Category: Breast Reconstruction

Breast Reconstruction Truth: Headlines and Research

Posted on by

Are you considering breast reconstruction? When I was faced with a second breast cancer diagnosis, had a double mastectomy, and began to do my own research about breast reconstruction, I was either oversaturated with information or wanted to shut down from information overload. When researching breast reconstruction, how do you distinguish the truth in headlines and research? The Moment of Truth The moment of truth begins when you are diagnosed or find you have a high risk of getting breast cancer due to a gene mutation. This moment is most often at the office of your healthcare provider. An oncologist, radiologist, breast surgeon, or genetic counselor are the most likely people to give you this news. You walk out the door with pamphlets and information. They might give you resources for online support, virtual meetings with other survivors, or websites to research. I hear so many individuals in this situation Continue Reading →

Episode 3: Breast Reconstruction and Breast Sensation

Posted on by

In Episode 3 of the DiepCJourney podcast I discuss breast reconstruction and breast sensation with two surgeons who have performed this procedure together in their practice. Dr. Anne Peled and Dr. Ziv Peled work in tandem in the operating room to preserve and restore sensation to the breast for those affected by breast cancer. The paper published by Dr. Anne and Ziv Peled can be found in the PRS Global Open under the title, Nerve Preservation and Allografting for Sensory Innervation Following Immediate Implant Breast Reconstruction PRS Global Open Dr. Anne Peled, who was diagnosed with breast cancer herself, was torn about what surgical option to choose for her own diagnosis; a lumpectomy, oncoplastic surgery or mastectomy. She was aware, due to standard training of breast surgeons, a mastectomy would mean the likelihood of losing sensation to her breasts. Most patients who undergo mastectomy are left numb and as she Continue Reading →

Sexual Health after Breast surgery and Breast Cancer Treatment

Posted on by

The words, “You have breast cancer” can be very difficult to come to terms with for women and men. Added to this and what follows is the aftermath from treatment, surgeries, and loss of body parts. Our bodies are physiologically designed for sex with nerves to sexual organs in both male and female bodies. Sex is often associated with an emotional experience for many. For those affected by breast cancer living with scars, loss of body parts, debilitating changes to sexual function, self-image, fatigue, vaginal dryness, loss of libido, to name a few, changes in sexual health after breast surgery and breast cancer treatment are often left to the patient to grapple with. Our guest, Liz O’Riordan, is a breast surgeon, breast cancer survivor, and author who discusses and writes about the topic of sexual health. We invited her for an interview. Liz tells us her medical background and shares Continue Reading →

Episode 2: Blood Vessels in Breast Reconstruction

Posted on by

I take you on a Journey of the amazing and complex system of blood vessels used in breast reconstruction in Episode 2. My “guest navigator” is Dr. Tim Matatov, a board-certified trained microsurgeon whose professional focus is performing autologous breast reconstruction for those affected by breast cancer. Let’s dive into to this podcast, Blood Vessels in Breast Reconstruction. Learning the Blood Vessels in Microsurgery Microsurgery is a subspeciality of plastic surgery and takes additional years of training and practice. Microsurgeons, like Dr. Matatov, perform a variety of autologous breast reconstruction using various flaps comprising this system of blood vessels. These flaps are often referred to using acronyms to describe the part of the body they come from. Here is a list of breast reconstruction flaps performed at Dr. Matatov’s practice. DIEP flap: deep inferior epigastric perforators using the tummy tissue. TDAP: Thoracodorsal artery perforator using tissue from the back. DCIA: Continue Reading →

Episode 1: Breast Reconstruction Advocacy

Posted on by

Have you ever been excited and nervous at the same time? I was on January 3,2021. It was an exciting day to publish the first episode of the DiepCJourney Podcast with guest, Dr. Minas Chrysopoulo. A few days in advance of the first published episode, I sent a message telling him I was as nervous as a long-tailed cat in a room full of rocking chairs. Hitting the published button felt scary and exhilarating at the same time. We hope you’ll follow and listen to Episode 1: Breast Reconstruction Advocacy. After a second breast cancer diagnosis in 2014, Dr. C performed my DIEPflap breast reconstruction in December after a double mastectomy in April of the same year. He not only was the microsurgeon I chose, but he has also become a mentor to me, the voice in the corner, always cheering me on to “keep the momentum going, Terri”. The Continue Reading →

Perfusion Monitor: Flap Monitoring in Microsurgical Breast Reconstruction

Posted on by

Plastic surgeons use medical devices in reconstructive surgery to optimize patient outcomes in breast reconstruction. I receive a number of inquiries from ladies asking how a flap is monitored after tissue-based breast reconstruction. This is a concerning topic for patients who know the intricacies of microsurgery but do not always think to put it on their list of questions to ask their surgeon during their consult. I would like to present this information about a perfusion monitor used for flap monitoring in microsurgical breast reconstruction. I reached out to Dr. Minas Chrysopoulo of PRMA in San Antonio who performed my DIEP flap breast reconstruction to tell me about the monitoring system they find great success with. The information I was given about flap monitoring at my consult gave me and my husband a great deal of comfort. We felt having Dr. C being able to monitor the flap all evening Continue Reading →

Breast Reconstruction and Lessons Learned from 2020

Posted on by

We have come to the end of a historic year, the year of poignant moments far too many to mention. There are stories to tell and a whole lot of reflection to do this year from patients and physicians. In my corner of the universe, I will reflect on breast reconstruction and lessons learned from 2020. Breast cancer, for many, brings a sense of complete loss of control, feelings of helplessness, and something you have little control over. Sound familiar to the events of 2020? There is a lot to understand about the disease of breast cancer, how it challenges scientist spending their lifetime finding a cure, and as we close out 2020, some uplifting news about a new clinical trial for a vaccine focusing on a certain type of breast cancer. A lesson we learned from 2020 and one we marveled at, scientist putting into practice the methodology they Continue Reading →

Breast Reconstruction: A Reflection of my Journey

Posted on by

Significant birthdays deserve to be celebrated with meaningful moments. This was one of those birthdays for me, a side road but very much a part of my Journey. I knew it was time to do  something that had been on my radar even before I heard those four frightening words for the second time, “You have breast cancer”. This story is about my breast reconstruction, a reflection of my Journey. Late in 2013 I decided to register for a M.Ed. program in Teacher Leadership. I shared the news with my husband knowing it would jump start his clock. So, I looked at him and said, “When I finish, I’m going to get a shamrock tattoo on my ass.” Van Morrison is one of our favorite musical artists, an Irish storyteller and musician. Someone once asked him during an interview what his favorite kind of music is. He replied, “Anything that Continue Reading →

Curious How to Set up a Birthday Fundraiser?

Posted on by

Each year as December rolls around and I celebrate another trip around the sun, I am reminding of the many blessings bestowed on me. I witness a great deal of generosity during the holidays and toward the end of the year during giving season. There are simple ways to help organizations and I would like to share one easy example. Are you curious how to set up a birthday fundraiser? Easy Steps for Fundraising Step One: Log into your Facebook page. Step Two: In the top search bar, type in the words, “Fundraisers”. Step Three: Click the “>” arrow to go to this page: Step Four: Click on the blue bar that says, “Select Nonprofit”. Step Five: In the search engine on Facebook, type in the name of a nonprofit of your choice you would like to support and click on the nonprofit with the photo of their logo. Last Continue Reading →

Choices: Breast Reconstruction or No Reconstruction after Mastectomy

Posted on by

Women and men who are diagnosed with breast cancer are generally seen by a team of healthcare providers who treat this specific group of patients. It may include a radiologist, breast surgeon, radiation oncologist, plastic surgeon, or microsurgeon. The patient’s healthcare team may also include a combination of one or more of these specialties. Kim Bowles and I believe it is these physicians who should inform patients newly diagnosed about the surgical choices for breast reconstruction or no reconstruction after mastectomy. Kim and I met on social media.  Although we have never met in person, we have spoken often on the phone and via messages on social media. We are both breast cancer survivors who had to make a choice for breast surgery when a mastectomy was the best oncologic treatment for our respective breast cancers. What we strongly believe in is choice. Kim states,  We are in a position Continue Reading →