Breast Surgery, Breast Enhancement, Breast Augmentation Fort Myers, FL

Breast Surgery Ft Myers, Naples, Cape Coral, FL

Providing Surgery for Partners for Breast Cancer. They provide care for indigent women that need surgery for breast masses.
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Breast masses can be biopsied in many different ways. They can be biopsied in the office or as an outpatient using intravenous with local sedation or general anesthesia. If the mass is palpable Dr. Tomas can have it biopsied with a needle or be removed surgically. If the mass is not palpable then a radiologist must place a needle to identify the mass. Dr Tomas will then remove the mass with the needle and confirm with an X-ray that the mass is within the specimen. If breast cancer is found then Dr Tomas will explain all options of treatment such as lumpectomy alone, lumpectomy with axillary lymph node dissection or mastectomy. If sentinel lymph node sampling is indicated then this also is an option for staging purposes.

Different Types of Breast Surgeries

Surgery is performed to treat or prevent breast cancer. When possible, women diagnosed with breast cancer are offered a chance to have breast-conserving surgery. There is no increase in survival when woman are treated for breast cancer with mastectomy.


When a woman finds a lump in her breast, or a mammogram reveals a suspicious area, a biopsy is performed to determine whether cancer cells are present. A surgeon performs a biopsy to remove a tissue sample or the entire lump. A pathologist will look at the tissue or mass to determine whether cancer cells are present within the specimen. Please see different types of breast biopsies.

Lumpectomy (Breast-Conserving)

Lumpectomy is surgery to remove a breast tumor and some of the surrounding tissue. This surgery is performed in a hospital under local anesthesia and with mild intravenous sedation and usually does not require an overnight stay. Lumpectomy is appropriate for women who have single tumors lass than 4 centimeters in size. The goal is to obtain an adequate margin of tissue around the tumor that is free of cancerous cells. When followed by radiation, lumpectomy is as effective as mastectomy.

Mastectomy (Breast Removal)

Mastectomy removes the entire breast, either to treat breast cancer or to prevent it in high-risk individuals. Mastectomy is recommended for women whose cancers cannot be completely removed by lumpectomy or who cannot tolerate radiation, or who have two or more areas of cancer in different areas of the same breast. This surgery is performed under general anesthesia and patients usually spend one to two nights in the hospital.

Total or simple mastectomy:

A total mastectomy removes the entire breast, including the nipple, areola, skin and the fatty tissue underneath the skin. No lymph nodes are removed from the underarm with this type of mastectomy. Total mastectomy is appropriate for women with DCIS and those who choose prophylactic mastectomy.

Modified radical mastectomy:

A modified radical mastectomy removes the entire breast, including the nipple, areola, skin and the fatty tissue underneath the skin, and some underarm lymph nodes. Currently the most commonly performed mastectomy, modified radical mastectomy is recommended when invasive cancer is present.

Radical mastectomy:

A radical mastectomy removes the entire breast, all underarm lymph nodes and the chest muscle. Considered standard care for breast cancer years ago, this surgery is almost never used now. It is only indicated if there is an aggressive tumor that invades into the chest musculature.

Reconstruction (Breast Restoral)

After mastectomy, women have the choice to do nothing, wear a breast prosthesis or have their breast surgically reconstructed. This reconstruction can be performed at the time of mastectomy or postponed if the patient is to have post-operative radiation.

Skin-sparing mastectomy

When reconstruction is performed immediately with mastectomy, the nipple and areola are typically removed along with the breast tissue. In the skin-sparing mastectomy most of the skin of the breast is preserved in order to hold an implant or a flap of tissue from elsewhere on the body. Women who have immediate reconstruction need a longer hospital stay (usually a few days) than with mastectomy alone, and a longer recovery (between 3-6 weeks), depending on the type of reconstruction.


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