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Caroline Coombs-Skiles, M.D., FACS

Caroline Coombs-Skiles, M.D., FACS Photo

Provider Type: Physician

Board Certifications:
  • Breast Ultrasound Surgery
  • General Surgery


General Summary

Dr. Coombs-Skiles has been practicing breast surgery in the Austin area for more than 10 years. She specializes in the diagnosis, treatment, and management of diseases of the breast, including benign and malignant diseases. She leads each of her patients from diagnosis to recovery with expert care using the latest technologies for personalized treatment for each individual patient. She performs both biopsies and surgery of the breast to achieve the most desirable cosmetic and oncologic outcomes. She is board certified by the American Board of Surgery.

Dr. Coombs-Skiles has an experienced team that works together to treat each breast cancer patient with an individualized comprehensive plan. Her focus is helping patients understand their diagnosis and treatment in a gentle comfortable environment. Her special interests include oncoplastic surgery, applying plastic surgery techniques to breast surgical oncology in order to maintain the size, shape and contour of the breast including hidden scar surgery. In addition to supporting her patients Dr. Coombs-Skiles also participates The Susan G. Komen race and the Austin Art Bra auction raising money and awareness in the fight against breast cancer.


  • Residency in General Surgery
    Baylor University Medical Center, Dallas, TX
  • Medical Doctorate
    The University of Texas Medical Branch at Galveston, Galveston, TX
  • Bachelor of Science, Biology/Bachelor of Arts, Spanish
    Emory University, Atlanta, GA

Surgery Locations

  • Ascension Seton Medical Center Austin
  • St. David’s Central Park Surgery Center
  • St. David's Medical Center

Accolades & Memberships

  • American College of Surgeons
  • American Society of Breast Surgeons
  • Breast Ultrasound Certified by the American Society of Breast Surgeons
  • Travis County Medical Society

Office & Outpatient

  • Abscess Drainage
  • Breast Sonography and Ultrasound
  • Cyst Aspiration
  • Lymphedema Screening and Prevention Program
  • Needle Biopsy of Breast Lesions - US Guided
  • Partial Breast Radiation Catheter Insertion (SAVI, Contura, Mammosite)
  • Skin Biopsies
  • Stereotactic Needle Biopsies

Surgical Procedures

  • Axillary Lymph Node Dissection
  • Excision of Chest Wall Tumors
  • Excisional Breast Biopsy
  • Hidden Scar Lumpectomy & Mastectomy
  • Hidden Scar Surgery
  • Lumpectomy - Partial Mastectomy - Quadrantectomy
  • Mastectomy
  • Mediport Placement
  • Nipple Duct Excision
  • Nipple Sparing Mastectomy
  • Oncoplastic Partial Mastectomy with Contralateral Mastopexy for Symmetry
  • Oncoplastic Tissue Rearrangement
  • Radical Excision of Metastatic Lesions
  • Sentinel Lymph Node Biopsy


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Other Information

In her spare time, Dr. Coombs-Skiles enjoys spending time with her 3 children and husband. She loves arts and crafts, making cookies and all outdoor activities. Although not a native Texan, Dr. Coombs-Skiles has grown up in the Lone Star state and loves raising her twin girls and little boy here.

Quotes from Online Portal

“Thank you for treating me with so much kindness when I came in for my appointment. You will never know how your kind words and smile eased my mind. Many doctors have yet to learn that a simple touch to the hand showing someone is there to help does wonders for any patient seeking answers. Thank you again.”

“Thank you for helping me understand my diagnosis of my breast cancer. You made a scary journey easier to travel. I also want to thank you for the wonderful and careful job you did with my surgery, not only making sure that you removed all the cancer but also that I could maintain my breast looking as natural and unchanged as possible. Other doctors who have examined me have been impressed with your work.”

“I just wanted to say how very much having Dr. Coombs-Skiles as my breast cancer surgeon meant to me. She listened to my concerns and fears and paid attention to them. Getting breast cancer at age 72 scared me more than I can say. Not only did she share my need to get the tumor out as quickly as possible, her surgical skills were superb. The tumor was taken out perfectly and her incision was placed so as it has healed it barely shows and with more healing time it may not show at all. The radiologist told me she was a great surgeon. I feel so blessed to have had her as my surgeon with her combination of excellent surgical skills, empathy for me, and determination to do the best in all areas of my cancer care. I’ll be forever grateful to her and the staff at Texas Oncology.”