Category: Plastic Surgery

El valor de una 2ª opinión para la reconstrucción mamaria

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El valor de una segunda opinión para la reconstrucción mamaria es, afortunadamente, algo que tiene el potencial de dar esperanzas a las mujeres que han sido rechazadas en una consulta inicial para una reconstrucción mamaria autóloga. Tuve la fortuna de hablar con dos cirujanos certificados, el Dr. David Song de MedStar Georgetown y el Dr. Minas Chrysopoulo de PRMA en San Antonio. Ambos son cirujanos plásticos que rutinariamente realizan una variedad de cirugías reconstructivas de mama con tejidos de la propia paciente con gran éxito. ¿Qué es la reconstrucción mamaria autóloga? La reconstrucción mamaria autóloga consiste en utilizar el tejido y los vasos sanguíneos subyacentes de otra área del cuerpo de la propia paciente para crear un seno nuevo y suave después de una mastectomía. ¿Por qué a veces las mujeres son rechazadas por los cirujanos plásticos o se les dicen que no son buenas candidatas para la reconstrucción mamaria Continue Reading →

Whitney’s Story: Prophylactic Mastectomy and DIEP Flap Breast Reconstruction

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Our Journey personal story takes place this week with my neighbor. It is Whitney’s story of prophylactic mastectomy and DIEP flap breast reconstruction. Whitney has the genetic mutation for ATM and CHEK2 putting her at very high risk for breast cancer. She is a young woman in her mid-thirties who very much wants to be a part of her children’s’ lives. She will be having her surgery when they are one and four years old.  Whitney was the tender age of 24 when she watched her own mother die of breast cancer. She was her caregiver so her decision to undergo prophylactic mastectomy and DIEP flap has not been easy. Here is her story. A Neighbor on the Journey from Mastectomy to Breast Reconstruction I am blessed. Each day I engage with an amazing group of women on the Facebook page I administer, The Journey. When I found out Whitney Continue Reading →

Recovery from Breast Reconstruction: A bit like the Winter Doldrums?

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Does recovery from breast reconstruction seem a bit like making it through the winter doldrums? Sometimes, yes, it does. The recovery period, for any breast reconstruction takes a bit of time. However, if you have had any type of autologous (using your own tissue) breast reconstruction you will be recovering for a few weeks. Long, cold, snowy, winter days when you can’t get out of the house reminds me of my own recovery from DIEP flap surgery. Fatigue and Recovery from Breast Reconstruction You will be fatigued for a few weeks after surgery. Your body is working overtime to rid itself of the effects of anesthesia. You are also in healing mode so it will take a lot out of you when you are released from hospital. I often tell women I knew when I was getting back to normal when suddenly one day, I no longer needed my daily Continue Reading →

Post Breast Reconstruction Nips that Stick

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Wouldn’t it be nice if prosthetic nipples would stick just like window cling? You simply slap them on and they stay on until you peeled them off.  Newsflash: skin isn’t like glass! Our marvelous, living, breathing skin with natural oils and sweat glands just isn’t like the surface of glass – thank goodness! “Nips that don’t stick” is a common and frustrating problem for many types of prosthetic nipples. Falling off at embarrassing moments or potentially getting lost can understandably be deal breakers for women considering nipple prosthetics after breast cancer surgery. Finding a way to provide secure adhesion for Naturally Impressive nipples sticking securely on the breast was one of our first big challenges. We had developed a nipple that looked fantastically real, but when using Pros-Aide water based adhesive, they only stayed on a few days, at best. Often I’d find them in the bed sheets in the morning Continue Reading →

Waiting for a DIEP Flap Surgery Date

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Ruth is one of over 2,400 global members of DiepCJourney Facebook group. I am honored to share her story here. The wait for her DIEP flap breast reconstruction surgery has been challenging for Ruth on many levels. She tells us her personal story and what it means waiting for a DIEP flap surgery date. Delayed DIEP Flap: The Wait Begins It was October 2014 when I received my breast cancer diagnosis. I live in a small beautiful, city tucked away in the south east corner of British Columbia. Though I was able to have a mastectomy and chemotherapy locally, unfortunately our hospital does not have the facilities to offer either radiation or reconstructive surgery. It was decided having a mastectomy would be the first course in my treatment. Opting for immediate reconstructive surgery would have meant a delay as well as travelling over 500km to Kelowna or over 800km to Continue Reading →

How Difficult is the Decision to Have DIEP flap Breast Reconstruction?

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A Difficult Decision for Me to Have DIEP flap It is very difficult to make the decision to have DIEP flap breast reconstruction. I had this surgery in 2014 after a second breast cancer diagnosis and losing my breasts after a double mastectomy. I want to share what other women go through to have this amazing yet complex surgery. Who Might Consider Having DIEP flap Surgery? I listen to stories from basically two groups. The first group are women who have been diagnosed with breast cancer.  It is not always the case, but the hope is I hear these women are given all their options for breast reconstruction. Otherwise, how could they even make an informed decision about their choices to reconstruct their breasts? It is most important all options for breast reconstruction are presented after careful assessment of biopsies, various imaging procedures, that should include a shared decision-making conversation Continue Reading →

Medical Comorbidities in Breast Reconstruction

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Medical Comorbidities in Breast Reconstruction I discuss medical comorbidities and how they relate to healing and outcomes in breast reconstruction with ASPS board certified plastic reconstructive surgeon, Dr. Daniel Liu from Cancer Treatment Centers of America in Chicago. I would like to begin by giving you a definition of what medical comorbidities are from the interview with Dr. Liu. Definition of Medical Comorbidities Medical comorbidities are usually chronic health problems, often pre-existing, a person might have before the diagnosis of breast cancer. Dr. Liu points out for patients who have breast cancer, coming into the diagnosis does not always mean a patient will be without any other health issues, or comorbidities. When patients come to their plastic surgeon seeking medical advice for breast reconstruction Dr. Liu points out what is necessary during the patient consult in the video. Here is what he tells us. Review the patient’s medical history. Evaluate Continue Reading →

Breast Reconstruction Recovery and ERAS Protocol

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Breast Reconstruction Recovery and ERAS Protocol When I attend medical conferences, I take the opportunity to interview plastic surgeons about topics related to breast reconstruction. Breast reconstruction recovery and ERAS protocol is a topic I want readers to know about. Why? I feel it is an important part of a shared decision-making conversation with your plastic surgeon at the time of your consult. You simply ask, “Do you use the Enhanced Recovery after Surgery (ERAS) protocol in breast reconstruction?” Dr. Minas Chrysopoulo from PRMA in San Antonio was the plastic reconstructive microsurgeon who performed my DIEP flap surgery. Although ERAS was not in place at the time of my breast reconstruction, I am excited to let others know PRMA and others are using this protocol now. The interview unfolds as we make comparisons between my recovery without ERAS and what Dr. C and his practicing partners now use to improve Continue Reading →

How to Care for the Caregiver During Your Breast Reconstruction

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How did you care for your own caregiver during your breast reconstruction? Sound a bit strange when everyone is supposed to be caring for you? Whether you choose to have autologous (using your own tissue) or implant-based breast reconstruction, you will need caregivers to help with the following at the very least. Taking you to hospital and staying in communication with the surgical team until you are back in your room to recover. Driving you home, fixing meals, driving, and performing general household responsibilities. Patients voice concerns about their own caregivers for their breast reconstruction surgery. I want to share some tips from my own DIEP flap breast reconstruction surgery. I will also share suggestions discussed on The Journey Facebook group. These gals have some helpful hints based on their own experience. Should a Caregiver Remain at the Hospital All Day for Your DIEP Flap? Spending long hours waiting in Continue Reading →

The Latest on BIA-ALCL and What A Patient Advocate Reports to Her Community 

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The Latest on BIA-ALCL and What A Patient Advocate Reports to Her Community As a patient advocate for breast reconstruction I am often asked questions about recent findings and reports in the news. This week I was asked questions about the latest NBC News article, and the same topic reported in other media outlets. Theses stories were on the safety of breast implants and a rare disease, BIA-ALCL, Breast Implant-associated Anaplastic Large Cell Lymphoma. I listened attentively as I watched the nightly news and read articles across other media venues. I immediately thought to myself, this was going to understandably stir concern and controversy in my community. It did. I was asked questions about the reports presented this week in the news media from women who currently have implants or are planning to for breast reconstruction after breast cancer. My immediate concern was to calm their fears and share what I Continue Reading →