Breast Surgery & Aesthetic Oncology

We refer to our multidisciplinary approach to the surgical treatment of breast cancer as Aesthetic Oncology.

Aesthetic Oncology combines the latest advances in cancer surgery and breast reconstruction surgery to reach the optimal aesthetic and clinical outcome.

Our experienced breast cancer surgeons, dermatologic surgeons, reconstructive plastic surgeons and microvascular surgeons unite as an all-star surgical team for our patients facing cancer surgery.

Assisted by specially-trained and experienced nurses and support personnel, our staff is committed to ensuring that each patient receives expert compassionate care.

Dr. Julie Vasile has dedicated her reconstructive surgery practice to treating women with breast cancer or other diseases.

Scroll down to read about these advanced procedures offered at The Breast Institute:

  • Intraoperative Radiotherapy (IORT)
  • Microvascular Surgery for breast conservation, nipple-sparing, and DIEP Flap or PAP Flap procedures
  • Gamma Knife for metastatic brain cancer

The Zeiss Intrabeam intraoperative radiation therapy (IORT) provides precise radiation-dose delivery that enables the surgeon to administer the prescribed dose with precision to the tumor site during surgery. This treatment replaces the “boost” portion of the treatment, eliminating 1 1/2 to 2 weeks from the 6 to 7 week course of radiation needed after lumpectomy. NWH IORT NWH IORT2


Microvascular surgery at Northern Westchester Hospital is a specialized procedure that allows the use of your body’s own tissue to reconstruct the most natural feeling breast.Your highly trained New York plastic surgeon carefully removes a flap of fatty tissue from another part of your body. Using microvascular surgery, the surgeon reconnects tiny blood vessels of the flap to blood vessels in your chest, restoring circulation and rebuilding your breast to make you whole.

Spy Imaging System

Intraoperative Vascular Imaging with the Novadaq SPY system enables surgeons to view blood flow during the course of surgery. Surgeons can capture, review, print and archive high-quality images of blood flow in vessels and micro-vessels, and in real-time during the surgery. With this information during surgery, surgeons are able to make better-informed critical decisions in the operating room about the best surgical options for the patient, such as breast conservation, nipple-sparing procedures, DIEP Flap or PAP Flap procedures.

Benefits of Microvascular Flap Procedures at NWH

Since no muscle is used, most women recover more quickly and have a lower risk of losing abdominal muscle strength. By using your own body tissue, the reconstructed breast feels like your own body… warm and soft to the touch.

Our patients share their stories. View videos of other women who have been cared for at The Breast Institute in Mt. Kisco, NY >

Meet the Microvascular Surgeon at NWH, Dr. Julie Vasile
Julie Vasile, MD, has dedicated her reconstructive surgery practice to treating women with cancer or other diseases. 


Types of Microvascular Surgery at NWH

A microvascular procedure known as DIEP Flap (deep inferior epigastric artery perforator) uses abdominal skin and fat without removing muscle. A flap is transferred from the abdomen to the chest to form a new, natural-looking and feeling breast mound. Microsurgical transfer of the DIEP flap establishes a new blood supply and survival of the flap.

PAP Flap
A microvascular procedure known as PAP Flap (profunda artery perforator) uses a flap of the patient’s thigh tissue, again—without removing muscle. A flap is transferred from the thigh to the chest to form a new, natural-looking and feeling breast mound. Microsurgical transfer of the PAP flap results in an effective blood supply and survival of the flap.

The Gamma Knife is advanced treatment in cases of breast metastatis to the brain. Considered the gold standard of treatment for a broad spectrum of brain lesions—the Gamma Knife is in fact not a knife at all, but a highly sophisticated non-invasive device that focuses multiple external sources of high-energy gamma radiation of the affected area inside the brain.