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Dr. Stephen Chagares Dr. Antonio Toesca
Oct 18, 2018

Robotic Nipple Surgery

By Lori Draz

Dr. Stephen Chagares Dr. Antonio Toesca

Dr. Stephen Chagares and Dr. Antonio Toesca

Last month, we met Dr. Stephen Chagares and his family as owner of Shrewsbury’s historic Loggy Hole Farm in the Historic Havens column. This month, we re-visit Dr. Chagares as he leads the way into the future with a procedure that will change the lives of many breast cancer and BRCA-positive patients.

Robotic Nipple Sparing Mastectomy (RNSM) is a surgical procedure performed to remove breast tissue for breast cancer treatment, or as a preventative measure for those at risk of developing breast cancer. While Chagares has performed mastectomies throughout his career, he has incorporated robotic surgery into his skillset since the inception of this technology.

RNSM was invented by Dr. Antonio Toesca in Italy in 2014. Last month, Toesca observed Chagares perform the first RNSM in New Jersey. Chagares has the first active RNSM program in the United States.

In this version of a mastectomy, Chagares, with robotic assistance, is able to remove all affected breast tissue using a significantly smaller incision on the side of the chest wall, compared to the traditional technique that leaves scars on the breasts.

Patients can choose to undergo immediate breast reconstruction during the procedure, which offers positive physical and emotional impact to patients with minimal complications.

Chagares is clearly moved by what this will mean for so many women, saying that his first RNSM procedure was his best day ever in surgery.

Chagares has over 20 years of experience providing comprehensive breast care. He is experienced in robotic surgery, and trained at The European Institute of Oncology in Milan under Toesca. Chagares is currently the only breast surgeon in the United States who is certified to perform a robotic nipple-sparing mastectomy for his patients.

For details about the procedure, visit or his Facebook page at Stephen A. Chagares, MD, FACS. His office is at 1 Executive Drive, Suite 4, Tinton Falls. For more information, call 732-450-9700.