Hamptons AlloDerm doctors

	Tracy Pfeifer, MD Manhattan Plastic Surgeon 565 Park Ave , New York		2 answers
	Scott E. Newman, MD New York Plastic Surgeon 1035 Park Avenue - Manhattan, Westchester, Roslyn, New York
	Paul E. Kelly, MD Hamptons Facial Plastic Surgeon 292 Shade Tree Lane, Aquebogue

Recent Answers

Mastectomy or Lumpectomy and Breast Implants for ADH? I have ADH and thinking of getting a Nipple Sparing Mastectomy (NSM), but my doctor wants to do a Lattisimus Dorsi Flap (LDF) with tissue expanders and then have a second surgery for silicone breast implants. I have breast implants that are over the muscle right now and my lesion is right against my chest wall. I don't know if I should do a lumpectomy and new breast implants, or NSM with Alloderm instead of the LDF because I really don't want my back muscle removed. Any suggestions would be greatly appreciated.

A: Lumpetomy or mastectomy for atypical ductal hyperplasia

Hi Melinda Cheryl. The decision about how to treat atypical ductal hyperplasia must be undertaken with your breast oncologic surgeon. You could manage it either way, lumpectomy or mastectomy, and the decision is usually driven by your other risk factors for the development of breast cancer in the future. For example, you have a greater chance of developing breast cancer if you have a strong family history or are BRCA gene postive. It is good that you are considering your reconstruction options before your surgery but the first thing to decide is the proper treatment for your ADH. If mastectomy is your choice, then consider your options for reconstruction. There are many ways to reconstruct the breast, each of which has its advantages and disadvantages; surgeons also have favorite methods for various reasons. I would suggest having a consult with 2 or 3 board certified plastic surgeons to discuss the various options, focusing on the pros and cons of each. Find out why, in your case, your plastic surgeon is recommending the lat muscle surgery. Once you know the pros and cons of the different methods, you can choose the technique that matches most closely your goals and priorities. Also, be sure and bring someone with you to these consults-it helps to have a second pair of ears during the visit. Hope this helps.

Tracy M. Pfeifer, MD, MS

Tracy Pfeifer, MD

Manhattan Plastic Surgeon

Philadelphia Alloderm Breast Reconstruction Doctor Recommendations Does anyone know any experienced doctors performing the One Step Breast Implant with Alloderm for breast cancer patients advised to have a mastectomy in the Philadelphia area? I cannot go elsewhere per insurance. I am referring to the "One Step" procedure that everyone seems to rave about. I find it near impossible to find a Plastic Surgeon doing this in my area. So disheartening.

A: One step breast surgery using Alloderm

Check with Dr. Louis Bucky in Philadelphia. He might be able to help you or refer you to someone locally who can. However, do not get caught up in exactly what type of procedure you have. Choose someone who has a lot of experience, more important than the "latest" procedure, and who gets consistently good results.

Tracy Pfeifer, MD

Manhattan Plastic Surgeon