Women across Central California, who are navigating a breast cancer diagnosis, now have greater access to an advanced surgical option thanks to Nicole Gordon, MD, a breast surgeon at Adventist Health Bakersfield. Dr. Gordon, who is a general surgeon and surgical oncologist, became the first in Central California and the second across the state and west coast to perform an endoscopic (i.e., laparoscopic) nipple-sparing mastectomy (E-NSM) in late 2025. The minimally invasive surgical approach is designed to preserve the skin, nipple, and areola while improving cosmetic outcomes and reducing visible scarring compared with traditional mastectomy techniques.
Compared with the open nipple-sparing mastectomy approach, E-NSM has been shown to provide benefits including better cosmetic outcomes, less postoperative pain, and higher patient satisfaction and well-being.1
“As a breast surgeon, I am continually researching and undergoing training when appropriate to offer the most advanced and effective treatment options to women in our community,” said Dr. Gordon. “Endoscopic nipple-sparing mastectomy allows me to perform surgery through a small incision while preserving the natural appearance of the breast when clinically appropriate. For many women, that means not only excellent care, but greater confidence postoperatively, and a smoother recovery.”
The E-NSM technique uses a small incision on the side of the breast, instead of a more prominent incision on the breast. A surgical device known as the GelPOINT® Mini advanced access platform is placed through the incision, allowing a high-definition camera and specialized instruments to be used endoscopically. E-NSM provides surgeons with excellent visualization of breast tissue, which is a key factor in achieving improved patient outcomes.
Since introducing the procedure in Bakersfield last year, Dr. Gordon has helped women throughout Central California access a surgical option that was previously unavailable. Many patients undergo breast reconstruction during the same operation, reducing the number of surgeries needed and supporting a smoother recovery process.
Among the first patients to undergo the procedure after being diagnosed with Stage 1A breast cancer is Gabriela Zilko of Bakersfield.
“When Dr. Gordon explained the procedure, I trusted her completely,” said Zilko. “Today, I am cancer-free and grateful I had the opportunity to receive this surgery. What stands out most is the minimal scarring. Looking back, I’m proud to have been among the first to undergo the procedure and am hopeful it will help open the door for other women to benefit from advancements like this in the future.”
Breast cancer is the most commonly diagnosed cancer among American women, with approximately one in eight developing breast cancer.2 E-NSM prioritizes the overall well-being of women, resulting in effective cancer surgery with improved aesthetic outcomes and recovery.1
To learn more about cancer care at Adventist Health, visit: AdventistHealth.org/AISCancerCenter