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My Double Mastectomy: Three Years Later

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Double Mastectomy: Three Years Later May 15, 2014, I was sitting in a hospital room recovering from a double mastectomy.  Why am I smiling so much in the photo?  The answer: I just finished a phone conversation with my parents.  They live a little over one thousand miles from me.  I couldn’t believe how little pain I was in and how good I felt.  It was important to me that they hear my voice. Both my Mother and Father were in disbelief that I was calling them. Just 24 hours before, they were on alert at their home waiting for the phone call to let them know I was out of surgery and doing well.  When I mentioned to them I was heading home in a couple of hours after the call, they were even more surprised.  I could hear the sense of relief in their voices over the phone. Continue Reading →

Support During DIEP Flap Surgery

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Support During DIEP Flap Surgery Finding support during DIEP flap breast reconstruction is paramount to the success and recovery of your surgery.  When I speak to others who are contemplating this type of breast reconstruction one of the first questions I ask is, “Do you have a support system?”  I follow with the statement, “You will need it for this surgery!” Support during DIEP flap can include a variety of individuals both personal and professional.  I wanted to take a retrospective look at the support women had for their DIEP flap surgery.  I posted this question in the on-line support group I administer for breast reconstruction after mastectomy. Name the three people who you found the greatest support from during your own DIEP flap breast reconstruction process. Breast surgeons, plastic surgeons, family members and friends can look at the replies from these women who have already had DIEP, who it was Continue Reading →

DIEP Flap Belly Button

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Did you know you’ll be getting a new belly button if you choose to have DIEP flap breast reconstruction after a mastectomy?  The study referenced in this blog uses the medical term, umbilical reconstruction, known to most of us as the belly button.  We’re approaching belly button season so I wanted to share this part of my DIEP flap surgery along with the study while having a bit of fun with this post, too! I had the privilege of meeting one of the authors of the study last year at Plastic Surgery the Meeting (#PSTM16) in Los Angeles, Dr. Samuel Lin.  He is a kind gentleman with a warm smile and easy to chat with.  It is apparent he is very dedicated to his profession.  Dr. Lin presented the paper at AAPS (American Association of Plastic Surgeons) meeting in Austin, Texas this year.  I became interested in this study when Continue Reading →

The Story of Two Breast Cancer Survivors

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This is a story of two breast cancer survivors who are connected by one song and a passion for dance.  This story is long overdue! I Hope you Dance (IHYD)! The story of two breast cancer survivors. My friend Susan and I met as young mothers.  She had three sweet and charming daughters.  I had two amazing and delightful sons.  We spent many hours watching our youngest children play together.  Time passed and Susan and I parted ways geographically but to this day we remain close friends. I received a dreaded phone call in November of 2000 I never expected to get.  Susan called from across the country to tell me she had breast cancer.  I began to cry on the phone.  What I wanted to do is be there to hug her.  I remember her words exactly.  She said, “Terri, I didn’t call to make you cry.”  This statement Continue Reading →

Quality of Life: DIEP Flap Breast Reconstruction

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Do you ever consider how your quality of life has changed after DIEP flap breast reconstruction?  The study from the Plastic and Reconstructive Surgery Journal compares three groups of women; those who have undergone DIEP flap breast reconstruction, women who chose no reconstruction or a method other than DIEP flap, and those in the general population who did not have breast cancer or reconstruction.  The questionnaire studies long-term quality of life after DIEP flap. A statement from the study: The DIEP technique also provides better QOL than no breast reconstruction or reconstruction using other methods, according to the study by Dr. Vincent Hunsinger of Georges Pompidou European Hospital, Paris, and colleagues. They write, “Our results indicate that DIEP breast reconstruction allows patients with breast cancer to maintain a good QOL in the long-term.” The definition of quality from the English Oxford Living dictionary: The standard of something as measured against Continue Reading →

Finding a Breast Reconstruction Plastic Surgeon

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Finding a Breast Reconstruction Plastic Surgeon How did you find your plastic surgeon?  This poll question was posted recently on the closed, private Facebook page supporting breast reconstruction patients.  These were the three response questions to choose from. Recommendation from another physician, if so, which one in comments please. Oncologist, breast surgeon, primary care or other? 64 respondents Online research? 20 respondents Recommendation from a friend? 17 respondents Question 1: Recommendation from another physician. Of the 64 respondents, not all listed the type of physician they received their recommendation from in the comments. Here are the results of the respondents who did comment. Breast surgeon: 37 Oncologist: 4 Primary Care 2 Other listed referrals included the following: Mammography technician Receptionist at an oncology office Nurse practitioner Breast cancer patient navigator Genetic oncologist It is interesting to note that most women got recommendations from their breast surgeons.  I was fortunate to Continue Reading →

You Come First after Breast Reconstruction

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One of the best pieces of advice I can give to those I talk to planning their surgery, “You come first after breast reconstruction.”  It is a very difficult concept and mantra to adopt when you are so used to caring for others.  It is particularly challenging for those who go into breast reconstruction feeling healthy and fit, going about their daily routine of cooking, cleaning, carpooling, mothering, caring for others, and working a full-time job.  A sudden change in that routine is hard to wrap your mind around.  Believe me, it stops very suddenly after breast reconstruction but it IS temporary and so worth taking the time to put yourself first. Daily Activity to think about after Breast Reconstruction We don’t realize how much bending, twisting, and lifting we do each day.  I have been on the phone with individuals answering questions about the recovery process.  While I am Continue Reading →

#NationalDoctorsDay 2017

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#NationalDoctorsDay 2017 Social media celebrates all number of fun holidays and today we celebrate #NationalDoctorsDay 2017.  The red carnation has become the symbol of this day to honor doctors. The challenges facing physicians today are worthy of setting aside one day a year to honor their dedication.  I have watched family members go through medical school.  The hours of training are long and arduous.  The personal sacrifice to self and family is admirable. Sub-specialties, like plastic surgery and particularly microsurgery, take even more training, more dedication, and immense skill.  The education is life-long and takes many more hours of study and exams to maintain board certification and learn the latest techniques in their chosen field.  There are long hours spent at hospitals, calls taken late into the evening, and likely some restless hours spent wondering how to solve tomorrow’s challenging medical issue with patients. We trust a physician to heal Continue Reading →

Psychological Benefits of Breast Reconstruction

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There have been many articles written over the years regarding the psychological benefits of breast reconstruction.  When a person loses a body part to breast cancer it seems reasonable to expect one would experience upset and psychological trauma no less than any other amputee.  However, the decision to remedy the amputation of the body part through breast reconstruction is not an easy process.  It means more surgery, recovery, dealing with possible side effects and complications, time off work, support from loved ones, research, and acceptance there will be lifelong scars. My Personal Breast Reconstruction Decision One of the driving factors to move forward with my own breast reconstruction after my mastectomy was to remedy the “psychological distress”. I was experiencing distress from the loss of my breasts.  It took a full week after my mastectomy for the psychological anguish to hit home. This was my second diagnosis.  I had a Continue Reading →

Possible Risks and Complications of Breast Reconstruction

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Possible Risks and Complications of Breast Reconstruction I recently had the privilege of discussing some of the of possible risks and complications of breast reconstruction with Dr. Minas Chrysopoulo from PRMA plastic surgery.  The interview was done for #AllThingsCancer a program put out by the Anti-Cancer Club.  The two basic choices for breast reconstruction after mastectomy are implant based and autologous breast reconstruction (“flaps”).  There are pros and cons to each option.  What is important to emphasize is that for most patients, each option usually includes a staged approach involving more than one procedure for the best results. Implant breast reconstruction involves replacing the tissue removed by the mastectomy with a saline or silicone filled implant.  In most cases, a temporary implant known as a tissue expander is placed first to help shape the new breast.  The tissue expander is then replaced by a permanent implant at a second surgery. Autologous “flap” techniques Continue Reading →