Breast Reconstruction

There is great deal of debate between surgeons and oncologists about whether saving the nipple makes a difference in patients overall self esteem and confidence. Over ten years ago when breast conservation therapy was introduced it was meant to preserve the nipple areolar complex and therefore improve patients self esteem. We've come to realize that lumpectomy and radiation have their limitations. The recurrence rate is close to 17% and poorer cosmetic outcomes occur when a mastectomy is performed following lumpectomy and radiation.

Quality of life is even more important in prophylactic patients since the number of prophylactic mastectomies are increasing both in BRCA and breast cancer patients. If a patient is diagnosed with breast cancer, the majority are electing to undergo a contralateral prophylactic mastectomy. If a patient is diagnosed with a BRCA mutation, many are also electing to undergo a prophylactic mastectomy. Both decisions are often considered controversial. Some oncologists believe that patients will regret these decisions, and often advise against it. CALIEB is dedicated to ensuring women AND their physicians know that there are advanced reconstruction techniques that make this decision one a woman can feel confident in making.

The Bench-to-Field Gap

There is an approximate 10 year knowledge gap between the discovery of new advances in medical technology and the widespread knowledge of that technology in the field. However, this is particularly important for breast cancer/high risk patients, significantly impacting therapeutic and prophylactic choices for treatment. This gap is extended even further in cultures where judgment is placed on a patient’s need for visual satisfaction as a key quality of life component.

Treatment Options

Differing lifestyles, values and personal perspectives all impact a woman's choice of treatment. One of the goals of CALIEB is to explain the variety of treatment methods available, which might not ordinarily be known.


This is a placeholder for documentation, articles, technical information, etc. from Dr. Maxwell's reconstruction techniques.