Mastectomy
A mastectomy can be effective for treating cancer or as a preventative measure for those at high risk of developing breast cancer.
If are undergoing a mastectomy, Dr. Oren Lerman can coordinate your procedure to segue into natural-looking breast reconstruction.
Learn about your surgical and reconstructive options at our Manhattan, NY, practice...
Types of Mastectomy
Depending on the reason for your surgery, our patients in the Manhattan, and greater New York region, have a number of options...
Simple Mastectomy
This surgery removes all of the breast tissue without affecting muscles or lymph nodes. It is typically recommended to women who are seeking preventive surgery for breast cancer or who have multiple large tumors in their breasts.
Partial Mastectomy
A partial mastectomy removes only the cancerous part of a breast and some of the surrounding unaffected tissue. This option is usually recommended if a patient has only a few small tumors.
Radical Mastectomy
The most extensive option, a radical mastectomy completely removes the entire breast, lymph nodes, and underlying muscle. Because it is so extensive, it is only recommended when breast cancer has spread to the muscles and surrounding tissue.
Modified Radical Mastectomy
This surgery is a less extensive version of the full radical procedure. While the breast tissue and lymph nodes are removed entirely, the muscle is left alone. It is usually recommended when it is not clear if cancer has metastasized. Because breast cancer typically spreads through the lymph nodes, removing them allows your surgeon to confirm whether it has done so: if cancer is found in the lymph nodes, then it has likely made its way elsewhere, as well.
We Select The Most Beneficial Option For Your Long-Term Health...
Many of our procedures remove only the fat tissue, connective tissue, ducts, and milk glands (collectively called breast tissue) in order to minimize damage to surrounding tissue. We will only recommend procedures that more extensively target the entire breast, underlying muscles, and lymph nodes if it is necessary for your case.
Contact Dr. Lerman to Learn More About Your Options
Either immediately after mastectomy or at a later time, Dr. Lerman can perform reconstruction by placing implants or through autologous reconstruction (using the patient's own tissue to rebuild the breast mound) for one or both breasts.
Dr. Lerman has extensive training and experience in breast reconstruction, including microvascular techniques that make transferring tissue to the breast mound less invasive, with a shorter recovery period than traditional methods. These techniques make it possible to connect the tissue to blood vessels at the surgical site, rather than having to keep the original blood vessels intact.
Dr. Oren Lerman works with oncologists and other healthcare providers to help his patients achieve the most satisfying mastectomy results possible. You can set up a consultation online or reach our Manhattan, NY, office at:
(212) 434-6980
"Dr. Oren Lerman's expertise and skill are of the absolute highest caliber..."
Lori Festa
2019
Had a double mastectomy with reconstruction on January 3, 2018. Dr Lerman did an amazing job. After all the healing has been completed, I look even better than I did before surgery. My breasts look and feel perfectly natural. My scars are minimal. Found Dr. Lerman to be caring, warm and very professional. You can't miss having Dr. Lerman operate on you. He is awesome.
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Kimberly del Gaizo
2019
Dr. Oren Lerman's expertise and skill are of the absolute highest caliber. He masterfully navigated my demanding journey with breast reconstruction following my cancer diagnosis and double mastectomy. As my body persisted in presenting formidable challenges, Dr. Lerman never wavered in his thoughtful and methodical decisions and treatments. His empathy and humanity gave me reassurance and hope throughout the five surgeries he performed on me. Dr. Lerman is the ideal doctor. I feel lucky and blessed to call him my doctor.
View On GoogleTissue-Sparing Techniques
Tissue-sparing techniques focus on removing only internal tissue while leaving the skin and, if possible, the nipple intact. Using tissue-sparing techniques better preserves the breasts and lays the foundation for more natural-looking results, while also potentially eliminating the need for procedures such as nipple reconstruction.
Skin-Sparing Mastectomy
During skin-sparing mastectomy, the surgeon removes only the breast tissue, the nipple, areola, and the original biopsy scar, sparing the pouch of skin covering the breast mound. This is an option for patients looking for the most aesthetically pleasing results from immediate breast reconstruction. Typically a temporary implant is placed under the pectoral muscles of the chest wall. If you require radiation therapy after your procedure, the doctor can insert tissue expanders in the chest wall to hold the skin in place for reconstruction at a later time.
Nipple-Sparing Mastectomy
A nipple-sparing mastectomy keeps the areola and nipple and areola intact along with the breast skin, removing the underlying breast tissue. This technique involves an incision under the fold of the breast or from the areola extending horizontally outward. This technique is also intended for patients receiving immediate reconstructive breast surgery. While a nipple-sparing mastectomy will not preserve the nerves and sensation of the nipple, the technique provides highly natural-looking reconstruction results.
A Closer Look At a Tissue-Sparing Procedure
This illustration depicts a patient undergoing a skin-sparing mastectomy.
Candidates for Tissue-Sparing Techniques
Not everyone is a good candidate for tissue-sparing mastectomy. We will perform thorough examinations to determine the conditions and extent of your cancer to see if you qualify. The best candidates include patients who...
Plan on Reconstruction
Tissue-sparring is not intended for patients who are unsure about reconstructive breast surgery or intend to delay reconstruction for a significant amount of time.
Have Clear Margins
The surgeon must have margins of cancer around the skin in order to preserve the tissue of the skin and nipple.
Do Not Have Inflammatory Breast Cancer
Patients must be free of inflammatory breast cancer, and not have advanced cancer that involves the nipple or tissue under the areola.
Recovering From Your Procedure
A mastectomy is an in-patient procedure with an average stay of three days at the hospital, or longer if you undergo immediate reconstruction. Here is what you can expect during your recovery after the procedure at our Manhattan, New York, facility...
Undergo Mastectomy
Dr. Oren Lerman works with oncologists and other healthcare providers to help his patients achieve the most satisfying mastectomy results possible...
"Dr. Lerman is an amazing doctor...
...and a very kind and carrying individual. His attention to detail and ability to explain complicated surgeries make his patients and their families very comfortable. It is important to trust your doctor and Dr. Lerman is trustworthy! Thank you Dr. Lerman for your expertise and amazing care that you provide!" Yelena Bernstein
Schedule a Consultation To Learn More About Treatment Options...
We strive to help you return to a feeling of normalcy after your breast surgery with innovative, efficient techniques that yield the most aesthetically-pleasing results. Contact our Manhattan, office to schedule a consultation with Dr. Lerman. In the meantime, you can explore some frequently asked questions about breast reconstruction to better understand the process and options available to you.
