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 →

One Year Post DIEP flap Breast Reconstruction

One Year Post DIEP flap Breast Reconstruction I am now one year post DIEP flap breast reconstruction. I was finalizing my surgical prep exactly one year ago today as I write this blog. My surgery was the morning of December 1, 2014.  So how am I doing now? How does my body feel? Do I have any regrets? Would I suggest having DIEP flap surgery to other women? Was I truly able to “just get on with it”? I’m doing just splendidly! I honestly believe I’m doing quite well, in fact splendidly, and enjoying many benefits from having DIEP flap surgery after a second breast cancer diagnosis and double mastectomy. I want the reader to know so you have hope. I opened my social media accounts today before I began writing this blog post. I read a statement from a woman who was just going in for her DIEP flap Continue Reading →

Thankfulness

A feeling of thankfulness is what I frequently experience when I sit at my keyboard to write. Free flowing thoughts, words, ideas about knowledge, science, medicine, health, life’s experiences are why I love the writing process. My day is not complete unless I have at the very least written down or made note of something I feel is worth writing about to inform and educate others. My daily routine consists of fixing coffee, checking my social media accounts and then organizing my day before I go on my morning walk. Often times a thought, an idea or a topic comes to mind while I am out walking and I’ll come back to my office and act on it. There is nothing like fresh air and getting that blood pumping through your system to fuel some new ideas. There are mornings though that the well seems to be dry. I think Continue Reading →

Abdominal Examination before DIEP Flap Surgery

  Abdominal Examination before DIEP Flap Surgery Your plastic surgeon should perform a thorough abdominal examination before your DIEP flap surgery to determine the best possible outcome for your breast reconstruction. It is important to know that the abdominal tissue, both skin and underlying structure, is a reliable donor site to rebuild the breasts after a mastectomy. It is a fair question to ask the office of your plastic surgeon how much time will be spent at your initial consult, and what, if any medical history they will need to have prior to your visit. Your plastic surgeon will review your overall health records. However, for this post I will concentrate on examination of your abdominal area and dedicate another post to your breast area examination. To give you some idea of what will take place and some terms used I took a careful look at my report and will Continue Reading →

Friendships through Breast Reconstruction

Friendships through Breast Reconstruction The value of friendships through Breast Reconstruction is beyond measure. The women that I have met in person or on-line through social media skip straight to, “I feel like I’ve known you a lifetime” mode. Polite introductions are left out and the topics steer straight to the matter at hand: Tell me your story! Where are you at in your process? How are you doing? When is your surgery? How are you feeling? You look amazing! There are options and choices for breast reconstruction. That is part of the discussion among “breast friends”. The real thought provoking conversations start when these questions are raised: How did you find your plastic surgeon? Was it worth it to travel for your reconstruction? Did you have pain? What about the scars? I’m afraid of what I’ll look like. How long do you think it will be before I can Continue Reading →

Breast Reconstruction Side Effects We Wish We Knew About

All of the breast reconstruction side effects we wish we knew about are difficult to cover in the initial consult with your reconstructive surgeon. Why you might ask? It’s simply a matter of time. The key elements of the surgery itself, patient expected outcomes, individual health related issues, medications, recovery time and  other topics need to be covered in your surgical consult with your plastic surgeon. A List of Questions to Take to Your Consult That does not excuse your plastic surgeon, however, from providing you with further information regarding side effects, coping with them, how you will feel months after your reconstructive surgery and the possible emotional and physical impact. You just have to come to the consult prepared and ask.  I would encourage you to ask the following questions during your consult: I know there are going to be unexpected side effects from this surgery. I also know Continue Reading →

Measuring the Breast for Breast Reconstruction

The paper, Population Analysis of the Perfect Breast: A Morphometric Analysis, was a study done to determine current trends in what is considered the aesthetically pleasing breast shape in measuring the breast for breast reconstruction using a measurement of form (morphometric). It was a comprehensive survey study with cross-cultural opinions from men, women and plastic surgeons regarding ideal breast proportions. The consensus was a 45:55 ratio meaning; 45 percent of breast fullness lies above the nipple line and 55 percent below the nipple line. Simply stated, this measurement tool was determined by the study to be the guide in achieving the “perfect” breast shape for use by plastic surgeons.  History has shown that this perception of the perfect breast shape dates back to the sculpture of Venus de Milo discovered on the island of Melos in 1820. A Complex & Meticulous Procedure I was far from having the “perfect breast” Continue Reading →

DIEP flap Recovery: the First Week Home

DIEP flap recovery, the first week home from hospital, or in my case back to my rental, was something I called on my best friend and caregiver to help me recount the details of. We had a few good laughs over some events I will share with you in this post. My husband was only able to be there for one week during my hospital stay.  Since I flew over 800 miles to have my DIEP flap surgery I had my best friend fly in to take over for him the week I left hospital. We chose to stay in a Vacation Rental by Owner. Lots of Sleep during DIEP Flap Recovery My surgery was on a Monday and I left hospital on Saturday. The sunshine and fresh air were divine after being in a hospital bed for five days. I got into the apartment rental, changed into my favorite Continue Reading →

DIEP Flap Surgery for Breast Reconstruction

The embedded breast reconstruction options video is one of the reasons I chose the plastic surgery group to perform my DIEP flap breast reconstruction. Since this blog was published, PRMA has now added another microsurgeon to their team, Dr. Ramon Garza III. There are other plastic surgeons across the U.S., highly qualified, who successfully perform flap reconstruction to rebuild breasts for those affected by breast cancer. However, there are few who do it in high volume, have a high success rate, and with great compassion. It is a specialized surgery requiring years of training, practice and skill. It is imperative to know what makes a successful micro-surgeon and what women are looking for when they choose someone to perform this intricate surgery. I have listed on my resource page the following key questions to ask your plastic surgeon. How many procedures have they performed? What is their success rate? Do Continue Reading →

Release from hospital after DIEP flap surgery Phase 1

Release from hospital after DIEP flap surgery Phase 1 Release from hospital after DIEP flap surgery begins your individual part and responsibility of healing and recovery. You have been in hospital for a few days, usually four to five, depending on your individual recuperation after surgery. You have been tended to 24/7 either by your doctor, a physician’s assistant, the nursing staff, specialist or other staff assistants. It’s time to go home or as I like to refer to it since I was an out of town patient, back to your place of healing. What do you need to know? Your catheter has been removed and you have been to the bathroom by yourself by now. You are free of the IV’s that have been part of you since you got out of surgery. The entire process of being released from hospital is an event in and of itself. You Continue Reading →