Archives for March 2012

Tackling the Challenges of Breast Reconstruction After Lumpectomy and Radiation

tackling reconstructionThe below question was answered by Charleston breast surgeon, Dr. Richard M. Kline, Jr., MD of The Center for Natural Breast Reconstruction:

I had a lumpectomy in 2002 of the left breast followed with 33 rounds of radiation. I have since had a breast lift and reduction on the sound side in an effort to “even” my breasts. It worked for a while but the left continues to shrink. Any suggestions? Some suggest an implant, but I fear the cancer coming back and not being identified due to the implant.

Implants are indeed known to decrease the effectiveness of mammograms by about 1/3 after breast augmentation, and may well have the same effect when used in reconstruction after lumpectomy. Additionally, implants tend to be more poorly tolerated after radiation, although some people do quite well with them.

A flap of your own tissue could be used to augment your breast, but this would be a fairly large undertaking, usually (but not always) reserved for post-mastectomy reconstruction. Injections of your own fat, while proving to be a very useful adjunct to post-mastectomy reconstruction, are not routinely recommended (yet) for augmenting the lumpectomy defect.

One potentially very useful measure, if available to you, might be a full Marx protocol of hyperbaric oxygen treatment. A large part of the damaging effects of radiation is progressive obliteration of the microvascular circulation (smallest blood vessels). Hyperbaric oxygen (HBO) has been shown to very reliably stimulate the growth of new blood vessels in radiated tissue. Clinically, this often results in fairly dramatic softening of the radiated tissue, and a healthier appearance of the skin.

Thank you for your question.

-Dr. Richard M. Kline Jr., MD

Have questions for our team? Send them on over, we’d love to hear from you!

How One Survivor Refuses to Let Cancer or Life Slow Her Down

Our team at The Center for Natural Breast Reconstruction is honored to share with you an In Her Words post written by a dear friend and breast cancer survivor, Sharon Hawkins.

You are the founder of Grace in the Wilderness: A ministry for Today’s Business Woman, tell us a little bit about your organization and what lead you to create this inspirational place for women?

Grace In The Wilderness is a 501(c)(3) non-profit organization and is an out-reach ministry whose mission is to encourage women of all ages:

  • To look upward to God as they discover Him in a new and deeper way,
  • To look inward as they discover who they are in Christ, and
  • To look outward as they discover God’s plan for their lives.

We sponsor 5 conferences a year–Valentine’s Tea for Widows (Feb.), Women’s Conference (2 days, last weekend of Feb.), Conference for Moms of Special Needs Children (June), Teen Conf (Oct.) and a Christmas Brunch for Moms Who Have Lost Children (Dec.).

We also issue a bi-monthly Women’s Newsletter (GITW) and a quarterly newsletter for Teen Girls called “Gracie’s Way”.  We welcome our readers to also share their stories. These are free email newsletters, subscriptions at our website: www.wildernessgrace.org.

In March of 2008, my mother passed away after battles with breast cancer and colon cancer. During her 3-year illness, my plate was so full–I helped care for her through cancer and for my dad with Parkinson’s, ran a very busy business with 10 employees, all the while being a wife and a mother to a teenage son and a special needs younger son.  After Mom’s death, I was so weary and I prayed and asked God to please take something off my plate.  His answer shocked me–He called me to start a ministry for today’s busy women and He didn’t take anything away.  Later, when I was seeking answers about why He wanted me to juggle all these things, God revealed to me simply that if I was going to minister to busy women, I had to be one.  Wow, why didn’t I think of that?

What did you hope to accomplish through founding Grace in the Wilderness, what is your vision for the future?

I hope to help other busy women find the help, love, support, forgiveness and grace that I have found from my relationship with Jesus Christ.  Life is hard with God.  In my opinion, it’s impossible without Him!

Grace In The Wilderness has grown.  I added a Partner, my friend Marie Pritchett, right after starting the ministry and now there are many volunteers who make up “Team Grace”. God has given us a special focus and compassion to also reach those in the very difficult situations of life, those “impossible” situations we refer to as “wildernesses”.  Our vision for the future is to expand to reach out to other special groups, such as single moms, teen moms, abused women, and other groups who are hurting and need encouragement and support.  We hope to add a conference for cancer patients and their families as our next step.

I see you host quite a variety of events, can any women’s organization hold an event with you?

We don’t exactly hold events for other women’s organizations.  But we are always open to working in conjunction with and supporting groups who help women as long as it allows us to stay true to our mission.

What impact has Grace in the Wilderness had on your own life?

I really thought Grace In The Wilderness was about our helping others through their wildernesses. Again, what was I thinking?!?  It seems that, once again, if I’m going to minister to this group of women, those in hard places, God wants me to know what that’s like.

In June 2011, I was diagnosed with breast cancer.  In July 2011, I had double mastectomies.  In August 2011, I had silicone implant surgery.  After several months of my body rejecting those implants, in November 2011, I had DIEP Flap breast reconstruction with Drs. Kline and Craigie in Mt. Pleasant, SC.  (The Drs. and Chris are the best and East Cooper is a wonderful hospital.)

Also in November of 2011 just before my third surgery, I was diagnosed with melanoma and I had to have an out-patient procedure for that.

In the midst of this six months of chaos, my employee, who was my best friend (notice I said “was”), was sent to federal prison for embezzling more than $600,000 from me and my business. What?!?  Yes, unbelievable, I know.

But what’s more unbelievable is that I sit here now 100% cancer free.  I was diagnosed with two cancers within five months and the doctors were able to remove them both completely-no chemo, no radiation.  Through my own wilderness experiences, I’ve found that God’s provisions are endless and through serving others, I’ve learned that you simply can’t outgive God.  That’s God’s amazing grace in the wilderness and that’s what our ministry is all about.

About Sharon

Sharon Hawkins wants others to know that she is totally in love with Jesus. In 2008, she answered God’s calling to begin a
Ministry called Grace in The Wilderness.. Sharon’s the wife of her best friend, Scott, and the mother of two very special boys, Taylor (16), and Bradley (10), that she and Scott adopted from Ukraine as a toddler. As a businesswoman, she owns Benefit Resources where she works with 12 amazing women who together seek to put God first in the business. She loves fun, mission trips, reading, camping and spending time with her family and friends.

 

Top Foods to Help Fight Cancer

cancer fighting foodsHippocrates said, “Let food be your medicine, and medicine be your food.” As Charleston breast surgeons,  we know that eating the right foods is a powerful weapon in your cancer-fighting and cancer-preventing arsenal. Here are four groups of foods you should include in your diet daily.

Berries

Berries of all types not only nourish your body, but also help cancer treatments work. They contain ellagic acid, a substance that helps your body fight cancer. They also help to inhibit cancer growth. Eat a variety of berries to get the full range of nutrients, including cherries, cranberries, strawberries, blueberries, blackberries, and raspberries.

Yellow, red, and orange fruits and vegetables

This food group, the carotenoids, gives your body powerful compounds such as lutein and lycopene to help your body attack cancer cells. These foods come in a variety of colors, which means they contain a wide range of nutrients.

Green tea

Green tea is full of antioxidants and reduces cancer cell growth and spread. Like berries, it acts as a helper for cancer treatment, specifically radiation.

Flaxseed

Flaxseed is rich in magnesium, copper, thiamine, fiber, alpha-linolenic acid, and tocopherols. It helps your blood carry oxygen throughout the body. Oxygen is a natural enemy of cancer. For more info the benefits of flaxseed, check out this article or check out this video below.

Sprouts and dark leafy greens

These delicious salad fixings boost your immune system and give you antioxidants to fight cancer. Chlorophyll helps your body stay healthy, and these foods are full of enzymes that contribute to detoxification.

Cruciferous vegetables

Years ago, the comedian George Carlin had a joke about broccoli and cauliflower killing cancer. It turns out he was correct: cruciferous vegetables, which also include cabbage, Brussels sprouts, chard, and collard greens, help fight cancer. Their potent anticancer nutrients not only aid the body in killing existing cancer, but they also stop precancerous cells from progressing.

Herbs

Strong-flavored herbs such as turmeric, mint, ginger, rosemary, and oregano flood your body with anti-inflammatory compounds that inhibit cancer growth. They also increase the effectiveness of cancer treatment and block the spread of cancer.

To receive the full effect of these foods, eat them regularly in generous amounts. The more you eat, the more effective your fight against cancer will be. Eat organic foods as much as possible, and drink plenty of filtered water.

 

If I Have Had Natural Breast Reconstruction Do I Need To Have A Yearly Mammogram?

diep and mammogramThe below question is answered by Charleston breast surgeonDr. James E. Craigie. of The Center for Natural Breast Reconstruction:

After having breast reconstruction using the DIEP method do I need to have yearly mammogram?  If so, can the pressure from the procedure cause any damage to the tissue or blood vessels used in the reconstruction?

First of all, following mastectomy and reconstruction with your own tissues, a mammogram is routinely not needed on a regular screening basis.  Screening mammograms are only helpful for normal breast tissue; therefore, in our patients we do not recommend that they have regular screening mammograms.  From time to time, people will be seen in follow up for examination and have areas of the breast feel firm or hard and sometimes the oncologist or other physicians will order mammograms to investigate a specific finding.  This would normally be performed after the first and second stages of the reconstruction process were completed and therefore should pose no risk of injury to the blood vessels that were connected to the breast.

-James E. Craigie, M.D.

Do you have a question about breast implants or natural breast reconstruction? Ask the doctor by submitting your questions here.

 

The Best Tours of Charleston

Charleston ToursCharleston, South Carolina, is commonly cited as one of the nation’s most historical cities. Many of our patients who come for breast reconstruction surgery stay long enough to enjoy the eclectic sights Charleston has to offer.

The next time you’re in town, consider making time to visit one of these excellent Charleston tours.

Historic Charleston Tour

Founded in 1670, Charleston boasts more than three centuries of fascinating history. Join the historic tour to learn about Charleston’s role in the Revolutionary and Civil Wars, as well as the natural disasters that the city has withstood through the years. Your licensed tour guide will draw your attention to more than 100 points of interest. Hotel pick-up and drop-off service may be available.

Old Charleston Walking Ghost Tour

Keep your mind sharp and your body healthy with a walking tour of Charleston’s most haunted places. Tour guide Mike Brown offers more than a decade’s worth of research about the city’s spookiest alleys, graveyards, and other locations. Offered at 7:30 and 9:30 p.m. daily, these tours are sure to get your heart thumping and can act as either a main attraction or the opening for an exciting night on the town.

Historic Harbor Boat Tour of Charleston

Relax aboard a boat for a nonstop tour from the water. During your 90-minute sea adventure, you’ll learn about the historically significant Charleston Harbor and get to view three major forts (Moultrie, Sumter, and Johnson). The tour also includes views of Charleston’s best-known landmarks, including St. Michael’s Episcopal Church. If you keep your eyes on the water, you may even spot dolphins, pelicans, or other Low Country sea life.

Gone with the Wind City & Mansion Tour

Relive the beauty and drama of Margaret Mitchell’s iconic novel on Charleston’s Gone with the Wind City & Mansion Tour. You’ll see the French Quarter, the Market, Old Citadel, and the Rainbow Row of homes in pastel colors. The tour concludes inside the historic Manigault House, complete with antique furniture and architecture.

 

6 Ways to Soothe Sore & Aching Muscles

Most active people don’t mind a little muscle soreness after intense workouts —after all, sore muscles are the evidence that our bodies are working hard enough to attain new levels of fitness and help us prevent diseases like breast cancer. But after a while, it’s perfectly normal to want some relief.

Here’s the six-part formula to soothing your aching muscles.

  • Stretch it out. Within a few minutes of finishing an intense workout, spend about ten minutes stretching your muscles. Lengthening warm muscles post-workout helps flush out lactic acid (the stuff that makes you sore the next day). A good stretch will also reduce stiffness and overall soreness, but make sure your muscles are warm. Stretching cold muscles can cause strains and tears.
  • Go for the cold. Take advantage of your sweaty post-workout state to enjoy an ice bath (or an icepack or a few minutes of cold water in the shower). Exercise researchers have found that applying cold in the period immediately following a workout constricts blood vessels, which prevents swelling and inflammation. Plus, as your body heats up after the chill, your circulation will automatically improve.
  • Apply heat. After the first day, heat can help ease muscles soreness by relaxing your muscles and stimulating blood flow to heal the small tears in muscle fibers. Even if you don’t have access to a sauna or hot tub, a hot shower, a soak in the bathtub, or a heat pack can help you achieve the desired results.
  • Get a massage. What better way to relieve tension, pain, and inflammation than by getting a massage? If you’re not comfortable stripping for a professional massage (or if you can’t afford regular visits to the masseuse), enlist a friend’s help or do it yourself with a foam roller, a massage stick, or a massage chair.
  • Rest. Our bodies are pretty good about telling us when we’ve overdone it. Listen to your sore muscles and slow down for a few days so you can heal. But don’t become a total couch potato: light movement (such as low-impact cardio or yoga) improves circulation and helps your body recover.
  • Pop a pill. If you’re still in pain after trying everything you can think of, go ahead and take an anti-inflammatory pain killer such as ibuprofen. But if you’re still sore after several days, consult your doctor to make sure you aren’t seriously injured!

 

Your DIEP Reconstruction Recovery Process Question Answered

diep questionsThe below question is answered by Charleston breast surgeon, Dr. James E. Craigie. of The Center for Natural Breast Reconstruction:

I still feel tightness in my chest and stomach after DIEP reconstruction, when can I expect that to improve?

Tightness in the donor site area or tummy depends on how much tissue was taken to rebuild the breast and how much loose tissue was there to begin with.  The scar that results after the healing process can take approximately 6 months to relax and mature.  Therefore, during recovery, the tissues will be stiff for approximately 3 months and as you begin to do more and exercise more, the areas should slowly become less tight, less swollen, and more natural.  Regarding tightness in your chest, it would be unusual for tightness to exist for very long after having reconstruction with your own tissue.  Usually a new healthy breast made from your own tissue will improve tightness or scarring particularly if someone has had reconstruction with implants prior to using their own tissue.  However, if you have had radiation, those changes can be permanent and there may be residual stiffness, but it is very unusual for people in our practice to complain of tightness in the chest area once everything has healed approximately 3 to 6 months after surgery.

-Dr. James E. Craigie

Share this post with your followers on Twitter and Facebook. And if you have a question for our breast surgeons, submit them here!

Where to Go for the Best Sushi in the Low Country

Best SushiWhen nothing will do but sushi, South Carolina’s Low Country has plenty to offer your palate. Here’s a guide for anyone in search of great Japanese cuisine in the greater Charleston area.

Wasabi of Charleston

Please a crowd at Wasabi of Charleston, which offers sushi and hibachi dinners, plus an extensive drink menu (including plenty of sake choices!). In addition to classic Japanese cuisine prepared by professionally trained chefs, Wasabi boasts an exciting nightlife and hosts special events including birthdays and anniversaries. Open for lunch (11:30 to 3:00) and dinner.

O-Ku Sushi

This upscale sushi hotspot was cited by Esquire magazine as one of the country’s 20 Best New Restaurants in 2010. So far, its finely prepared entrees and small plates have lived up to the hype. With locally sourced ingredients, a sleek interior design, and an assortment of hand-crafted cocktails, O-Ku’s unique take on Japanese favorites provides something for everyone to love. Open for lunch (11:30 to 2:00) and dinner.

Bambu

In addition to its unique cocktails and hand-rolled sushi, Bambu boasts an outdoor patio and live music every weekend night during the summer. Locals and visitors alike enjoy the Charleston-influenced Japanese and Thai dishes, the quirky décor, and the community-style tables (private booths are available too!). Bambu further distinguishes itself from other sushi haunts in town by offering diners a glimpse into the sushi-rolling process, which they can observe via a webcam stationed in the kitchen. Open at 5:00 p.m. daily.

Tsunami

Tsunami’s four locations and extensive menu (which includes hibachi, sushi, and other traditional Japanese fare) make this an ideal site for a night out, no matter what crowd you’re with. The restaurant makes a special effort to accommodate those with food allergies and special diets, making this restaurant the place to go for those with food restrictions. Open for dinner daily.

 

 

5 Healthy and Delicious Breakfast Ideas

healthy breakfastAs Charleston breast surgeons, we’re always on the go, and breakfast is a meal we often overlook. Like you, we tend to grab something quick and run out the door or stop at Starbuck’s on the way to work for a quick pasty with our coffee. The old saying is true: a good breakfast is the start of a good day, so you don’t want to skip it.

Following are a few ideas we’ve found that don’t take long to prepare. They’re not only tasty but also good for you.

Breakfast casserole or quiche

You can prepare a quiche or breakfast casserole on the weekend and reheat it all week long, or you can prepare mini quiches for an even quicker bite. They’re delicious, and if you do it right, you’ll have at least one or two servings of vegetables and protein in each helping.

Fruit with peanut butter and cheese

Who can resist fruit with peanut butter and cheese? This breakfast is not only quick, but also mouthwatering and very healthy, especially if you use organic peanut butter or almond butter and low-fat cheese. Make sure the fruit is fresh!

Smoothie with fruit, protein powder, and yogurt

It doesn’t get much easier than this—throw some ice, protein powder, yogurt, and fruit or juice in a blender, turn it on, and drink your breakfast. A little research will turn up plenty of smoothie recipes you’ll love, and you’ll be amazed at how long you stay full if you add enough protein and fiber.

High-fiber English muffin or bagel with nut butter

Toast the bagel or English muffin and put your favorite nut butter or Nutella on top instead of butter or cream cheese. You could also add fresh or dried cranberries, strawberries, raisins, banana or apple chips, or sunflower seeds. You’re limited only by your imagination.

Your own GoGurt

You can make this great breakfast with any kind of cereal or granola you wish, along with your favorite flavor of yogurt. Grab a bowl or to-go cup and put some yogurt in the bottom. Add a layer of cereal or granola, and then add a second layer of yogurt and cereal. Fill the bowl and top it with your favorite fruit or nuts. There are literally a hundred and one ways to make this delicious breakfast.

What’s your favorite healthy, quick breakfast?

 

 

Your Questions about Natural Breast Reconstruction and Implants Answered

implantsThe following submission below is answered by Dr. James E. Craigie, of The Center for Natural Breast Reconstruction.

I had breast reconstruction in 2009 with implants and am unhappy with the result.  How hard is it to go back and do reconstruction with your own tissue?  What is the recovery time and does insurance give you a hard time if you need to do this?

Sorry that you are having so many problems with your implants, here are several things you need to know.  First of all, if someone required a mastectomy and their insurance company offers coverage for mastectomy; there is a federal law that mandates that insurance company to cover breast reconstruction.  If one technique did not work for you or failed, you are still eligible for another technique.  In our practice, 30% of our patients who undergo reconstruction with their own tissue have had failed implants.  Implant failure can be many different things.  Some people lose their implants because of infection; some have had radiation effects that contributed to rejection of the implant or hardness, while others simply have a result that is not satisfactory to them.  Other factors such as problems with implant itself or leakage can be reasons for implant failure as well.  Depending on exactly what your situation and original surgery was, the challenges of reconstruction following implants can include repair of the chest muscle, removal of leaking silicone, or removal of Alloderm if that product had been used during the initial reconstruction.  All of these things do make the reconstruction more challenging, but certainly our most successful technique to solve this problem is to remove the implants, any leaking implant material, the Alloderm, and the hard capsule that had formed around the implant and replace all of this with your own healthy living tissue.   Our preferred way to do this utilizes muscle-sparing techniques such as the DIEP or GAP, using just your fatty tissue to replace the implants.  Compared to someone who has not had failed implants, you may require an additional one or two revision stages of surgery and may require more time to allow the results to settle and overcome the effects of the previous surgeries.  These issues do make the process more complex, but the success rate among our patients is very high and the completed result is permanent and natural feeling which our patients who have had implant failures report to be their main goal. The recovery time for these types of surgeries is always patient dependent and generally longer than surgeries utilizing implants but our patients are usually back to work anywhere between 4 to 6 weeks.  I hope this has answered your questions and if you have any others I can answer, please feel free to forward them to us.

Do you have a question about breast implants or natural breast reconstruction? Submit your questions here to be answered by our team!