Breast Reconstruction Consult DIEP flap Surgery: The Power of Two

Breast Reconstruction Consult DIEP flap Surgery: The Power of Two You may bring someone with you to your breast reconstruction consult for your DIEP flap surgery but it is the power of two, you and your plastic surgeon, who are the two key players at this all important appointment.  This topic is worthy of a two part blog.  Part 1 will touch on the potential emotional and psychological aspects of the visit and part 2 will discuss the actually physical and technical part of the visit.  I have learned a lot reflecting on the experience of my first visit with my plastic surgeon.  I have gained yet a different perspective from speaking with other women about their experience and what this involved for them. What I do know is this; the appointment needs to be a home run for both you and your plastic surgeon.  You need and want to Continue Reading →

Ray of Sunshine after Breast Cancer Diagnosis

It just doesn’t seem a ray of sunshine might even play into the discussion the day I was told I had breast cancer does it?  There actually was a ray of sunshine after a breast cancer diagnosis. This is my story. The Breast Cancer Diagnosis The day of my second breast cancer diagnosis I was sitting in the office of my breast surgeon, Dr. Michele Ley, I saw Dr. Ley about five years previous to my second diagnosis to remove a benign area in my left breast.  I chose to go to her because I was very impressed with her demeanor, compassion, confidence and skill for the minor surgery she performed then.   It was a “steel in my back” kind of day when I was scheduled to go in to see her.  I was alone.  My husband was out of the country on business.  I had been down this road Continue Reading →

What to Communicate with the Radiologist when Imaging the DIEP Flap Reconstructed Breast

What to Communicate with the Radiologist when Imaging the DIEP Flap Reconstructed Breast   A Guest blog from Danielle Carroll, MD To image or not to image the reconstructed breast- that is the question…Well, actually the first question.  I am not going to tackle that topic here, but Dr. Chrysopoulo discusses this in his article “Mammograms and MRI after Reconstruction- Are They Needed?” .  However, if you decide to proceed with imaging follow-up, what is important for you to know about imaging the reconstructed breast, and how can you best convey your reconstruction status to the reading radiologist?   The reconstructed breast will undergo many changes over the first several years post reconstruction, some of which will be visible externally, some may only be seen by imaging.  The two most important pieces of information to convey to the scheduler and/or technologist are 1.  Your history of mastectomy with soft tissue Continue Reading →

Road Map to Success for DIEP Flap Surgery: Fluorescence Imaging

Road Map to Success for DIEP Flap Surgery: Fluorescence Imaging A Patient’s Story Would you take a road trip before consulting a map, planning out your best route with the least amount of obstacles to drive around or through? Think of the SPY Elite Fluorescence Imaging System in this way for breast reconstruction surgery.  DIEP flap breast reconstruction surgery is a specialized and intricate process that women have the option of choosing to rebuild their breasts after a mastectomy.  It is what I chose after a second breast cancer diagnosis. Patients are savvy, engaged, customers these days with the internet and social media to guide them in learning about the surgical procedures that they are facing.  DIEP flap surgery is intricate, long and must be done by a well-qualified microsurgeon. Choosing this profession is a passion for a majority of physicians because they are transforming lives after breast cancer.  It Continue Reading →

The Psycho-social and Psycho-sexual Benefits of Breast Reconstruction

The Psycho-social and Psycho-sexual Benefits of Breast Reconstruction The psycho-social and psycho-sexual benefits of breast reconstruction have been studied in a number of peer reviewed articles.  Sharing evidence based research is a key component to my advocacy work.  Studies have been done and data has been collected from patients who have had reconstruction to assess the impact and outcome of such a complex surgery.  These studies validate the information I share. A Personal Account of the Benefits I did a lot of research before my DIEP flap reconstruction but not specifically about the psycho-social or psycho-sexual benefits.  This blog for me, is truly a personal account of what impact my own reconstruction had on my self-image and femininity.  I am not yet comfortable dipping my toes in the water of revealing the impact on my sexual well being as it is simply too personal a topic for me to pen Continue Reading →

#InternationalDayOfHappiness

#InternationalDayOfHappiness March 20, 2016 has been designated #InternationalDayOfHappiness. There are events, material items and people who define happiness for individuals. I believe that most of society across continents and cultures seeks happiness. It is an elusive concept difficult to defined because it is an individual response to a number of external factors. Those factors might include one’s physical surroundings, current state of health, or individuals you are with. I want to share one such day of happiness that I recently experienced and what defined happiness for me that day. It began with an invitation from friends to join in the Susan G. Komen breast cancer walk in our town. This same group of women invited me to go last year but I had to decline because I was days away from the second phase of my DIEP flap breast reconstruction surgery. I remember fondly a group picture they texted to Continue Reading →

DIEP flap surgery: Packing for your Hospital Stay

DIEP flap surgery: Packing for your Hospital Stay Here is a simple list of what to pack for your hospital stay for DIEP flap surgery: First and foremost: ID, insurance card, glasses and holder or contacts and case, and any medications your physician would like you to take in hospital. This might include the ever important stool softeners, daily meds you normally take and/or your pain meds if they were ordered ahead of your surgery to take with you. Pillow ~ I brought a very soft & squishy micro bead pillow with a removable/washable cover.  This is not the exact one I had but a suggestion of something similar. Why? You will be lying on your back and I like having a pillow up next to my face to “mimic” side sleeping. It was cozy and there were times when the nurses told me it looked so comfy they were Continue Reading →

Pregnancy After DIEP flap Breast Reconstruction

Pregnancy After DIEP flap Breast Reconstruction I meet amazing women and hear inspiring stories of courage in my breast reconstruction education and outreach. We share pictures, laughs, tears, fears, and stories of triumph in my conversations with these women warriors. Chats with these women, not only in the U.S., but across the globe fuels and energizes me to continue this advocacy. This story, pregnancy after DIEP flap breast reconstruction, touched my heart as a mother of two boys. I am fortunate through my travels to meet DIEP flap patients in person. Nothing gives me greater joy than sharing my experience and listening to others’ journeys through their own breast reconstruction process. It is a shared strength and sisterhood few understand and appreciate. One fortunate meeting and follow up story I wrote might seem nothing short of miraculous.  Although for each of us, our stories too, feel miraculous after we’ve reached Continue Reading →

DIEP flap Recovery With Young Children at Home

Recovery from DIEP flap breast reconstruction with young children at home is a worrisome consideration. Women are, by nature, care givers. A mother’s thoughts focus on what their physical ability will be after surgery and how they will be able to care for their children once  home and recovering. A mother leaves the house to go to reconstructive surgery and her children see her in a healthy, active state. When she returns home from surgery she will physically be weaker, perhaps a bit hunched over from the abdominal incision and will be very cautious about having children sit on her lap, lift them, hug them or snuggle with them like she used to before surgery. Moms are active and engaged with young children, bending, stooping, lifting and twisting; all activities that must be adjusted after DIEP flap surgery. I have taught young children for many years and know that speaking 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 →