Category: DIEP flap Breast Reconstruction

Trust in your Breast Reconstruction Surgeon

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How do you know when you have complete trust in your breast reconstruction surgeon? I can share my experience, but I am not you. My breast cancer experience was unique to my circumstances. It was my second occurrence of breast cancer. I had a double mastectomy and for seven long months lived without my breasts. Then I had what is known as delayed DIEP flap breast reconstruction. I honestly felt like a mangled mess the day I first saw my plastic reconstructive surgeon for my initial consult. I had skin sparing, nipple sparing mastectomy. Looking down at the folds of skin laying on my now breast-less chest wall always made me towel off quickly after each shower to put something over the area left marred by breast cancer. Each side of my chest looked different since I had radiation twelve years previous on my left side only. Scarring, tightness, and Continue Reading →

Breast Reconstruction From the Clinic to the Canvas

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It is a remarkable patient experience from the clinical consult for breast reconstruction to the day the plastic surgeon begins the process of rebuilding a patient’s breasts. Whether you have breast cancer or are having a prophylactic mastectomy to reduce your risk of getting breast cancer, breast reconstruction begins the day of your initial clinic visit. It culminates the day of surgery, on the canvas, the skin and tissue your plastic surgeon has to work with. The Journey from the Clinic to the Canvas A plastic surgeon begins to look at all aspects of the canvas. They work with different coloration from pale white to the deepest hues of browns and everything in between. Is the canvas rough, smooth, or does it have its own unique characteristics; previous scars, moles, stretch marks? What is the suppleness of the skin, the canvas? The surgeon might be working with young, taut skin, Continue Reading →

Patience and Persistence: Pregnancy Post-DIEP – Part 1

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When I found out in September 2014 my cousin had been diagnosed with breast cancer and subsequently found out in January 2015 that I am positive for the BRCA1 gene mutation, I felt like time was not on my side.  At the time my daughter was four years old and I had dreams of a second child.  However, my husband and I didn’t feel it was the right time to try.  Fast forward to early 2016, the time was finally right, and we began to try for baby number two.  We tried for two years with no success.  We even saw a fertility specialist and confirmed that we had all the right parts in all the right quantities to have another baby, we just needed more patience and persistence: pregnancy post-DIEP – part 1. By Spring 2018 I was wrapping up a Master’s degree and decided I just couldn’t wait Continue Reading →

Finding Trusted Breast Reconstruction Resources

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You are newly diagnosed with breast cancer, going through treatment, or just found out you carry a gene mutation and are at high risk of developing breast cancer. It seems important to begin  to explore all your options for breast reconstruction. Your mission, finding trusted breast reconstruction resources.   The thought of any surgery is scary to you. You have the information your health care team gave you. Now you want to talk with someone who really gets it but more importantly someone you can trust. Family and friends are there to support you but can sometimes feel smothering. They try their best to help and console you. Sometimes you need time away, to think, to formulate questions, to find firsthand experience about the choices you know you are facing. Can You Find Trusted Breast Reconstruction Resources in Facebook Groups? We live in the age of social media, so you Continue Reading →

Why Should I Ask About Physical Therapy After Breast Surgery?

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I feel extremely fortunate my breast surgeon and plastic surgeon both recommended physical therapy for me after the breast surgeries they performed on me. My breast surgeon, Dr. Michele Ley, prescribed it for me about six weeks after she completed a double mastectomy due to my second occurrence of breast cancer. Dr. Chrysopoulo, my plastic surgeon, prescribed it for me after my DIEP flap breast reconstruction. I hear from many women who have not had the same physical therapy opportunity I did. So, I encourage them to ask their surgeons, “Why Should I Ask About Physical Therapy After Breast Surgery?” Physical Therapy after Mastectomy Surgery I began experiencing shoulder pain about three to four weeks after my double mastectomy. I went in for a follow up appointment to my breast surgeon around the same time. The shoulder pain occurred mainly when I was on my computer. This was during a Continue Reading →

A Breast Reconstruction Tattoo Completes a Patient Journey

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Connections made through the breast cancer community often become delightful friendships. So is the case with Sandra and me. We both had our DIEP flap breast reconstruction done in San Antonio at PRMA, Plastic Reconstructive Microsurgical Associates. Sandra is also a member of the Journey Facebook page. She volunteers her time when I make visits back to San Antonio for my Foundation work. I invited her to sit down and share her story. You can view the video in the blog of how a breast reconstruction tattoo completes a patient Journey. Sandra’s plastic surgeon informed her at her consult for her DIEP flap surgery that she would be losing her nipples. She felt comfortable with this decision for her best health and aesthetic outcomes knowing he would rebuild the nipples during the second phase of her breast reconstruction. The tattooing of the areola area could be done after healing from Continue Reading →

Breast Reconstruction Wounds and Management

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I derive a great deal of information from the surgeons and patient members of the Journey Facebook group. The questions they ask are pertinent to the healing process as well as various aspects and the decision to have breast reconstruction. When I have an opportunity to visit our physician members, I schedule time to do videos to answer questions patient members are asking. Knowing how demanding the schedule of plastic surgeons can be, I am honored once again to sit with Dr. Minas Chrysopoulo of PRMA in San Antonio at the end of his long clinic day to talk about the topic of breast reconstruction wounds and management, dedication I am grateful for. Thanks Dr. C! Medical Comorbidities to Consider We begin our discussion with a patient inquiry about a medical comorbidity (condition) called Factor V Leiden. Dr. C clarifies this is a clotting problem not a wound healing issue. Continue Reading →

Breast Reconstruction Patients Sharing Their Journeys

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A group of women joined each other for an evening of friendship and support. Sounds like great fun, doesn’t it? It went far deeper than that. Or perhaps I should say, it went far “DIEP-er” than that. Each of the women who gathered for the event were scheduled for or had DIEP flap breast reconstruction. They all belonged to the Facebook group, DiepCJourney, known simply as “The Journey” to many. These women were all breast reconstruction patients supporting each other and sharing their Journeys. Social Media Breast Reconstruction Group: The Journey Social media holds great value finding like-minded people you can connect with. But little compares to personal connections, meeting someone in person, sharing a hug, and lending special individual and emotional support. The group of women I met in San Antonio on a warm April evening shared stories they understood before they met in person. Most of us were Continue Reading →

Come with Me to my Breast Reconstruction Consult

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Yes, that is correct. I’m inviting you along to my breast reconstruction consult. Why? Because I want you to learn what I learned. This was not an easy day leading up to my DIEP flap plastic surgery consult in early October of 2014. I prepared months in advance. It was important for me to find a microsurgeon who was going to know what my expectations were from pre-surgical planning, understanding the surgery, aesthetic outcomes, and how I would be after having this intricate surgery to replace my breasts lost to breast cancer. The Morning of my Breast Reconstruction Consult I traveled for my breast reconstruction, so my husband and I stayed in a hotel. We were both fairly quiet the morning of my consult. He watched me prepare physically for the consult; hair, make up, nice outfit. I suppose it was my way of putting forth the message to my Continue Reading →

Patients Share Tips on Finding a Breast Reconstruction Surgeon

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I spent hours, days, and weeks searching for a plastic surgeon to perform my DIEP flap breast reconstruction. It was not an easy task. I learned a lot from three other patients, Whitney, Rene, and Tamara, who share with us their criterion and tips on finding a breast reconstruction surgeon to perform their DIEP flap surgery. Whitney’s Tips for Finding a Breast Reconstruction Surgeon She tells us she had time to look for a plastic surgeon because she chose to have a prophylactic bilateral mastectomy with DIEP flap breast reconstruction. Whitney carries a gene mutation putting her at high risk to develop breast cancer. Watching her own mother pass from breast cancer when Whitney was in her early twenties was instrumental in her decision to have breast reconstruction, especially with two young children at home. The first decision was the type of surgery to have. She chose DIEP flap. It Continue Reading →