Tag Archives: breast reduction

Breast reduction cosmetic surgery procedure is not just about reducing the size of the breasts, but also about creating a natural looking new shape, and improving proportion and symmetry between the breasts.shutterstock 142918210

The surgery can also help to correct back, neck and shoulder related discomfort arising due to oversized breasts.

Patients should choose a qualified and experienced surgeon in order to achieve predictable aesthetic as well as health goals with breast reduction. Board certified plastic surgeon Dr. Hisham Seify provides breast reduction surgery to patients in Newport Beach, Orange County, CA, and surrounding communities.

Academic Excellence

Dr. Seify spent close to 13 years in post-graduate training, and also completed his Doctor of Science degree at Emory University. Following this, he went on to receive general and plastic surgery training at Emory University, while also serving as the Administrative Chief Resident in Plastic Surgery.

During his training at the Emory Clinic, an eminent center for breast plastic surgery, Dr. Seify developed a special interest in surgery of the breast including augmentation, reduction, and reconstruction.

Teaching and Hospital Privileges

Apart from pursuing his private practice, Dr. Seify also serves as an Assistant Clinical Professor at the UCLA School of Medicine as well as a Clinical Assistant Professor at the University of California at Irvine (UCI Medical Center).

He holds operating privileges at Orange County’s premier hospitals including Hoag, Saddleback, and Fountain Valley Hospitals, which are known for their health care facilities in Southern California.

Why Select a Board Certified Plastic Surgeon?

When a patient chooses a board certified plastic surgeon for a major procedure such as breast reduction surgery, it serves as an automatic assurance for them that the surgeon would have received a certain minimum number of years of training specifically in the area of plastic surgery.

Board certified plastic surgeons typically invest in top quality standards and best medical practices, adopt advanced surgical techniques and technology, pursue continuing education, and follow the latest safety protocols to deliver the best possible outcomes to their patients.

Characteristics of a Stellar Breast Reduction Plastic Surgeon

A patient should look for the following characteristics while choosing a breast reduction surgeon:

  • Warm and caring, and easy to converse with
  • Inclined to educate the patient about all aspects of the procedure
  • Passionate about the idea of transforming a patient’s life through plastic surgery
  • Providing personalized care and attention to every patient
  • Able to connect with the personal aesthetic needs, goals, concerns and hopes of the patient
  • Having an in-depth understanding of the breast anatomy
  • Having an artistic eye, and a sense of form, balance, and proportion
  • Adopting innovative techniques to make the breast reduction procedure less invasive and involving minimal scarring

breast reduction surgeon should present before and after photos of previous patients who have undergone the same surgery. They may also provide the patient with testimonials from past patients, and encourage the patient to take a brief tour of their office and meet their staff.
The focused cosmetic surgeon Dr. Hisham Seify receives patients from Newport Beach, Orange County, CA, and nearby areas in this area of California for breast reduction.See more procedures and treatments by plastic surgeon Dr. Hisham Seify in Newport Beach, Orange County, Irvine, Anaheim, Fullerton, Los Angeles, Beverly Hills, CA and surrounding areas.

Preparing For Breast Reduction Surgery

shutterstock_115732669Breast reduction is a body contouring cosmetic surgery aimed at reducing the size and volume of breasts to make them more proportionate to the rest of the body. During the initial consultation, the surgeon will discuss various aspects of breast reduction, and provide guidelines for advance preparation. A well-prepared patient will typically feel more confident and go through the procedure with greater ease and assurance. She will have better resilience to sustain the anesthesia and surgery, and is more likely have a fast recovery. Profound, judicious, and board certified plastic surgeon Dr. Hisham Seify provides breast reduction surgery to patients in Newport Beach, Orange County, CA, and other cities and neighborhoods in this part of The Golden State.

Prior to the Surgery

The patient should ideally complete the following tasks as part of preparation ahead of the scheduled date of breast reduction plastic surgery:
  • Arrange to send the past health records from the physician and specialist to the office of the surgeon for their review.
  • Prepare a list of current prescription and non-prescription drugs, including herbal supplements and vitamins, to show to the surgeon.
  • Getting any lab tests, x-rays or mammograms done as advised by the surgeon.
  • Alter the schedule of current prescription drugs in consultation with the doctor, if required by the surgeon.
  • Stop smoking for a certain time period prior to the breast reduction surgery, as per the surgeon’s instructions.
  • Complete any pressing tasks at home or office well in advance to ensure a stress-free recovery.
  • Arrange for a responsible person to drive the patient back home after breast reduction surgery.
  • Arrange for aftercare, if necessary, for the first few days after the surgery.
Adhering to the surgeon’s pre- and post-op care instructions is the best way to increase the chances of a safe breast reduction surgery and a speedier recovery.

A Day before the Surgery

A few simple guidelines can be followed just a day before the breast reduction procedure. The staff at the surgeon’s office may provide written or oral instructions to the patient as follows:
  • Obtain sufficient rest and have a good night’s sleep before the day of surgery. This is not the time to be staying up late partying with friends and getting drunk. This is also not the time to load up on pizza, cake, and potato chips.
  • If general anesthesia is involved, do not eat or drink anything for at least eight hours prior to the surgery.
  • Do not consume alcohol for 48 hours prior to the scheduled time of surgery.
  • Avoid wearing any makeup, body piercings, jewelry, or contact lenses on the day of the surgery.
  • Preferably wear comfortable and loose fitting clothes on way to the surgery center. The top should have buttons or a zip in the front.
  • Diabetic patients should get their vital parameters checked on the morning of the surgery.
Mild pre-operative anxiety and stress is normal for any patient a day before the surgery. The surgeon may prescribe a calming medication to be taken on the night before the surgery. Patients should arrange essential items at home in advance to avoid any inconvenience on their return home after the surgery. Perceptive, kind, and cosmetic surgeon Dr. Hisham Seify receives patients from Newport Beach, Orange County, CA, and nearby areas across the landscape for breast reduction. See more procedures and treatments by plastic surgeon Dr. Hisham Seify in Newport Beach, Orange County, Irvine, Anaheim, Fullerton, Los Angeles, Beverly Hills, CA and surrounding areas.

Breast Reduction Surgery

breast augmentation newport beach orange countyBefore finalizing a major cosmetic surgery procedure such as breast reduction, the candidate should acquire a clear understanding of what the surgery involves and what are its pros and cons. She should preferably have a list of questions ready in advance, which she can carry to the surgeon’s office for her consultation. A dedicated surgeon will encourage the patient to ask questions and clear all her doubts and concerns before going ahead with breast reduction. They will answer the questions in a patient-friendly language and satisfy her concerns in the best possible way. Board certified plastic surgeon Dr. Hisham Seify provides breast reduction surgery to patients in Newport Beach, Orange County, CA, and surrounding locations.

List of Questions

  • Do you have a board certification in plastic surgery?
  • How long have you trained and practiced in the field of plastic surgery?
  • Have you performed breast procedures in the past, and what is your success rate?
  • Would you perform breast reduction at a hospital, a surgical center or a private surgical suite?
  • Am I a good candidate for breast reduction?
  • Would you recommend breast reduction as a standalone procedure or in conjunction with breast lift in my case?
  • Which surgical technique would you use to perform my breast reduction?
  • Will I need to make any adjustments in lifestyle and current medications prior to the surgery?
  • How much time will it take for recovery after breast reduction, and is the recovery going to be painful?
  • Should I arrange for aftercare or a nurse for the first few days of recovery?
  • Will I be in a position to breastfeed in the future?
  • What are the potential risks and complications associated with this surgery?
  • How obvious will be the scars after breast reduction surgery?
  • Is there a provision for breast revision procedure if the outcome is not as per the goals we agreed upon?
  • Can I review breast reduction before and after images to have a more realistic understanding of the results?
  • Do you have a video showing the actual breast reduction procedure?
  • Can I speak to one of your staff members to have more familiarity with your office?
  • Is it possible for me to have a brief office tour?
  • Would you show me testimonials of previous who may have previously received plastic surgery procedures from you?
Dedicated cosmetic surgeon Dr. Hisham Seify receives patients from Newport Beach, Orange County, CA, and nearby areas for breast reduction.

Additional Tips

The patient should feel free to ask questions related to the costs, insurance and financing aspects of breast reduction surgery. In a few cases, breast reduction costs may be partially covered by insurance if the condition is causing physical distress. The patient should clearly discuss this aspect with the surgeon, if she experiences any discomfort. Breast reduction procedure is a personal journey for the patient. She should feel completely comfortable and reassured with the surgeon’s answers to all her questions before she goes ahead with the surgery. See more procedures and treatments by plastic surgeon Dr. Hisham Seify in Newport Beach, Orange County, Irvine, Anaheim, Fullerton, Los Angeles, Beverly Hills, CA and surrounding areas.

Choosing The Best Breast Reduction Plastic Surgeon 

gsdgBreast reduction is a major cosmetic surgery procedure that should ideally be performed by a highly trained and experienced surgeon. The patient should be discerning about her choice, and should carefully assess the surgeon’s professional credentials. A relationship of trust and open communication should be established between the patient and the surgeon for best outcomes. Dr. Hisham Seify is a prolific, innovative, and board certified plastic surgeon providing breast reduction and various other procedures. Dr. Seify follows a patient-centric approach and adopts state of the art surgical techniques and technology to deliver best results in a procedure such as breast reduction. He provides breast reduction to patients in Newport Beach, Orange County, CA, and other towns and suburbs in this region of the southwest.

Professional Credentials

Dr. Hisham M. Seify M.D, PhD, FACS, is a diplomate of the American Board of Plastic Surgery (ABPS) and a member of the prestigious American Society of Plastic Surgeons (ASPS). Dr. Seify has nearly 13 years of post-graduate training behind him. Key highlights of his professional career include:
  • UCLA Assistant Clinical Professor
  • Member, American Society of Plastic Surgeons (ASPS)
  • Member, American Society for Aesthetic Plastic Surgery (ASAPS)
  • US News Top Doctor of America 2012-2017
  • Orange County Physicians of Excellence Award 2013-2017
  • Sherrell Aston Award ASAPS 2007
Dr. Seify regularly stays updated with new developments and innovations in the field of breast reduction and other plastic surgery procedures, and incorporates the best solutions for his patients. Dr. Seify and his dedicated team members are driven by a single-minded commitment to provide the highest standards of care to every patient and achieve safe and desirable results in every case.

Why Choose an ABPS Board Certified Surgeon?

Dr. Seify is a board certified from the pre-eminent American Board of Plastic Surgery (ABPS). ABPS is only plastic surgery board in the US that is recognized by the American Board of Medical Specialties. When a patient chooses an ABPS board certified plastic surgeon, they are automatically assured that the surgeon would have undergone a certain minimum number of years of training specifically in the area of plastic surgery. ABPS board certified plastic surgeons typically invest in high quality standards and best practices, adopt cutting edge surgical techniques, pursue continuing education, and follow the latest safety protocols to deliver the best outcomes to their patients. Each year only a select number of surgeons are awarded this coveted board certification.

Combining Art and Science

Dr. Seify combines the best principles of both art and science to create deeply satisfying outcomes in breast reduction surgery. He has an artistic eye to recognize and appreciate subtle differences in symmetry, form and shape. A comprehensive surgical approach combining art and science allows Dr. Seify to keep the patient’s health and safety as the top priority, while at the same time, produce outcomes that are attractive, natural looking, and long lasting. That is impressive and it is not intelligent to take this for granted. It is based on skill as well as extreme effort. Dr. Seify takes pride in his work and his work bears this out. Every decision that Dr. Seify and his team take with regard to breast reduction and other cosmetic procedures, it has the patient’s priorities at the center. His practice is based on integrity and ethics. Majestic and dependable cosmetic surgeon Dr. Seify receives patients from Newport Beach, Orange County, CA, and nearby areas for breast reduction. See more procedures and treatments by plastic surgeon Dr. Hisham Seify in Newport Beach, Orange County, Irvine, Anaheim, Fullerton, Los Angeles, Beverly Hills, CA and surrounding areas.

Breast Reduction Plastic Surgery

Facelift Plastic Surgery Types of Lifts, Cost, Recovery Newport Beach | Orange CountyConsultation is the first and one of the vital stages in a breast reduction cosmetic surgery procedure. To make the most of this opportunity, the patient should be prepared to engage proactively with the surgeon. The foundation for a successful breast reduction surgery will be created with a good pre-operative consultation. The surgeon will prepare a customized breast reduction plan to meet the unique needs of the patient based on the feedback collected during the consultation. Remarkable, cordial, and board certified plastic surgeon Dr. Hisham Seify provides breast reduction and other procedures to patients in Newport Beach, Orange County, CA and surrounding communities.

Health Evaluation

To begin with, the surgeon will perform a basic health exam to assess the patient’s candidacy for breast reduction plastic surgery. The patient’s overall breast anatomy, amount of excess fatty tissue in the breasts, degree of skin laxity, type and quality of skin, and the size and position of nipples will be considered. The surgeon may also order specialized mammograms in a few cases. The surgeon will check with the patient whether she experiences any pain in the neck, back or shoulders due to heavy and pendulous breasts. They will also review her past medical records. Body weight and measurements will be checked to plan for a proportionate breast figure.

Patient’s Personal Cosmetic Goals

The patient should be forthcoming about her personal cosmetic needs and aspirations with regard to her shape and appearance of breasts. Based on her inputs, the surgeon will determine the extent of size reduction required and whether breast lift may have to be performed in conjunction with breast reduction. The patient may select images from magazines or websites to show to the surgeon during the consultation about the kind of breast figure she desires. Accurate inputs from the patient will help the surgeon create a customized breast reduction surgery plan to meet her specific goals.

Developing Expectations

During the consultation, the surgeon may show breast reduction before and after photos to the patient. This will enable the patient to understand what to expect and what not to expect from the procedure. The surgeon will also answer the patient’s questions and concerns on all aspects related to breast reduction surgery. The surgeon may also provide testimonials of past patients to let the patient know about their experience with this surgery.

Pre- and Post-Surgery Care Instructions

As part of preparation for breast reduction, the patient will have to follow a few do’s and don’ts. Certain types of medications and nutrition supplements may have to be stopped for a few days before the surgery. Smokers will be required to stop smoking for a certain time period before and after the surgery. The surgeon may also guide the patient about arranging for transportation on the day of surgery, hiring a nurse for aftercare if required, and applying for at least a week’s leave from the workplace well in advance. Costs, insurance, and financing options are also issues that should be clearly discussed at the time of initial consultation. Perspicacious, wonderful, and cosmetic surgeon Dr. Hisham Seify receives patients from Newport Beach, Orange County, CA, and other towns and neighborhoods in this region of the state for breast reduction surgery. See more procedures and treatments by plastic surgeon Dr. Hisham Seify in Newport Beach, Orange County, Irvine, Anaheim, Fullerton, Los Angeles, Beverly Hills, CA and surrounding areas.
HZ11y0Li0BDLAriRSGUDGz58RAUzrwaqbzQu8 UGy0RBO X9HVh2x zPLqCEmCE0N8IIKFDUIVVVF51aBfgwT6ID1U13QK0vytXu9i2DhVl0O0yHRsoBreast reduction and the reasons behind it are often misunderstood. According to recent online article breast reduction is one of the most commonly requested and most predictably successful plastic surgery procedures performed. Many women suffer from the symptoms that are caused from the weight of their breast. For most of them nonsurgical treatments have provided little to no relief. Macromastia which is the medical term for large breast can cause pain and other physical problems. Heavy breast can cause multiple disturbances in the body. Also the impact of macromastia can contribute to obesity as it is difficult to near impossible to exercise with excessively large breast. The symptoms related to macromastia include grooves in the shoulders, numbness in the fingers, shortness of breath, inadequate sleep, rashes under and between the breast, and back pain. For most patients additional medical testing is not needed as the proof of the symptoms of macromastia are straightforward. Mild an occasional symptoms may respond to nonsurgical treatments. Many insurance companies acquired patients to try nonsurgical methods including chiropractic and massage to relieve symptoms prior to approval of payment through the insurance company. Weight loss is also an alternative to surgery often posed by insurance companies. Medical research has shown that even with weight loss patients who truly suffer from macromastia are likely to still experience the same negative symptoms if weight loss is chosen as a form of treatment. Breast reduction surgery also known as reduction mammaplasty is an extremely effective option for patients suffering from macromastia. A multitude medical studies proved that removing the weight from the breast not only release symptoms in most cases but also improves skeletal stability, lung function, quality of sleep, and improved mammography. Most patients are extremely satisfied with the results following breast reduction surgery. Dr. Seify explains to patients that breast reduction surgery has many medical benefits however patients should be aware that there can be challenges to have insurance carriers provide coverage for the procedure. In many cases they may require the patient to seek alternative methods of release prior to approval. The may request documentation to prove visits to the chiropractor or physical therapist. Patients were not able to obtain coverage the of their insurance carrier should consider the benefits of breast reduction and discuss alternative payment methods with Dr. Seify’s staff. Patients who are considering breast reduction surgery are encouraged to contact Dr. Seify and schedule a consultation.

Smoking is one of the most difficult habits for a person to quit. Most patients who consider plastic surgery are surprised to learn that smoking is a problem and increases surgical complications. According to a recent online article recent findings focusing on over 1 million women smokers found that they more than tripled their risk of dying early when compared with women who did not smoke. Between 1996 and 2001 scientist from the University of Oxford and United Kingdom surveyed and questioned women regarding to their smoking habits, medical history, and social status. 20% were smokers, the 52% had never smoked, and 28% were ex-smokers. Women were surveyed and questioned every two years throughout the study. The study lasted more than 12 years. During this time 66,000 participants passed away. Those who smoked throughout the study were three times as likely to die in the nine years that followed when compared to non-smokers in the study. Medical professionals agree that the sooner patients quit smoking the greater the likelihood that they will live longer. Dr. Seify explains to patients who are smokers that the risks of surgical complications are increased for those patients. Surgeries including facelift, breast lift, breast reduction, and brachioplasty are some of the surgeries with increased risk for smokers. While delayed wound healing is a major concern, the likelihood that scarring will heal with unattractive markings increases with smokers. Cosmetic surgery procedures that are primarily for lifting and tightening skin could heal poorly for smokers due to the tension that is required to hold the incision together. It is best if patients can quit smoking at least three weeks prior to surgery and a minimum of four weeks after surgery. Of course, the ideal situation would be for patients to quit smoking altogether after surgery. Patients  who are considering cosmetic plastic surgery procedures are encouraged to contact Dr. Seify to see which plastic surgery procedures are right for them.

Having a big belly has become the new telltale sign of an unhealthy person. Increasing evidence mounts supporting the overall philosophy that being overweight and carrying and majority amount of the weight in the abdomen is unhealthy. According to a recent article not only does it affect your health but also your sleep patterns. According to the article “We found that improvement in sleep quality was significantly associated with overall weight loss, especially belly fat,” says Kerry Stewart, Ed.D., professor of medicine at the Johns Hopkins University School of Medicine and director of clinical and research exercise physiology. During a six-month study, researchers recruited 77 participants who were diagnosed with type II diabetes or prediabetes. The participants were all overweight or obese and randomly were assigned to one of two groups. One group was part of weight loss diet, and supervised exercise training. The other group was given diet intervention only. 55 of the 77 completed every phase of the study. Both groups lost on average 15 pounds. This included the same amount of belly fat which is about 15%. Host of sleep problems were reported by participants, so researchers analyzed the overall sleep health. But they discovered was that both groups were able to improve their overall sleep score by 20% when losing belly fat. The summary of the findings was that patients were able to improve the quality of sleep once they reduced their weight, especially belly fat. Dr. Seify explains to his patients that maintaining a healthy body weight is essential even after having cosmetic plastic surgery. This includes patients who have had breast augmentation, breast lift, or breast reduction surgery. Fluctuation in weight for patients who have had breast surgery can negatively affect the appearance of their breast. For many patients the breast size will change, depending on the amount of weight lost or gained. In some patients this could be a negative change. Patients who have had breast augmentation with saline implants ,and are extremely thin, without a significant amount of their own breast tissue, should avoid further losing weight as this would increase the likelihood of feeling ripples in the implant. Patients who are concerned about their breast and are considering breast surgery are encouraged to contact Dr. Seify’s  office and schedule a consultation.

OD0vS8N5voPJyL 3OjvFHegUcbGtsQDSl bnSRwTAH6oWBSV65Vjq1S6eIKkCe8uAbgBlA9 IiKdJt21ToDWHMNEvoywoQV0QQQkmML7vBwdcP6urtEThe caffeine debate continues to rage among experts. Most medical professionals agree that too much caffeine is most likely not good for your health. According to recent online article Consumer Reports found an abundance of caffeine in the most popular energy drinks. According to the article the Consumer Reports investigation found that most labels do not sufficiently alert consumers about the amount of caffeine included in their energy drink. Of the 27 popular energy drinks tested, 11 did not list the amount of caffeine on the label. Of the 16 products that did, five had an excess of 20% more caffeine than the label claimed. One actually had about 70% less. All of the products at one common denominator; they contain lots of caffeine. According to Consumer Reports deputy health editor Gayle Williams, this is a red flag. Safe levels of caffeine are considered up to 400 mg per day for healthy adults, 200 mg per day for pregnant women, and up to 45 to 85 mg per day for children depending on their weight. The most amount of caffeine per serving was 242 mg which was founded in the brand Five-Hour Energy Extra Strength. The lowest was Five-Hour Energy Decaf, which in spite of its name carries 6 mg of caffeine per serving. Caffeine can increase restlessness, nervousness, insomnia, and tremors. Increased amounts can also trigger seizures and an abnormal heart beat. Dr. Seify reminds patients who are considering cosmetic plastic surgery that reducing the amount of caffeine including energy drinks prior to surgery is important. Patient should go into surgery in their healthiest state. Triggering a rapid heartbeat through excessive caffeine consumption could cause complications prior to as well as after surgery. Breast augmentation patients, as well as patients who have had breast lift or breast reduction should be conscious of their body and how it responds to the consumption of caffeine. For some women who have more fibrous breast tissue caffeine can increase the presence of lumps and bumps within the breast tissue. For many women, controlling the amount of caffeine in their diet helps to reduce the chance of developing the lumpy bumpy consistency. Patients who are considering breast surgery are encouraged to contact Dr. Seify’s office and schedule a consultation.
MNgYjL69JflweSfajHM0zs5UeXIw WTQDz3gAHCZbzSDiAKyREpxlRtdq 3Bdq0a6I5fEEG8vI rL Bd8Pd88kqzyVBHGAs we near the end of breast cancer awareness month we all long the day when breast cancer will be a disease that does not exist anymore. According to recent online article, there are women who have some misconceptions concerning breast cancer. One of the number myths is that having a family history of breast cancer means that you will get breast cancer. This is not necessarily true. While women who have a family history of breast cancer are in a higher risk group, the fact is; most women who have breast cancer have no prior family history. If you have a mother, daughter, sister, or grandmother who had breast cancer you should have a mammogram starting five years before their diagnosis, or at age 35. Close to 70% of women who were diagnosed with breast cancer do not have identifiable risk factors for disease. Another prevalent myth is that performing breast self exam will not make a difference. Close to 70% of all breast cancers are discovered through self exam. Early detection is key. Performing the examination close to the same time each month is helpful and more accurate. If you have an average risk of breast cancer it is a mistake to believe the myth that there is nothing you can do about your risk. The truth is there are many risk factors for breast cancer that are within your control. One such risk factor is your weight. Controlling your weight especially after menopause is a key factor in reducing your risk of breast cancer. Excess fat tissue after menopause will increase your risks of getting breast cancer, because it raises your estrogen levels. Not getting enough physical activity will also increase the risk of developing breast cancer. Many studies have shown that even moderate exercise will reduce the risk of breast cancer. Even walking consistently for 75 to 250 min. per week reduces the risk of breast cancer by as much as 18%. Limiting alcohol consumption will also help to reduce the risk of breast cancer. Women who do not drink have a 10 to 12% lower risk of breast cancer when compared with women who do drink. Excessive alcohol use is known to contribute to a multitude of cancers. The American Cancer Society recommends having no more than one drink a day(if at all). Another commonly held myth is that monthly breast self exams are the best way to find breast cancer early. This is not entirely true because women should have an awareness of their breast at all times. This means being familiar with the size shape and feel of your breast. Also, mammograms are able to detect cancers that cannot be felt. Many women believe that lumps are the only sign of breast cancer. This also is not true. Skin irritation, dimpling, nipple pain, having a nipple become inverted, redness or scaliness of the nipple, or discharge other than breast milk could all be warning signs of breast cancer. The key is to not ignore changes, or assume that there a result of an infection. Early detection is the key to successful treatment and survival. Dr. Seify advises patients, who are having cosmetic breast procedures including breast augmentation with implants, breast reduction, and breast lift to be proactive concerning their breast health and be sure to perform monthly breast self-exam and follow the recommendation of their primary care provider regarding mammogram recommendations. It is important for patients to remember that breast surgery does not change the recommendation of the proper time for breast cancer screening.
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