 12 percent of women in the United States will be diagnosed with breast cancer in their lifetime. Although oncologic outcomes from breast cancer treatment continue to improve, the prospect of an altered body image after surgery can be frightening, even with the cancer threat taken away.

I speak from experience, both on a professional and personal level. As a breast cancer and breast reconstruction surgeon, my goal has always been to provide guidance and education about options to help women make the best choice for themselves. I feel so grateful to get to play a role in my patient's lives as they're making these decisions, but definitely never thought I'd be considering these options for myself.

However, in December 2017, following a biopsy of a lump I'd felt on a routine self-check that hadn't gone away, I found myself completely unexpectedly in the role of a breast cancer patient after finding out the lump was invasive breast cancer.

Fortunately, I had caught the cancer early and it was Stage I. I opted for an oncoplastic surgery that would allow for cancer removal and breast reconstruction in the same surgery, so I could wake up cancer-free and also be happy with how I looked, without the daily reminder of what I'd been through.

I'm so glad I made the choice to seek out surgeons who not only cared that my cancer was treated but also how I felt about myself moving forward and the psychological impact of the surgery. Too many women who undergo breast cancer surgery live with the painful reminder of their disease their entire lives, and I so appreciated that they wanted to do everything they could to help me feel and look like myself again.

Successful breast cancer surgery should allow survivors to move past their cancer, and scars play a big role in a woman's ability to do this. Certainly, every woman is different and for some women, even very visible scars can be seen as symbols of victory and strength. But for others, they can be an obstacle, a source of shame, or a painful or disfiguring reminder of their cancer. According to one study, nearly two-thirds of women feel self-conscious about their breast cancer surgery scars, which can have a wide-reaching negative impact on many facets of their lives. I feel so grateful that my scars are well-hidden and my reconstruction was done in a way so that I don't look like I ever had cancer surgery. I know this has a huge impact on allowing me to forget most days that I even had breast cancer.

Surgeons have the responsibility to educate women with breast cancer about scar-minimizing surgery options. The safest, most cost-effective, and patient-centered approach is to thoughtfully and cosmetically place scars and offer breast reconstruction when needed or desired at the time of the initial cancer surgery. This is essential to allow women to move past being breast cancer patients and instead become breast cancer survivors.

When I got diagnosed with breast cancer, I felt so fortunate to have access to exceptional care through my professional connections and the help of my family- my mom, dad, and sister are all breast cancer medical and radiation oncologists. One of the best memories from after my diagnosis was the day I got testing back that showed my cancer was low risk and I wouldn't need chemotherapy: my parents were visiting and I knew when we celebrated with champagne that they truly felt the same relief that I did.

As a physician who does breast cancer and breast reconstruction surgery and research, I was very aware of all my treatment options. But many patients aren't as lucky: one in three survivors say they didn't know about all the surgical options available or even what to expect in terms of scars or breast appearance after surgery, which really limits a woman's ability to feel good about her treatment choice. Recent advances in breast cancer surgery mean that women can have lumpectomies or mastectomies through hidden scars and reconstruction of the cancer site at the same time, which allows them to look the same or sometimes better than they did before surgery.

Dr. Anne Peled is a board-certified plastic surgeon in California who specializes in breast, reconstructive, reduction, and cosmetic surgery. She is uniquely trained as both a plastic surgeon and a breast surgeon and is recognized as a Hidden Scar trained surgeon.

The views expressed in this article are the author's own.​​​​​

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#TeamPeled Study on Sensation Preservation after Mastectomy and Implant Reconstruction Published in “Plastic and Reconstructive Surgery – Global Open”

unnamed #TeamPeled Study on Sensation Preservation after Mastectomy and Implant Reconstruction Published in “Plastic and Reconstructive Surgery – Global Open”

 

We are excited to have the results from our combined work on nerve grafting and preservation at the time of nipple-sparing mastectomy and implant reconstruction published in the open access arm of the largest international plastic surgery journal. The study describes our combined work to improve sensation for women who go through mastectomies and implant reconstruction for breast cancer or breast cancer risk-reduction. While other plastic surgeons have previously published studies looking at nerve grafting for breast reconstruction sensation with free flaps using women’s abdominal tissue for reconstruction, this is the first published study doing nerve grafting for women having implant reconstruction. This is important because many women either are not good candidates for flap reconstruction or would prefer not to have the additional recovery and surgical site required for flap reconstruction. Additionally, not all reconstructive surgeons routinely perform flap reconstruction, and thus the vast majority of women who have breast reconstruction have implants used.

Our study included both women having nipple-sparing mastectomies for cancer treatment and women having prophylactic mastectomies for genetic mutations or strong family history. We found that with carefully preserving breast skin nerves and doing nerve grafting to the nipples, most of the women in our study had close to complete return of breast skin sensation and feeling in their nipples after surgery.

To Read Full Article Click Here

For more information on this novel procedure, please contact our office at:
TEL: 1-415-923-3011
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

ANNEPELEDMD.COM

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Considering a breast reduction?

breast-reduction Considering a breast reduction?

 

A breast reduction, also known as a reduction mammaplasty, is a surgery where breast tissue and skin are removed to reduce the size of the breasts while also re-shaping and lifting them. This surgery can not only help to alleviate some of the symptoms associated with large breasts such as back, neck, and breast pain, but also lead to a more youthful looking breast shape and size. •

Most women who seek a breast reduction usually have a few things in common. The following issues are often described by women who might benefit from breast reduction surgery:   

        • You feel as if your breasts are too large or disproportional to your body frame 

  • • Your breasts are heavy and pendulous and your areola and/or nipples point downwards or seem much lower on your chest than you would like

  • • You have disproportionate breast sizes, where one breast is much larger than the other breast

  • • You have neck, back, upper shoulder, or breast pain secondary to your large or heavy breasts

  • • You have chronic skin infections/irritation to the skin underneath your breasts

  • • You find it difficult to exercise due to your large breast size (or feel the need to wear multiple sports bras to give you the support while exercising) or have trouble finding clothes or bras that fit you

If these symptoms resonate with you, the first step in seeing if you are a good candidate would be to either discuss this with your primary care provider or find a board-certified plastic surgeon in your area and set up a consultation.  At that visit, your plastic surgeon will determine if it would be safe and appropriate to recommend a breast reduction for you.  If it is, your plastic surgeon will then send your consultation note documenting how much breast tissue he/she thinks would be removed during your surgery to get you to the size you'd like to be and clinical photographs to your insurance company for insurance authorization. For the most part, when women have significant disruptions in activities of daily living as a result of their large and heavy breasts, insurance companies will cover this surgery, though every company is different.

Once you have decided to proceed with breast reduction surgery, your surgeon will discuss the best options for you in terms of incision and technique for the surgery. We like to show patients 3D simulations of what they might look like after a breast reduction using their own photographs, which helps women have a clear sense of what their goals are.

The surgery itself typically takes from three to four hours, is done under general anesthesia (where you are put to sleep with medicine) and it is almost always outpatient surgery (meaning that you get to go home the same day of your surgery). Women tend to do very well after this surgery and may be uncomfortable for the first 24-48 hours, but usually have good pain control with ibuprofen and potentially some stronger pain medication for breakthrough pain if needed in the first week or so.

Recovery after the surgery varies on a multitude of factors, but in general, one week off work or school is expected. Your surgeon will likely have you wear a sports bra for quite some time before transitioning to a regular bra (without underwire for the first three to six months). It is normal to feel like your breasts are heavy and tight – this is from swelling; however, it may take several months for your breasts to settle in and complete healing takes about one year. Most women feel like they can return to normal life activities within two weeks after surgery and are back to full exercise by 4 to 6 weeks.

 

Breast reduction surgery can be truly life-changing for many women, which is why it’s one of our favorite surgeries to offer! Please contact our office with any additional questions to help decide if breast reduction surgery could be helpful for you.

To Learn More Visit http://www.annepeledmd.com/

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Breast surgeon becomes breast cancer survivor

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In a touching interview, breast surgeon Dr. Anne Peled opens about her personal experience as a breast cancer survivor

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Why Use Genetic Testing For Breast Cancer Detection

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Dr. Peled explains how women need to use Genetic Testing to determine if they are at risk for breast cancer in her new video.

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Wondering about Textured Breast Implants?

Textured Implants

After recent increased concerns around breast implant safety, which prompted an FDA hearing in March 2019 focused on this issue, certain types of breast implants and tissue expanders with textured surfaces have now been taken off the market.

Here’s some information that may help you sort through your breast implant-related questions and be able to make an informed decision about options.

Does this decision affect all breast implants?

No, this is specifically regarding textured implants and expanders (not smooth ones) from only one of the implant manufacturers, Allergan. Both saline and silicone implants come in smooth and textured surfaces, but the vast majority of implants placed in the United States are smooth.

What is the concern with textured implants?

The main concern and the reason these implants have been taken off the market has to do with a rare type of lymphoma that has been linked to breast implants with textured surfaces. Depending on the implant type, rates of this type of lymphoma (called BI-ALCL) range from 1 in 3,000 to 1 in 30,000. Although there have unfortunately been a small number of deaths from this lymphoma, it is usually very treatable when identified early.

Is removal of already placed textured implants being recommended?

No, right now there is not a recommendation from any government agency or plastic surgery society to remove textured implants (even ones from Allergan, which have the highest rates of lymphoma with their textured implants). However, patients with any type of implants, textured or smooth, should follow-up with their plastic surgeon (or another board-certified plastic surgeon) for a check of their implants every year or sooner if they develop any new pain, swelling, or change in appearance or feel of their implants.

If you have had breast implants placed already by Dr. Peled, please feel free to contact our office at 415-923-3011 with any questions about your implant type or the safety of your implants, and visit annepeledmd.com to learn more.

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Outcomes Utilizing Inspira Implants in Primary Aesthetic and Reconstructive Surgery

Outcomes Utilizing Inspira Implants in Primary Aesthetic and Reconstructive Surgery

I recently had an article published in Plastic and Reconstructive Surgery  about using silicone implants for breast reconstruction and breast augmentation.  One of my favorite parts about being a plastic surgeon is getting to use and learn about new technology, which is why I was excited to talk about the latest advances in silicone breast implants for this article. With the most recent generation of silicone implants (“gummy” implants), the silicone is more cohesive, which means that the silicone stays together better, with less concern that the silicone will rupture and potentially spread. It also means that they hold their shape and projection better when placed in the breast, which is particularly important for breast reconstruction when the breast tissue is no longer there to provide shape. One misconception about “gummy” implants is that they are very firm, but actually they can feel fairly soft and natural in the body, even with the increased “gumminess”! 

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