Breast Surgery

Palm Beach County Breast Surgery Options

Not all issues with the breast are cancer-related. There are breast conditions that may require surgical treatment for benign issues such as:

  • Fibrocystic Breast
  • Benign Lesion
  • Cysts
  • Breast Infection

It is important to seek medical care if you have a change in your breast(s), feel a lump or bump, have drainage from your breast/nipples, or have an abnormal area that just does not seem right to you.

Hearing the words, “you have an abnormal mammogram” can be life changing. We understand your concern, stress, and alarm. We are able to provide you with the knowledge you need to make an informed decision. Our staff will assist you every step of the way, including the coordination of your medical care. Our team at Advanced Surgical Physicians is here to help make this journey a little less stressful.

We Are Here For You

During your first appointment, our team will evaluate suspicious breast problems and make recommendations for a plan of care. We encourage you to bring copies of any imaging studies to this first evaluation. At this appointment, a physical exam will be performed and other tests may be ordered, including a breast ultrasound. Typically, a biopsy is the only way to determine if the breast abnormality is malignant. A biopsy is the removal of cells or tissue from a suspicious mass that is then examined under a microscope to check for cancer cells. This is the only way to determine if a mass is cancerous or benign.

There are several types of breast biopsy procedures. The method selected will be based on both medical factors and personal preference. Medical factors include: the size and location of the breast lump or suspicious area, the number of lumps or abnormal areas such as suspicious calcifications, or any other medical problems.

Many breast procedures (including biopsies) are performed in an outpatient setting. It is our goal to reduce wait time and efficiently coordinate all aspects of your care, including diagnostic procedures.

We offer a full spectrum of surgical options for breast treatment including:

  • breast conserving surgery
  • nipple sparing mastectomy
  • skin sparing mastectomy
  • sentinel node biopsy
  • reconstruction (with a consulting plastic surgeon)
  • balloon–catheter placement for partial breast radiation

Advances in the treatment of breast diseases are constantly being made. At Advanced Surgical Physicians, we are committed to staying on the cutting edge of this research.

Diagnosis of Breast Diseases (Section Under Breast)

Fine Needle Aspiration (FNA): This is a non-surgical biopsy in which a small needle is used to withdraw a sample of cells from the breast lump.

Core Biopsy: A core biopsy is similar to FNA, but this procedure requires a larger needle because actual breast tissue is removed. A sample of the lump, and sometimes the entire lump, is removed. There are two types of core biopsies— ultrasound-guided core biopsy and stereotactic biopsy.

Ultrasound-Guided Core Biopsy: This is a non-surgical biopsy technique where a needle is placed into the breast tissue. Ultrasound helps confirm correct needle placement so the exact location of the abnormality is biopsied. In addition to assisting in locating the abnormality, ultrasounds can detect benign lesions, such as fluid-filled cysts. Tissue samples are then taken through the needle.

Stereotactic Breast Biopsy Procedure: Stereotactic breast biopsy is a safe, minimally invasive approach that allows our physician to accurately sample breast tissue from a suspected abnormality. This procedure is performed using X-ray/mammogram images for guidance. The surgeon takes samples of tissue by inserting a sterile biopsy needle through a tiny incision in the skin.

Open excisional biopsy: An open excisional biopsy is the surgical removal of a portion or the entire lump. Once removed, the tissue is then examined by a pathologist. A lumpectomy is when the perimeter edge of normal breast tissue is taken all the way around a lump. In this case, the biopsy can also serve as part of the breast cancer treatment since the tumor has been removed. This procedure can also be performed with wire localization, where a wire is inserted through a needle into the area to be biopsied. An X-ray is taken to make sure it is in the right place. A small hook at the end of the wire keeps it in position so that the surgeon can use this wire as a guide to locate the abnormal tissue.

The Next Step

Regardless of which biopsy procedure is used, the cells or tissues that are removed are analyzed by a pathologist and a physician who specialize in diagnosing abnormal tissue changes. When we receive the results, we carefully explain all available treatment options and how each applies to your individual diagnosis. Then, together, we develop the optimum treatment program. At Advanced Surgical Physicians, our team is committed to providing outstanding, compassionate care and helping you throughout the entire diagnosis, treatment, and recovery process.

To ensure the best outcome, a treatment plan is designed together with one or more specialists. Our patient navigator can coordinate your care plan by working closely with the radiation oncologist, medical oncologist, and plastic surgeon, if needed. If a mastectomy (a partial or full) is considered necessary, we can coordinate a referral to a plastic surgeon who can discuss options for breast reconstruction. This surgeon will become part of your surgical team and will be present on the day of your surgery.

Breast Conservation Surgery

Breast Conservation Surgery is designed to eliminate cancer, maintain the shape of the breasts, and help you enjoy the highest possible quality of life after cancer treatment. Breast conservation surgery is a procedure that focuses on preserving healthy breast tissue and removing the cancerous tissue from the breast. It is an alternative to mastectomy.

Also known as a lumpectomy or a partial mastectomy, this approach is often used when:

  • There is one tumor in the breast
  • There are two or more tumors close together
  • The patient has not received radiation therapy
  • The patient has a reasonably small tumor in relation to the breast
  • There is no medical condition that would complicate radiation therapy

At Advanced Surgical Physicians, we recommend this approach when appropriate, since it allows you to have cancerous breast tissue removed without the physical and emotional recovery that often accompanies mastectomy procedures.

When breast conservation surgery is not an option, we may recommend a mastectomy or partial breast radiation. Advanced Surgical Physicians offer several types of mastectomy, each of which involves removal of different amounts of breast tissue. In these cases, we may also encourage immediate breast reconstruction, which allows for reconstruction of the breast without delay.

Sentinel Node Biopsy: A sentinel node biopsy can be used to pinpoint the first lymph node into which a tumor drains (called the sentinel node) and remove only the nodes most likely to contain cancer cells. To locate the sentinel node, a radioactive tracer, a dye, or both are injected into the area around the tumor prior to surgery. The tracer travels the same path to the lymph nodes that the cancer cells would take, making it possible for the surgeon to determine the one or two nodes most likely to test positive for cancer. Unlike traditional node biopsies, this procedure removes only 1-4 lymph nodes instead of the standard 10-20 nodes. It is as accurate as the more invasive procedure, but with fewer complications.

Mastectomy: A mastectomy is the surgical removal of one or both breasts. It can be performed for prevention or treatment of breast cancer. Some women who are at an extremely high risk of developing breast cancer may choose to undergo a mastectomy prophylactically (or preventively) before any cancer actually develops.

Typically, a mastectomy is most selected when:

  • Conservative methods to remove cancerous cells are insufficient
  • Radiation exposure is too risky or unwarranted
  • There is more than one tumor in the breast
  • The tumors are spreading rapidly
  • Removal of the tumor would necessitate removal of a large amount of breast tissue

There are several kinds of mastectomies—some of which involve removal of more breast tissue, surrounding lymph nodes, and underlying (pectoral) muscles than others. The type of mastectomy recommended depends on the size, location, and kind of tumor, as well as whether the surgery is prophylactic and if you opt for breast reconstruction surgery.

Immediate Breast Reconstruction Surgery

Many women choose breast reconstruction surgery when having a mastectomy. Breast reconstruction is a team approach involving both your breast surgeon and plastic surgeon. At the time of your surgery, the doctors work side-by-side in the operating room. The plastic surgeon will use either an implant or fat and skin tissue from another part of the body to recreate the original shape of the breasts.

In many cases, we are pleased to offer immediate breast reconstruction surgery, which allows you to have your breast(s) reconstructed the same day as your mastectomy. This option provides all the benefits of traditional reconstructive surgery without the wait. This typically involves a “skin sparing” mastectomy—a technique that the surgeon will use to save as much breast skin as possible. In this procedure, a pocket of breast skin is created, which the reconstructive plastic surgeon can fill with an implant or your own fat and skin tissue.

Benefits of immediate breast reconstruction surgery:

  • Minimizes scarring
  • Eliminates the waiting period involved in traditional breast reconstruction
  • May decrease the emotional impact of having to go weeks or months without a reconstruction

Partial Breast Radiation

This outpatient radiation procedure treats only the affected area of the breast without harming the surrounding healthy tissue. After the tumor is removed, the surgeon places a thin catheter to direct radiation to the affected area. The entire course of radiation therapy usually takes place over a 5 day period and can minimize side effects (over external beam radiation).

External Beam Radiation

External Beam Radiation may be recommended after the breast tumor is removed. In this traditional radiation therapy, a precision beam of radiation is directed to the affected area of the breast. Usually, this procedure takes place over several weeks of treatment.

Why Choose Us?

  • One-on-One Care
  • Spanish Speaking Staff
  • All Insurances Accepted
  • Da Vinci Robotic Trained
  • Minimally Invasive Procedures
  • Board Certified, American Board of Surgery

Let’s Get Started!

Contact us for an appointment today.