Category: Finding A Surgeon

Primary Care; Radiologist; Breast Surgeon; Oncologist; Plastic Surgeon specializing in mircrosurgery

DIEP flap Breast Reconstruction: Value of a Team Approach

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DIEP flap Breast Reconstruction: Value of a Team Approach Researching a highly skilled, board certified microsurgeon is the first and most important step in your DIEP flap breast reconstruction process. But what additional criteria might you look for? After having a detailed, shared decision-making conversation with my breast surgeon, I soon realized in DIEP flap breast reconstruction there was great value in a team approach. There are microsurgeons who work as a team during DIEP flap breast reconstruction for a variety of reasons. After my double mastectomy I researched several plastic surgeons across the United States viewing their websites to find those who work as a team. I wanted both team members, the microsurgeons, to be highly skilled and have a high rate of success.  There is other criteria I have listed on my resource page under the heading, “Board Certified Plastic Surgeons by Region”. These suggestions should also be Continue Reading →

Your Hospital Prep the Morning of Breast Reconstruction

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You are diagnosed with breast cancer or are having a prophylactic mastectomy due to a gene mutation putting you at high risk for breast cancer. You spent days, weeks, or perhaps months talking to others and researching the best plastic surgeon because you have decided to have breast reconstruction. Now it’s the morning of surgery and it’s time for your hospital prep. You enter the hospital early in the morning, sometimes before the break of dawn. You have eaten very little. A hundred thoughts run through your head knowing you will soon be put to sleep while your breasts are removed and replaced with either implants or your own tissue. The shower and prep with the antibacterial soap you are instructed to use the morning of surgery is complete. You feel like you are squeaky clean from tip to toe. You might wish you could have on makeup and deodorant. Continue Reading →

1900 Patients Share Stories About Breast Reconstruction

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Three short years ago in the summer of 2015, I opened a Facebook page dedicated to serve the breast reconstruction community. The Facebook page, https://www.facebook.com/groups/diepcjourney/ grew organically by word of mouth. We started out small, as so many new social media sites do. It is growing daily and now 1900 Patients Share Stories About Breast Reconstruction. What Do We Share? Think about this. You have just been diagnosed with breast cancer. Now you face the tsunami of information about to flood your brain; lab reports and waiting on results, treatment options, surgery, lumpectomy, mastectomy. Some days you feel overwhelmed, depressed, anxious, or even jubilant. Who will understand all these feelings? Who do I talk to who has been on this Journey? Think about this. You are told your best treatment option is to have a mastectomy. Perhaps, for peace of mind, you decide to have a prophylactic mastectomy because you Continue Reading →

Breast Reconstruction. Taking Control Despite the Risks and Complications

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Patients who chose breast reconstruction often feel they are taking control despite the risks and complications associated with the surgery. I hear comments from patients after having breast reconstruction who have encountered complications including, seromas, wound healing issues, hernias, multiple surgeries, and yet, are very happy with their decision to reconstruct their breasts. Many feel it gave them control. Why? It gave them the opportunity to rebuild a body part lost after being diagnosed with breast cancer or deciding on prophylactic surgery due to a genetic mutation. An article in the New York Times reported on complications after various types of breast reconstruction surgeries including both implants and numerous forms of autologous (using your own tissue) reconstruction. A multicenter cohort study referenced in the article in JAMA stated: Reconstruction may be associated with a high risk for complications, but successful reconstruction may still be achieved in most patients. Women electing Continue Reading →

Breast Reconstruction: Seromas Evaluation and Treatment

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We looked at the pre and post-operative assessment of seromas after breast reconstruction in a previous blog and video. Here, Drs. Minas Chrysopoulo and Ramon Garza III of PRMA in San Antonio explain to the viewer how to evaluate and treat a seroma if it occurs after breast reconstruction. Seromas form because of your body’s natural healing processes. Think of a wound you get on the outside of your body. The body produces fluid as part of the healing process. You see fluid as with a scraped knee or a burn. Imagine the wound on the inside of your body that forms because of surgery. Your body is going to produce fluid internally due to the trauma of surgery. This fluid must be managed. Dr. C, as his patients refer to him, explains a seroma can happen anywhere someone has surgery. In breast reconstruction this can be in the breast Continue Reading →

Breast Reconstruction: Seromas Pre and Post-Operative Assessment

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Breast Reconstruction: Seromas Pre and Post-Operative Assessment Breast reconstruction complications are possible as is the case with any surgery. A possible complication in breast reconstruction is the development of a seroma. Here we look at the pre and post-operative assessment of seromas after autologous or implant-based breast reconstruction. I speak to two ASPS board certified plastic surgeons from PRMA in San Antonio, Dr. Ramon Garza III and Dr. Minas Chrysopoulo. I feel fortunate to share this information with the reader. The video in the blog will give a detailed explanation of pre and post-operative assessment of seromas. You can subscribe to DiepCFoundation YouTube channel after watching the video for a variety of educational topics on breast reconstruction. Dr. Garza begins the discussion by explaining who might be more prone than others to complications such as seromas after breast reconstruction. It is important to point out that their practice at PRMA Continue Reading →

What Do Breast Cancer and BRCA Friends Share in Common?

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I know that Heather Barnard and I share a lot in common! We are both educators. Breast cancer has affected Heather and me. Heather and I have had a mastectomy. Heather and I had breast reconstruction. We both write blogs about our breast reconstruction experience. Finally, and most coincidentally, we had the same plastic surgeon perform our breast reconstruction. What makes our friendship unique? We have never met in person. Heather and I live over 9,000 miles apart. Our shared commonalities, however, have bridged those miles and made us friends. Her Twitter handle says it all, @expattravelmom. She teaches in Singapore and in her off time travels extensively with her husband and three great children. I had my DIEP flap breast reconstruction in December of 2014. Heather had a prophylactic mastectomy with immediate implant breast reconstruction in June of 2015. Dr. Chrysopoulo was our connection. Heather would message me asking Continue Reading →

Nipple Reconstruction after Mastectomy

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I am often asked about the process of nipple reconstruction after mastectomy at the time of breast reconstruction. I am grateful to Drs. Minas Chrysopoulo and Ramon Garza III of PRMA in San Antonio who took time to make the video. It can be viewed from this blog explaining the procedure. My own experience during my DIEP flap breast reconstruction was a skin sparring, nipple sparring mastectomy. My breast surgeon clearly explained how she was going to make every attempt to save my nipples during my mastectomy. She also was very forthright in telling me, based on tumor size and location, she may not be able to save my nipples. I felt fortunate she successfully saved my nipples at the time of my double mastectomy. This is not always the case for every woman or man who has a mastectomy. There are reasons nipples cannot be saved. There are also patients Continue Reading →

Surgical Loupes Used in Breast Reconstruction

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Sometimes we like to have fun at DiepCFoundation. This video about the surgical loupes used in breast reconstruction was one of those moments. Dr. Ramon Garza of PRMA in San Antonio was kind enough to bring his surgical loupes for me to try on. Dr. Minas Chrysopoulo, his team member at PRMA, looked on with amusement when I tried to focus while maneuvering my hands to appreciate the magnification. What I noticed most was adjusting to the depth perception while I had the surgical loupes on. Dr. Garza verified it takes a lot of training and hours spent in the operating room learning how to use the surgical loupes and the technical aspects of the surgery. He states the following: Good optics allow micro-surgeons to do what they do. The surgical loupes help to see very tiny, delicate structures. Function always overrides form in microsurgical breast reconstruction. The surgical loupes help Continue Reading →

Aesthetic Questions to Ask If Going Flat After Mastectomy

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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 →