A Comprehensive Avantera Elevate Review 2025

In May 2026, Dr. Noran Barry performed Southern California’s first robotic-assisted nipple-sparing mastectomy since the procedure received FDA approval. The milestone brought a new option for patients facing breast cancer surgery. It also reflects the specialized care available through Sharp Rees-Stealy Medical Group, where Dr. Barry works alongside other doctors and specialists as part of a coordinated care team.

Dr. Barry is a fellowship-trained breast cancer surgeon with Sharp Rees-Stealy and Sharp HealthCare’s medical director of breast health. She is affiliated with Sharp Mary Birch Hospital for Women & Newborns and Sharp Memorial Hospital. Sharp Mary Birch was the first hospital in Southern California and one of just 15 in the United States to offer the procedure.

For a patient considering a mastectomy, treating cancer is the first concern. Questions about appearance, sensation and recovery matter, too. Robotic-assisted nipple-sparing mastectomy gives Dr. Barry another way to address those concerns while working with patients and their care teams on the treatment ahead.

What makes the procedure different

A nipple-sparing mastectomy removes breast tissue while preserving the nipple and surrounding tissue for reconstruction. Dr. Barry uses a single-port robotic system, guiding surgical instruments and a high-definition camera through one small incision. She can often place that incision in a less visible area, such as near the underarm.

That placement can leave a smaller, more hidden scar than a traditional mastectomy. Preserving tissue for reconstruction may also help create a more natural-looking breast. In some cases, the surgery may preserve nerves in the remaining tissue and help maintain breast sensation.

Compared with traditional methods, the robotic-assisted approach may offer less blood loss during surgery, less pain during recovery and a faster recovery. Early results also suggest a lower likelihood of nipple necrosis, a complication in which loss of blood flow damages the nipple and areola.

For Dr. Barry, the ability to place the incision strategically is especially meaningful. It allows her to treat the cancer while considering the scar a patient will see after surgery. Along with reconstruction, that detail can make a difference to someone adjusting to changes in their body.

Care that continues beyond surgery

Breast cancer care extends beyond one surgical technique. At Sharp Rees-Stealy, doctors and specialists work together to support patients through decisions about their care. The medical group’s breast cancer navigation program also supports patients as they move through diagnosis, treatment and the steps that follow.

That team approach is evident in Dr. Barry’s work. After she performs the breast surgery, plastic surgeons complete the reconstruction. Together, their work addresses the cancer treatment and the patient’s appearance after surgery. Dr. Barry understands how difficult breast cancer diagnosis and treatment can be, and how meaningful it is to offer an option that may help patients feel more like themselves.

For patients, the care surrounding the operation matters alongside the technology. They may want to understand how the surgery works, what reconstruction involves and what to expect during recovery. They can bring those questions to a team that works together, with navigation support through the course of their care.

Dr. Barry’s milestone expands the surgical options available to her patients. Her work within Sharp Rees-Stealy’s coordinated care brings the story back to what patients need: skilled specialists, clear conversations about their choices and support that extends beyond one procedure.

When it comes to health care, convenience matters. Whether you need a routine checkup, a specialist appointment, diagnostic imaging, or hospital care, receiving services close to home can make a meaningful difference for you and your family. That is the philosophy behind Sharp Community Medical Group (SCMG), one of Southern California’s largest physician networks, built around a simple idea: exceptional health care should be available in the communities where people live, work, and raise their families.

SCMG’s local care delivery model begins with choosing a primary care physician in your neighborhood. When specialty care is needed, your doctor can refer you to local specialists who are part of the SCMG network. Those specialists can admit patients to nearby Sharp HealthCare or Palomar UC San Diego Health hospitals, helping ensure care remains coordinated and close to home. 

The benefits extend far beyond physician visits. SCMG patients have access to community-based laboratories, MRI and radiology centers, urgent care locations, pharmacies, and other ancillary services throughout the region. Instead of traveling across the county for care, patients can often receive the services they need in the communities they know and trust. As a result, care becomes more convenient, more connected, and easier to navigate. 

For many SCMG physicians, the word “Community” in the organization’s name is more than branding. It reflects a commitment to giving back to the people and neighborhoods they serve.

That commitment is evident in the work of Dr. Joseph Novencido, an SCMG-affiliated physician and President of the Filipino Medical Association of San Diego, who organized the inaugural 2025 Carabao 5K. The event was created to encourage healthy lifestyles and physical activity among Filipino Americans, a population that experiences cardiovascular disease at significantly higher rates than the general U.S. population.

“Community is extremely important to me,” said Dr. Novencido. “I grew up in a very diverse community, and working in this area, in the community I grew up in is so fulfilling. It is so nice to be in a position where I can make a difference in the lives of the people here.”

SCMG physician Dr. Leticia Polanco shares a similar passion for serving her community in Chula Vista.

“The reason I decided to go into medicine is because I felt there was an overwhelming need for people like me to take care of the community that I live in,” she said. “In our practice, we work as a team, we collaborate with our staff, and we really want to give that warm feeling to people who come here for care.”

Stories like these highlight what distinguishes SCMG: a network of physicians who are deeply invested in the health and well-being of the communities they serve, while providing patients with access to a coordinated local system of care. From preventive care and specialty services to imaging, urgent care, and hospital treatment, SCMG helps patients receive the right care, in the right place, close to home.

About Sharp Community Medical Group

Sharp Community Medical Group (SCMG) is one of Southern California’s largest physician networks, with more than 1,200 affiliated primary care and specialty physicians practicing throughout San Diego County. SCMG physicians can admit patients to local Sharp HealthCare and Palomar UC San Diego Health hospitals, providing convenient access to coordinated care throughout the community. For more information, visit scmg.org.

It’s fall again. You’ve done the cider tasting. You’ve done the three-legged race at the rec center down the street. You’ve done the craft fairs and candle-making class but have you pedaled down a railroad track built in the 1880s in a two-person, auto-assisted Railbike with the wind blowing through your hair as you take in the sights—citrus groves dotted with bright yellow lemons, sun-drenched mountains—and stopped at a pumpkin patch (with a petting zoo!) along the way? 

Enter Sunburst Railbikes in Santa Paula, the bucket-list experience your bucket didn’t even know it was missing. Until now. “It’s the perfect escape from the city, from the hustle and bustle,” said Nicholas Martinez, who, as a manager and frequent guide for the Railbikes, has taken more than 500 rides and wants to do at least 500 more. “It’s exhilarating.” 

It goes like this: You meet at the quaint historic Santa Paula Depot and hop on a bike, one specially created to perch snugly on the tracks. Because of the electric assist, you get to be as lazy or overachieving as you’d like. Kids three years old and up can do it, too. The whole journey is 10 miles and takes two hours, during which you take in fresh air and listen peacefully to the hypnotic clickety-clack while snaking in and out of lush groves. In April and August, you’ll see the avocado harvest. During fall, it’s all about the lemons. “It’s just a thrill to be gliding along,” says Martinez, explaining the uniqueness of the experience. “It’s like nothing else.” 

The activity is a fit for all ages, with children under three riding in a front-facing chest carrier. Adults love the feeling of freedom. Kids love railroad crossings. They often wave at the stopped car traffic as they cruise by. “It’s such a hoot!” says Martinez. 

Toward the end of the journey, there’s a stop at Prancer’s Farm, a local business which is pretty much the holy grail of October activities. You can buy local produce like avocados, strawberries and honey, but also zipline, pet animals, pick a pumpkin or fresh produce, and go on hayrides or horse rides, get lost in a corn maze, pose in a marigold field or a sunflower field, ride a barrel train or…or…or maybe all of the above. 

You’ll also experience a bit of history along the way. The tracks, laid down in 1887, used to shuttle passengers between Los Angeles and San Francisco. You can envision it as you go—travelers embarking on big trips before air travel. Later, in the 1940s and ’50s, freight trains used the tracks to haul fresh citrus. 

It’s still a working railroad today, but it’s also a bit of a celebrity. The very tracks used by the Railbikes have been in more than 500 television and movie productions, everything from a Dr. Pepper commercial to the feature film Seabiscuit. So yeah, riding those tracks is Hollywood adjacent, kind of like meeting a well-known prop like the sofa from Central Perk. 

While driving up from San Diego and back in one day is possible, you can easily turn the occasion into a fun weekend getaway. The cute-as-heck town of Ojai is a short car ride away. Think idyllic meanderings through nature, picturesque historic downtown and top-notch food choices. Ventura, equally close, is a chock-full of craft breweries and beach walks. Book a night somewhere and indulge. 

Fall has plenty of traditions. So yes, you could spend another autumn afternoon at another craft fair. You could make some soup or play pin the stem on the pumpkin, but you also might want to climb aboard a Sunburst Railbike, pedal down a 139-year-old railroad track, wave at confused motorists and make an entirely unique core memory for you and your people.

Come experience the Sunburst Railbikes for yourself during their year-round trips through the citrus groves – sunset, extended, and other themed rides available seasonally.

Though shock waves may sound like something more likely to cause pain than relieve it, physicians have been using the technology to treat musculoskeletal conditions for decades. Shockwave therapy is a non-invasive treatment used in sports medicine for a variety of tendon, muscle and ligament injuries. By delivering acoustic energy via targeted sound waves, it activates the body’s natural healing processes. Scripps officially launched its shockwave therapy program earlier this year, making it one of the first major healthcare organizations in the region to offer the innovative service. Click here to read more about shockwave therapy and the doctor who advocated to bring the treatment to Scripps. 

For more nutrition, wellness, and healthy living tips, sign up for the San Diego Health newsletter here.

It’s estimated that one in four adults in the U.S. have high cholesterol. It’s a condition that’s preventable and treatable; however, it often has no symptoms, so many people are unaware they have it. That puts them at higher risk for heart attack or stroke. A recent update to national guidelines for preventive cholesterol screenings, the first since 2018, aims to change that by screening and intervening earlier, and calculating long-term risk differently. Click here to find out more. 

For more nutrition, wellness and healthy living tips, sign up for the San Diego Health newsletter here.