Dr. Tierney is a 2018 Seattle Met Top Doctor Award winner. Philosophy of care: I choose to approach the diagnosis and management of breast disease as part of a multidisciplinary team; in partnership with an informed patient. My role is to educate the patient on all her options and help her make decisions that reflect her priorities. My special interests include • young and high-risk patients • male breast cancer • the interplay of breast cancer with lactation and pregnancy • surgical approaches which maximize the cosmetic appearance of the breast and; in younger women; preserve the ability to breastfeed • skin-sparing and nipple-sparing mastectomies when appropriate for the patient