A routine mammogram revealed that Athaliah McPherson, a hairstylist and mother, had stage 0 ductal carcinoma in situ (DCIS) breast cancer in multiple areas of her right breast. McPherson, who suspected something was wrong, said, "I knew something was off." While her diagnosis was not immediately life-threatening, it could have progressed to a more serious condition if left untreated.

Typically, DCIS is managed through partial or full mastectomy, often followed by radiation or hormone therapy. McPherson was referred to the Montefiore Cancer Center, where her medical team, led by Dr. Pedro Piccinini and Dr. Maureen McEvoy, recommended a new approach: total breast reconstruction. This innovative procedure combines mastectomy and reconstruction into a single surgery.

McPherson recalled her aunt's struggles with complications after a mastectomy, which made her open to alternatives. Six months after her diagnosis, she opted for total breast reconstruction, describing it as a “no-brainer.” This method allows for immediate reconstruction after breast tissue removal, eliminating the need for two separate surgeries. The procedure involves placing breast implants between the chest muscles, which enhances stability and reduces risks of distortion, movement, infection, and fluid buildup. It also minimizes pain and speeds recovery by avoiding cuts through muscle.

Patients with larger breast sizes may experience variations in breast size post-surgery and should discuss their expectations with their doctors. This approach contrasts with traditional methods, where reconstruction is often delayed until after the mastectomy has healed, which can take months or even a year. Such delays can increase emotional distress for patients awaiting the restoration of their breast shape.

Dr. Piccinini noted that total breast reconstruction leads to "better results, lower complication rates, shorter hospital stays, and reduced overall costs." He emphasized that most insurance plans cover the procedure, making it more accessible. McPherson reported a swift recovery, stating, "The first day after surgery, I was up and walking. I was back to work within six weeks." She attributes her quick recovery to the procedure's ease, her active lifestyle, and the care she received at Montefiore. "I am 100% happy with my results," she added.

Dr. Piccinini highlighted that improving a patient’s physical appearance post-treatment can significantly impact their emotional well-being. Patients often become more outgoing, experience better relationships, and develop a stronger self-image, which can lead to improved health outcomes and potentially longer survival.

McPherson echoed this sentiment, advising others to "do something that will help you feel better, make you look better, and help you have the will to live." Dr. Piccinini and his team are actively sharing their technique with other oncologists at national conferences to enhance the standard of care for breast cancer patients.

Currently in remission, McPherson urges women to prioritize their health by not skipping yearly mammograms. If diagnosed, she encourages exploring all treatment and recovery options available.