The Aesthetics of the Donor Site: DIEP Flap Breast Reconstruction

At the 2019 annual conference of the American Society of Plastic Surgeons, I interviewed Dr. Minas Chrysopoulo of PRMA in San Antonio.  Dr. C points out we often talk about the results of the breast in breast reconstruction. After all, it is why the patient is having the procedure, to replace the breasts affected by breast cancer. I agree with his statement, “The conversation about the belly is well overdue.” This blog will focus on the aesthetics of the donor site in DIEP flap breast reconstruction. As microsurgeons, skill and technique are often discussed in published papers and at medical conferences. Plastic surgery, of any kind, is about form and function. The donor site for DIEP flap, the belly, is as important to the patient. What it is going to feel and look like after surgery is essential to the physical and psychological healing for the patient. Dr. Chrysopoulo says, Continue Reading →

5 Things to Share: My Delayed DIEP Flap Breast Reconstruction

I am often inspired to write while reading blogs from other sites, reading research papers, or after speaking to patients who ask questions about my experience having delayed DIEP flap breast reconstruction. This week is a mix of all three. I saw a post on the Facebook page from the plastic surgeon I chose for my surgery. The title of the blog post read: Patient Reported Outcomes After Immediate and Delayed DIEP Flap Breast Reconstruction. ~ PRMA Plastic Surgery The blog references an evidence-based study from Plastic and Reconstructive Surgery. It states: The BREAST-Q is an universally accepted tool for evaluation of quality of life and satisfaction in breast surgery. The aim of our study was to identify differences in patient-reported outcomes in immediate and delayed reconstruction with DIEP flap.  ~ Plastic Reconstructive Surgery  During conversations as a patient advocate, I speak to women who ask me to describe what my Continue Reading →

Aesthetic Questions to Ask If Going Flat After Mastectomy

Have you decided to go flat after having a mastectomy? This blog and video discuss aesthetic questions to ask if going flat after mastectomy. When a woman or man loses their breast to breast cancer they have choices whether to rebuild their breast or not. They can choose to go flat, or they can choose breast reconstruction. I had a mastectomy in May of 2014 and remained flat for seven months prior to having DIEP flap breast reconstruction. But there are many women and men who choose to remain flat after a mastectomy. I had the privilege of speaking to Drs. Minas Chrysopoulo of PRMA in San Antonio about this topic. They are both plastic surgeons who perform various kinds of plastic surgery, primarily autologous based breast reconstruction. The information they explain in this video and have personally done themselves, is achieving optimal aesthetic outcomes for patients who choose to Continue Reading →

Breast Reconstruction: Benefits vs. Cosmesis

What are breast reconstruction benefits and are the benefits vs. cosmesis equal or separate? Although this question may not have been stated in these words, women considering breast reconstruction must think about this complex question. No one can come close to knowing what this decision involves except the patient themselves. Not only is it a difficult and complex process of logic but it involves a great emotional decision as well. I am speaking about breast reconstruction in very specific circumstances. Humans are faced with many unexpected events in life catapulting us to become educated about a topic we never imagined we would be learning about. A cancer diagnosis or finding you have a gene mutation putting you at high risk for breast cancer is one of those life events. Those who are considering breast reconstruction after cancer or for prophylactic reasons to greatly decrease chances of a cancer occurrence go Continue Reading →

DIEPflap Breast Reconstruction: Aesthetic Questions to Ask Your Plastic Surgeon

DIEPflap Breast Reconstruction: Aesthetic Questions to Ask Your Plastic Surgeon DIEPflap breast reconstruction & aesthetic questions to ask your plastic surgeon involves more than  you may have given much thought to.  You have had a mastectomy due to breast cancer. You have tested positive for the BRCA gene and are facing the decision to have a prophylactic bilateral mastectomy to significantly decrease your chances of getting breast cancer. Perhaps you are even going in for a consult to repair damage done at another practice and are looking for better results.  Now you’re researching and thinking about breast reconstruction options. You found a board certified plastic surgeon with great skill and a high rate of success. The consult appointment has been set up. You write down as many questions as you can and hope beyond hope you will be given the time to have all of them answered.  Your main concern Continue Reading →